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Published on: May 6, 2013
Outbreak of listerosis due to imported cooked ham, Switzerland 2011
H Hächler1, G Marti, P Giannini
1National Centre for Enteropathogenic Bacteria and Listeria (NENT), Zurich, Switzerland.
Insights
A 2011 listeriosis outbreak in Switzerland was linked to contaminated cooked ham. Investigations identified the Listeria monocytogenes strain in ham, leading to a product recall and enhanced food safety alerts.
Area of Science:
- Foodborne Illness
- Microbiology
- Public Health
Background:
- An outbreak of listeriosis occurred in Switzerland between April and July 2011.
- Nine cases were registered, with six laboratory-confirmed infections with Listeria monocytogenes.
Purpose of the Study:
- To investigate the source and characteristics of the Listeria monocytogenes strain responsible for the outbreak.
- To identify the food vehicle and contamination pathway.
Main Methods:
- Laboratory confirmation of Listeria monocytogenes in clinical and food samples.
- Molecular subtyping using pulsed-field gel electrophoresis (PFGE) to characterize the bacterial strain.
- Traceback investigation including shopper card data analysis.
Main Results:
- A single strain of Listeria monocytogenes, serovar 1/2a with an indistinguishable PFGE pulsotype, was identified in confirmed cases.
- The same strain was detected in cooked ham samples, with high bacterial counts (470 and 4,800 CFU/g).
- Traceback confirmed consumption of the contaminated ham by affected individuals.
Conclusions:
- Contaminated cooked ham was the source of the 2011 Swiss listeriosis outbreak.
- Contamination likely occurred during the slicing and packing process at an outsourced facility, not the primary production plant.
- The outbreak prompted product recalls and alerts through the Rapid Alert System for Food and Feed (RASFF), highlighting the importance of supply chain oversight.
Abstract:
From 24 April to 31 July 2011, nine cases of listeriosis were registered in the cantons of Aargau, Basel-Land and Zurich, Switzerland. In six of the cases, infection with Listeria monocytogenes was laboratory confirmed, while three remained suspected cases. The suspected cases were family members of confirmed cases with identical or similar symptoms. All confirmed cases were infected with a L. monocytogenes strain belonging to serovar 1/2a: all had an indistinguishable pulsotype by pulsed-field gel electrophoresis (PFGE). The same strain was detected in samples of cooked ham that were on sale from a particular retailer. Two samples of ham tested contained 470 and 4,800 colony-forming units (CFU) L. monocytogenes per gram respectively. Data of shopper cards from two confirmed cases could be evaluated: both cases had purchased the contaminated ham. The outbreak initiated a product recall and alert actions at national and European level, through the Rapid Alert System for Food and Feed (RASFF). Following the RASFF alert, the company producing the contaminated ham was inspected by the responsible authorities. Their investigations showed that the ham was not contaminated in the production plant, but in the premises of a company to which slicing and packing was outsourced.
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