A community outbreak of Salmonella berta associated with a soft cheese product

A Ellis1, M Preston, A Borczyk

  • 1Bureau of Surveillance and Field Epidemiology, Laboratory Centre for Disease Control, Health Canada, Ottawa, Ontario.

Insights

A 1994 Salmonella berta outbreak in Ontario was linked to unpasteurized cheese. Genomic analysis revealed chicken cross-contamination, highlighting risks from home-based food producers and food safety practices.

Area of Science:

  • Foodborne Pathogen Research
  • Microbial Outbreak Investigation
  • Public Health Surveillance

Background:

  • An increase in Salmonella berta isolates from diarrheal patients in Ontario was reported in 1994.
  • A public health complaint regarding a cheese product coincided with the rise in cases.

Purpose of the Study:

  • To investigate a foodborne illness outbreak linked to a specific cheese product.
  • To identify the causative agent and transmission route of Salmonella berta.

Main Methods:

  • Clinical, environmental, and laboratory investigations were conducted.
  • Pulsed-field gel electrophoresis (PFGE) was used for large fragment genomic fingerprinting of Salmonella berta isolates.
  • Epidemiological data was collected to link illness to specific food consumption.

Main Results:

  • Eighty-two clinical cases of Salmonella berta infection were identified.
  • Illness was strongly linked to the consumption of unpasteurized soft cheese from a farm-based producer.
  • PFGE subtyping indicated indistinguishable isolates from patients, cheese, and chicken, suggesting chicken carcass contamination during cheese production.

Conclusions:

  • Unpasteurized cheese from home-based producers can be a source of foodborne pathogens.
  • Cross-contamination, particularly from poultry, is a significant risk factor in food production.
  • Effective public health surveillance and investigation are crucial for controlling foodborne outbreaks.

Related Concept Videos

Sources of Food Contamination01:29

Sources of Food Contamination

Contamination of food by microbial agents and natural toxins poses significant risks to public health. These hazards can be introduced at various points across the food supply chain, ranging from environmental sources to processing and storage stages. Understanding these contamination pathways is critical for developing strategies to ensure food safety.Seafood is particularly vulnerable to contamination through both environmental exposure and microbial colonization. Toxins from harmful algal...
Reservoir of Infection01:30

Reservoir of Infection

Infectious diseases arise from intricate interactions between pathogens and their reservoirs. A reservoir of infection refers to the natural habitat where a pathogen lives, grows, and multiplies, serving as a continual source of infection. Reservoirs are broadly classified as either living or nonliving, and each plays a unique role in disease transmission, significantly influencing public health interventions and control strategies.Humans act as reservoirs for a wide array of pathogens,...
Investigation of Disease Outbreaks01:23

Investigation of Disease Outbreaks

Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
Rocky Mountain Spotted Fever01:26

Rocky Mountain Spotted Fever

Rocky Mountain Spotted Fever (RMSF) is a severe tick-borne illness caused by Rickettsia rickettsii, a Gram-negative, coccobacillary bacterium. This pathogen is an obligate intracellular parasite, requiring a host cell for replication. Transmission occurs through the bite of an infected tick. In the United States, the most important vectors are Dermacentor variabilis (American dog tick) and Dermacentor andersoni (Rocky Mountain wood tick), though other tick species may also serve as vectors.
Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Cholera01:25

Cholera

Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...