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Published on: October 18, 2010
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.
Abstract:
In September 1994, a complaint was registered at a public health unit concerning a cheese product. In addition, public health laboratories in Ontario reported an increase in the number of isolates of Salmonella berta from patients with diarrhoeal illness. A clinical, environmental and laboratory investigation was initiated to determine the nature of this outbreak. Isolates of Salmonella berta were compared using large fragment genomic fingerprinting by pulsed-field gel electrophoresis (PFGE). By late October, 82 clinical cases had been identified including 35 confirmed, 44 suspected and 3 secondary. The investigation linked illness to consumption of an unpasteurized soft cheese product produced on a farm and sold at farmers' markets. Subtyping results of patient, cheese and chicken isolates were indistinguishable, suggesting that the cheese was contaminated by chicken carcasses during production. The outbreak illustrates the potential role of uninspected home-based food producers and of cross-contamination in the transmission of foodborne bacterial pathogens.
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.
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