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#USA | Multi-state #outbreak of #listeriosis linked to #BlueBellCreameries products

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Listeriosis is a life-threatening infection caused by eating food contaminated with the bacterium (germ) Listeria monocytogenes. People at high risk for listeriosis include pregnant women, adults 65 and older, and people with weakened immune systems.

  • CDC recommends that consumers do not eat any Blue Bell brand products made at the Oklahoma production facility, nor any recalled products, and that retailers and institutions not serve or sell them. Blue Bell has issued recent recalls of many products.
  • This is a complex and ongoing multistate outbreak of listeriosis occurring over an extended period. The outbreak now consists of two clusters involving people infected with outbreak strains of Listeria monocytogenes; eight people are reported from Kansas (5) and Texas (3).
    • Details about the two clusters are provided below in the April 8, 2015 Case Count Update.
  • Recent testing of product samples from the Blue Bell Creameries Oklahoma production facility identified Listeria monocytogenes strains in product sold at retail that were not included in the previous two recalls, including a pint of banana pudding ice cream.
    • On April 3, 2015, Blue Bell Creameries reported that they had voluntarily suspended operations at the Oklahoma production facility.
    • On April 4, 2015, Blue Bell Creameries began working with retailers to remove all products made in the Oklahoma production facility from the market.
    • On April 7, 2015, Blue Bell Creameries announced a third product recall that includes banana pudding ice cream pints and other products made on the same production line in the Oklahoma production facility from February 12, 2015 to March 27, 2015.
Case Count Update

This is a complex and ongoing multistate investigation of listeriosis occurring over an extended period. The outbreak now consists of two clusters of illnesses that are likely linked to Blue Bell brand ice cream products. The outbreak involves eight people infected with outbreak strains of Listeria monocytogenes; eight people are reported from Kansas (5) and Texas (3).

Cluster 1 consists of five patients reported from Kansas during January 2014 through January 2015 who were all hospitalized at a single hospital for unrelated problems before developing listeriosis. Of the four ill people for whom information is available on the foods eaten in the month before Listeria infection, all consumed milkshakes made at the hospital with a Blue Bell brand ice cream product called “Scoops.” Whole genome sequences of Listeria monocytogenes strains isolated from four of the patients were found to be highly related to sequences of Listeria strains isolated from “Scoops” and two other products made on the same line at the company’s Texas facility. These products were recalled by Blue Bell Creameries on March 13, 2015.

Cluster 2 consists of three patients reported from Texas during 2011 through 2014 who were all hospitalized for unrelated problems before developing listeriosis. Whole genome sequences of their Listeria monocytogenes strains were nearly identical to Listeria strains isolated from ice cream produced at the Blue Bell Creameries’ Oklahoma facility.

Three additional patients with listeriosis during 2010 through 2012 whose isolates have PFGE patterns similar to those of others in the cluster have been identified in the PulseNet database; further molecular laboratory testing is under way to determine whether these illnesses may be related to this outbreak. Results of this testing will be reported once they are available.

Investigation Update

The Food and Drug Administration (FDA) recently isolated Listeria monocytogenes strains from a 1-pint container of Blue Bell brand banana pudding ice cream collected from the company’s Oklahoma production facility. This contaminated product was produced in the same facility but on a different line from the 3 oz. institutional/food service ice cream cups previously recalled.

On April 3, 2015, Blue Bell Creameries reported that they had voluntarily suspended operations at their Oklahoma production facility.  On April 7, 2015, Blue Bell Creameries announced a third product recall that included banana pudding ice cream pints and other products made on the same line that were produced between February 12, 2015 and March 27, 2015 at their Oklahoma facility. Further testing of environmental and product samples from Blue Bell Creamery facilities is ongoing.

Blue Bell Creameries previously issued two other recalls. On March 13, 2015, the company removed from the market “Scoops” and other products made on the same line at their Texas facility. On March 23, 2015, the company recalled 3 oz. institutional/food service ice cream cups of chocolate, strawberry, and vanilla flavors made at their Oklahoma facility.

CDC continues to recommend that consumers do not eat any Blue Bell brand products made at the Oklahoma production facility (including the recalled products) and that retailers and institutions should not sell or serve them. This advice is particularly important for consumers at higher risk for listeriosis, including pregnant women, adults 65 and older, and people with weakened immune systems. Learn more on the Advice page.

In addition, CDC continues to recommend that consumers do not eat any products that Blue Bell Creameries recalled.

State and local health officials, CDC, and FDA continue to work closely on this investigation, and new information will be provided on this website as it becomes available.

 


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