The decade's 10 biggest food-borne illness outbreaks

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The decade's 10 biggest food-borne illness outbreaks - CNN.comvar cnnCurrTime=new Date(1317399953000),cnnCurrHour=12,cnnCurrMin=25,cnnCurrDay="Fri",cnnIsIntl=true,clickID=212106,cnn_cvpAdpre="edition.",cnnCVPAdSectionT1="edition.cnn.com_health_t1",cnnCVPAdSectionInPage="edition.cnn.com_health_inpage",cnnShareUrl="%2F2011%2F09%2F30%2Fhealth%2Fhigh-profile-food-borne-illnesses-gallery%2Findex.html",cnnShareTitle="The%20decade's%2010%20biggest%20food-borne%20illness%20outbreaks",cnnShareDesc="",cnnFirstPub=new Date('Friday Sep 30 06:32:25 EST 2011'),cnnSectionName="health",cnnSubSectionName="hth : news",cnnPageType="Story",cnnBrandingValue="default";cnnPartnerValue="";cnnOmniBranding="",cnnAuthor="Jacque Wilson, CNN",disqus_category_id=207582,disqus_identifier="/2011/09/30/health/high-profile-food-borne-illnesses-gallery/index.html",disqus_title="The decade's 10 biggest food-borne illness outbreaks",cnn_edtnswtchver="edition",cnnIsStoryPage=true,cnn_metadata = {};cnn_metadata = {section: ["health","hth : news"],friendly_name: "The decade's 10 biggest food-borne illness outbreaks",template_type: "content",template_type_content: "gallery",business: {cnn: {page: {author: "Jacque Wilson, CNN",broadcast_franchise: "",video_embed_count: "0",publish_date: "2011/09/30",photo_gallery: "The decade's 10 worst food-borne illness outbreaks"},video: {video_player: ""}}},user: {authenticated: "",segment: {age: "",zip: "",gender: ""}}};if (typeof(cnnOmniPartner) !== "undefined") {if (cnn_metadata.template_type_content === "") {cnn_metadata.template_type_content = "partner";}}var photo_gallery = "The decade's 10 worst food-borne illness outbreaks";Event.observe(window,'load',function(){window.setTimeout("cnn_strysavemrv()",500);});function cnn_strysavemrv(){saveMrvUrl('The decade\'s 10 biggest food-borne illness outbreaks - CNN.com',cnn_strysaveurl);}if(typeof CNN==='undefined'){var CNN=Class.create();}CNN.expandableMap=[''];function _loginOptions(){};var disqus_url=(typeof disqus_identifier!=='undefined') ? 'http://www.cnn.com/2011/09/30/health/high-profile-food-borne-illnesses-gallery/index.html' : 'http://www.cnn.com'+location.pathname;cnnad_newTileIDGroup(['728x90_top','336x850_rgt']);cnnad_newTileIDGroup(['607x95_adlinks','336x280_adlinks']); EDITION:  INTERNATIONAL U.S. MÉXICO ARABIC Set edition preference Sign up Log in Home Video World U.S. Africa Asia Europe Latin America Middle East Business World Sport Entertainment Tech Travel iReport Share this on:FacebookTwitterDiggdeliciousredditMySpaceStumbleUponLinkedInViadeo The decade's 10 biggest food-borne illness outbreaksBy Jacque Wilson, CNNSeptember 30, 2011 -- Updated 1504 GMT (2304 HKT)if (typeof cnnArticleGallery == "undefined") {var cnnArticleGallery = {};if(typeof cnnArticleGallery.currentImageList =="undefined"){cnnArticleGallery.currentImageList = [];}}var expGalleryPT00 = new ArticleExpandableGallery();expGalleryPT00.setImageCount(11);.cnn_html_slideshow_metadata > .cnn_html_media_utility::before {padding-right: 1px;content: '>>';font-size: 9px;line-height: 12px;color: red;}.cnnstrylccimg640 {margin: 0 27px 14px 0; /*note the exclusion of the top margin*/}.captionText {filter: alpha(opacity=100);opacity: 1;}.cnn_html_slideshow_media_caption a, .cnn_html_slideshow_media_caption a:visited, .cnn_html_slideshow_media_caption a:link, .captionText a, .captionText a:visited, .captiontext a:link {color: #004276;outline: medium none;Tainted cantaloupes have left 13 people dead in what has become the deadliest U.S. outbreak of a food-borne illness in more than a decade, according to the CDC. Incidence rates of infection actually decreased 23% in the U.S. between 1996 and 2010 but news of a contaminated food product always creates headlines. Here are the 10 most high-profile food-borne illness outbreaks since 2001.cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":true,"x":0,"y":0,"pos":1}Between February and August, the Cargill Meat Solutions Corp. recalled more than 36 million pounds of ground turkey after tests revealed a strain of salmonella. The outbreak killed one person and sickened 111. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":2}In the summer of 2010 more than 1,600 people were reportedly sickened by salmonella found in eggs produced by Hillandale Farms in Iowa, which voluntarily recalled approximately a half-billion eggs in 14 states.cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":3}Authorities shut down a processing plant in Texas in October 2010 after four deaths were tied to listeria-infected celery produced at the site. The Texas Department of State Health Services ordered SanGar Fresh Cut Produce to recall all products shipped from its San Antonio plant. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":4}Between April and August 2008, 1442 people in 43 states were infected with salmonella from Mexico-grown jalapeno and Serrano peppers. At least 300 people were hospitalized and the infection may have contributed to two deaths, according to the CDC. Walmart stores in four states recalled jars of Serrano peppers as a result. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":5}The second-deadliest outbreak this decade occurred between September 2008 and April 2009 when nine people died from salmonella-infected peanut butter. The Peanut Corp. of America had sold the tainted peanut butter in bulk to King Nut, which recalled its products. More than 700 people were infected and 166 were hospitalized. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":6}In the summer of 2006, more than 230 people became infected with E. coli from spinach grown on a single California field on a single day. Unfortunately, the CDC wasn't able to narrow down how that field became contaminated. Investigators did trace the prepackaged spinach back to Natural Selection Foods and baby spinach sold under the Dole brand name. Five people died during the outbreak and 103 were hospitalized. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":7}During 2005 and 2006, four large outbreaks of salmonella infections hit 21 states in the U.S. Tainted tomatoes being served in restaurants were found to the be the cause. Investigators from the CDC determined that the produce was grown on two farms in Virginia.cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":8}Pre-sliced Roma tomatoes purchased at deli counters in Sheetz Gas Stations infected 429 people -- hospitalizing 129 -- in the summer of 2004. Two other smaller outbreaks in the U.S. and Canada also occurred that summer and were linked back to a tomato-packing house in Florida. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":9}Listeria was again the cause of the third-deadliest outbreak in the United States in the past decade. An infection of deli meat, specifically sliced turkey, killed eight and infected 54 others in 2002. Three pregnant women also had fetal deaths. Two processing plants recalled 30 million pounds of meat following the outbreak. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":10}Interestingly, just over 10 years ago news organizations were running similar headlines about cantaloupe -- except this time it was salmonella that had infected the fruit. Two were killed, nine hospitalized and 50 infected in this outbreak that started in Mexico. cnnArticleGallery.currentImageList[cnnArticleGallery.currentImageList.length] = {"currentPicture":false,"x":0,"y":0,"pos":11}HIDE CAPTIONCantaloupeGround turkeyEggsceleryPeppersPeanut butterSpinachTomatoesRoma tomatoesDeli meatsCantaloupe<<<1234567891011>>>

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Illness, Deaths From Listeria-Tainted Cantaloupes Expected to Rise

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Federal health officials said Wednesday more illnesses and possibly more deaths may be linked to an outbreak of listeria in cantaloupe in coming weeks.

So far, the outbreak has caused at least 72 illnesses — including up to 16 deaths — in 18 states, making it the deadliest food outbreak in the United States in more than a decade.

The heads of the Centers for Disease Control and Prevention and the Food and Drug Administration said consumers who have cantaloupes produced by Jensen Farms in Colorado should throw them out. If they are not sure where the fruit is from, they shouldn't eat it.

MORE: Listeria-Laced Cantaloupe: 6 Things You Need to Know

Neither the government nor Jensen Farms has supplied a list of retailers who may have sold the fruit. Officials say consumers should ask retailers about the origins of their cantaloupe. If they still aren't sure, they should get rid of it.

"If it's not Jensen Farms, it's OK to eat," said Thomas Frieden, director of the CDC. "But if you can't confirm it's not Jensen Farms, then it's best to throw it out."

Jensen Farms of Holly, Colo. says it shipped cantaloupes to 25 states, though the FDA has said it may be more, and illnesses have been discovered in several states that were not on the shipping list. A spokeswoman for Jensen Farms said the company's product is often sold and resold, so they do not always know where it went.

The recalled cantaloupes may be labeled "Colorado Grown," ''Distributed by Frontera Produce," ''Jensenfarms.com" or "Sweet Rocky Fords." Not all of the recalled cantaloupes are labeled with a sticker, the FDA said. The company said it shipped out more than 300,000 cases of cantaloupes that contained five to 15 melons, meaning the recall involved 1.5 million to 4.5 million pieces of fruit.

The FDA said none of the cantaloupes had been exported, reversing an earlier statement that some of the tainted melons had been shipped abroad.

MORE: Listeria Outbreak in Cantaloupes Is the Deadliest in a Decade

Frieden and FDA Commissioner Margaret Hamburg said that illnesses are expected for weeks to come because the incubation period for listeria can be a month or even longer. That means that someone who ate contaminated cantaloupe last week may not get sick until next month. Jensen Farms last shipped cantaloupes on Sept. 10. The shelf life is about two weeks.

"We will see more cases likely through October," Hamburg said.

The Food and Drug Administration said state health officials found listeria in cantaloupes taken from Colorado grocery stores and from a victim's home that were grown at Jensen Farms. Matching strains of the disease were found on equipment and cantaloupe samples at Jensen Farms' packing facility in Granada, Colo.

Sherri McGarry, a senior adviser in the FDA's Office of Foods, said the agency is looking at the farm's water supply and possible animal intrusions among other things in trying to figure out how the cantaloupes became contaminated. Listeria bacteria grow in moist, muddy conditions and are often carried by animals.

MORE: What's Lurking in Your Meat and Poultry? Probably Staph

The health officials said this is the first known outbreak of listeria in cantaloupe. Listeria is generally found in processed meats and unpasteurized milk and cheese, though there have been a growing number of outbreaks in produce. Hamburg called the outbreak a "surprise" and said the agencies are studying it closely to find out how it happened.

Cantaloupe is often the source of outbreaks, however. Frieden said CDC had identified 10 other cantaloupe outbreaks in the last decade, most of them from salmonella.

Listeria is more deadly than well-known pathogens like salmonella and E. coli, though those outbreaks generally cause many more illnesses. Twenty-one people died in an outbreak of listeria poisoning in 1998 traced to contaminated hot dogs and possibly deli meats made by Bil Mar Foods, a subsidiary of Sara Lee Corp. Another large listeria outbreak, in 1985, killed 52 people and was linked to Mexican-style soft cheese.

Listeria generally only sickens the elderly, pregnant women and others with compromised immune systems. The CDC said the median age of those sickened is 78 and that 1 in 5 who contract the disease can die from it. Symptoms include fever and muscle aches, often with other gastrointestinal symptoms.

Unlike many pathogens, listeria bacteria can grow at room temperatures and even refrigerator temperatures. It is hardy and can linger long after the source of the contamination is gone — health officials say people who may have had the contaminated fruit in their kitchens should clean and sanitize any surfaces it may have touched.

MORE: See TIME's health and medicine covers.

The CDC said Tuesday that 13 deaths are linked to the tainted fruit. State and local officials say they are investigating three additional deaths that may be connected.

The death toll released by the CDC Tuesday surpassed the number of deaths linked to an outbreak of salmonella in peanuts almost three years ago. Nine people died in that outbreak. The CDC reported four deaths in New Mexico, two deaths each in Colorado and Texas and one death each in Kansas, Missouri, Nebraska, Oklahoma and Maryland.

New Mexico officials said Tuesday they are investigating a fifth death, while health authorities in Kansas and Wyoming said they too are investigating additional deaths possibly linked to the tainted fruit.

The CDC reported the 72 illnesses and deaths in 18 states. Cases of listeria were reported in California, Colorado, Florida, Illinois, Indiana, Kansas, Maryland, Missouri, Montana, Nebraska, New Mexico, North Dakota, Oklahoma, Texas, Virginia, West Virginia, Wisconsin, and Wyoming. The most illnesses were reported in Colorado, which has seen 15 sickened. Fourteen illnesses were reported in Texas, 10 in New Mexico and eight in Oklahoma.

While most healthy adults can consume listeria with no ill effects, it can kill the elderly and those with compromised immune systems. It is also dangerous to pregnant women because it easily passes through to the fetus. The CDC's Frieden said that two of those sickened were pregnant women but they have since recovered.

—By MARY CLARE JALONICK

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43 Fort Bragg soldiers suffer heat illness in 12-mile road march

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A total of 60 soldiers were being tested for their expert field medical badge43 of them suffer heat-related illnessesOne is in intensive careThe difficult-to-obtain badge is considered the "portrait of excellence" in the Army

(CNN) -- Forty-three soldiers suffered heat-related illnesses Friday during a 12-mile road march at Fort Bragg, North Carolina, an Army spokesman said.

The march was the culmination of a week of "expert field medical badge training," during which soldiers are tested on their medic and general soldier skills in order to receive an "expert" badge, Fort Bragg spokesman Benjamin Abel said.

Sixty soldiers were on the march, which started at 6 a.m., and they were carrying backpacks, helmets, weapons and other combat gear, Abel said.

About an hour and a half into the march, the people running the event noticed some personnel "were having difficulties," and medical transports were begun, he said.

Eighteen of the soldiers were transported to Womack Army Medical Center, and one was admitted to the intensive care unit, he said.

Humidity levels Friday morning were higher than expected, but "this is odd, out of the norm, to have this many people treated," Abel added.

The expert field medical badge is deemed by the Army as "the utmost challenge to the professional competence and physical endurance of the soldier medic," Fort Bragg officials said in a statement earlier this week.

"It is the most sought-after peacetime award in the Army Medical Department, and while the combat medical badge is the 'portrait of courage' in wartime, the expert field medical badge is undoubtedly the 'portrait of excellence' in the Army all of the time," officials said.

"To wear the EFMB means you passed a grueling series of hands-on-tests on communications, common skill tasks, emergency medical treatment, evacuation of the sick and wounded, litter obstacle course, day/night land navigation courses, comprehensive written test, 12-mile foot march, CPR, physical fitness test, and weapons qualification," the base said.

In June 1965, the Department of the Army established the badge as a special skill award for the recognition of exceptional competence and outstanding performance by field medical personnel.

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HEALTH MANAGEMENT. FDA warns about cantaloupe linked to illness, deaths

CHICAGO (Reuters) - The Food and Drug Administration warned consumers on Thursday not to eat cantaloupe grown in part of Colorado after two deaths from what it said was the first Listeria outbreak traced to the melon.
Jensen Farms, grower of the cantaloupe in the Rocky Ford region of Colorado, voluntarily recalled the melons earlier in the week. The melons were sent to at least 17 states.
A specific strain of Listeria, a bacteria that can lead to a deadly flu-like illness, was found as the cause of 22 Listeriosis cases and traced back to the Jensen Farms cantaloupe, the FDA said.
Food-borne Listeria outbreaks are typically associated with deli meats and hot dogs, the FDA said. The only two produce-based outbreaks of listeria were from sprouts in 2009 and fresh-cut celery in 2010, according to the FDA.
In the current outbreak, people were infected in seven states -- 12 in Colorado, four in New Mexico, two in Texas, and one in Oklahoma, Nebraska, Indiana and West Virginia, according to the Centers for Disease Control.
In Colorado, a man filed a lawsuit against Jensen Farms and Wal-Mart Stores Inc after falling ill from a cantaloupe he purchased from one of the retail giant's stores, law firm Montgomery Little & Soran, PC said on Thursday.
Charles Palmer, 71, said in the complaint filed in El Paso County District Court that he has been hospitalized for more than two weeks with Listeriosis after eating cantaloupe grown by Jensen Farms in Colorado's Arkansas Valley.
Palmer was rushed to a hospital on August 31 after his wife said he was unresponsive days after eating a cantaloupe bought at a Colorado Springs Wal-Mart, the lawsuit said.
Greg Rossiter, spokesman for Wal-Mart, said the company wishes Palmer well, and was conducting an investigation.
He said that out of "an abundance of caution," the retailer pulled all Rocky Ford cantaloupes from its shelves after officials identified the Colorado connection.
Jensen Farms voluntarily recalled all the cantaloupes it shipped to 17 states between July 29 and September 10, Ryan Jensen, a partner in the farm, said in a statement.
"Jensen Farms continues to stay committed to the highest levels of food safety and maintains many third party safety audits, as we have for many years," he said. "We continually look for ways to enhance our protocol."
Palmer's attorney, William Marler, said in a statement that the farm and Wal-Mart have "a public responsibility to all consumers to sell and distribute food that is free and clear of all adulterants."
"In this case, a lapse in food safety assurance has relegated an innocent man to a hospital bed for a long time," he said.
The FDA specifically cautioned older adults, people with immune system diseases and pregnant women from eating cantaloupe grown in the Rocky Ford region.
The recall was in effect for Illinois, Wyoming, Tennessee, Utah, Texas, Colorado, Minnesota, Kansas, New Mexico, North Carolina, Missouri, Nebraska, Oklahoma, Arizona, New Jersey, New York and Pennsylvania. The FDA said the cantaloupe might be in other states as well.
(Additional reporting by Keith Coffman in Colorado; Editing by Dan Whitcomb, Greg McCune and Cynthia Johnston)

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