164 with Salmonella in 35 States – 63 Hospitalized and 1 Death

https://www.salmonellablog.com/salmonella-outbreaks/164-with-salmonella-in-35-states-63-hospitalized-and-1-death/

As of November 5, 2018, 164 people infected with the outbreak strain of Salmonella Reading have been reported from 35 states.

Illnesses started on dates from November 20, 2017, to October 20, 2018. Ill people range in age from less than one year to 91, with a median age of 45. Fifty-six percent of ill people are female. Of 135 people with information available, 63 (47%) have been hospitalized. One death has been reported from California.

State and local health departments continue to interview ill people about the foods they ate and other exposures in the week before they became ill. Of 85 people interviewed, 44 (52%) people interviewed reported preparing or eating turkey products that were purchased raw, including ground turkey, turkey pieces, and whole turkey. Ill people reported buying many different brands of raw turkey products from multiple stores. Also, 3 of the 85 ill people interviewed became sick after pets in their home ate raw ground turkey pet food. Three of the 85 ill people interviewed worked in a facility that raises or processes turkeys, or lived with someone who did.

The outbreak strain of Salmonella Reading has been identified in samples from raw turkey pet food in Minnesota, from live turkeys from several states, and from raw turkey products collected from ill people’s homes. The raw turkey samples collected from ill people’s homes are still being investigated to determine the source of the turkey.

The outbreak strain was also identified in samples from raw turkey products from 22 slaughter and 7 processing establishments. The samples collected by FSIS at these slaughter and processing establishments were part of FSIS’s routine testing under the Salmonella performance standards. Furthermore, whole genome sequencing (WGS) showed that the Salmonella strain isolated from these samples is closely related genetically to the Salmonella strain from ill people. This result provides more evidence that people in this outbreak got sick from preparing raw turkey products.

Jennie-O Turkey Store Sales, LLC, a Barron, Wis. establishment, is recalling approximately 91,388 pounds of raw ground turkey products that may be associated with an illness outbreak of Salmonella Reading, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The raw ground turkey products items were produced on September 11, 2018. The following products are subject to recall:

  • 1-lb. packages of “Jennie-O GROUND TURKEY 93% LEAN | 7% FAT” with “Use by” dates of 10/01/2018 and 10/02/2018.
  • 1-lb. packages of “Jennie-O TACO SEASONED GROUND TURKEY” with a “Use by” date of 10/02/2018.
  • 1-lb. packages of “Jennie-O GROUND TURKEY 85% LEAN | 15% FAT” with a “Use by” date of 10/02/2018.
  • 1-lb. packages of “Jennie-O ITALIAN SEASONED GROUND TURKEY” with a “Use by” date of 10/02/2018.

The products subject to recall bear establishment number “P-190” inside the USDA mark of inspection. These items were shipped to retail locations nationwide.

FSIS, and its public health partners, including the Centers for Disease Control and Prevention (CDC) and the Arizona Department of Health Services, have been conducting traceback activities for a sample of Jennie-O brand ground turkey in an intact, unopened package from a case-patient’s home. The patient tested positive for Salmonella Reading and the sample from the ground turkey matches the outbreak strain.

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[Corrections] Correction to Lancet Diabetes Endocrinol 2019; 7:288–99

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30110-X/fulltext?rss=yes

Dong Y, Jan C, Ma Y, et al. Economic development and the nutritional status of Chinese school-aged children and adolescents from 1995 to 2014: an analysis of five successive national surveys. Lancet Diabetes Endocrinol 2019; 7: 288–99—In Table 1 of this Article, the data for 2014 Engel coefficients were incorrectly presented as 37·1% for Urban and 41·0% for Rural. These should have been 35·2% for Urban and 34·3% for Rural. These corrections have been made to the online version as of March 20, 2019.

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Handheld laser devices and laser-induced retinopathy (LIR) in children: an overview of the literature

http://feeds.nature.com/~r/eye/rss/current/~3/FC3cQ3vJBC0/s41433-019-0395-1

Handheld laser devices and laser-induced retinopathy (LIR) in children: an overview of the literature

Handheld laser devices and laser-induced retinopathy (LIR) in children: an overview of the literature, Published online: 20 March 2019; doi:10.1038/s41433-019-0395-1

Handheld laser devices and laser-induced retinopathy (LIR) in children: an overview of the literature

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March 6, 2018, Investigation Notice: Multistate Outbreak of Salmonella Enteritidis Infections Linked to Pet Guinea Pigs

https://tools.cdc.gov/podcasts/download.asp?m=342774&c=382251

CDC, several states, and the U.S. Department of Agriculture Animal and Plant Health Inspection Service are investigating a multistate outbreak of Salmonella Enteritidis infections. CDC began investigating in December 2017 when CDC PulseNet identified a cluster of three Salmonella Enteritidis infections that whole genome sequencing showed were closely related genetically. A review of the PulseNet database identified six more closely related illnesses dating back to 2015. These illnesses were added to the outbreak case count. Nine people infected with the outbreak strain of Salmonella Enteritidis have been reported from eight states.

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New study reshapes understanding of how the brain recovers from injury

https://www.sciencedaily.com/releases/2019/03/190320153918.htm

Each year, approximately 265,000 Americans have a stroke that causes visual impairment. New research sheds light on how the damage in the brain caused by a stroke can lead to permanent vision impairment. The findings could provide researchers with a blueprint to better identify which areas of vision are recoverable, facilitating the development of more effective interventions to encourage vision recovery.

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Distrust of the Health Care System: A Lethal Issue

https://www.diabetesdaily.com/blog/distrust-of-the-health-care-system-a-lethal-issue-615230/

In the last few years alone, we have seen numerous, heartbreaking stories of childhood deaths from diabetes due to a misdiagnosis or from parental hesitance to accept the diagnosis and to start insulin therapy. Most recently, the media highlighted a case of a young boy’s parents who turned to an herbalist, who advised them their […]

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