Multi-country outbreak of Listeria monocytogenes

Frozen corn and possibly other frozen vegetables are the likely source of an outbreak of Listeria monocytogenes that has been affecting five EU Member States Austria, Denmark, Finland, Sweden, and the United Kingdom since 2015.

This is the conclusion of a rapid outbreak assessment by European Food Safety Authority (EFSA) and the European Centre for Disease Prevention and Control (ECDC).

Experts used whole genome sequencing to identify the food source, which initially was thought to be limited to frozen corn. As of 8 June 2018, 47 cases including nine deaths had been reported.

The same strains of L. monocytogenes have been detected in frozen vegetables produced by the same Hungarian company in 2016, 2017 and 2018. This suggests that the strains have persisted in the processing plant despite the cleaning and disinfection procedures that were carried out following an investigation in March.

The available information confirms the contamination at the Hungarian plant. However, further investigations, including thorough sampling and testing, are needed to identify the exact points of environmental contamination at the Hungarian plant. The same recommendation applies to other companies belonging to the same commercial group if environmental contamination is detected.

On 29 June 2018, the Hungarian Food Chain Safety Office banned the marketing of all frozen vegetable and frozen mixed vegetable products produced by the affected plant between August 2016 and June 2018, and ordered their immediate withdrawal and recall. This last measure is likely to significantly reduce the risk of human infections and contain the outbreak. All freezing activity at the plant has been stopped.

New cases could still emerge due to the long incubation period of listeriosis (up to 70 days); the long shelf-life of frozen corn products; and the consumption of frozen corn bought before the recalls and eaten without being cooked properly.

To reduce the risk of infection, consumers should thoroughly cook non ready-to-eat frozen vegetables, even though these products are commonly consumed without cooking (e.g. in salads and smoothies). This applies especially to consumers at highest risk of contracting listeriosis – such as the elderly, pregnant women, new-borns and adults with weakened immune systems.

What is a rapid outbreak assessment?

Coordination at EU level is crucial when there are multi-country foodborne outbreaks. One aspect of this coordination is the production of a rapid outbreak assessment (ROA) by EFSA and ECDC in close cooperation with affected countries.
The ROA gives an overview of the situation in terms of public health and identifies the cause of the infections. It also includes trace-back and trace-forward investigations to identify the origin of the outbreak and where contaminated products have been distributed. These help to identify measures that will prevent further spread of the outbreak.

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