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Botulism Blog

Surveillance & Analysis on Botulism News & Outbreaks

Juices Incorporated Recalls Juice Due to Botulism Risk

The U.S. Food and Drug Administration is warning consumers not to consume any juice products or other beverages from Juices Incorporated (aka Juices International and Juices Enterprises) of Brooklyn, N.Y. The company’s carrot and beet juice products have the potential to be contaminated with Clostridium botulinum, a bacterium which can cause botulism, a serious and potentially fatal foodborne illness. Consumers are warned not to consume these products even if they do not look or smell spoiled.

Botulism can cause the following symptoms: general weakness; dizziness; double-vision; and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these symptoms after consuming carrot or beet juice products from Juices Incorporated should seek immediate medical attention.

Although previously distributed in New York, New Jersey, Connecticut and Pennsylvania, Juices Incorporated products were recently found in retail establishments and restaurants in the New York City area, and consumers may have moved the products beyond this region.

The following Juices Incorporated juice products pose a particular concern for Clostridium botulinum contamination:

Carrot Juice Drink

Carrot & Beet Juice Drink

Carrot & Ginger Drink

Double Trouble Carrot Punch

Ginger Beet Juice

Beet Juice Drink

The products are packaged under the following brand names:

Juices Incorporated

Juices International

Juices Enterprises

On October 7, 2010, the U.S. Department of Justice filed a complaint for permanent injunction against the owners of Juices Incorporated after FDA inspections revealed continuing violations of the Federal Food, Drug and Cosmetic Act, including insanitary conditions at the Juices Incorporated facility. Under a January 3, 2011 Consent Decree of Permanent Injunction (Consent Decree), the owners of Juices Incorporated are required to stop manufacturing and distributing any articles of food, including all juice products and other beverages, until they correct the food safety deficiencies and insanitary conditions at their facility.

Subsequently, on June 21, 2012, U.S. District Court Judge Sandra L. Townes for the Eastern District of New York issued an Order to Enforce Consent Decree after the owners of Juices Incorporated failed to comply with the requirements of the Consent Decree. FDA investigators recently confirmed that Juices Incorporated and its owners continue to manufacture and distribute juice products and other beverages in violation of the Consent Decree and the Court’s Order to Enforce Consent Decree.

Although Clostridium botulinum has never been found inJuices Incorporated’s juice products, FDA is concerned about the firm’s continuing production of potentially hazardous juice products despite the requirements of the Consent Decree and Order to Enforce Consent Decree. Because the company was ordered not to manufacture or distribute any food, FDA is also warning consumers not to consume other Juices Incorporated beverages, including but not limited to: Ginger Beer Drink, Agony Peanut Punch, Front End Lifter Magnum Punch, Irish Sea Moss, Cashew Punch, Sorrel Drink, Pineapple Twist, Soursop Juice, and Corn Punch.

The Federal Food, Drug and Cosmetic Act refers to unsanitary conditions as insanitary.

Botulism Risk in Canadian Fish

Health Canada is reminding Canadians that the consumption of certain whole salted fish products like fesikh, a traditional dish in the Egyptian community, represents an increased risk of botulism.

The fish used to make these specific salted fish dishes are not gutted before the ripening and salting process. This provides an opportunity for Clostridium botulinum bacteria that may be in the gut of the fish to grow and produce the toxins that cause botulism. These toxins are not eliminated by any smoking or drying of the end product. Refrigeration, freezing, washing, and open air or vacuum packaging will not make the fish safe. This applies to whole fish, fillets or parts.

The most recent botulism outbreak in Canada caused by the consumption of fesikh was in 2012. Internationally, the consumption of ungutted salted fish, including fesikh, has been linked to many cases of botulism.

Food contaminated with Clostridium botulinum toxin may not look or smell spoiled. Symptoms of botulism can include nausea and/or vomiting followed by one or more of: double vision, blurred vision, drooping eyelids, dry mouth, difficulty speaking, difficulty swallowing, weakness, respiratory failure and paralysis. In severe cases, death can occur. Symptoms generally begin 12 to 36 hours after eating a contaminated food, but they can occur as early as six hours or as late as 10 days after eating. If you are experiencing similar symptoms, please contact your health professional.

Steelhead Recalled Because of Botuliam Risk

The Canadian Food Inspection Agency (CFIA) is warning the public not to consume the smoked fish products described below because they may be contaminated with Clostridium botulinum. Toxins produced by these bacteria may cause botulism, a life-threatening illness.

The following vacuum-packed products sold at Hooked stores in Toronto are affected by this alert:

Product

Codes

Cold Smoked Steelhead (may also be written as Cold Smoked Salmon or Cold Smoked Sockeye)

A25 (may also be written as A-25; 04 25;
04/25; Apr 25; Apr 25, 2013; Apr 25/2013)

Cold Smoked Steelhead (may also be written as Cold Smoked Salmon or Cold Smoked Sockeye)

A31 (may also be written as A-31; 04 31;
04/31; Apr 31; Apr 31, 2013; Apr 31/2013)

These products have no label or UPC code. The product name is handwritten on the package.

These products have been sold from Hooked stores at:

- 888 Queen Street East, Toronto, and

- 206 Baldwin Street, Toronto.

There have been no reported illnesses associated with the consumption of these products.

Food contaminated with Clostridium botulinum toxin may not look or smell spoiled. Consumption of food contaminated with the toxin may cause nausea, vomiting, fatigue, dizziness, headache, double vision, dry throat, respiratory failure and paralysis. In severe cases of illness, people may die.

Smoked and Pickled Herring Recalled Due to Botulism

Little Mermaid Smoke House is recalling its Smoked Herring and Pickled Herring because the viscera of the fish were not removed and the products now pose a risk of contamination by Clostridium botulinum, according to the U.S. Food and Drug Administration.

Botulism bacteria can cause life-threatening illness and consumers are warned not to eat the products even if they don’t look or smell spoiled.

The recalled products are manufactured by Little Mermaid Smoke House and were distributed in California. The products are sold as whole fish, packaged in vacuum-sealed packaging, and labeled “Little Mermaid Smoke House.” There are no codes listed on the products. The recall includes products sold before April 3.

Central-Epicure Gefilte Fish Recalled Due to Botulism Risk

The public is being warned not to eat Central-Epicure Gefilte Fish, Ready to Serve, Sweet and Savoury.

The Canadian Food Inspection Agency says the product may be contaminated with the bacteria that can cause botulism, a sometimes life-threatening illness.

The fish was sold in Ontario and Quebec in 600 gram packages with a best before date of April 13, 2013 (UPC code 061279 00440 3 & 061279 00440 7).

So far no reported illnesses have been linked the fish.

The manufacturer, Central-Epicure Food Products Ltd., of Toronto, has recalled the affected products from the marketplace and the CFIA is monitoring the recall.

St. Thomas Bar Clams Recalled Due to Botulism

The public warning issued on March 15, 2013 has been expanded to include additional products because the products may be contaminated with Clostridium botulinum

The Canadian Food Inspection Agency (CFIA) is warning the public not to consume the Bar Clams and Bar Clam Stew described below because they may be contaminated with Clostridium botulinum. Toxins produced by these bacteria may cause botulism, a life-threatening illness.

The CFIA is monitoring the effectiveness of the recall.

Affected products:

Brand Name

Common Name

Size

Codes(s) on Product

UPC

St.Thomas

Bar Clams 210 g (drained weight) Located on the cover of the jar – 03631, 03632, 03834, 03835, 03933, 03934, 03935, 03936, 03938, 05231, 05232, 05233, 05331, 05332, 05333, 05334, 05431, 05432, 05433, 05931, 05934 0 81971 90013 1

St.Thomas

Bar Clams 100 g (drained weight) Located on the cover of the jar – 01235, 02131 0 81971 90071 1

St.Thomas

Bar Clam Stew 495g (17 oz) Located on the cover of the jar – 05831, 05832, 05932 05933 0 81971 90058 8

Botulism Risk: St. Thomas Bar Clams Recalled

Jars of bar clams sold in P.E.I. and New Brunswick may contain the toxin that causes botulism, the Canadian Food Inspection Agency has warned.

St. Thomas Fish Market in New Brunswick is voluntarily recalling its product, St. Thomas bar clams, because they may contain Clostridium botulinum.

Toxins produced by the bacteria can cause botulism, a life-threatening illness.

There have been no illnesses reported, said the agency.

Food contaminated with these bacteria might not look or smell spoiled.

Symptoms include vomiting, blurred vision, slurred speech and muscle paralysis. Anyone with concerns should call their physician.

New Botulism Antitoxin set for FDA Approval

A committee of advisors to the U.S. Food and Drug Administration has given its stamp of approval to an antitoxin designed to treat patients with botulism.

In a unanimous decision announced last week, the 18-member Blood Products Advisory Committee voted to recommend the heptavalent botulinum antitoxin (HBAT), developed by a Canadian pharmaceutical company, to the federal agency for approval.

HBAT is the only botulinum antitoxin currently available for use in the U.S. It is currently an investigational product controlled by the Centers for Disease Control and Prevention. Doctors must seek approval from CDC in order to administer HBAT to patients.

The antibodies contained in HBAT target all seven known types of botulinum toxins, which attack the nervous system of infected individuals and can cause paralysis or even death.

These neurotoxins infect humans through wounds or contaminated food, and have also been identified as a potential agent of biological warfare.

The drug, developed by Cangene Corporation of Fort Garry, Winnipeg, works to prevent internalization of the toxin in the nerves.

It was used on 148 patients in the U.S. between January of 2008 and December of 2012 at part of CDC’s trial program, according to the company’s briefing document for the committee. Adminisration of HBAT within two days of symptom onset significantly reduced the duration of hospitalization for patients.

FDA will decide whether to approve HBAT for licensing, under the proprietary name BAT™, in March of this year.

Dry Salted Fish Recalled Due to Botulism Risk

ZIP International Group LLC is recalling Dry Salted Fish (bream) because the product was found to be uneviscerated, and has the potential to be contaminated with Clostridium botulinum, a bacterium which can cause life-threatening illness or death. Consumers are warned not to use the product even if it does not look or smell spoiled.

Botulism, a potentially fatal form of food poisoning, can cause the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention.

The recalled product, Dry Salted Fish (bream) was distributed by East Coast Foods Inc. Brooklyn, NY via delivery to retail stores and wholesalers in September 2012.

The recalled product, Dry Salted Fish (bream) is packaged in vacuum sealed packaging labeled “Astrakhansky Lesh” (Dry Salted Fish Eviscerated) weight 14.2oz. Bar Code 835856001228 is located on the top right corner of the package. The recalled product, Dry Salted Fish (bream) is a product of Russia.

No illnesses have been reported to date.

Dry Salted Fish(bream) was sampled by the New York State Department of Agriculture during inspection. Subsequent analysis of the product by New York State Food Laboratory personnel confirmed that the Dry Salted Fish (bream) was not properly eviscerated prior to processing.

The sale of uneviscerated fish is prohibited under New York State Agriculture and Markets regulations because Clostridium botulinum spores are more likely to be concentrated in the viscera than any other portion of the fish. Uneviscerated fish have been linked to outbreaks of botulinum poisioning.

Sister Sara’s Botulism Risk

The California Department of Public Health (CDPH) is warning consumers not to eat “Sister Sara’s Good for You” products because they may have been improperly produced, making them susceptible to contamination with Clostridium botulinum.

No illnesses have been linked to any of the affected products at this time. The products were sold at certified farmers markets in Alameda County.

Sister Sara of Pleasanton, CA., is voluntarily recalling the products after CDPH discovered they were produced without the required controls to prevent formation of botulism toxin. Ingestion of botulism toxin from improperly processed foods can lead to serious illness and death.

These products were sold under the Sister Sara label and packaged in one-pint glass canning jars with screw-on metal lids. The products were labeled as “Sister Sara’s Good for You Soup,” “Sister Sara’s Bread & Butter Pickles,” “Sister Sara’s Pickled Beets,” and “Sister Sara’s Old Fashioned Dill Pickles.” These products do not contain production or date codes. Additional product information, including photos of affected products, can be found on the CDPH website.

Botulism toxin is odorless and colorless. Symptoms generally begin 18- to-36 hours after eating contaminated food, but can occur as early as six hours, or as late as ten days. Symptoms typically begin with blurred or double vision, followed by trouble speaking and swallowing, progressing to muscle weakness that starts in the upper body. Botulism can lead to life-threatening paralysis of the muscles used in breathing. People experiencing these symptoms should seek immediate medical attention.