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Hepatitis A outbreak related to strawberries sold at Kroger, Walmart, other grocery stores




A recent outbreak of hepatitis A cases has been linked to strawberries sold at Kroger, Aldi, Walmart, Trader Joe’s and other grocery stores across the country.

Here is the information from the FDA, which was updated on May 28, 2022:

The FDA, along with the CDC, the Public Health Agency of Canada and the Canadian Food Inspection Agency, state and local partners are investigating a multi-state outbreak of hepatitis A infections in the US and Canada that is potentially linked to fresh organic strawberries labeled as FreshKampo and HEB, purchased between 5 March 2022 and April 25, 2022.

At the moment, the potentially affected FreshKampo and HEB products have been discontinued. People who bought FreshKampo and HEB fresh organic strawberries between March 5, 2022 and April 25, 2022, and then froze these strawberries for later consumption, should not eat them. These products were sold at the following retailers, including but not limited to:

  • Aldi

  • HEB

  • Kroger

  • Safeway

  • Sprouts Farmers Market

  • Trader Joe’s

  • Walmart

  • Weis Markets

  • WinCo Foods

If you are unsure of which brand you bought, when you bought your strawberries, or where you bought them from before freezing them, the strawberries should be discarded.

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Epidemiological data and trace data show that fresh organic strawberries sold as FreshKampo and HEB brands purchased between 5 March 2022 and 25 April 2022 are a probable cause of disease in this outbreak. Trace investigations show that cases in California, Minnesota and Canada report having bought fresh organic strawberries labeled as FreshKampo or HEB before they became ill. The dates for disease onset vary from March 28 to April 30, 2022.

As this survey is ongoing, additional products may be included. More information will be provided in this guide when it becomes available.

Recommendation

Consumers, restaurants and retailers should not sell, serve or eat fresh organic strawberries labeled as FreshKampo or HEB if purchased between March 5, 2022 and April 25, 2022. People who bought the fresh strawberries and then froze these strawberries for later consumption should not eat them. They should be thrown away. At the moment, the potentially affected product is past its shelf life. If you are unsure of which brand you bought, when you bought your strawberries, or where you bought them from before freezing them, the strawberries should be discarded.

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If consumers bought fresh organic strawberries labeled as FreshKampo or HEB between March 5, 2022 and April 25, 2022, ate these berries during the past two weeks and have not been vaccinated against hepatitis A, they should immediately consult a healthcare professional to determine if post exposure prophylaxis (PEP) is necessary. PEP is recommended for unvaccinated individuals who have been exposed to the hepatitis A virus for the past two weeks because vaccination may prevent a hepatitis A infection if given within 14 days of exposure. Those with evidence of previous hepatitis A vaccination or previous hepatitis A infection do not need PEP.

Related: Salmonella outbreak triggers recall of products that used Jif peanut butter: What you should know

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Contact your healthcare provider if you think you may have symptoms of hepatitis A infection after eating these fresh organic strawberries, or if you think you have eaten these strawberries in the last two weeks.

The case counts

  • Total American Diseases: 17

  • Hospital admissions: 12

  • Deaths: 0

  • Last disease onset: April 30, 2022

  • States with cases: CA (15), MN (1), ND (1)

  • Product distribution: Nationwide

Hepatitis A virus (HAV)

Hepatitis A is a contagious virus that can cause liver disease. An hepatitis A virus (HAV) infection can range in severity from a mild illness lasting a few weeks to a serious illness lasting several months. In rare cases, especially for people with pre-existing health conditions or people with weakened immune systems, hepatitis A infections can develop into liver failure and death.

The majority of hepatitis A infections are for unknown reasons or from being in close contact with an infected person; However, some hepatitis A infections are caused by eating or drinking contaminated food or water. Contamination of food and water can occur when an infected food processor prepares food without proper hand washing.

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Symptoms

Illness usually occurs within 15 to 50 days after eating or drinking contaminated food or water. Symptoms of hepatitis A infection include fatigue, nausea, vomiting, abdominal pain, jaundice, dark urine and pale stools. In some cases, especially in children under the age of six, hepatitis A infection may be asymptomatic.

People with hepatitis A infections usually recover completely within one to two weeks; However, in rare cases, hepatitis A can become chronic and cause recurrent infection. Chronic hepatitis A infection can lead to more serious health problems, including liver failure and death.

Due to the extent of the disease, people should consult a healthcare professional if they suspect that they have developed symptoms similar to a hepatitis A infection.

Risk groups

All people are susceptible to hepatitis A infection; however, individuals who have had hepatitis A in the past or who have been vaccinated are immune to hepatitis A infection. Learn more about people at risk for foodborne illness.

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Treatment and prevention of hepatitis A

Because hepatitis A virus infections can have serious health consequences, the Centers for Disease Control and Prevention (CDC) recommends providing post-exposure prophylaxis (PEP) to unvaccinated individuals who have ingested contaminated food or water within two weeks of exposure.

PEP consists of:

  • Hepatitis A vaccine for people between 1 and 40 years of age

  • Hepatitis A virus-specific immunoglobulin (IG) for people outside this age group, but the hepatitis A vaccine can be replaced if IG is not available.

  • Those with evidence of previous vaccination or who can confirm previous hepatitis A disease do not need PEP.

If you are not sure if you have been vaccinated against hepatitis A, contact your healthcare provider to check your vaccination records. If you have been vaccinated, no further action is required. If you have never received the hepatitis A vaccine, taking a single dose within two weeks of exposure may protect against disease. If you are unable to determine if you have already been vaccinated, it is not harmful to get an extra dose of vaccine if you have already been vaccinated.

Who should get hepatitis A vaccine?

In general, the CDC recommends that the following groups be vaccinated for hepatitis A:

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  • All children aged 1 year

  • Travelers to countries with high incidences of hepatitis A

  • Family members and caregivers of newly adopted from countries where hepatitis A is common

  • Men who have unprotected sexual contact with other men

  • Users of injecting drug use and illegal drugs

  • People with chronic (lifelong) liver disease, hepatitis B or hepatitis C.

  • Persons treated with coagulation factor concentrates

  • People who work with hepatitis A-infected animals or in a hepatitis A research laboratory

Foods related to US outbreaks of hepatitis A

Although foodborne illnesses caused by hepatitis A are not common in the United States, water, shellfish, raw vegetables and fruits (berries), and salads are most commonly cited as potential foodborne sources.

Prevention of foodborne illness at home

Hepatitis A can have serious health consequences. The CDC recommends post-exposure prophylaxis (PEP) described above for unvaccinated individuals who have consumed products contaminated with the hepatitis A virus.

To prevent hepatitis A contamination or transmission, consumers should always practice safe food handling and food preparation by following the steps below:

  • Wash hands with warm water and soap for at least 20 seconds before and after handling raw foods.

  • Wash your hands thoroughly after bathing and changing nappies for protection against hepatitis A, as well as other foodborne illnesses.

  • Wash inside the refrigerator walls and shelves, cutting boards and countertops, and utensils that may have come in contact with contaminated food; then clean them with a solution of a tablespoon of chlorine bleach to a gallon of warm water; drought with a clean cloth or paper towel that has not been used before.

  • Wash hands with warm water and soap after the cleaning and sanitation process.

  • Consumers can too submit a voluntary reporta complaint or adverse event (illness or severe allergic reaction) related to a food product.

Advice for restaurants and retailers

Retailers, restaurants and other food service operators who have treated and packaged any potentially contaminated products must be concerned about cross-contamination of cutting surfaces and tools through contact with the potentially contaminated products.

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In the event that it is found that retailers and / or other food service operators have handled recalled or other potentially contaminated food in their facility, they should:

  • Wash hands with warm water and soap for at least 20 seconds before and after handling raw foods.

  • Contact their local health department and communicate to their clients about possible exposure to hepatitis A virus and the potential benefit of post-exposure prophylaxis.

  • Wash inside the refrigerator walls and shelves, cutting boards and countertops, and utensils that may have come in contact with contaminated food; then clean them with a solution of a tablespoon of chlorine bleach to a gallon of warm water; drought with a clean cloth or paper towel that has not been used before.

  • Wash and disinfect showcases where potentially contaminated products were served or stored.

  • Always wash hands with warm water and soap after the cleaning and sanitation process.

  • Perform regular cleaning and disinfection on a regular basis of cutting boards and tools used in the treatment to help minimize the likelihood of cross-contamination.

Find recent recall stories here.

Copyright 2022 by WDIV ClickOnDetroit – All rights reserved.



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