Outbreak of Salmonella Infections Linked to Cut Fruit
Published on January 2, 2020 at 1:30 PM ET
CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Javiana infections linked to cut fruit produced by Tailor Cut Produce.
- On December 7, 2019, Tailor Cut Produce recalledexternal icon its Fruit Luau cut fruit mix as well as cut honeydew melon, cut cantaloupe, and cut pineapple products because they have the potential to be contaminated with Salmonella.
- These products were not sold directly to consumers in grocery stores.
- These products were sold for use in institutional food service establishments such as hospitals, long-term care facilities, schools, and hotels.
- Food service and institutional food operators should not sell or serve the recalled products.
- The recalled fruit products were distributed between November 15 and December 1, 2019.
Take action if you have symptoms of a Salmonella infection.
- Talk to your healthcare provider.
- Write down what you ate in the week before you started to get sick.
- Report your illness to your local health department.
- Assist public health investigators by answering questions about your illness.
- Wash your hands thoroughly after changing diapers and using the toilet, and before and after preparing food to lower the chance of infecting others.
- Ninety-six people infected with the outbreak strain of Salmonella Javiana have been reported from 11 states.
- Twenty-seven hospitalizations have been reported. No deaths have been reported.
- Since the last update on December 11, 85 additional ill people have been reported from 11 states.
- These illnesses started during the same time period as the illnesses reported on December 11, but were not confirmed as part of the outbreak at that time.
- Epidemiologic and traceback evidence indicate that cut fruit, including honeydew melon, cantaloupe, pineapple, and grapes, produced by Tailor Cut Produce of North Brunswick, New Jersey, is a likely source of this outbreak.
- The investigation is ongoing to determine the source of contamination. CDC will provide more information as it becomes available.
- Most people infected with Salmonella develop diarrhea, fever, and stomach cramps 12 to 72 hours after being exposed to the bacteria.
- The illness usually lasts 4 to 7 days, and most people recover without treatment.
- In some people, the illness may be so severe that the patient needs to be hospitalized. Salmonella infection may spread from the intestines to the bloodstream and then to other places in the body.
- Children younger than 5 years, pregnant women, adults 65 and older, and people with weakened immune systems are more likely to have severe illness.
January 2, 2020
Since the last update on December 11, 85 additional ill people have been reported from 11 states. These illnesses started during the same time period as the illnesses reported in the last update, but were not confirmed as part of the outbreak at that time.
As of December 30, 2019, a total of 96 people infected with the outbreak strain of Salmonella Javiana have been reported from 11 states. Illnesses were reported from states where Tailor Cut Produce distributes, including Pennsylvania, New York City, New Jersey, and Delaware. Ill people from other states reported traveling to these states in the week before their illness started. A list of the states and the number of cases in each can be found on the Map of Reported Cases page.
Illnesses started on dates ranging from November 15, 2019, to December 10, 2019. Ill people range in age from less than 1 to 92 years, with a median age of 27 years. Fifty-one percent of ill people are male. Of 41 ill people with information available, 27 were hospitalized for their Salmonella infection. No deaths have been reported.
Illnesses might not yet be reported due to the time it takes between a person becoming ill and when the illness is reported. This takes an average of 3 to 4 weeks.
WGS analysis did not identify antibiotic resistance in bacteria isolated from 14 ill people. Testing of outbreak isolates using standard antibiotic susceptibility testing methods by CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory is underway.
Investigation of the Outbreak
Epidemiologic and traceback evidence indicate that cut fruit including honeydew melon, cantaloupe, pineapple, and grapes produced by Tailor Cut Produce of North Brunswick, New Jersey, is a likely source of this outbreak.
State and local public health officials have interviewed ill people to determine what they ate and other exposures in the week before their illness started. Thirty (86%) of thirty-five ill people reported eating cut fruit served in long-term care facilities, hospitals, hotels, schools, or at a university. State health officials collected records from the locations where ill people ate the fruit mix and determined that these facilities served Tailor Cut Produce Luau Mix as well as cut honeydew melon, cantaloupe, pineapple, and grapes.
The investigation is ongoing to determine the source of contamination. CDC will provide updates when more information becomes available.