lunes, 2 de noviembre de 2015
FDA Investigates 2015 Outbreaks of Cyclosporiasis
The origin is cilantro from the state of Puebla, Mexico supplied to various restaurants.
Clusters of illness were identified in Texas, Wisconsin, and Georgia. Most (319, 58 percent of 546) ill people experienced onset of illness on or after May 1, 2015, and did not report international travel within two weeks before illness onset. These 319 people were from the following states: Arkansas (3), California (2), Connecticut (5), Florida (13), Georgia (26), Illinois (9), Iowa (1), Kansas (2), Maryland (1), Massachusetts (12), Michigan (2), Missouri (1), Montana (3), Nebraska (1), New Jersey (7), New Mexico (2), New York (32), North Carolina (1), Texas (179), Utah (1), Virginia (3), Washington (2), Wisconsin (11).
Clusters of illnesses were identified in Texas, Wisconsin, and Georgia. The FDA; the Texas Rapid Response Team; Texas Department of State Health Services; the Wisconsin Department of Health Services; the Wisconsin Department of Agriculture, Trade and Consumer Protection; the Georgia Rapid Response Team; and the Georgia Department of Public Health have collaborated on traceback investigations related to these illness clusters. These investigations found that cilantro from the state of Puebla, Mexico was supplied to restaurants at which people identified in the illness clusters ate, indicating that some illnesses in these states were linked to fresh cilantro from Puebla, Mexico. As of September 16, 2015, the CDC reported that case numbers have returned to baseline levels.
The CDC and state public health officials have identified annually recurring outbreaks (in 2013 and 2014) of cyclosporiasis in the United States which have been associated with fresh cilantro from the state of Puebla, Mexico. Although not confirmed by epidemiological means, the FDA reviewed a cluster of Cyclosporiasis illnesses from 2012 in which the state of Texas had previously identified cilantro as one of multiple possible suspect vehicles. The FDA determined that cilantro from the state of Puebla, Mexico, was supplied to the point of service implicated in that outbreak and was already found as the potential source of the 2012 outbreak.