Since the last update on October 29, 2021, 84 more sick people were added to this outbreak. As of November 12, 2021, 892 people infected with the outbreak strain of Salmonella Oranienburg have been reported from 38 states and Puerto Rico (see map). Illnesses started on dates ranging from May 31, 2021, to October 25, 2021 (see timeline).
Sick people range in age from less than 1 year to 101 years, with a median age of 37, and 58% are female. Of 571 people with information available, 183 (32%) have been hospitalized.
The true number of sick people in an outbreak is likely much higher than the number reported, and the outbreak may not be limited to the states with known illnesses. This is because many people recover without medical care and are not tested for Salmonella. In addition, recent illnesses may not yet be reported as it usually takes 3 to 4 weeks to determine if a sick person is part of an outbreak.
Whole genome sequencing of bacteria from 788 people’s samples did not predict any antibiotic resistance. Five people’s samples were predicted to be resistant to one or more of the following antibiotics: amoxicillin-clavulanic acid, ampicillin, cefoxitin, and ceftriaxone, gentamicin, streptomycin, sulfamethoxazole, and tetracycline. Standard antibiotic susceptibility testing of three people’s samples by CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory also found no resistance. Most people with Salmonella illness recover without antibiotics. However, if antibiotics are needed, this resistance is unlikely to affect the choice of antibiotic used to treat most people because it is rare.
FDA published a list of retail establishments that received product recalled by Keeler Family Farms and a list of retail establishments that received product recalled by ProSource Produce LLC. These lists represent the best information currently available to the FDA; however, they may not include all retail establishments that have received the recalled product or may include retail establishments that did not actually receive the recalled product. It is important that you use the product-specific information, available on the Keeler Family Farms recall announcement and the ProSource Produce LLC recall announcement, in addition to these lists of retail stores, when you check the food you have to see if it has been recalled.
FDA has posted a list of additional recalls being conducted by companies that may have received recall onions from ProSource Produce LLC and Keeler Family Farms. This list includes recalls conducted by companies that further processed the onions by using them as ingredients in new products or by repackaging them.
ProSource Produce LLC has voluntarily recalled red, yellow, and white onions imported from the State of Chihuahua, Mexico, with import dates from July 1, 2021, through August 31, 2021. Additional descriptors used for these onion types may include, but are not limited to, jumbo, colossal, medium, summer and sweet onions. Additional recall information will be made public as soon as it is available from ProSource Inc.
The onions were distributed to wholesalers, broadline foodservice customers, and retail or grocery stores in:
- 50 lb., 25 lb., 10 lb., 5 lb., 3 lb., and 2 lb. mesh sacks
- 50 lb., 40 lb., 25 lb., 10 lb., and 5 lb. cartons
And by the following distributors and/or under the following brands:
- Big Bull
- Peak Fresh Produce
- Sierra Madre
- Markon First Crop.
- Markon Essentials
- Rio Blue
- ProSource
- Rio Valley
- Sysco Imperial
Keeler Family Farms has recalled red, yellow, and white whole, fresh onions imported from the State of Chihuahua, Mexico, with import dates from July 1, 2021, through August 25, 2021. The onions were distributed in 25lb and 50lb mesh sacks. They contain a label that is marked as “MVP (product of MX)”.
Additional details regarding the recalled products are available on the Keeler Family Farms recall announcement.
Recalls have also been initiated by companies that sold recalled onions or products containing the recalled onions.