89 now sick with hep A: What kind of trendy smoothie place gets their frozen strawberries from Egypt?

The U.S. Centers for Disease Control reports that several states, CDC, and the U.S. Food and Drug Administration (FDA) are continuing to investigate a multistate outbreak of foodborne hepatitis A. Information available at this time does not indicate an ongoing risk of acquiring hepatitis A virus infection at Tropical Smoothie Café’s, as the contaminated food product has been removed as of August 8. Symptoms of hepatitis A virus infection can take up to 50 days to appear. As a result, CDC continues to identify cases of hepatitis A related to the initial contaminated product.

tropical-smoothie-cafe89 people with hepatitis A have been reported from seven states: Maryland (10), New York (1), North Carolina (1), Oregon (1), Virginia (70), West Virginia (5), and Wisconsin (1).

39 ill people have been hospitalized. No deaths have been reported.

Epidemiologic and traceback evidence indicate frozen strawberries imported from Egypt are the likely source of this outbreak.

In interviews, nearly all ill people interviewed reported drinking smoothies containing strawberries at Tropical Smoothie Café locations prior to August 8 in a limited geographical area, including Maryland, North Carolina, Virginia, and West Virginia.

On August 8, 2016, Tropical Smoothie Café reported that they removed the Egyptian frozen strawberries from their restaurants in Maryland, North Carolina, Virginia, and West Virginia and switched to another supplier. Out of an abundance of caution, Tropical Smoothie Café has since switched to another supplier for all restaurants nationwide.

If you think you’ve gotten sick from drinking a smoothie containing frozen strawberries from a Tropical Smoothie Café prior to August 8, contact your doctor.

Food handlers should contact their doctors and stay home if they are sick with hepatitis A.

 “To those who have become ill after eating at one of our cafes, we are deeply sorry,” Tropical Smoothie Cafe said in a statement. “We hope you recover quickly and completely.”

The Food and Drug Administration said in a statement that it would increase surveillance of imported strawberries.

 

More hepatitis A: smoothie edition

Berries are a staple of my diet; I go through about 2 lbs a week of raspberries, blackberries and strawberries. When the fresh berries are too expensive (or don’t look good) I substitute with frozen ones.

Frozen food is sometimes ready-to-eat. Sometimes not. Frozen berries likely haven’t been heat treated before the get to me and were almost certainly harvested by hand.

So I cook them before eating after the multiple noro and hep A outbreaks in the past few years. Even ones that go into smoothies.

According CBS6, hepatitis A cases linked to Egyptian strawberries served at Tropical Smoothie Cafes in Virginia have climbed to over 20.

There have been 23 confirmed cases of hepatitis A linked to frozen strawberries used at Tropical Smoothie Cafes across Virginia.

This includes four cases in Central Virginia.

There are seven is Northern Virginia, four in Northwest Virginia, and eight in the eastern region on the state.

The CEO of Tropical Smoothie Café said the strawberries in question were voluntarily removed from all stores when they learned of a possible link.

The VDH said they want anyone who consumed a smoothie with frozen strawberries at a restaurant within the last 50 days to watch out for symptoms of hepatitis A.

Egypt investigates claims of hepatitis-A in strawberry exports

With 10 hepatitis A cases linked to frozen strawberries used by Tropical Smoothie Café in Virginia, and health officials saying the hep A strain has been associated with past outbreaks due to frozen strawberries from Egypt, the Egyptians are now investigating.

strawberry.harvest.egypeEgypt Independent cites Agriculture Ministry spokesman Edi Hawash as saying the U.S. has not officially informed Egypt of the claims, but the claims are being investigated anyway.

Agriculture Minister Essam Fayed has formed a committee, headed by the chairman of the Union of Egyptian Exporters, to investigate the issue, Hawash added.

He said that recent tests conducted on random samples of exported strawberries have shown no cases of the virus.

Hussein al-Hinnawi, the president of the Union of Producers and Exporters of Horticultural Crops, said he doubts that the reported hepatitis-A infections were caused by frozen Egyptian strawberries.

He said Egyptian strawberries are scrutinized at competent laboratories prior to export. Moreover, exporters have full awareness of good practice through the stages of production, transfer and export, Hinnawi said.

Egypt ranks first among Arab countries in the production and export of strawberries, exporting about 40,000,000 tons of fresh and frozen strawberries to 30 countries in Europe, America, Southeast Asia and the Gulf states, according to Al-Ahram.

Tropical Smoothie Cafe voluntarily withdrew all of the strawberries sourced from Egypt and found an alternate supply.

10 sick with Hepatitis A: Frozen strawberries from Egypt used in Virginia Tropical Smoothie Cafe customers

According to the Virginia Department of Health, people who consumed smoothies with frozen strawberries on August 5, 6, 7 or 8 may benefit from a vaccine or immune globulin to prevent hepatitis A.

Tropical Smoothie CafeAccording to a health department official, there have been 10 total cases of hepatitis A linked to the strawberries at Tropical Smoothie in Virginia so far.

The Department of Health has linked the smoothies with a strain of hepatitis A that has been associated with past outbreaks due to frozen strawberries from Egypt.

Tropical Smoothie Cafe voluntarily withdrew all of the strawberries sourced from Egypt and found an alternate supply.

The Department of Health says other restaurants and restaurant suppliers may have received the frozen strawberries. The Virginia Department of Agriculture and Consumer Services, the U.S. Food and Drug Administration and the Centers for Disease Control and Prevention to identify other locations where the product may have been distributed.

In a news release sent Friday, the department said genetic testing had linked frozen strawberries from Egypt, distributed to all 90 Tropical Smoothie Café locations across Virginia to the Hepatitis infections.