{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T04:14:42Z","timestamp":1774066482951,"version":"3.50.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T00:00:00Z","timestamp":1655683200000},"content-version":"unspecified","delay-in-days":170,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2022]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>In May of 2018, PulseNet, the national molecular subtyping network for enteric pathogens, detected a multistate cluster of illnesses caused by an uncommon molecular subtype of <jats:italic>Salmonella<\/jats:italic> serovar Mbandaka. A case was defined as an illness in a person infected with the outbreak strain of Salmonella Mbandaka with illness onset on or after 3 March 2018 and before 1 September 2018. One-hundred thirty-six cases from 36 states were identified; 35 hospitalisations and no deaths were reported. Ill people ranged in age from &lt;1 year to 95 years (median: 57 years). When standardised questionnaires did not generate a strong hypothesis, opened-ended interviews were performed. Sixty-three of 84 (75%) ultimately reported consuming or possibly consuming a specific sweetened puffed wheat cereal in the week before illness onset. Environmental sampling performed at the cereal manufacturing facility yielded the outbreak strain. The outbreak strain was also isolated from open cereal samples from ill people's homes and from a sealed retail sample. Due to these findings, the brand owner of the product issued a voluntary recall of the cereal on 14 June 2018. Additional investigation of the manufacturing facility identified persistent environmental contamination with <jats:italic>Salmonella<\/jats:italic> Mbandaka that was closely genetically related to other isolates in the outbreak. This investigation highlights the ability of <jats:italic>Salmonella<\/jats:italic> to survive in low-moisture environments, and the potential for prolonged outbreaks linked to products with long shelf lives and large distribution areas.<\/jats:p>","DOI":"10.1017\/s095026882200108x","type":"journal-article","created":{"date-parts":[[2022,6,20]],"date-time":"2022-06-20T08:45:40Z","timestamp":1655714740000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":14,"title":["Multistate outbreak of <i>Salmonella<\/i> Mbandaka infections linked to sweetened puffed wheat cereal \u2013 United States, 2018"],"prefix":"10.1017","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0399-3813","authenticated-orcid":false,"given":"Amelia A.","family":"Keaton","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colin A.","family":"Schwensohn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua M.","family":"Brandenburg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Adcock","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selam","family":"Tecle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Hinnenkamp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Havens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Bailey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Applegate","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Whitney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy","family":"Manion","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Griffin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joy","family":"Ritter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carrie","family":"Biskupiak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kadri","family":"Ajileye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mugdha","family":"Golwalkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Gosciminski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brendalee","family":"Viveiros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevieve","family":"Caron","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laine","family":"McCullough","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eshaw","family":"Vidyaprakash","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Doyle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cerise","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa L.","family":"Elliot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0575-4579","authenticated-orcid":false,"given":"Laura B.","family":"Gieraltowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,6,20]]},"reference":[{"key":"S095026882200108X_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2005.06.003"},{"key":"S095026882200108X_ref8","doi-asserted-by":"publisher","DOI":"10.1089\/fpd.2006.3.59"},{"key":"S095026882200108X_ref9","volume-title":"Foodborne Active Surveillance Network (FoodNet) Population Survey Atlas of Exposures"},{"key":"S095026882200108X_ref11","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X.JFP-12-209"},{"key":"S095026882200108X_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268812001859"},{"key":"S095026882200108X_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268817000504"},{"key":"S095026882200108X_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70883-7"},{"key":"S095026882200108X_ref6","doi-asserted-by":"publisher","DOI":"10.4315\/JFP-21-319"},{"key":"S095026882200108X_ref16","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.71.11.6657-6663.2005"},{"key":"S095026882200108X_ref2","first-page":"1","article-title":"Surveillance for Foodborne Disease Outbreaks \u2013 United States, 2009\u20132015","volume":"67","author":"Dewey-Mattia","year":"2018","journal-title":"Morbidity and Mortality Weekly Report. Surveillance Summaries (Washington, D.C.: 2002)"},{"key":"S095026882200108X_ref7","unstructured":"7. Centers for Disease Control and Prevention (2021) PulseNet. Available at https:\/\/www.cdc.gov\/pulsenet\/index.html (Accessed 29 March 2022)."},{"key":"S095026882200108X_ref13","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6603a6"},{"key":"S095026882200108X_ref1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1701.P11101"},{"key":"S095026882200108X_ref4","first-page":"85","article-title":"Multistate outbreak of Salmonella infections associated with peanut butter and peanut butter-containing products \u2013 United States, 2008\u20132009","volume":"58","year":"2009","journal-title":"MMWR. Morbidity and mortality Weekly Report"},{"key":"S095026882200108X_ref10","unstructured":"10. Centers for Disease Control and Prevention (2017) Standard Operating Procedure for PulseNet PFGE of Escherichia coli O157:H7, Escherichia coli non-O157 (STEC), Salmonella serotypes, Shigella sonnei and Shigella flexneri. https:\/\/www.cdc.gov\/pulsenet\/pdf\/ecoli-shigella-salmonella-pfge-protocol-508c.pdf (Accessed 23 November 2020)."},{"key":"S095026882200108X_ref17","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020574"},{"key":"S095026882200108X_ref12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1615910"},{"key":"S095026882200108X_ref18","unstructured":"18. U.S. Food and Drug Administration (FDA) Investigations Operations Manual. https:\/\/www.fda.gov\/inspections-compliance-enforcement-and-criminal-investigations\/inspection-references\/investigations-operations-manual\/ (Accessed 14 July 2022)."}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S095026882200108X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T09:06:42Z","timestamp":1659344802000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S095026882200108X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":18,"alternative-id":["S095026882200108X"],"URL":"https:\/\/doi.org\/10.1017\/s095026882200108x","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]},"assertion":[{"value":"Copyright \u00a9 Centers for Disease Control and Prevention, 2022. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e135"}}