Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients

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creativework.keywords - en
Listeriosis
Listeria monocytogenes
Deli meat
Outbreak
Food safety
Foodborne illness
Cancer
Immuno-compromising condition
Hospital
Health care
dc.contributor.author
Hobbs, J. Leigh
Lee, Christina
Thompson, Brian
Andrew, Adrienne
Navarro, Christine
Dubey, Vinita
Maki, Anne
Kong, Adrienne
Griffin, Meghan
Chau, Kelvin
Murphy, Allana M.
Lombos, Marina
Majury, Anna L.
Gerrie, Monica
Szidonya, Erin
Chung, Jackson
Ozaldin, Omar
Patel, Toral
Warshawsky, Bryna
Brandon, Nicholas
dc.date.accessioned
2023-10-03T21:53:28Z
dc.date.available
2023-10-03T21:53:28Z
dc.date.issued
2023-07-28
dc.description.abstract - en
BACKGROUND: This report describes two L. monocytogenes outbreak investigations that occurred in March and September of 2018 and that linked illness to a food premises located in an Ontario cancer centre. The cancer centre serves patients from across the province. METHODS: In Ontario, local public health agencies follow up with all reported laboratory-confirmed cases of listeriosis to identify possible sources of disease acquisition and to carry out investigations, including at suspected food premises. The Canadian Food Inspection Agency (CFIA) is notified of any Listeria-positive food product collected in relation to a case. The CFIA traces Listeria-positive product through the food distribution system to identify the contamination source and ensure the implicated manufacturing facility implements corrective measures. RESULTS: Outbreaks one and two each involved three outbreak-confirmed listeriosis cases. All six cases were considered genetically related by whole genome sequencing (WGS). In both outbreaks, outbreak-confirmed cases reported consuming meals at a food premises located in a cancer centre (food premises A) before illness onset. Various open deli meat samples and, in outbreak two, environmental swabs (primarily from the meat slicer) collected from food premises A were genetically related to the outbreak-confirmed cases. Food premises A closed as a result of the investigations. CONCLUSIONS: When procuring on-site food premises, healthcare facilities and institutions serving individuals with immuno-compromising conditions should consider the potential health risk of foods available to their patient population.
dc.identifier.citation
Hobbs, J. L., Lee, C., Thompson, B., Andrew, A., Navarro, C., Dubey, V., Maki, A., Kong, A., Griffin, M., Chau, K., Murphy, A. M., Lombos, M., Majury, A. L., Gerrie, M., Szidonya, E., Chung, J., Ozaldin, O., Patel, T., Brandon, N., & Warshawsky, B. (2023). Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients. BMC public health, 23(1), 1443. https://doi.org/10.1186/s12889-023-16371-7
dc.identifier.doi
https://doi.org/10.1186/s12889-023-16371-7
dc.identifier.issn
1471-2458
dc.identifier.other
PMC10375833
dc.identifier.pubmedID
37507665
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/1194
dc.language.iso
en
dc.publisher
BioMed Central
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
Two Listeria monocytogenes outbreaks in a cancer centre: onsite food premises and their potential health risk to patients
dc.type - en
Article
dc.type - fr
Article
local.acceptedmanuscript.articlenum
1443
local.article.journalissue
1
local.article.journaltitle
BMC Public Health
local.article.journalvolume
23
local.peerreview - en
Yes
local.peerreview - fr
Oui
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