Outbreak of S. Weltevreden linked to fermented cashew nut cheese in Victoria, BC

Publication: Environmental Health Review
24 September 2018

Abstract

Twenty-three Salmonella enterica serovar Weltevreden (S. Weltevreden) illnesses occurred in a Victoria, British Columbia, Canada, restaurant following consumption of fermented vegan cheese. Three clusters of illness over 2 days were traced to a single batch of fermented cashew cheese spread. S. Weltevreden was detected in 11 clinical samples and in the cashew cheese spread. An inspection of the restaurant and review of the food processes revealed high-risk practices, such as use of rejuvelac as a starter culture for fermentation and poor temperature control. Three of five vegan and natural food restaurants in the Victoria area were using similar methods, indicating this type of product was common. Procedures to safely ferment vegan cheese spreads are presented. We also discuss higher-risk food items and practises noted in this event that inspectors should be aware of during inspections.

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References

Bangtrakulnonth A., Pornreongwong S., Pulsrikarn C., Sawanpanyalert P., Hendriksen R. S., Wong D. M. L. F., and Aarestrup F. M. 2004 Salmonella serovars from humans and other sources in Thailand, 1993–2002 Emerging infectious diseases. 10 1 131
BC Centre for Disease Control. 2017. Fermented nut cheese. [Online] Available at: http://www.bccdc.ca/resource-gallery/Documents/Educational%20Materials/EH/FPS/Food/Nut%20cheese%20fermentation%20food%20risk%20assessment.pdf [Accesed 20 Nov. 2017]
Canadian Food Inspection Agency. 2015. Food recall warning – Kirkland signature brand quinoa salad sold from Costco in Ancaster, Ontario recalled due to reported illnesses. [Online] Available at: http://www.inspection.gc.ca/about-the-cfia/newsroom/food-recall-warnings/complete-listing/2015-11-05/eng/1446765215139/1446765218628 [Accesed 20 Nov. 2017]
Canadian Food Inspection Agency. 2016. Food recall warning – Quaker harvest brand quinoa granola bars recalled due to Listeria monocytogenes. [Online] Available at: http://www.inspection.gc.ca/about-the-cfia/newsroom/food-recall-warnings/complete-listing/2016-05-16b/eng/1463447177623/1463447180575 [Accesed 10 Nov. 2017]
Canadian Food Inspection Agency. 2017. Bacterial pathogens on in-shell nuts and in shelled nuts and nut butters. [Online] Available at: http://www.inspection.gc.ca/food/chemical-residues-microbiology/microbiology/eng/1324284849823/1324285064868 [Accesed 14 Nov. 2017]
Centers for Disease Control and Prevention. 2014. Multistate outbreak of Salmonella Stanley infections linked to raw cashew cheese (final update). [Online] Available at: https://www.cdc.gov/salmonella/stanley-01-14/ [Accesed 14 Nov. 2017]
Centers for Disease Control and Prevention. 2018. National Salmonella surveillance annual report and appendices, 2015. [Online] Available at: https://www.cdc.gov/nationalsurveillance/salmonella-surveillance.html [Accesed 13 Dec. 2017]
Doyle, M. P., and Buchanan, R. L. 2012. Food microbiology: Fundamentals and frontiers. American Society for Microbiology Press, Washington, D.C.
EFSA Panel on Biological Hazards (BIOHAZ) 2011 Scientific opinion on the risk posed by shiga toxin-producing Escherichia coli (STEC) and other pathogenic bacteria in seeds and sprouted seeds EFSA J. 9 11 101
Fan, L., Hanses, L. T., Sharpe, D. V., Chen, S., and Zhang, H. 2015. Role of lactic acid bacteria in the fermentation and biopreservation of plant-based foods. In Y. H. Hui and E. Ö. Evranuz (Eds.), Handbook of vegetable preservation and processing. 2nd ed. CRC Press, Boca Raton, FL., pp. 779–796.
Harris, L., Palumbo, M., Beuchat, L., and Danyluk, M. 2017. Outbreaks of foodborne illness associated with the consumption of tree nuts, peanuts, and sesame seeds [Table and references]. In Outbreaks from tree nuts, peanuts and sesame seeds. [Online] Available at: http://ucfoodsafety.ucdavis.edu/files/169530.pdf [Accesed 7 Jan. 2018]
Harvey R. R., Heiman Marshall K. E., Burnworth L., Hamel M., Tataryn J., Cutler J., Meghnath K., Wellman A., Irvin K., Isaac L., et al. 2017 International outbreak of multiple Salmonella serotype infections linked to sprouted chia seed powder – USA and Canada, 2013–2014 Epidemiol Infect. 145 8 1535 -1544
Health Canada. 2006. Policy on managing health risk associated with the consumption of sprouted seeds and beans. [Online] Available at: https://www.canada.ca/en/health-canada/services/food-nutrition/legislation-guidelines/policies/policy-managing-health-risk-associated-consumption-sprouted-seeds-beans.html [Accesed 22 Nov. 2017]
Hu J. K., Seo J., and Choe Y. J. 2013 Outbreak of enterotoxigenic Escherichia coli O169 enteritis in schoolchildren associated with consumption of kimchi, Republic of Korea, 2012 Epidemiol Infect. 142 3 1 -8
Jain P., Nandy S., Bharadwaj R., Niyogi S. K., and Dutta S. 2015 Salmonella enterica serovar Weltevreden ST1500 associated foodborne outbreak in Pune, India Indian J Med Res. 141 2 239
Kozak G., MacDonald D., Landry L., and Farber J. 2013 Foodborne outbreaks in Canada linked to produce: 2001 through 2009 J Food Prot. 76 1 173 -183
Makendi Njock, E. 2016. The phylogenetic and phenotypic analysis of Salmonella enterica serovar Weltevreden. PhD Doctoral, London School of Hygiene and Tropical Medicine. Available at: http://researchonline.lshtm.ac.uk/2550034/ [Accesed 13 Dec. 2017]
McAthy, K. 2017. The art of plant-based cheesemaking: How to craft real, cultured, non-dairy cheese. Gabriola Island, BC: New Society Publishers.
McGovern P., Jalabadze M., Batiuk S., Callahan M. P., Smith K. E., Hall G. R., Kvavadze E., Maghradze D., Rusishvili N., Bouby L., et al. 2017 Early Neolithic wine of Georgia in the South Caucasus Proc Natl Acad Sci U S A. 114 E10309 -E10318
Public Health Agency of Canada. National Enteric Surveillance Program (NESP). 2018. Summaries organism view. [Online] Available at: https://www.cnphi-rcrsp.ca/ [Accesed 12 Jan. 2018]
Schinner, M. N. 2012. Artisan vegan cheese: From everyday to gourmet. Summertown, TN: Book Publishing Co.
Shin J., Yoon K. B., Jeon D. Y., Oh S. S., Oh K. H., Chung G. T., Kim S. W., and Cho S. H. 2016 Consecutive outbreaks of enterotoxigenic Escherichia coli O6 in schools in South Korea caused by contamination of fermented vegetable kimchi Foodborne Pathog Dis. 13 10 535 -543
Steinkraus K. H. 2002 Fermentations in world processing Comp Rev Food Sci Food Safety. 1 23 -32
Surono, I. S. 2016. Ethnic fermented foods and beverages of Indonesia. In J. P. Tamang (Ed.), Ethnic fermented foods and alcoholic beverages of Asia. New Delhi, India: Springer. pp. 341–382.
Urbonaviciene, D., Viskelis, P., Bartkiene, E., Juodeikiene, G., and Vidmantiene, D. 2015. The use of lactic acid bacteria in the fermentation of fruits and vegetables – Technological and functional properties. In D. Ekinci (Ed.), Biotechnology. InTech. London, pp. 135–164.
Zhang G. Hu L. Melka D. Wang H. Laasri A. Brown E. W. Strain E. Allard M. Bunning V. K. Musser S. M., et al. 2017 Prevalence of Salmonella in cashews, hazelnuts, macadamia nuts, pecans, pine nuts, and walnuts in the United States J Food Prot. 80 3 459–466
Zhu Y. and Tramper J. 2013 Koji – Where east meets west in fermentation Biotechnol Adv. 31 8 1448 -1457

Information & Authors

Information

Published In

cover image Environmental Health Review
Environmental Health Review
Volume 61Number 3September 2018
Pages: 74 - 81

History

Version of record online: 24 September 2018

Key Words

  1. cultured cashew nut cheese
  2. fermentation
  3. foodborne illness
  4. rejuvelac
  5. Salmonella Weltevreden

Authors

Affiliations

Nicolas Schmitt [email protected]
Vancouver Island Health Authority, Victoria, BC, Canada
Gloria Yu
Vancouver Island Health Authority, Victoria, BC, Canada
Richard Greve
Vancouver Island Health Authority, Victoria, BC, Canada
Lorraine McIntyre
Environmental Health Services, BC Centre for Disease Control, Vancouver, BC, Canada

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