Foodborne Illness Outbreak Database

This database provides summaries of significant food and water related outbreaks occurring since 1984 caused by E. coli, Salmonella, Hepatitis A, Campylobacter and other pathogens. Read more »

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2016 Hepatitis A Linked to Frozen Strawberries, Tropical Smoothie Cafe

Several states, the CDC and the FDA investigated a multistate outbreak of foodborne hepatitis A linked to frozen strawberries imported from Egypt. Nearly all ill people interviewed reported drinking smoothies containing strawberries at Tropical Smoothie Café locations prior to August 8 in a limited geographical area that included Maryland, North Carolina, Virginia and West Virginia. There were a small number of cases outside of that geographic area with no Tropical Smoothie Café exposure. As of December 3, 2016 the case count was 143 people with hepatitis A reported from 9 states: Arkansas (1), California (1), Maryland (12), New York (5), North Carolina (4), Oregon (1), Virginia (109), West Virginia (7), and Wisconsin (3). One hundred twenty nine of these cases reported eating a smoothie from Tropical Smoothie Café. The latest illness onset date for these cases was September 23, 2016. Fourteen cases had no direct exposure to Tropical Smoothie Café. The latest illness onset date among these cases was October 25, 2016. Fifty six people were hospitalized. There were no deaths.

  • Outbreak began:
  • July 2016
  • Affected Country:
  • US
  • Affected States/Territories:
  • California, New York, Wisconsin, Oregon, Maryland, North Carolina, Virginia, West Virginia, Arkansas
  • Organism(s):
  • Hepatitis A
  • Vehicle(s):
  • strawberries
  • Molecular Results Available:
  • Yes
  • Test Results:
  • Genotype 1B
  • Location(s):
  • Restaurant
  • Brand Name(s):
  • Tropical Smoothie Cafe
  • Product Subject to Recall:
  • Yes
  • Total ill:
  • 143
  • Number ill by Case Definition Known:
  • Unknown
  • Number Laboratory Confirmed Cases:
  • N/A
  • Number Probable Cases:
  • N/A
  • Number Possible Cases:
  • N/A
  • Anyone Hospitalized:
  • Yes
  • Number Hospitalized:
  • 56
  • Any Deaths:
  • No
  • Number Dead:
  • 0

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