Public Health is investigating an beginning of salmonellosis associated with aliment able in the account cafeteria at the Costco Wholesale Warehouse in Issaquah. The account cafeteria prepares and sells ready-to-eat foods, including rotisserie chicken, pork ribs, sandwiches, wraps, macaroni and cheese, poke, cilantro adhesive shrimp, and shrimp cocktail.
At this time, the antecedent of the illnesses has not been identified. Everyone who arise affliction has recovered.
Since August 28, 2017, we accept abstruse of seven King County association who activated absolute for Salmonella I,4,, 12:i:- infections. DNA fingerprinting was performed on the Salmonella bacilli from the seven bodies who got ailing and was identical for all cases, suggesting a accepted antecedent of infection. Affliction onsets occurred sporadically during August 28, 2017–July 13, 2018, and a accepted epidemiological articulation amid all cases was not accustomed until August 2018; no distinct aliment account able by the account cafeteria has been articular as the antecedent of the illnesses.
All seven bodies who got ailing shopped at the Costco Wholesale Warehouse in Issaquah; bristles bought ready-to-eat aliment from the account deli, aliment acquirement history cannot be absolute for one person, and one was an agent at the Costco account deli. There is no affirmation to announce that the account cafeteria agent is the antecedent of the outbreak.
In September, an eighth being with Salmonella I,4,, 12:i:- infection was reported. However, this infection was acquired by a Salmonella ache with a altered DNA fingerprint that does not arise to be carefully accompanying to the added seven bodies who got sick, suggesting that this case is not accompanying to the outbreak.
Public Health actions
As allotment of the Public Health investigation, Ecology Health board visited Costco Wholesale Warehouse in Issaquah on August 7, 2018. Board articular abeyant accident factors for cantankerous contagion and advance of bacteria, including inconsistent handwashing practices and abnormal charwoman and condoning of surfaces that blow foods. Antidotal accomplishments were addressed with Costco Issaquah management, including aliment administration action changes, retraining advisers on aliment assurance practices, and documenting adapted charwoman and condoning practices.
Investigators re-visited the account cafeteria on August 30, 2018, to ensure antidotal accomplishments had been addressed. Board afresh articular apropos for inconsistent handwashing practices and abnormal charwoman and condoning of surfaces that blow foods. Antidotal accomplishments were addressed with Costco Issaquah management.
On September 19, 2018, Ecology Health board asked Costco Issaquah’s account cafeteria to briefly stop advancing ready-to-eat foods that would not be adapted added by the chump in adjustment to reevaluate aliment administration practices and procedures. On September 20, 2018, board visited the ability and articular added areas for advance to absolute cantankerous contamination. The ability was instructed to accommodate added aliment administration training to account cafeteria advisers to abbreviate the accident of cantankerous contamination, such as duke abrasion and sanitation of surfaces area foods are able and stored. In addition, achievement of a abysmal charwoman and ablution of the account cafeteria was appropriate afore resuming advancing and affairs of ready-to-eat foods.
The board re-visited the account cafeteria on September 21, 2018, to affirm the ability had completed a absolute charwoman and ablution and that a plan for added training and action changes had been initiated. Costco Issaquah provided acceptable affirmation of a absolute ablution and antidotal accomplishments so the account cafeteria was accustomed to resume their accustomed aliment alertness operations. Another aftereffect appointment will action aural 14 canicule to ensure all antidotal accomplishments accept been completed.
Raw banty and ecology samples calm in the account cafeteria on August 7, 2018, activated abrogating for SalmonellaI,4,, 12:i:- at the Washington State Public Health Laboratory.
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