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IA #22-02, 3/21/08,  "DETENTION WITHOUT PHYSICAL EXAMINATION OF CANTALOUPES
FROM HONDURAS", Attachment 12/22/08

TYPE OF
ALERT:         DETENTION WITHOUT PHYSICAL EXAMINATION (DWPE)

               (Note: This import alert represents the Agency's current
               guidance to FDA field personnel regarding the
               manufacturer(s) and/or product(s) at issue.  It does not
               create or confer any rights for or any person, and does not
               operate to bind FDA or the public)

PRODUCT:       Cantaloupes, fresh, frozen and processed (This includes
               fresh cantaloupe Sliced/chopped)
PRODUCT
CODE:               22A[]B01
               22A[]C01
               22A[]D01
               22A[]T01

PROBLEM:       Salmonella spp.

PAF:           MIC

PAC FOR
COLL:               03F098

COUNTRY:       HONDURAS (HN)

MANUFACTURER/
SHIPPERS:      See Attachment

CHARGE:        "The article is subject to refusal of admission pursuant to
               Section 801(a)(3) in that such article appears to contain
               Salmonella, a poisonous or deleterious substance which may
               render it injurious to health. [Adulteration, Section
               402(a)(1)]."

                               and

               "The article is subject to refusal of admission pursuant to
               Section 801(a)(3) in that it appears to have been prepared,
               packed, or held under insanitary conditions whereby it may
               have been rendered injurious to health [Adulteration,
               Section 402(a)(4)]."

                               and

               "The article is subject to refusal of admission pursuant to
               Section 801(a)(1) in that it appears to have been prepared,
               packed, or held under insanitary conditions [Adulteration]"
OASIS CHARGE
CODE:               SALMONELLA
               INSANITARY
               MFR INSAN

RECOMMENDING
OFFICE:        CFSAN, Office of Compliance, Product Adulteration Branch
               (HFS-606)

REASON FOR
ALERT:         There is currently a multi-state outbreak of Salmonella
               Litchfield. CDC reports 58 cases in 16 states (CA, CO, GA,
               MO, NJ, NY, OH, OK, OR, TN, UT, WA, WI, AZ, IL, and NM) and
               Canada having culture-confirmed Salmonella Litchfield
               infections with matching PFGE patterns since January 10,
               2008. The serotype is characterized as uncommon.  Based on
               findings of a case-control study, CDC concluded a
               statistical association between consumption of cantaloupe
               and illnesses, and requested that FDA initiate a traceback.

               Attachment A lists the firm or firms that, based on current
               information from the traceback, FDA has determined appear to
               be associated with the outbreak.  FDA is still continuing
               its traceback investigation, however, and will consider
               additional traceback and other information it receives in
               determining whether it should revise this import alert.

               Salmonella lives in the intestinal tracts of humans and
               other animals. Thus, the organism may be transmitted to
               humans by eating foods contaminated with fecal material from
               humans or other animals. Random events in nature, such as an
               animal defecating on a cantaloupe growing in the field, may
               cause the product to become contaminated with Salmonella
               and, subsequently, result in illness. However, FDA believes
               that it is extremely unlikely this outbreak of salmonellosis
               is due to a random natural event or events in nature.  The
               outbreak is attributable to a specific, somewhat rare,
               species of Salmonella with indistinguishable pulse field gel
               electrophoresis (PFGE) pattern. Moreover, the reported
               illnesses occurred during a time period that is
               approximately three times as long as the shelf-life of the
               product, and the illnesses were spread over a relatively
               wide geographical area.  These factors indicate that the
               contamination is more likely due to inadequate controls
               rather than a random natural event or events.

               Based on the above information and FDA past investigations
               of cantaloupe and fresh produce, the source of contamination
               would likely be due to one or more of the following:
               irrigation of fields with water contaminated with sewage,
               processing produce with Salmonella contaminated water,
               and/or poor hygienic practices of workers that harvest and
               process the produce, animals in close proximity to product
               or water sources, and lack of adequate cleaning and
               sanitizing of equipment that comes in contact with the
               product. Furthermore, processes such as cutting, dicing, and
               slicing increase the surface area available for
               contamination and growth of microorganisms. Nutrients to
               support microbial growth (i.e., from plant juices and
               exposed flesh) are also more available. Concerns about
               pathogens are further amplified when the characteristics of
               the particular fruit or vegetable (e.g., pH) can support
               their growth, This is the case with many vegetables, certain
               soft fruit, and melons, including cantaloupe.

               This alert covers both whole cantaloupes and sliced,
               chopped, or diced cantaloupe. The processing associated with
               producing fresh versus intact produce increases the
               opportunity for contamination and the chance of cross
               contamination over an even larger volume of product.

GUIDANCE:      Districts may detain, without physical examination, all raw
               fresh and raw fresh refrigerated cantaloupes, frozen and
               processed cantaloupe, including fresh cantaloupe
               sliced/chopped, offered for importation from the firms
               listed on the attachment.

               If a firm believes that its product should not be
               recommended for detention under this import alert, the firm
               should forward information supporting its position to FDA at
               the following address:

               Food and Drug Administration
               Division of Import Operations & Policy, HFC-170
               5600 Fishers Lane, Room 12-36
               Rockville, MD 20857

               DIOP will then forward the information to CFSAN for review.

               In order to remove a firm from detention without physical
               examination, the following should be provided to FDA:

               1.   information demonstrating that the conditions that
                    gave rise to the appearance of a violation have been
                    resolved.

                               and

               2.   evidence the agency has confidence that future entries
                    will be in compliance with the Federal Food, Drug and
                    Cosmetic Act.

               To assess the adequacy of the firm's agricultural,
               processing and transportation practices, FDA personnel
               should review information submitted describing the firm's
               practices in the following areas:

               *    Water quality in irrigation, packing and cooling;
               *    Manure use and biosolids, animal management;
               *    Worker health and hygiene;
               *    Sanitary facilities in field and packing house,
                    disposal of sewage and silage;
               *    Maintenance program for cleaning, sanitizing
                    equipment;
               *    Field and packing facility sanitation;
               *    Transportation;
               *    Steps taken to identify and correct insanitary
                    conditions.

               Further details and examples of the types of information
               that can be submitted can be found in FDA's Guidance for
               Industry Guide to Minimize Microbial Food Safety Hazards for
               Fresh Fruits and Vegetables (October 26, 1998) and FDA's
               Final Guidance: Guide to Minimize Microbial Food Safety
               Hazards of Fresh-cut Fruits and Vegetables (February 2008).

               After reviewing these submissions, FDA, either solely or in
               conjunction with the relevant Honduran regulatory authority,
               may conduct on-site inspections of the growing/processing
               areas to audit the validity of the information submitted to
               FDA. FDA intends to give priority in scheduling these
               inspections to firms or growers who provide certification
               from an independent institution or third party that has
               expertise in agricultural and transportation processes.

               Questions may be directed to CFSAN, Office of
               Compliance/Product Adulteration Branch (HFS-606) at (301)
               436-1742.

PRIORITIZATION
GUIDANCE:      I

FOI:           No purging required

KEYWORDS:      Salmonella, pathogens, illness, produce, microbial
               contamination

PREPARED BY:   Ronald Pace, CFSAN (301) 436-1742
               Doug Randes, DIOP (301)443-6553

DATE LOADED
INTO FIARS:         March 21, 2008

                          ATTACHMENT A
     FIRMS SUBJECT TO DETENTION WITHOUT PHYSICAL EXAMINATION

"Currently no firms are subject to Detention Without Physical Examination
under this Import Alert"