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Nationwide Egg Recall

PDF Version of DQA 10-022  (PDF, 51 KB)

Date: August 31, 2010 -- DQA Memo 10-022
To: Adult Day Care ADC 05
Adult Family Homes AFH 09
Ambulatory Surgery Centers ASC 05
Certified Mental Health and AODA CMHA 05
Clinical Lab Improvement Amendments CLIA 06
Community Based Residential Facilities CBRF 12
End Stage Renal Dialysis Units ESRD 05
Facilities for the Developmentally Disabled FDD 05
Home Health Agencies HHA 05
Hospices HSPCE 07
Hospitals HOSP 08
Nursing Homes NH 09
Outpatient Rehabilitation Facilities OPT/SP 04
Personal Care Providers PCP 04
Residential Care Apartment Complexes RCAC 08
Rural Health Clinics RHC 04
From: Alfred C. Johnson, Director
Bureau of Technology, Licensing & Education

Otis Woods, Administrator
Division of Quality Assurance

Nationwide Egg Recall

The U.S. Food and Drug Administration (FDA) has recently reported an "URGENT Nationwide Egg Recall - Eggs in Their Shells May Put Consumers at Risk for Salmonella"(FDA News Release, August 19, 2010).

Epidemiological outbreak data repeatedly identify five major risk factors related to employee behaviors and preparation practices in retail and food service establishments as contributing to foodborne illness:

  • Improper holding temperatures
  • Inadequate cooking, such as undercooking raw shell eggs
  • Contaminated equipment
  • Food from unsafe sources
  • Poor personal hygiene

Food borne illness is a serious health issue for all persons, but persons who are elderly, have weakened immune systems, or suffer from chronic disease such as diabetes are at a higher risk of severe illness due to Salmonella Enteritidis. The FDA 2009 Food Code defines "highly susceptible populations" as persons who are more likely than other people in the general population to experience foodborne disease because they are:

  1. Immunocompromised; preschool children, or older adults; and
  2. Obtaining FOOD at a facility that provides services such as custodial care, health care, or assisted living, a child or adult day care center, kidney dialysis center, hospital or nursing home, or nutritional or socialization services such as a senior center.

These individuals are most at risk for getting Salmonella Enteritidis. "The infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics ( The symptoms of Salmonella Enteritidis include diarrhea, fever, nausea, vomiting, abdominal pain, and headaches. These symptoms can vary in both severity and onset.

Food service operations in health care and community settings must guard against outbreaks of foodborne illness. Measures must be in place to protect residents, clients and patients living in health care and community settings:

  • Under no circumstances should raw eggs be served.
  • In facilities with "highly susceptible" populations, pasteurized egg products or pasteurized in-shell eggs must be used in place of pooled eggs or raw or undercooked eggs. (Using unpasteurized, shell eggs to prepare undercooked eggs for eating increases the risk of a highly susceptible population being infected with Salmonella Enteritidis which could lead to a life-threatening illness.)
  • Eggs and egg-containing foods must be refrigerated at temperatures of 41o or below or kept hot at 135o F or higher.
  • Do not keep eggs warm or at room temperature at any time.
  • Never accept cracked or broken raw shell eggs. Discard any cracked eggs.
  • Unpasteurized eggs must be thoroughly cooked so that the yolk and white are solid.
  • Do not accept or use eggs that have passed their "expiration," "sell by" or "use by date."
  • Review procedures to prevent cross-contamination between raw eggs or foods containing raw eggs; including with hands, surfaces, utensils and other foods.
  • Wash hands and wash, rinse and sanitize cooking utensils and food preparation surfaces with appropriate chemical sanitizer after contact with raw eggs.

Eggs are not the only source of Salmonella Enteritidis. Other foods implicated in Salmonella Enteritidis outbreaks include meats and meat products, poultry, and combination foods, (i.e., salads) that contain the previously mentioned food products. Food handlers and others who are infected with the bacterium can also spread Salmonella Enteritidis. Food service employees need to comply with meeting reporting requirements and informing their manager if they are experiencing vomiting, diarrhea, jaundice, and/or sore throat with fever.

Food service employees need to be educated about effective food safety, including purchasing, storing and handling foods properly, cooking foods to proper temperatures, using effective hand washing practices, keeping food contact surfaces clean and sanitized, preventing cross-contamination, signs and symptoms of illness whether at home or at work, and review sick employee responsibilities in foodservice (FDA 2009 Food Code). Facilities/institutions also have a responsibility to help residents and visitors understand safe food handling practices.

An online source by the Centers for Disease Control and Prevention (CDC) - "Tips to Reduce Your Risk of Salmonella from Eggs." can be accessed at:

To monitor the status of this egg recall, updates are available at:

If you have any questions, please call Vickie Bergquist, Dietary Services Consultant, Division of Quality Assurance at (920) 983-3184.


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Last Updated: June 09, 2014