According to a CDC Food Safety Alert issued on September 6th, Milo’s poultry farm, located in Bonduel, WI, has recalled all eggs packed under the Milo’s and Tony’s Fresh Market brand.
FDA has confirmed that the outbreak strain of Salmonella Enteritidis (SE), affecting 65 patients with 24 hospitalizations among nine states was homologous with isolates from flocks and the packing plant. Traceback implicated Milo’s Poultry Farm operated by Milo and Edna Bontrager packing under the Certified Organic Seal.
The SE isolate is resistant to ciprofloxacin, an antibiotic of choice for treating intestinal infection including salmonellosis in humans.
Eggs produced by Milo’s Poultry Farms were sold to stores and restaurants in Illinois, Michigan and Wisconsin despite the wide range of states reporting cases including California 
and Virginia. Of the patients, age ranges from 2 to 88 years. Illnesses were recorded during late May extending through August.
Decontamination of the farm will prove challenging given outside access that has presumably been contaminated with SE.
It will be of interest to learn the results of previous drag swab monitoring of the flocks for SE according to FDA requirements, given that the first recorded cases occurred in May.
Contrary to consumer perceptions, the Certified Organic Seal relates to compliance with the National Organic Program and is independent of food safety.
As with most foodborne Salmonella infections, the actual number of cases far exceeds the confirmed number as many patients with mild symptoms do not seek medical attention. Even with treatment by a physician or at a medical facility, appropriate microbiological examination is not performed unless the patient is hospitalized. In the context of this outbreak, therapy using ciprofloxacin would have been less than effective given the resistance profile of the SE pathogen and the impact of the intestinal microbiome that would have been disrupted by this antibiotic.