April 2009

  • Posted: April 30th, 2009 - 10:09pm by Doug Powell

    Irony is pretty ironic sometimes.

    On the three-year anniversary of me officially starting at Kansas State University, two-years after the beginning of barfblog.com, and a year after going down the baby road yet again, Chapman finally gets his PhD, and all the staff at the remnants of the Food Safety Network at the University of Guelph are fired.

    Me, I just keep on truckin’ on. We’re working out the kinks with bites.ksu.edu, and barfblog.com had yet another record number of visitors today. So for the best food safety news and analysis, visit often.
     

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  • Posted: April 30th, 2009 - 4:34pm by Doug Powell

    It’s not swine flu, it’s people coming to work when they’re barfing. I understand it’s probably not the person’s fault – they may get fired if they don’t show up. But barfing employees should not be serving food. And that’s exactly what happened to 46 other employees at a Des Plaines, Ill., company last week.

    The 46 workers at UOP
    , a manufacturing technology company, were infected by a norovirus -- a stomach bug -- that apparently was carried by a food service worker at the firm, said Amy Poore, a spokeswoman for the Cook County Department of Public Health.
     

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  • Posted: April 29th, 2009 - 10:12pm by Doug Powell

    As part of her cultural education, about-to-be graduate student Katie has been exposed –inundated – with some of the favorite movies of Doug and Amy.

    Last week it was Monty Python and the Holy Grail. Young Katie wasn’t too impressed, and I’ll admit, the film has aged.

    But certain bits still come readily to mind. When Amy asks me to clean up the yard and landscape, I think of the Knights Who Say Nee and ask for shrubberies from Roger the Shrubber. When Amy and her colleagues speak French, I want to taunt them John Cleese-style, such as, “Your mother was a hamster, and your father smelled of elderberries.”

    So when Canadian Agriculture Minister and would-be standup comedian, Gerry Ritz, told special parliamentary hearings tonight that the Canadian Food Inspection Agency has "suffered a black eye" over last summer's deadly listeriosis outbreak and that it was time to "get past the politics of this issue and move forward," I couldn’t help but think of the scene from the Holy Grail after Lancelot has killed and maimed many of the wedding party celebrating the union of Prince Herbert and the huge tracks of land owned by Princess Lucky. Prince Herbert’s father, eager for land and not a swamp, says to the dead and wounded,

    "What’s the point of bickering and arguing about who killed who, it’s time to move forward.”

    The layers of the listeria onion are slowing peeling away, and if a few key reporters can keep their jobs before being swallowed by the Intertubes, Canadians may eventually find out who knew what when and why in the listeria shitfest of 2008.

    Sarah Schmidt of Canwest reports tonight that CFIA is permitting food companies to use non-accredited laboratories to analyze some listeria tests after the industry shot down a pricey proposal tabled after last summer's deadly listeriosis outbreak requiring the use of accredited labs, according to newly released ministerial briefing notes. …

    At the time of the listeriosis outbreak, such companies as Maple Leaf Foods were not required to conduct environmental listeria tests throughout their meat plants, including food-contact surfaces.

    And if companies were analyzing these tests at in-house labs, CFIA inspectors were not required to review them.

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  • Posted: April 29th, 2009 - 8:49pm by Doug Powell

    When asked about swine flu – oh, sorry, the H1N1 flu – U.S. President Barack Obama said during his prime-time 100-day press commencement conference that handwashing and staying at home if sick were key to controlling any potential spread of flu.

    As we’ve said, proper handwashing with the proper tools -- soap, water and paper towel -- can significantly reduce the number of foodborne and other illnesses, even the emerging swine flu.

    The steps in proper handwashing, as concluded from the preponderance of available evidence, are:

    • wet hands with vigorously flowing water;

    • use enough soap to build a good lather;

    • scrub hands vigorously, creating friction and reaching all areas of the fingers and hands for at least 10 seconds to loosen pathogens on the fingers and hands;

    • rinse hands with thorough amounts of water while continuing to rub hands; and

    • dry hands vigorously with paper towel.

    If any of the tools for handwashing are missing, let someone know.

    However, even with reminders and access to the proper tools, not everyone will practice good hygiene. Those signs that say, ‘Employees Must Wash Hands’ don’t always work. We’re working in settings like high schools and hospitals to figure out the best way to not only tell people to wash their hands, but to use new media and messages to really compel individuals to wash their hands.

    A video is available at:
    http://www.youtube.com/watch?v=piwl-Mfwc_s

    and a poster at
    http://fsninfosheets.blogspot.com/2008/02/dude-wash-your-hands.html.

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  • Posted: April 29th, 2009 - 7:44pm by Doug Powell

    Health officials say a mixer used to make pudding was the source of salmonella that sickened over 50 children at the Stone Environmental Camp in Madison, N.H., this month.

    The food for the campers is prepared by Purity Springs, where the camp is located. Officials said the mixer is sanitized after each use, but a possible defect may have allowed bacteria to get to an area where it couldn't be cleaned out.
     

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  • Posted: April 29th, 2009 - 8:41am by Doug Powell

    The New York Times reports that scores of colleges and universities across the country are shelving cafeteria trays in hopes of conserving water, cutting food waste, softening the ambience and saving money.

    The story has lots of the usual fuzzy stuff about sustainability but mentions nothing about sanitation. In the absence of trays, the silverware better stay on the plate because the accumulated microbiological mess on the cafeteria tables would cross-contaminate any forks, knives and spoons that were placed on the table.
     

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  • Posted: April 28th, 2009 - 10:14pm by Doug Powell

    I was a Carolina Hurricanes hockey fan even before Chapman moved to NC State in Raleigh.

    The team is run by former goalie, Detroit Red Wings executive and Beeton, Ontario, native, Jim Rutherford, who’s a few years younger than my parents but went to the same high school in Alliston, Ontario.

    When Carolina unexpectedly won the Stanley Cup in 2006, I was hooked. Rutherford brought the Cup back to Beeton; Amy bought me a Carolina Hurricanes coffee mug at the Charlotte airport. I still use it every morning.

    Chapman and family went to one of the playoff games this year – we could never do that in Toronto, even if they did magically make the playoffs (and that’s the future of their son, Jack, right, at a ‘Canes game).

    So tonight, with 1:20 left and Carolina trailing 3-2, facing who many call the best goaltender in the game or ever – I’ll always defer to Tony Esposito of the Chicago Black Hawks -- the ‘Canes pop in two goals to take the series.

    I’ll miss film director Kevin Smith’s twitters of his beloved New Jersey Devils, and Kevin, don’t kill yourself.

    Oh, and this has nothing to do with food safety. I just miss playing hockey.
     

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  • Posted: April 28th, 2009 - 4:22pm by Katie Filion

    If you ever find yourself in downtown Nashville, TN looking for a place to pee, WBBM780 Chicago recommends using the facilities at the Hermitage Hotel.

    The hotel’s ground-floor men’s bathroom has won the award for “America’s Best Restroom”.

    Janet Kurtz, director of sales and marketing at the hotel, says,

    "You just can't find anything like it anywhere else. People see it and fall in love with it."

    The redoubtable restroom is art-deco style with gleaming lime-green-and-black leaded glass tiles, lime-green fixtures, terrazzo floor and a two-seat shoeshine station.

    The restroom won the honor in online voting sponsored by Cincinnati-based Cintas Corp., which supplies restroom hygiene products and services. The company says "tens of thousands" of people voted over two months last summer.

    Criteria were hygiene, style and access to the public. The highfalutin honor has earned the restroom entry to "America's Best Restroom Hall of Fame."

     

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  • Posted: April 28th, 2009 - 2:03pm by Casey Jacob

    The Associated Press reported yesterday in USA Today that Mexican authorities believe as many as 149 people have died from the current outbreak of swine flu.

    Also in USA Today, Matt Krantz reported that,

    “Shares of pork producers Smithfield Foods (SFD), Tyson Foods (TSN) and Bob Evans Farms (BOBE) dropped 12.4%, 8.9% and 6.4% respectively as investors wondered if consumers might cut back on pork consumption due to confusion about how the virus spreads.”

    Currently, there is no evidence that swine in the US or Canada are infected. Even if some infected hogs surface, the World Health Organization and the Centers for Disease Control and Prevention have stated that well-cooked pork cannot transmit swine flu. However, that doesn’t stop consumers from being concerned.

    So, what are pork producers and processors doing to market the safety of their products? This is a great opportunity to show off their antemortem (live hog) and postmortem (hog carcass) disease monitoring programs.

    Smithfield Foods, Inc. seized the moment and told investors in a statement Sunday that, “it has found no clinical signs or symptoms of the presence of swine influenza in the company's swine herd or its employees at its joint ventures in Mexico,” and, “its joint ventures in Mexico routinely administer influenza virus vaccination to their swine herds and conduct monthly tests for the presence of swine influenza.”

    Tyson Foods, which does not operate any pork processing facilities in the affected areas, only referred to the CDC statement that the flu is not affecting pigs, and stated, “Our pork products are safe.” I doubt that brings much comfort to confused consumers who are actively trying to protect themselves. Show us some real evidence that your products are safe.

    I haven’t seen anything from Bob Evans Farms. Maybe they don’t even know there’s an outbreak…

    Consumers demonstrate their vote of confidence in products each time they make a purchase. Producers that speak up about risks and how they’re being managed are likely to receive more votes than those that don’t.

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  • Posted: April 28th, 2009 - 9:59am by Katie Filion

    Two US counties have recently adopted systems to communicate restaurant inspection results with the public. They aren’t the first, likely won’t be the last, and demonstrate two different approaches to inspection disclosure.

    The first is Calhoun county, MI, which has recently began posting inspection results online, reports the Battlecreek Enquirer.

    The idea is to reward facilities that run a tight ship and to encourage the dirtiest ones to clean up their act, public health officials said.

    Jim Rutherford, county health officer, explained,

    "This is public information. It always has been. You could have gone and accessed this as a resident any time. What we're doing is just making it easily accessible to the public."

    Calhoun county inspection results can be accessed online, here, but details of inspection are lacking – the website only indicates if an establishment is “In compliance” or “Non compliant.”

    Darien, CT has adopted disclosure at the premise, with inspection cards mandatorily being displayed at the premise, reports DarienTimes.com.

    The rating must be posted in a conspicuous location clearly visible to the public near the current permit and remain posted until the next scheduled inspection…There are three possible ratings: good, fair and poor. Good and fair ratings do not require any changes.

    Should a restaurant receive a poor rating, it has two weeks to clean up its act before a re-inspection.

    Though there is some concern regarding the “Fair” card, Health Director David Knave feels the system will provide incentive for restaurants to have “clean and healthy practices,” and,

    “This is an extra tool in addition to the inspection. That’s the intent here, to have ‘fair’ be a label you don’t want…Something to push them in the right direction.”

    Both disclosure systems have the same main goal: provide incentives for those within foodservice to meet health requirements, while providing the public with information they desire and deserve.
     

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  • Posted: April 28th, 2009 - 9:07am by Doug Powell

    Celebrity blog TMZ reports that celebrity chef Wolfgang Puck is being sued over a restaurant bathroom.

    A woman claims she just wanted to take care of some toilet business during a lunch at Puck's most famous Beverly Hills restaurant, Spago back in 2007. But according to the lawsuit, filed in L.A. County Superior Court, the bathroom floor was covered in "standing pools of urine and feces" -- and the only usable toilet didn't have a lock on the door.

    The woman also claims she had to use one of her hands to hold the door closed while she took care of business on the throne. But mid-squat, with her hand stuck firmly on the handle, another woman allegedly yanked the door open causing Linden to fall "face-first onto the tile floor."

    Reps for Spago claim the woman is completely full of crap when it comes to the cleanliness of their bathrooms -- "In our 27 years of business we've never had an issue close to this ... that portion of the claim is totally without merit."

    Wolfgang had some hepatitis A problems back in 2007.


     

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  • Posted: April 28th, 2009 - 8:52am by Doug Powell

    In his report into the 2005 epidemic that struck down more than 150 people, most of them children, across the South Wales Valleys and claimed the life of Mason Jones, aged five (right), Professor Hugh Pennington found that all of the inspections made at the premises of the butcher responsible in the months before people became ill had been pre-arranged.

    This allowed Bridgend-based William Tudor time to clean up and to doctor cleaning records to mislead Bridgend Council’s inspectors.

    Prof Pennington has now recommended all inspections, primary and secondary, must be unannounced unless “there are specific and justifiable circumstances or reasons why a pre-arranged visit is necessary”.

    The parents of four of the victims want to go further and Julie Price, Jeanette Thomas and Mason’s mother Sharon Mills, are re-forming an action group in a bid to achieve their aim.

    “We want to make it illegal for hygiene inspectors to carry out announced visits of butchers and other places where food is prepared,” said Mrs Price, mother of 13-year-old Garyn, who was left fighting for his life after contracting the food poisoning bug which spread through school dinners.

    “We want that set in stone.”

    Unannounced inspections are recommended in The Food Law Practice Guidance (Wales). But announced inspections remain lawful and continue to happen.

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  • Posted: April 28th, 2009 - 7:04am by Doug Powell

    People will pay to protect themselves -- or at least for the positive perception they are protecting themselves. Industry is all too happy to oblige with a variety of products of questionable value.

    When faced with outbreaks of foodborne illness on fresh produce, sales of veggie washes go up. Salmonella in the kitchen? Bring on the antibacterial sanitizers. Now with swine flu dominating the headlines, twitterscape and Jon Stewart (see below) USA Today reports today that marketers are out in force — particularly on the Internet — with items ranging from 99-cent face masks to potions such as oregano oil that fetch $70 a bottle to third-party overnight shipments of Tamiflu for $135 per prescription.

    Some major marketers are seeing an uptick in sales of items such as masks, latex gloves, anti-bacterial soaps and hand sanitizers. Consumer gurus aren't surprised that so many treatments and protective devices related to swine flu — legitimate or not — are getting plenty of traction from retailers and marketers.

    Jerald Jellison, a social psychologist said,

    "When we're faced with a potential threat, we tend to imagine the worst," says. That's what marketers are capitalizing on. In a state of high need, with our rational powers diminished, we'll take almost any action.”
     

    The Daily Show With Jon StewartM - Th 11p / 10c
    Snoutbreak '09 - The Last 100 Days
    thedailyshow.com
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    Full Episodes
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  • Posted: April 27th, 2009 - 4:57pm by Casey Jacob

    As easy as it may be to assume, there’s no evidence that the swine flu spreading through Mexico and beyond is sickening pigs now.

    The World Health Organization reports that illnesses in Mexico are climbing close to 1,000 with more than 50 deaths—all of which are human. Eighteen of those cases were laboratory confirmed by labs in Canada.

    Though, as a precaution, the Canadian Food Inspection Agency is “asking swine producers, veterinarians and labs to increase their vigilance in monitoring for and reporting swine disease.”

    Is that a better use of resources than increasing monitoring activities of flu-like symptoms in humans?

    The Public Health Agency of Canada website says of human swine influenza, “Sporadic human infections with swine flu have occurred, however these are usually caused by direct exposure to pigs,” and, “Human to human transmission of swine influenza has been documented.”

    Are Canadians getting the whole story? Is this the best way to protect public health?

    In the US, the Centers for Disease Control and Prevention have identified 20 human cases of swine flu in several states, and an investigation website outlines what is known about the virus to this point (it’s susceptible to certain antiviral drugs) and the steps being taken to find out more.

    This information gives the public a better picture of the possible risks to their health and how those risks are being managed.

    The interested public can generally handle more, not less, information about food safety.
     

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  • Posted: April 27th, 2009 - 2:15pm by Doug Powell

    The new web site is sorta ready to go.

    I say sorta because it’s a work in progress that can be continuously updated and improved. The beta-version, warts and all, is now available.

    The fastest way to receive food safety news is to subscribe to barfblog.com. If something’s happening, we try to blog it, rapidly, and with analysis. barfblog can also be followed on twitter.

    bites.ksu.edu is continuously updated throughout the day and night and other times. When sufficient news exists, I will send out a summary, much like the current FSnet listserv. You can subscribe to receive this daily (or more) summary on the front of bites.ksu.edu, and can choose between html (pretty pictures and hyperlinks) or text-only formats. Or you can visit the website and see how it changes throughout the day.

    If you only want to receive specific news, use RSS feeds.

    RSS (Rich Site Summary, or Really Simple Syndication) is a format for delivering regularly changing web content. Many news-related sites, weblogs and other online publishers syndicate their content as an RSS Feed to whoever wants it.

    If you only want stories about animal welfare, or norovirus, go to bites.ksu.edu and click on that section. Then click on the RSS symbol, and add to your reader. If you want to receive everything, click on the RSS feed on the homepage for bites.ksu.edu.

    I will continue to send out news via the FSnet listserv for the immediate future while you all decide what news you want and how best to receive such news. The old site, foodsafety.ksu.edu, will remain alive as a repository and archives will be archived there, but otherwise will not be updated.
     

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  • Posted: April 27th, 2009 - 9:22am by Amy Hubbell

    Katie and I were craving hamburgers this weekend and Doug decided to indulge us. At the supermarket on Saturday he picked up some ground beef along with our normal cart full of produce and other proteins. As usual, I tried to separate the items in the cart so that the fresh produce was not touching the beef, pork, or salmon filets, even though all the meat was wrapped.

    Checkout on Saturdays is always busy, and with a baby, a shopper’s plus card, a payment method, eco-friendly shopping bags, and chatter with the cashiers and baggers, there are plenty of distractions. On this particular day, the new store manager was bagging our items and complementing Doug on his culinary ability: “I can see you must be a good cook because those items require skill.” I chimed in with full-hearted agreement. Doug’s an awesome cook.

    In the meantime, as the hamburger was being passed over the scale and scanner, juice poured out all over the place. I watched the cashier and was about to say something, but she pulled out a sanitary wipe and cleaned her hands. She then proceeded to pass every one of our produce items over the scale and through the hamburger juice. I felt like I should say something but wanted Doug to be the bad ass. And as I stood there stunned, not wanting the store manager to fire the woman, she completed our transaction and was on to the next person.

    As soon as we exited the store, I declared we would have to wash every piece of produce in the bags. It didn’t even occur to me until later that the following person’s items were also going to pass over that potentially E.coli-laden scale. And maybe the same thing had already happened five times before we arrived. Maybe we were already at risk before our hamburger leaked all over.


    It’s important to wash fresh fruits and vegetables to remove external contamination, because you never know where it’s been. Once your produce is exposed, it can contaminate other items in your bag or at home. Even if you are a careful consumer, it’s difficult to know just where that tomato has been.

    (P.S. Doug cooked the burgers to a perfect 160F and they were delicious.)

     

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  • Posted: April 27th, 2009 - 8:56am by Doug Powell

    Singapore launched its CSI -- clean, safe, infection-free -- handwashing campaign Monday that gives thorough hand-washers the chance to win a sports car, a plasma TV or shopping vouchers.

    Chng Hiok Hee, a doctor at Tan Tock Seng hospital and the head of the two-month-long campaign said,

    "Good hand hygiene is crucial in stemming the spread of infections and there is no reason why the public should not learn the seven steps to hand washing practiced by medical professionals.”

    The seven handwashing steps include interlacing your fingers and rubbing your hands together, rubbing your thumbs and wrists, and rubbing your fingertips on your palms, to clean all areas.

    Our version? Vigorously rub hands for at least 10 seconds using soap under vigorously running water, and dry vigorously with paper towel. Friction – with vigor --  is a wonderful thing.

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  • Posted: April 27th, 2009 - 8:41am by Doug Powell

    Julie Schmit of USA Today has written another excellent overview documenting the multiple failures – bad inspections, bad audits, bad people -- that led to the peanut paste crapola that sickened 700 and killed nine.

    Below are just a few of the highlights:

    •Deibel Labs, which ran more than 1,600 salmonella tests for PCA's Blakely plant from 2004 through 2008, found almost 6% positive. It was so many that Deibel sent PCA's samples to a separate part of its Chicago lab to lessen chances that they'd contaminate other products, Charles Deibel, the firm's president, said in an interview. For roasted products such as peanuts, a positive rate above 1 in 10,000 would be high, Deibel said. Proper roasting kills salmonella with heat. PCA never asked Deibel to look into the issue, Deibel said.

    •Nestlé audited the Blakely plant in 2002 and rejected it as a supplier. Nestlé's audit report said the plant needed a "better understanding of the concept of deep cleaning" and failed to adequately separate unroasted raw peanuts from roasted ones. Having them in the same area could allow bacteria on raw nuts to contaminate roasted ones, a risk known as cross-contamination. The plant wasn't even close to Nestlé's standards, auditor Richard Hutson said in an interview. Hutson, who now heads quality assurance for several Nestlé divisions, said he shared his concerns with PCA officials at the time, but "they didn't pursue it" further with Nestlé, he says.

    • To win customers, Parnell "extolled" the fact that an auditor, AIB International, had rated the plant as "superior," said King Nut CEO Martin Kanan at a congressional hearing. King Nut sold peanut butter under its name that was made by PCA. That rating also satisfied Kellogg, which began buying PCA's peanut paste for sandwich crackers in 2007.

    • AIB also draws criticism from a former food-industry official. Its audit of PCA was "superficial," said Jim Lugg, former food-safety chief for bagged salad maker Fresh Express, who reviewed AIB's audit of PCA at USA TODAY's request. One example of "shallow treatment of a big issue," Lugg says, is that the audit notes that PCA had a written program to evaluate suppliers and had an approved list. But AIB did no further checking of the suppliers. Years ago, Fresh Express stopped using AIB audits because it found them inadequate, he adds.

     

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  • Posted: April 26th, 2009 - 6:57pm by Doug Powell

    Maybe the folks at the U.S. Food and Drug Administration are busy with swine flu, but the timing of the latest raw sprouts advisory is a bit wonky.

    Oh, and I’m to stress that it is only alfalfa sprouts making people barf, or at least that’s what industry told the FDA during a conference call yesterday afternoon. Not sure why it took FDA over 24 additional hours to warn consumers but …

    The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) today recommended that consumers not eat raw alfalfa sprouts, including sprout blends containing alfalfa sprouts, until further notice because the product has been linked to Salmonella serotype Saintpaul contamination.

    Other types of sprouts have not been implicated at this time.???  ???The investigation indicates that the problem may be linked to contamination of seeds for alfalfa sprouts. Because suspect lots of seeds may be sold around the country and may account for a large proportion of the alfalfa seeds currently being used by sprout growers, and cases of illness are spread across multiple states, FDA and CDC are issuing this general advisory.??????

    FDA will work with the alfalfa sprout industry to help identify which seeds and alfalfa sprouts are not connected with this contamination, so that this advisory can be changed as quickly as possible.

    CDC, FDA and six State and local authorities have associated this outbreak with eating raw alfalfa sprouts. Michigan, Minnesota, Pennsylvania, South Dakota, Utah, and West Virginia have reported 31 cases of illness with the outbreak strain of Salmonella Saintpaul to CDC. Most of those who became ill reported eating raw alfalfa sprouts.  Some reported eating raw sprouts at restaurants; others reported purchasing the raw sprouts at the retail level.

    The CDC and FDA recommend at all times that persons at high risk for complications, such as the elderly, young children, and those with compromised immune systems, not eat raw sprouts because of the risk of contamination with Salmonella or other bacteria.


    Chapman updated our chart of sprout-related outbreaks. It’s available at http://www.foodsafety.ksu.edu/en/article-details.php?a=2&c=6&sc=36&id=865
     

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  • Posted: April 26th, 2009 - 4:19pm by Ben Chapman

    The Toronto Star reports that a health alert was issued today after it was discovered that two employees of a Newmarket Tim Hortons were found infected with Hepatitis A.

    York Region Public Health was notified of a case of hepatitis A at the Tim Hortons at 16545 Yonge St., near Savage Rd., on April 21. Following the initial investigation, it was decided the risk to customers was very low based on the employee’s position.

    "He was not involved in food handling," said York Region medical officer of health Dr. Karim Kurji. "Given that, we didn’t feel the need to notify the public."

    Oops, because...

    The next day investigators conducted routine tests and offered immunization to workers. These tests revealed a second case, which was discovered on April 24. It was decided the risk of contamination to the public in this case was higher.

    "The overall assessment when investigating the risk with the second case was the employee was handling food," said Kurji. "It was prudent for us to reach out to public and take necessary precautions.

    York Region Public Health is holding a vaccine clinic Monday from 4 p.m. to 8 p.m. in the auditorium of the Newmarket Health Centre. People who ate food from this Tim Hortons between April 13 and April 22 are eligible for the vaccine. However, anyone who ate there between April 2 and April 22 could be infected.

    Hep A happens a lot, but the way this one has been handled raises a few questions for me:

    I wonder why the folks who ate at the Hortons before April 13th are excluded from eligibility from the vaccine? Does someone need to prove (with a receipt?) that they ate there between April 13 and 22nd? Who bears the cost if someone wants to get an IGG shot and is excluded? What happens if that individual gets sick?

    This week's food safety infosheet was about Hep A in a produce handler in Colorado.

     

     

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