March 2012

  • Posted: March 16th, 2012 - 7:23pm by Doug Powell

    Four more children have been diagnosed with salmonella since yesterday, as the city’s public health department continues to investigate an outbreak of food poisoning that appears to have spread through a caterer serving hot lunches at schools and daycares.

    The Ottawa Citizen reports there have now been 27 lab-confirmed cases of the food-poisoning bacteria since Public Health declared an outbreak early this week, including 23 children and four adults. (Two of the adults are included in the tally even though their cases are believed to be unrelated.) Friday afternoon, the health department also added two schools to the list of those where children have become sick: Bayvew Public School and Ecole élémentaire Des Sentiers.

    Investigators are still analysing food from a kitchen run by a franchise of The Lunch Lady, trying to confirm suspicions that its meat lasagna and beef tacos were contaminated. All six schools and one daycare where children are known to have got sick are served by one franchise of The Lunch Lady, which delivers meals to kids whose parents pay for the service.

    The results of the lab analysis are expected to take a few more days, perhaps even until next Wednesday, said Public Health spokesman John Steinbachs. Bacterial cultures take time to grow, and they then have to be compared with samples from afflicted patients to see if they match.

    In the meantime, two Lunch Lady kitchens — the one on Boyd Avenue where investigators have been concentrating their efforts, and another in Kanata — are closed, said their owner, Jonathan Morris.

    “We don’t know what the source of the contamination is, and until we do, we’re not going to be making or serving food,” he said. Parents whose children get meals from those kitchens will have to make other arrangements for at least next week, Morris said.

    “It’s harder as a parent than it is as a business owner,” Morris said. “I’m a parent, most of my staff are parents, and we serve food to a lot of them. These kids getting sick, that’s what’s, well, that’s what making me sick. The business is ... that’s not even secondary.”

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  • Posted: March 16th, 2012 - 4:30pm by Doug Powell

    Traducido por Gonzalo Erdozain

    Resumen del folleto informativo mas reciente:

    - Mas de 200 enfermos de norovirus en una competencia de chiroleras.
    - Los mas probable es que el brote se haya iniciado cuando un participante acudió a la competencia enfermo.
    - Los oficiales de salud creen que el brote empeoro por culpa de algunos individuos que vomitaron en publico.
    - El cloro puede inactivar al norovirus; la amonia cuaternaria no se recomienda porque no es efectiva.
    - Una mezcla con una concentración de 5,000 ppm (25 cucharas soperas de cloro (5.25%) en un galón de agua) debe ser aplicada al área afectada por un mínimo de 4 minutos.

    Los folletos informativos son creados semanalmente y puestos en restaurantes, tiendas y granjas, y son usados para entrenar y educar a través del mundo. Si usted quiere proponer un tema o mandar fotos para los folletos, contacte a Ben Chapman a benjamin_chapman@ncsu.edu.

    Puede seguir las historias de los folletos informativos y barfblog en twitter
    @benjaminchapman y @barfblog.

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  • Posted: March 16th, 2012 - 4:16pm by Doug Powell

    Staff at McDonald's and Carrefour outlets in China were caught on camera selling expired chicken products and meat that fell on the ground.

    The report by China Central Television offered no evidence of widespread problems with the China operations at either company. But their quick apologies highlight the pressures foreign companies can face in China, as well as rising food-safety worries there.

    CCTV reported late Thursday that a Beijing branch of McDonald's sold chicken wings an hour and 24 minutes after they had been left on a warming tray, compared with the 30-minute limit that the store sets. The report also said outlet personnel cooked and sold beef that had fallen on the outlet's kitchen floor.

    China's Food and Drug Administration said late Friday that it sent health investigators to the McDonald's outlet featured in CCTV's report and ordered the company to act in accordance with food-safety laws and to boost employee food-safety awareness. The incident should be a warning to all McDonald's outlets, it said.

    The network also said a Carrefour outlet in the Chinese city of Zhengzhou, in central Henan province, sold expired chicken and labeled regular chicken as more the expensive free-range variety.

    CCTV's report came as part of an annual broadcast feature marking World Consumer-Rights Day on March 15, or what is known in China as "315." Analysts say that China has historically used the day as an educational tool to give Chinese consumers more information on the products they use and as an outlet for their complaints.

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  • Posted: March 16th, 2012 - 3:21pm by Doug Powell

    The Moscow Times reports that E. coli bacteria has been found in butter at four kindergartens in the city of Samara, following the hospitalization this week of almost 30 children in the neighboring city of Tolyatti from food poisoning, Itar-Tass reported Friday.

    The bacteria was discovered during a food safety check initiated after a raft of food-poisoning cases in Tolyatti, which were apparently caused by dairy products, including tvorog and kefir. In total, 37 children under the age of two fell ill, with 28 of them being hospitalized.

    A criminal investigation has been opened in connection with the Tolyatti poisonings, with the charge of failing to meet safety standards in work with young children.

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  • Posted: March 16th, 2012 - 10:30am by Ben Chapman

    Author: 
    Ben Chapman

    The newest food safety infosheet, a graphical one-page food safety-related story directed at food businesses, is now available.

    Food Safety Infosheet Highlights:

    - Over 220 at cheerleading competition fall ill with norovirus.

    - The outbreak likely started when a participant showed up at the competition while ill.

    - Health officials believe that the outbreak grew because affected individuals vomited in public.

    - Chlorine bleach can inactivate norovirus; Quaternary ammonia (quats) are not recommended because the aren't effective.

    - A 5,000 ppm (25 tablespoons 5.25% bleach per gallon of water). bleach solution should be applied to soiled areas for at least 4 minutes.

    Food safety infosheets are created weekly and are posted in restaurants, retail stores, on farms and used in training throughout the world. If you have any infosheet topic requests, or photos, please contact Ben Chapman at benjamin_chapman@ncsu.edu. You can follow food safety infosheets stories and barfblog on twitter @benjaminchapman and @barfblog.

    Click here to download.

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  • Posted: March 16th, 2012 - 7:01am by Doug Powell

    Amy and I went on a date at 2:30 in the afternoon, cause that’s how we roll when Sorenne is in school.

    And, when the Dutton Park Fish Market has an e-mailed special for dine-in only, whole chilli mudcrabs on Friday night, I called them and asked, can you seat us at 2:30 p.m.?

    Shurely.

    After another day of pink slime, listeria, sick kids, bad corporate behavior and food safety nerd stuff, I do like to eat. And I like Amy. So we continued our crustacean sampling of Brisbane with the whole chilli mudcrab. And a date.

    It was messy. And outstanding.

    Tomorrow it’s scallops on the half-shell, grilled on the barbie, after the school’s lunchtime open house and sausage sizzle (I cook, and temp the sausages with my tip-sensitive digital thermometer).

    Food is to be enjoyed and cherished.

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  • Posted: March 16th, 2012 - 5:51am by Doug Powell

    The salmonella outbreak at a kindergarten in Seriate, Italy, continues to creep along, climbing from three in late Feb. to 25 this week, including a newborn, and adding another location.

    The local health department says the cases are unrelated and that there is no health alert.

    The basis of this statement is unknown. May have been lost in translation.

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  • Posted: March 16th, 2012 - 4:57am by Doug Powell

    In March, 2011, an outbreak of salmonella was first identified after a nursing home in Rhode Island reported that 15 residents and two staff members had fallen ill. Investigators discovered that all had eaten zeppole from DeFusco’s Bakery to commemorate St. Joseph’s Day; store owners closed the bakery the same day.

    Over the next week, the state received dozens of similar reports of salmonella symptoms, and all but one person had eaten zeppole from DeFusco’s, which supplied the pastries to other bakeries and catered events for the holiday.

    WPRI reports that one year later, four new health inspectors have been hired, giving the Food Inspection Department a total of 11 to cover more than 2,000 food establishments.

    The Director of the Rhode Island Department of Health refused an interview but, based on inspection reports, there have been numerous inspections at bakeries statewide in the past month, which found:

    • "Pizza, calzones and pork pies stored at 65 degrees..."
    • "Temperatures need to be 41 degrees"
    • "Raw beef stored with deli meats"
    • "Mouse droppings found"

    A number of lawsuits have been filed against DeFusco's Bakery and some of those are still pending.

    Others have been dropped due to the fact the bakery was not insured.

    Last year, The Boston Globe reported state inspectors found a host of health violations at DeFusco's, from gallons of pastry cream left unrefrigerated for hours to pastry shells stored in egg crates tainted with salmonella bacteria. It was most likely the shells, which had come into contact with the salmonella-infected eggs, that ignited the outbreak, disease detectives said. The state issued an immediate recall of the bakery’s goods, and the shop agreed to close its two locations immediately.

     

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  • Posted: March 15th, 2012 - 11:39pm by Doug Powell

    grinding.hamburger.jpg

    What we have here is a failure to communicate.

    If you believe proponents, critics and prison wardons, disputes about science and facts and personal relationships are failures in communication, in that you don’t agree with me.

    It’s based on an authoritarian model and is the oldest excuse out there; all kinds of problems could be solved if everyone just communicated better, especially scientists and others.

    For almost 30 years I have been told failures in communication underpin conflict when usually it is failure to commit – to an idea, a belief, a principle.

    And it’s not new.

    On Wednesday, the U.S. Department of Agriculture’s line on BPI’s pink slime was, "All USDA ground beef purchases must meet the highest standards for food safety. USDA has strengthened ground beef food safety standards in recent years and only allows products into commerce that we have confidence are safe.”

    Two hours later, USDA changed its tune, leaking the news that schools will have choice in response to requests from districts.

    The official announcement came earlier today. “USDA only purchases products for the school lunch program that are safe, nutritious and affordable – including all products containing Lean Finely Textured Beef. However, due to customer demand, the department will be adjusting procurement specifications for the next school year so schools can have additional options in procuring ground beef products. USDA will provide schools with a choice to order product either with or without Lean Finely Textured Beef.”

    Eldon Roth, founder of BPI, issued a statement today again focusing on safety, which is fine, but blamed media coverage. “As parents and consumers continue to make important decisions about the food they and their children eat, we hope that they listen to credible sources outside media sensationalists and take note of the overwhelming support from the government and scientific community who have routinely testified that our lean beef trimmings are 100% beef and are produced, and tested in a way that makes this food very safe. The facts can be found at pinkslimeisamyth.com.”

    Facts are never enough.

    BPI has followed the well-worn script of fact-based communication, and failure has followed.

    The American Meat Institute backed a statement by BPI by saying, “First of all, it shouldn’t be referred to as ‘pink slime.’ That is part of the problem. What we need to do is better communicate the true facts to consumers. The accurate label is beef. It’s just lean, finely textured beef; not ‘pink slime.’”

    Uh-huh.

    Referring to last year’s E. coli O104-in-sprouts outbreak Germany’s ministerial director and federal director of food, agriculture and consumer protection, Bernhard Kühnle told a recent gathering, “We need to make sure we establish trusted scientists to communicate to the media before there is a crisis …The more days the crisis continued the more experts appeared in the media. Someone said it was certainly cucumbers, and someone else said it was raw milk. Someone even said it was caused by Al Qaeda.”

    Yes, if only trusted scientists would communicate better. Didn’t help BPI.

    BPI also made the fatal mistake of denying consumer choice.

    BPI director of food safety and quality assurance Craig Letch told FoodQualityNews.com“Long-story short, the whole situation has been a gross-misunderstanding of the product and the processing measures involved with the product. It has directly stemmed from media-outlets trying to sensationalize and build up hype around the product.”

    Letch added that consumers do not need to be informed that the product is included in another meat product as it is “meat, 100% lean meat.”

    Choice is a good thing. I’m all for restaurant inspection disclosure, providing information on genetically-engineered foods (we did it 12 years ago), knowing where food comes from and how it’s produced.

    But I want to choose safe food. Who defines safety or GE or any other snappy dinner-table slogan drop?

    Self-proclaimed food activists are no better, claiming their educational efforts won the day. The number of people barfing from food will not be reduced by rhetoric. No one won.

    USDA and the companies that previously outlawed pink slime acted expediently to manage a public-relations event. But they unwillingly undercut other efforts to provide safe, sustainable food.

    What is USDA going to do about school lunch purchases containing genetically-engineered ingredients, hormones, antibiotics and a whole slew of politically-loaded ingredients?

    Commitment means bragging about it. Market microbial food safety and hold producers and processors – conventional, organic or otherwise – to a standard of producing food that doesn’t make people barf. That’s something shoppers will support, instead of being told they can’t choose and have to become better educated about someone else’s limited perspective.

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  • Posted: March 15th, 2012 - 8:45pm by Doug Powell

    Fresh Del Monte is ending its lawsuit against Oregon health officials who linked a salmonella outbreak to its Guatemalan cantaloupe.

    In August, Coral Gables, Fla.-based Del Monte Fresh Produce NA Inc. said it would sue the Oregon Health Authority’s Public Health Division and the agency’s top scientist over how it handled the investigation of the February and March 2011 outbreak that sickened 20 people in the western U.S. and Pennsylvania and Maryland.

    Lynne Terry of The Oregonian reported yesterday that Del Monte Fresh Produce said in a letter e-mailed to the state earlier this month that it would not act on its notice to sue William Keene and Oregon Public Health.

    "Obviously, it's a relief for us that that's withdrawn so now we can focus on the job we're supposed to do which is to protect the public's health," said Dr. Katrina Hedberg, state epidemiologist. The tort claim filed last August had gobbled up time of state scientists and lawyers dealing with it, she said.

    The claim was unprecedented. State epidemiologists investigate dozens of foodborne illness outbreaks every year and name the culprits to prevent more people from getting sick. No other company has ever filed a suit or threatened to sue Oregon over one of those investigations.

    "There have been lots of outbreaks," Hedberg said. "Why some companies choose to work with public health and others want to fight it -- I can't answer that."

    Del Monte Fresh Produce wouldn't either. A spokesman said the company "does not comment on ongoing or closed investigations."

    The company's letter said the withdrawal marked "a show of good faith" in its discussions with Oregon Public Health over food safety. It asked for another meeting with Oregon's top food safety detectives.

    The state agreed to a meeting in Portland.

    "I'm not sure why they want it," Hedberg said. "We work with businesses and companies but that does not preclude us from notifying the general public if we find a food item that's been responsible for an outbreak or cluster of illnesses."

    The saga dates to January 2011 when people started getting sick. In March, the company recalled nearly 60,000 whole cantaloupes imported from its facility in Guatemala. The recall notice, published on the Food and Drug Administration website, said the melons could be contaminated with Salmonella Panama, the strain involved in the outbreak.

    In July, the FDA imposed an import alert, effectively banning the sale of the Guatemalan melons until the company demonstrated they were safe. Located in Coral Gables, Fla., Del Monte Fresh Produce is a major importer of cantaloupe. A third of its supply comes from Guatemala.

    The company, which is not part of the Del Monte Foods conglomerate, responded to the alert by filing suit against the FDA. Then in August, it filed the tort claim against Keene and Oregon Public Health along with a separate ethics complaint against Keene.

    The documents said Keene conducted a shoddy investigation. They said he never found salmonella in its cantaloupes but named the company anyway. Del Monte Fresh Produce also blamed Keene for the recall, saying he pushed the FDA to take action.

    But Keene was not the only epidemiologist who concluded that Del Monte Fresh Produce was to blame in that outbreak. His peers in Washington state reached the same conclusion.

    In September, the FDA lifted its import alert and Oregon's Government Ethics Commission dismissed the ethics claim against Keene.

    At the time, Kirk Smith, epidemiology supervisor for the Minnesota Department of Health, told the Washington Post it’s rare for scientists investigating foodborne illness outbreaks to test the exact food suspected of carrying pathogens. By the time symptoms occur and a foodborne illness is reported and confirmed, the product in question has likely been consumed or has exceeded its shelf-life and been thrown away.

    Instead, scientists, like detectives, interview victims, collect data, analyze patterns and match food “fingerprints” to determine the likely source of an outbreak.

    “The majority of outbreaks, we don’t have the food to test,” Smith said. “Laboratory confirmation of the food should never be a requisite to implicating a food item as the vehicle of an outbreak.

    Epidemiology is actually a much faster and more powerful tool than is laboratory confirmation.”

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  • Posted: March 15th, 2012 - 8:04pm by Doug Powell

    The local owner of a catering franchise linked to 20 cases of salmonella in Ottawa told CBC News he is treating the outbreak "as if it's his fault" and said he suspects ground beef as a potential cause.

    Ottawa Public Health today increased the confirmed case count to 24, including four adults, and the remainder children from a variety of area schools, now including Stittsville Public School.

    Jonathan Morris, who has operated a franchise of "The Lunch Lady" for five years, said hebelieves the food in question is ground beef used to make tacos and curly lasagna.

    Ottawa Public Health has not implicated any specific food.

    Morris is meeting with public health officials Thursday and has also sent a letter to thousands of parents. He said some parents have already cancelled their lunch service, while others are offering support.

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  • Posted: March 15th, 2012 - 4:09pm by Ben Chapman

    Author: 
    Ben Chapman

    Listeria is scary stuff, especially for pregnant women. Pregnant women make up nearly one-third of all cases of listeriosis, due to natural hormonal changes of pregnancy that weaken the immune system. While the mother normally survives an infection during pregnancy, the perinatal/neonatal mortality rate is greater than 80%.

    According to an alert sent from the New Jersey Department of Health and Senior Services to a couple of barfblog readers, El Ranchero del Sur, LLC of South River, NJ has a listeria problem in their cheese products. Consumption of their products have been linked to listeriosis in a pregnant woman and investigators have confirmed the presence of the pathogen. In queso fresco, again (here, here, etc).

    The New Jersey Department of Health and Senior Services (NJDHSS) Food and Drug Safety Program (FDSP) is warning the public not to consume any cheese products produced by El Ranchero del Sur, LLC of South River, NJ. On March 2, 2012, a 38-week pregnant woman was diagnosed with Listeria monocytogenes infection at a New Brunswick hospital. Subsequent investigation by the Middlesex County Health Department and product analysis by NJDHSS Public Health Environmental and Agricultural Laboratories confirmed the presence of L. monocytogenes in a sample of Los Corrales Queso Fresco Fresh Cheese and Banana Leaf code dated 03/16/12.

    Listeria monocytogenes is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

    FDSP, with assistance from the U.S. Food and Drug Administration (FDA), has obtained a voluntary closure by the firm’s owner while the products and facility are investigated for the presence of L. monocytogenes. All products and ingredients at the facility have been placed under embargo pending the outcome of laboratory testing for L. monocytogenes.

    El Ranchero del Sur, LLC has pledged to conduct a voluntary recall through the FDA and is contacting its customers to arrange for the retrieval of all of their cheese products. El Ranchero del Sur cheese products can be found primarily in Mexican and Latin American grocery stores, restaurants, and other hispanic food establishments under the name brands El Ranchero, Los Corrales, and Carnes Don Beto with the plant number 34-0013669 marked on the label. All products are 14 ounces in weight except for the Queso Hebra Oaxaca String Cheese ball in 10 pound packages.
    FDSP is requesting local health departments to investigate retail food establishments, in their respective jurisdictions, which are likely to sell or use these products in food service, and take actions to remove from sale or service all of the products described above, of all types and code dates.

    If you have any questions, please contact Alan Talarsky, Dairy Project Coordinator, FDSP at (609) 826-4935. Thank you for your assistance in this matter.

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  • Posted: March 15th, 2012 - 8:57am by Doug Powell

    "How long have you been pregnant,” I asked the thirty-something as we filled our plates during the catered lunch at a meeting in 2000 in Ottawa.

    “About six weeks.”



    The American media had been filled with coverage of listeria after the 1998-1999 Sara Lee Bil Mar hot dog outbreak in which 80 were sickened, 15 killed and at least six pregnant women had miscarriages. Risk assessments had been conducted, people were talking about warning labels, and especially, the risks to pregnant women. 

There was no such public discussion in Canada.

 So as I watched the pregnant PhD load up on smoked salmon, cold cuts and soft cheese for lunch, I wondered, do I say something?

    One of the biggest risks in pregnancy is protein deficiency. What if smoked salmon, cold cuts and soft cheeses were this woman’s biggest source of protein? (Turns out they were.)

 Another risk factor is stress. I didn’t want to freak her out. Besides, who the hell am I to say anything? 

We sat together during lunch and chatted about babies, her aspirations and how she was feeling. Eventually I introduced the subject of listeria by talking about a risk assessment that had recently been published by the U.S. Food and Drug Administration, and that maybe she would be interested in looking at the results. I felt sorta goofy.
    Professor Clare Collins of the University of Newcastle studied the eating habits of 7000 Australian women to see if they were missing out on important nutrients as a result of avoiding "risky" foods that potentially carried listeria.

    9News reports some pregnant women are being overly cautious about avoiding what are traditionally considered "no-no" foods, such as soft cheese, pate and sashimi, a researcher says. Oysters, smoked fish, delicatessen meats, salad bar salads and pre-cut fruit are also considered high risk for carrying the Listeria monocytogenes.

    Reporting her findings in the journal Public Health Nutrition, Prof Clare said her study found that women who ate the most listeria foods reported more frequent miscarriages, but had high levels of the nutrients needed to have a healthy baby.

    Conversely, those who ate moderate or low amounts of listeria foods had less miscarriages but also lower levels of nutrients like calcium, folate and Omega 3 acids.

    "In those with moderate and low exposure there was no excess risk of miscarriage but the problem was their nutrient intakes were then worse," Prof Clare said.

    "We're saying pregnant women need to be given more advice on how to eat healthy. If all they hear is risky foods, and they drop out all the potential listeria foods, their micro nutrient intake is going to be really bad.”

    She said the existing listeria guidelines for pregnant women were entirely legitimate but needed to be rewritten to provide more information about what could be eaten, as well as what should be avoided.

    There were 65 cases of listeriosis in Australia in 2008, 12 during pregnancy and one that was fatal.

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  • Posted: March 15th, 2012 - 12:12am by Doug Powell

    Foodborne disease outbreaks caused by imported food appeared to rise in 2009 and 2010, and nearly half of the outbreaks implicated foods imported from areas which previously had not been associated with outbreaks, according to research from the U.S. Centers for Disease Control and Prevention, presented today at the International Conference on Emerging Infectious Diseases in Atlanta.

    “It's too early to say if the recent numbers represent a trend, but CDC officials are analyzing information from 2011 and will continue to monitor for these outbreaks in the future,” said Hannah Gould, Ph.D., an epidemiologist in CDC’s Division of Foodborne, Waterborne and Environmental Diseases and the lead author.

    CDC experts reviewed outbreaks reported to CDC’s Foodborne Disease Outbreak Surveillance System from 2005-2010 for implicated foods that were imported into the United States. During that five-year period, 39 outbreaks and 2,348 illnesses were linked to imported food from 15 countries. Of those outbreaks, nearly half (17) occurred in 2009 and 2010. Overall, fish (17 outbreaks) were the most common source of implicated imported foodborne disease outbreaks, followed by spices (six outbreaks including five from fresh or dried peppers). Nearly 45 percent of the imported foods causing outbreaks came from Asia.

    “As our food supply becomes more global, people are eating foods from all over the world, potentially exposing them to germs from all corners of the world, too,” Gould said. “We saw an increased number of outbreaks due to imported foods during recent years, and more types of foods from more countries causing outbreaks.”

    According to a report by the Department of Agriculture's Economic Research Service (ERS), U.S. food imports grew from $41 billion in 1998 to $78 billion in 2007. Much of that growth has occurred in fruit and vegetables, seafood and processed food products. The report estimated that as much as 85 percent of the seafood eaten in the United States is imported, and depending on the time of the year, up to 60 percent of fresh produce is imported. ERS also estimated that about 16 percent of all food eaten in the United States is imported. The types of food causing the outbreaks in this analysis aligned closely with the types of food that were most commonly imported.

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  • Posted: March 14th, 2012 - 11:52pm by Doug Powell

    The number of people who died from gastroenteritis (inflammation of the stomach and intestines that causes vomiting and diarrhea) more than doubled from 1999 to 2007, according to a study by the U.S. Centers for Disease Control and Prevention. The findings were presented today at the International Conference on Emerging Infectious Diseases in Atlanta.

    CDC scientists used data from the National Center for Health Statistics to identify gastroenteritis-associated deaths from 1999 to 2007 among all age groups in the United States.
    “Gastroenteritis is a major cause of death worldwide,” said lead author Aron Hall, D.V.M., M.S.P.H., of the CDC’s Division of Viral Diseases. “By knowing the causes of gastroenteritis-associated deaths and who’s at risk, we can develop better treatments and help health care providers prevent people from getting sick.”

    Over the eight-year study period, gastroenteritis-associated deaths from all causes increased from nearly 7,000 to more than 17,000 per year. Adults over 65 years old accounted for 83 percent of deaths. Clostridium difficile (C. difficile) and norovirus were the most common infectious causes of gastroenteritis-associated deaths.

    Norovirus was associated with about 800 deaths annually, though there were 50 percent more deaths in years when epidemics were caused by new strains of the virus. Norovirus is highly contagious. It spreads through person-to-person contact and contaminated food, water, and surfaces. People can get norovirus illness throughout the year, but cases peaked between December-February. Norovirus causes more than 20 million illnesses annually, and it is the leading cause of gastroenteritis outbreaks in the United States.

    “While C. difficile continues to be the leading contributor to gastroenteritis-associated deaths, this study shows for the first time that norovirus is likely the second leading infectious cause,” said Hall. “Our findings highlight the need for effective measures to prevent, diagnose, and manage gastroenteritis, especially for C. difficile and norovirus among the elderly.”

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  • Posted: March 14th, 2012 - 7:10pm by Doug Powell

    The 16-year-old daughter in Guelph left for a March-break school trip to Montreal, to learn French stuff.

    But I can’t make her lunch.

    Fifty students and chaperones from De Soto High School near Kansas City have been treated for food poisoning symptoms at a western Pennsylvania hospital after they stopped on their way home from a band trip to New York when they became ill.

    A spokeswoman for Excela Frick Hospital says 40 students and 10 chaperones have been treated at the hospital in Mount Pleasant, about 30 miles southeast of Pittsburgh.

    The group ate somewhere in New York before 164 of them headed home on three buses early Wednesday.

    Those sickened have been treated and were packing up to continue their return trip to Kansas by Wednesday afternoon.

    That could prolong and disperse the barfing. But I’d want my daughter home too.

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  • Posted: March 14th, 2012 - 6:39pm by Doug Powell

    Ottawa Public Health has now confirmed 20 cases of salmonella, including 16 children between 15 months and 14-years-old, and four adults which they believe might have originated from The Lunch Lady Group caterer.

    The owner of the Canadian company told CBC News Wednesday she is devastated by the news and called the outbreak a "mystery".

    "It's horribly painful because we love serving kids everyday," Ruthie Burd said over the phone from her home in Markham, Ont.

    "We do everything we can to provide a reliable, safe service for the kids we serve."

    "We have very strict guidelines for all sorts of things when it comes to food and kids," she said, "We empathize with parents in this whole situation. We really want to know what it is and what we can put in place to prevent anything."

    As a parent, that doesn’t tell me much about the food safety training, standards, buying practices, personal hygiene and overall food safety culture in those kitchens.

    The Lunch Lady has a blog but it hasn’t been updated since Aug., 2011. They have a statement about culture and sustainability but nothing about what is done so kids don’t barf from Lunch lady lunches. There is a statement about food safety, how it’s all government inspected and they pay attention to recall notices. Perhaps it would be more reassuring to parents if the strict food safety and quality control policies set out by The Lunch Lady Group head office were available for perusal.

    Public health said 11 officials have been reassigned to deal with the salmonella outbreak, which also hospitalized three people. All have since been released.

    They have their hands full, one doctor said, trying to contact families of children who may have consumed contaminated food.

    "We're talking not only to the families of ill children, but parents of well siblings or children that did not become ill," said Dr. Rosamund Lewis, who added 50 families are being interviewed regarding one daycare alone.

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  • Posted: March 14th, 2012 - 4:52am by Doug Powell

    A salmonella outbreak has put three children in the hospital in the past few days and Ottawa's public health department is investigating a catering company that specializes in serving daycares and schools as a possible source of the contamination.

    Dr. Isra Levy, the city's top public-health official. All the cases are in children between the ages of 15 months and 14 years, Levy said, and are concentrated at three schools and one daycare:

    Public Health's investigation is in its early stages, Levy emphasized, with staff still interviewing children and parents to see what food sources they might have in common. But "one name that has come up" is a service called The Lunch Lady, a caterer that delivers hot meals for kids. It has three kitchens in Ottawa, two of them owned by Jonathan Morris. He said the public-health department is focusing on one of his facilities, on Boyd Avenue near Carling and Clyde.

    It's possible that a particular ingredient was contaminated when it arrived, Morris said, which baffles him because all of his suppliers are properly regulated and inspected.

    What’s baffling is Morris’ belief that food like produce is regulated and inspected, and that such regulations and inspections make food safe.

    The investigation is homing in on one food item that the kitchen prepared, which Morris wouldn't specify because he doesn't want to alarm parents whose children might have eaten it. "If they have a sick child, the thing to do is go to the doctor," Morris said.

    Inspectors from Levy's department have been all over the Boyd Avenue kitchen, he said, "and so far, they've found nothing."

    The Boyd Avenue kitchen employs about 20 people, including part-timers, Morris said. In five years as a Lunch Lady franchisee, nothing like this has ever happened, he said.

    According to public inspection reports from the city, Morris's Boyd Avenue kitchen has been in full compliance with health regulations in its last three inspections, including one on Monday - the one conducted after the health department knew about the salmonella outbreak - and one as recently as Feb. 21.

    Shawn Ward, who runs the other Lunch Lady franchise in Ottawa, said her kitchen has been visited by a public-health inspector and given an all-clear. "None of my schools are involved," Ward said.

     

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  • Posted: March 14th, 2012 - 12:03am by Doug Powell

     

    Before personal hockey idol and goaltending great, Tony Espositio, there was Glenn Hall backstopping the Chicago Blackhawks for a bit.

    Being a goaltender in hockey is just weird, and attracts psychologically, uh, different people.

    Hall was famous for vomiting before every game.

    Someone started barfing during a Detroit-area high-school hockey game Sunday night, and others soon followed: at least 30 others. Up to 80 people are believed to have been sickened.

    Norovirus is suspected in the outbreak.

    Some were taken for treatment by ambulance and others were taken by private vehicles to area hospitals. The city-owned complex was shut down so air and water tests could be performed.

    Carol Austerberry of the Wayne County Health Department said yesterday afternoon that about 80 reports have come in of people suffering gastrointestinal problems that include diarrhea, vomiting and stomach cramping. The number might grow as reports continue to come in.

    County workers are contacting health care officials to collect stool samples for the investigation, to be sent to a state lab for testing. Surveys also will be sent to the people who attended the hockey tournament.

    Fire Chief Robert Tompos said water samples were shipped to an independent lab in Monroe for testing and came back clean, ruling out contamination.

    Tompos said people got sick simultaneously, causing several players to vomit on benches and in locker rooms.

    Tompos said some hockey players share equipment and water bottles, which could be considered mini-petri dishes.

    Austerberry said good prevention starts with parents.

    “If your child is sick, don’t let them go to school,” she said. “Don’t let them participate in sports where they are around a lot of people.”

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  • Posted: March 13th, 2012 - 10:01pm by Doug Powell

    Eight children have been confirmed with E. coli O157 at a Staffordshire school.

    The Sentinel reports that tests have revealed eight youngsters from Newcastle's Friarswood Primary School are infected. Samples taken from all 153 pupils at the school are still being processed.

    No date for when the school will reopen has yet been issued. Deep cleaning is currently being carried out.

     

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    E. coli  |  Comments