Other Microorganisms

  • Posted: July 19th, 2011 - 3:19pm by Doug Powell

    Traducido por Gonzalo Erdozain
    Resumen del folleto informativo mas reciente:
    - Como las sopas no fueron tratadas para matar las esporas de Clostridium botulinum, la única medida para prevenir botulismo es 
la refrigeración.
    - Si vendes alimentos que requieren refrigeración, avise a sus consumidores en forma clara y constante.
    - Sepa qué alimentos requieren refrigeración. Revise y siga las instrucciones en
    las etiquetas de todos sus productos.
    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: July 16th, 2011 - 5:02am by Doug Powell

    Children under 4-years-old present the highest incidence of illness from campylobacter the Food Safety Authority of Ireland said yesterday.

    The authority’s scientific committee published a report recommending increased controls by poultry producers, retailers and consumers to reduce illness.

    The bacteria found in the intestinal tract of birds causes four times more illness than salmonella in Ireland, the authority said.

    More than 1,600 cases were reported in Ireland last year but the reality was much higher as there was “substantial under-reporting”, authority chief executive Prof Alan Reilly said. “What is particularly worrying is that we are seeing one-to-four-year-old Irish children having the highest incidence of the illness. There were 165 cases per 100,000 of the population within that age group reported in 2009,” Prof Reilly said.
     

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  • Posted: July 14th, 2011 - 6:46pm by Doug Powell

    The Wyoming Department of Health is reporting a four-fold increase statewide in Campylobacter infections this summer, with at least 29 people sickened and six hospitalized. Nearly three-quarters of the patients are male.

    "While the increase in these infections appears to be sporadic with no single common source, it's clear that animal-related illness is at least partially driving the increase," said Kelly Weidenbach, epidemiologist with the department's Infectious Disease Epidemiology Program.

    In rare cases people may develop serious complications such as Guillain-Barré syndrome. The syndrome occurs when the immune system is triggered to attack the body's nerves. It can lead to paralysis and usually requires intensive care.

    Public health officials attempt to interview each person with the Campylobacter infection. Among patients interviewed to date, exposure to animals, especially cattle and dogs, has been common.

    "In many cases, the animals were noted to be ill with diarrhea when the person had contact with them," Weidenbach said. "Several have been ranchers or individuals who recently attended a cattle branding and who were accidentally exposed to fecal material."

    That sounds different from the Arizona campylobacter increase. But who knows.
     

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  • Posted: July 14th, 2011 - 8:09am by Doug Powell

    The Yuma Sun reports a recent increase in a rare nervous system disorder that can lead to paralysis has led the U.S. Centers for Disease Control and Prevention to send agents to Yuma to investigate.

    Health officials announced Wednesday that health officials in Yuma County and San Luis Rio Colorado, Son., have reported an increase in acute diarrheal illnesses caused by campylobacter infections and cases of Guillain-Barre' Syndrome (GBS) over the past three months.

    As of July, there have been six confirmed cases and one pending case of GBS in Yuma County, said Becky Brooks director of the Yuma County Health District.
    In a normal year, there are typically three to four cases.

    “(In June) we started noticing an increase in the campylobacter infection first,” Brooks said. “And then we started hearing about a syndrome they call acute flaccid paralysis. There had been some people who had gone to (the Yuma hospital) and had been sent to Phoenix.

    “Once we started hearing those names a few times, we started checking into it. That's when we contacted the state, and the state then contacted the CDC.”

    The CDC confirmed the increase in GBS constituted an “unusual cluster,” which happens with a variety of diseases and for a variety of reasons to occur across the country at any given time, Brooks said.

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  • Posted: June 30th, 2011 - 5:41pm by Doug Powell

    As the temperature climbed to 105F today in Manhattan (Kansas) I was once again thankful for City Park, down the street, with it’s groovy new splash and water park.

    Two-and-a-half-year-old Sorenne hasn’t had an accident – yet – but who knows if she will.

    It’s a tough balancing act for city types – public health versus cool relief.

    WLWT repots that children who are not toilet trained can again swim in public pools in Northern Kentucky, under revised guidelines issued by the Northern Kentucky Health Department on Thursday.

    The restriction, in place since June 3, has been part of an effort to stop the spread of shigella. More than 100 cases of shigella have been reported in Boone, Campbell, Grant and Kenton Counties since April. Typically, about 25 cases are reported for the entire year.

    "When faced with a shigella outbreak, a big concern is that the bacteria, and other similar illnesses, could infect a larger population through local swimming pools," said Dr. Lynne M. Saddler, District Director of Health, in a news release.

    "The restriction on diapers in pools was an effective strategy. In past shigella outbreaks, when restrictions were not in place, we saw a significant increase of shigella cases and other recreational water illnesses in June. This June, with restrictions in place, we have not seen as many cases of shigella, or other illnesses, including cryptosporidium."

    Other efforts to contain the Shigella outbreak will continue, focusing on child care centers and swimming pool facilities, officials said.

    And keep those chlorine levels up.
     

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  • Posted: June 20th, 2011 - 7:44am by Doug Powell

    French and Italian media are reporting that 46 young American students were
    hospitalized in Salerno, south of Naples, for food poisoning after eating pasta and meat.

    Young people and a teacher of 32 years, who had to travel in Greece, were hospitalized in various establishments in the vicinity of Salerno on Saturday night after complaining of fever, vomiting and diarrhea.

    The group made a stop for lunch at a self-service Hydromania water park on the outskirts of Rome. They ate cold pasta and chicken thawed. But none of the 170 other guests had suffered the same problems as American students. 


    
A group of Nas, the carabinieri unit that specializes in food control, collected samples of the food consumed by the young Americans for laboratory analysis.
     

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  • Posted: June 16th, 2011 - 3:59pm by Doug Powell

    Residents and employees at Lemoore Naval Air Station, about 40 miles south of Fresno, Calif., are being told not to drink the base's water after more than two dozen people became sick at the base.

    Base spokeswoman Melinda Larson says 29 people have become ill with nausea, vomiting and diarrhea.

    The source or the cause of what is making people sick has not been determined, but Larson told the Fresno Bee that base residents and base personnel are being told to drink bottled water, not the base's water.
     

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  • Posted: May 24th, 2011 - 11:57am by Doug Powell

    The number one health concern with meat is making sure it’s cooked enough to kill dangerous bacteria, which is something both conventionally and organically produced meats have.

    So says Dr. Dana Hanson, a meat specialist in North Carolina State University's Food Science Department in a piece for WRAL (see below).

    “The end result is a healthy food product in either scenario. To say that one is better or more healthy than the other is, quite frankly, a stretch.”

    There are also debates about animal treatment, environmental concerns and how antibiotics may impact bacteria strains. But those debates are separate from the nutrition and safety of the meat we ultimately eat.

    Those comments were markedly different than those from producers of specialty meats

    Ritchie Roberts of Double R Cattle Services Farm near Hillsborough said,

    “I know that my beef is all grass-fed and handled correctly and is super good and nutritious for you 'cause I know what goes into it. and I have control of that. It boils down to that sense of being able to support maybe a local industry and that's really where the benefits of organic come in.”

    Draft owner Dean Ogan says, “The most important thing for us is to know where it came from, know who produced it, know the process.”

    All worthy objectives -- that have nothing to do with safety.
     

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  • Posted: May 12th, 2011 - 10:12am by Doug Powell

    Would-be epidemiologist and school principal Agnes Camacho figures it was the school breakfast of egg salad and melon that made almost 300 students ill at Marcial A. Sablan Elementary School in Guam.

    Sablan told PNC News, "At around 9:45 several students came into the office complaining about stomach aches and they were vomiting and then another 15 minutes several more came in and we said that's a high number right so we started documenting their vomiting and stomach aches and then another fifteen minutes they were just coming in students were coming in we had a total of 102 students who were registered with the vomiting.”

    Anxious parents flooded the schools with phone calls while others came in person to find out if their children had been sent to the hospital.

    At Marcial Sablan elementary school hallways were lined with vomit, "It's just very scary the hallways here this wall this wall behind and both sides were filled with students sitting and then in the nurses office also... and each of them had trash bags and they were all vomiting,” said Camacho.

    The food was outsourced from King's Restaurants. According to Principal Camacho, Public Health arrived and took a sample of the food for testing.

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  • Posted: May 9th, 2011 - 1:32pm by Doug Powell

    Swedish researchers have tracked a human outbreak of the parasite, microsporidia, to raw cucumbers, and propose the most likely source was human manure during growing.

    From the paper:
    Our investigations suggest that cucumber slices in both cheese sandwiches and a salad were the most probable vehicle of transmission. Since no leftover food samples were available for testing and because little is known about E. bieneusi in the context of foodborne outbreaks, it is difficult to conclusively
    implicate this organism as the agent responsible for the outbreak. However, the finding that all six samples available for genotyping were genetically indistinguishable (genotype C) together with the fact that, despite extensive testing, no other organisms were identified in the stool samples strongly suggest that E. bieneusi was the causative agent. Furthermore, the finding that all 19 stool samples from persons belonging to the same professional group who had not attended the event were negative for microsporidia provides additional evidence that the detection of E. bieneusi was not a chance finding. Although these samples were taken 7 months after the event, they nevertheless provide an indication of the prevalence of microsporidia in a population with similar demographic characteristics.

    We cannot state with certainty how and where the sliced cucumbers were contaminated. Contamination during final preparation at the hotel seems unlikely because the cucumbers were not processed any further but were added directly to the sandwiches. Furthermore, a high contamination dose is suspected (due to high attack rate in a healthy population) which is unlikely to have occurred because preparation of the sandwiches was carried out by an asymptomatic food handler. The sealed bags of cucumber slices had been
    refrigerated before use so it is improbable that contamination took place during storage. Similarly, contamination during initial processing at the wholesale supplier, although possible, seems unlikely based on the description of the procedures used. The most likely hypothesis of contamination is that it occurred before harvest, either by contaminated manure, manure compost, sewage sludge, irrigation water, runoff water from livestock operations or directly from wild and domestic animals. These potential contamination events are all plausible and consistent with the assumption that the level of contamination must have been high. Unfortunately, because we were unable to trace the cucumbers back to the farm where they were grown, we could not investigate these
    possible contamination routes further. However, additional information is provided by the genotyping results. While there have been several cases of genotype C identified in humans, predominantly in HIV-negative organ transplant recipients in Europe [25, 26], there is only one report on animals in the
    literature [27]. Thus, while a zoonotic link cannot be ruled out, the involvement of this genotype suggests that the source of contamination in this outbreak was
    of human (fecal) origin.

    While thorough washing of fresh produce remains of utmost importance in preventing foodborne illness and should continue to be emphasized, sometimes washing may be insufficient to remove all pathogens.

    In this instance, it may have been that the level of contamination was so high that washing was unable to remove enough of the microbial load so as to prevent infection. Alternatively, it may be that microsporidian spores are capable of strong adhesion to, or internalization in, certain types of produce, thereby
    successfully evading the effects of washing and disinfection.

    A recent paper by researchers in the USA demonstrated that Cryptosporidium oocysts were capable of strongly adhering to spinach plants after contact with contaminated water and were also internalized within the leaves, thus making
    entirely ineffective [28].
    Abstract:
    First reported foodborne outbreak associated with microsporidia, SWEDEN, October 2009
    Epidemiology and Infection
    V. Decraene, M. Lebbad, S. Botero-Kleiven, A.-M. Gustavsson and M. Löfdahl
    http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8271787
    Abstract
    Microsporidia are spore-forming intracellular parasites that infrequently cause disease in immunocompetent persons. This study describes the first report of a foodborne microsporidiosis outbreak which affected persons visiting a hotel in Sweden. Enterocytozoon bieneusi was identified in stool samples from 7/11 case-patients, all six sequenced samples were genotype C. To confirm that this was not a chance finding, 19 stool samples submitted by healthy persons from a comparable group who did not visit the hotel on that day were tested; all were negative for microsporidia. A retrospective cohort study identified 135 case-patients (attack rate 30%). The median incubation period was 9 days. Consumption of cheese sandwiches [relative risk (RR) 4·1, 95% confidence interval (CI) 1·4–12·2] and salad (RR 2·1, 95% CI 1·1–4) were associated with illness. Both items contained pre-washed, ready-to-eat cucumber slices. Microsporidia may be an under-reported cause of gastrointestinal outbreaks; we recommend that microsporidia be explored as potential causative agents in food- and waterborne outbreaks, especially when no other organisms are identified.

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