I associate Denny’s with heart attacks: fun in my youth, but now, not so much.

Now I can associate Salmonella with Denny’s.

Three confirmed cases and one suspected case of Salmonella Montevideo are being investigated by Olmsted County Public Health Services and the Minnesota Department of Health, according to a news release.

As of Friday, they had not found a specific food source, said Shaylene Baumbach, a public health educator for Olmsted County. They are investigating the possibility that a Denny's Restaurant patron or employee brought in the foodborne illness.

Ninety-seven people have reported cases of cryptosporidiosis since last month's outbreak at Edgewater Resort and Water Park in Duluth, according to the Minnesota Department of Health. Twenty-two of those cases have been confirmed in laboratories.

Minnesota Department of Health (MDH) epidemiologist Trisha Robinson said the confirmed cases probably only represent a fraction of people who were actually sickened by the parasite. The investigation of the outbreak is still in progress.

"One different thing with cryptosporidiosis is the time from when a person is exposed to the time when they become sick can be as long as two weeks," Robinsons said. "Pools were closed on March 26, so we could still have

Another unrelated cryptosporidiosis outbreak in Brainerd last month resulted in 36 reported cases, with one case being confirmed in a laboratory.

Robinson said that people who have been sick with diarrhea in the previous two weeks should avoid swimming in recreational waters.

A Minnesota high school science project that involved hunting and butchering deer -- including one road-kill capture -- and turning the meat into venison kabobs backfired when 29 students were sickened with a rare kind of E. coli food poisoning, investigators say.

Linda Carroll of msnbc reports the 2010 incident, just now reported in the journal Emerging Infectious Diseases (abstract below) highlights the risks of E. coli contamination, not just from factory-produced meat, but also from small, local providers.

Doctors first knew they had a problem in December 2010 when two kids from the same high school turned up at a Minnesota hospital with abdominal pain and bloody diarrhea. Fearing they had a food poisoning outbreak on their hands, they quickly called in the state’s top-notch public health officials.

Both teens had taken part in a school environmental science and outdoor recreation class that involving hunting, shooting and butchering six white-tailed deer, explained Joshua Rounds, the study’s lead author and an epidemiologist with the Minnesota Department of Public Health. A seventh deer was harvested after being hit by a car, the report says.

The deer were processed on school grounds and then grilled and eaten in class a few weeks before the students got sick.

Epidemiologists interviewed 117 kids in five class periods and found that 29 definitely had become ill, but not with E. coli O157:H7, the strain commonly associated with food poisoning from ground beef.

Rounds suspected the deer might have carried another E. coli strain that also produces poisons known as Shiga toxins. He was right. Samples from the students and the deer meet turned up E. coli O103:H2, which is part of a larger category of non-O157 Shiga toxin-producing E. coli bugs, known as STECs.
Scientists also turned up another E. coli strain, E. coli O145:NM that didn’t produce Shiga toxins.

People don’t usually get sick from eating hunks or steaks of muscle meat, Rounds said. In this case, however, the meat had been skewered and cooked only to medium-rare. The skewers had dragged contaminants from the meat’s surface down to the center of the kabobs, which hadn’t been cooked to a high enough temperature to kill the bacteria.

Another factor was hand-washing when handling meat -- or the lack of it, Rounds said.

“If you think about high school males, they’re probably not the best when it comes to food safety practices,” he said. “So you can have cross-contamination.”
The case is a reminder, Rounds said, that all meat, no matter where it comes from, should be treated with careful precautions.

Rounds JM, Rigdon CE, Muhl LJ, Forstner M, Danzeisen GT, Koziol BS, et al. 2012. Non-O157 Shiga toxin–producing Escherichia coli associated with venison. Emerg Infect Dis http://dx.doi.org/10.3201/eid1802.110855

Abstract

We investigated an outbreak of non-O157 Shiga toxin–producing Escherichia coli at a high school in Minnesota, USA, in November 2010. Consuming undercooked venison and not washing hands after handling raw venison were associated with illness. E. coli O103:H2 and non-Shiga toxin–producing E. coli O145:NM were isolated from ill students and venison.

The Minnesota Department of Health has identified more than 40 people who reported becoming ill after eating at the Greysolon Ballroom in Duluth, Minnesota, on Saturday and “we suspect there could be more,” said Doug Schultz of the department’s communications office.

About 250 people attended one event and 100 attended the other at the Greysolon, Schultz said. One was a wedding and the other a private party. The outbreak was first reported to the health department on Tuesday, he said.

The food was served by Greysolon Ballroom By Blackwoods and the business is cooperating with the investigation, he said.

As part of the investigation, investigators will check whether there are enough handwashing sinks at the establishment, if the refrigeration temperatures are adequate and whether any employees have been ill.