Fancy food ain’t safe food: Norovirus sickens 49 at glitzy Ginza eatery Bvlgari in Tokyo

A luxury restaurant in the posh Ginza district in Tokyo’s Chuo Ward has been hit by food poisoning caused by norovirus with 49 people showing symptoms such as diarrhea and vomiting, the Tokyo Metropolitan Government said Tuesday.

la-cuccina-di-luca-fantin-bvlgari-food-book9The affected people were among 138 participants in a stand-up party held at Bvlgari Il Ristorante Luca Fantin on Dec. 11, and their symptoms appeared on Dec. 12-13, according to the metropolitan government.

The ward ordered the restaurant to suspend its business for three days from Tuesday, though it has already been closed since Friday.

This was the second norovirus poisoning case at the restaurant after one in March 2010.

Strategies? Cook ‘em: 120 sicken by noro in raw oysters in BC

Oysters are officially to blame for a norovirus outbreak that originated in Tofino last month.

“We do know of at least 120 people who became ill with norovirus and it was because of exposure to raw oysters,” Island Health Officer Dr. Paul Hasselback told Andrew Bailey of Westerly News on Monday.

The Department of Fisheries and Oceans Canada shut down all shellfish harvesting in a portion of Lemmens Inlet last week and Hasselback suggested further closures could be coming.

“The investigation isn’t quite complete. There are some loose ends and there may be further actions,” he said. “We can’t put every oyster back exactly where it came from but, believe it or not, we can actually track lots of oysters as to where they were processed, harvested and transported and that’s all been part of this investigation.”

tofinos-clayoquot-oyster-festivalOysters were the primary suspect in Island Health’s investigation from the onset as roughly 30 reports of norovirus cases came in in the immediate aftermath of Tofino’s Clayoquot Oyster Festival.

Hasselback said the number of reported cases ballooned from 30 to 120 after anyone who became sick after attending the festival was encouraged to report in.

“We certainly did get individuals who had consumed the product in Tofino that had gone to other provinces, or even south of the border, who were notifying us of illness so it’s good to know that the communication channels worked well,” he said.

He said the oysters were likely contaminated before arriving at the Oyster Festival’s tables.

“The investigation strongly suggests that the oysters were already contaminated with norovirus before they came to any of those locations so there was nothing that the festival people or other locations would have had any control over or would have known about,” he said.

tofinos-clayoquot-oyster-festival-2“Unfortunately we don’t have easy lab testing for things like viruses that would make it simple to screen the product before it gets out and then we end up finding out afterwards that potentially was contaminated.”

He said he has spoken with festival organizers to hash out strategies for next year.

He said the recent Tofino outbreak is the largest norovirus cluster he’s seen in the past five years but noted it was not unprecedented.

“We have seen it before,” he said. “We know this can occur.”

Today in norovirus news

Winter vomiting virus, noro, Norwalk, whatever you want to call it, is all the rage right now. There are so many outbreaks it’s hardly new and novel.

Today, two schools in Denver shut due to an outbreak. And one in Florida.10849902_719581291471357_3442145704847569295_n1-300x3001-300x300-1

A hotel in Ireland also closed for to control the virus through cleaning and disinfection after residents, staff and guests came down with gastrointestinal illness symptoms. Sounds like a memorable wedding.

 

Rutgers hit with noro outbreak

Some Rutgers University students had a nasty gastrointestinal illness last week that is likely norovirus, according to the Daily Targum. Don and I talked about this outbreak on the podcast today. Rutgers has a few things working for them: the semester is over (leaving lots of time to clean and sanitize; and less places for the virus to be transmitted), and Schaffner is there providing some technical advice.

At least 35 students are complaining of feeling sick after a suspected virus broke out on campus around Dec. 7.10849902_719581291471357_3442145704847569295_n1-300x3001-300x300-1

Many of these students, who claim to have eaten in the Livingston and Brower Dining Halls, believe they are suffering from food poisoning. But University Sanitarian John Nason said he does not think this is a food-borne illness.

“The virus is people-to-people. We don’t believe it’s food-borne,” he said. “Most people are getting sick 90 minutes to two hours after eating, which doesn’t make sense. Most people who get sick after eating think it’s food poisoning.”

He said the onset time of 90 minutes to two hours does not equivocate to a food-borne virus, considering viruses such as E. coli and salmonella have an onset time of about six to 48 hours.

Managing a norovirus outbreak is a bit tricky, here are a couple of infosheets we’ve used/developed over the years that might be of use.

Norovirus is a problem for campuses and cafeterias

Vomiting and fecal episodes

Over 250 sick from Norovirus in Montana

 

The Department of Public Health and Human Services (DPHHS) announced Wednesday that in the last three months there have been 12 norovirus outbreaks in Montana that have sickened more than 250 people.

turkey-testicle-festivalThis is three times the number of outbreaks usually reported during this time of year.

Outbreaks have occurred in the counties of Cascade, Flathead, Rosebud, Sanders, Valley and Yellowstone.

“Most of these outbreaks occurred in nursing homes and assisted living facilities, putting our elderly population at risk,” said Dana Fejes of the DPHHS Communicable Disease Epidemiology Section. “Washing your hands thoroughly with soap and water often can protect you and others from norovirus.”

62 sick: Norovirus fingered in Mississippi military retirement home outbreak

The illness sickening residents at the Armed Forces Retirement Home in Gulfport has been identified as norovirus.

norovirusMedia outlets report that since Monday, 62 residents have become ill and nine have been hospitalized. Affected residents reported symptoms including nausea, vomiting and diarrhea.

Testing by the Mississippi Department of Health has confirmed that norovirus is the illness.

The AFRH says it continues to enact precautionary measures, like posted notices about the importance of hand washing and sanitation.

Norovirus: Over 100 sickened by raw oysters on Vancouver Island

CBC reports Island Health says Norovirus is likely to blame after more than 100 people who ate raw oysters in Tofino earlier this month fell ill.

osoyoos-oyster-festival-sampling-feature-600x403Roughly 120 people, many of whom had attended the Clayoquot Oyster Festival, suffered gastrointestinal symptoms last week.

But Island Health says people got sick at more than one location, and that people reported being ill over the course of several days.

They say it appears everyone who became ill consumed raw oysters from the same supplier, who is not being named. 

Why not? Going public failure.

“The predominant amount of evidence clearly shows that raw oysters at that particular point in time that were available were the cause of the illness,” said Paul Hasselback, a medical health officer for Island Health.

norovirusHasselback says they are now investigating how the affected oysters were harvested and transported.

There have been a number of shellfish-related illnesses in B.C. in the past two years, and officials have warned that the warming climate is linked to an increase in food poisoning from oysters.

Norovirus sickens dozens at Spokane shelters

First a retirement community, not a homeless shelter.

Washington state sure likes to spread the norovirus around.

norovirusTwo homeless shelters in downtown Spokane were under quarantine last weekend after more than 60 people got sick from a suspected norovirus outbreak.

City officials made plans to erect a giant tent in the street to house homeless people who hadn’t shown symptoms, which include severe nausea and vomiting.

Norovirus is highly contagious and can be spread person to person, through food and water or by touching contaminated surfaces. It’s typically seen on a cruise ship because it spreads rapidly in enclosed environments with a lot of people. People typically see symptoms 12 to 48 hours after being exposed.

Mayor David Condon said the city, including the police and fire departments, is working with Catholic Charities during the outbreak in an effort to provide the homeless with a safe place to sleep. The Spokane Regional Health District is coordinating testing to confirm the norovirus diagnosis.

Norovirus goes through Spokane shelter

A few years ago an outbreak linked to a Denver homeless shelter made it into the barfblog new and notable category. Forty folks who depended on the emergency food were affected by violent foodborne illness symptoms after eating donated turkey. Fourteen ambulances showed up and took those most affected to area hospitals.screen-shot-2016-11-14-at-11-18-29-pm
Volunteering as a food handler at a mission, shelter or soup kitchen and having a good heart and intentions doesn’t automatically lead to safe meals. An understanding of risks and having systems how to reduce them may.
Norovirus can quickly go through a food shelter with many people living in close quarters; according to KREM over 160 people at a Spokane shelter are ill with noro, forcing some to move to a temporary tent city.
Members of Spokane’s homeless population are camping out at the House of Charity to avoid illness after the norovirus broke out on Friday.

Officials said the viral outbreak is under control.

Around 140 healthy people are being forced to sleep outside in an effort to keep them separated from those who are sick. Nearly 60 people who are sick are sleeping inside the facility.

On Saturday night, about 140 people slept in tents outside the House of Charity due to the viral outbreak.

On Saturday morning, around 40 people at the shelter, including patrons and staff, were isolated to one part of the shelter after becoming sick from a norovirus. The number of people showing symptoms of the illness increased to 60 by Sunday afternoon.

2 Redmond, WA restaurants closed amid Norovirus outbreak

Seattle & King County is investigating an outbreak of gastroenteritis with nausea, vomiting and diarrhea associated with two vendor locations: Mayuri Foods & Video at 2560 152nd Ave NE, Redmond, WA and Mayuri Indian Cuisine at 2115 Bel-Red Road also in Redmond, according to a statement from the health department.

norovirusThe agency says twelve people from a single party became ill after eating food from the vendors on October 30th. The department learned of the outbreak on November 1st.

“We do not have laboratory confirmation of the etiology, but symptoms are suggestive of norovirus,” said the statement. “Often in norovirus outbreaks no laboratory testing is done. Food came from both vendors, but the exact food item that caused the illnesses has not been identified. It is not uncommon for outbreaks of norovirus to have multiple food items contaminated.”

The department said both vendors are working cooperatively with Public Health.

An inspection of Mayuri Foods & Video identified several factors that could have contributed to the outbreak, including failure to wash hands, inadequate hand washing facilities, and inadequate sanitizing of dishes.

mayuri-foods-video“We have suspended Mayuri Foods & Video’s permit as of 11/3/16 so that they may correct these issues and allow time for thorough cleaning and sanitizing,” said the statement from the health agency.

Mayuri Indian Cuisine was also closed to allow the restaurant time for thorough cleaning and sanitizing, “Even though we did not identify any contributing factors at the time of our visit.” said the department’s statement.