Brucellosis linked to raw milk cheese, coupled with Lyme disease, leaves woman bedridden

Reve Fisher of Opposing Views writes a vacation in Greece may have been the factor that left an English woman in debilitating pain.

brucellosis.cheeseWhile in Kos, Greece, with her family in 2013, Sam Philpott ate a “significant amount” of unpasteurized goat cheese in sandwiches, on pizzas, and as part of salads.

A few weeks later, she experienced a number of troubling symptoms, such as constant vomiting and nausea, migraines, intense weakness, fevers, exhaustion, and horrific pain. Three years later, she is barely able to walk.

“Who knew that [unpasteurized] cheese; that is delicious and has brought me much momentary happiness, could cause the mind numbing and wanting to end my life type of pain that I have been suffering with,” she said, as reported by The Mirror. “With each mouthful, to my unfortunate complete lack of knowledge and utter surprise, I was ingesting the bacteria that has led to my being bedridden.”

Sam is receiving intravenous therapy treatment at Sponaugle Wellness Institute in Oldsmar, Florida, a facility with an “incredible” success rate for treating patients with Lyme disease, as said on the family’s Go Fund Me page.

However, it is recommended that patients with Lyme disease be diagnosed within six months for the clinic’s regular treatment to be effective. The 22-year-old has been struggling with health ailments for six years.

In 2010, she was bitten by a tick while in Weimar, California, and developed intense joint pain, nausea, anxiety, depression, and poor concentration afterwards. By 2012, she needed a walking frame. Her 51-year-old mother became her full-time caregiver.

“At the clinic, they have said she is one of the worst patients they have seen, in terms of how far her illness has progressed,” said Joe Philpott, Sam’s 24-year-old brother. “It’s a kick in the teeth, but she has faith they’ll be able to help. She just wants to go back to studying and get her life back.”

Sam is receiving medication for both Brucellosis and Lyme disease, as her symptoms match both conditions.

“Doctors believe that she more than likely contracted brucellosis the summer she was in Kos – so they think it is linked to eating cheese,” Joe explained.

2 stricken with Listeria in France, unpasteurized cheese recalled

The Puillet cheese factory, located in Roanne, France withdrew its products from sale after detection of Listeria monocytogenes. Two people from the retirement home of Belmont-de-la-Loire have been infected.

camembert_franceListeria has been detected in Camembert cheese made from cow’s milk from a local dairy.

The presence of bacteria was detected after 2 people from the retirement home of Belmont-de-la-Loire, returned after a meal on June 23, 2016. The investigation by the DDPP Loire (Department for Protection of Populations) revealed that the infection had come from cheese consumed during the meal.

The manager of the dairy remains dubious: “We do not know where it comes from or how it could be contaminated. It’s been over 20 years since we started (the business) and it never happened before. It is really hurting our business.”

Human Milk 4 Human Babies: Australian mothers giving breast milk to strangers’ babies through Facebook

Kathryn Powley of the Herald Sun writes that hundreds of Victorian women have donated breast milk so other mums never have to feed their babies artificial formula.

breast.milk.donateBut health officials are warning of potential risks of informal breast milk sharing.

Cranbourne mum Kim Pennell bought a special deep freezer and started stocking it with donated breast milk ahead of the birth four weeks ago of daughter Lucy.

Little Lucy is thriving on other mother’s milk sourced through a 1450-member Victorian Facebook group that is part of an international movement called “Human Milk 4 Human Babies”.

Ms Pennell, 33, said many donors offered blood tests to show they were healthy. But she operated on trust.

“You go to the mum’s house, meet her, have a coffee and a good chat. They meet your baby, you meet their baby. If something doesn’t feel right, there’s no obligation to take the milk.”

The mum of four — Hannah-Kate, Zoe, Holly and Lucy — said she had struggled to breastfeed and believed formula had led to Zoe’s cow’s milk protein intolerance and sleep problems. Ms Pennell was some people found breast milk “icky” but it the natural food to give babies.

“Even though these babies aren’t breastfed, they’re getting human milk,” she said.

About six women had donated Lucy’s 100 litres, including Ballarat’s Natalie McGrath, 37, mum to Jessica, 4, and six-month-old Thomas.

Mrs McGrath said she had too much milk for Thomas and, believing breast milk was best, had provided about eight litres to four women.

She knew of women who had donated an impressive 60 litres.

“It’s mums helping mums. It’s a very supportive community out there,” she said.

She was happy to provide blood tests showing she was free of transmittable diseases.

But Department of Health and Human Services spokesman Tim Vainoras said mums accessing informal human milk donations should be aware of potential health risks.

“The milk can be affected by a range of factors,” he said, “including lifestyle habits, such as drinking alcohol and smoking, personal hygiene, as well as correct storage and transportation.”

He said viruses and bacteria could be transmitted through unpasteurised breast milk and there was no guarantee that donated product was safe and suitable for consumption.

Mr Vainora said Mercy Health had a breast milk bank that provided pasteurised donor human milk for their hospitalised sick and premature babies.

Feds inspect Pennsylvania farm linked to 2014 Listeria outbreak

Dan Nephin of Lancaster Online reports that federal food inspectors, armed with a court order and escorted by police, inspected a Lancaster County farm on Monday linked in March to tainted milk said to be responsible for a person’s death.

colbert.raw.milkAmos Miller, who owns Miller’s Organic Farm, had denied inspectors access in April, but relented in the face of a court order from a federal judge.

U.S. District Judge Edward G. Smith issued the order June 30 after the U.S. Department of Agriculture asked the court to enforce its inspection efforts.

“I didn’t want to give them the green light,” Miller said Monday afternoon at the farm.

Two meat inspectors, accompanied by an Upper Leacock Township police officer, inspected the farm for about three hours, he said. The inspectors had left by around noon.

The inspectors didn’t take anything and allowed the farm to continue operating, he said.

The USDA was unable to provide information about Monday’s inspection.

The farm sells a range of foods, from raw milk from several animals — including camels — to fermented vegetables to meat from grass-fed animals.

Miller described his roughly 2,000 customers across the country as a private membership association that does not sell to the public. As such, he said, he doesn’t believe the farm is subject to federal inspections.

“We don’t want to be against the government. We’re just concerned that they’re taking our freedoms away,” Miller said.

In court documents filed last month opposing the inspection, Miller said his membership “mistrust the status of the regulatory framework of the federal government and believe that said framework causes more harm to American citizens than good.”

He also argued the private membership association is a form of “expressive association” subject to First Amendment protections.

According to the Centers for Disease Control and Prevention posting, the farm was the likely source of raw chocolate milk responsible for a death in Florida and an illness in California.

The death and illness occurred in 2014, but was only linked to Miller’s in January, after the U.S. Food and Drug Administration notified the agency that genome sequencing of listeria from Miller’s raw chocolate milk was closely related to listeria from the two people, according to the agency.

Do you wanna take the risk? Do ya? Raw goat’s milk recalled for E. coli

Anneli Fogt of the Vashon-Maury Island Beachcomber reports Vashon’s Burton Hill Farm & Dairy is voluntarily recalling its Grade A Raw Goat Milk due to concerns it could be contaminated with E. coli, Washington State Department of Health officials reported.

Vashon's Burton Hill Farm & Dairy
According to the recall notice, the toxin-producing E. coli was found in a milk sample from a batch of goat milk that was not sold to the public. However, it is possible that subsequent batches could contain the harmful bacteria, hence the voluntary recall.

Burton Hill Farm owner Collin Medeiros said on Friday that he has tracked down and informed via phone or email all Vashon customers potentially affected by the recall.

“It’s pretty devastating and really shocking,” Medeiros said. “We will not be selling raw milk until the source and cause of the contamination can be found and completely removed. We are working with Washington State Department of Agriculture and private consultants to do this.”

He said that the problem is likely the farm’s bulk tank where the milk is held, and can be “remedied quickly.”

As of Friday, Medeiros was not aware of any illnesses in connection with the farm’s recalled milk.

Medeiros said the recall has been “a wake-up call” that has him rethinking the farm’s selling of raw milk, which inherently comes with risks and a warning label about the potential for bacterial growth.

“Raw milk is an unstable product. It’s very nutritious for humans, but that also makes it a perfect breeding ground for other living things,” he said. “There is calculated risk for both the consumer and producer, so the question is, do we want to take this risk?”

NZ: Tb testing important for food safety

Dr Paul Livingstone, research leader for TBfree New Zealand, writes in this op-ed that the small but rising number of New Zealanders drinking unpasteurised milk supplied directly from dairy herds need to have as much protection from being infected with bovine Tb as it is possible to provide.

symptoms-for-tuberculosis-in-cattleWhen an animal in the Mt Cargill area reacted positive to a Tb test in May, the Ministry for Primary Industries – New Zealand’s food safety regulator – halted the supply of raw milk.

The ministry made the decision to prevent raw milk sales from Tb-infected dairy herds until they had tested free from Tb for five years. MPI’s decision was based on historical data that showed there is a very low risk of a previously infected herd being found with latent infection up to five years after being Tb-free.

The TBfree New Zealand programme run by Ospri uses Tb testing, animal movement and possum control towards the goal of eradicating bovine Tb. It employs a small range of diagnostic tests to detect tuberculosis infection in our cattle herds.

All tests are based on measuring an animal’s immune response to tuberculin, which is a standardised protein extract derived from killed Tb bacteria (Mycobacterium bovis). In general, this response is measurably different between infected and non-infected animals.

Tuberculin tests can be applied directly to an animal with an injected skin test, or can be carried out in a laboratory using a blood sample taken from the animal.

The Tb skin test on average detects 85% of infected cattle. Thus, if there is one infected animal in a herd, there is an 85% chance that the herd will be found infected and subjected to further testing. If there are two infected cattle in a herd, then there is a 98% chance of detecting the herd as infected and subjecting it to further Tb testing.

Once a herd is infected, it is subject to a regime of increased skin and blood testing to clear infection from the herd as fast as possible. This has proven to be very effective. About 60% of infected herds are clear of infection within two Tb tests and 95% of herds clear infection within five Tb tests. However, in rare instances, a cow may be infected with Tb, yet appear clinically normal and not respond to any of the Tb tests.

Following a chronic stressful event, usually associated with a combination of events such as feed shortage or introduction of new herd mates during late pregnancy or early lactation, a latently infected animal may quickly convert into one that becomes a major shedder of Tb bacteria. This can happen via a number of routes including the udder, leading to Tb infected milk.

Hence the importance of requiring five years of testing freedom before allowing raw milk sales, to guard against such an event.

The Tb testing programme for cattle in New Zealand is based on long and thorough research, proven in the field. In any one year, a large proportion of the national cattle population (4.41million animals in 2014-15) is skin tested for Tb.

During the decade to 2013-14, about 52,850,000 cattle were Tb tested nationally and 52,840,000 of these gave negative test results. That is a 99.98% accuracy (what we term “specificity”) rate.

Of about 9650 cattle that were taken nationally as Tb reactors out of that nearly 53million, 2630 showed gross lesions of Tb at slaughter. A further proportion of those not showing gross lesions (anywhere between 10% and 20%) will be infected but not showing visible lesions, due to early stages of infection. Such gross lesion rates are generally within the ranges seen in overseas countries.

There is high confidence that the testing regime is working.

New Zealand is getting into the latter stages of its Tb eradication programme, where a more intensive approach to eradicating Tb in herds is required to clear infection quickly. It is, therefore, not surprising in the latter stages of a programme that lesion rates in Tb reactors fall as the overall amount of Tb in the population is reducing.

As part of the Tb-free programme we are constantly looking at ways to improve how we our work, and Tb testing is no exception.

Research is under way into a new tuberculin used in the reactor that is much more specific at targeting bovine Tb. The research is now 18 months into a trial and is looking promising in helping to reduce the false positive incidence.

Dad says ‘I don’t want to drag this out’ Raw milk probable cause of Australian 3-year-old’s death

In late 2014, three children in the Australian state of Victoria developed hemolytic uremic syndrome linked to Shiga-toxin toxin producing E. coli in unpasteurized bath milk produced by Mountain View farm. One child died, and two others developed cryptosporidiosis.

mountain.view.dairyThe Victorian government quickly banned the sale of so-called bath milk, which although labeled as not fit for human consumption, was a widely recognized way for Australian consumers to access raw milk.

What followed was a despicable whisper campaign that the child who died had an underlying medical condition, it wasn’t Shiga-toxin producing E. coli (STEC), farmers were losing access to lucrative markets – anything but the basic and sometimes deadly biology of STECs and everything involving fantasy and fairytales.

Today, a coroner heard unpasteurised milk was the probable cause of death of a three-year-old Victorian child who had no previous medical issues.

The toddler’s father told police he had given his son small amounts of Mountain View Organic Bath Milk on rare occasions in the months leading up to his October 2014 death.

The Coroner’s Court yesterday heard a Department of Health investigation, a forensic pathologist’s report and a subsequent outbreak of illnesses among four other children who drank the raw milk had all established its consumption as being the likely cause of the tragedy.

The child’s death prompted a health warning and led the State Government to introduce tough laws making unpasteurised milk sold in Victoria undrinkable.

After hearing details of the investigations Coroner Audrey Jamieson yesterday said she was satisfied issues that would have warranted a full hearing into the death had already been dealt with and she could make a determination on the balance of probabilities.

But after lawyer Rose Raniolo representing Mountain View Farm said she wanted to review a hospital form in which the boy’s parents listed everything he had consumed, Coroner Jamieson granted her seven days to put forward any additional information before making a final decision on whether a public hearing was required.

colbert.raw_.milk_3-300x212-300x212Coroner’s solicitor Rebecca Cohen told the court the three-year-old had been a healthy child until suffering gasto symptoms on September 30, 2014, and being admitted to Frankston Hospital four days later.

He was transferred to Monash Medical Centre on October 6, where it was found his entire large bowel was infected. The boy passed away shortly after.

Ms Cohen told the court a Victorian Institute of Forensic Medicine autopsy was consistent with tests taken during the toddler’s medical treatment, finding the same genetic traces in his bowel that lead to hemolytic uraemic syndrome (HUS), a rare and dangerous infection stemming from E. coli bacteria which can be present in raw milk.

In the weeks following the death the Department ordered tests on samples from 39 bottles of Mountain View Dairy milk and found that shiga toxin which produces E. coli bacteria was cultured in one sample.

The department’s investigation stated that although HUS infections were usually an “exceptionally rare occurrence” it was dealing with two non-fatal cases at the same time as the death — and the only link was that all three children had consumed the same unpasteurised milk.

Two cases of cryptosporidium also reported among young raw milk drinkers in the same area within a 10 days of two HUS cases reinforced the pathology evidence, Ms Cohen said.

Ms Cohen emphasised that at no time was there any suggestion Mountain View Farm breached regulations, and no prosecution had even been considered against the producer.

She said that during a police investigation the toddler’s father told officers he purchased Mountain View Organic Bath Milk in the months before his son became ill.

“(The father) understood the milk was labelled not to be drunk, but he noted it looked like every other milk container,” Ms Cohen said.

“Due to his intolerance to dairy, (the child) would only drink very small amounts of the unpasteurised milk, and only on odd occasions. “(The father) said it only amounted one-eigth of a sippy cup, and only twice per month at a maximum.”

Ms Raniolo said she disagreed with a recommendation for the coroner to rule unpasteurised milk as the probable cause of the death, stating the child drank it too rarely for it to be considered as the cause.

After a separate review cleared the hospitals’ of any concerns over the treatment of the child, the toddler’s emotional father told the coroner he now wanted the probes to be finished.

“To me it was a big deal watching everything that unfolded, and I do still struggle with the idea that it was treated as seriously as possible. But, I understand it was not likely to have changed the outcome. I don’t want to get involved in this any further, I don’t want to drag this out.”

 

Listeria and raw milk cheese: A risk assessment involving sheep

Semisoft cheese made from raw sheep’s milk is traditionally and economically important in southern Europe. However, raw milk cheese is also a known vehicle of human listeriosis and contamination of sheep cheese with Listeria monocytogenes has been reported.

sheep.milk.cheeseIn the present study, we have developed and applied a quantitative risk assessment model, based on available evidence and challenge testing, to estimate risk of invasive listeriosis due to consumption of an artisanal sheep cheese made with raw milk collected from a single flock in central Italy.

In the model, contamination of milk may originate from the farm environment or from mastitic animals, with potential growth of the pathogen in bulk milk and during cheese ripening. Based on the 48-day challenge test of a local semisoft raw sheep’s milk cheese we found limited growth only during the initial phase of ripening (24 hours) and no growth or limited decline during the following ripening period. In our simulation, in the baseline scenario, 2.2% of cheese servings are estimated to have at least 1 colony forming unit (CFU) per gram. Of these, 15.1% would be above the current E.U. limit of 100 CFU/g (5.2% would exceed 1,000 CFU/g). Risk of invasive listeriosis per random serving is estimated in the 10−12 range (mean) for healthy adults, and in the 10−10 range (mean) for vulnerable populations.

When small flocks (10–36 animals) are combined with the presence of a sheep with undetected subclinical mastitis, risk of listeriosis increases and such flocks may represent a public health risk.

Risk assessment of human listeriosis from semisoft cheeses made from raw sheep’s milk in Lazio and Tuscany

Roberto Condoleo, Ziad Mezher, Selene Marozzi, Antonella Guzzon, Roberto Fischetti, Matteo Senese, Stefania Sette, Luca Bucchini

Risk Analysis, June 2016, doi:10.1111/risa.12649

http://onlinelibrary.wiley.com/doi/10.1111/risa.12649/abstract;jsessionid=519D74728E4A34E1CE300B856B99D54B.f04t04

Maybe public health should crowd fund: More than $4000 has been raised in NZ to save cows after TB found

A Givealitte page has been set up by a group called Friends of Holy Cow, the farm run by Mr MacNeille at Reynoldstown in Port Chalmers.

bovine.tbThe group says the farming family need financial support to keep the herd “while they work through the options”.

The friends say the cows cost about $115 a day to feed.

“Holy Cow have been an amazing supplier to our community for many years, and we want to support them through this transition,” the group says.

So far $4230 has been pledged by nearly 70 donors on the page called ‘Keep Holy Cow going’.

The raw milk operation remains shut down and as things stand the cows are due to be slaughtered by the end of the week.

“I spend, let’s just say … 60 hours a week with these girls – they are lovely hard-working, nice cows,” Mr MacNeille said.

“It’s the worst thing in the world.”

The farmer sold raw milk from his farmgate until the Ministry for Primary Industries issued a notice of direction to cease supplying and selling raw milk last week.

The heifer, which was not part of the milking herd, tested positive for bovine tuberculosis after routine testing by Ospri.

The industry good body notified the ministry and the herd’s Tb-free status was suspended, Ministry for Primary Industries director, animals and animal products, Mat Stone said.

Sytone added that while the ministry sympathises with the farmer, the most important thing was protecting customers from risks.

Australian state regulator defends decision to approve unpasteurized cold-pressed milk

The New South Wales Food Authority has defended its decision to approve the sale of an unpasteurised milk product, saying the company involved was subject to a two year, rigorous approval process.

cold.pressed.milkIt is being marketed as “cold pressed raw milk” and leading experts have expressed concern about a lack of research proving the cold pressure process was as effective as traditional pasteurisation.

But CEO of the New South Wales Food Authority Dr Lisa Szabo said the product had been approved only after two years of rigorous consultation.

“We asked them ‘well what are the hazards that they’re trying to control in the milk’, and this company had a really strong and comprehensive list of the microbiological hazards that they wanted to control,” Dr Szabo said.

Dr Szabo worked as a research scientist with the CSIRO and said “for five years of my time there I spent doing research on high pressure, and in particular its effect on micro-organisms.

“So I have a great deal of confidence that this particular processing technology can inactivate micro-organisms.”

High pressure processing has been used for other products for a long time and Dr Nidhi Bansal from the University of Queensland’s School of Agriculture and Food Sciences said it has been quite successful.

“Obviously it hasn’t been commercialised for milk yet. So there could be some concern about it, but as long as the company can prove that it is microbiologically safe then I don’t see an issue with that,” Dr Bansal said.

Saxon Joye, the owner of the company approved to sell unpasteurised milk and said his product was not quite “raw milk,” it had just not gone through the traditional pasteurisation process, where milk is exposed to high temperatures.

“We take our raw milk, and we put it under our cold pressure. If there’s any harmful pathogens or bacteria, we remove it during that process,” he said.

“Good herd management, hygienic milking techniques and the cold pressure method have meant we can put 100 per cent safe, raw milk onto supermarket shelves,” said Mr Joye.

“The bottles of milk are placed under enormous water pressure, squashed in about 15 per cent, to remove the harmful micro-organisms.”

Professor Peter Collignon, a leading infectious disease physician and microbiologist, said he was concerned about the lack of research showing the efficacy of cold pressure.

“I do worry this is a marketing exercise for raw milk but without the science to show the process is anywhere near as good as pasteurisation,” he said.

“The [data and research] that shows [cold-pressure is just as good as pasteurisation] needs to be robust and available for all to see, including the public, and needs independent verification.”

The Food Authority’s spokeswoman did not directly answer questions about releasing data to support its decision to approve the new method.