Listeria hysteria in South Africa

My wife and I were discussing this morning the horror that is occurring in South Africa regarding the Listeria outbreak. My wife is a professional dancer for an African modern dance group-NAfro in Winnipeg (Canada) and very interested in African culture. I have had the pleasure of speaking with her choreographer a number of times regarding issues in Africa (his home) which are primarily political in nature. Interesting stuff.
The World Health Organization has sent a food safety expert to South Africa to assist in identifying the cause of the Listeria outbreak. Apparently, it has been recommended that South Africa should have approximately 5000 environmental health practitioners; currently they only have 2000 to safeguard public health, clearly not enough.

Wendy Knowler of Times Live reports

Would you be able to list every single thing you’ve eaten in the past month?
That’s what victims of South Africa’s massive listeriosis outbreak – the biggest on record globally – are being asked to do by the National Institute for Communicable Diseases (NICD) in an attempt to pinpoint the source.
The number of confirmed listeriosis cases is now 872, and 164 of those have died – up from 107 last week. The current mortality rate is a staggering 27%.
Of those confirmed cases, 43% were babies of less than a month old – pregnant women being 20 times more likely to get listeriosis than other healthy adults.
Contracted by eating food containing the listeria pathogen, listeriosis is by far the most deadly of food-borne diseases. Given the scale of our mystery outbreak, it has led to what one delegate termed “listeria hysteria”, at a listeriosis workshop hosted by the South African Association of Food Science and Technology (SAAFoST) in Johannesburg on Wednesday.
While patés, soft cheeses and guacamole have been found to be the source in listeriosis outbreaks in other countries, our outbreak is unlikely to be a “high-end luxury food item”, said the NICD’s Dr Juno Thomas at the workshop.
“So far, our epidemiological investigation team has interviewed about 60 listeriosis victims to find out what they ate, day by day, during the month before they became symptomatic, in an attempt to identify patterns of consumption and indicate what we can eliminate,” Thomas said. “None had eaten smoked fish, for example.”
Food safety expert and SAAFoST president Lucia Anelich said given that a single, unique “homegrown” strain of listeriosis was identified in more than 90% of the confirmed cases, it was likely that the source was a single food product or range of food products consumed often and by both rich and poor across South Africa.
“Cold meats, for example, range from viennas and polony to more expensive slices of ham,” she said.
As listeria is killed during the cooking process, the culprit is thought to be a ready-to-eat food, fruit, or vegetables.
Attorney Janus Luterek told workshop delegates that his work had led him to believe that the offending product would be traced back to irrigation water that was not properly treated. A few food scientists in the room agreed with him.
“Keep your insurance up to date,” Luterek told the attending food producers, “because when the claims come they will be huge, as in a Boeing 737 crashing and everyone on board dying.”
The World Health Organisation (WHO) has sent a food safety expert, an epidemiologist with listeriosis experience and a communication specialist to South Africa to help identify the source of the outbreak.
A WHO spokesman was quoted in industry publications this week as saying the body was working on a “strong lead”, with laboratory results pending.
Speaking at the workshop, Dr Thomas said food safety legislation was fragmented, outdated and inappropriate for South Africa.
“We need a dramatic overhaul of our legislation and the entire food safety system,” she said.
For example, she said, there were fewer than 2,000 environmental health practitioners, responsible for monitoring all food outlets from restaurants to informal vendors, but the WHO recommended that South Africa needed 5,000 of them.
Several presenters mentioned the need for better cooperation between the government departments and organisations responsible for food safety – including health; agriculture, forestry and fisheries; trade and industry; and the Consumer Goods Council.

 

World Health Day 2015, Food Safety – the Global View

The message bears repeating: On World Health Day 2015, the World Health Organization and Europe estimates that levels of foodborne disease are much higher than currently reported and underlines the need for improved collaboration among sectors to lower the health risks associated with unsafe food.

who.food.safe.dayOur food chain is longer and more complex than ever before, and demographic, cultural, economic and environmental developments – globalized trade, travel and migration, an ageing population, changing consumer trends and habits, new technologies, emergencies, climate change and extreme weather events – are increasing foodborne health risks. 

“The fact that we significantly underestimate how many people become ill from chemicals in the food chain and from common microorganisms such as Salmonella and Campylobacter should start alarm bells ringing across the many areas with a stake in our food chain. A failure in food safety at any link in this chain, from the environment, through primary production, processing, transport, trade, catering or in the home, can have significant health and economic consequences,” says Dr Zsuzsanna Jakab, WHO Regional Director for Europe.

*Contamination from a single source may become widespread and have enormous health and economic consequences. In 2011, for example, an enterohaemorrhagic Escherichia coli (EHEC) outbreak in Germany and France, linked to imported contaminated fenugreek seeds, led to almost 4000 cases of EHEC infection in 16 countries, including more than 900 haemolytic uraemic syndrome (HUS) cases and 55 deaths. The estimated loss for farmers and industries was US$ 1.3 billion.

*Changes in animal food production are leading to an increase in the emergence and spread of zoonotic diseases. Of 335 emerging infectious disease events in humans between 1940 and 2004, it is estimated that 60% were transmitted from animals and many of these were foodborne. 

who.factors1-300x178WHO calls on policy-makers:

*To build and maintain adequate food safety systems and infrastructures, including laboratory capacities and surveillance and reporting systems; 

*To respond to and manage food safety risks along the entire food chain, including during emergencies;

*To foster multisectoral collaboration among public health, animal health, agriculture and other sectors for better communication, information sharing and joint action;

*To integrate food safety into broader food policies and programmes (e.g. nutrition and food security);

*To think globally and act locally to ensure that food produced domestically is as safe as possible internationally.

World Health Day 2015, celebrated on 7 April, is an opportunity to recognize the important food safety role of all those involved in food production, and to strengthen collaboration and coordination among these various areas, in order to prevent, detect and respond to foodborne diseases efficiently and cost-effectively. A kaleidoscope of events is planned across the globe. 

People are also invited to engage through social media and to promote “From farm to plate: make food safe” using the hashtag #safefood.

The World Organisation for Animal Health (OIE) says to be able to meet the demand for milk, eggs and meat and guarantee their safety, it is first of all essential to control pathogens in animals on the farm.

Eliminating or controlling food hazards at source has proved more effective than an approach relying solely on checking the finished product.

 

H1N1=wash your hands

Doug introduced me to Google Alerts a few weeks ago and my email inbox hasn’t been the same since. I get approximately 50-100 email hits on handwashing everyday. Most of them are relevant to washing hands, but some are about handwashing clothes and dishes.

The reason for sharing my numerous emails: wash your hands.

The World Health Organization (WHO) recently announced raising the alert level to phase 6, the pandemic phase. The severity of the virus, H1N1, is moderate, claims the WHO. Across the world there are newly suspected cases of so-called swine flu. In the US alone, there have been 17,800 confirmed cases, 1600 hospitalized, and 44 deaths; all are attributed to H1N1 flu.

Every reported case in the news or other blogs is typically accompanied with a campaign for their readers to wash their hands. I, of course, couldn’t pass up the opportunity to inform BarfBlog readers to do the same.

Handwashing can reduce sickness by an estimated 25%. Hands should be washed before and after handling food, using the bathroom, coughing, sneezing, and blowing ones nose. Also, people should avoid touching their face (eyes, nose, and mouth) to reduce their risk.

Save Lives: Clean Your Hands

Megan Hardigree, a research associate at Kansas State University working on hand hygiene, writes that this year, Cinco de Mayo wasn’t just a holiday to celebrate the Mexican army’s victory over the French in the Battle of Puebla (yesterday) or a song by the band, Cake. It was also a day to celebrate the launch of the World Health Organization’s (WHO) newest hand hygiene campaign: Save Lives: Clean Your Hands.

The aim of Save Lives: Clean Your Hands is to stop the spread of infection by increasing hand hygiene of healthcare workers. This is said to be the next step of the original, Clean Care is Safer Care, from 2005. The initiative persuades individuals to join the movement with gain-framed messages (they apparently encourage positive behavior) such as “Help stop hospital acquired infections in your country” and “Make patient safety your number one priority.”

To help support this initiative, WHO has accompanied the promotion with a variety of tools and resources to aid healthcare facilities in promoting and enforcing better hand hygiene. These tools include: tools for system change, tools for training and education, tools for evaluation and feedback, tools as reminders in the workplace, and tools for institutional safety climate. My personal favorite, mostly because of the fun diagram, is in the “tools as reminders in the workplace” which includes “My 5 Moments for Hand Hygiene:”

• before touching a patient;
• before clean/aseptic procedures;
• after body fluid exposure/risk;
• after touching a patient; and,
• after touching patient surroundings.

 “Be a part of a global movement to improve hand hygiene, “ says WHO.

Now to evaluate whether any of these messages actually compel people to wash their hands.
 

Food safety has to be farm-to-fork: WHO

That’s what we’ve always said – safe food, from farm-to-fork.

Jorgen Schlundt, director of food safety at WHO, told Reuters today,

“The notion that you can deal with it at the end of the food chain is clearly wrong.”

Yet there continues to be an outpouring of advice for consumers – the end of the food chain. But more about that later.

Schlundt also said today that the number of foodborne diseases seems to be on the rise in both wealthy and poor nations.

Previously, the World Health Organization (WHO) estimated that up to 30 per cent of individuals in developed countries acquire illnesses from the food and water they consume each year. U.S., Canadian and Australian authorities support this estimate as accurate (Majowicz et al., 2006; Mead et al., 1999; OzFoodNet Working Group, 2003) through estimations from available data and adjustments for underreporting. WHO has identified five factors of food handling that contribute to these illnesses: improper cooking procedures; temperature abuse during storage; lack of hygiene and sanitation by food handlers; cross-contamination between raw and fresh ready to eat foods; and, acquiring food from unsafe sources.

Oh, and that logo (upper right) is going to be retired in January when we relaunch everything.

Majowicz, S.E., McNab, W.B., Sockett, P., Henson, S., Dore, K., Edge, V.L., Buffett, M.C., Fazil, A., Read, S. McEwen, S., Stacey, D. and Wilson, J.B. (2006), “Burden and cost of gastroenteritis in a Canadian community”, Journal of Food Protection, Vol. 69, pp. 651-659.

Mead, P.S., Slutsjer, L., Dietz, V., McCaig, L.F., Breeses, J.S., Shapiro, C., Griffin, P.M. and Tauxe, R.V. (1999), “Food-related illness and death in the United States”, Emerging Infectious Diseases, Vol. 5, pp. 607-625.

OzFoodNet Working Group. (2003), “Foodborne disease in Australia: Incidence, notifications and outbreaks: Annual report of the OzFoodNet Network, 2002”, Communicable Diseases Intelligence, Vol. 27, pp. 209-243.