Australia only now coming to grips with food safety basics

Ash Lewis was limp in his mother’s arms. The three-year-old boy had been sick for several days, in and out of the family doctor’s surgery and up all night with diarrhea.

That Sunday he had been happily playing on the beach at Torquay on Victoria’s west coast and later munching on an egg and cheese roll at a beachside cafe. He and his garlic.aiolimother had left Melbourne to escape February’s heatwave.

By Thursday his condition had gone downhill fast. He stopped speaking and couldn’t walk. His parents, Scott and Sarina Lewis, rushed him to the Royal Children’s Hospital in Melbourne. His blood pressure was down, his heart rate was low and his face was the ”colour of concrete.”

From the happy little boy playing in the sea he was now in hospital with an IV drip in his arm.

An estimate by the federal Department of Health puts the number of Australians contracting food-borne illness at 5.4 million cases, or nearly one in four, with 120 people so seriously affected they die. The cost to the economy has been put at $1.25 billion.

Richard Cornish of Good Food writes that incidents involving Salmonella have almost doubled in the past 10 years, from 6,990 in 2003 to 12,836 in 2013. In Brisbane last year, 220 people became ill and one elderly woman died after a Melbourne Cup lunch. The finger was pointed at raw egg mayonnaise contaminated with salmonella. In 2010, salmonella-contaminated aioli made with raw egg was found to be the cause of an outbreak in a hamburger bar that struck down 179 people

A stool sample taken from Ash confirmed he was infected with Salmonella bacteria causing gastroenteritis. The sandwich he ate at that cafe was prepared with mayonnaise made with free-range eggs. Owners of the cafe we spoke to believe this is the most likely cause of the food poisoning.

Brett Graham is the co-owner of the Bottle of Milk in Torquay. At the time of writing his cafe was still closed, three weeks after the food poisoning outbreak was identified. He has scrubbed his business from floor to ceiling, spent $20,000 rebuilding the kitchen, complete raw.egg.mayo.may.13with new fridges and dishwashers, and installed a window so diners can look in. “No one intentionally tries to make someone sick. I, we [he has a business partner], we feel terrible,” he says. “It’s a small town and a lot of people we know personally have been affected.”

The business is still paying their staff of 20.

Seventy-seven diners who fell ill after eating at Canberra restaurant Copa Brazilian Churrasco last year are at present taking civil action against its owners in the ACT Supreme Court. A total of 140 people fell ill, with 15 taken to hospital, after eating home-made mayonnaise at the restaurant in May last year.

Here’s a tip: don’t use raw eggs.

Why won’t Australian government or industry or consumer groups make such a basic statement, and actively promote the message? Instead, consumers are told it’s their fault when they buy a sandwich made with raw egg mayo and get sick. And consumers pay for such terrible messages with tax dollars.

A table of raw egg related outbreaks in Australia is available at https://barfblog.com/wp-content/uploads/2014/03/raw-egg-related-outbreaks-australia-3-3-14.xlsx.

Culture of indifference; 220 sick from Salmonella in latest Australian egg outbreak; microbial food safety problems on rise

Australia has more than an egg problem – it has a microbial food safety problem.

And the public availability of food safety information is embarrassingly sparse, creating a culture of indifference.

As the number sickened by Salmonella linked to raw-egg based dishes at Torquay’s Bottle of Milk restaurant climbed to 220, OzFoodNet, the national foodborne disease monitoring American Hustle: Christian Bale, Amy Adams and Bradley Cooper walking in streetnetwork, reports the number of Australians struck down by food poisoning has leapt almost 80 per cent in a decade and the number of outbreaks linked to restaurants has more than doubled.

In the decade to 2011, the number of Australians affected by foodborne gastroenteritis increased 79 per cent. In 2011, 150 outbreaks affected 2,241 people compared with 86 affecting 1,768 people in 2001. The rate of hospitalization has trebled since 2001.

The figures capture only a fraction of infections since most victims don’t go to a doctor, experts say. A 2002 estimate of people affected by food poisoning put the number at 5.4 million cases of gastro and 120 deaths a year at a cost of $1.25 billion.

Martyn Kirk, a senior lecturer in epidemiology at the Australian National University and former OzFoodNet senior epidemiologist, warns that any foods prepared without the bacterial ”kill step” of cooking increase the risk of bacteria spreading, and that Salmonella is linked to multiple food sources.

”It’s definitely not always the chicken … We’ve had outbreaks of salmonella linked to rockmelon, papaya, cucumbers – and we know that’s just the tip of the iceberg,” he says.

Raw or minimally cooked eggs are the single largest cause of foodborne illness in Australia. But fresh produce has been increasingly implicated in outbreaks as health-conscious raw.eggsconsumers favour salads, raw vegetables and minimally processed foods with lower salt and fat contents.

In the Bottle of Milk outbreak, suspect eggs were traced back to the Green Eggs farm in Great Western. Sales have been restricted until food safety is improved.

In recent days a handful of salmonella cases have also emerged among diners at St Kilda’s Newmarket Hotel, which had also sourced eggs from the Green Eggs farm.

Victorian chief health officer Rosemary Lester said other salmonella cases not linked to the two restaurants had also emerged and were being investigated.

Late last year, Piccalilli Catering was identified as the Brisbane catering company at the centre of another salmonella outbreak, which contributed to the death of one elderly lady and 220 others falling ill.

“We are deeply upset and distressed by this outcome. We always pride ourselves on sourcing the freshest Australian ingredients for our kitchens. We feel very disappointed bottle.of.milk.feb.14and let down that the normally reliable fresh food supply chain has failed us – and our clients – on this occasion,” Piccalilli Catering co-owner, Helen Grace, said at the time.

Until someone develops Salmonella-spotting goggles, Australian food service needs to use pasteurized eggs in homemade mayonnaise and aioli, or commercial sources. Having this conversation with an Australian restaurant chef is like walking into 1978.

The curious experiments of Dr Disgust

In the words of WKRP sales legend Herb Tarlek, tacky sells.

So does disgust.

ghostbusters.psych(A reason it’s called barblog?)

In North Carolina, there’s a company that manufactures bottles of an artificial fart spray called Liquid Ass™. The makers (who call themselves Assman #1 and Assman #2) are clearly proud of their product, writing lyrically on their website of its “genuine, foul butt-crack smell with hints of dead animal and fresh poo”.

The site also features user testimonials, mostly along the lines of “I sprayed this stuff all over a friend’s car, then laughed myself silly as he tried to work out where the stench came from”.

What the website fails to mention, however, is the vital role these little bottles of nastiness are playing in the cutting-edge experiments conducted, in perfect seriousness, by Auckland University psychology researchers.

Over the past few years, a team has been luring experimental subjects into a small room on the 12th floor of a building in Auckland City Hospital, putting them into a state of mild disgust with a covertly deployed dose of Liquid Ass (which, despite the stench, is non-toxic), then running a battery of psychological tests.

Other adventures facing the subjects included being handed a bag that looked like it may once have contained excrement.

It’s tempting to think that this proves little more than the popular hypothesis that psychologists are sadistic weirdos, but in fact these experiments are yielding powerful liquidAssinsights into the nature of human emotions.

More practically, they are providing clues for how to deal with some of the most intractable problems facing modern healthcare.

The man behind these experiments is Associate Professor Dr Nathan Consedine, director of the health psychology programme in the Department of Psychological Medicine.

He’s 42, has a skinny moustache vaguely reminiscent of Salvador Dali’s, and has been studying emotions and their role in healthcare throughout a career that began in Christchurch and has included long stints at Columbia University and Long Island University in New York.

It was only in 2009, though, after returning to New Zealand, that Consedine started paying close attention to the significance of one emotion in particular: disgust. It is, says Consedine, the “elephant in the room” when it comes to healthcare.

Allegheny County PA to post restaurant grades

A couple of years ago a colleague at the vet college shared a story with me about restaurant grades. He and his son went into a local sushi place and it was dead – they had no problem getting a seat during the usually busy lunch rush. He asked the manager what was up and she said that business had been down since they had been given a low score during a routine inspection. That made my friend pause a bit; they still ordered lunch and ate, but hadn’t been back. NC_inspection_grades

I guess some folks do make choices based on posted restaurant grades.

Allegheny County Pennsylvania is debating a new restaurant inspection disclosure system, including a magical matrix for what will generate an A, B or C. According to TribLIVE, excellent food handling procedures will net an A, a B represents generally good procedures, and potential risks will generate a C. Tough to evaluate without the specifics – but risk factors matter more to me than “good procedures.”

The county’s Board of Health on Monday will hear initial plans for a program to post A, B or C grades outside restaurants starting in September, said Jim Thompson, deputy director of environmental health. “There will be a significant number of Bs and Cs,” Thompson said.
About half of the county’s 7,200 permitted establishments had at least one violation last year, and about 5 percent have three or more violations, Thompson said.

“The inspection itself is the same. The food regulation is the same, but we are translating what we find into a format that the customers really understand,” said Dr. Lee Harrison, the [Allegheny Board of Health] chairman.

John Graf, owner of The Priory in the North Side and president of the Western Chapter of the Pennsylvania Restaurant and Lodging Association, said a C grade posted outside some restaurants would shut them down and B grades could cause confusion among customers.
“Based on the matrixes I’ve seen, a surprising number of restaurants will end up with Bs,” Graf said. “What does a B mean? What does it mean for the customer? Is it safe?”

Joe Bello, executive chef and general manager at The Wooden Nickel Restaurant in Monroeville, said he sees positives and negatives to a grading system. He worries that something unforeseeable or uncontrollable during an inspection could drop a restaurant’s grade unfairly. But he thinks grades could motivate restaurants to pay closer attention to health and safety regulations.

Braden Mackey, 23, of Mt. Washington welcomes the idea of letter grades posted outside restaurants. He typically relies on Internet reviews when investigating restaurants. A grade of C, he said, would not deter him from ordering from a menu.

2013 Colchester Oyster Feast source of outbreak

The Colchester Oyster Feast is kind of a big deal. Dating back to the 14th century and boasting a couple of to-be-kings as former guests (King Edward VIII and King George VI) it is the place to be in October. The event even has its own Wikipedia page.

And in 2013, it also was the source of an outbreak.1891cs

According to the Essex County Standard, 54 attendees became ill after eating Irish oysters at the annual festival.

A total of 200 guests attended the civic event at Colchester’s Moot Hall last October.
Within days, 13 guests reported they were unwell and an investigation was launched by Public Health England.

Questionnaires were sent out and 54 people reported they had been sick, including Colchester Council chief executive Adrian Pritchard.