1-in-8, sorta like the US; foodborne illness in Canada

The Canadians were busy today, when most of them are off at the cottage.

The Public Health Agency of Canada has joined with the U.S. and now estimates that each year about 1 in 8 Canadians (4 million people) get sick from the food they eat (used to be 1-in-3, or 1-in4).

back_slapFour pathogens cause about 90% of the 1.6 million illnesses caused by known pathogens: Norovirus (1 million cases), Clostridium perfringens (177,000 cases), Campylobacter (145,000 cases) and nontyphoidal Salmonella (88,000 cases). These estimates are based on multiple complementary disease surveillance systems and the peer-reviewed literature.

Understanding the burden of foodborne illness is useful for decision-makers, supporting the development of food safety and public health interventions, for research and for consumer education. Future efforts will focus on estimating the number of foodborne hospitalizations and deaths, the economic cost of food-borne illness and the burden of water-borne illness in order to provide crucial information to support research, policy and action.

A guidance document, Weight of Evidence: Factors to Consider for Appropriate and Timely Action in a Foodborne Illness Outbreak Investigation was developed to assist federal government decision-makers weigh the scientific evidence collected during a foodborne illness outbreak investigation in order to inform risk mitigation actions.

The objective of the document is to provide guidance on how to weigh evidence collected during epidemiologic, laboratory and food safety investigations in a food-borne illness outbreak investigation, as part of an overall health risk assessment process carried out by Health Canada. This is a short summary of the document.

And, to highlight the Public Health Agency of Canada’s Foodborne Illness Outbreak Response Protocol (FIORP), the primary guidance document for investigations of multi-jurisdictional food-borne illness outbreaks in Canada.

Approach: The current version of the FIORP was developed in 2010 by the Public Health Agency of Canada following consultation with Health Canada, the Canadian Food Inspection Agency, and provincial and territorial stakeholders.

Results: The FIORP outlines guiding principles and operating procedures to enhance collaboration and coordination among multiple investigative partners in response to multi-jurisdictional food-borne illness outbreaks. It has provided guidance for the conduct of 22 such investigations led by the Public Health Agency of Canada’s Centre for Food-borne, Environmental and Zoonotic Infectious Diseases between 2011 and 2013. Furthermore, it has also served as a guide for the development of provincial protocols.

Conclusion: The timely and effective investigation of and response to multi-jurisdictional food-borne illness outbreaks in Canada is facilitated and enhanced by the FIORP.

Of course, none of these documents were peer-reviewed and published in scientific journals, so it’s just a lot of back-slapping.

Rumors poisonous, drinking cups safe: UAE Ministry flushes out social media lies

Rumors spread on social networking sites about drinking cups containing carcinogens have been dismissed on by the Ministry of Environment and Water as unfounded.

water11011_1_innerbig“All locally-produced and imported materials used for packaging, wrapping, covering and preparing foods, and including plastics, glass, metals, ceramic, wood, cardboard and paper, are put through strict tests before they are permitted to be used in order to ensure they comply with the UAE relevant standards approved in 2012 based on EU legislations issued in 2014 and to ensure they do not pose a health risk and comply with food-safety demands,” said Saif al-Shara’, Assistant Undersecretary for Agricultural and Livestock Affairs at the Ministry, and Chairman of National Committee on Food Safety, in a statement.

It’s all about knowing your supplier (sic); Rancho Feeding Corp. in US charged with selling sick, unfit cattle

A federal grand jury has indicted Rancho Feeding Corp., the Petaluma, California, slaughterhouse at the center of a massive beef recall, for processing animals condemned by U.S. Department of Agriculture inspectors and processing others that were known to have eye cancer.

Rancho Feeding CorpThe indictment, dated last Thursday, charges Rancho co-owner Jesse J. Amaral Jr. and two workers, foreperson Felix Sandoval Cabrera and yardperson Eugene D. Corda, with 11 felony counts, including distribution of adulterated and misbranded meat, mail fraud and conspiracy. Amaral pleaded not guilty during a Monday morning hearing and was released on $50,000 bail. The status of Cabrera and Corda is still pending.

In a filing Monday, prosecutors informed U.S. District Court Judge Charles Breyer that Rancho’s co-owner, Robert Singleton, will be indicted on a single count of distributing adulterated, misbranded and uninspected meat. The filing says the U.S. Attorney’s Office anticipates that Singleton will plead guilty and cooperate with prosecution of the other Rancho defendants. The main indictment, which does not name Singleton as a defendant, refers to him only as “R.S.”

The indictment alleges that Amaral and R.S. directed employees to circumvent inspection procedures for cows that exhibited signs of epithelioma, including lumps and other abnormalities around the eyes, from mid-2012 until January 2014.

According to the indictment, Cabrera, the foreperson, swapped uninspected cows for cattle that had already passed inspection and were awaiting slaughter. Then employees slaughtered the cancerous cattle and deposited their heads in a gut bin, the indictment says. Employees then allegedly placed the heads from apparently healthy cattle next to the carcasses of the diseased cattle during the inspectors’ lunch breaks.

Employees are also said to have carved out “USDA Condemned” stamps from other carcasses. 

More than Canada would admit: Denmark says ‘serious errors’ in handling of Listeria outbreak with 12 dead, another 12 sick

Denmark’s food safety watchdog made “serious mistakes” in its handling of a listeria outbreak linked to the death of 12 people, the country’s government has said.

ITALY-G8-G5-AGRICULTURE-FARMFood minister, Dan Jørgensen, has blasted the food authorities, Fødevarestyrelsen, over its handling of the Listeria outbreak that has claimed the lives of 12 people in Denmark over the past year.

A Fødevarestyrelsen report has showed there were serious errors in its handling of the case and concluded that it should have carried out its investigation into the source of the outbreak, Jørn A Rullepølser, more quickly and effectively.

“When it is proved there is a direct connection between the food products and deaths, the authorities should immediately launch a thorough investigation of the specific company,” Jørgensen said in a press release. “That hasn’t happened quickly enough, which is lamentable.”

Goats killed by Listeria in Ohio, family says city water system to blame

A grandmother in Crooksville said two of her grandson’s prized goats were killed by Listeria and she blames the city’s water system for it.

listeria.goatKim Burkhart said her veterinarian told her the goats came down with the disease from contaminated soil. There’s a Crooksville pump station on the edge of her property. She said the soil samples showed high levels of E coli that she said is coming from a leak at the pump station.

“We hear story upon story upon story and we’re tired of stories,” Burkhart said. “All we want is, if it’s (the city’s) situation, we want it fixed.”

Her grandson was raising the goats as part of a 4H project. The boy had hoped to show one of the goats at the Perry County Fair. “When he actually saw they had died, it was devastating to him,” she said. “We didn’t know what to say to him. We all cried.”

Seattle restaurants may finally get restaurant grading system

It’s deeply weird or deeply hypocritical that Seattle, self-proclaimed home to many things food, doesn’t have a decent restaurant inspection disclosure system.

restaurant.food.crap.09We’ve tried to make as much information available as possible,” says Becky Elias, Manager of Food Protection for Public Health – Seattle & King County. “As a consumer, you could look up an individual restaurant and see the entirety of all of their inspections, and see how they’ve done. We did that because we wanted it to be as transparent as possible.”

But two-time E. coli victim Sarah Schacht says the system is antiquated and overly complicated, making it difficult to quickly determine how a restaurant is actually doing.

She launched a petition on Change.org earlier this year calling for the county to mandate publicly posted restaurant inspection scores. She says other cities such as Los Angeles, San Francisco and New York have seen significant reductions in food-related illnesses since restaurants began posting A, B, C, or F grades in their front window.

“We saw, in Toronto, a 30 percent reduction of total foodborne illnesses when they started a public scoring system for restaurants,” Schaht says.

“We have heard that message loud and clear that that’s something people are wanting,” Elias responds. “So we’re now actively engaging in the process.”

The health department has formed several committees made up of restaurants, health officials and others to come up with new policies for presenting food inspection results.

Elias says they’ll look at findings from other cities, and while they might not adopt a letter grade, they are committed to some public display that quickly informs customers how a restaurant fared.

restaurant-letter-grade“I think that we’re really excited about working towards something that meets the need of improving food safety, making something that is easier for people to understand, and also designing something that is equitable for the incredibly diverse array of food businesses that we have here in King County,” says Elias.

I’m glad you’re excited, with your public service salary, but you haven’t done anything. Toronto did it 12 years ago.

Here’s some researxh to get you more excited.

Can I have your salary and benefits?

Filion, K. and Powell, D.A. 2009.

The use of restaurant inspection disclosure systems as a means of communicating food safety information.

Journal of Foodservice 20: 287-297.

Abstract

The World Health Organization estimates that up to 30% of individuals in developed countries become ill from food or water each year. Up to 70% of these illnesses are estimated to be linked to food prepared at foodservice establishments. Consumer confidence in the safety of food prepared in restaurants is fragile, varying significantly from year to year, with many consumers attributing foodborne illness to foodservice. One of the key drivers of restaurant choice is consumer perception of the hygiene of a restaurant. Restaurant hygiene information is something consumers desire, and when available, may use to make dining decisions.

 

Filion, K. and Powell, D.A. 2011. Designing a national restaurant inspection disclosure system for New Zealand. Journal of Food Protection 74(11): 1869-1874
.

The World Health Organization estimates that up to 30% of individuals in developed countries become ill from contaminated food or water each year, and up to 70% of these illnesses are estimated to be linked to food service facilities. The aim of restaurant inspections is to reduce foodborne outbreaks and enhance consumer confidence in food service. Inspection disclosure systems have been developed as tools for consumers and incentives for food service operators. Disclosure systems are common in developed countries but are inconsistently used, possibly because previous research has not determined the best format for disclosing inspection results. This study was conducted to develop a consistent, compelling, and trusted inspection disclosure system for New Zealand. Existing international and national disclosure systems were evaluated. Two cards, a letter grade (A, B, C, or F) and a gauge (speedometer style), were designed to represent a restaurant’s inspection result and were provided to 371 premises in six districts for 3 months. Operators (n = 269) and consumers (n = 991) were interviewed to determine which card design best communicated inspection results. Less than half of the consumers noticed cards before entering the premises; these data indicated that the letter attracted more initial attention (78%) than the gauge (45%). Fifty-eight percent (38) of the operators with the gauge preferred the letter; and 79% (47) of the operators with letter preferred the letter. Eighty-eight percent (133) of the consumers in gauge districts preferred the letter, and 72% (161) of those in letter districts preferring the letter. Based on these data, the letter method was recommended for a national disclosure system for New Zealand.

Fail: eating grass-fed beef cannot help avoid E. coli infection

I’m getting to old for this shit – cow shit, that is.

HappyCow[1]Lisa Egan writes in Nutritional Anarchy, whatever that  is the commercial meat industry’s practice of keeping cattle in feedlots and feeding them grain that is responsible for the heightened prevalence of deadly E. coli O157:H7 bacteria. When cattle are grain-fed, their intestinal tracts become far more acidic, which favors the growth of pathogenic E. coli bacteria that can kill people who eat undercooked hamburger.

The author cites a 1998 study that has been completely discredited.

Since September 1998, there has been conflicting information on the effect of diet on E. coli shedding from cattle. The conflict arises in part from the effect of diet on the ability of E. coli to develop acid resistance. … Diez-Gonzalez et. al demonstrated that feeding a high-grain diet to cattle results in an acidic environment in the colon. Because the animals incompletely digested the starch in grains, some starch was able to reach the colon where it fermented, producing fermentation acids. The researchers believe an acidic environment selects for or induces acid resistance among the Escherichia coli population. … Diez-Gonzalez et al. concluded that if cattle were given hay for a brief period (five days) immediately before slaughter, the risk of foodborne E. coli infection would be significantly reduced because the acidity in the colon is greatly reduced. “Our studies indicate that cattle could be given hay for a brief period immediately before slaughter to significantly reduce the risk of food-borne E. coli infection.”

The Science article received mainstream media attention, and was covered by the Associated Press and The New York Times, as well as scientific releases and reports. In the Irish Times, it was cited as the basis for concluding that because Irish cattle are fed a grass-based diet rather than grain, Ireland has a low incidence of E. coli O157:H7. Hancock et al. contend that this conclusion is unsupported or contradicted by several lines of evidence. The E. coli that contaminate beef typically originate from the hide, the hooves, or the equipment used in slaughter and processing rather than directly from the colon, and likely replicate in environments unlike the colon. Therefore, the induced acid resistance of E. coli contaminating beef is likely to be unrelated to the pH of its ancestral colonic environment. The E. coli O157:H7 bacterium uses several mechanisms to survive acid environments, some of which are innate and are not influenced by environment . Although acid resistance is likely a factor in an infective dose, induced acid resistance has not been shown to be a factor in E. coli O157:H7 infectivity by experimental (dose-inoculation) or observational (epidemiological) data . Therefore, acid resistance induced by exposure to weak acid may not influence the virulence of this pathogen.

Published data on E. coli O157:H7 tends to contradict or does not support the effects of the dietary change proposed by Diez-Gonzalez et al. In a recent study on three different grain diets (85% cracked corn, 15% whole cottonseed and 70% barley, or 85% barley), the fecal pH of the animals fed the corn diet was significantly lower (P < 0.05) than the fecal pH of the animals fed the cottonseed and barley and barley diets, likely resulting in a less suitable environment for E. coli O157:H7 in the hindgut of the corn fed animals (2000, Buchko et al). In the Journal of Food Protection, researchers concluded that changing from grain to a high roughage diet did not produce a change in the E. coli concentration that was large enough to deliver a drastic improvement in beef carcass hygiene. Sheep experiencing an abrupt diet change have higher concentrations and increased shedding of fecal E. coli O157:H7 for longer periods than sheep fed a consistent high-grain diet. Another study compared the duration of shedding E. coli O157:H7 isolates by hay-fed and grain-fed steers experimentally inoculated with E. coli O157:H7 as well as the acid resistance of the bacteria. The hay-fed animals shed E. coli O157:H7 longer than the grain-fed animals, and irrespective of diet, these bacteria were equally acid resistant.

cow.poop2These results suggest that the proposed dietary change would actually increase contamination with E. coli O157:H7. Also, the 1,000-fold reductions in total fecal E. coli demonstrated by Diez-Gonzales et al. are far greater than those recorded in cattle experiencing similar ration changes . Finally, extensive surveys show that grain-fed feedlot cattle have no higher E. coli O157:H7 infection prevalence than similarly aged dairy cattle fed forage (hay) diets. Abrupt feed change immediately before slaughter could have unexpected deleterious effects. The proposed diet change has the potential to increase the risk of bovine salmonella infections, a potential source of food poisoning. The dietary change results in sharply reduced volatile fatty acid concentrations in the large intestine as well as changes in the bacteria, allowing for colonization of Salmonella.

Mike Osterholm, director of the Center for Infectious Disease Research and Policy and professor in the School of Public Health at the University of Minnesota wrote a cleaner critique in 2007 in the Minneapolis-St. Paul Star Tribune:

“Russo cited conclusions from a 1998 study from Cornell University that cattle fed a diet of grass, not grain, had very few E. coli, and that those bacteria that survived in the cattle feces would not survive in the human when eaten in undercooked meat, particularly hamburger. This statement is based on a study of only three cows rotated on different diets and for which the researchers did not even test for E. coli O157:H7. Unfortunately, the authors extrapolated these incredibly sparse results to the entire cattle industry. The Cornell study is uncorroborated in numerous published scientific papers from renowned research groups around the world. Finally, work conducted by the Minnesota Department of Health as part of a national study on foodborne disease recently showed that eating red meat from local farms was a significant risk factor for E. coli infection. …

And as my colleague David Renter wrote in Sept. 2006,

“Cattle raised on diets of ‘grass, hay and other fibrous forage’ do contain E. coli O157:H7 bacteria in their feces as do other animals including deer, sheep, goats, bison, opossum, raccoons, birds, and many others.

“Cattle diet can affect levels of  E. coli O157:H7, but this is a complex issue that has been and continues to be studied by many scientists.  To suggest switching cattle from grain to forage based on a small piece of the scientific evidence is inappropriate and irresponsible.  Several pieces of evidence suggest that such a change would not eliminate and may even increase E. coli O157:H7 in cattle.

“The current spinach outbreak may be traced back to cattle manure, but there are many other potential sources.  Simplistically attacking one facet of livestock production may be politically expedient, but instead provides a false sense of security and ignores the biological realities of E. coli O157:H7. In 1999, for example, 90 children were felled by E. coli O157:H7 at a fair in London, Ont. The source? A goat at a petting zoo, hardly an intensively farmed animal.”

Last time I looked, E. coli O157:H7 and about 60 other shiga-producing E. coli that are known to cause illness in humans are present in about 10 per cent of all ruminants – cattle, sheep, goats, deer, elk -– and I can point to outbreaks associated with all of those species. Pigs, chickens, humans, birds and rodents have all been shown to be carriers of shiga-producing E. coli but the resevoir appears to be ruminants.

That Cornell paper can be found here:

Diez-Gonzalez, Francisco, Todd R. Callaway, Menas G. Kizoulis, James B. Russell. Grain Feeding and the Dissemination of Acid-Resistance Escherichia coli from Cattle. Science: Sept 11, 1998. Volume 281, Number 5383, pages 1666-1668.

91 now sick from Norovirus suspected at UK pirate ship lake

A Norovirus outbreak saw a Devon holiday park temporarily close.

BTSKeithandJohnnyAWESeveral holidaymakers fell ill with suspected norovirus in the last fortnight. 

River Dart Country Park, in Ashburton, said that 91 cases of sickness and diarrhea had been reported by visitors to the outdoor activity resort since Friday, August 8.

Following an announcement that water tests were taking place, the park manager closed the site to allow “further investigation”. 

It was due to open today.

On Tuesday, managing director Mark Simpson issued a statement on the park’s website announcing he had made a decision to close the site after a discussion with the Environmental Health Agency and PHE.

Keeping lunch safe: back to school edition

With Jack starting kindergarten a couple of weeks ago (we have year-round school in Raleigh), our luxurious summer schedule came to an end. No biggie for me as I’m in the habit of a 5:30 am wake up (it’s quiet and it gives me an excuse for going to bed at 9pm) but it does mean packing a lunch everyday that will stand-up to no refrigeration.

With traditional schools firing up their year in North Carolina this week and only a couple of weeks away from Labor Day the requisite back to school food safety coverage is firing up.Unknown-5

According to WJHG 7 in Tampa Bay, there are some things to think about when packing a lunch.

Food safety is vitally important. Freeze juice boxes (100% juice), small water bottles or small gel packs and place in the bag. The juice and water will keep other foods cool and will thaw by lunchtime. Use an insulated thermos for hot (140 or higher) or cold (40 or cooler) food. For best results rinse out a thermos with very hot water to heat it before adding hot items or rinse it out with ice water to chill the thermos before adding cold items.

Keeping food cold or hot slows bacterial growth and is essential for food safety.
o Harmful bacteria multiply rapidly in the ‘Danger Zone” – the temperature between 40 – 140F. 

Keep perishable foods refrigerated until time to leave home.

Use an insulated bag, if possible, rather than a paper bags. It is so much better for keeping food cold. 

Fortunately for us Jack’s love of individually packed shelf-stable hummus and apple sauce supplemented with peanut butter sandwiches, temperature isn’t much of a factor.

Russia bans Australian kangaroo meat due to E. coli (or non-tariff trade barrier)

The kangaroo meat trade to Russia was initially suspended back in 2008, and then reopened in November 2012.

skippyThe most recent ban was put in place in May this year, but Fiona Corke from the Australian Society for Kangaroos says this information was never made public.

“No politician has come forward and said anything, the kangaroo industry hasn’t come forward and said anything, and we think the public has a right to know.

“Kangaroo meat is marketed to them as being a healthy superfood, yet we have a country that doesn’t want to buy it any more because they’ve found excessive amounts of bacterial contamination.”

The managing director of Macro Meats, which was the sole supplier of kangaroo meat to Russia, says the company is working to reopen the kangaroo meat trade.

Ray Borda says Russia was using the wrong testing standards for kangaroo meat.

Kangaroo export markets generate demand for the meat, creating incentive for harvesters, who then help landholders control the vast kangaroo population in outback Australia.

Western Queensland kangaroo harvester Graham Mackney says harvesters were not formally notified of the ban.

“We all found out by word of mouth.”

He says another ban due to high levels of E.coli looks bad for the industry.

“If it was E.coli again we really have to start looking at where and why this problem keeps happening and put prevention measures in place.”