17 reported sick after eating at Illinois golf course

I don’t golf anymore.

grumpy.goatI like my wife.

But in August, 2005, during the halfway point of the annual International Association for Food Protection golf tournament in Baltimore, a burley, 50-ish goateed he-man requested his hamburger be cooked, “Bloody … with cheese.”

His sidekick piped up, “Me too.”

Our golf foursome of food safety types were alternately alarmed and amazed, but ultimately resigned to conclude that much of what passes for food safety advice falls on deaf ears.

I asked the kid flipping burgers if he had a meat thermometer.

He replied, snickering, “Yeah, this is a pretty high-tech operation.”

The young woman taking orders glanced about, and then confided that she didn’t think there was a meat thermometer anywhere in the kitchen; this, at a fancy golf course catering to weddings and other swanky functions along with grunts on the golf course.

The Kane County Health Department is investigating reports of possible food poisoning among people who ate at the Grumpy Goat Tavern in Elgin, officials said.

Seventeen people have reported suffering from “gastrointestinal disorders” after eating Saturday at the restaurant, located in The Highlands of Elgin golf course, as part of a golf outing, health department spokesman Tom Schlueter said. None were hospitalized “to my knowledge,” he said.

“There’s a possible food-borne outbreak in Elgin and we’re doing what we call ‘food investigation,’ and finding out what people ate and when they ate, and if they feel sick or if they’re not feeling sick,” he said.

Grumpy Goat Tavern owner Greg Shannon said he was aware of the situation. “The health department is handling everything — both the city’s health department and the Kane County Health Department,” he said. Shannon also owns Elgin Public House in downtown Elgin.

Sandwich scandal? Temperature, ingredients sometimes questionable

Though it is nice to know your lunchtime sandwich is handmade, how many hands is that, exactly? Thousands of readers reacted with horror to some startling photographs in yesterday’s Mail taken inside a Nottinghamshire factory that supplies millions of sandwiches to British supermarkets.

sandwich.barehandThey were outraged that workers — an army of them — were smushing and smearing gloopy fillings with their bare hands onto slices of bread, chugging by on a conveyor belt.

Fingers, thumbs and palms all over your lunch, not least the factory workers’ sleeves taking a dip in what looked like chicken mayo. Yuck. No polythene food-safe gloves, no tongs, just the odd sauce-squirter shooting a blob of salad cream smack into the centre of the bread. Bullseye!

Factory owner Greencore, which supplies High Street giants such as Waitrose, Marks & Spencer, Sainsbury’s, Co-op, Asda and Boots, insists that the use of bare hands is, in fact, a hygienic and safe way to produce the nation’s favourite lunchtime convenience food. We have to take Greencore’s word for it that strict hand-washing regimes are a better deterrent against cross-contamination.

But never mind the bare hands; what about the rubbish inside some sarnies?

The UK sandwich market is worth approximately £3.6 billion, with consumers buying an estimated two billion sandwiches each year. A survey last month of 2,000 office workers revealed that the nation’s favourite lunch was the humble cheese sandwich, with 32 per cent of those surveyed saying they’d had one for lunch every day for the past four-and-a-half years.

I do not know about the quality of the Nottingham factory’s ingredients, which may not be beset by the problems elsewhere. Greencore prides itself on operating to the highest standards. But I do know that we should be wary of convenience foods — and many of the shop sarnies found on the High Street today. We are often talking about food that is downright fake and overpriced.

sandwich.barehand2For example so-called meats that are actually a glued-together mush of pulped pork, starch, sometimes proteins made with animal blood plasma, water, (lots of) salt, preservatives and flavourings.

Meanwhile, the Belgian Federal Agency for the Safety of the Food Chain was asked if it was acceptable from a food safety point of view to deviate from the legal storage temperature of sandwiches, in particular 13 °C instead of 4 °C or 7 °C, depending on the type of garnish and if an upward temperature fluctuation of 3 °C, measurement uncertainty included, can still be accepted.  

The Scientific Committee estimates that the additional food safety risk arising as a result of the storage of sandwiches at 13 °C during 3 hours is low if the sandwiches are kept thereafter maximum during 4 hours at ambient temperature. This risk estimation does not apply for sandwiches with fresh meat and meat preparations (including carpaccio, minced meat, steak tartare) or fresh fish which are inherently more susceptible to microbiological contamination and putrefaction or growth of pathogens under non-refrigerated storage conditions. For an upward temperature fluctuation of 3 °C, measurement uncertainty included, the food safety risk is estimated as low if it only occurs when this is necessary for the handling during the preparation, transport, storage, display and delivery of foods.

Multistate outbreak of listeriosis linked to Blue Bell Creameries products

After that Jimmy John’s sandwich, how about some Blue Bell ice cream?

waynes-world-monkeys-might-fly-out1Not.

The U.S. Centers for Disease Control and Prevention has issued its final report, noting:

  • A total of 10 people with listeriosis related to this outbreak were reported from 4 states: Arizona (1), Kansas (5), Oklahoma (1), and Texas (3). All ill people were hospitalized. Three deaths were reported from Kansas (3).
  • On April 20, 2015, Blue Bell Creameries voluntarily recalledall of its products currently on the market made at all of its facilities, including ice cream, frozen yogurt, sherbet, and frozen snacks.
  • Consumers should not eat any recalled Blue Bell brand products, and institutions and retailers should not serve or sell them. This is especially important for people at higher risk for listeriosis. These products are frozen, so consumers, institutions, and retailers should check their freezers.
  • On May 7, 2015, the U.S. Food and Drug Administration released the findings from recent inspections at the Blue Bell production facilities in Brenham, Texas[PDF – 4 pages]Broken Arrow, Oklahoma[PDF – 11 pages]; and Sylacauga, Alabama[PDF – 5 pages].

People are sick: Jimmy Johns in Utah closed for health violations

As Fox News is to Jon Stewart, Jimmy John’s is to food safety types: the gift that keeps on giving.

jimmy.john's.sproutsA Jimmy Johns – they make those sandwiches popular on university campuses — in Utah was, according to health types, closed for an imminent health hazard in response to a foodborne illnesses outbreak and ongoing illness connected to this establishment and the following violations:

  1. Food employees worked in the establishment while ill.
  2. An employee did not wash hands when changing gloves.
  3. An employee removed a loaf of bread from the pan with bare hands.
  4. Fresh bread is being stored on the dirty dish drain board.
  5. An employee beverage is stored next to establishment food in the walk in cooler.
  6. The vent in the walk in cooler is not properly repaired to be easily cleanable.
  7. Fan covers in the walk-in cooler are dirty.
  8. Food equipment is not being air dried before being nested together.
  9. The mop is not hung to air dry.
  10. Bread sticks in the walk in freezer are not covered to prevent contamination.
  11. Food is being stored on the floor.

E. coli at SC day care: delays and violations

The Learning Vine on Overland Drive in Greenwood, S.C. at the center of an E. coli outbreak, has multiple health and safety violations pending correction, according to the state Department of Social Services’ Division of Early Care and Education.

e.coli.myles.mayfieldLearning Vine shut down voluntarily on Monday following the death of 2-year-old Myles Mayfield, of Greenwood, who died from hemolytic uremic syndrome, a condition associated with E. coli that can lead to kidney failure.

Since Myles’ death, the South Carolina Department of Health and Environmental Control confirmed that there are eight cases of E. coli connected to Learning Vine. 

The violation areas pending correction are:

– Diaper changing, 24-month and younger room (x2)

– Improper medication practices

– Sanitation violations (x3)

– Facility restrooms (x2)

– Feeding, 24-month and younger room

– Food safety/menu

– Posted information

– Other health and safety

Meanwhile, the South Carolina Department of Health and Environmental Control (DHEC) officials released a timeline Wednesday of their investigation.
DHEC says it’s been investigating fatal Greenwood E.coli cluster since May, but a nearly three-week gap between the reported diagnoses meant it took a month before they linked the outbreak to a daycare center.<

Beware the raw pet food: Incidence of Salmonella in pets

How often does pet food make a cat or dog sick? Does your pet carry the harmful bacteria without showing any symptoms and, if so, for how long? And what precautions can you take to keep you and your family safe?

sadie.dog.powellThese are some of the questions now under study by the Veterinary Laboratory Investigation and Response Network (Vet-LIRN) at the Food and Drug Administration (FDA). “Ultimately, we’re hoping to learn ways FDA can help minimize the incidence of foodborne illness associated with pet foods and treats,” says Renate Reimschuessel, V.M.D. (Doctor of Veterinary Medicine), Ph.D., research biologist and head of Vet-LIRN.

Under Vet-LIRN, FDA partners with 34 state and university veterinary laboratories across the country to investigate concerns reported by pet owners. Over the past two years, 11 of the Vet-LIRN labs have focused specifically on Salmonella infections in dogs and cats.

Researchers are currently analyzing the data, and hope to publish study results no later than 2016. Careful attention is given to quality control. While final results aren’t available at this time, Reimschuessel says that the news for pet owners appears to be pretty good. Out of 2,965 animals tested, researchers have found fewer than 100 actually testing positive for the bacteria.

“Pet owners should know, though, that almost half of the dogs that tested positive for Salmonella showed no symptoms,” Reimschuessel says. A dog may show no signs of illness yet still carry the bacteria, which can potentially spread to other members of the household. Moreover, for young children, older adults, or individuals with compromised immune systems, bacterial illnesses can be especially serious.

Additionally, the dogs that tested positive for Salmonella were more likely to have eaten raw pet food, study results show. Scientific literature indicates that raw foods are more likely than processed foods to test positive for Salmonella and Listeria monocytogenes, another common cause of disease, in part because they have not gone through a “kill step,” such as heat processing.

The FDA routinely conducts sampling assignments to inform its research and surveillance activities, and this year will sample raw pet food products. The results from sampling assignments help the agency target its resources to areas that have the greatest impact on public health.

Handwashing is never enough: 50 now sick with Salmonella from chicks in Canada

Sure, Jennifer Aniston and Justin Theroux own 17 chickens, but they’re celebrities, so their poop don’t stink: The Public Health Agency of Canada says contact with live poultry can be a source of Salmonella, even if a bird appears healthy and clean.

jen-aniston-800You can get Salmonella from a bird, its droppings or from environments where birds have been. Proper hand washing is the key to protecting yourself from illness. Always wash your hands immediately after handling birds, cleaning up after them or being in an area where birds have been.

Currently there are 50 cases of Salmonella illness in four provinces: Alberta (27), British Columbia (18), Saskatchewan (4), and Manitoba (1). Eight people have been hospitalized, and all individuals have recovered or are recovering. Individuals became sick between April 5 and May 30, 2015, and all have reported contact with live baby poultry including chicks, turkey poults and goslings. Many individuals reported purchasing live poultry by mail-order or from feed supply storefronts for backyard flocks to produce eggs or meat. Poultry varieties commonly reported include: broiler chickens (meat birds) such as Cornish Giants; egg layers; dual-purpose breeds and turkeys. Traceback investigations have indicated that these birds were ordered from Miller Hatcheries and Rochester Hatchery catalogues. Both catalogues ship birds supplied by a single hatchery in Alberta.

1 dead, 252 sickened in 2011: Beware the dirt: E coli O157 outbreak on UK leeks and potatoes

I was up early, as I do, and did a long interview with Good Housekeeping that will appear … I don’t know when.

leek_washThe hygiene hypothesis came up, or that a little bit of dirt is good for you.

I said we humans aren’t smart enough yet to know when dirt is good or bad.

The writer was in New York City, and said her friends were all going on about the microbiome – our stomach bacteria.

I said if Michael Pollan endorses the idea, I’m immediately suspect.

So after almost five years since UK health types, out of no where, announced there were 252 people sick with E. coli O157 , apparently linked to poorly washed leeks and potatoes – blame the consumer – UK types finally published a paper about the outbreak.

 Between December 2010 and July 2011, 252 cases of STEC O157 PT8 stx1 + 2 infection were reported in England, Scotland and Wales. This was the largest outbreak of STEC reported in England and the second largest in the UK to date. Eighty cases were hospitalized, with two cases of hemolytic uremic syndrome and one death reported.

Routine investigative data were used to generate a hypothesis but the subsequent case-control study was inconclusive. A second, more detailed, hypothesis generation exercise identified consumption or handling of vegetables as a potential mode of transmission. A second case-control study demonstrated that cases were more likely than controls to live in households whose members handled or prepared leeks bought unwrapped [odds ratio (OR) 40, 95% confidence interval (CI) 2·08-769·4], and potatoes bought in sacks (OR 13·13, 95% CI 1·19-145·3). This appears to be the first outbreak of STEC O157 infection linked to the handling of leeks.

 A large Great Britain-wide outbreak of STEC O157 phage type 8 linked to handling of raw leeks and potatoes

Epidemiology and Infection

Launders, M. E. Locking, M. Hanson, G. Willshaw, A. Charlett, R. Salmon, J. Cowden and G. K. Adak

http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9755696&fulltextType=RA&fileId=S0950268815001016

Charlie Sheen hospitalized after eating bad clams

Armchair epidemiologist and former decent actor, Charlie Sheen, spent a portion of Monday night in a Los Angeles emergency room with asevere case of food poisoning,” says his publicist Jeff Ballard.

charlie-sheen-02-800“It was clams, bad clams,” adds Ballard. “Nothing too exciting.”

Given Sheen’s penchant for porn stars, bad clams could mean anything.

The former Two And A Half Men star had dinner [a seafood pasta dish] delivered to his house last night and started “feeling sick” a few hours later.

“Just to be on the safe side, he went to the hospital,” says the rep. “They checked him out, hydrated him and sent him on his way. He was back home in bed 90 minutes later.”

US CDC says antibiotic resistance in foodborne germs is an ongoing threat

It’s nice that the scientists and PR-types at CDC, who for decades insisted that foodborne illness be publicly attributed to bacteria or viruses or parasites, out of scientific accuracy, are now referring to them as germs.

Family guy barfPeople really care about what is going to make them barf, not what it’s called.

Antibiotic resistance in foodborne germs, an ongoing public health threat, continued to show both positive and challenging trends in 2013, according to human illness data posted online today by the Centers for Disease Control and Prevention (CDC). Efforts are underway to curb the injudicious use of antibiotics, but each year, antibiotic-resistant infections from foodborne germs cause an estimated 440,000 illnesses in the United States.

The National Antimicrobial Resistance Monitoring System (NARMS) tracks changes in the antibiotic resistance of six types of common foodborne germs found in ill people, retail meats, and food animals. In 2013, NARMS tested more than 5,000 germs from sick people for antibiotic resistance and compared them with previous years’ data to assess changes in resistance patterns.

Among the findings in the new NARMS report on human illnesses:

The good news is that multidrug resistance (resistance to 3 or more classes of antibiotics) in Salmonella overall stayed steady, remaining at 10 percent of infections.

However, resistance in some types of Salmonella is increasing. For example, multidrug resistance in a common Salmonella serotype called I4,[5],12:i:- was 46 percent, more than double the rate from two years before. In the United States, resistance in this serotype to four drugs (ampicillin, streptomycin, sulfonamides, and tetracycline) rose from 18 percent in 2011 to 46 percent in 2013. Human illness with this serotype has been linked to animal exposure and consumption of pork or beef, including meats purchased from live animal markets.

NARMS also tests Campylobacter, another germ that is transmitted by food. One in four Campylobacter samples from sick people are still resistant to quinolones like ciprofloxacin.

Most Salmonella and Campylobacter infections cause diarrheal illness that resolves within a week without antibiotics. These germs can also cause infection of the bloodstream and other sites. In more serious infections and when germs are resistant, antibiotics may be ineffective, increasing the chance of a severe illness.

The 2013 NARMS Annual Human Isolates Report is now available at http://www.cdc.gov/narms/reports/index.html.