Powell and Chipotle: My job is to make it microbiologically safe. Then you can add the adjectives

Samantha Allen of the Daily Beast chatted with me on the phone this morning (my time) and she got it pretty much right so I’m not going to change anything.

chipotle_ad_2Except a few superfluous notes.

Sorenne wiped out on her scooter yesterday as we came home from school.

The worst thing I could have said was, I told you so.

I didn’t.

I asked her to pull herself together, and we’d go inside and chill (it’s summer here, quite hot).

As Samantha writes, Chipotle’s multistate E. coli nightmare continues, and food safety advocates say the outbreak was destined to happen.

Dr. Douglas Powell saw the Chipotle E. coli outbreak coming eight years ago.

In 2007, Powell, a former Kansas State University food safety professor who now publishes the popular and appetizingly-named Barfblog, was turned off by the growing chain’s emphasis on “naturally-raised meats” and “organic” ingredients.

“I’m never eating there again,” he declared in a Barfblog post.

With the Centers for Disease Control and Prevention (CDC) now reporting 52 cases of E. coli-026 infections, including 20 hospitalizations, linked to Chipotle restaurants across nine states, Powell may have dodged a bullet—or, at least, some projectile vomit—by swearing off the foil-wrapped burritos. In fact, he all but predicted this outcome.

“Kudos to Chipotle for capitalizing on hucksterism,” he explained at the time, citing what he perceived as the chain’s overuse of buzzwords. “But given the ubiquitous outbreaks of E. coli and Salmonella on spinach, lettuce, and tomatoes, I choose to purchase food from those who value and promote microbiologically safe food.”

In 2008, when Chipotle announced that it would purchase more locally-raised produce, Powell cautioned again, “I’m all for local food, as long as someone is checking to ensure the microbiological safety of fresh produce. Local does not automatically mean safe.”

As 2016 approaches, the chips are down for Chipotle. The company’s stock has taken a 25 percent nosedive over the last two months, as reports of the rare strain of E. coli continue to emerge.

In early November, the CDC and FDA investigated reports of infection linked to Chipotle restaurants in Washington and Oregon. More cases from the same window continued to be reported throughout the month and, on December 4th, the CDC updated the full list to include reports of illness in California, Illinois, Maryland, Minnesota, Ohio, New York, and Pennsylvania.

Earlier this week, in what appears to be an unrelated incident, 80 (140) Boston College students, including several members of the men’s basketball team, fell ill after eating at Chipotle. By Wednesday, the count rose to 120 and the presence of norovirus, which causes vomiting and diarrhea, was confirmed. It’s not E. coli but it is bad timing.

doug.hockey.2.sep.15In an attempt to rescue his company’s sagging public reputation, Chipotle founder and co-CEO Steve Ells is promising Wall Street that change is coming.

“We have this desire to be the safest place to eat,” he told the Bernstein Consumer Summit on Tuesday. “We’re serving extraordinary quality ingredients, and that’s been something in place for many, many years now, and we’re the best in the world at that. We’re going to be the best in the world at food safety, and we’re taking this very, very seriously.”

As Nation’s Restaurant News reported, Ells announced at the summit that Chipotle will now be preparing tomatoes, lettuce, and cilantro in a commissary and using a “sanitary kill step” to reduce the risk of foodborne illness. The company has also announced an improved food safety program that includes more rigorous testing of fresh produce and better internal training for employees.

But Powell believes that Ells’ commitment to “quality ingredients” shouldn’t have preceded Chipotle’s heightened focus on food safety.

“The program’s nice,” he told The Daily Beast, wryly adding, “I wonder why they didn’t do it before.”

In fact, two of the ingredients that Chipotle will now be preparing in a commissary were ones that Powell highlighted back in 2007 as risk factors for foodborne illness at the fast casual chain: lettuce and tomatoes.

Powell said that he’d leave the final conclusions to epidemiological experts on the scene, but did note which ingredients are most likely to present an E. coli risk: “Besides lettuce and tomatoes, it can often be things like herbs, like cilantro or parsley. I don’t know if they’re used in the burritos or not because I don’t really go there.” (Chipotle’s ingredients list does not include parsley but cilantro can be found in the restaurant’s salsa, rice, and guacamole.)

Another possible warning sign came in September of this year, when Minnesota health officials determined that some of the restaurant’s tomatoes were the cause of 64 Salmonella infections in the state this summer. Nine people were hospitalized and the company switched suppliers.

On Wednesday’s edition of Barfblog, Powell’s long-simmering beef with Chipotle boiled over into a scalding “I told you so” post, in which he reviewed his long history of criticism and chastised the chain for its handling of the current crisis.

“This is a company that has focused on sound bites rather than microbial food safety,” he alleged in our interview.

When asked what steps the restaurant had taken to ensure the microbial safety of its ingredients prior to the newly-announced program, Chipotle spokesperson Chris Arnold told The Daily Beast, “That varies based on individual ingredients, though all of our practices have always been very much within industry norms. It’s important to note that restaurant practices are regulated by health codes, and restaurants are routinely inspected by health officials. Everything we have done in our supply chain and in our restaurants has been within industry norms.”

Arnold added, “In addition to testing conducting by health officials, we have tested thousands of samples of food and surface areas in restaurants that have been linked to this, and none of those tests have shown any E. coli.”

It is a distinct possibility that an offending ingredient in the current E. coli cases will never be identified. The company has publicly stated that “no ingredients that are likely to have been connected to this incident remain in Chipotle’s restaurants or in its supply system.”

And CDC spokesperson Tom Skinner told The Daily Beast, “We have not pinpointed a specific food source. And the fact is we may never be able to identify or pinpoint a specific food source from the restaurant.”

With no answers in sight, Chipotle is left to battle for its customers. The company is predicting an eight to 11 percent drop in sales for the fourth-quarter and cancelling projections of a sales increase in 2016. Chipotle told AdAge that only 57 percent of its customers were aware of the E. coli issue, as if that were heartening news. But in its response, the company has also been pushing back on the media and even the CDC—both risky moves in the midst of a PR crisis.

sorenne.hockey.puck.nov.15As Fortune reported, Chief Financial Officer Jack Hartung complained about “sensational headlines” at an investor conference. He also claimed that the CDC is partially responsible for Chipotle’s current woes: “It’s been fueled by the sort of unusual, even unorthodox way the CDC has chosen to announce cases related to the original outbreak in the Northwest. They’ve done that a couple of times now and they’re not announcing new cases—they’re simply announcing new reporting to them from local health agencies.”

It is true that the CDC has posted at least seven updates on the situation but that is not a break from convention so much as it is a reflection of the way an E. coli outbreak works. So far, the earliest infection date the CDC has on record is October 19th and the latest is November 14th but, as the agency notes, illnesses after November 11th “might not yet be reported due to the time [two to three weeks] it takes between when a person becomes ill and when the illness is reported.”  This slow trickle of information is typical for a multistate foodborne disease outbreak.

The CDC told The Daily Beast directly that there is nothing unusual about their handling of the Chipotle-related outbreak. Said Skinner, “We are investigating this outbreak just like any other foodborne disease outbreak that we investigate and we’re posting our updates the same way we post all of our updates. We’re not doing anything new, or out of the ordinary, or unusual here investigating this outbreak and providing updated information about [it.]”

When asked whether Chipotle stood by Hartung’s comments, Arnold said he was unsure of their specific context, adding, “We have been working closely with CDC throughout this incident and continue to do so. While we might not always agree with their decisions regarding updates, we fully understand their rationale and the charge they have to ensure public health.”

In the broader context of foodborne illness in the U.S., the 52 cases at Chipotle are akin to a single grain of rice in a tub. As Chipotle was sure to highlight in its latest press release, 48 million Americans come down with a foodborne illness every year, according to CDC estimates, including 265,000 cases of E. coli. More worryingly, 128,000 people a year are hospitalized due to foodborne illness and 3,000 people die. Fifty-two cases is an infinitesimal fraction of these numbers.

But as was the case with the Blue Bell Listeria outbreak or the Costco Rotisserie Chicken Salad E. coli investigation, multistate incidents tied to a specific brand can quickly erode customer trust.

“Making your customers sick is really bad for business,” Powell told The Daily Beast, “and it’s just not a nice thing to do.”

Going forward, Powell hopes that restaurants can learn from the Chipotle situation that food safety is just important to advertise as food quality.

“For any company, if you really want public trust you have to market food safety at retail,” he said. “If you go to retail, whether it’s a supermarket or a fast-food joint, you’re marketed in so many buzzwords except ‘microbiologically safe.’”

And despite his well-known aversion to Chipotle, Powell is fine with others dining there so long as they don’t read “local,” “fresh,” and “organic” as synonyms for “safe.”

“It’s not my job to make value judgments for other individuals,” he said. “My job is to make sure that it doesn’t make them barf. So above everything else, it has to be microbiologically safe. Then you can add the adjectives.”

More kids sick with E. coli in Kansas

When their eight-year-old son Xander developed an upset stomach and diarrhea one Friday night, Julie and George Wright had no reason to suspect anything other than a stomach bug.

e.coli.stec.kansasAfter all, with Xander being the youngest of six children, the Meriden, Kan. family had plenty of experience with minor illness. But that’s also why they knew it needed a closer look the next day, when Xander’s diarrhea became bloody.

They took Xander to urgent care, which sent him to Stormont-Vail’s emergency room. Tests confirmed a diagnosis that the family didn’t expect – Xander was infected with E. coli bacteria.

“We didn’t know where it could have come from,” George said. “It was scary because I knew it wasn’t good.”

Doctors began treatment, but, after a few days, the normally outgoing, rambunctious little boy got worse.

“He wouldn’t talk,” Julie said. “He just laid there.”

Doctors say the particular strain of E. coli Xander had contracted was producing toxins. After several days, it started attacking his red blood cells and shutting down his kidneys. Stormont loaded Xander on LifeStar for a flight to Children’s Mercy.

“I wanted to jump on that helicopter with him,” Julie said. “It was hard because then we had our other kids come in and tell him goodbye and they started crying.”

“I didn’t think I could cry as much as I did, but I did,” George said. “It was very scary.”

Unfortunately, Xander and his family aren’t alone. Shawnee County reports eight cases of shiga-toxin producing E. coli infection in 2015 in patients aged 19 or younger. The number is the highest in at least five years. Statewide, there’ve been 68 cases, up from 54 in 2014.

 

Fancy food ain’t safe food – Seattle edition

JoNel Aleccia of The Seattle Times writes that food vendors at the Russell Investments Center in Seattle were cleared by inspectors and allowed to reopen Wednesday, days after an outbreak of highly contagious norovirus sickened hundreds who worked in the high-rise building.

thebuildingOf 600 people who attended a catered event at the building Dec. 1, more than 200 people reported suffering symptoms of norovirus, which causes acute vomiting, diarrhea and gastrointestinal distress, officials with Public Health — Seattle & King County said.

Many more — perhaps hundreds — may actually have fallen ill but were not documented. After health officials had enough evidence to confirm norovirus as the culprit, they stopped tallying survey results, said James Apa, a spokesman for the agency.

“Not collecting more data on magnitude; no indication from building or clients of new outbreak or spread to other locations,” Apa said in an email.

The 42-story building at 1301 Second Ave. was cleaned top to bottom, with special attention to high-touch sites such as doorknobs and elevator buttons, health officials said.

The site houses several high-profile clients, including Zillow, Nordstrom and Marler Clark, the Seattle food-safety law firm.

 

Blessed are the cheesemakers, as lawmakers, question FDA standards for raw milk cheese

Many of Wisconsin’s federal lawmakers signed a letter to the U.S. Food and Drug Administration questioning recently finalized standards limiting the level of non-toxigenic E. coli allowed in raw milk cheese.

cheesemakersThese lawmakers and some producers are worried about how the stricter standard could affect cheese production.

Non-toxigenic E. coli is not a bacteria that causes illness but it’s measured to test the overall cleanliness of cheese.

Before a 2009 rewrite of the regulations, the FDA allowed up to 10,000 colony-forming units per gram. But now they’ll take disciplinary action if a product contains over 10 units of the bacteria in three out of five samples.

Licensed cheesemaker Marieke Penterman makes gouda from raw milk. She said unpasteurized cheese has to age longer to meet those standards.

“That’s going to have a tremendous (economic) impact for a lot of smaller cheese creameries like us that cannot afford to have so much cheese, aging cheese in our inventory,” she said.

Don’t eat poop – or cook it; Women’s Health edition

It seems like the food industry’s been getting into a lot of, well, sh*t lately.

dont.eat.poopBetween reports that all hamburger meat contains traces of poop to the poop-infested cilantro incident that made us rethink our guac obsession, you’d think that hazmat suits would be trending. Food production is a huge industry, so it’s (unfortunately) impossible for producers to avoid contamination 100 percent of the time—but don’t go on a germaphobe rampage just yet, say experts.

While the thought of stuffing your face with foods that are laced with poop bacteria is enough to make anyone gag, the odds of it happening are extremely low. There are uber-strict guidelines in place for the food industry called Good Manufacturing Practices (GMP), which outline acceptable and unacceptable practices within a food production setting, says Angela M. Shaw, Ph.D., assistant professor of food science and human nutrition at Iowa State University. If a food contains traces of fecal matter, it’s because of food-safety management issues within a particular company that isn’t following proper GMP.

Because the rules and regs are super-strict on every level, the icky cases of cross-contamination we hear about are usually linked to unforeseen circumstances—and can happen at any time during the production process.

Chipotle seen and heard: apologies, stock prices, recovery and another outlet shut

The saga of Chipotle’s food safety woes continued today. This morning, according to Business Insider, Chipotle CEO Steve Ells hit the Today Show to talk about one of their current outbreaks (the E. coli O26 one, not the norovirus one).

“This was a very unfortunate incident and I’m deeply sorry that this happened,” Ells said on NBC’s Today Show. “But the procedures we’re putting in place today are so above industry norms that we are going to be the safest place to eat.” Ells said it’s a “really tough time” for Chipotle.Chipotle_Brandon.jpeg

“We have closed our restaurants out of an abundance of caution and tested all the ingredients, surfaces — thousands and thousands of tests — and they call came back negative for E. coli,” Ells said.

A team of epidemiologists and food-safety experts has investigated the delivery, handling, cooking, and serving of all 64 of Chipotle’s ingredients, and developed better food-safety standards for the chain going forward.

“It has caused us to put in practices … that will put us 10 to 15 years ahead of industry norms and I believe this will be the safest restaurants to eat at,” Ells said.

I’m still not sure what this means. Or what it is that Chipotle plans to do that is so revolutionary, but since food safety isn’t a competitive issue; I’m sure they’ll share the details.

In related news, Chipotle’s stock rebounded with a five per cent bump following Ells pledge for better food safety.

James Surowiecki of the New Yorker compares Chipotle to Jack-in-the-Box which still carries stigma over 20 years after a devastating and tragic outbreak.

Chipotle can take solace in the knowledge that Jack in the Box did eventually recover, and indeed prospered. And Chipotle has advantages that Jack in the Box did not. Its reputation for quality before the crisis was stronger, which means that the reservoir of good will among customers is higher. It is also the market leader in the fast-casual category—a sector it essentially created—rather than an also-ran, as Jack in the Box was. Still, those advantages only go so far. There are now myriad good fast-casual alternatives in much of the country. Customer loyalty is no longer what it was—consumers are far more likely to abandon brands when they disappoint. And while Chipotle has said that it is introducing more stringent testing and reassessing its food-handling practices, its reliance on local suppliers means that the task of insuring the integrity of its supply chain will be harder than what Jack in the Box faced.

Oh, and according to Bloomberg, one of Chipotle’s Seattle outlets that was closed last month during the O26 investigation, and then reopened, was closed again today after an inspector found deficient handling practices including temperature control issues.

The public-health department for Seattle and King County closed the restaurant, which was located in the city’s South Lake Union neighborhood, according to a statement from the agency on Thursday.

In Seattle, an inspector found that food wasn’t being kept hot enough on a line that prepares takeout orders, said Chris Arnold, a spokesman for Chipotle Mexican Grill Inc. “We are looking into the cause of that and will certainly address it,” he said in an e-mail.

Don’t stand so close to me: Gastro events amongst US folks

I don’t like The Police, but I do like government surveillance systems that help us all know where people are barfing and why.

vomitAcute gastroenteritis (AGE) is a major cause of illness in the United States, with an estimated 179 million episodes annually. AGE outbreaks propagated through direct person-to-person contact, contaminated environmental surfaces, and unknown modes of transmission were not systematically captured at the national level before 2009 and thus were not well characterized.

Reporting Period: 2009–2013.

Description of System: The National Outbreak Reporting System (NORS) is a voluntary national reporting system that supports reporting of all waterborne and foodborne disease outbreaks and all AGE outbreaks resulting from transmission by contact with contaminated environmental sources, infected persons or animals, or unknown modes. Local, state, and territorial public health agencies within the 50 U.S. states, the District of Columbia (DC), five U.S. territories, and three Freely Associated States report outbreaks to CDC via NORS using a standard online data entry system.

Results: A total of 10,756 AGE outbreaks occurred during 2009–2013, for which the primary mode of transmission occurred through person-to-person contact, environmental contamination, and unknown modes of transmission. NORS received reports from public health agencies in 50 U.S. states, DC, and Puerto Rico. These outbreaks resulted in 356,532 reported illnesses, 5,394 hospitalizations, and 459 deaths. The median outbreak reporting rate for all sites in a given year increased from 2.7 outbreaks per million population in 2009 to 11.8 outbreaks in 2013. The etiology was unknown in 31% (N = 3,326) of outbreaks. Of the 7,430 outbreaks with a suspected or confirmed etiology reported, norovirus was the most common, reported in 6,223 (84%) of these outbreaks. Other reported suspected or confirmed etiologies included Shigella (n = 332) and Salmonella (n = 320). Outbreaks were more frequent during the winter, with 5,716 (53%) outbreaks occurring during December–February, and 70% of the 7,001 outbreaks with a reported setting of exposure occurred in long-term–care facilities (n = 4,894). In contrast, 59% (n = 143) of shigellosis outbreaks, 36% (n = 30) of salmonellosis outbreaks, and 32% (n = 84) of other or multiple etiology outbreaks were identified in child care facilities.

Interpretation: NORS is the first U.S. surveillance system that provides national data on AGE outbreaks spread through person-to-person contact, environmental contamination, and unknown modes of transmission. The increase in reporting rates during 2009–2013 indicates that reporting to NORS improved notably in the 5 years since its inception. Norovirus is the most commonly reported cause of these outbreaks and, on the basis of epidemiologic data, might account for a substantial proportion of outbreaks without a reported etiology. During 2009–2013, norovirus accounted for most deaths and health care visits in AGE outbreaks spread through person-to-person contact, environmental contamination, and unknown modes of transmission.

Public Health Action: Recommendations for prevention and control of AGE outbreaks transmitted through person-to-person contact, environmental contamination, and unknown modes of transmission depend primarily on appropriate hand hygiene, environmental disinfection, and isolation of ill persons. NORS surveillance data can help identify priority targets for the development of future control strategies, including hygiene interventions and vaccines, and help monitor the frequency and severity of AGE outbreaks in the United States. Ongoing study of these AGE outbreaks can provide a better understanding of certain pathogens and their modes of transmission. For example, certain reported outbreak etiologies (e.g., Salmonella) are considered primarily foodborne pathogens but can be transmitted through multiple routes. Similarly, further examination of outbreaks of unknown etiology could help identify barriers to making an etiologic determination, to analyze clinical and epidemiologic clues suggestive of a probable etiology, and to discover new and emerging etiologic agents. Outbreak reporting to NORS has improved substantially since its inception, and further outreach efforts and system improvements might facilitate additional increases in the number and completeness of reports to NORS.

Outbreaks of Acute Gastroenteritis Transmitted by Person-to-Person Contact, Environmental Contamination, and Unknown Modes of Transmission — United States, 2009–2013

Centers for Disease Control and PreventionMorbidity and Mortality Weekly Report; Surveillance Summaries; December 11, 2015 / 64(SS12);1-16

FiveThirtyEight analyzes Chipotle’s norovirus outbreak

I’ve been a fan of Nate Silver’s fivethirtyeight.com for a few years. It’s one of a handful of sites that I read daily. Today the numbers nerds tackled the Chipotle norovirus outbreak comparing it to other fast food outbreaks using CDC’s databases. Turns out this outbreak is unique for its size and location – at a fast food setting.Screen Shot 2015-12-10 at 10.17.38 PM

Just under 3 percent of the food-related norovirus outbreaks that the Centers for Disease Control and Prevention tracked from 2009 to 20141sickened 80 or more people. Only 1.3 percent of outbreaks sickened 140 or more people. Half of all outbreaks sickened 11 or fewer people.

It’s not just the size of the outbreak that’s unusual — it’s where it happened. Although norovirus is the most common cause of food-related illnesses nationwide (about 50 percent of outbreaks), it’s not the most common cause of illnesses at fast-food outlets like Chipotle. Since 2009, when the CDC began tracking where outbreaks occurred, fast-food restaurants have been much more likely to give their patrons salmonella than norovirus (28 percent of illnesses at fast-food chains were linked to norovirus, while 43 percent were linked to salmonella). Sit-down restaurants have the opposite risk profile (45 percent of illnesses linked to norovirus, 25 percent to salmonella).

And here’s some more context from CDC on where norovirus outbreaks happen.

Screen Shot 2015-12-10 at 10.13.16 PM

 

 

Roaches found at Guatemalan restaurant in Georgias

A Guatemalan restaurant in Chamblee had eight critical food safety violations, plus roaches in the kitchen and the cooler during a recent routine health inspection.

Guatemalteco El Quetzal, 5522 New Peachtree Road, ChambleeThe DeKalb County health inspector observed both adult and nymph roaches in the facility, but when asked to see the latest pest service report, only the service agreement was available.

Restaurant Guatemalteco El Quetzal, 5522 New Peachtree Road, Chamblee, scored 45/U. Previous scores were 77/C and 76/C.

Points were taken off because potentially hazardous foods were not being protected.

Raw meat was thawing at room temperature instead of under running water or inside a cooler.

Cooked plantains and potatoes were cooling at room temperature instead of in an ice bath or walk-in cooler. The foods were not within cooling time and temperature requirements either, the inspector noted.

Raw beef was stored above cooked tamales in the walk-in cooler.

In other code violations, an employee rinsed hands without soap in the four-compartment sink. An employee’s open drink was stored near clean dishes.

Cutting boards were pitted, grooved and stained. They were discarded during the inspection.

Bulk foods, taken out of their original containers, were not labeled in their new containers.