Food Safety Talk 73: I Wish They’d Wash Their Hands More

Food Safety Talk, a bi-weekly podcast for food safety nerds, by food safety nerds. The podcast is hosted by Ben Chapman and barfblog contributor Don Schaffner, Extension Specialist in Food Science and Professor at Rutgers University. Every two weeks or so, Ben and Don get together virtually and talk for about an hour.  They talk about what’s on their minds or in the news regarding food safety, and popular culture. They strive to be relevant, funny and informative — sometimes they succeed. You can download the audio recordings right from the website, or subscribe using iTunes.Handwashing-Words-In-Shape-Of-Hand

This show starts with Don and Ben talking about the number-six item on their list of things to discuss for the episode:  Yosemite and how beautiful it is; Ben rates it at three thermometers, a rating system they invented.  Ben’s favorite thermometer is the Comark PDT300, even though someone sent him a ThermoWorks Thermapen which is Don’s favorite. Ben’s hockey team has been using thermometers when the grill sausages, this is what Ben’s contribution to the grill-outs.  Ben gets chirped for being the guy who brings the thermometer to the hockey grill. Ben is now supplying thermometers to other hockey guys.

Don talks about his lunch date with a podcast celebrity from the 5by5 network. Don tells the whole story about flying business class from Brazil to Texas then while in Texas, buying comic books and having lunch with Dan Benjamin.  Dan asked Don lots of food safety questions; they didn’t talk much about 5by5.  After this, Don attended the NoroCORE Food Virology meeting with Ben (the guys talked in real life, not just over Skype).

The conversation then turns to food safety culture and what that really means as it is in the literature.  Ben talks about a conversation he had about food safety culture with a person trying to develop a presentation on food safety culture for farmers. Don shares an email from Doug about food safety concerns at [insert big company name] that shared a Dropbox video of text and images displaying poor food safety. The guys then talk about the difficulties of creating a food safety culture when no one thinks it’s important. Ben talks about the many things that must be in place before a food safety culture can begin to be established.

Then conversation then transitions to how to talk about food safety risks. Ben suggests talking about risks frankly. The guys then discuss the uncertainties around risks and how to discuss them.  Discussing how quantitative risk assessments are performed and applied, and the issue of uncertainty messages, also come up in conversation.  Salmonella Hypetheticum then comes up in the conversation.

Don then brings up a book that he has been reviewing about food waste.  The same food waste topic has been featured on a television show that Don’s real life friend Randy Worobo was a guest on.  The issue of food waste and risk is discussed, with a focus on lower income persons and how to manage the need to save money against food safety risk decisions.  The use of fruits and vegetables that are past their optimum date to make infused vodka brings back memories of pruno-associated C. botulinum outbreaks.  Ben appreciates Don for working the math around food safety questions and the time and effort it takes to accurately answer without just ‘no don’t do that thing’.

Ben then brings up the issue of thawing a turkey on the counter the risks associated with that action.  Doug Powell has a paper in the Canadian Journal of Dietetics Practice Research about the calculations around thawing a turkey at room temperature.  Actually, it is ok to thaw a turkey at room temperature if you are within certain parameters.  This topic follows along with the possible Food Safety Talk tag line:  and it’s messy.

Next, Ben wants to talk about communication, but Don talks about the decision to eat fresh produce in Brazil, and other’s decision not to eat the fresh produce while visiting.  While at meetings Ben seems to focus on following the news and typing up Barfblog posts (some people are ok with that and will resist complaining; Ben does type rather loudly).  When Ben gets really into what he is writing, he lets out really loud sighs others have noticed, but Ben hasn’t noticed his inappropriate sighing.

Transitioning back to communication, Ben brings up a hepatitis A outbreak reported in Cumberland County Maine, but without a retail location identified. The State of Maine is taking some flack (could we call this chirping, see above) for their handling of this incident; the State of Maine tried to explain that this is because of a lack of personnel with specific expertise.  Maine has been in the news for other public health issues… a nurse breached a quarantine for Ebola by going for a bike ride.  Don suggests the public health system in Maine may be broken, Ben suggests this may be due to their having just eleven health inspectors for the whole state.

In the After Dark session, Ben reveals the most popular Food Safety Talk episode.  The guys aren’t sure which episode they just completed, 74?, 75?, whatever it takes.  Speaking of documentaries, Don recommends Jodorowsky’s Dune a documentary about a movie that was never made.

Up to 164 sickened after attending school principal’s conference in Australia

As misguided calls for Aussie-only produce bear fruit, up to164 delegates from across Queensland attending a school principals’ conference at Brisbane’s Convention and Exhibition Centre have been sickened, possibly with Salmonella.

pink.floyd.educationCheck the egg-based dishes (a table of Australian egg-based Salmonella outbreaks is available here).

Twenty-two people so ill they had to be admitted to hospital.

Queensland Health last night confirmed it had launched an investigation.

The Courier-Mail reports that blood tests of one patient indicated salmonella poisoning.

Queensland Teachers Union president Kevin Bates said last night delegates had suffered severe illness.

“The symptoms have been described as vomiting, nausea and severe dehydration,” Mr Bates said.

One sick principal questioned food handling standards.

“All the hot food – curry and rice and so on – was in pretty white bowls without heating. Not a bain-marie in sight,” the principal said.

Queensland Secondary  Principals’ Association president Andrew Pierpoint said an email was sent to principals yesterday urging them to contact a doctor if they felt ill.

Queensland Health communicable diseases director Dr Sonya Bennett said the education department had contacted the health office on Sunday afternoon to raise concerns about the number of conference attendees who had fallen ill.

The Brisbane Convention and Exhibition Centre did not return calls yesterday.

Sweden screens for STECs in kids

Background: Shiga toxin (Stx)-producing Escherichia coli (STECs) are the most common cause of acute renal failure in children. The present study evaluated a 10-year STEC polymerase chain reaction screening regimen in children.

dirty.jobs.daycare.e.coliMethods: All routine stool culture specimens from patients below 10 years of age (n = 10 342) from May 2003 through April 2013 in the County of Jönköping, Sweden, were included. Patients were divided in 1 group where analyses of STEC were requested by the clinician (n = 2366) and 1 screening group (n = 7976). Patients who were positive for STEC were tested weekly until they were negative. Clinical data were collected through a questionnaire and by reviewing medical records.

Results: In specimens from 191 patients, stx was found (162 index cases). The prevalence was 1.8% in the requested group and 1.5% in the screening group (P = .5). Diarrhea was the most frequent symptom reported in 156 cases and of these 29 (19%) had hemorrhagic colitis (HC) and 7 children developed hemolytic uremic syndrome (HUS). No difference regarding severity of symptoms between the groups was found. Stx2 predominated in cases with HC (P < .0001) and HUS (P = .04). Median stx shedding duration was 20 days (1–256 days), and no difference in duration was seen between stx types (P = .106–1.00) and presence of eaeA (P = .72).

Conclusions: Most STEC cases were found in the screening group with comparable prevalence and disease severity as in patients where analysis was requested. Furthermore, non-O157 serotypes caused severe disease when carrying stx2, and prolonged shedding of STEC may be a risk for transmission.

 Shiga toxin-producing Escherichia coli in diarrheal stool of Swedish children: Evaluation of polymerase chain reaction screening and duration of shiga toxin shedding

Journal of the Pediatric Infectious Diseases Society

Andreas Matussek, Ing-Marie Einemo, Anna Jogenfors, Sven Löfdahl3 and Sture Löfgren

http://m.jpids.oxfordjournals.org/content/early/2015/02/17/jpids.piv003.full

Careful with that cookie dough: E. coli O157:H7 can survive in wheat (at least in the lab)

Escherichia coli O157:H7 is a human pathogen that can cause bloody diarrhea, hemorrhagic colitis, and hemolytic uremic syndrome. E. coli O157:H7 illnesses are mainly associated with undercooked beef; however, in recent years, outbreaks have been linked to fresh produce, such as spinach, lettuce, and sprouts.

nestle.toll.house.cookie.doughIn 2009, flour was implicated as the contamination source in an outbreak involving consumption of raw cookie dough that resulted in 77 illnesses. The objectives of this research were to determine (i) whether E. coli O157:H7 could be translocated into the internal tissues of wheat (Triticum aestivum) seedlings from contaminated seed, soil, or irrigation water and (ii) whether the bacterium could survive on flowering wheat heads. The levels of contamination of kanamycin-resistant E. coli O157:H7 strains in seed, soil, and irrigation water were 6.88 log CFU/g, 6.60 log CFU/g, and 6.76 log CFU/ml, respectively.

One hundred plants per treatment were sown in pot trays with 50 g of autoclaved soil or purposely contaminated soil, watered every day with 5 ml of water, and harvested 9 days postinoculation. In a fourth experiment, flowering wheat heads were spray inoculated with water containing 4.19 log CFU/ml E. coli O157:H7 and analyzed for survival after 15 days, near the harvest period. To detect low levels of internalization, enrichment procedures were performed and Biotecon real-time PCR detection assays were used to determine the presence of E. coli O157:H7 in the wheat, using a Roche Applied Science LightCycler 2.0 instrument.

The results showed that internalization was possible using contaminated seed, soil, and irrigation water in wheat seedlings, with internalization rates of 2, 5, and 10%, respectively. Even though the rates were low, to our knowledge this is the first study to demonstrate the ability of this strain to reach the phylloplane in wheat. In the head contamination experiment, all samples tested positive, showing the ability of E. coli O157:H7 to survive on the wheat head.

 

Transmission of Escherichia coli O157:H7 to internal tissues and its survival on flowering heads of wheat

01.mar.15

Journal of Food Protection®, Number 3, March 2015, pp. 484-627, pp. 518-524(7)

Martinez, Bismarck; Stratton, Jayne; Bianchini, Andréia; Wegulo, Stephen; Weaver, Glen

http://www.ingentaconnect.com/content/iafp/jfp/2015/00000078/00000003/art00006

Food safety cleanup

In honor of fall cleaning of smelly hockey gear – and what use is scaffolding if not to dry out hockey equipment – I offer this cleanup of smelly food safety news.

hockey.equip.drying.feb.15Lots of Asian countries, including China have banned Canadian beef after bovine spongiform encephalopathy (BSE) showed up on the same farm as a case diagnosed in 2010. How effective is enforcement of that feed ban?

Men wash their hands less than women.

The U.S. Department of Agriculture is going to speed up implementation of labeling of needle or mechanically tenderized beef to 2016. If Canada can do it in 2014, so can the U.S.

New Zealand is going to require child care centers to have a food safety plan when they serve meals to little kids, and get inspected once a year. Australia should do the same.

50 school cafeterias out of the 350 in Rhode Island racked up the most food safety violations. Who knew Rhode Island had 350 schools?

Fancy food ain’t safe food, Scotland edition, the Waldorf Astoria Caledonian in Edinburgh has failed basic hygiene inspections by food safety authorities. No details of why the hotels had failed food inspections.

The manager of a former railway station in Ireland that was converted to a restaurant told an food safety type it was really busy, and that’s why they violated 44 food hygiene and safety regulations. Guilty.

doug.coaching.feb.15

Salmonella and E. coli in sprouts in Mexico, oh my

Data on the presence of diarrheagenic Escherichia coli pathotypes (DEPs) in alfalfa sprouts and correlations between the presence of coliform bacteria (CB), fecal coliforms (FC), E. coli, DEPs, and Salmonella in alfalfa sprouts are not available. The presence of and correlations between CB, FC, E. coli, DEPs, and Salmonella in alfalfa sprouts were determined.

santa.barf.sprout.raw.milkOne hundred sprout samples were collected from retail markets in Pachuca, Hidalgo State, Mexico. The presence of indicator bacteria and Salmonella was determined using conventional culture procedures. DEPs were identified using two multiplex PCR procedures. One hundred percent of samples were positive for CB, 90% for FC, 84% for E. coli, 10% for DEPs, and 4% for Salmonella. The populations of CB ranged from 6.2 up to 8.6 log CFU/g. The FC and E. coli concentrations were between , 3 and 1,100 most probable number (MPN)/g. The DEPs identified included enterotoxigenic E. coli (ETEC; 2%), enteropathogenic E. coli (EPEC; 3%), and Shiga toxin–producing E. coli (STEC; 5%). No E. coli O157:H7 strains were detected in any STEC-positive samples. In samples positive for DEPs, the concentrations ranged from 210 to 240 MPN/g for ETEC, 28 to 1,100 MPN/g for EPEC, and 3.6 to 460 MPN/g for STEC. The Salmonella isolates identified included Salmonella enterica serotype Typhimurium in three samples and Salmonella enterica serotype Enteritidis in one. STEC and Salmonella Typhimurium were identified together in one sample. Positive correlations were observed between FC and E. coli, between FC and DEPs, and between E. coli and DEPs. Negative correlations occurred between CB and DEPs and between CB and Salmonella. Neither FC nor E. coli correlated with Salmonella in the sprout samples.

To our knowledge, this is the first report of ETEC, EPEC, and STEC isolated from alfalfa sprouts and the first report of correlations between different indicator groups versus DEPs and Salmonella.

 

Presence and correlation of some enteric indicator bacteria, diarrheagenic Escherichia coli pathotypes, and Salmonella serotypes in alfalfa sprouts from local retail markets in Pachuca, Mexico

01.mar.15

Journal of Food Protection®, Number 3, March 2015, pp. 484-627, pp. 609-614(6)

Rangel-Vargas, Esmeralda; Gómez-Aldapa, Carlos A.; Torres-Vitela, M. del Refugio; Villarruel-López, Angélica; Gordillo-Martínez, Alberto J.; Castro-Rosas, Javier

http://www.ingentaconnect.com/content/iafp/jfp/2015/00000078/00000003/art00020

Would you like E. coli with that Saeng-go-gi (it’s raw beef)

This study investigated the bacterial contamination levels in ready-to-eat fresh raw beef, Saeng-go-gi in Korean, sold in restaurants.

Saeng-go-giA total of 462 samples were analyzed by performing an aerobic bacterial plate count, a coliform count, and an Escherichia coli O157:H7 count. Aerobic bacterial plate counts of fresh raw beef obtained from Seoul, Cheonan, Daegu, Gunsan, and Gwangju retail store restaurants were 6.46, 6.89, 6.39, 6.58, and 6.67 log CFU/g, respectively, and coliforms were 4.05, 4.97, 4.76, 3.62, and 3.32 log CFU/g, respectively.

Among the 462 assessed samples, suspected E. coli O157:H7 colonies were found in 32, 24, 20, 22, and 16 samples obtained from Seoul, Cheonan, Daegu, Gunsan, and Gwangju, respectively. The identity of these isolated colonies was further assessed by using a latex agglutination kit. The agglutination assay data showed that the isolates were not E. coli O157:H7.

The data from this study could be used to design better food handling practices for reducing foodborne illnesses linked to fresh raw beef consumption.

Bacterial contamination in Saeng-go-gi, a ready-to-eat fresh raw beef dish sold in restaurants in South Korea

01.mar.15

Journal of Food Protection®, Number 3, March 2015, pp. 484-627, pp. 619-623(5)

Park, Myoung Su; Moon, Jin San; Todd, Ewen C. D.; Bahk, Gyung Jin

http://www.ingentaconnect.com/content/iafp/jfp/2015/00000078/00000003/art00022

E. coli turns into nightmare for Iowa toddler

When the Meincke family of rural Stockton got together in July at husband and father Kyle’s softball game, 3-year-old Logan just wasn’t himself.

logan.MeinckeThe toddler had a touch of diarrhea, which meant his mother, Jenny, took him to the restroom several times. On the other hand, the little fellow also ran around and chased after foul balls that left the field.

“Initially it looked like the flu,” Jenny Meincke said.

But when the family went home, Logan vomited after drinking some milk, so his parents decided to take him to a hospital emergency department.

Once the family got there, Logan was quickly admitted. The Meinckes spent two nights in Davenport before doctors decided to refer the case to University Hospitals and Clinics in Iowa City. 

Once Logan was admitted to that hospital, the diagnosis came quickly: It was an Escherichia coli, or E. coli, bacterial infection.

While many people recover from such infections in a week or two, young children such as Logan can have serious complications, and that is what happened. He developed a life-threatening form of kidney failure called hemolytic uremic syndrome.

In January, the toddler underwent a kidney transplant with his mother as the donor.

The Meinckes have health insurance coverage, but the travel and other costs still have added up through a difficult situation that has continued for seven months. Friends of the couple, Jamie and Jason Collier, organized the Team Logan Benefit taking place Saturday night in Walcott.

Health department links undercooked and reheated barbecue linked to Salmonella illnesses

Growing up in Canada, barbecue was an event, or an outside cooking appliance. In North Carolina barbecue is a food.

And for some, sort of a religion.

Barbecue is made by slow cooking pork (often a whole hog) in a smoker for hours until the meat is tender enough to be pulled off of the bones. The kind I like is tossed in a vinegar and pepper sauce (that’s Eastern North Carolina style) and served with a couple of vegetable sides.bbq-tom-vin-m__05901.1405326372.1000.1200

Kind of like what led to almost 70 cases of salmonellosis last fall at a conference in Bessemer City, NC. According to the Gaston Gazette, the heath department’s investigation fingered the pork dish as the likely vehicle for the pathogen.

The investigation began after multiple people sought treatment for a stomach illness in early October.

The local health department collected information and found that many of the patients had attended a conference between Oct. 1 and 5 at Living Word Tabernacle Church in Bessemer City.

A report released this week found that Boston butts prepared by a church member were the likely culprits.

The pork was cooked overnight in a smoker a day before it was served. Then it was returned to the smoker the day of the meals.

Some of the pork hadn’t cooked all the way through in time for lunch so it was cooked longer then taken to the church for dinner.

The church member who cooked the meat said it was cooked at 350 degrees the first night, but no cooking temperature was given for when the pork was put back on the grill the next day.

Three people were hospitalized.

The purpose of the health department study isn’t to cast blame. It’s to educate, according to health officials.

The church was not required to have a permit to serve the food because the meals were free, but proper food preparation and storage should always be observed, said Samantha Dye with Gaston County Health and Human Services.

New Food Safety Infosheet: Hepatitis A illnesses linked to frozen berries in Australia

Australian public health officials have identified an outbreak of hepatitis A and linked illnesses to consuming Nanna’s frozen berries sold by Patties Foods.

Food safety infosheet highlights:

–  Health officials have confirmed 20 illnesses to date.

– The berries were produced by Patties Foods, which has issued a recall on three products.Screen Shot 2015-02-27 at 9.13.39 PM

– Officials expect cases to increase as the incubation period of the virus ranges from 15-50 days and those who are infected may not yet be showing symptoms.

Click here to download the food safety infosheet.