Celebrity Cruises Equinox has an outbreak; pathogen unconfirmed

According to CDC’s Vessel Sanitation Program, the Celebrity Equinox has a bunch of ill folks on it and it will be back in port tomorrow for public health specialists to investigate.

Voyage Dates: February 13 – February 23, 2015

Number of passengers who have reported being ill during the voyage out of total number of passengers onboard: 95 of 2896 (3.28%)Unknown-9

Number of crew who have reported being ill during the voyage out of total number of crew onboard: 7 of 1209 (0.58%)

Predominant symptoms: vomiting, diarrhea

Causative agent: unknown

Actions: In response to the outbreak, Celebrity Cruises and the crew aboard the ship reported the following actions:

– Increasing cleaning and disinfection procedures according to their outbreak prevention and response plan,

– Making announcements to notify onboard passengers and crew of the outbreak, encourage case reporting, and encourage good hand hygiene,

vomit-cruise1-226x300– Collecting stool specimens from passenger and crew gastrointestinal illness cases for testing by CDC,

– Making twice daily reports of gastrointestinal illness cases to the VSP,

– Sending corporate management public health, hotel, housekeeping team to assist the onboard management with infection control response plan,

– Is consulting with CDC on plans for their comprehensive sanitation procedures in Fort Lauderdale, FL on February 23, 2015, including:

– providing additional cleaning crew to complete a thorough public and accommodation super-sanitization cleaning and disinfection,

– planning staged disembarkation for active cases to limit the opportunity of illness transmission to well guests, and

– planning for sanitation of terminal and transport infection control procedures.

Three CDC Vessel Sanitation Program environmental health officers and one epidemiologist will board the ship in Port Everglades (Fort Lauderdale) on February 23, 2015 to conduct an environmental health assessment and evaluate the outbreak and response activities. Specimens are being collected and will be tested by CDC to determine the causative agent for this outbreak. 

Environmental health specialists: the salt of the earth

There are some good folks in state and local health departments throughout the world. Environmental heath specialists, public health inspectors, hygiene officers – whatever they might be called – are some of the most fun food safety nerds to hang out with. They’ve got a lot of street credibility, seeing more kitchens and food safety in action in a week than some researchers see in a career.

Delmarva now (of the Salmonella-famed Delmarva Peninsula) profiles how restaurant inspections have changed from visits focusing on broken tiles to teaching events and coaching visits. girl-food-temp

In Pocomoke City, at the Riverside Grill, Corey Reeves said her family-run restaurant welcomes visits from the health inspector, because they always teach her something. The restaurant, which opened in 2012, is owned by her parents, Mark and Leslie Reeves.

“Initially, you’re always nervous,” she said of a health inspection, “not because you’re doing anything wrong, but because the rules change constantly, as they should. The regulations change, the kind of bacteria they may be looking for each season. So that’s something new to learn about. It’s very informative.”

Gary Weber has owned Blue Dog restaurant in downtown Snow Hill for about five years.

“If they make their case and want something corrected, if there’s a need, then we correct it. Then they come back and follow up on it. They’re always very polite and very respectful of our business and our staff,” Weber said.

“But it keeps you on your toes,” he said, “and in the restaurants I’ve worked in, there’s a sense of pride if you can get 100 percent. Everybody strives for that. I don’t know anybody who doesn’t feel good about our health inspectors.”

Stu White has been with the health department for 18 years.

Today, inspectors are there not just to evaluate a facility, but to educate restaurant managers and staff. 

“If we ask that something be corrected, if there’s somebody who disagrees with what we’re talking about, then at that point, education thing comes in,” White said. “This is why we’re asking you to do it — not just because I want you to do it. There’s a specific reason. What you’re doing has the potential to make somebody sick.”

White said food safety regulations have evolved over time, under the leadership of the U.S. Food and Drug Administration.

“Years ago, we would go in and look more at the physical facility — was the place clean? Are the walls smooth and easily cleanable?” he said. “We didn’t pay as much attention to food safety or food handling at the time.”

Some supply chain: Organic café in Australia closed after reports of insect contamination, food from unlicensed suppliers

Health inspectors have ordered the closure of the cafe at Petty’s Orchard after complaints of something a little too natural in its baked goods.

yarraorganics1Manningham Council demanded an immediate shutdown of the rustic Yarra Organics cafe, run by John and Nancy Mustafa, in response to a complaint about insect contamination in food.

Council officers visited the heritage cafe, which sold organic pies, pasties, cakes, biscuits and coffees, and found that food sold there had been bought from unregistered businesses and was in breach of food safety standards.

Council chief executive Joe Carbone said officers were only recently made aware of the cafe, which according to reviews online, has been open since at least June 2012.

The family, which has run the apple orchard for more than 15 years, said no food was prepared on site — and there wasn’t even a kitchen.

“We have been forced to close the cafe when we do not even operate an oven or stove on the premises,” Mrs Mustafa said.

“It’s affected our reputation and it’s been a great loss.’’

The Petty’s Orchard Templestowe Facebook page has called on the public to complain to the council about the closure.

Petty’s Orchard Templestowe

“Petty’s organic apple farm has just been closed down by Manningham city council templestowe because of having a café on premises. Please help by sending a complaint to manningham.vic.gov.au/ PLEASE SHARE AND HELP THE FIGHT!!”

Petty’s is one of Melbourne’s oldest commercial orchards and is on land owned by Parks Victoria.

Temple crowd suffers food poisoning in India

At least 500 persons, majority of them children, were admitted in various hospitals in and around Kanhangad on Thursday following suspected food poisoning.

They are said to have taken food from a temple Attenganam, 15 km from Kanhangad, as part of the Shivaratri festival on February 13 and 14.  Condition of some of the victims was said to be critical.

Rampant cross-contamination at Pho Saigon 8 in Vegas

Dirty Dining visits a place where health inspectors say the cook contaminated the food, and it’s all part of a 54-demerit closure.

pho_sai_3The 54 big ones went to Pho Saigon 8 on South Eastern. The Vietnamese restaurant was guilty of multiple handwashing violations.

One was so bad that inspectors say fresh, cut, ready to eat produce and cooked chicken were contaminated by the cook, who used gloves soiled by raw beef to handle additional ingredients.

There was also no handwashing between dirty and clean dishes, between cleaning waste out of a sink and handling cooked chicken, and after picking waste up off the floor.

When they did wash their hands, it was only for a few seconds in cold water.

Inspectors also found uncovered food stored on the floor including noodles and meat, and meat thawing at room temperature on a shelf under the grill.

When Contact 13 went to the restaurant to get their side of the story, an employee told us, “I have no idea because my boss not here yet. So I have no idea.”

That’s a violation of health code. There has to be a knowledgeable person in charge present at all times to monitor and ensure food safety and proper sanitation.

Pho Saigon 8 just got in trouble for that in mid-January because the person in charge then wasn’t a certified food safety manager and couldn’t answer basic questions from inspectors about cooling, labeling, storage or handwashing.

We asked the employee to call the boss, “My boss said sorry, we can’t let you in,” and said he didn’t want to comment.

Inspectors also found food from the previous day wasn’t cooled properly, including beef and meat soup, which had to be thrown in the garbage.

Chicken sitting out at room temperature also had to be tossed.

Almost 6000 sick with 1000 dead dogs: Jerky pet treat investigation in US

The U.S. Food and Drug Administration has issued an update on its ongoing investigation into pet illnesses and deaths in animals that ate jerky pet treats.

sadie.car.10As of September 30, 2014, the FDA has received approximately 5,000 complaints of illness associated with consumption of chicken, duck, or sweet potato jerky treats, most of which involve products imported from China. The reports involve more than 5800 dogs, 25 cats, three people, and include more than 1,000 canine deaths.

These numbers include approximately 270 complaints received since the FDA’s last update in May 2014. This is a significant decrease from the previous period (October 2013 to May 2014), in which the FDA had received 1,800 complaints.

Because of the sharp reduction in complaints, the FDA is tentatively planning to shift from a biannual routine reporting cycle to issuing annual updates. This shift in reporting cycles does not mean that the FDA is reducing its effort to investigate the cause of these illnesses: the agency continues to devote significant resources to its investigation, and will post non-routine updates if notable events occur.

Although it is impossible to determine in every case whether the events reported were in fact caused by eating jerky pet treats, the FDA continues to believe that there is an association between some of the reports and consumption of jerky pet treats.

The agency continues to caution pet owners that jerky pet treats are not required for a balanced diet, and encourage them to consult with their veterinarians, both prior to feeding treats and if they notice symptoms in their pets.

Food fraud: Record seizures of fake food and drink in INTERPOL-Europol operation

Thousands of tonnes of fake and sub-standard food and drink have been seized in 47 countries around the world as part of an INTERPOL-Europol coordinated operation.

2972_oceanstwelve3-627Operation Opson IV, conducted during December 2014 and January 2015, resulted in the seizure of more than 2,500 tonnes of counterfeit and illicit food, including mozzarella, strawberries, eggs, cooking oil and dried fruit.

Involving police, customs, national food regulatory bodies and partners from the private sector, checks were carried out at shops, markets, airports, seaports and industrial estates.

Italian officials seized 31 tonnes of seafood being sold as fresh but which had been frozen before being doused with a chemical substance containing citric acid, phosphate and hydrogen peroxide to make the catch appear freshly caught. In South Sudan an unlicensed water bottling plant was shut down, and Egyptian authorities seized 35 tonnes of fake butter and dismantled a factory producing fake tea.

Of the nearly 275,000 litres of drinks recovered across all regions, counterfeit alcohol was among the most seized product, including in the UK, where a plant making fake brand-name vodka was raided. Officers discovered more than 20,000 empty bottles ready for filling, hundreds of empty five-litre antifreeze containers which had been used to make the counterfeit alcohol, as well as a reverse osmosis unit used to remove the chemical’s colour and smell.

In Uganda, police seized bottles of fake whisky, and in Rwanda officers raided a shop selling fake beer where genuine bottles which had been previously collected were re-filled for sale with a locally brewed product.

“Fake and sub-standard food and drink pose a real threat to health and safety. People are at serious risk and in some cases dying because of the greed of criminals whose sole concern is to make money,” said Michael Ellis, head of INTERPOL’s Trafficking in Illicit Goods and Counterfeiting unit which coordinated activities between the world police body’s participating countries across the globe. “Through this operation, thousands of tonnes of potentially hazardous food and drink have been taken out of circulation.”

“This year again, the results from Opson clearly reflect the threat that food fraud represents, as it affects all types of products and all regions of the world. Cooperation at national and international level is indispensable to disrupt the criminal gangs involved in this business,” said Chris Vansteenkiste, head of Europol’s Focal Point Copy who coordinated the activities in Europe.

An illegal slaughterhouse was shut down in Hungary, where officials also seized a car which had been modified to incorporate hidden compartments to smuggle fake alcohol. An investigation is ongoing in Norway following the seizure of counterfeit water bottles. The US Food and Drugs Administration focused efforts on dietary supplements sent by mail with inspections at Los Angeles Airport resulting in the seizure of illicit substances.

Some 85 tonnes of meat illegally imported into Thailand without testing to ensure they complied with health and safety regulations were destroyed, and police also dismantled a criminal network producing fake whisky and seized nearly 20,000 litres of the counterfeit alcohol.

50 shades of barf

Jamie Dornan was left vomiting after auditioning to star alongside Tom Cruise in Rock of Ages.

fifty-shades-grey-movie-release-dateThe 32-year-old, who plays Christian Grey in Fifty Shades of Grey, was left mortified after an attempt to boost his confidence before an audition backfired.
Jamie was hoping to land the lead role of Drew Boley and was tasked with performing a Foreigner song.

He said: “I had to sing Waiting For A Girl Like You. It’s nearly impossible to sing, and I’ve got quite a deep voice when I sing.

“My audition was at 10 in the morning on the Warner Brothers lot. I convinced myself it would be a good idea to have a bit of whiskey to relax my vocal cords and maybe as a bit of a confidence booster. I took a swig of Jameson and I instantly f**king puked.
“So I’m standing with all these executives driving around in golf carts, as I’m vomiting on the lot. It was a bad look.

“I hadn’t been clever enough to bring mouthwash. And then I had to go in, stinking of whiskey and vomit and proceed to sing Waiting For A Girl Like You, which I couldn’t sing.”

“It was the worst situation ever,” he added. “Obviously, I didn’t hear anything back.”

Public health risk at Canberra’s eateries

The nation’s capital could be more open.

Australian Capital Territory Health’s “name and shame” list reveals that nearly two dozen restaurants, cafes and fast food outlets in the ACT have been hit with fines totalling more than $230,000 for breaches of food safety standards since 2011

See No Evil, Hear No Evil, Speak No EvilThe register only lists eateries found guilty of food offences, and because of investigative, administrative and appeal processes it can take between 18 and 24 months before the date of an offence and the conviction appear on the register. 

Inspections of restaurants, cafes and food stalls have risen in the past three years, increasing from 1994 in 2012 to 2334 last year. 

More than a dozen Canberra restaurants were forced to shut their doors last year because of an immediate public health risk or failing to fix food safety breaches, new figures reveal.

Cockroaches littering the floor, mouldy food stored in a cool room, a floor covered with thick, grey congealed food waste and power points caked in grime and grease: these are just some of the unpalatable images of appalling food standard breaches health inspectors have discovered in restaurant kitchens in Canberra.

ACT Health figures show 14 restaurants were closed last year after being slapped with prohibition orders because of an immediate public health risk or failure to comply with improvement notices. 

There were also 395 improvement notices issued last year, 32 more than 2013 and 101 more than in 2012. 

Improvement notices are issued for less serious breaches. They identify areas of non-compliance and give eatery owners a deadline to rectify the breaches. 

ACT Health said details of the restaurants and breaches were “not able to be provided.”

The ACT government is yet to decide on the details of a possible “scores on doors” food hygiene rating system for restaurants, such as whether it will be compulsory and when it will be introduced. 

We celebrated the year of the sheep – Chinese New Year – with some friends at their house last night after hockey. Yummy.

chinese.new.year.15

Focus on barf not bureaucracy: Obama proposes single overseer for food safety

What I said to Ron Nixon of the N.Y. Times was something like this:

hucksterWhere is the evidence that a single food inspection agency would make fewer people barf? Rather than wasting time and energy on bureaucratic bravado, everyone in the food supply system – farmers, distributors, processors, retailers and restaurants – should recommit themselves to ensuring the safety of food.

And that government sets minimal standards, and any respectable food hawker would set higher standards, be open, and brag about them.

What ended up being quoted was, “The research doesn’t support the idea that a single agency would protect food safety any more than the system U.S. currently has in place. Look at the United Kingdom and the horse-meat scandal or Canada, which had a massive beef recall a few years ago,” said Doug Powell, a former professor of food safety at Kansas State University and the publisher of barfblog.com. Both of those countries have single food safety agencies, and it didn’t stop contaminated products from reaching the public” (can I get residuals from K-State for still mentioning them, as their president whinges about travel to Australia while bragging about frequent flyer points?).

Nixon writes that the Obama administration wants a single Food Safety Administration, a colossus that would be housed within the Department of Health and Human Services to “provide focused, centralized leadership, a primary voice on food safety standards and compliance with those standards,” the administration said in its new budget request.

At least 15 government agencies — from the Environmental Protection Agency to the National Oceanic and Atmospheric Administration — have some role in making sure the food Americans eat is safe, according to the Government Accountability Office, a situation that has defied streamlining for decades.

Entrenched bureaucracies have always been difficult to reconcile. The Agriculture Department and the F.D.A., the two main food safety agencies, have for decades carried out different mandates, operated different types of inspections programs, and required different levels of training and education for inspectors. Long-running turf battles between the agencies would inevitably complicate efforts to consolidate them, experts say.

Most of the responsibility for food safety lies currently with the F.D.A., which has oversight for about 80 percent of the food that Americans eat, including seafood, vegetables, fruit, dairy products and shelled eggs. The Agriculture Department oversees meat, poultry and processed eggs. But the two agencies perform their inspections duties differently.

hucksterismInspectors for the Agriculture Department are stationed at processing plants daily, inspecting carcasses as they pass by on processing lines. By law, meat and poultry plants are not allowed to operate unless an Agriculture Department inspector is present. In contrast, because of the sheer volume of food they must inspect, F.D.A. inspectors visit plants much less frequently, often only when there is a problem.

The differences in inspecting food from abroad are even more stark. Countries that want to export meat to the United States are supposed to prove their inspection system is equivalent to the Agriculture Department’s programs. But the F.D.A. rarely inspects overseas plants to verify those claims, and F.D.A. food sleuths examine less than 2 percent of the food that arrives at American ports. A law passed in 2010 is supposed to strengthen the F.D.A.’s ability to inspect both foreign and domestic foods.

But food safety inspectors at the Agriculture Department still see the F.D.A.’s program as nowhere near as rigorous as theirs, and they worry that consolidating inspection functions into a single agency would inevitably weaken the Agriculture Department’s standards.

“This would drag us down to their minuscule standards,” said Stan Painter, an Agriculture food safety inspector in Alabama, who is president of the inspectors’ union. “They don’t do inspections. They run in for a visit.”

Dr. David Acheson, a consultant for food and beverage companies who has worked on food safety at both the Agriculture Department and the F.D.A., said the two inspection systems could be combined without harming food safety.

“It’s the way we need to go,” he said, shrugging off the meat inspectors’ claims. “We are burning through dollars where we have F.D.A. and Agriculture Department in the same plants doing different things.”