Market microbial food safety? How a web of oversight still couldn’t prevent an outbreak

Molly Rosbach of theYakima Herald-Republic writes: Three people sickened, one dead, and many questions still unanswered.

ucm430733-300x168On the evening of Jan. 16 at the end of the work day, the state Department of Health issued a food-recall alert, warning that anyone who had recently purchased Queseria Bendita cheese should throw it out because of a listeria outbreak. The cheesemaker had been linked to three cases of listeriosis after the

Queseria Bendita was linked to a similar outbreak five years ago, when five people were hospitalized for listeriosis in Washington and Oregon. No one died, but two pregnant women in Oregon were infected, causing premature births, Oregon health officials said at the time.

Since the most recent recall, retailers have pulled Queseria Bendita products. While the cheese shop owners maintain that investigators have not found listeria in their cheese, but only in the Third Street facility — implying their products are safe — experts say the evidence is clear.

“One of the things I’m hearing — ‘Because they didn’t find it in the cheese, it’s not from these guys’ — no, it’s not true,” said Dr. Scott Lindquist, the state communicable disease epidemiologist. “This is not a common strain, and to have three patients in the state have it, and to have it in this Queseria Bendita, is not a coincidence.”

The case of Queseria Bendita illustrates how painstakingly difficult it can be to track down a foodborne illness and efficiently notify the consuming public of the danger: Roughly six weeks passed between the reported illnesses and the recall.

And despite new food-safety laws and multiple regulatory agencies to enforce them, inspections of high-risk food manufacturers are intermittent at best. When they do take place, the inspections may be superficial and unable to detect a culprit like listeria, which is good at hiding and not easy to eradicate.

While the family-owned company is vowing to clean up and come back, trust could be hard to regain.

Several different agencies share responsibility for food safety. The Yakima Health District, for example, periodically checks Queseria Bendita’s refrigerators — not the cheese or cheese-making equipment — to make sure already-packaged products are cold enough.

The state Health Department, the first to hear about the three infected patients from medical providers, investigated the illnesses and notified the Food and Drug Administration, which took over the investigation.

The state Department of Agriculture licenses Queseria Bendita, along with 3,000 other food processors in the state, and tries to have inspectors on-site at least once a year, though there is no law requiring a certain number of visits.

Agriculture Department officials inspected the cheese shop most recently in June 2014 and November 2013, and it passed both times. Those inspections, however, are limited: Officials check that employees follow general sanitation practices and that the floors and equipment look clean.

The Agriculture Department also conducts random product sampling statewide, rotating through different food products in different weeks. Thus it may have tested Queseria Bendita cheeses in recent years, but it has no record of environmental sampling at the Yakima facility since 2010, said Kirk Robinson, assistant director of food safety and consumer services.

“Sometimes, even doing product sampling, you’re not always going to catch it at that time,” Robinson said. “You try to do the best you can.”

The FDA has jurisdiction when a company’s distribution crosses state lines, so it also inspects the food-processing side of the cheese shop. FDA guidelines say high-risk facilities — those with known safety risks and a history of foodborne illness — must be inspected at least once within the first five years of the Food Safety Modernization Act, passed by Congress in 2010, and then at least once every three years going forward. FDA did not have mandatory recall authority until passage of the act.

Records show the last time the FDA inspected Queseria Bendita was January 2011, which was within the agency’s recommended guidelines.

“They might have damaged their reputation enough that they’ll never sell again,” he said.

Based on his experience with companies of all sizes, Bill Marler, a prominent Seattle attorney who has handled foodborne illness cases for more than two decades, said he wouldn’t call Queseria Bendita a bad actor, as listeria is so difficult to control.

But, “Companies that produce food have a moral and legal responsibility to produce food that doesn’t sicken and kill its customers,” he said. “So they’re responsible for what they sell.”

But what about listeria risks? FDA says fish consumption in large amount is the best food during pregnancy

Daughter 2-of-5 is pregnant with my second grandson (I’m old).

What I’ve found through all these pregnancies is the enormous amount of conflicting advice provided to the moms-to-be.

jaucelynn.pregnantIt’s stressful enough being pregnant (not that I would know) without having Dr.-this-that giving bogus advice.

The Westside Story (whatever that is) writes that conflicting research works have been done on the nutritional benefits of consuming large amounts of fish during pregnancy and after that. Some studies have shown that fish is among the best foods that a pregnant and breastfeeding mom needs to take for the benefit of her baby and her own. However, some other studies raised questions about fish consumption, citing that some fish could actually have an adverse impact on the brain development of a baby. According to the latest research by the U.S. Food and Drug Administration (FDA), fish is good and eating large amounts of it is even better.

Good for brain development

What these stories lack is the potential Listeria risk in any refrigerated ready-to-eat foods like smoked salmon.

My kid’s got a biology degree and we’ve talked about this.

There’s a significant risk difference between refrigerated ready-to-eat foods and whole fish cooked to 145F as measured by a tip-sensitive digital thermometer.

Substandard oil: China government rejects Ting Hsin’s NT$3B donation for food safety

The government will not accept a NT$3 billion donation offered by Ting Hsin International Group to promote food safety, Health Minister Chiang Been-huang said Saturday.

ting.hsinChiang said the conglomerate should first compensate food makers and consumers affected by its substandard oil products.

Ting Hsin has become the target of consumer boycotts since last October, when it was found to be selling cooking oils mixed with animal feed-grade fats.

At the suggestion of Ruentex Group Chairman Samuel Yin, Ting Hsin pledged to donate NT$3 billion to fund a food safety reform committee, intended to be led by Yin himself.

Yin later proposed that Ting Hsin donate the money to the Ministry of Health and Welfare instead to help the government’s efforts to improve food safety.

Handwashing matters: Atlanta area Hibachi Express fails reinspection

I’m often critical of the retail/foodservice’s focus on temperatures (cooking, cooling, holding) as the biggest noncompliance area, which gets extrapolated to what needs to be controlled.

Out of temp foods are easier to inspect for than cross-contamintation and hygiene: they are measured with a thermometer and don’t require observation of the act – so the relative number of data points skews  compliance data towards temperature control. Also, norovirus is so prevalent (70% of the foodborne outbreaks are associated with food service) and temps don’t really matter with that pathogen. hand_washing

Looking for, and shutting a place down because of, poor handwashing is good.

Gwinnett County health officials suspended service at a Lawrenceville Hibachi Express and conducted on-site food safety training after the restaurant failed a second inspection in less than 10 days.

According to the inspection report, employees were not washing their hands when re-entering the food prep area after returning from the restroom.

Hibachi Express, 1417 Grayson Highway, Lawrenceville, scored 46/U on the follow-up inspection. The restaurant scored 63/U on a routine inspection seven days earlier, and prior to that had an 81/B.

Also, one of the restrooms had been turned into a sleeping area and was also used to store toilet paper and napkins. The other one was being used as a unisex restroom, the inspector said.

I don’t want my napkins stored in someone’s bedroom.

Seen and heard: Hepatitis A exposure in Ontario

Line-ups usually seen at the Fergus curling club or Legion bar – not at the offices of Wellington-Dufferin-Guelph Public Health (below, exactly as shown). Following the report of a hepatitis A-positive cook at Marj’s, an Alma, Ontario (that’s in Canada) diner, public health officials have been busy issuing protective IgG shots to exposed patrons.

According to The Record, at least 600 shots were given Friday AM before supplies ran out. And an additional 150 when stock was replenished.B821841584Z.1_20150123191304_000_GGS1DL62B.2_Gallery

The shots are effective and reduce the risk of illnesses. Earlier this month, a similar exposure incident in New Jersey resulted in additional cases amongst folk who didn’t stand in line for shots.

“It’s unfortunate, really,” said Joanne Hall, a clerk of session at the St. Andrew’s Presbyterian Church down the street from the restaurant. “It’s a business, and something like this is not something you ask for. It can happen anywhere. As a small community we will support them, and help them get back on their feet.”

Anyone who dined at Marj’s between Jan. 2 and Jan. 20—the period when there was the highest likelihood of infection— was advised to get vaccinated to prevent infection.

Marj’s was closed on Friday, but not due to a public health order. Health officials inspected the premises on Thursday and cleared it. The restaurant’s owner, Keith Mclean, was not immediately available for comment. There were a number of people in the back of the diner Friday who appeared to be readying it for business. 

John Goforth lives just around the corner from Marj’s and eats there occasionally. He has not dined there this month and is not getting the vaccination.

“It’s a really good place, with good people and good food,” he said. “There was nothing they could do about this (except require vaccinations for their staff? -ben), and I hope it doesn’t hurt them. It’s been there forever, and it’s a great place.” 

“I think it was just a fluke,” Arsene Pick said Friday after getting the shot. He lives in Elora and dines occasionally at Marj’s. “It was just one of the cooks there that caught it and nobody knew. I hope it doesn’t hurt their business.”

Sharon Grose was in the outside lineup Friday. She said Marj’s is legendary in Alma, and is frequented by people from all around the town, especially in the farming community, and by travellers on their way to cottages further north. 

“This is a small price to pay to make sure you’re safe,” she said, speaking of waiting in the lineup for the vaccine. She had been waiting for about 40 minutes. “I don’t think this will hurt Marj’s. I hope not. They have a solid record for good food. This is just a matter of people being cautious.” 

Canadians are so nice.

Hawaii department of health fines $8,000 for food safety violations

The state Department of Health has cited a Waimalu restaurant for intentionally removing the posted yellow “Conditional Pass” placard from its facility, and for food safety violations. 3W Restaurant Group LLC., which does business as Ichiben, was slapped with an $8,000 fine.

doug.honolulu.rest.inspecThe restaurant, which is located on Kaahumanu Street in Waimalu, may request a hearing to contest the notice. Peter Oshiro, the Department of Health’s Environmental Health program manager, says this is only the second incident involving intentional removal of a placard, with more than 2-thousand inspections completed.

 

Coldplay is worst thing to happen to music, and Gwyneth is worst thing to happen to food; maybe that’s why they hooked up

There was this one time, that saint Gwyneth made everyone throw up, and shockingly, it wasn’t from the overwhelming nauseous feeling they got from hearing Gwyneth Paltrow talk about how perfect Gwyneth Paltrow is all evening.

"Mortdecai" Los Angeles premiere***NO DAILY MAIL SALES***It was from food!

That’s right, famous cookbook author Gwyneth Paltrow admitted on The Rachael Ray Show (via Glamour) Friday morning that she once made a meal that made everyone fill the 17th century gilded French porcelain toilets in her home with hot barf. Now, I’ve read both of Goopy’s cookbooks, and I’d say that roughly 79% of what I saw gave me the heaves (so many vegetables and not ONE recipe for Frito Pie). But according to Goopy, it wasn’t because she was serving her guests some kind of disgusting pickled heirloom kholrabi over mashed sunchoke bullshit; it was because she screwed up the recipe for eggplant parmesan.What do you think?

“I went to the store and bought some eggplant, a jar of tomato sauce, and some really rubbery mozzarella cheese. I didn’t know that when you cook eggplant, you first have to sweat it to get all the bitter juice out, and I didn’t realize that you also have to bread eggplant parmesan and fry it before. So I put slices of raw eggplant with jarred tomato sauce and mozzarella. And everyone threw up.”

What do you think?

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Jail and fines as UAE gets serious against food safety (and religious) offenders

A tough new draft law will ramp up penalties for those found to be endangering food safety across the UAE, according to legislation to be debated by the Federal National Council in the next session on February 3.

uae.foodThe bill suggests a jail term of up to three years and a Dh2 million fine for those found endangering food safety.

The legislation, passed by the Cabinet in March last year, sets out key requirements to establish a system of effective regulatory and oversight services to ensure the protection of public health and consumers.

Under the draft law, no food may be imported into the country for the first time without approval of the Ministry of Environment and Water.

The draft law provides for a prison term of not less than a month and a fine of up to Dh500,000 for those who deal in food or products that contain pork or alcohol or any of their by-products without permission.

Misleading consumers by publishing a false description of food or using incorrect labels will attract a fine ranging from between Dh10,000 and Dh100,000, according to the draft law, which will need to be passed by the House and get a final endorsement by President His Highness Shaikh Khalifa Bin Zayed Al Nahyan before it becomes law.

Red-green disclosure for Simcoe county (that’s in Canada)

Barrie, I miss you.

The Canadian town, north of Toronto, was home to my aunt and uncle, who I enjoyed hanging out with (they let me sleep with whoever my girlfriend was).

orillia.rest.disclosureNow, the general public is getting a little more insight into the cleanliness of Simcoe-Muskoka’s 3,900 food establishments.

At the beginning of the month, green placards began popping up in the windows of restaurants, convenience stores and other places where food is served, sold or prepared as part of the Inspection Connection initiative launched late in 2014 by the Simcoe Muskoka District Health Unit.

With roughly 20 food inspectors responsible for looking into the 3,900 establishments, which include 1,100 restaurants, it will take a bit of time to get the new signs up throughout the region, said Steven Rebellato, director of health protection services for the health unit, but he is hopeful the distribution will be complete in the next month or so.

Inspection of food establishments is nothing new for the health unit, but promoting the results both through a pass or fail placard and an all-encompassing website (inspectionconnection.ca) is.

“Visibility is the change,” Rebellato said. “Most health units have this type of program in place.”

Visitors to food establishments in the City of Toronto or York Region will be familiar with the placards. Toronto’s, which features a green (pass), yellow (conditional pass) or red (closure) card, is one of the oldest in the province, spanning some 13 years.

Simcoe-Muskoka’s program only features a pass or close option.

“There are only two signs, which is consistent with our approach since we started,” Rebellato said.

The decision to only have the two signs came from consultation with the operators of the establishments as well.

“If you put a yellow in my door, you might as well put a red, because (patrons) don’t know what that means,” Rebellato said, using an anecdote from a restaurateur on King Street West in Toronto, where there are dozens of restaurants in direct competition.

“We didn’t want to confuse the public.”

Worst words a bureaucrat can say.

Food tester: Lebanon tests smelly food sent to Syrian refugees

Health Ministry inspectors confiscated Saturday large quantities of food distributed to Syrian refugees in south Lebanon after receiving complaints that they were emitting foul odors.

Become-a-Taste-Tester-Step-5The food packages, which were donated to Syrian refugees through the Rahma and Ouzai charity centers in Sidon, were confiscated for testing, while Abu Faour referred the case to the judiciary.

Separately, the minister sent the ministers of finance, economy and public works a letter to demand the confiscation of large amounts of sugar stored in Tripoli’s port.

The request was based on skepticism that the sugar met safety standards.