Public health types have better things to do: 8 sick from raw milk in Idaho

Idaho Public Health officials are investigating eight illnesses in southwest Idaho likely associated with drinking unpasteurized (raw) milk.

napoleon.raw.milkTo date, four Campylobacter and four E.coli O157:H7 cases have reported drinking raw milk produced by the Natural Farm Fresh Dairy of Kuna in the week prior to getting sick. The investigation is ongoing with Southwest and Central District Health departments, working in association with the Idaho State Department of Agriculture.

“If people have recently purchased raw milk from this dairy, we advise them not to drink it and to discard it,” says Dr. Leslie Tengelsen, State Public Health Veterinarian with the Idaho Department of Health and Welfare.

The Idaho State Department of Agriculture is working with Natural Farm Fresh Dairy to confirm if the raw milk from that facility was the source of the reported illnesses. The dairy is fully cooperating with the investigation and issued the following statement: “Natural Farm Fresh is committed to providing a safe and wholesome product to its customers. Effective immediately, we are voluntarily removing all raw milk products currently on the shelves in retail stores and we will discontinue further distribution of our raw milk until additional product testing is completed.”

Hold Australian restaurants accountable: Food ratings in one state, shot down in another

Sometimes I don’t understand this country called Australia.

western-australia-kangaroo-beachTen days ago, Canberra, the former sheep-farm now acting as the Washington, D.C. of Australia, decided to abandon any plans for restaurant inspection disclosure. I did a live radio interview with a Canberra station, in my goalie skates, during an (ice) hockey practice on Sunday that Australian Capital Territory chief health officer, Paul Kelly, decided he was too busy to do.

Must be nice to have a government job.

Yet the next day, the state of South Australia declared that its pubs, cafés and restaurants will be able to publicly display the food safety rating they receive during council inspections.

A successful trial period has laid the foundation for the new program called the Food Safety Rating Scheme. The rating will be based on the business’s scores for a variety of criteria gathered by council health inspectors.

“Since the scheme started, three, four and five star certificates have been awarded to more than 800 local restaurants, cafes and pubs based on how well they did in their regular council inspection, which is a great result,” said SA Health Director of Food and Controlled Drugs, Dr Fay Jenkins.

“Of the businesses inspected so far, 54 per cent received a certificate with a star rating, demonstrating appropriate food handling skills and a clean and safe food preparation environment.”

“If a business does not meet the national food safety standards they will not be awarded a star rating and appropriate actions will be taken to ensure the business rectifies any problems. In most cases issues are resolved very quickly,” said Dr Jenkins.

Since the South Australian pilot program began, five-star certificates have been awarded to 389 food businesses, four-star-certificates to 328 and three-star certificates to 168.

However, a business will not have any obligation to display their food safety rating because the new scheme is voluntary.

That’s just dumb.

And now, a pizzeria owner has threatened a disgruntled customer with legal action alleging they defamed his business in a negative online review.

Law graduate Julian Tully wrote on travel site TripAdvisor that dining at an Adelaide pizzeria was “the worst service and experience” and warned people to “stay away”.

Mr Tully and friends had attended a $40-a-head birthday banquet on October 10 and alleged they were treated “in a fashion I don’t think was possible”.

“For 7 people we got a tiny amount of food (waiting more than 50 minutes between portions) and when we tried to complain in a reasonable way we literally got told ‘we have had our fill’ and ‘we shouldn’t go out for dinner if we can’t afford it’,” he wrote in the October 11 review. “They then called the cops on us because we walked out. Avoid like the plague!”

Sounds like Australia.

Q Fever outbreak in Australia linked to goat dairy farm

Landline can now reveal at least 24 people have contracted Q fever during an ongoing outbreak on a Victorian goat dairy farm. While the farm owners and health authorities seem to have stemmed the flow of people falling ill, they have not been able to stop the spread of the disease among the animals. Prue Adams reports.

q.fever.goats.austPRUE ADAMS, REPORTER: There’s a picture perfect quality to this farmland near Ballarat. Lambs at foot, bluestone buildings and at this time of year, golden canola. It’s a region that also boasts one of the biggest dairy goat farms in the country. The only clue to an underlying problem here are the warnings on the front gate.

SANDY CAMERON, GOAT FARM OWNER: The first thing is we’ve had to restrict access to the property, signs up saying “Don’t Enter”. Of course, being in the country, people are fairly used to ignoring signs, so then we – you’ve actually got to try and enforce that.

(Present) When Landline caught up with the Camerons in 1997, they were only producing sheep milk and cheese. Later that year, they got into goats. And now, in addition to milking thousands of sheep, they also milk 5,000 goats twice daily. This is a big enterprise with three dairies and employing 100 staff. Four years ago, some of those employees started getting sick.

SANDY CAMERON: In 2011, we had a few people get Q fever, including our daughter, but we didn’t know it was Q fever. Even though they went to doctors, we didn’t know what was going on. It was late-2012 before one of the staff had it diagnosed as Q fever. In hindsight we realised it was during 2012 was the main incidence of staff being infected.

SIMON FIRESTONE, UNIVERSITY OF MELBOURNE: It was sounding very significant from the start. So historically in Victoria, the Health Department receives notifications of about 30 cases of Q fever a year, and in one week, they’d five notified associated with the one farm property. So, yeah, that was an outbreak. That was clearly an outbreak smacking us in the face.

PRUE ADAMS: In 2013, Dr Simon Firestone, a senior veterinary lecturer at Melbourne University, was one of several authorities notified.

SIMON FIRESTONE: It’s the largest farm-associated outbreak in Australia’s history. So we’ve had large abattoir-associated outbreaks and a large single outbreak where there were 25 cases previously at a saleyard in South Australia in 2004. But, yeah, at 24 cases, this is – this is the largest by far of any of the single farm-associated outbreaks and then, as with all of these, there would be cases that have gone undiagnosed.

Seek and ye shall find: Salmonella in UK raw milk cheese

The UK Food Standards Agency (FSA) has issued a statement to say that they have advised Barton Farm to stop selling raw drinking milk.

colbert.raw.milkTests carried out by the FSA and the local authority found samples containing levels of microorganisms that breach food safety regulations. The local authority North Devon District Council also found salmonella in a batch of cheese made with raw drinking milk by the company.

The affected batch of cheese has been withdrawn from sale and consumers alerted.

Barton Farm has issued the following notice on its website: “Due to more harassment from the Food Standards Agency, all sales of our raw drinking milk are currently suspended. All our own test results are clear. Online orders will be fulfilled once the licence has been renewed or a refund will be issued. We would like to thank everyone for their patience while we undergo yet another investigation. Someone definitely doesn’t want us to sell our raw milk.”

In response, the FSA has said that it rejects Barton Farm Dairy’s claim that the action is harassment.

224 sick with Salmonella in Vietnam

Banh my (Vietnamese bread) contaminated with Salmonella bacteria supplied by a bakery in this central province has been identified as the cause of the poisoning of 224 locals.

banh.myThe province’s food hygiene and safety department yesterday announced that banh my sold by Vuong Tien Thanh Bakery had been contaminated with the bacteria, forcing consumers to rush to hospitals last Wednesday.

Samples taken from the bakery and the contents of the victims’ stomachs tested positive for the bacteria.

Self-reported surveys still suck: Is anyone surprised US food service workers go when sick?

From the duh files:

vomit.toiletA nationwide survey found out that most of the food workers in the U.S. still report for work even when sick.

Based on a poll conducted by the Center for Research and Public Policy for Alchemy Systems, the majority of food industry workers are most likely to show up for work even when sick with illnesses that will most likely make their customers ill as well.

Survey findings revealed that 51 percent of food workers report that they “always” or “frequently” report to work even while sick. These findings were more or less the same as the last time these surveys were conducted, and are part of a larger study to determine safety issues on major food and food production industries.

Crab seized for Listeria

At the request of the U.S. Food and Drug Administration and the U.S. Attorney for the District of Massachusetts, U.S. Marshals have seized about 5,000 cases of ready-to-eat frozen Jonah crab products processed by Rome Packing Company Inc. (Rome Packing). FDA investigators determined the products have been prepared, packed and held under unsanitary conditions and may present a risk to human health.

jonah.crabDuring an FDA inspection of Rome Packing in Lakeville, Massachusetts, from November 2014 through January 2015, investigators observed poor sanitary practices and found that the company’s cooking process for crabs did not maintain adequate temperatures to prevent the growth of pathogens such as Listeria monocytogenes (L. mono). FDA investigators collected environmental swabs during the inspection and confirmed the presence of L. mono in the manufacturing area. The presence of L. mono in the processing environment may indicate colonization in other areas of the facility.

“The FDA made several efforts to help Rome Packing correct processes, but the company failed to take adequate corrective measures,” said Melinda K. Plaisier, the FDA’s associate commissioner for regulatory affairs. “In this case, we had to intervene and seize this adulterated food to prevent it from reaching consumers.”

The FDA used a bacterial typing tool called whole genome sequencing (WGS) to link the samples collected in the facility. WGS technology can show the relationship among isolates of bacterial pathogens found in the environment, a food source, or a person who became ill from consuming contaminated food.

Use of Internet search queries to enhance surveillance of foodborne illness

As a supplement to or extension of methods used to determine trends in foodborne illness over time, we propose the use of Internet search metrics.

social.mediaWe compared Internet query data for foodborne illness syndrome–related search terms from the most popular 5 Korean search engines using Health Insurance Review and Assessment Service inpatient stay data for 26 International Classification of Diseases, Tenth Revision, codes for foodborne illness in South Korea during 2010–2012. We used time-series analysis with Seasonal Autoregressive Integrated Moving Average (SARIMA) models. Internet search queries for “food poisoning” correlated most strongly with foodborne illness data (r = 0.70, p<0.001); furthermore, “food poisoning” queries correlated most strongly with the total number of inpatient stays related to foodborne illness during the next month (β = 0.069, SE 0.017, p<0.001).

This approach, using the SARIMA model, could be used to effectively measure trends over time to enhance surveillance of foodborne illness in South Korea.

Emerging Infectious Diseases, Volume 21, Number 11—November 2015

Gyung Jin Bahk, Yong Soo Kim, and Myoung Su Park

http://wwwnc.cdc.gov/eid/article/21/11/14-1834_article

40 sick in Norovirus outbreak at Brisbane camp

Looks like I picked the wrong week to send the kid to camp (I didn’t).

airplane.sniffing.glueQueensland health is trying to identify the cause of a suspected norovirus outbreak.

A highly contagious stomach bug is suspected to have hit about 40 primary school pupils after a Year 4 camp at the weekend.

In an email to parents yesterday, Grovely’s St William’s School principal Anthony Lucey said one family had a confirmed diagnosis of norovirus.

Brisbane Catholic Education communications manager John Phelan said about 40 children had been affected since symptoms were first reported last weekend after children returned from Camp Warrawee at Joyner.

“Once students began reporting as ill, we immediately contacted both the camp and Queensland Heath,” Mr Phelan said.

Losing my religion.

Keeping the fair judges safe from botulism

One of the roles I inherited when I came to North Carolina is organizing the judges for annual home food preservation competition at the State Fair. The fair has a long history in scoring entries based on color, consistency, shapes and in some categories, taste.

According to the fair organizers we’re one of a handful of state fairs that allow judges to taste entries. It’s the part that has always made me nervous. I recruit the judges and it would be a tragic situation if someone got sick volunteering their time to evaluate canned goods. 9690269_orig

A couple of years ago, following a bot illness linked to watermelon jelly in British Columbia we decided to test the pH of some entries. Armed with blenders and pH meters my group opened a bunch of products and tested away. We found that a few exceeded 4.6 (the threshold that the NCHFP sets for safety in their recipes) and informed the competitors of the risks.

In subsequent years we increased the number of products we tested, and eliminated a category (sweet potato butter) due to safety concerns.

But the big turning point was the 2014 competition where we had a couple of judges taste a product that was supposed to be pickled, that wasn’t, and the pH was 6.1; a nice environment for bot toxin production.

It was a nervous week of waiting.

In consultation with the fair organizers, I decided to change the rules of the competition and require that competitors follow recipes in one of the three sources that have safety data behind them – the Ball Blue Book, So Easy to Preserve and the USDA guide to home canning.

It was a risk management decision. And it made some folks mad.

Jill Warren Lucas of Indy Week, a first time judge this year wrote a nice piece on her experiences and and the new rules,

Somewhere in my house, there is a photo of a much younger me, looking stunned to have won a red ribbon on my first try at the Indiana State Fair. I was bested only by my inspiration, the perennial winner Mrs. Imogene Orme.

Other hobbies have come and gone, but my obsessive passion for canning has stood the test of time. I’ve tested recipes for successful cookbooks and even published a few items of my own. And this year, I’ve met a new canning milestone: I served as a judge for home preservation entries at the North Carolina State Fair, which continues through Oct. 25.

I was the only newbie among 18 judges, some of whom have been participating for decades. After receiving directions from contest director Ben Chapman, associate professor and food safety extension specialist at North Carolina State University, we were sent off in pairs to pass judgment on blind entries in various categories.

During the next three hours, I tasted about 70 jams, jellies and juices. Even with small samplings, I soon approached a sugar-fueled state of delirium that my colleague expertly diagnosed as “jam drunk.” We both confessed relief when certain jars were determined to be outside of the scope of their category—for example, a lovely mashed-fruit jam erroneously entered as a whole-fruit preserve—and thus did not need to be sampled.

While a handful of entries were so exceptional we nominated them for Best of Show consideration, others were so mundane (or awful) that we actually presented no awards in a few categories.

The reason for this surprising lack of top-quality entries? Changing food safety standards.

Perhaps because I’m a careful canner, worrying about the safety of tasting entries never crossed my mind. But as Chapman soberly warned judges, concerns about just that led organizers to make controversial changes to this year’s contest.

According to Chapman, the North Carolina State Fair is one of only five across the country that tastes nearly all entries. The exception is low-acid foods, which, because of their inherent risk of instability, are judged on appearance only by a pair of food scientists, serving in this role for about 40 years. All other entries were first tested for safe pH levels and then brought to judges.

To further ensure our safety—and, more broadly, to foster standardized canning processes—all entrants had to cite one of three established sources as the basis of their recipe: the ubiquitous Ball Blue Book Guide to Preserving, USDA.gov guidelines or So Easy to Preserve, a publication of the University of Georgia’s National Center for Home Food Processing and Preservation. “We know that these documents have data behind the safety of their recipes,” Chapman explains.

Entrants also had to submit their entire recipe. Some longtime canners, like those who faithfully recreate recipes handed down through generations, balked at having to use a specified source. Many more took offense at having to provide their recipe. A few expressed anger at the lack of trust. Some feared that secret recipes would be revealed. While the updated rules were published in July, the backlash hit its peak in the weeks preceding the October 12th deadline to submit jars for judging. Organizers expected nearly 1,200 entries, but only received about 700.

Chapman says one irate individual, a longtime participant, even stated the intention to launch a boycott. University and fair officials have advised Chapman to not discuss specifics of what the individual said, but he confirmed that security issues became involved. There was even a brief scare at the fairgrounds when someone tried to enter the closed judging area, though it proved to be a false alarm.

Chapman spent much of his day comparing non-sourced entries to the three guides to determine if they were sufficiently similar to remain in contention. Most were found to have acceptable ratios of ingredients. If such vigilance seems like too much worry over canned fruit, remember 24 cases of botulism, including one death, have been reported in the U.S. this year.

“This happened last spring, right about the time we were talking about the rule changes,” Chapman says, adding there also was a troubling case in Ashe County. An experienced canner who ate spoiled carrots suffered severe symptoms for 11 days before her doctor identified the cause. “Botulism is the most toxic, naturally occurring substance we know of. It’s been used in terror attacks (not actually used but identified as a potential weapon -ben). One gram of botulism that is crystalized can kill a million people. It’s serious stuff.”

Previous tweaks to entry rules, likewise made in the name of food safety, also frustrated entrants. Chapman recalls “a similar uproar” a few years ago when participants were required to state how many minutes they processed any entry, an essential clue to knowing whether a jar’s contents had enough time to reach the temperature necessary to kill potential toxins. Unlike mold or other visible signs of spoilage, dangerous bacteria is not always so evident.

“We want to keep the tradition of tasting entries, but it’s my job to worry about this stuff,” Chapman says. “Most people understood the rationale. If some people decide that they can’t participate anymore, we’ll live with that.”