39 sick: UK E. coli O157 outbreak linked to leafy greens

In early August 2015 a number of cases of Escherichia coli O157 phage type 8 verotoxin type 2a (MLVA profile 17-9-6-13-8-4-5-5 or a single locus variant thereof) were found to be genetically clustered by whole genome sequencing (WGS) and to share the same SNP address.

lettuce.skull.e.coli.O145As of 3 September, the cluster comprises 38 confirmed cases, with one additional probable case and four possible cases for which WGS results are pending. Onset dates for confirmed and probable cases range from 29 July to 12 August 2015. Cases are widely distributed across England, with one case in Wales but none identified in Scotland to date. In England, the majority of confirmed cases (seven each) have been reported from Anglia and Cheshire and Merseyside, with 14 additional Health Protection Teams across the country also affected and reporting between one and three cases each. Most cases are female aged 18 to 73 years.

Analysis of enhanced questionnaires has shown that 33/38 confirmed members of the cluster had exposure to pre-packed salad and that 19 of these had purchased their pre-packed salad at the same supermarket chain. A focused survey carried out with 24 of the confirmed cases indicated that the most common exposures were to two salad products from one supermarket chain which share one ingredient. Trace-back has been initiated and one packer/distributor has been identified which is supplied by three farms. Samples are being collected from the supermarket chain outlets visited by cases, the distributor/packer and from the supply farms.

Investigations to determine the exact source and cause of contamination are on-going.

Burying the outbreak announcement in a monthly report and not going public about the source is a public health fail.

Euro 2016 qualifier in doubt after 16 players get food poisoning

As one of my food safety colleagues commented, appears to be a case of the dribbles.

hockey.soccer.block.shotsLuxembourg may have to postpone Tuesday’s Euro 2016 qualifier against Belarus after 16 members of their squad contracted food poisoning.

The players complained of “terrible stomach aches” after eating a meal of spaghetti bolognaise on Sunday at the team’s hotel in Minsk.

Just four of the 20-man squad were unaffected.

The Luxembourg Football Federation said they are in “close contact” with Uefa about potentially rearranging the game.

A decision is expected by Tuesday.

From the duh files: Oysters may serve as link in transmission of Norovirus

Oysters appear to be an important link in the transmission of norovirus among humans, according to new research from China.

SUN0705N-Oyster7In the current study, published last month in Applied and Environmental Microbiology, researchers analyzed the genetic sequences of 1,077 samples of noroviruses found in oysters. Some sequences had been stockpiled in genetic databases since 1983.

The scientists found that 80 percent of the known human noroviruses matched those found in oysters. The majority of the matches were in oysters from coastal waters, more likely to be contaminated with human sewage.

Noroviruses mutate very quickly, as do influenza viruses, and big outbreaks usually begin after a new strain emerges. There was a “convergence” between new strains circulating in oysters and those circulating in humans, the researchers also found.

Yongjie Wang, a food science specialist at Shanghai Ocean University and lead author of the study, concluded that oysters were an important reservoir for human noroviruses — a place where they can hide between outbreaks and mutate. They also can be transmitted back to humans, presumably when oysters are eaten raw.

‘Selling produce for over 20 years with never a Salmonella to be seen’ Shoppers go local in outbreaks

With one dead and almost 300 sick from Salmonella in cucumbers from Mexico, the buy local refrain is once again trumped as the solution to food safety woes.

animal.house.cucumberSorta easy to do in North America at the end of summer.

Sweet Water Nursery owner Tom Karakalos and his wife farm their food just seven miles west of Creswell in Oregon. They say they take pride in their organic and uncontaminated product, especially in the midst of this Salmonella outbreak.

“It’s never been a problem for us,” says Erica Trappe. “We’ve been selling produce for over 20 years with never a Salmonella to be seen.”

Maybe their bacteria-sensing goggles are fuzzy.

Customers John and Olivia O’Hare are taking action by only shopping local-. They say they’re avoiding the potential of contaminated produce.
“Who knows what’s on it,” says John O’Hare. “Who knows what you’re going to be ingesting with the food. I never get that aspect here.”

Unless the outbreak is local. And that happens too.

 

UK restaurant owner faces manslaughter charge in fatal peanut allergy case

The owner of an Indian restaurant accused of the manslaughter of a customer who suffered a fatal allergic reaction to peanuts after eating a meal is due to appear in court.

paul.wilson.peanut.allergyMohammed Zaman, 52, owner of the Indian Garden in Easingwold, North Yorkshire, is due to enter pleas at Teesside Crown Court today after he was charged over the death of Paul Wilson (right).

The 38-year-old customer suffered a severe anaphylactic reaction and died after buying a curry from the restaurant in January last year. It was claimed he requested no nuts.

As well as manslaughter by gross negligence, the restaurant boss is charged with perverting the course of justice by forging a food safety training certificate, an immigration offence relating to the employee who served the contaminated meal, and food safety offences.

Zaman, from Huntington, York, was granted bail at a previous hearing.

Another raw milk review, another catalogue of (unnecessary) risks

This review concentrates on information concerning microbiological hazards possibly present in raw milk dairy products, in particular cheese, butter, cream and buttermilk.

colbert.raw.milkThe main microbiological hazards of raw milk cheeses (especially soft and fresh cheeses) are linked to Listeria monocytogenes, verocytotoxin-producing Escherichia coli (VTEC), Staphylococcus aureus, Salmonella and Campylobacter. L. monocytogenes, VTEC and S. aureus have been identified as microbiological hazards in raw milk butter and cream albeit to a lesser extent because of a reduced growth potential compared with cheese. In endemic areas, raw milk dairy products may also be contaminated with Brucella spp., Mycobacterium bovis and the tick-borne encephalitis virus (TBEV). Potential risks due to Coxiella burnetii and Mycobacterium avium subsp. paratuberculosis (MAP) are discussed.

Pasteurisation ensures inactivation of vegetative pathogenic microorganisms, which increases the safety of products made thereof compared with dairy products made from raw milk. Several control measures from farm to fork are discussed.

 A review of the microbiological hazards of dairy products made from raw milk

International Dairy Journal. November 2015 vol. 50 pgs. 32-44

Verraes, G. Vlaemynck, S. Van Weyenberg, L. De Zutter, G. Daube, M. Sindic, M. Uyttendaele, and L. Herman

https://orbi.ulg.ac.be/bitstream/2268/185614/1/1-s2.0-S095869461500120X-main.pdf

Wash. state health official stymied in quest to test farm pigs for Salmonella

On July 15, 2015, the Washington State Department of Health notified the feds of an investigation of Salmonella I 4,[5],12:i:- illnesses. The U.S. Department of Agriculture’s Food Safety Inspection Service (FSIS) determined there was a link between whole hogs for barbeque and pork products from Kapowsin Meats and these illnesses.

PigJoNel Aleccia of The Seattle Times writes the oddly named strain of salmonella, common nationally but never before seen in Washington, now has sickened at least 167 people in 11 counties with confirmed illness since April, health officials said.

People who fell ill consumed whole hogs at private barbecues and at several King County restaurants that served dishes containing the tainted meat. At least 24 people have been hospitalized; several lawsuits have been filed.

Dr. Scott Lindquist, state epidemiologist, wants to knowwhether swine sent to Kapowsin Meats in Graham, Pierce County, were colonized with the strain associated with the outbreak. Officials with the U.S. Department of Agriculture (USDA) issued a public-health alert because of the problem, and Kapowsin has now recalled more than 520,000 pounds of pork products and closed its doors until the issue is resolved.

“What I’m trying to figure out is, did it come from all the farms that fed into Kapowsin? Was this very specific strain in each of those farms, or was it just one? What if all of these farms test negative?” Lindquist said. “It would be helpful for me to know: Are those pigs carrying this specific salmonella strain?”

Agriculture officials in the two states and at the USDA say they don’t have authority to require or refuse testing.

Kirk Robinson, deputy director for the Washington State Department of Agriculture, said it’s not clear how the tests would be conducted or who would give the go-ahead to begin.

‘’What would be the protocols around doing that testing?’’ he asked.

“We really don’t have jurisdiction to go on the farm and do some sampling.’’

He added, however, that department officials would be happy to work with farmers and other agencies once any decision is made.

In Montana, a spokesman for Dr. Gregory Holzman, the state’s new medical officer, said his department has broad authority to investigate sources of illness and that Holzma is considering the issue, although there’s no timeline for an answer.

The move by Lindquist also is drawing concern from pork-industry representatives in Montana and at the national level. Montana’s state veterinarian said he has no authority to agree to on-farm testing and he doesn’t think it’s necessary.

“We want to assist the public-health agencies in finding the cause and prevent future incidents. Unfortunately, sampling farms for salmonella will not accomplish this goal,” Dr. Martin Zaluski, state veterinarian with the Montana Department of Livestock, said in an email. “Sampling farms is of limited value to confirm what we already know.”

Dr. Liz Wagstrom, chief veterinarian for the National Pork Producers Council, and Anne Miller, executive director of the Montana Pork Producers Council, sent Washington health officials letters raising questions about the value of on-farm testing. There are no consistently effective methods to control salmonella on farms, Wagstrom noted.

“The main reason for sending the letter was to ask WADOH (Washington State Department of Health) to reconsider its intent to conduct on-farm testing, which in my scientific opinion would produce no demonstrable benefit to public health,” she wrote in an email to The Seattle Times.

Lindquist said he plans to vigorously pursue the testing, despite any opposition.

“I am here to protect the public’s health,” he said. “It’s the information coming off the farm that’s going to be the key to solving this.”

Rodents run riot in Brisbane CBD

Early spring conditions have led to a randy rodent breeding frenzy which means restaurants are having to take extra precautions.

sq-willard-crispin-glover-rat-nlPest controllers said the rat population in the city was “alarming” and poised to get worse with warm weather on the way.

Brisbane City Council is working with the Myer Centre and food businesses to manage any food safety issues. Three inner city restaurants have already been prosecuted this year for rat problems, and fined a combined $74,500 for health violations after inspections.

Four other restaurants in the Myer Centre have been prosecuted for rat-related violations in the past three years.

The most recent CBD violations involved Empire Kebabs, fined $17,500 in January for cleanliness and pest problems, including rodents, following an inspection in December 2013.

Beijing House in the CBD was also fined $42,000 in June for a range of breaches including selling unsuitable food, hygiene of handlers and the presence of rats. At New Farm, Little Larder was fined $15,000 last week after a council inspection found cockroaches and rodents in August 2014.

A rat found in an oven at Indian Odyssey in the city led to a $30,000 fine in August last year.

New York restaurants cleaner than ever

The number of restaurant-related gripes filed with the New York City Health Department jumped 18 percent — from 7,312 to 8,653 — between the 2014 and 2015 fiscal years.

nyc.rest.gradesIn both years, the top complaint was rodents, insects or garbage overflowing or on the floor.

Other common grievances were about spoiled food (766), bare hands in contact with food (562) and broken toilet or lack of toilet paper (233). A half-dozen picky customers even complained about inadequate lighting.

Then there was the stomach-turning offense of a “foreign object” found in a food serving, which led 569 disgusted patrons to ask for inspectors to intervene.

In most cases, the “foreign object” was hair or a small piece of plastic.

Despite the higher volume of complaints, officials insisted restaurants are cleaner than ever as the city’s letter-grading system enters its sixth year.

On their initial inspection, 58 percent of restaurants earned an A in the most recent fiscal year — up from 37 percent in the first year of the grading system. Violations issued to restaurants also dropped — from nearly 213,000 in fiscal 2013 to a tick more than 196,000 in fiscal 2015.

A less punitive system ushered through by the City Council last year decreased fines by 18 percent — to $26.8 million — among the city’s more than 24,000 eateries.

“Over the last five years, restaurant letter grading has successfully motivated restaurants to practice better food safety. Restaurants are performing better on inspection and are cleaner than they have ever been,” said Health Department spokesman Levi Fishman.

1 dead, 284 sick from Salmonella in US outbreak linked to imported cucumbers

The U.S. Centers for Disease Control and Prevention reports:

  • Since July 3, 2015, 285 people infected with the outbreak strains of Salmonella Poona have been reported from 27 states.
  • 53 ill people have been hospitalized, and one death has been reported from California.
  • cucumbers54% of ill people are children younger than 18 years.
  • Epidemiologic, laboratory, and traceback investigations have identified imported cucumbers from Mexico and distributed by Andrew & Williamson Fresh Produce as a likely source of the infections in this outbreak.
  • 58 (73%) of 80 people interviewed reported eating cucumbers in the week before their illness began.
  • Eleven illness clusters have been identified in seven states. In all of these clusters, interviews found that cucumbers were a food item eaten in common by ill people.
  • The San Diego County Health and Human Services Agency isolated Salmonella from cucumbers collected during a visit to the Andrew & Williamson Fresh Produce facility.
  • On September 4, 2015, Andrew & Williamson Fresh Produce voluntarily recalled all cucumbers sold under the “Limited Edition” brand label during the period from August 1, 2015 through September 3, 2015 because they may be contaminated with Salmonella.
  • The type of cucumber is often referred to as a “slicer” or “American” cucumber and is dark green in color. Typical length is 7 to 10 inches.
  • Limited Edition cucumbers were distributed in the states of Alaska, Arizona, Arkansas, California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Montana, Nevada, New Jersey, New Mexico, Oklahoma, Oregon, South Carolina, Texas, and Utah. Further distribution to other states may have occurred.
  • Consumers should not eat, restaurants should not serve, and retailers should not sell recalled cucumbers.
  • If you aren’t sure if your cucumbers were recalled, ask the place of purchase or your supplier. When in doubt, don’t eat, sell, or serve them and throw them out.
  • CDC’s National Antimicrobial Resistance Monitoring System laboratory is conducting antibiotic resistance testing on clinical isolates collected from ill people infected with the outbreak strains; results will be reported when they become available.
  • This investigation is ongoing. CDC will provide updates when more information is available.

CDC, multiple states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella Poona infections linked to imported cucumbers from Mexico and distributed by Andrew & Williamson Fresh Produce.

salm.cucumber.sep.15Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet, the national subtyping network of public health and food regulatory agency laboratories, is coordinated by CDC. DNA “fingerprinting” is performed on Salmonella bacteria isolated from ill people by using a technique called pulsed-field gel electrophoresis, or PFGE. PulseNet manages a national database of these DNA “fingerprints” to identify possible outbreaks. Three DNA “fingerprints” (outbreak strains) are included in this investigation.

As of September 3, 2015, 285 people infected with the outbreak strains of Salmonella Poona have been reported from 27 states. The number of ill people reported from each state is as follows: Alaska (8), Arizona (60), Arkansas (6), California (51), Colorado (14), Idaho (8), Illinois (5), Kansas (1), Louisiana (3), Minnesota (12), Missouri (7), Montana (11), Nebraska (2), Nevada (7), New Mexico (15), New York (4), North Dakota (1), Ohio (2), Oklahoma (5), Oregon (3), South Carolina (6), Texas (9), Utah (30), Virginia (1), Washington (9), Wisconsin (2), and Wyoming (3).

Among people for whom information is available, illnesses started on dates ranging from July 3, 2015 to August 26, 2015. Ill people range in age from less than 1 year to 99, with a median age of 13. Fifty-four percent of ill people are children younger than 18 years. Fifty-seven percent of ill people are female. Among 160 people with available information, 53 (33%) report being hospitalized. One death has been reported from California.

On September 4, 2015, Andrew & Williamson Fresh Produce voluntarily recalled all cucumbers sold under the “Limited Edition” brand label during the period from August 1, 2015 through September 3, 2015 because they may be contaminated with Salmonella. The type of cucumber is often referred to as a “slicer” or “American” cucumber. It is dark green in color and typical length is 7 to 10 inches. In retail locations it is typically sold in a bulk display without any individual packaging or plastic wrapping. Limited Edition cucumbers were distributed in the states of Alaska, Arizona, Arkansas, California, Colorado, Florida, Idaho, Illinois, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Montana, Nevada, New Jersey, New Mexico, Oklahoma, Oregon, South Carolina, Texas, and Utah and reached customers through retail, food service companies, wholesalers, and brokers. Further distribution to other states may have occurred.