Leave vegetation alone: Clearing habitat surrounding farm fields fails to reduce pathogens

The effort to improve food safety by clearing wild vegetation surrounding crops is not helping, and in some cases may even backfire, according to a new study led by researchers at the University of California, Berkeley.

cow.poop.spinachThe findings, to be reported Monday, Aug. 10, in the journal Proceedings of the National Academy of Sciences, call into question the effectiveness of removing non-crop vegetation as a way to reduce field contamination of fresh produce by disease-causing pathogens. This practice led to extensive loss of habitat in a region that is globally important for food production and natural resources.

The practice was implemented largely in response to a 2006 outbreak of pathogenic E. coli in packaged spinach that killed three people and sickened hundreds of others in the United States. That outbreak was traced to a farm in California’s Central Coast, a region that supplies more than 70 percent of the country’s salad vegetables. The disease-causing E. coli strain was found throughout the farm environment — including in the feces of nearby cattle and wild pigs — but the cause of the outbreak has never been officially determined.

“Wildlife took much of the blame for that outbreak, even though rates of E. coli in wildlife are generally very low,” said study lead author Daniel Karp, a NatureNet postdoctoral research fellow in UC Berkeley’s Department of Environmental Science, Policy and Management and The Nature Conservancy. “Now, growers are pressured by buyers to implement practices meant to discourage wildlife from approaching fields of produce. This includes clearing bushes, plants and trees that might serve as habitat or food sources for wild animals. Our study found that this practice has not led to the reductions in E. coli and Salmonella that people were hoping for.”

Instead, the study authors noted that the presence of diverse habitats bordering food crops can actually provide a number of agricultural benefits.

“There is strong evidence that natural habitats surrounding crop fields encourage wild bee populations and help the production of pollinated food crops,” said study senior author Claire Kremen, a UC Berkeley professor of environmental science, policy and management. “There have also been studies that suggest that a landscape with diverse plant life can filter out agrichemical runoff and even bacteria. Changing this dynamic shouldn’t be taken lightly.”

The researchers analyzed about 250,000 tests of produce, irrigation waters and rodents conducted by industry and academics from 2007 through 2013. The tests were conducted on samples from 295 farms in the United States, Mexico and Chile, and targeted the presence of pathogenic E. coli, Salmonella and generic strains of E. coli. The researchers combined the test data with a fine-scale land-use map to identify characteristics of the landscape surrounding the agricultural fields.

The researchers found that the removal of riparian or other vegetation did not result in lower detection of pathogens in produce, water or rodents. Overall, the prevalence of pathogenic E. coli in leafy green vegetables had increased since the outbreak, even as growers removed non-crop flora. In fact, the growers who removed the most vegetation experienced the greatest increase in pathogenic E. coli and Salmonella in their vegetables over time.

lettuce“Clearing surrounding vegetation is a costly, labor-intensive practice that threatens wildlife habitat,” said Karp. “Since it does not improve food safety, there is no reason to continue this practice.”

The study did find, however, that the likelihood of detecting pathogenic E. coli was greater when fields were within 1.5 kilometers of grazeable land than when they were farther away.

“It is unclear whether it was the cattle or wildlife grazing on those lands that were responsible for the elevated pathogen levels, but there are a number of ways that farming and ranching can co-exist in a diversified system,” said Karp.

Some suggestions include:

  • Leaving strips of vegetation between the grazed areas and fresh produce areas
  • Fencing off upstream waterways from cattle to prevent waste from going downstream
  • Planting crops that are usually cooked before being eaten – such as corn, artichokes and wheat – between fresh produce fields and grazeable lands

After the 2006 E. coli outbreak in spinach, California’s agricultural industry implemented a voluntary certification program called the Leafy Green Products Handler Marketing Agreement. At the federal level, in 2011 President Obama signed the Food Safety Modernization Act, considered one of the most sweeping reforms in farming practices in decades. Both efforts shift the focus to preventing rather than responding to outbreaks.

Notably, neither the federal law nor the state program calls for the removal of wildlife habitat surrounding crops, but private buyers, keen on retaining consumer confidence in their products, may still require growers to take steps that go beyond government regulations.

“The real worry for me is that federal law will be interpreted as the floor rather than the ceiling of what farmers should do,” said Karp. “There is this misguided idea that agricultural fields should be a sanitized, sterilized environment, like a hospital, but nature doesn’t work that way.”

Other co-authors of the study are Sasha Gennet, senior scientist at The Nature Conservancy; Christopher Kilonzo, Melissa Partyka and Edward Atwill at UC Davis; and Nicolas Chaumont at Stanford University.

96863_web

A farming landscape can be co-managed for both produce safety and nature conservation. Promising practices include: (1) planting low-risk crops between leafy-green vegetables and pathogen sources, such as grazeable lands, (2) buffering farm fields with non-crop vegetation to filter pathogens from runoff (3) fencing upstream waterways from cattle and wildlife (4) attracting livestock away from upstream waterways with water troughs, supplement and feed (5) vaccinating cattle against foodborne pathogens (6) creating secondary treatment wetlands near feedlots and high-intensity grazing operations (7) reducing agro-chemical applications to bolster bacteria that depredate and compete with E. coli (8) exposing compost heaps to high temperatures through regular turning to enhance soil fertility without compromising food safety, and (9) maintaining diverse wildlife communities with fewer competent disease hosts.

Illustration by Mattias Lanas and Joseph Burg

Age and virulence influence E. coli, HUS in Norway

Shiga toxin-producing E. coli (STEC) infection is associated with hemolytic uremic syndrome (HUS).

beef.stecTherefore Norway has implemented strict guidelines for prevention and control of STEC infection. However, only a subgroup of STEC leads to HUS.

Thus, identification of determinants differentiating high risk STEC (HUS STEC) from low risk STEC (non-HUS STEC) is needed to enable implementation of graded infectious disease response.

Methods: A national study of 333 STEC infections in Norway, including one STEC from each patient or outbreak over two decades (1992-2012), was conducted. Serotype, virulence profile, and genotype of each STEC were determined by phenotypic or PCR based methods.

The association between microbiological properties and demographic and clinical data was assessed by univariable analyses and multiple logistic regression models.

Results: From 1992 through 2012, an increased number of STEC cases including more domestically acquired infections were notified in Norway. O157 was the most frequent serogroup (33.6Â %), although a decrease of this serogroup was seen over the last decade.

All 25 HUS patients yielded STEC with stx2, eae, and ehxA. In a multiple logistic regression model, age ≤5 years (OR = 16.7) and stx2a (OR = 30.1) were independently related to increased risk of HUS.

eae and hospitalization could not be modelled since all HUS patients showed these traits. The combination of low age (≤5 years) and the presence of stx2a, and eae gave a positive predictive value (PPV) for HUS of 67.5 % and a negative predictive value (NPV) of 99.0 %.

SF O157:[H7] and O145:H?, although associated with HUS in the univariable analyses, were not independent risk factors. stx1 (OR = 0.1) was the sole factor independently associated with a reduced risk of HUS (NPV: 79.7 %); stx2c was not so.

Conclusions: Our results indicate that virulence gene profile and patients’ age are the major determinants of HUS development.

 

Shiga toxin-producing Escherichia coli infections in Norway, 1992-2012: characterization of isolates and identification of risk factors for hemolytic uremic syndrome

Lin BrandalAstrid WesterHeidi LangeInger LøbersliBjørn-Arne LindstedtLine VoldGeorg Kapperud

Credits/Source: BMC Infectious Diseases 2015, 15:324

I miss Bill Keene: Museum catalogues food poisoning in Oregon, elsewhere

Lynne Terry of The Oregonian writes that an unusual museum stocked with food packages including everything from ground beef to alfalfa sprouts has gone live on the internet.

bill.keene.portland
The Outbreak Museum, physically located in Portland, showcases the culprits in food poisoning cases.

The museum was the brainchild of Oregon’s star epidemiologist William Keene, who died suddenly at the end of 2013. He cracked dozens, if not hundreds of outbreaks that sickened people from Portland, Oregon to Portland, Maine with food tainted by E. coli, salmonella, norovirus, campylobacter and listeria. He worked with manufacturers and health officials alike with one goal in mind: prevent consumers from getting sick.

He collected packages of tainted items in outbreaks he worked on and other public health officials sent him containers from their investigations. The museum includes items from the 1999 salmonella outbreak traced to alfalfa sprouts, the 2006 E. coli outbreak involving spinach and the 2012 E. coli outbreak traced to raw milk.

Dr. Paul Cieslak, medical director of Oregon’s immunization program, said the museum is designed to educate younger epidemiologists about the significance of past outbreaks and how they influenced public health decisions and epidemiological investigations.

“It’s mainly meant to be instructure,” Cieslak said.

The items are open to public health students and school groups by appointment. The website includes more extensive information on 12 outbreaks.

Stick to singing? Justin Timberlake’s restaurant fails NY inspection

To be fair, it’s not sure how much JT is involved in the restaurant these days.

But his name’s on it, so there’s a potential for stigma.

justin.timberlakeJustin Timberlake’s New York City restaurant has been hit with charges of sanitation violations during a recent health inspection, including a citation for mice activity.

Officials at the New York City Department of Health and Mental Hygiene gave the Sexy Back hitmaker’s Southern Hospitality venue a routine examination in July, and according to the department’s records, the place received four violations.

In the documents obtained by GossipCop.com, two of those violations were critical, with the first showing “evidence of mice or live mice present in facility’s food and/or non-food area”, adding the venue has “conditions conducive to attracting vermin to the premises and/or allowing vermin to exist.” The other citation suggests an area of the kitchen which comes in contact with food was “not properly washed, rinsed and sanitised after each use, and following any activity when contamination may have occurred.” The final grade for Southern Hospitality is still pending, and the restaurant remains open.

Highway to Hell: Weddings can be dangerous

Bill Smith, director of the Robeson County Health Department in North Carolina writes that at a recent Hispanic wedding in Lumberton with no listing of attendees, it appeared that too much chicken was purchased in order to be refrigerated by the caterer. The chicken — not able to be refrigerated — was put into basins with ice. Our natural summer is counterproductive to maintaining ice, so we can assume that a safe temperature was not maintained.

ac:dc.highway.to.hellAll the participants that became ill had eaten chicken or pasta salad with some sort of dressing on it. A take-home message here is to only use permitted caterers as they have been inspected, thus ensuring proper equipment. If you want to be doubly safe, check to see if they are bonded. It will cost a little more than an un-permitted vendor, but it could save you the expense of a day at the emergency room.

In the Phillippines, food poisoning downed 105 wedding guests.

Judith Dalton, Nurse II at the Rural Health Unit in Estancia town, said that the 105 victims attended a wedding reception in Gogo village last August 8. Dalton said the victims did not initially manifest any symptoms.

But around 1 a.m. of August 9, they experienced extreme stomach pain, vomiting and diarrhea. Of the 105 victims, 75 were referred to the government hospital in neighboring Balasan town. Five were admitted while the remaining were outpatients.

Crypto in UK water supply, 300K homes affected

More than 300,000 homes in Lancashire have been told that they may have to boil their drinking water after a microbial parasite was discovered in their supply.

Lancashire.waterUnited Utilities, which provides water and sewage services to around seven million people in North West England, found traces of the parasite cryptosporidium at Franklaw water treatment works near Preston, during routine tests.

Cryptosporidium can cause gastrointestinal illness with diarrhoea in humans. The parasite can cause acute, short-term infections, but symptoms can become severe in children and people with low immune systems.

The alert was initially issued by United Utilities last Thursday but the company have advised customers in Blackpool, Chorley, Fylde, Preston, South Ribble and Wyre to continue carrying out precautions till at least Wednesday as “low” levels of the parasite still remain in the supply.

Tracking outbreaks through airplane poop

A team of far too curious Danish researchers has been collecting feces from airplane bathrooms to study bacteria by region, which could help scientists understand disease outbreaks.

airplane.shurleyTo conduct the study, the scientists literally transported feces back to a lab where they fed it through a DNA sequencing machine. The technology reveals antimicrobial resistance genes and any pathogens. From this data, they are able to analyze any patterns occurring in the plane’s country of origin.

For example, scientists detected far more genetic microbial resistance among people from South America. They even found specific differences between certain bacteria like Salmonella, which occurred more frequently in South Asia versus Clostridium, which was more common in North America.

As far as outbreaks, the report showed that analyzing feces could be a faster way to detect an epidemic than just analyzing doctor reports because the DNA sequencing shows sudden spikes in certain bacteria.

Medical crowdsourcing saves child’s life from deadly E. coli

SERMO, a global social network exclusively for doctors and the home of medical crowdsourcing, helped save a girl’s life through collaboration across borders.

braylee.beaver.e.coli.O111The infection she was diagnosed with had killed her brother just two weeks earlier. Because of SERMO’s recent expansion to the UK, Canada, Australia, South Africa, Ireland and New Zealand, doctors from around the world were able to pool their collective wisdom online to recommend options for follow up testing and treatment, saving the girls’ life and potentially reducing the infection risk for others in her community.

Case Details

Dr. John Fernandes, a physician from Canada, posted the case of a four year old girl who tested positive for a deadly strain of E. coli, seeking advice on treatments and ways to find the source of contamination. Within just a few hours, a gastroenterologist from the United States, responded:

“You need to keep these patients in the hospital until they are better…Get CDC involved in tracing, you can’t do that yourself. Do they eat out habitually? Salad bars, cold cut meats, salads etc.? You want to do everything to prevent intravascular dehydration.”

A South African general practitioner shared more advice, recommending the treatment that ultimately cured the patient within 12 days:

“In your search for the contamination source, involve places visited, parties they went to etc. Keep the patient in hospital until they are well. Add probiotics to the treatment.”

Since originally posting the case on July 1, 46 doctors from around the world, including nephrologists, pediatricians and more, responded. While the source of this child’s infection remains unidentified, Dr. Fernandes followed the advice of his global peers and the girl’s health returned to normal less than 2 weeks later. Dr. Fernandes also provided the parents with hygiene recommendations to reduce the spread of the illness.

“This is an amazing example of the power of medical crowdsourcing and international collaboration,” said Dr. James Wilson, an American SERMO member and Ascel Bio infectious disease forecaster based out of the University of Nevada-Reno. “While most E. coli infections are not life-threatening, it’s troubling and extremely concerning when an infectious illness claims a child’s life so quickly and infects a younger sibling shortly after. It is especially important in cases like this that a physician acts quickly and exhausts all options and resources available to preserve life. This was also a great teaching moment for the U.S. physician audience as it drew attention to forecasts, which indicated the increased risk of E. coli-related complications, helping them avoid a similar preventable death.”

The E. coli case is just one example where medical crowdsourcing on SERMO saved a life. The posting of the case was not only life-saving for the patient but educational for doctors around the world. In addition to the 46 unique doctors participating in solving the case, the post was viewed by 1,253 doctors around the world.

Medical Crowdsourcing Benefits

A recent SERMO poll of over 1,350 physicians in seven countries explored the benefits of medical crowdsourcing among doctors and found the below ranked highest:

– Solving tough patient cases like the Canadian doctor’s case

– Education on new medical techniques/approaches, and

– Having a safe space to talk with other physicians.

On SERMO, doctors regularly benefit from the power of medical crowdsourcing to address the “grey zone,” an unclear space where physicians have several clinical possibilities and must make a judgement call to solve the case. Over the course of 2014, doctors anonymously posted 3,500 challenging patient cases on the social network, which were viewed a total of 700,000 times and received 50,000 comments. On SERMO, most doctors receive responses from peers within 90 minutes and solve cases within 24 hours.

Food porn hero shot: Tricks of TV cooking shows

I can’t watch cooking shows.

The music is terrible, the chefs are awful and food safety is essentially non-existent (see paper we wrote over a decade ago).

celebrity_chefs4 A post on the social media site Reddit asked people who have worked on the set of food shows to reveal the strangest things they’ve seen while working.

According to user ‘Elroypaisley’ who worked on a daytime talk show with daily cooking segments, most the hard work is done by a food stylist behind the scenes.

“Most of the food is either A) not edible (under cooked chicken, just browned on the outside to look good for camera or sprayed with shining spray to make it look glossy) or B) Eaten by the crew,” write the redditor.

“The most enlightening fact, for me, was that many of the chefs have no idea what the recipe is, what they are cooking when they arrive or how it’s made.

“A food stylist shows up two hours before taping, having been up the night before all night making the ‘beauty dishes’ — these are the dishes the camera will take shots of to show what the final product looks like. Then the stylist lays out every ingredient, every bowl, every tool that will be needed.

“The chef arrives, does hair/makeup and comes to set where the stylist briefs them. ‘Chef, today you’re making such and such. These are the ingredients for the reduction sauce, etc’. The chef goes over the recipe a few times, then we go live and they are the expert.”

User ‘Landlubber77’ worked as a production intern on a food network and said the dish prepared on screen by the chef isn’t usually the one that features in the fancy photos.

“When they want to stage shots of just the food on its own, the ‘hero shot’, they have an intern make a duplicate of the meal (doesn’t matter if it’s undercooked inside because nobody is gonna eat it) which just has to look good on the surface. They then spray it with an aerosol can of some ungodly preservative to make it ‘stay’.

When it comes to shows such as MasterChef, ‘absinthevisions’ wrote that “each dish can be made several times so there is a lot of waste”.

masterchef“If it’s a contest style show, the judges don’t eat the version that you see cooked and plated. That version is thrown away and a new version is cooked specifically for them to eat. Then they take 2-3 bites from a plate and throw the rest away.”

If you’ve ever seen a cooking show where the chef is given a special ingredient at the start of the show and you’ve been amazed by how quickly they brainstormed and executed their dish, well … don’t be amazed.

“My brother was a sous chef for his (at the time) boss on a popular food competition show,” wrote Reddit user ‘LadyofRivendell’.

“He said the secret ingredient was revealed a few hours prior to filming and the chefs sat down with their sous chefs and made plans ahead.”

But the best story in the thread was from a caterer called ‘Astrochef12’ who was hired to in the early 2000s by The Oprah Winfrey show to help make a number of different celebrities’ favourite recipes for the studio audience.

Mathiasen, L.A., Chapman, B.J., Lacroix, B.J. and Powell, D.A. 2004. Spot the mistake: Television cooking shows as a source of food safety information, Food Protection Trends 24(5): 328-334.

Consumers receive information on food preparation from a variety of sources. Numerous studies conducted over the past six years demonstrate that television is one of the primary sources for North Americans. This research reports on an examination and categorization of messages that television food and cooking programs provide to viewers about preparing food safely. During June 2002 and 2003, television food and cooking programs were recorded and reviewed, using a defined list of food safety practices based on criteria established by Food Safety Network researchers. Most surveyed programs were shown on Food Network Canada, a specialty cable channel. On average, 30 percent of the programs viewed were produced in Canada, with the remainder produced in the United States or United Kingdom. Sixty hours of content analysis revealed that the programs contained a total of 916 poor food-handling incidents. When negative food handling behaviors were compared to positive food handling behaviors, it was found that for each positive food handling behavior observed, 13 negative behaviors were observed. Common food safety errors included a lack of hand washing, cross-contamination and time-temperature violations. While television food and cooking programs are an entertainment source, there is an opportunity to improve their content so as to promote safe food handling.

Blame consumers: How to handle an egg edition

Less than half of adults, only 48 percent, wash their hands with soap and water after cracking eggs, and over 25 percent eat cookie dough or cake batter containing raw eggs, according to a study published last month in the Journal of Food Protection. Both activities put a person at serious risk for food poisoning.

raw.egg.mayo“It’s shocking,” says lead author Katherine Kosa, a research analyst in food and nutrition policy at RTI International, a nonprofit research organization based in North Carolina. In an earlier study, her team found that 98 percent of people wash their hands after handling raw poultry, but somehow that same logic hasn’t extended to eggs, she says.

She and collaborators surveyed 1,504 US grocery shoppers about their food-handling habits. The researchers were happy to find that 99 percent of people purchased refrigerated eggs and kept them refrigerated. Keeping eggs adequately cool prevents any salmonella present in the eggs from growing to dangerous levels.