About Douglas Powell

A former professor of food safety and the publisher of barfblog.com, Powell is passionate about food, has five daughters, and is an OK goaltender in pickup hockey. Download Doug’s CV here. Dr. Douglas Powell editor, barfblog.com retired professor, food safety 3/289 Annerley Rd Annerley, Queensland 4103 dpowell29@gmail.com 61478222221 I am based in Brisbane, Australia, 15 hours ahead of Eastern Standard Time

FDA investigating contaminated pig ear treats connected to Salmonella

One of daughter Sorenne’s chores is to feed our two cats every night, with their special anti-neurotic food.

And every night I say, wash your hands.

Same with Ted the Wonder Dog and treats.

With the recent announcements of the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) investigating contaminated Pig Ear Treats connecting to Salmonella, Pet Supplies Plus is advising consumers it is recalling bulk pig ear product supplied to all locations by several different vendors due to the potential of Salmonella contamination. Salmonella can affect animals eating the products and there is risk to humans from handling contaminated pet products, especially if they have not thoroughly washed their hands after having contact with the products or any surfaces exposed to these products.

Testing by the Michigan Department of Agriculture and Rural Development revealed that aging bulk pig ear product in one of our stores tested positive for Salmonella. We have pulled bulk pig ear product from the shelves at all of our stores and have stopped shipping bulk pig ears from our Distribution Center. We are working with the FDA as they continue their investigation as to what caused the reported Salmonella related illnesses.

Dozens of Swiss soldiers hit by vomiting bug, 4 in critical condition

The Straits Times reports more than 40 military staff and recruits at an academy in central Switzerland were taken to hospital on Thursday (July 4) after they suddenly fell violently ill, the government said.

In a statement, the Swiss defence department said that on Thursday afternoon, 43 recruits and members of the Jassbach academy in Linden, in Bern Canton, suddenly suffered from acute gastrointestinal problems, with diarrhoea and vomiting.

Iceland reports 4 STEC infections in Arnessysla county children

Outbreak News Today reports Iceland health officials have reported four pediatric Shiga-toxin-producing E. coli (STEC) cases. Officials say all the children are from the capital of Reykjavik; however, all have probably been infected in Árnessýsla county or, more specifically, in Bláskógabyggð.

The source of the infection is unknown at this time. The Icelandic Food and Veterinary Authority and the South Iceland Health Inspectorate are now working to analyze the origin of the infections and stop further spread.

My brain hurts

It’s a strange thing having your brain disappear.

Amy has encouraged me to write about it.

I’m not sure I can.

I was crying on the phone with my parents the other day, talking about how my grandfather started showing signs of Alzheimer’s at 56 (my age).

It’s emotionally complex and I’m not sure how to handle it.

But it’s happening.

I watched it in my grandfather, I know it’s happening to me.

And my 77-year old mother is going to be here in a couple of days after making a 30-hour flight half-way around the world to see her sick son.

Don’t swallow pool water: Cryptosporidiosis outbreaks – United States, 2009-2017

The U.S. Centers for Disease Control reports that Cryptosporidium is the leading cause of outbreaks of diarrhea linked to water and the third leading cause of diarrhea associated with animal contact in the United States.

During 2009–2017, 444 cryptosporidiosis outbreaks, resulting in 7,465 cases were reported by 40 states and Puerto Rico. The number of reported outbreaks has increased an average of approximately 13% per year. Leading causes include swallowing contaminated water in pools or water playgrounds, contact with infected cattle, and contact with infected persons in child care settings.

What are the implications for public health practice?

To prevent cryptosporidiosis outbreaks, CDC recommends not swimming or attending child care if ill with diarrhea and recommends hand washing after contact with animals.

More Brits could still die from human form of mad cow disease

More Brits could be affected by mad cow disease as experts warn many could be infected without knowing. A second wave of deaths related to eating beef contaminated with Bovine Spongiform Encephalopathy (BSE) – or mad cow disease – could sweep the UK.

In 1993 Britain’s worst food scandal saw 4.4 million cows culled and claiming the lives of 177 people who had developed the human form of it, called Creutzfeldt-Jakob disease (vCJD). Since then, strict controls have been in place to prevent BSE contaminating food products and the use of meat and bone mix is illegal. But humans could be affected for up to 50 years, warn experts. Neurology professor, Richard Knight, of Edinburgh’s CJD Surveillance Unit, told a BBC investigation – airing July 11 – that it is still unclear how many could be affected. He said: ‘There is still so much uncertainty about this disease.

‘And one of the things that is uncertain is how many people in the UK are silently infected. ‘At the moment I have to say we are simply not sure, but every prediction suggests there are going to be further cases.’ vCJD is caused by prions, which are infectious agents made up mainly of proteins. A study of a similar disease in 2009, caused by prions, showed the disease may incubate undetected for much longer. All affected had carried the same MM genetic makeup, but in 2009 victim Grant Goodwin, 30, became the first person to die of vCJD, despite carrying the different gene type of MV. In 2014, a British man, 36, became the second MV carrier to die from the disease.

Cryptosporidiosis outbreaks – United States, 2009-2017

 

The U.S, Centers for Disease Control that Cryptosporidium is the leading cause of outbreaks of diarrhea linked to water and the third leading cause of diarrhea associated with animal contact in the United States.

During 2009–2017, 444 cryptosporidiosis outbreaks, resulting in 7,465 cases were reported by 40 states and Puerto Rico. The number of reported outbreaks has increased an average of approximately 13% per year. Leading causes include swallowing contaminated water in pools or water playgrounds, contact with infected cattle, and contact with infected persons in child care settings.

What are the implications for public health practice?

To prevent cryptosporidiosis outbreaks, CDC recommends not swimming or attending child care if ill with diarrhea and recommends hand washing after contact with animals.

Rashika Gharpure, Arian Perez, et al

https://www.cdc.gov/mmwr/volumes/68/wr/mm6825a3.htm?s_cid=mm6825a3_w&deliveryName=USCDC_921-DM3242

From the duh files: Here’s why consumers don’t use thermometers when cooking

I told Amy when I die and my brain is carved up in Sydney, my epitaph should be, improving food safety, one thermometer at a time.

I still feel naked when cooking without a thermometer.

According to a study conducted by researchers at Purdue University, few people use thermometers when they cook—even if they know how. 

One of the major reasons that consumers don’t use thermometers, researchers found, is because they tend to draw inspiration from outside sources—celebrity chefs, cookbook authors, magazines, restaurant managers, and food blogs. These outlets rarely ever mention or demonstrate the importance of cooking food to proper temperatures.

“We see that celebrity chefs simply rely on time estimates in their recipes or cut through the meat to show there is no blood or pink. That doesn’t always mean the food is safe, however,” says Yaohua “Betty” Feng, an assistant professor of food science at Purdue. “That affects the behaviors of home cooks and professional cooks. If their role models aren’t using thermometers, why should they? But if chefs preparing food on television or social media would include the use of a thermometer to ensure the food is thoroughly cooked, it would have an impact on their viewers.”

Feng worked with University of California’s Christine M. Bruhn to analyze 85 studies from over two decades to understand knowledge, attitudes, and behaviors associated with thermometer use. Despite it being considered a best practice in home and professional kitchens, thermometer use is low.

In one study, two-thirds of people reported owning a meat thermometer, but less than 20 percent used it all the time to check the temperature of chicken, and less than 10 percent used it all the time for hamburgers. About half of consumers say that thermometers aren’t necessary to check the doneness of egg or meat dishes.

Feng also noted that many people are unsure which type of thermometer to buy or how to correctly use them, including where to place the thermometer in the food, the correct endpoint temperatures, proper temperature calibration for the thermometer, and proper cleaning and sanitation. About 95 percent of people in one study did not clean their thermometers after use.

The U.S. Department of Agriculture National Institute of Food and Agriculture’s Agriculture and Food Research Initiative supported this research. The results were published in the Journal of Food Protection in January 2019.

Pig inspection in Europe

The main goal of the present paper is to overview, using the example of pigs/pork, the developments in official meat inspection in the European Union that occurred from 2000 onwards. The developments aim at transition from traditional, macroscopic examination of slaughtered animals to a risk and meat-chain based, comprehensive meat safety assurance system.

pig

The scientific reasoning for those developments and the generic framework of a modernised system as proposed by the European Food Safety Authority, as well as the current status and future perspectives of related changes, are considered. Also, the main factors hampering the implementation of the changes in practice and possible directions for further work needed to overcome them are outlined.

From traditional meat inspection to development of meat safety assurance programs in pig abattoirs- the European situation

Dec.19Food Control, Volume 106

Sava Buncic, Lis Alban, Bojan Blagojevic

https://www.sciencedirect.com/science/article/pii/S0956713519302798

Vaccines work: Widespread outbreaks of Hepatitis A across the U.S.

Since March 2017, the U.S. Centers for Disease Control Division of Viral Hepatitis (DVH) has been assisting multiple state and local health departments with hepatitis A outbreaks, spread through person-to-person contact.

The hepatitis A vaccine is the best way to prevent HAV infection.

The following groups are at highest risk for acquiring HAV infection or developing serious complications from HAV infection in these outbreaks and should be offered the hepatitis A vaccine in order to prevent or control an outbreak:

People who use drugs (injection or non-injection)

People experiencing unstable housing or homelessness

Men who have sex with men (MSM)

People who are currently or were recently incarcerated

People with chronic liver disease, including cirrhosis, hepatitis B, or hepatitis C

One dose of single-antigen hepatitis A vaccine has been shown to control outbreaks of hepatitis A and provides up to 95% seroprotection in healthy individuals for up to 11 years.1,2

Pre-vaccination serologic testing is not required to administer hepatitis A vaccine. Vaccinations should not be postponed if vaccination history cannot be obtained or records are unavailable.

CDC has provided outbreak-specific considerations for hepatitis A vaccine administration.

At A Glance

Since the outbreaks were first identified in 2016, 24 states have publicly reported the following as of June 21, 2019

Cases: 20,512

Hospitalizations: 11,776 (57%)

Deaths: 194

State-Reported Hepatitis A Outbreak Cases as of June 21, 2019

State-Reported Hepatitis A Cases and Clinical Outcomes
State Case Total Hospitalizations
n (%)
Deaths Outbreak
Start Date
Data Current
Through
Total 20512 11776 (57%) 194
States with an ongoing outbreak
Alabamaexternal icon 84 NR (NR) NR 9/1/2018 6/19/2019
Arizonaexternal icon 396 309 (78%) 2 11/1/2018 6/20/2019
Arkansasexternal icon 343 NR (NR) NR 2/7/2018 6/7/2019
Coloradoexternal icon 74 47 (64%) 0 10/1/2018 6/19/2019
Floridaexternal icon 1876 1353 (72%) 21 1/1/2018 5/31/2019
Georgiaexternal icon 437 292 (67%) 1 6/1/2018 6/14/2019
Idahoexternal icon 26 14(54%) 1 1/1/2019 6/20/2019
Illinois external icon 126 75(60%) 0 9/1/2018 6/19/2019
Indianaexternal icon 1581 851 (54%) 4 11/1/2017 6/21/2019
Kentuckyexternal icon 4715 2277 (48%) 58 8/1/2017 6/8/2019
Louisiana external icon 302 178 (59%) 1 1/1/2018 6/21/2019
Massachusettsexternal icon 363 298 (82%) 5 4/1/2018 6/14/2019
Michiganexternal icon 916 735 (80%) 28 8/1/2016 6/19/2019
Missouriexternal icon 323 163(50%) 2 9/1/2017 6/19/2019
New Hampshireexternal icon 138 83 (60%) 1 11/1/2018 6/18/2019
New Mexicoexternal icon 126 100 (79%) 2 11/8/2018 6/20/2019
North Carolinaexternal icon 85 60 (71%) 1 1/1/2018 6/17/2019
Ohioexternal icon 3070 1841 (60%) 10 1/1/2018 6/17/2019
South Carolinaexternal icon 147 108 (73%) 1 11/1/2018 6/14/2019
Tennesseeexternal icon 1791 1085 (60%) 10 12/1/2017 6/21/2019
Virginiaexternal icon 71 45 (63%) 0 1/1/2019 6/20/2019
West Virginiaexternal icon 2533 1249 (49%) 23 3/19/2018 6/21/2019
States with a declared end to their outbreak
Californiaexternal icon 708 464 (66%) 21 11/1/2016 4/11/2018
Utahexternal icon 281 152 (54%) 3 5/8/2017 2/12/2019

NR: not publicly reported

“Outbreak-associated” status is currently determined at the state level in accordance with each state’s respective outbreak case definition.

Outbreak-related hepatitis A deaths are defined at the state level in accordance with each state’s respective hepatitis A-related death definition. Some states are reviewing death certificates on a regular basis to actively find hepatitis A-related deaths, while other states are utilizing passive surveillance.

Outbreak start date is defined at the state level and may represent the earliest onset date of an outbreak case (AR, AZ, UT), the left censor date for which cases are considered part of the outbreak based on the state outbreak case definition (AL, CA, CO, FL, GA, ID, IL, IN, KY, LA, MA, MI, MO, NC, NH, OH, SC, TN, VA), or when a state declared a hepatitis A outbreak (NM, WV).

CDC’s Response

In response to all hepatitis outbreaks, CDC provides ongoing epidemiology and laboratory support as well as support on vaccine supply and vaccine policy development. When requested, CDC sends “disease detectives” to affected areas to evaluate and assist in an outbreak response. CDC alerts other public health jurisdictions of any increases in disease. All jurisdictions are encouraged to be watchful for increases in hepatitis A cases. CDC also works with state and local health officials to ensure hepatitis A vaccine is targeted to the correct at-risk populations and that supply is adequate.

Postexposure Prophylaxis

Postexposure prophylaxis (PEP) is recommended for unvaccinated people who have been exposed to hepatitis A virus (HAV) in the last 2 weeks; those with evidence of previous vaccination do not require PEP.

PEP consists of:

Hepatitis A vaccine for people aged ≥12 months

Hepatitis A virus-specific immunoglobulin (IG) for specific populations

PEP Recommendations:

ACIP Recommendations for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel

Supplement 1. Provider Guidance on Risk Assessment and Clinical Decision-making for Hepatitis A Postexposure Prophylaxis

NOTE: CDC recommends that all children be vaccinated against hepatitis A at age 1 year. Parents or caregivers who are unsure if a child has been vaccinated should consult the child’s health-care provider to confirm vaccination status.

HAV Specimen Requests

State health departments wanting to submit specimens must contact CDC at hepaoutbreaklab@cdc.gov for approval before shipping specimens to CDC.  Only specimens that that have tested positive for anti-hepatitis A IgM and meet any of the following criteria will be considered.

Specimen from a case patient in a county that has not yet reported a hepatitis A case in an at-risk population;

Specimen from a case patient who doesn’t report any known risk factors or contact with at-risk populations (e.g., household or sexual contact, volunteering at a homeless shelter);

Specimen from a case patient suspected to be associated with foodborne transmission;

Archived/stored specimen from a patient who has died, and whose classification as an outbreak-related death requires nucleic acid testing beyond anti-HAV IgM-positivity; or

Other patient specimens not meeting the above criteria that require nucleic acid testing or molecular characterization (to be discussed on a case-by-case basis).

Dear Colleague Letter pdf icon[PDF – 6 MB] from CDC Division of Viral Hepatitis Director regarding Submission of Patient Specimens to CDC for Hepatitis A Testing.

Additional Vaccination Information

Outbreak-specific considerations for hepatitis A vaccine administration

MMWR – The dose of GamaSTAN™ S/D has recently been changed

Current Vaccine Shortages & Delays – Information on Vaccine Supply

For Immunization Managers – Information on Vaccines Purchased with 317 Funds

Professional Resources

Medscape Commentary: Hepatitis A: Breaking Out All Overexternal icon

Archived webinar: Preventing and Controlling Hepatitis A in Jails and Prisons from the National Institute of Corrections, BOP and CDCexternal icon

HAN: Update: Widespread Outbreaks of Hepatitis A among People Who Use Drugs and People Experiencing Homelessness across the United States – March 2019

COCA Call On-Demand Webinar for Clinicians: Hepatitis A Outbreaks in Multiple States – CDC Recommendations and Guidance – Nov. 2018

HAN: Outbreak of Hepatitis A Virus (HAV) Infections among Persons Who Use Drugs and Persons Experiencing Homelessness– June 2018

MMWR: Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness — California, Kentucky, Michigan, and Utah, 2017

Posters on how to clean up and disinfect to help prevent spread of hepatitis A virusexternal icon from Water Quality & Health Council

Updated CSTE clinical case definition for acute viral hepatitis A

CDC guidance on viral hepatitis surveillance and case management

CDC training on hepatitis A serology 

Hepatitis A general FAQs for Health Professionals

Educational Resources

CDC is developing educational materials to support the outbreak at the state and local levels. Most materials include an area where local information can be inserted. Your organization’s contact information can be typed into the blue colored rectangle. To upload your logo, click on the white space below the blue colored rectangle. In the pop-up box, select browse and upload a PDF version of your logo.

Fact Sheets

One page visual fact sheets encouraging vaccination for:

people who use drugs pdf icon[PDF – 244 KB]

gay and bisexual men pdf icon[PDF – 332 KB]

people experiencing unstable housing or homelessness pdf icon[PDF – 282 KB]

people who are or were recently in jail or prison pdf icon[PDF – 282 KB]

Two page visual fact sheet pdf icon[PDF – 615 KB] that includes information on hepatitis A prevention, transmission, symptoms and encourages multiple populations to get vaccinated

Pocket Cards

Outbreak of hepatitis A Pocket Card pdf icon[PDF – 786 KB] to localize with organization information and outlines who should get vaccinated and the symptoms of hepatitis A

Printing Instructions: These cards should be printed double-sided on 4.25” x 5.5” perforated postcard templates that print four double-sided cards per page. The print settings must be set to “Actual size” or “Custom Scale 100%” to ensure accurate alignment of the two sides of the cards.

Get Vaccinated Pocket Card pdf icon[PDF – 455 KB] to localize with information where to go to get the vaccine and who should get vaccinated

If You’re Sick Pocket Card pdf icon[PDF – 470 KB] to localize with information on where to go for medical care and the symptoms of hepatitis A

Pocket Card Printing Instructions: These cards should be printed double-sided on business card templates that print six double-sided cards per page. The print settings must be set to “Actual size” or “Custom Scale 100%” to ensure accurate alignment of the two sides of the cards.