Amy Hubbell

About Amy Hubbell

Lecturer in French at the University of Queensland, food safety conscious person, and spectator of terrible reality cooking shows Download C.V. »

Avoiding cross-contamination at checkout

After my post in April “Cross-contamination at checkout,” one person (crs) commented:

“That’s the ultimate check-out horror story. I usually put meat items in plastic bags to be on the safe side. I bag fresh produce for the same reason. I also leave the meat items till last to minimize contact with my other groceries (which doesn’t help the person behind me, but I can’t cover for everyone). On the downside, I’m not doing the environment any good with all those plastic bags.”

Putting my story out there and realizing how ashamed I was to not be more aggressive with the checkers to protect my food has caused me to become far more proactive. Now two months later, we once again headed to Dillons on Saturday morning. This time I carefully organized items on the conveyor belt with produce first and meat last. I still do not know what was on the belt before I got there, but at least it was not visibly wet. When the bagger asked, “Plastic OK?” I said, “No, we have our own bags, but I want all of the meat put in plastic.” I did not notice until we got home, however, that the bagger did not classify salmon as meat. She did put the chicken and beef in their own plastic bags and kept them separate from the cloth bags. After unloading everything onto the belt, I asked the checker if I could have one of her sanitary wipes for my hands. She said sure but looked at me a little weird. She didn’t use one, but I have seen checkers religiously use them in the same store.

I am still adapting to reusable cloth bags and will likely continue to adjust my habits (That’s me, left, not exactly as shown). I still do not put produce in separate plastic bags, but I keep a supply inside one of the cloth bags to cut down on waste. I either dispose of or recycle the ones that have been used for meat and fish so they do not get reused later on produce. More importantly, I’m learning to politely but quickly direct the checker and bagger about how I want my food handled. It’s not fail-safe, but in a short order of time I have learned that it is my responsibility to protect my family, and especially my baby, from pathogens whenever possible.
 

Dairy-free brownies and other sacrifices

It has been almost three months now that my diet has been more or less dairy free. Shortly after Sorenne turned two months old, she became plagued with eczema. Her pediatrician never recommended I change my diet, as he was satisfied that she continued to gain weight, but I couldn’t stand watching her turn red and try to scratch herself with little hands that she could barely control. A friend of mine, and many articles I read, suggested cutting dairy. My first reaction was – that will be the end of nursing. I am a cheese addict, I love butter, and really, dairy is one of my main sources of protein. Soy is fine – but giving up cheese? How cruel can life be?

I eventually decided that cutting dairy for a couple of days would not kill me, and Sorenne did seem to get a little better. But Doug and I were really not sure if it was the dairy or any number of other variables in our daily life that could be affecting her. I had changed detergents and soaps and made sure she wore only 100% cotton material in the meantime.

The first two weeks of avoiding dairy were very difficult. Giving up cheesecake was almost painful, but I eventually found substitutes and cheated a little here and there when necessary. Sorenne had flare ups that I attributed to a dairy allergy, but we really have no way of knowing for sure. Sorenne doesn’t complain – neither does Doug – and I brought this challenge entirely on myself. After I discovered tofutti cream cheese and (yes it’s gross) veggie cheddar, quitting milk no longer seemed like such a big deal. I noticed I’m generally less gassy (pleasant for everyone around me) and Sorenne vomits significantly less.

For the past week Sorenne’s skin has been almost entirely clear. Today, while contemplating the dairy-free brownies I was about to make, I realized that living dairy free is a challenge I enjoy. I still salivate thinking about Roquefort, but I lived without most of my favorite cheese throughout my pregnancy due to the risk of listeria. (At least now I can eat pâté without much worry.) Finding substitutes has been somewhat enjoyable with some pleasant side effects. For those who cannot enjoy dairy due to serious allergies or lactose intolerance, the diet may feel more like a burden. Worse yet, it’s scary to not know if an allergen has contaminated your food when you’ve been careful to protect yourself or your child. I’m fortunate to have a choice and a knowledgeable partner tolerant of my neurotic parenting.
 

BC Elementary interschool track meet struck with Noro

From Katie Filion on assignment in New Zealand:

I have virtually no athletic capabilities, but during my elementary school days I was quite the track star. OK, maybe not a star, but I was good enough to make the track and field team.  I remember winning a few races, but usually a day at the track resulted in an embarrassing sunburn. Students at Arden Elementary school in British Columbia weren’t so lucky, with more than one hundred students sent home from the track meet with Norwalk-like virus, reports Comox Valley Echo.

Dr. Jordan Tinney, superintendent of the school said the health department was contacted and the symptoms are consistent with Norwalk. The virus affected no other schools at the track meet.

Dr. Charmine Enns, Comox Valley medical health officer, said,

 "Norwalk or Norovirus is ubiquitous. It’s in all of our communities. It’s easily transmitted because people have very little warning that they’re going to get sick."

Enns stressed that gastro-intestinal illnesses of any type could be thwarted with good hygiene, especially hand washing.

While lab diagnosis had not been sought out, Enns said she was confident the students had been struck with Norwalk.

She explained,

"Typically if it walks like a duck and quacks like a duck then it probably is a duck. And it’s quacking and walking like Norovirus."

Arden Elementary has been thoroughly sanitized and nearly all students have returned to classes.

 

Cross-contamination at checkout

Katie and I were craving hamburgers this weekend and Doug decided to indulge us. At the supermarket on Saturday he picked up some ground beef along with our normal cart full of produce and other proteins. As usual, I tried to separate the items in the cart so that the fresh produce was not touching the beef, pork, or salmon filets, even though all the meat was wrapped.

Checkout on Saturdays is always busy, and with a baby, a shopper’s plus card, a payment method, eco-friendly shopping bags, and chatter with the cashiers and baggers, there are plenty of distractions. On this particular day, the new store manager was bagging our items and complementing Doug on his culinary ability: “I can see you must be a good cook because those items require skill.” I chimed in with full-hearted agreement. Doug’s an awesome cook.

In the meantime, as the hamburger was being passed over the scale and scanner, juice poured out all over the place. I watched the cashier and was about to say something, but she pulled out a sanitary wipe and cleaned her hands. She then proceeded to pass every one of our produce items over the scale and through the hamburger juice. I felt like I should say something but wanted Doug to be the bad ass. And as I stood there stunned, not wanting the store manager to fire the woman, she completed our transaction and was on to the next person.

As soon as we exited the store, I declared we would have to wash every piece of produce in the bags. It didn’t even occur to me until later that the following person’s items were also going to pass over that potentially E.coli-laden scale. And maybe the same thing had already happened five times before we arrived. Maybe we were already at risk before our hamburger leaked all over.

It’s important to wash fresh fruits and vegetables to remove external contamination, because you never know where it’s been. Once your produce is exposed, it can contaminate other items in your bag or at home. Even if you are a careful consumer, it’s difficult to know just where that tomato has been.

(P.S. Doug cooked the burgers to a perfect 160F and they were delicious.)

 

No Soap at Subway

Courtlynn’s here and that meant a quick meal at Subway last night on our way home from the airport. The restaurant was fairly deserted and we only saw one male employee working. After we received our order to go, I ducked into the women’s restroom. While washing my hands, I reached for the soap and saw the sign pictured here. I rinsed with water and hoped the friction from the paper towel would be of some benefit. But I’m not serving meals to others and only had to hand Doug his sandwich in the car before eating my half. Proper handwashing requires the proper tools: water, soap, paper towels.

Katie, a.k.a. the woman who lives under our stairs, used to be a sandwich artist at Subway in the Soo. She says they got “into a lot of shit” if they didn’t keep the soap dispensers filled.
 

Eat fresh. Use soap.

Botulism Symptoms all the Days of Our Lives

On Days of Our Lives today, Victor Kiriakis gave his opinion about Chloe Lane, “Hell, botulism is better than being married to her.” In food safety terms, that’s a very low blow.

Botulinum is a deadly toxin that comes from bacteria in soil and grows in warm, moist environments with no oxygen and low acidity. For example, it can grow on a baked potato wrapped in foil and left out on the counter. There have also been cases of poisoning in carrot juice, home-canned green beans, and enchiladas in France.

Botulism can cause serious complications such as paralysis and death.

Common symptoms include difficulty swallowing or speaking, facial weakness, double vision, trouble breathing, nausea, vomiting, abdominal pain and paralysis.

In infants, symptoms include constipation followed by "poor feeding, lethargy, weakness, pooled oral secretions, and wail or altered cry. Loss of head control is striking."

If having botulism is better than being married to Chloe, then Lucas better hope Victor, Kate, Sammy or even Daniel will ruin that wedding (you can vote online at nbc.com).

And p.s., Victor Kiriakis is played by John Aniston, the father of Jennifer Aniston IRL.

 

Queering Ratatouille

eatmedaily.com reports that UCLA French professor Laure Murat will present, “Queering Ratatouille: A Rat Reclaiming French Cuisine” this afternoon. Having just returned from the NeMLA (which Doug lovingly calls NAMBLA) annual meeting in Boston, my first thought was ratatouille is the perfect dish to represent queering. Then I realized this is a talk about a gay rat in a cartoon.

Ratatouille is a relatively safe dish from a food safety perspective. It’s a combination of vegetables like eggplant, zucchini, green bell peppers, tomatoes, garlic, onions and the like, simmered or roasted together until the flavors meld into a gorgeous Mediterranean flavor. Any unsavory microorganisms should be amply cooked out by the time it is ready to serve.
 

Storing breastmilk: Conflicting advice

Doug, Sorenne and I are celebrating Sorenne’s one month birthday today with naps, laundry, and writing in every spare second. Yesterday we had a visit from the Healthy Start program representative which is part of the State of Kansas Health Department. Rachel weighed the baby who, with her clothes on, is now 11 lbs 15 oz. I have no concerns about her getting enough to eat. What does worry me, however, is how to keep track of the bottles of expressed breast milk in the refrigerator and whether temperature abuse is going to be an issue.

Breastfeeding has been tricky on numerous levels. Fortunately, storing breast milk is one of the few areas where I’ve found really conflicting advice. The most helpful book I purchased, The Nursing Mother’s Companion by Kathleen Huggins, only briefly covers milk storage stating in a chart that the limit is 72 hours in the refrigerator (p. 189). She contradicts herself elsewhere saying, “You can keep your milk for 24 to 48 hours in the refrigerator or for up to three months in the freezer” (p. 104).

Huggins explains that fresh refrigerated milk is somewhat better than frozen because it retains more antibodies, but if you do freeze milk, it should be labeled with the date. Furthermore, “Milk cannot be refrozen or refrigerated after it has been thawed or warmed; whatever is left over after the feeding must be thrown out” (p. 104).

Huggins and multiple other sources discourage reheating milk in the microwave. While Huggins doesn’t explain, the U.S. Food and Drug Administration states that microwaves heat unevenly and may create dangerous hot spots that may burn the baby. In addition, Laura Jana and Jennifer Shu in Heading Home with Your Newborn say that the microwave destroys the protective antibodies found in breastmilk (p. 50).

In a section entitled “Focusing on Food Safety” Jana and Shu also encourage thorough handwashing and drying before preparing formula.

“Do not use prepared formula if it has been left unrefrigerated for more than 2 hours. Once you have fed your baby from a bottle, do not refrigerate the bottle in hopes of using it again later; bacteria from your baby’s mouth can multiply, even in the refrigerator. Be sure to discard any formula remaining in the bottle after 1 hour from the start of your baby’s feeding.” (p. 45)

I am unsure what the authors advise for breastmilk.

On the Lansinoh brand Breastmilk Storage Bags there is a chart indicating “How Long To Store Breastmilk”:

Where                                                                    Temperature                  Time

At Room Temperature                                            66-72 F (19-22 C)         10 hours
In a Refrigerator                                                     32-39 F (0-4 C)              8 days
In a Freezer Compartment inside a Refrigerator   Temperature varies        2 weeks
In a Freezer Compartment with a Separate Door  Temperature varies        3-4 Months
In a Separate Deep Freeze                                    0 F (-19 C)                     6 Months or longer

FDA’s advice comes from “Breastfeeding Made Easier at Home and Work” at womenshealth.gov and is almost identical. womenshealth.gov, however, gives a detailed breakdown of milk storage times at room temperature:

    * At 60 degrees F for 24 hours
    * At 66-72 degrees F for 10 hours
    * At 79 degrees F for 4-6 hours
    * At 86-100 degrees F for 4 hours

FDA also advises to make sure hands are clean and dry before handling milk, to store milk away from the door in the freezer “to avoid changes in temperature that may compromise the milk” and when you need to take the milk with you, “pack it in a cooler filled with ice. Do not leave the milk in a cooler for more than 24 hours.”

Here’s to many more healthy milestones for Sorenne.

 

Listeria and Mother’s Milk

Doug wrote a book called Mad Cows and Mother’s Milk about a decade ago. I still haven’t read it. I feel bad about that, but I don’t think it has the answers to my recent nursing questions.

When we were meeting with the lactation consultant in the hospital (Melanie – you are fabulous, by the way), we asked her if foodborne illness could be passed on to the baby. She said no. She said not to worry about viruses such as flu or colds and that the baby cannot get Listeria or Salmonella from anything I eat.

Once home from the hospital, I immediately went for the pâté, brie, goat cheese (thank you Graduate Students!), and smoked salmon. Who knew that motherhood could be so delicious?
 

Every student’s nightmare? Puking in class

As I was beginning the listening section of an introductory French exam today, several students suddenly jumped up. Desks were screeching and I thought there must have been a cockroach or mouse in the room (both things have happened to me in the past at other universities). But no. A student in the front row was only vomiting on the floor and some of his neighbors happened to get hit. The students were all very cool and helpful – getting water and paper towels for the sick classmate. I sent the sick one home but he cleaned up most of his mess. I notified administration, sprayed the floor with some chemical spray, wiped up, and directed the students to another classroom. I went and washed my hands and facilities came within the next 15 minutes to mop the floors.

But what’s the protocol for handling other people’s puke? When I told Doug what happened he reminded me that if the student was sick with a virus like Noro, the germs could be aerosolized and make the rest of us ill. This particular student believed it was a problem with medicine, but to be safe … Washoe County Nevada Health Department suggests:

•    Staff should wear disposable gloves and aprons when cleaning up after ill guests, especially when handling vomit, diarrhea, or other bodily wastes. It is recommended that persons who clean areas substantially contaminated by feces and/or vomitus wear masks because spattering or aerosols of infectious material might result in disease transmission. Use of cleaning cloths and other items used to clean toilets should only be used for that purpose and should not be used from room to room. Do not use these items to clean other surfaces. Effective virucides should be used in bathrooms and high hand-contact areas in guest rooms such as taps, faucets, door and drawer handles, door latches, toilet or bath rails, telephones, rails on balconies, light and lamp switches, thermostats, remote controls, curtain pulls and wands, covers on guest information books, alarm clock buttons, hair dryers, irons, and pens.
•    Staff should promptly bag and clean soiled linens or dispose of them as infectious waste. Linens soiled with vomit or feces should be washed in a hot wash and dried at high temperature (drier temperature >170º F).
•    When responding to a Public Vomiting Incident (PVI), the area within at least a 25-foot radius should be cleaned and disinfected using the above procedures.
•    Staff should wash hands thoroughly using soap and water and then dry them thoroughly after completing the clean-up procedure and again after completing the disposal procedure.

A teacher named “Koko” blogged that when this happened in her classroom in China, she used dirt to cover the vomit, made sure it was dry, then swept, threw out the waste, and mopped afterwards. She made her students participate in the cleaning.