Food fraud: Crab meat from Venezuela linked to 9 cases of vibrio in Maryland

While Maryland Blue Crabs are a staple in the DMV, many places do sell crabs, packaged crab meat, and crab cakes with crab from elsewhere.

Anne Cutler of Fox 26 says the National Aquarium in Baltimore reports that due to environmental degradation and years of overfishing, there’s not enough blue crab in the region to support demand, and grocery stores and restaurants often resort to selling imported crab.

According to ocean conservancy organization Oceana, 33 percent of the seafood purchased in the United States is actually mislabeled.

The National Aquarium reports that under current law, crab meat can be imported from around the world, pasteurized in-state and relabeled as “Maryland crabmeat.”

Nine people have contracted dangerous Vibrio infections in Maryland alone. The state’s Department of Health is warning residents to not eat crab meat from Venezuela.

“We’re selling a lot of crab meat, shrimp, lobster, whatever you want. We’re steaming it for you. And as far as this crab meat, we gotta get it from the eastern shore now, because we heard from the media what’s going on,” said Clarence Goodman, with Jessie Taylor Seafood.

Goodman says the company is not taking any chances — sticking with products almost exclusively from the eastern seaboard. 

The crab in question comes in the little plastic tubs. Consumers should look for a label on the side of the container that says where the meat is from. If it comes from Venezuela, you don’t want to get it.

Diners should also pay attention when buying crab cakes as well.A 2015 study from Oceana found that 38 percent of crab cakes being advertised as having locally sourced Chesapeake blue crab were actually made of imported meat.

In the state of Maryland, only a few dozen restaurants in the state reliably make their crab cakes from local crabmeat and the state does not require restaurants to identify the specific source of the meat.

The state has a listing of “True Blue” local restaurants that serve Maryland blue crab.

Over 500 reports of gastrointestinal illness at Tennessee zip line attraction

The Tennessee Department of Health says it is investigating an outbreak of gastrointestinal illness among visitors to a zip line attraction in Sevier County.

Health officials say they have received reports of more than 500 cases of gastrointestinal illnesses including diarrhea and vomiting from people from multiple states who visited CLIMB Works Zipline Canopy Tour since mid-June 2018.

State and local health investigators are working with the company to identify additional cases, what caused the illnesses and keep more people from getting sick.

State health officials say CLIMB Works has taken appropriate steps and closed temporarily, but has resumed routine operations.

The East Tennessee Regional Health Department says it has taken samples of well water, but the tests are not back yet. A manager at CLIMB Works says they’re not sure what’s causing the illnesses, but they have stopped using and distributing water at the attraction.

Cilmb Works Manager, Brian Turley, says 108 visitors called the business directly to report sickness. He says most of them called, not for a refund, but to inform the business of potential issues. 

Turley says they are offering refunds for anyone affected with illness. 

Speaking with WATE 6 On Your Side, Turley shared a message for visitors:

“We are so sorry. We obviously had no idea or we never would have never let you [visitors] drink our water. We had no idea. It’s so frustrating it wasn’t something we didn’t catch sooner,” said Turley.

212 sick: Multistate outbreak of cyclosporiasis linked to Del Monte Fresh produce vegetable tray

The U.S. Centers for Disease Control and Prevention (CDC) reports that Cyclospora cayetanensis is a single-celled parasite that causes an intestinal infection called cyclosporiasis.

As of July 5, 2018 (9am EDT), CDC has been notified of 212 laboratory-confirmed cases of cyclosporiasis in persons who reportedly consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip. The reports have come from four states.

Seven (7) of these people have been hospitalized, and no deaths have been reported.

Epidemiologic evidence indicates that pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip are the likely source of these infections.

Most ill people reported eating pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip.

Most ill people reported buying pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip in the Midwest. Most people reported buying the trays at Kwik Trip convenience stores.

The investigation is ongoing. CDC will provide updates when more information is available.

General advice for consumers about prevention of cyclosporiasis can be found here.

On June 15, 2018, Del Monte Fresh Produce recalled 6 oz., 12 oz., and 28 oz. vegetable trays containing fresh broccoli, cauliflower, celery sticks, carrots, and dill dip. Recalled products were sold in clear, plastic clamshell containers.

Recalled products were distributed to the following stores: Kwik Trip, Kwik Star, Demond’s, Sentry, Potash, Meehan’s, Country Market, FoodMax Supermarket, and Peapod.

Food safety and tourism are mutually dependent: Vibrio in conch in Bahamas

Morgan Adderley of Tribune 242 reports there have been four confirmed cases of conch poisoning and as many as six unconfirmed cases, Bahamas Health Minister Duane Sands announced yesterday.

According to Dr Sands, the exposure took place in the previous 72 to 96 hours with a number of the patients affected having eaten at Potter’s Cay.

Noting that an outbreak of conch poisoning is something the country can “ill afford” right now, Dr Sands was adamant the issue can be easily mitigated if proper hygiene is maintained.

Four cases have been confirmed via laboratory testing but Dr Sands said there are a number of unconfirmed cases – “possibly as many as six” awaiting laboratory results. He added the affected people are being treated at both Doctors Hospital and Princess Margaret Hospital, and so far, all the self-identified patients are Bahamian.

Dr Sands said the steps to controlling the outbreak lie in proper hygiene and public and vendor awareness.

“Environmental Health teams (are speaking) directly with the vendors, not only at Potter’s Cay but throughout New Providence and anywhere else that we may have reason to suspect possibility of exposure,” Dr Sands said.

“We learned back in the 1990s that this is easily controlled if people practice very simple techniques of washing conch with fresh water. And that minimises, if not eliminates the possibility of transmission.

If it’s so simple, why do so many people get sick?

621 inmates suffer food poisoning at Kyoto prison

When I was in prison 37 years ago, it had its own canning unit. Prisons have always been de facto work camps, and food is where the laborers were needed. Lotsa rumors about saltpeter, the daily horse chestnuts (canned plums) and whatever else could be thrown in a minimal cost.

It’s only gotten worse as privitization has taken over.

Fyodor Dostoyevsky said: “The degree of civilisation in a society is revealed by entering its prisons.”

According to Yusuke Kaite of The Mainichi 621 inmates recently suffered food poisoning at Kyoto Prison, the municipal government announced on July 4.

Although the exact cause was not identified, the city declared the outbreak a case of mass food poisoning, and banned the use of food facilities at the prison for three days.

Men from the ages of 26 to 76 suffered symptoms such as diarrhea and stomachaches from the morning of June 28 after food was cooked in the kitchen by 24 inmates. A total of 1,132 inmates and others had meals made at the kitchen at the time.

Patterns of crypto in Australia

Cryptosporidium is a protozoan parasite that causes the diarrheal disease, cryptosporidiosis. Although many species have been identified, the majority of human disease worldwide is caused by two species; Cryptosporidium parvum and Cryptosporidium hominis. 

In Australia, data from the National Notifiable Diseases Surveillance System (NNDSS) show that cryptosporidiosis outbreaks occur every few years. To better understand the transmission, trends and nature of cryptosporidiosis outbreaks in Western Australia, epidemiological and genomic data from three cryptosporidiosis outbreaks in 2003, 2007 and 2011 were reviewed.

The 2007 outbreak was the largest (n = 607) compared with the outbreaks in 2003 (n = 404) and 2011 (n = 355). All three outbreaks appeared to have occurred predominantly in the urban metropolitan area (Perth), which reported the highest number of case notifications; increases in case notifications were also observed in rural and remote areas. Children aged 0–4 years and non-Aboriginal people comprised the majority of notifications in all outbreaks. However, in the 2003 and 2007 outbreaks, a higher proportion of cases from Aboriginal people was observed in the remote areas. Molecular data were only available for the 2007 (n = 126) and 2011 (n = 42) outbreaks, with C. hominis the main species identified in both outbreaks. Subtyping at the glycoprotein 60 (gp60) locus identified subtype IbA10G2 in 46.3% and 89.5% of C. hominis isolates typed, respectively, in the 2007 and 2011 outbreaks, with the IdA15G1 subtype was identified in 33.3% of C. hominis isolates typed in the 2007 outbreak. The clustering of cases with the IdA15G1 subtype in the remote areas suggests the occurrence of a concurrent outbreak in remote areas during the 2007 outbreak, which primarily affected Aboriginal people.

Both the C. hominis IbA10G2 and IdA15G1 subtypes have been implicated in cryptosporidiosis outbreaks worldwide; its occurrence indicates that the mode of transmission in both the 2007 and 2011 outbreaks was anthroponotic. To better understand the epidemiology, sources and transmission of cryptosporidiosis in Australia, genotyping data should routinely be incorporated into national surveillance programmes.

Comparison of three cryptosporidiosis outbreaks in Western Australia: 2003, 2007 and 2011

05 July 2018

Epidemiology & Infection

S. Y. Ng-Hublin(a1)B. Combs(a2)S. Reid (a3) and U. Ryan (a1) 

https://doi.org/10.1017/S0950268818001607

https://www.cambridge.org/core/journals/epidemiology-and-infection/article/comparison-of-three-cryptosporidiosis-outbreaks-in-western-australia-2003-2007-and-2011/4B7491E4CB498D3E20E0E4B1B275BEF6

At least 40 sick with Shigella after ‘eating food contaminated with feces at potluck birthday party’ in North Carolina

I’m not a big fan of the potluck.

Sure I get social aspect, the trying different foods and experiencing different cultures.

But do I trust the different food prep places, proper temperatures, storage and cleanliness.

Jane Wester of the Charlotte Observer reports at least 40 people are sick after eating contaminated food at a potluck birthday party in east Charlotte Saturday, Mecklenburg County health department officials said Monday.

Someone who prepared food for the party did not wash their hands well enough, Health Director Gibbie Harris said. Some partygoers are infected with a “highly contagious” disease called shigella, which causes diarrhea and is spread through feces, Harris said.

About 100 people attended the birthday party, and more may still get sick, as symptoms of shigella can take one to three days to show up after someone is infected, Communicable Disease Control director Carmel Clements said. It’s possible, however, for some people to get sick a whole week later, Clements said.

Most patients called 911 from the Forest Hills apartment complex, near where the party was held, according to Medic.

Health officials are sure that the contaminated dish was prepared in someone’s home rather than a restaurant, Harris said, because the only outside food at the party was the birthday cake.

42: Tea towels a source of bacteria in kitchen

I was never a paper towel kinda guy.

I have about 30 tea towels, including one with images of all of Sorenne’s prep (kindergarten) pals and teachers.

They are my go-to sweat rags, hand wipes and kitchen cleaner-uppers.

As advised by The Hitchhikers’ Guide to the Galaxy, never leave home without a towel.

About five go into the laundry every day.

According to a study published by the University of Mauritius, and presented recently at the annual meeting of the American Society for Microbiology, your kitchen towels may be the leading culprit of pathogen advancement.

“Our study demonstrates that the family composition and hygienic practices in the kitchen affected the microbial load of kitchen towels,” said Dr. Biranjia-Hurdoyal. “We also found that diet, type of use and moist kitchen towels could be very important in promoting the growth of potential pathogens responsible for food poisoning,” she said.

Researchers collected a total of 100 kitchen towels after one month of use. Using standard biochemical tests, they concluded that 49% of the kitchen towels collected in the study had bacterial growth. The bacterial growth increased in number with family size—whether by extended family, or the presence of children.

Experts discourage using kitchen towels for multiple purposes (wiping utensils, drying hands, holding hot utensils, wiping/cleaning surfaces) because they had a higher bacterial count than single-use towels. They also warn against using humid towels because they too showed higher bacterial count than dry ones. Pathogens on kitchen towels would indicate that they could bear some responsibility for cross-contamination in the kitchen and, ultimately, food poisoning. Households with children, older adults or others with immunosuppression should be especially vigilant about hygiene in the kitchen.

But, like other studies of sponges and things, the researchers don’t account for the level of cleaning in a particular household. Five a day, into the laundry.

And rather than blame consumers, have a look at bacterial loads on chef aprons.

185 sick: Cyclosporiasis in Del Monte veggie trays

As of June 28, 2018 (11am EDT), the U.S Centers for Disease Control (CDC) has been notified of 185 laboratory-confirmed cases of cyclosporiasis in persons who reportedly consumed pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip. The reports have come from four states.

Seven (7) of these people have been hospitalized, and no deaths have been reported.

  • Epidemiologic evidenceindicates that pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip are the likely source of these infections.
    • Most ill people reported eating pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip.
    • Most ill people reported buying pre-packaged Del Monte Fresh Produce vegetable trays containing broccoli, cauliflower, carrots, and dill dip in the Midwest. Most people reported buying the trays at Kwik Trip convenience stores.
    • The investigation is ongoing. CDC will provide updates when more information is available.

The median illness onset date among patients is May 31, 2018 (range: May 14 to June 9).  Ill people range in age from 13 to 79 years old, with a median age of 47. Fifty-seven percent (57%) are female and 7 people have been hospitalized. No deaths have been reported.

Illnesses that began after May 17, 2018 might not have been reported yet due to the time it takes between when a person becomes ill and when the illness is reported.

That ole swimmin’ hole got lotsa bugs in it

Untreated recreational water–associated outbreaks can be caused by pathogens, toxins, or chemicals in freshwater (e.g., lakes) or marine water (e.g., ocean).

During 2000–2014, 140 untreated recreational water–associated outbreaks that caused at least 4,958 illnesses and two deaths were reported; 80 outbreaks were caused by enteric pathogens.

Swimmers should heed posted advisories closing the beach to swimming; not swim in discolored, smelly, foamy, or scummy water; not swim while sick with diarrhea; and limit water entering the nose when swimming in warm freshwater.

Outbreaks associated with untreated recreational water can be caused by pathogens, toxins, or chemicals in fresh water (e.g., lakes, rivers) or marine water (e.g., ocean). During 2000–2014, public health officials from 35 states and Guam voluntarily reported 140 untreated recreational water–associated outbreaks to CDC. These outbreaks resulted in at least 4,958 cases of disease and two deaths. Among the 95 outbreaks with a confirmed infectious etiology, enteric pathogens caused 80 (84%); 21 (22%) were caused by norovirus, 19 (20%) by Escherichia coli, 14 (15%) by Shigella, and 12 (13%) by Cryptosporidium. Investigations of these 95 outbreaks identified 3,125 cases; 2,704 (87%) were caused by enteric pathogens, including 1,459 (47%) by norovirus, 362 (12%) by Shigella, 314 (10%) by Cryptosporidium, and 155 (5%) by E. coli. Avian schistosomes were identified as the cause in 345 (11%) of the 3,125 cases. The two deaths were in persons affected by a single outbreak (two cases) caused by Naegleria fowleri. Public parks (50 [36%]) and beaches (45 [32%]) were the leading settings associated with the 140 outbreaks. Overall, the majority of outbreaks started during June–August (113 [81%]); 65 (58%) started in July. Swimmers and parents of young swimmers can take steps to minimize the risk for exposure to pathogens, toxins, and chemicals in untreated recreational water by heeding posted advisories closing the beach to swimming; not swimming in discolored, smelly, foamy, or scummy water; not swimming while sick with diarrhea; and limiting water entering the nose when swimming in warm freshwater.

Outbreaks associated with untreated recreational water-United States, 2000-2014

29.jun.18

CDC

Daniel S. Graciaa, MD1; Jennifer R. Cope, MD2; Virginia A. Roberts, MSPH2; Bryanna L. Cikesh, MPH2,3; Amy M. Kahler, MS2; Marissa Vigar, MPH2; Elizabeth D. Hilborn, DVM4; Timothy J. Wade, PhD4; Lorraine C. Backer, PhD5; Susan P. Montgomery, DVM6; W. Evan Secor, PhD6; Vincent R. Hill, PhD2; Michael J. Beach, PhD2; Kathleen E. Fullerton, MPH2; Jonathan S. Yoder, MPH2; Michele C. Hlavsa, MPH2

https://www.cdc.gov/mmwr/volumes/67/wr/mm6725a1.htm?s_cid=mm6725a1_e