Posting restaurant grades is a good thing; does it make food safer? It’s hard to tell

I’ve long been a fan of posting restaurant inspection scores, grades, happy faces, whatever. The philosophy I subscribe to is that the inspection work is done with public money and the public should have access to the results. Whether the info is posted on the door, or a website, it should be accessible.

For a while lots of folks have wondered whether the posting matters, public health wise. I want to believe it does, but I’m still not sure.

The biggest issue in real life experimentation and hypotheses is that there are lots of other factors that could lead to an outcome. And if the outcome you’re looking for is reduction in Salmonella illnesses, you likely can find it if you look. Like Melanie Firestone and Craig Hedberg did in their EID paper that was released this week.

But I’m not convinced that less Salmonella was a result posting grades alone. And I don’t think they are either, since Firestone and Hedberg  highlight the other factors in their limitations:

First, this was a quasiexperimental, ecologic study that represents an association and not a causal relationship. Second, the NYC restaurant letter grade program involved multiple changes to sanitation enforcement in addition to letter grade posting; changes included inspection frequency, greater risk for fines, improvements to online resources, and additional training opportunities.. As a result, we could not determine which factors contributed the most to the reduction in Salmonella infections.

It’s good stuff, we need more data on these things. Posting grades is good, and absolutely should be done. So is increasing consequences and oversight – but how much each factor matters is still unknown. And what about other pathogens like norovirus and pathogenic E. coli?

Putting food-safety detection in the hands of consumers

I always thought the MIT Media Lab would be the coolest place to work.

I have no idea whether this gadget will work, but it has coolnest factor.

MIT Media Lab researchers have developed a wireless system that leverages the cheap RFID tags already on hundreds of billions of products to sense potential food contamination—with no hardware modifications needed. With the simple, scalable system, the researchers hope to bring food-safety detection to the general public.

Food safety incidents have made headlines around the globe for causing illness and death nearly every year for the past two decades. Back in 2008, for instance, 50,000 babies in China were hospitalized after eating infant formula adulterated with melamine, an organic compound used to make plastics, which is toxic in high concentrations. And this April, more than 100 people in Indonesia died from drinking alcohol contaminated, in part, with methanol, a toxic alcohol commonly used to dilute liquor for sale in black markets around the world.

The researchers’ system, called RFIQ, includes a reader that senses minute changes in wireless signals emitted from RFID tags when the signals interact with food. For this study they focused on baby formula and alcohol, but in the future, consumers might have their own reader and software to conduct food-safety sensing before buying virtually any product. Systems could also be implemented in supermarket back rooms or in smart fridges to continuously ping an RFID tag to automatically detect food spoilage, the researchers say.

The technology hinges on the fact that certain changes in the signals emitted from an RFID tag correspond to levels of certain contaminants within that product. A machine-learning model “learns” those correlations and, given a new material, can predict if the material is pure or tainted, and at what concentration. In experiments, the system detected baby formula laced with melamine with 96 percent accuracy, and alcohol diluted with methanol with 97 percent accuracy.

“In recent years, there have been so many hazards related to food and drinks we could have avoided if we all had tools to sense food quality and safety ourselves,” says Fadel Adib, an assistant professor at the Media Lab who is co-author on a paper describing the system, which is being presented at the ACM Workshop on Hot Topics in Networks. “We want to democratize food quality and safety, and bring it to the hands of everyone.”

The paper’s co-authors include: postdoc and first author Unsoo Ha, postdoc Yunfei Ma, visiting researcher Zexuan Zhong, and electrical engineering and computer science graduate student Tzu-Ming Hsu.

Other sensors have also been developed for detecting chemicals or spoilage in food. But those are highly specialized systems, where the sensor is coated with chemicals and trained to detect specific contaminations. The Media Lab researchers instead aim for broader sensing. “We’ve moved this detection purely to the computation side, where you’re going to use the same very cheap sensor for products as varied as alcohol and baby formula,” Adib says.

RFID tags are stickers with tiny, ultra-high-frequency antennas. They come on food products and other items, and each costs around three to five cents. Traditionally, a wireless device called a reader pings the tag, which powers up and emits a unique signal containing information about the product it’s stuck to.

The researchers’ system leverages the fact that, when RFID tags power up, the small electromagnetic waves they emit travel into and are distorted by the molecules and ions of the contents in the container. This process is known as “weak coupling.” Essentially, if the material’s property changes, so do the signal properties.

A simple example of feature distortion is with a container of air versus water. If a container is empty, the RFID will always respond at around 950 megahertz. If it’s filled with water, the water absorbs some of the frequency, and its main response is around only 720 megahertz. Feature distortions get far more fine-grained with different materials and different contaminants. “That kind of information can be used to classify materials … [and] show different characteristics between impure and pure materials,” Ha says.

In the researchers’ system, a reader emits a wireless signal that powers the RFID tag on a food container. Electromagnetic waves penetrate the material inside the container and return to the reader with distorted amplitude (strength of signal) and phase (angle).

When the reader extracts the signal features, it sends those data to a machine-learning model on a separate computer. In training, the researchers tell the model which feature changes correspond to pure or impure materials. For this study, they used pure alcohol and alcohol tainted with 25, 50, 75, and 100 percent methanol; baby formula was adulterated with a varied percentage of melamine, from 0 to 30 percent.

“Then, the model will automatically learn which frequencies are most impacted by this type of impurity at this level of percentage,” Adib says. “Once we get a new sample, say, 20 percent methanol, the model extracts [the features] and weights them, and tells you, ‘I think with high accuracy that this is alcohol with 20 percent methanol.’”

The system’s concept derives from a technique called radio frequency spectroscopy, which excites a material with electromagnetic waves over a wide frequency and measures the various interactions to determine the material’s makeup.

But there was one major challenge in adapting this technique for the system: RFID tags only power up at a very tight bandwidth wavering around 950 megahertz. Extracting signals in that limited bandwidth wouldn’t net any useful information.

The researchers built on a sensing technique they developed earlier, called two-frequency excitation, which sends two frequencies—one for activation, and one for sensing—to measure hundreds more frequencies. The reader sends a signal at around 950 megahertz to power the RFID tag. When it activates, the reader sends another frequency that sweeps a range of frequencies from around 400 to 800 megahertz. It detects the feature changes across all these frequencies and feeds them to the reader.

“Given this response, it’s almost as if we have transformed cheap RFIDs into tiny radio frequency spectroscopes,” Adib says.

Because the shape of the container and other environmental aspects can affect the signal, the researchers are currently working on ensuring the system can account for those variables. They are also seeking to expand the system’s capabilities to detect many different contaminants in many different materials.

“We want to generalize to any environment,” Adib says. “That requires us to be very robust, because you want to learn to extract the right signals and to eliminate the impact of the environment from what’s inside the material.”

sick: Donated catered meal cause of a foodborne outbreak of Staphylococcus aureus at a hospital in Houston after Hurricane Harveyd

Lucila Marquez of Healio reports that 50 staff members — but no patients — suffered acute gastrointestinal symptoms after eating a meal that included pork sausage, pulled pork, brisket, chicken and yogurt, at Texas Children’s Hospital, and colleagues.

Experts warned that flooding caused by Harvey could put storm victims at a higher risk for infection, but Marquez and colleagues said exposure to flood water was not associated with illness in the patients involved in the outbreak. They noted that S. aureus is one of 31 known causes of foodborne illness and outbreaks.

According to their report, on Sept. 1, 2017, a catered meal was donated and served to staff of the unnamed hospital. After infection control staff were notified of several cases of gastrointestinal illness among staff who ate the meal, the Harris County Department of Health was notified about the suspected outbreak, leftover food was secured and samples were taken from the pork sausage, pulled pork, brisket and chicken for testing.

Staff at hospital in Houston were sickened in an outbreak of Staphylococcus aureus linked to a donated catered meal.

Of the 191 staff who were working when the catered meal was delivered, 48% (n = 92) reported eating some of the meal, according to Marquez and colleagues. Within 14 hours, 54% (n = 50) of those who consumed the meal reported acute onset of gastrointestinal symptoms. All recovered within 24 hours.

Leftovers were tested for S. aureus, shigatoxin-producing Escherichia coli, and Bacillus cereus —pathogens with a short incubation period, Marquez and colleagues noted. Brisket and chicken tested negative for any pathogen, but portions of pulled pork and pork sausage tested positive for S. aureus. Based on a questionnaire completed by staff members, Marquez and colleagues calculated a 1.47 relative risk for illness from eating pork sausage (95% CI, 1.06-2.04) and a 1.45 relative risk for illness from eating yogurt (95% CI, 1.05-2.01), although no yogurt samples were available for testing.

They said the disruption in public health services in the wake of the storm prevented the health department from immediately investigating the catering business that delivered the meal.

Frying does keep Salmonella out of donuts

I never really thought about Salmonella in donuts, but these folks did, and good for them.

This study validated a typical commercial donut frying process as an effective kill-step against a 7-serovar Salmonella cocktail (Newport, Typhimurium, Senftenberg, Tennessee, and three dry food isolates) when contamination was introduced through inoculated flour. The bread and pastry flour mix (3:1) was inoculated with the Salmonella cocktail, and subsequently dried back to original preinoculation moisture content, achieving a Salmonella population of 7.6 log CFU/g. Inoculated flour was used to prepare a typical commercial donut batter, which was fried using 375°F (190.6°C) oil temperature. No viable Salmonella was detected using an enrichment plating protocol in the donuts after 2 min of frying, resulting in >7-log reduction in Salmonella population.

The internal donut temperature increased from ∼30°C to ∼119°C at the end of 2 min of frying. The water activities of the donut crumb and crust after 2 min of frying, followed by 30 min of ambient air cooling, were 0.944 and 0.852, respectively. The donut pH after ambient-air cooling was 5.51. The D- and z-values of the Salmonella cocktail in donut dough were determined using thermal-death-time disks and temperature-controlled water baths. The D-values of the cocktail were 8.6, 2.9, and 2.1 min at 55°C, 58°C, and 61°C, respectively, whereas the z-value was 10°C.

This study validated that >7-log reduction could be achieved if donuts are fried for at least 2 min in the oil at 190.6°C, and calculated D- and z-values present the heat resistance of Salmonella in donut dough at the start of the frying processes. However, results from this study should not be extrapolated when donut composition and frying parameters are changed significantly.

Validation of a Simulated Commercial Frying Process to Control Salmonella in Donuts

Lakshmikantha H. Channaiah, Minto Michael, Jennifer Acuff, Keyla Lopez, Daniel Vega, George Milliken, Harshavardhan Thippareddi, and Randall Phebus. Foodborne Pathogens and Disease. http://doi.org/10.1089/fpd.2018.2440

https://www.liebertpub.com/doi/abs/10.1089/fpd.2018.2440

Corn-stuff may increase E. coli O157 in cattle

Inclusion of distillers’ grains (DGs) has been associated with
increased prevalence of Escherichia coli O157:H7 in cattle housed in
research settings. Our objective was to quantify the relationship
between inclusion of DGs in commercial feedlot rations and the burden
of E. coli O157.

A convenience sample of 10 feedlots was enrolled based on DG use in finishing diets; 1 cohort included 5 feedlots in which DGs were greater than 15% of the dietary dry matter and the other cohort consisted of 5 feedlots at a concentration less than 8%. 

Sampling occurred at each feedlot on four occasions at ∼6-week
intervals. At each feedlot visit, 4 pens of cattle within 3 weeks of
slaughter were selected and 24 freshly voided fecal pats were sampled.

Ten-gram samples were enriched in 90 mL of modified tryptic soy broth with novobiocin (20 mg/L) for 14 h at 42°C. Enrichments were subjected to immunomagnetic separation, plating onto chromogenic agar with novobiocin (5 mg/L) and potassium tellurite (2.5 mg/L), incubation for 18 h at 37°C, and latex agglutination of morphologically typical colonies. E. coli O157 was recovered from 16.7% of 3840 samples.

Adjusted prevalence was 14.3% after controlling for within-feedlot and
within-pen clustering. Prevalence during each sampling period was
19.9% (round 1), 21.0% (round 2), 14.1% (round 3), and 11.7% (round
4). Prevalence varied between cohorts, but this difference varied over
time (p = 0.06). Among those with greater than 15% of the diet as DGs, prevalence was greater than those with less than 8% inclusion for all rounds of sampling (p < 0.01). Averaged across time, prevalence was 23.9% and 9.4% for those with greater than 15% and those with less than 8% of DGs, respectively. While observational, these data provide real-world support of reports of increased E. coli O157:H7 burden associated with DG use in cattle diets.

Corn-based distillers’ grains in diets for feedlot cattle are associated with the burden of Escherichia coli O157 in feces

Foodborne Pathogens and Disease 15:298-405

Evan Chaney, Rebecca Maloney, Bradley J. Johnson, J. Chance Brooks, Mindy M. Brashears, and Guy H. Loneragan.

FDA warns of honey-filled pacifiers after links to 4 cases of infant botulism

Tragic stories around infant botulism have popped up over the past couple of years and, as a dad, reading them is like a gut-punch.

In 2011, infant Amanda Zakrzewski was diagnosed with infant botulism and had to undergo 9 days of antitoxin treatment in hospital. Amanda wouldn’t eat, her eyes glassed over and she wasn’t able to suckle due to the paralysis the botulinum outgrowth caused. The result was months of rehab.

Also in 2011, 16-week-old Logan Douglas was temporarily blinded and paralyzed from infant botulism. He fully recovered after six months, but at one point the illness was so severe that doctors had discussed turning off life support systems as the toxin was attacking his body.

Logan’s illness was linked to honey that his pacifier was dipped into.

Kinda like the four infants from Texas whom FDA says have acquired the terrible illness from pacifiers filled with honey.

The FDA is reminding parents and caregivers not to give honey to infants or children younger than one year of age. This includes pacifiers filled with or dipped in honey.

The FDA has received reports from the state of Texas that four infants have been hospitalized with botulism. All four infants had used pacifiers containing honey. These pacifiers were purchased in Mexico, but similar products also appear to be available in the U.S. through online retailers.

We’ve got a match and 164 are sick: Happy Thanksgiving Jennie-O turkey store sales, LLC recalls raw ground turkey products due to possible Salmonella Reading contamination

FSIS and our public health partners, including the Centers for Disease Control and Prevention (CDC) and state public health officials, are investigating a Salmonella Reading outbreak. Please note that FSIS is continuing to investigate illnesses associated with this widespread outbreak, and additional product from other companies may also be recalled. Salmonella is prevalent and can be present in raw poultry and meat – no raw poultry or meat is sterile. In addition to discarding the product associated with this recall, consumers can protect themselves now and in the future by always cooking their turkey, and other poultry products thoroughly, to a safe internal temperature of 165 degrees, as measured using a food thermometer. The cooking process kills the Salmonella. No one should be eating partially cooked or raw turkey. Additionally, it is essential that people wash their hands after handling raw poultry, meat, and pet food to avoid cross contamination.

Jennie-O Turkey Store Sales, LLC, a Barron, Wis. establishment, is recalling approximately 91,388 pounds of raw ground turkey products that may be associated with an illness outbreak of Salmonella Reading, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The raw ground turkey products items were produced on September 11, 2018. The following products are subject to recall: [View Labels (PDF only)]

1-lb. packages of “Jennie-O ground turkey 93% lean | 7% fat” with “Use by” dates of 10/01/2018 and 10/02/2018.

1-lb. packages of “Jennie-O Taco Seasoned Ground Turkey” with a “Use by” date of 10/02/2018.

1-lb. packages of “Jennie-O Ground Turkey 85% Lean | 15% Fat” with a “Use by” date of 10/02/2018.

1-lb. packages of “Jennie-O Italian Seasoned Ground Turkey” with a “Use by” date of 10/02/2018.

The products subject to recall bear establishment number “P-190” inside the USDA mark of inspection. These items were shipped to retail locations nationwide.                                

FSIS, and its public health partners, including the Centers for Disease Control and Prevention (CDC) and the Arizona Department of Health Services, have been conducting traceback activities for a sample of Jennie-O brand ground turkey in an intact, unopened package from a case-patient’s home. The patient tested positive for Salmonella Reading and the sample from the ground turkey matches the outbreak strain.  

FSIS, the CDC, and state public health and agriculture partners, have been working together on an illness cluster involving 164 case-patients in 35 states. Patients have reported eating different types and brands of turkey products purchased from many different stores, handling raw turkey pet food and/or raw turkey, or working with live turkeys or living with someone who handled live turkeys. FSIS continues to work with the CDC and state health departments on this investigation and will provide updated information as it becomes available. Based on the continuing investigation, additional product from other companies may also be recalled.

Walkerton E. coli O157 pain lingers after 18+ years

It’s the helicopters.

We live near the publically-funded Princess Alexandria hospital.

A helicopter flies over our house a couple of times a day bringing some victim from the outback or the coast.

The state of Queensland is really, really big.

It reminds me of my Walkerton-resident friend, Jim, and what he went through in the aftermath of the E.coli O157 outbreak in drinking water that killed seven and sickened 2,500 in the town of Walkerton, population 5,000.

Jim knew that every helicopter was someone dead or dying being flown to the medical center in London, Ontario (that’s in Canada, like Walkerton).

I think of Jim and the victims every time a chopper goes past.

Everyone’s got a camera: Chicago bus drivers caught on video urinating, defecating on buses, face little action

Do it in the country they like it just fine, do it in the city it’s a $20 fine,

That stench on your CTA bus? That puddle of urine? Turns out riders aren’t always the ones to blame.

The Chicago Transit Authority has disciplined three bus drivers who were caught relieving themselves on their routes in the past few years, according to CTA records obtained by the Chicago Sun-Times.

In one bizarre, on-duty incident in September, a driver defecated on his bus after pulling over — busted by onboard surveillance camera footage.

The driver told his bosses he couldn’t hold it because he’d eaten “bad tacos.” CTA officials didn’t buy his story, according to a transit source who says the incident appeared to be “premeditated.” The agency initiated termination proceedings.

The source, who works for the CTA, says the official records don’t come close to revealing the extent of the problem, saying it’s fairly common for bus drivers to urinate or otherwise let loose on or near their buses and let the blame, and cleanup, fall to others.

“I can tell you it’s dozens we’re aware of,” the source says, adding that incidents are often ignored by supervisors or “classified as something else” in paperwork to obscure the offense. “This happens frequently, honestly. . . . There’s really no good excuse for it.”

Lets get the food safety science right at Thanksgiving

I’ve written before that Thanksgiving is my favorite holiday. A mid-week day off (which often stretches to a whole week of food, football and hanging out) is the way to go.
My parents make their annual pilgrimage from Southern Ontario to take in the whole turkey week Black Friday festivities as well.
The week also provides a really great opportunity to take food safety pictures (right, exactly as shown) and talk food safety stuff. The yearly blitz of holiday interviews have started – and so has Dr. Bob, suburban Chicago columnist.
A valiant effort at tackling food safety in the holidays, Dr. Bob misses the mark with a few things:
He starts with,
Emergency rooms across the state and nation are gearing up for a busy week following the Thanksgiving holiday. Unfortunately, many family get-togethers will spread more misery than joy. And I am not speaking of those troublesome individuals that exist in all families that drive many of us to contemplate violent acts. Rather, I am alluding to seasonal foodborne illnesses, which will put a quick end to the Thanksgiving holiday for tens of thousands of families nationwide and several hundred here in our own state.
That’s a great lede – but show your work here Dr. Bob, tens of thousands of hospitalizations might be an over reach here – even if we evenly divide the estimated 128,000 hospitalizations a year we get to a weekly average of 2,500 – I don’t think there’s data to show that Thanksgiving is a 5x or 10x riskier time of the year.
More from the good doctor,
Foodborne illnesses fall into two general categories: intoxication and infection. Foodborne intoxication is caused by ingestion of foods that contain a toxin that may be naturally present in the food, introduced by contamination with poisonous chemicals, or produced by bacteria or fungi growing on foods. Toxins may also be present in some fish and shellfish that have consumed toxin-producing algae. Examples can include contamination with cleaning agents, pesticides and herbicides as well as heavy metals.
Uh, I’m a bit lost – are we talking food borne illness or other stuff now.
Here’s the best though,
It is a well-accepted fact that 100 percent of poultry products are contaminated with salmonella. You read right, 100 percent of the Thanksgiving turkeys carry salmonella. It is only the cooking to proper temperatures and the avoidance of cross contamination that stands between health and sickness.
Not quite, FSIS actually does a great job in reporting contamination levels of Salmonella in poultry, and shows that in turkey contamination is much lower (like only 1.7% positive in turkey). And campy is around the same.
I’m all for talking about food safety and risk reduction and using the holidays as a hook – but lets get the numbers right, avoid the fake news, and give people real risk information.