Psychedelic mushrooms are closer to medicinal use (It’s not just your imagination)

One of my colleagues from 25 years ago, with his Robert Plant hair, always told me, when he retires, he’s going to do a lot of psychedelics and have huge amps on his cottage porch.

OK.

I’ve done the psychedelic kind of mushrooms once, about 30 years ago in Wainfleet, Ontario, and it ended up with four of us running along the Lake Erie beach, terrified of a dog that wasn’t there.

I’m concerned about quality control.

My friends, not so much, so they broke a window in the cottage I owned.

Researchers from Johns Hopkins University have recommended that psilocybin, the active compound in hallucinogenic mushrooms, be reclassified for medical use, potentially paving the way for the psychedelic drug to one day treat depression and anxiety and help people stop smoking.

The suggestion to reclassify psilocybin from a Schedule I drug, with no known medical benefit, to a Schedule IV drug, which is akin to prescription sleeping pills, was part of a review to assess the safety and abuse of medically administered psilocybin.

Before the Food and Drug Administration can be petitioned to reclassify the drug, though, it has to clear extensive study and trials, which can take more than five years, the researchers wrote.

The analysis was published in the October print issue of Neuropharmacology, a medical journal focused on neuroscience.

The study comes as many Americans shift their attitudes toward the use of some illegal drugs. The widespread legalization of marijuana has helped demystify drug use, with many people now recognizing the medicinal benefits for those with anxiety, arthritis and other physical ailments.

Psychedelics, like LSD and psilocybin, are illegal and not approved for medical or recreational use. But in recent years scientists and consumers have begun rethinking their use to combat depression and anxiety.

“We are seeing a demographic shift, particularly among women,” said Matthew Johnson, an associate professor of psychiatry and behavioral sciences at Johns Hopkins and one of the study’s authors. Among the research he has conducted, he said, “we’ve had more females in our studies.”

Microdosing, or the use of psychedelics in small, managed doses, has become a popular way to try to increase productivity and creative thinking, particularly among the technorati in Silicon Valley. It’s even a plot point in the CBS show “The Good Fight.”

Dr. Johnson said that in 2005, he volunteered to work in the “bad trip” tent at Burning Man, the festival in the Nevada desert known for rampant drug use.

For decades, though, researchers have shunned the study of psychedelics. “In the 1960s, they were on the cutting edge of neuroscience research and understanding how the brain worked,” Dr. Johnson said. “But then it got out of the lab.”

Research stopped, in part, because the use of mind-altering drugs like LSD and mushrooms became a hallmark of hippie counterculture.

The researchers who conducted the new study included Roland R. Griffiths, a professor in the departments of psychiatry and neurosciences at the Johns Hopkins University School of Medicine, who is one of the most prominent researchers on the behavioral and subjective effects of mood-altering drugs. The researchers reviewed data going back to the 1940s.

Dr. Johnson said that the F.D.A. had approved a number of trials of psilocybin. If its use is approved for patients, he said, “I see this as a new era in medicine.”

He added, “The data suggests that psychedelics are powerful behavioral agents.” In legal studies, he said, participants are given a capsule with synthetic psilocybin. (They are not given mushrooms to eat, which is how the drug is most often ingested.)

He warned, though, that psilocybin is not a panacea for everyone. In their analysis, the researchers called for strict controls on its use. There are areas of risk, too, for patients with psychotic disorders and anyone who takes high doses of the drug.

NZ Legionnaires’ survivor worked for compost company, wants to warn others of danger

It’s springtime in Brisbane, lots of planting and moving around of compost.

Cate Broughton of The Press writes that driving compost around was what likely led to one man being declared the sickest person in New Zealand.

Levon Anderson, 41, had just started a new job at a gardening supplies company when he was struck down by Legionnaires’ disease.

The Christchurch man became unwell with cold and flu-like symptoms on September 16, but four days later he was put into an induced coma in Christchurch Hospital’s intensive care unit (ICU). 

He was moved out of the ICU to a general ward on Friday after 12 days on life support. 

UK disease detectives: Supermarket loyalty cards to trace an E coli outbreak

Kathie Grant and Lisa Byrne write in Public Health Matters that in November 2017, supermarket loyalty cards were used to trace the source of a large E coli outbreak affecting mainly men in England. Dr Lisa Byrne leads Public Health England’s surveillance of two key bacteria that lead to food poisoning – E Coli and Listeria. Dr Kathie Grant heads the PHE Gastrointestinal Bacteria Reference Laboratory. The two work together as part of a larger team dedicated to reducing foodborne illness and below tell us how they put the pieces of this puzzle together to find the source.

If you’ve ever had food poisoning you’ll know that feeling of mentally going through everything you ate recently, trying to pinpoint what it was that might have made you ill. It’s our job to do that at a national scale.  We bring together lots of different pieces of  information from the community and the lab to try to find  the source of a food poisoning outbreak and then, working alongside other government agencies,  ensure that more people don’t get sick.

We study and monitor many different stomach bugs – some of which you may never have heard of! While stomach bugs are a part of life, PHE works with organisations such as the Food Standards Agency and the Animal and Plant Health Agency to try and prevent them.

Every so often we see a spike in the number of cases.  When this happens it is important that we find the link between the cases and the cause of their illness.  To do this we need to identify the exact strain of a bug to understand if people have got ill from the exact same source.

Whole Genome Sequencing (WGS) ‒ a relatively new process for showing us the makeup of a bacterium or virus’s genes ‒ has changed the way we can find the cause of an outbreak and stop more people getting ill. You can learn more about the process and how it works in our explainer blog.

Before WGS it could take weeks to identify bacteria and sometimes the bacteria could be missed. This slowed down any investigations  as we could not be sure that all the case histories we were taking could be linked to an outbreak – there was a lot of ‘noise’ and false lines of enquiry. With WGS, we can rapidly and accurately identify if bacteria of cases are the same strain and rule out people from our investigation who just happened to be ill at the same time, but with a different illness.

It has also expanded what the word ‘outbreak’ means as we can link cases across several years and different countries, meaning we can more accurately piece together a picture of how something in the food supply chain impacts human health.

Scientists working in the Gastrointestinal Bacteria reference laboratory at Public Health England. The team are processing samples from people who have reported gastrointestinal symptoms, to understand the exact cause of their illness.

Identifying the source of an outbreak is a lot like putting together a jigsaw puzzle, combining multiple pieces of evidence to get the full picture. Sometimes, a common source is obvious, such as when a group of people get ill after eating the same meal, at the same restaurant, on the same day. But other times, we need to use an arsenal of investigative tools, as was the case in a recent E coli outbreak.

In November 2017 our surveillance system alerted us to 12 cases of E coli O157 – (a particular form of E coli), over a six week window. E coliO157 is a relatively rare cause of food poisoning, with only about 700 cases a year, but it can cause a very severe illness. Because of this, any case of E coli O157 identified by doctors and laboratories must be reported to Public Health England.  We monitor the number of cases with our surveillance systems to find any patterns.

Very quickly our reference laboratory used WGS which showed that the cases had the identical genetic “fingerprint” and the work began to trace the source of infection. The majority of people who became ill were men, which was unusual as E coli outbreaks are often linked to salad items ‒ traditionally more likely to be eaten by women.

It took a few rounds of interviews – carried out by colleagues in local authorities – to zero in on the potential source of food poisoning, and a picture started to emerge that implicated burgers from a particular retailer.

We asked the supermarket to analyse the loyalty card records of those who had become ill, to help identify the particular burger product the cases had eaten.  As you can imagine, there were many different types of burgers supplied by the supermarket and it’s often difficult for people to remember exactly what they ate.

Working with the Food Standards Agency we were able to identify that all the cases had bought a particular brand of burger, leading to a product recall to ensure others didn’t get sick. The recall involved removing all the suspected batches of burgers from the supermarket shelves. The supermarket also contacted people who had bought the burgers, advising them not to eat them and return them for a refund.

Sometimes, as in this case, we can rapidly find what is making people ill and quickly remove it from sale. It’s an exciting role and we get a real sense of satisfaction out of using our skills to help people in this way. Other times it can be more frustrating – some outbreaks remain unsolved and it’s a real worry that people will get sick because we can’t eliminate a threat from food distribution.

The role really keeps us on our toes. Our surveillance systems mean that we have a good sense of patterns of illness across the year and how we can intervene to stop people getting unwell – but changes to food habits can catch us by surprise. For instance, raw milk has become more popular recently, bringing with it all the disease risks you would expect from a product that has come straight from a cow without any treatment to kill off bacteria!

In another case, eight people in the UK were affected while on holiday in Germany that was related to seeds.  The seeds were decoratively used as a garnish on salads and were difficult for cases to remember eating. Nearly 1,000 people in Germany got ill in that outbreak and one of the approaches by authorities was to use tourist photos of food to try and identify the common item in meals that could be making people sick.

Solving food borne illness outbreaks can be a real challenge, but by using a variety of the different tools available to us we can quickly intervene to stop people getting ill.

Everyone’s got a camera: San Francisco’s public poop problem

Hannah Fry of the The San Diego Union-Tribune writes that it didn’t take Sean Miller long after moving from Vermont to San Francisco to understand the scope of a stinky problem plaguing the city by the sea: poop on public sidewalks.

Dodging human — and sometimes animal — excrement on walkways became a normal part of the 24-year-old’s life in his South of Market neighborhood.

“Pretty much everyone who lives here is pretty well accustomed to seeing this stuff when you’re walking down the street in every neighborhood,” Miller said. “It’s very frustrating. You should be able to pull out your phone, take a photo and send it to the city to have it cleaned up.”

The idea for Snapcrap was born from this notion.

The free app, which launched last week for iOS users, allows people to take photographs of feces on sidewalks and streets and deliver an alert to the city’s Public Works Department. The app uses cellphone GPS to track the specific location of the mess and creates a ticket so that users can keep tabs on their complaints.

Prepared messages that can be sent to the city along with the photo range from succinct to humorous.

“Help! I can’t hold my breathe much longer,” one note reads.

Similar in name to Snapchat, which allows users to take photos and videos and share them with specific friends, Snapcrap’s display plays off the visuals of the popular social media application. The icon has a yellow background with a white poop emoji.

Snapcrap had been downloaded nearly 1,000 times in less than a week following its launch, Miller said.

UK toddler, 3, fighting for life after catching E. coli on holiday

Martin Coulter of the  Star reports that Harper Davis, 3, has been taking to intensive care and put on dialysis at Nottingham Children’s Hospital.

The youngster was described as being a “normal, healthy girl” before she picked up the lethal bug.

Harper is understood to have suffered acute kidney failure, seizures, peritonitis and developed diabetes as a result of her illness.

My 3 grandsons are pictured below, from a Canadian Thanksgiving feast put on by daughter Jaucelynn, on Monday.

My kids all know food safety, but sometimes knowing is never enough. 

Raw is risky: South Korean man, 71, had hand amputated when skin started rotting 12 hours after eating sushi

Zoe Drewett of Metro wrote in August that a man from South Korea became infected with a potentially deadly flesh-eating bacteria which caused painful black ulcers to grow across his skin 12 hours after indulging in the raw seafood. The infection was so bad that he had to have his hand and forearm amputated 25 days later.

The 71-year-old man went to hospital after two days of fever and excruciating pain in his left hand that had developed 12 hours after eating raw seafood Medics drained the blisters before deciding his limb could not be saved because the unnamed man’s skin had started rotting so badly. The pensioner visited doctors in Jeonju, South Korea, after experiencing excruciating pain in his hand for two days. His story, published in the New England Journal of Medicine, took a turn when a blister on the palm of his hand grew to 3.5cm by 4.5cm – approximately the size of a golf ball.

Everyone’s got a camera: Detroit sports park employee brags about spitting in food

A Comerica Park employee has been fired and arrested after he was filmed spitting in pizzas.

The employee, who has not been named, told coworker Quinell May that he was going to spit in the food and that he filmed the act so he would be able to show it to management. He said when he left his position to contact management, however, he was fired for not working.

In a statement, Detroit Sportservice, which caters at Comerica Park, said   the food station was closed as soon as they learned about the food tampering.

“As soon as we became aware through social media of potential food tampering, we immediately closed that food stand, disposed of all the product and contacted the Detroit Police Department. We have been told by police that the worker has been arrested and is in custody, pending charges,” Detroit Sportservice wrote.

EU study reveals that most Listeria outbreaks remain undetected

More than half of the severe listeriosis cases in the European Union belong to clusters, many of which are not being picked up fast enough by the current surveillance system, suggests a new article published in Eurosurveillance.

The large-scale study looked into listeriosis epidemiology through whole genome sequencing and found that this method, when implemented at EU-level, could lead to faster detection of multi-country outbreaks, saving up to 5 months of the investigations.

The study, coordinated by the European Centre for Disease Prevention and Control (ECDC), analysed 2 726 human Listeria monocytogenes isolates from 27 countries between 2010 and 2015.

It found that slightly under 50% of the cases are isolated whereas the remaining half of cases is clustered together. Around one third of the cases that were identified as part of a cluster affected more than one country, often lasting for several years. However, only two listeriosis outbreaks were reported in the EU in 2016 and five in 2015, which suggests that many of them have gone undetected.

The authors determined that the use of whole genome sequencing to characterise listeriosis cases at EU-level could speed up the detection of clusters by up to five months, when compared to epidemiological investigation at country level. A more timely detection of clusters would potentially limit the occurrence of further cases from the same, common food source.

“This study is a milestone on the way to tackling listeriosis in Europe. With this new collaborative effort with the Member States, we have revealed the related nature of many cases of severe listeriosis. We are now strengthening routine surveillance by introducing the collection and analysis of whole genome sequencing data from all reported human listeriosis cases”, says ECDC’s Chief Scientist Mike Catchpole.

Listeriosis is a relatively rare but potentially severe food-borne disease that has been reported in increasing numbers in the EU/EEA countries since 2008. In 2016, 2 536 cases were reported, including 247 deaths. “Improving our surveillance on Listeria cases will save lives, particularly among vulnerable population groups such as the elderly and also pregnant women, who may pass on the bacteria to the fetus if they consume contaminated food”, Mike Catchpole points out.

The study also defines the most appropriate typing methods for earlier detection and investigation of dispersed cross-border clusters and outbreaks of Listeria monocytogenes.

More than 1,000 Koreans sickened by Salmonella in cakes

Lee Sung-Eun of the Korea JoongAng Daily reported last month that over 1,000 people, mostly school children, got sick across the nation after eating a chocolate cake distributed by a Pulmuone affiliate.

The Ministry of Food and Drug Safety said Salmonella, a common type of food-poisoning bacteria, was detected in the cake. 

A total of 1,156 people who ate the dessert in 29 cafeterias across the nation, mostly in schools, reported symptoms of food poisoning.

Pulmuone said it recalled the chocolate cake and halted all distribution and sales of the product. 

The product, Chocolate Blossom Cake, was made by the W1FNB food company in Goyang, Gyeonggi, and distributed by Pulmuone Foodmerce, which has its headquarters in Yongin, Gyeonggi. 

69 sick from Salmonella linked to tomatoes at Kansas church dinner

Marcus Clem Atchinson of News Press Now reported a month ago that contaminated tomatoes were responsible for nearly 70 confirmed cases of gastrointestinal illness that caused several hospitalizations last month affecting attendees of a church dinner in Highland, Kansas.

Theresa Freed, deputy secretary of public affairs for the Kansas Department of Health and Environment, said investigators tested each dinner item served as part of an Indian taco feast on Aug. 7 at the First United Methodist Presbyterian Church in Highland after the salmonella outbreak became known. They have now ruled out every food item except tomatoes, Freed said.

“Testing of food that was served at the dinner has been completed and all tested negative for salmonella except for a sample of tomatoes that tested positive for the same strain of Salmonella Newport,” Freed said, referencing one of the common strains of the pathogen.

No follow up to date.