I do love a good warning letter; here’s the Honey Smacks one

I love the FDA’s ongoing release of warning letters. This practice gives an insight into what’s happening in food facilities, especially important are the ones that are linked to outbreaks. FDA warning letters and 483 inspection forms have brought gold like us tugging at the dried skin of bearded dragons as well as scratching intergluteal clefts.

As the great Stefon says, the Kerry Inc./Honey Smacks warning letter has everything – pathogens, incomplete hazard analyses and poor sanitation. 

Some highlights:

Your hazard analysis did not identify a known or reasonably foreseeable hazard for each type of food manufactured, processed, packed, or held at your facility to determine whether there are any hazards requiring a preventive control as required by 21 CFR 117.130(a)(1).

Between September 29, 2016 and May 16, 2018, you repeatedly found Salmonella throughout your facility, including in cereal production rooms. During this time period, you had 81 positive Salmonella environmental samples and 32 positive Salmonella vector samples (samples taken in response to finding a positive on routine testing),

Further, you had repeated findings of other Salmonella species in some production lines and rooms used for the manufacture of cereal. These repeated findings of Salmonella in your environment should have resulted in a reanalysis of your food safety plan as required by 21 CFR § 117.170(b)(4) and the identification of contamination of RTE cereal with environmental pathogens as a hazard requiring a preventive control (i.e., sanitation preventive control).

Clean and sanitize your thermometers with the correct compounds

This one isn’t food safety, but there’s something for the microbiology nerds to learn here. Thermometers moving from person-to-person (or in our world, food-to-food) can move pathogens around.

According to the New England Journal of Medicine, a fungal outbreak at a hospital was linked to skin probe thermometers being reused. Fun part is that they were being sanitized between use, just not using the correct compound (in this case they used quat sanitizer) but this was against the manufacturer’s instructions. 

End result: 70 patients with Candida auris over a 2 year period.

A Candida auris Outbreak and Its Control in an Intensive Care Setting

04.Oct.18
New England Journal of Medicine
Eyre DW., Sheppard A., Madder H., Moir I., Moroney R., Quan TP., Griffiths D., GEORGE S., Butcher L., Morgan M., Newnham R., Sunderland M., Clarke T., Foster D., Hoffman P., Borman A., Johnson E., Moore G., Brown C., Walker A., Peto T., Crook D., Jeffery K.
Abstract
BACKGROUND
Candida auris is an emerging and multidrug-resistant pathogen. Here we report the epidemiology of a hospital outbreak of C. auris colonization and infection.
METHODS
After identification of a cluster of C. auris infections in the neurosciences intensive care unit (ICU) of the Oxford University Hospitals, United Kingdom, we instituted an intensive patient and environmental screening program and package of interventions. Multivariable logistic regression was used to identify predictors of C. auris colonization and infection. Isolates from patients and from the environment were analyzed by whole-genome sequencing.
RESULTS
A total of 70 patients were identified as being colonized or infected with C. auris between February 2, 2015, and August 31, 2017; of these patients, 66 (94%) had been admitted to the neurosciences ICU before diagnosis. Invasive C. auris infections developed in 7 patients. When length of stay in the neurosciences ICU and patient vital signs and laboratory results were controlled for, the predictors of C. auris colonization or infection included the use of reusable skin-surface axillary temperature probes (multivariable odds ratio, 6.80; 95% confidence interval [CI], 2.96 to 15.63; P<0.001) and systemic fluconazole exposure (multivariable odds ratio, 10.34; 95% CI, 1.64 to 65.18; P=0.01). C. auris was rarely detected in the general environment. However, it was detected in isolates from reusable equipment, including multiple axillary skin-surface temperature probes. Despite a bundle of infection-control interventions, the incidence of new cases was reduced only after removal of the temperature probes. All outbreak sequences formed a single genetic cluster within the C. auris South African clade. The sequenced isolates from reusable equipment were genetically related to isolates from the patients.
CONCLUSIONS
The transmission of C. auris in this hospital outbreak was found to be linked to reusable axillary temperature probes, indicating that this emerging pathogen can persist in the environment and be transmitted in health care settings. (Funded by the National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Oxford University and others.)

 

 

Food Safety Talk live in Geneseo, NY

Don and I are recording a live show tonight at SUNY Geneseo thanks to an invite from Dr. Beth McCoy. Beth has been a listener since close to the beginning. It’s always cool to find out that someone actually listens to the stuff we talk about. As I did some prep for the show, I stumbled upon a local bar and grabbed a Genny Cream Ale. The bartender saw the Food Safety Talk decal I have on my MacBook and we struck up a conversation about what it’s like to work in the back of the house of a restaurant.

My most valuable experience as a food safety person remains washing dishes in a local Guelph bar.

Sex & drugs & rock and roll.

And food safety.

We talked food safety myths, eating leftover pizza, stuff both of us have seen in the kitchen and cleaning up puke (and dragging the mop bucket back into the kitchen).

 

Food Safety Talk 165: Vladimir Poutine

Don and Ben talk a little bit about their op-sec, stuff their watching (including Star Trek) and Ben’s trip to Québec City. In the ongoing history of Canadian cuisine segment they visit the fantastic Quebecois dish, poutine. They talk Walkerton, the World Equestrian Games and non-potable water. The conversation goes into California’s make-meals-at-home-and-sell-them rules and some feedback about chicken washing. The show ends with a chat on curve fitting tricks, phages and ingredient-linked outbreaks.

Episode 165 is available on iTunes and here.

Show notes so you an follow along at home:

Barcelona cops arrest 18 beach vendors for selling filthy E. coli riddled mojitos made from ingredients stored in bins and down drains

According to Harvey Solomon-Brady of The Sun, police in Spain have arrested 18 people for selling filthy mojitos riddled with E.coli bacteria to unsuspecting tourists on the beaches.

The cocktails contained “green powders of an unknown composition which were thrown into the drink” and other ingredients which were stored in sewers or rubbish bins.

Public health officials say the mojitos were totally unsuitable for public consumption and could have caused diarrhea, gastroenteritis and other digestive disorders.

Raids were carried out on the beaches along the popular Barcelona coast that were packed with holidaymakers of all nationalities, including Brits.

The green dust is currently being examined in labs but police say everyone who drunk one of these mojitos was put at serious risk.

The 18 people arrested are suspected of making the cocktails and then selling them, usually for between five and ten euros.

The mojitos were made with suspicious ingredients hidden in bins including a mysterious green power

The drinks are sold to unsuspecting tourists on Spanish beaches who think they have come from local bars

Almost all the drains on one particular street were filled with supplies

Spain’s police officers are now cracking down on the illegal trade which can leave holidaymakers very sick

UK tot falls ill with E. coli probably after farm visit

Stourbridge News reports that Harriet Homer suffered kidney failure after contracting E. coli O157 during the school summer holiday and her parents Dave and Laura were left fearing the worst.

But the plucky tot from Norton pulled through after undergoing dialysis at Birmingham Children’s Hospital and her family told the News this week that she has been recovering well since being discharged.

The family believed the youngster may have picked up the infection after visiting a petting farm but Public Health England chiefs have stressed they have found nothing to link the incidence of E. coli with locations visited by the family.

101 sick from Salmonella linked to Hy-Vee spring pasta salad

The U.S. Centers for Disease Control, public health and regulatory officials in several states, and the U.S. Food and Drug Administration investigated a multistate outbreak of Salmonella infections linked to Spring Pasta Salad purchased at Hy-Vee grocery stores. This outbreak appears to be over.

On July 17, 2018, Hy-Vee, Inc. recalled its Spring Pasta Salad because it might have been contaminated with Salmonella. Any recalled Spring Pasta Salad would now be expired.

San Antonio girl: Texas restaurant investigated after 60 sick

More than 60 people have reported symptoms of foodborne illness as of Wednesday after dining at Pasha Mediterranean Grill on Wurzbach Road, according to Metro Health. Read more here.

Nearly one dozen customers reached out to Pasha Mediterranean Grill in the 9300 block of Wurzbach Road and reported getting sick after dining at the restaurant, according to an inspection report from the San Antonio Metropolitan Health Department.

The restaurant’s managers also stated at least two employees had been sick with and reported symptoms of fever and diarrhea.

The manager told Metro Health that raw chicken and beef were discarded as a precaution after it was prepared by food handlers.

A heavenly match: Cilantro and cyclospora

According to Food Safety Magazine, since 2014, the U.S. Food and Drug Administration (FDA) has been trying a new approach to produce sampling to assess microbial contamination in food commodities. The approach involves collecting a statistically-valid number of samples of targeted foods over a 12-18 month period, then identifying common microbial factors among them.

For fiscal year 2018, FDA had already been sampling fresh herbs, specifically basil, parsley, and cilantro, along with processed avocado and guacamole–all from both domestic and imported sources. The fresh herbs were chosen for sampling because they are eaten without having gone through any type of kill step (ie. cooking) to reduce or eliminate pathogens. Also, these items are grown low to the ground, which makes them susceptible to contamination. Initially, the sampling was to measure the prevalence of Salmonella and Shiga toxin-producing E. coli (STEC) in these herbs.

Recently, FDA added a new test to this sampling group: Cyclospora cayetanensis. The agency has a new analytical testing method for this parasite.

And my kid is really into this song; also no explanation.

103 sickened at Egyptian wedding

Mariam Nabbout of Step Feed reports 103 wedding guests got food poisoning from meals they were served at a marriage ceremony. Before the arrests, the incident was reported to Al Zakazik Police Station, who then launched an investigation into the matter.

Samples of the meal were sent to a lab for testing 

Police have since obtained samples of the food served at the wedding from leftovers stored at the groom’s house. The rice and meat dish that was served to the guests will now be tested for suspected contamination.

News of the incident is all over Twitter.