E. coli spread in cattle caused by water troughs

Krishna Ramanujan of the Cornell Chronicle reports:

A major study led by Cornell researchers reveals for the first time that water troughs on farms are a conduit for the spread of toxic E. coli in cattle, which can then spread the pathogen to people through bacteria in feces. The study was published Feb. 7 in the journal PLOS ONE.
“Water troughs appeared in our mathematical model as a place where water can get contaminated and a potential place where we could break the cycle,” said Renata Ivanek, associate professor of epidemiology in the College of Veterinary Medicine and the paper’s senior author. The hypothesis was then tested in the field – with surprising results.
People commonly acquire infections from shiga toxin-producing E. coli through cow feces-contaminated beef and salad greens. The main shiga toxin-producing strain, E. coli 0157:H7, causes more than 63,000 illnesses per year and about 20 deaths, according to the Centers for Disease Control. Though cows carry and spread E. coli 0157:H7 when they defecate, the bacteria do not make them sick.
“Farmers do not see a problem because there are no clinical signs in cows; it is totally invisible,” Ivanek said.
A vaccine to reduce bacterial shedding in cows exists, but the beef industry has little incentive to use it, partly due to cost, and the industry does not benefit from labeling beef as “E. coli safe,” Ivanek said. So Ivanek and a research team of 20 co-authors conducted a study to identify other ways to reduce the bacteria’s prevalence in cattle, which can vary over the year from zero to 100 percent of cows in a feedlot carrying the bacteria, with rates generally rising in the summer.
The researchers ran mathematical modeling studies to see if they could pinpoint areas in the farm where infections might spread between cattle. They found that water in a trough, especially in summer months, could heat and promote pathogen replication, causing more cows to acquire the bacteria when they drink. The researchers hypothesized that frequently changing the water in the summer could keep the water colder, limiting bacterial growth.
On most farms, water troughs automatically refill when they get low enough, and farmers can adjust the water levels so they refill more often. This tact saves water and keeps it fresher while ensuring cows still have enough to drink.
The group ran control trials in a feedlot over two summers. This involved reducing the water volume in troughs in randomly selected treatment pens and leaving the volume unchanged in control pens. They expected that reducing the water levels in troughs would prevent the spread of E. coli. Instead they found that it increased spread; in the treatment pens, the odds of finding shiga toxin-producing E. coli in cows was about 30 percent higher than in the control pens.
“Our modeling studies did pick up the right parts of the system,” Ivanek said, “but the mechanism that we postulated is the opposite from what we thought.”
More study is needed to determine why more water in troughs reduced E. coli in cows, but Ivanek questions whether the lower volume made it easier for cows to swallow debris at the bottom of tanks, or whether a fuller tank reduced E. coli concentrations.
The study will trigger more research on environmental sources of E. coli spread in cattle, Ivanek said.
Next steps include repeating the results in other feedlots, evaluating the effectiveness and cost benefit of using more water to reduce E. coli, investigating how seasons and temperatures play a role in prevalence of E. coli, and understanding the actual mechanisms that led to the results.
Wendy Beauvais, a postdoctoral researcher in Ivanek’s lab, is the paper’s first author. Co-authors included researchers from Texas A&M University, West Texas A&M University and Texas Tech University.
The study was funded by the U.S. Department of Agriculture, the National Institutes of Health and the Texas Veterinary Medical Foundation.

 

It’ll still be served in hospitals: 3 dead, 7 sick from Listeria-in-cantaloupe in Australia

Listeria monocytogenes has been found on a number of rockmelons from a supplier in New South Wales (NSW, that’s in Australia).

The discovery comes after reports of an outbreak of listeriosis in the Australian state, following an unexpected increase in cases in January and February.

While the link between the farm and the illness cases is not yet conclusive, PMA Australia-New Zealand (PMA A-NZ) said there was sufficient circumstantial evidence to warn at-risk consumers not to consume rockmelon.

“At least 10 people have become infected including three deaths,” PMA A-NZ said in a release. “All cases are people in high risk groups, which includes those who are older, pregnant or have underlying health conditions,”

The NSW Food Authority and NSW Health are currently investigating the outbreak.

Listeriosis is caused by consuming food contaminated with Listeria monocytogenes. Listeria is a bacteria that survives and grows on a number of foods including rockmelon, vegetable salads and fruit salads, cold meats, raw seafood, soft cheeses and seed sprouts.

 

Food fraud: Adulterated chili racket busted in India

A spurious chili powder racket was busted at Gollapudi in Vijayawada on Friday by officials of the Bhavanipuram police, task force, and Food Safety and Standards Authority of India (FSSAI).

The raid was conducted on Sudha Enterprises in Bhavanipuram, where officials found huge quantities of substandard chili powder, made from crushing the stems.

According to reports, Sudha Enterprises was run by one Grandhi Narayana Rao, who procured the inferior quality chili powder for Rs 30 per kg, allegedly re-packed it, and sold it for Rs 50 to Rs 60 per kg.

The officials reportedly seized 600 kg of chili powder in the raid, along with 100 kg of salt and black gram.

“Chili powder usually is made by grinding chili and mixing it with certain ingredients. Instead, Narayana was found using cheap quality chili and chili stems, procured from Guntur, and was selling them under various brand names. He had not obtained FSSAI licence to sell the products in the market,” assistant food controller N Purnachandra Rao was quoted as saying.

In December 2016, a crackdown on adulterated chili powder by the Commissionerate of Food Safety (CFS) found a total of 3.09 tonnes or 3,000 kg of misleading or falsely-labelled product in a span of a few weeks across the state.

Officials said that it was almost impossible to tell the difference unless the product was clinically tested, as they looked exactly the same. This made it even more dangerous, as it is difficult to identify.

Food Safety Talk 146: Vegas Baby!

The show opens with a discussion of Don’s failed attempt to add an audio sound board to the show, followed by a discussion about the Winter Olympics. The food safety talk begins with listener feedback a viral Facebook post on hot air hand dryers, and the resulting New York Times article. Listener feedback continues with a discussion of the danger zone (both musical and bacterial). The final bit of listener feedback is related to the microbiological safety of homemade “Play Dough”, followed by a discussion of food safety in the news and a Salmonella outbreak linked to Kratom. Ben talks about his appearance on “The Doctors”, and then the guys talk about Salmonella in chicken salad and pet food, before concluding a brief discussion of upcoming travel.

Episode 146 is available on iTunes and here.

Show notes so you can follow along at home.

 

 

Hockey handshake lines at the olympics impacted by norovirus

A couple of times a week I play hockey with a bunch of amateur skaters. We play in a C league. That means we’re not very good. Most are out to have some fun and drink some beer after the buzzer.

Sometimes, there’s a player or two who got into it with each other (that’s a hoser hockey term for a push or a trip) who re-meet in the post-game handshake line.

The classy hockey players fist bump or slap hands and say ‘good game.’

Not everyone is classy. Leave it on the ice, we’ve all got to get up and get back to our normal lives the next day.

I’m talking to you, guy in the green helmet from my game last night. Don’t be so angry.

And don’t give me norovirus.

According to ABC News, the handshake lines are different during the Pyeongchang Olympics compared to other games after over 200 security folks and athletes have acquired the virus.

Officials have told players to fist-bump each other rather than shaking hands to prevent transmission of norovirus, which is highly contagious. U.S. defenseman James Wisniewski’s 62-year-old father tested positive for norovirus last week and is one of 49 of 283 confirmed Olympic cases still in quarantine.

“It’s something that you’re like, ‘Ah, really how bad can it get?’ And then all of a sudden bang, bang — a couple people close to you have it and you don’t really know how, you don’t know where,” Wisniewski said Monday. “You don’t want it going through your locker room, that’s for sure.”

I’m a doctor and I joined The Doctors to talk food safety

I don’t ask anyone to call me doctor; I find it a bit awkward and pretentious.

I guess the title matters to some folks. So much so that it’s the basis for a nationally syndicated talk show produced by another doctor, Dr. Phil. Today, an episode I taped with the good doctors about a month ago aired.

We talked oysters, sprouts, raw milk and undercooked beef for a few minutes. I got my plug in for using a thermometer (although I think I erroneously said meat instead of beef).

I tried not to look too goofy (not sure I accomplished that).

My face isn’t always washed out but I ended up doing the interview via Skype from my home office (with an antique Hespeler hockey stick in the background), in direct afternoon sunlight, instead of my planned location of a campus office. The locale change was due to the 5” of snow that hit Raleigh the day before. I wasn’t driving anywhere with the NC snow-excited drivers.

I’m also not the creator of Barf Blog. I just happen to host the barfblog collective. And contribute to it sometimes.

Oh well, can’t get it all right, but food safety made it into a couple of million homes this afternoon.

But there’s no way the segment was as impactful as the one previous to mine – it was about farting at the gym.

I love science: 28 sick from Salmonella in kratom

I go to group therapy most Fridays, because it keeps me humble.

Half are regulars, half are newbies, usually on some opioid path, of late.

The U.S. Centers for Disease Control along with public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella I 4,[5],12:b:- infections.

As of February 16, 2018, 28 people infected with the outbreak strain of Salmonella I 4,[5],12:b:- have been reported from 20 states. A list of the states and the number of cases in each can be found on the Case Count Map page. WGS performed on isolates from ill people were closely relatedly genetically. This means that people in this outbreak are more likely to share a common source of infection.

Illnesses started on dates ranging from October 13, 2017 to January 30, 2018. Ill people range in age from 6 to 67 years, with a median age of 41. Sixteen people are male. Eleven hospitalizations have been reported. No deaths have been reported.

WGS analysis did not identify any predicted antimicrobial resistance in isolates from five ill people. Testing of outbreak isolates using standard antibiotic susceptibility testing methods is currently underway in CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory.

Epidemiologic evidence indicates that kratom is a likely source of this multistate outbreak. Kratom is a plant consumed for its stimulant effects and as an opioid substitute. Kratom is also known as Thang, Kakuam, Thom, Ketom, and Biak.

In interviews, ill people answered questions about the foods they ate and other exposures in the months before they became ill. Eight (73%) of 11 people interviewed reported consuming kratom in pills, powder, or tea. No common brands or suppliers of kratom have been identified at this time.

At this time, CDC recommends that people not consume kratom in any form. The investigation indicates that kratom products could be contaminated with Salmonella and could make people sick. CDC’s recommendation may change as more information becomes available. This investigation is ongoing and we will provide updates as needed.

Multistate outbreak of salmonella I 4,[5],12:b- infections linked to Kratom

20.feb.18

CDC

https://www.cdc.gov/salmonella/kratom-02-18/index.html

Why we had don’t eat poop shirts in 4 languages: CDC Emergency partners and limited English proficiency

According to the U.S. Centers for Disease Control there are at least 350 languages spoken in U.S. homes (2009-2013 data).

People who have limited English proficiency can be found in all 50 states (2014 data).

About 65,00 people in the U.S. who have limited English proficiency speak Navajo or another native North American Language (2009-2013 data).

    Effective communication during an emergency can sometimes mean the difference between life and death. This is true whether communicating with those whose primary language is English or with people who have limited English proficiency. People who are limited English proficient (LEP) are those who “do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English” (https://www.lep.gov/faqs/faqs.html#OneQ1).

People who are LEP can be found throughout the United States and when it comes to planning for, responding to, and recovering from disasters, considering their needs can help ensure a better emergency response. Below are some tips from our colleagues at the U.S. Department of Justice (DOJ) for reaching LEP communities in emergency preparedness, response, and recovery.

Establish policies and procedures that include language access in your emergency plan.

Identify the language groups in your area.

Ensure LEP individuals can access your programs and services.

Conduct outreach efforts.

Include LEP individuals and language access issues in training,

Provide notifications, warnings, and other information in the languages of the affected communities.

Plan for language access needs as part of survivor care.

Do not rely upon children as interpreters and translators.

For more information on how to carry out these recommendations and where to find tools to help take action, see Tips and Tools for Reaching Limited English Proficient Communities in Emergency Preparedness, Response, and Recovery.

Careful with that cow: 56 sick from Salmonella linked to contact with dairy

The U.S. Centers for Disease Control reports this outbreak investigation is over. Illnesses could continue because people may not know they could get a Salmonella infection from contact with dairy calves or other cattle.

CDC, several states, and the U.S. Department of Agriculture’s Animal and Plant Health Inspection Service (USDA-APHIS) investigated a multistate outbreak of multidrug-resistant Salmonella Heidelberg infections. Epidemiologic and laboratory evidence indicated that contact with dairy calves and other cattle was the likely source of this outbreak.

A total of 56 people infected with the outbreak strains of Salmonella Heidelberg were reported from 15 states.  Illnesses started on dates ranging from January 27, 2015 to November 25, 2017. Of those with available information:

35% of people were hospitalized. No deaths were reported.

35% of people in this outbreak are children younger than 5 years.

Epidemiologic, laboratory, and traceback investigations linked ill people in this outbreak to contact with calves, including dairy calves.

In interviews, ill people answered questions about contact with animals and foods eaten in the week before becoming ill. Of the 54 people interviewed, 34 (63%) reported contact with dairy calves or other cattle. Some of the ill people interviewed reported that they became sick after their calves became sick or died.

Surveillance in veterinary diagnostic laboratories showed that calves in several states were infected with the outbreak strains of multidrug-resistant Salmonella Heidelberg

Information collected earlier in the outbreak indicated that most of the calves came from Wisconsin. Regulatory officials in several states attempted to trace the origin of calves linked to more recent illnesses. A specific source of cattle linked to newer illnesses was not identified.

Antibiotic resistance testing conducted by CDC on clinical isolates from ill people shows that the isolates were resistant to multiple antibiotics.

Antibiotic resistance may be associated with increased risk of hospitalization, development of a bloodstream infection, or treatment failure in patients.

Whole genome sequencing analysis identified predicted antibiotic resistance in outbreak-associated isolates from 48 ill people, in 88 isolates from cattle, and in 13 isolates from animal environments.

These findings match results from standard antibiotic resistance testing methods used by CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory on 10 isolates from 9 ill people and 1 animal. All 10 isolates were resistant to amoxicillin-clavulanic acid, ampicillin, cefoxitin, ceftriaxone, streptomycin, sulfisoxazole, and tetracycline. In addition, nine had reduced susceptibility to ciprofloxacin, nine were  resistant to trimethoprim-sulfamethoxazole, six were resistant to nalidixic acid, four were resistant to chloramphenicol, and one was resistant to gentamicin. All 10 isolates tested were susceptible to azithromycin and meropenem.

Follow these steps to prevent illness when working with any livestock:

Always wash your hands thoroughly with soap and water right after touching livestock, equipment, or anything in the area where animals live and roam. Use dedicated clothes, shoes, and work gloves when working with livestock. Keep and store these items outside of your home.

It is especially important to follow these steps if there are children younger than 5 years in your household. Young children are more likely to get a Salmonella infection because their immune systems are still developing.

Work with your veterinarian to keep your animals healthy and prevent diseases.

It is important to remember that cattle can carry Salmonella and not appear sick. However, in this outbreak, some people did notice illness in their cattle, especially among calves. Livestock handlers should watch for sicknesses in dairy calves and consult their veterinarian if needed.

60 days don’t mean shit: 1 dead, 28 sick from E. coli O157:H7 in raw milk cheese, Canada, 2013

Between 12 July and 29 September 2013, 29 individuals in five Canadian provinces became ill following infection with the same strain of Escherichia coli O157:H7 as defined by molecular typing results. Five case patients were hospitalized, and one died.

Twenty-six case patients (90%) reported eating Gouda cheese originating from a dairy plant in British Columbia. All of the 22 case patients with sufficient product details available reported consuming Gouda cheese made with raw milk; this cheese had been produced between March and July 2013 and was aged for a minimum of 60 days. The outbreak strain was isolated from the implicated Gouda cheese, including one core sample obtained from an intact cheese wheel 83 days after production.

The findings indicate that raw milk was the primary source of the E. coli O157:H7, which persisted through production and the minimum 60-day aging period. This outbreak is the third caused by E. coli O157:H7 traced to Gouda cheese made with raw milk in North America.

These findings provide further evidence that a 60-day ripening period cannot ensure die-off of pathogens that might be present in raw milk Gouda cheese after production and have triggered an evaluation of processing conditions, physicochemical parameters, and options to mitigate the risk of E. coli O157:H7 infection associated with raw milk Gouda cheese produced in Canada.

Outbreak of Escherichia coli O157:H7 infections linked to aged raw milk gouda cheese, Canada, 2013

Andrea Currie, Eleni Galanis, Pedro Chacon, Regan Murray, Lynn Wilcott, Paul Kirkby, Lance Honish, Kristyn Franklin, Jeff Farber, Rob Parker, Sion Shyng, Davendra Sharma, Lorelee Tschetter, Linda Hoang, Linda Chui, Ana Pacagnella, Julie Wong, Jane Pritchard, Ashley Kerr, Marsha Taylor, Victor Mah, and James Flint

Journal of Food Protection, vol. 81, No. 2, 2018, pg. 325-331

doi:10.4315/0362-028X.JFP-17-283

https://www.ncbi.nlm.nih.gov/pubmed/29369688