Food Safety Talk 115: Features Chico Marx

It’s the super happy holiday version of Food Safety Talk. Don and Ben chat about Christmas movies, gambling as children and other holiday traditions. Making appearances in the guys’ discussion are Twitter and posting great questions of regulators about poor recall notices; cooling and holding cous cous and regulatory interpretations of time as a public health control; norovirus outbreaks at schools; and, Chipotle’s food safety culture.marx-brothers-harpo-marx-chico-marx-groucho-marx1

Episode 115 can be found here and on iTunes.

Links so you can follow along at home:

We’re all hosts on a viral planet virome edition

The X-files movie was on the other night – the 1998 one – featuring bad dialogue, overwrought music, mysterious scientists and a mutated virus originally delivered by extraterrestrials.

bacteriophageAt the same time I was reading how scientists at the Catalan Institute for Water Research (ICRA) in Spain have carried out a comprehensive analysis of several viromes from different habitats to explore whether bacteriophages (viruses that infect bacteria) harbor antibiotic resistance genes.

The team demonstrated that while human-associated viromes do not or rarely carry resistance genes, viromes from non-human sources (e.g., pig feces, raw sewage, and freshwater and marine environments) contain a large reservoir of resistance genes. Their work is described in the journal Environmental Pollution (1).

“These findings suggest that phages may play a more significant role in the acquisition and mobilization of antibiotic resistance genes than previously expected”, says Dr. Jose L. Balcazar, a Ramon y Cajal research scientist and senior author of the study.

Of course they do: We’re all hosts on a viral planet.

In this study, several viromes (community of viruses) from humans, animals, and different environments worldwide were screened for sequences similar to those associated with antibiotic resistance genes. The results showed that genes encoding major facilitator superfamily transporters and beta-lactamases were found in all analysed viromes regardless their origin. The presence of these resistance genes in bacteriophages is of particular concern, because these genes may eventually be transferred to bacteria, making them resistant to antibiotics. Considering that bacteriophages have the potential to transfer genetic material between bacteria, they play an important role in the evolution and ecology of bacterial species. However, the contribution of bacteriophages to the acquisition and spread of antibiotic resistance has been partially explored in environmental settings. So these findings suggest that the role of bacteriophages should be taken into account in the development of strategies for tackling antibiotic resistance. This work was funded by the first joint call of the Water Joint Programming Initiative (JPI) and the Spanish Ministry of Economy and Competitiveness.

Published articles

Lekunberri I., Subirats J., Borrego C.M., Balcazar J.L. (2016) “Exploring the contribution of bacteriophages to antibiotic resistance”. Environmental Pollution. DOI: 10.1016/j.envpol.2016.11.059

 “Wastewater treatment plant discharges can promote the development of antibiotic resistance in streams” [PDF]. Science for Environment Policy of the European Commission DG Environment News Alert Service.

Huckster: Shed no tears for Odwalla exec making another go of it (and making millions)

This is why avant-garde jazz saxophonists shouldn’t be responsible for food safety

And that’s nothing against avant-garde jazz saxophonists, although I hate jazz.

greg-steltenpohlBut what I really hate is when people make dumb decisions that lead to another’s death, all marketed with the halo of natural, and yet still heralded as some titan of business.

In late Oct. 1996, an outbreak of Escherichia coli O157:H7 was traced to juice containing unpasteurized apple cider manufactured by Odwalla in the northwest U.S. Sixty-four people were sickened and a 16-month-old died from E. coli O157:H7. During subsequent grand jury testimony, it was revealed that while Odwalla had written contracts with suppliers to only provide apples picked from trees rather than drops – those that had fallen to the ground and would be more likely to be contaminated with feces, in this case, deer feces — the company never verified if suppliers were actually doing what they said they were doing. Earlier in 1996, Odwalla had sought to supply the U.S. Army with juice. An Aug. 6, 1996 letter from the Army to Odwalla stated, “we determined that your plant sanitation program does not adequately assure product wholesomeness for military consumers. This lack of assurance prevents approval of your establishment as a source of supply for the Armed Forces at this time.”

Once a huckster, always a huckster.

Stephanie Strom of the N.Y. Times reports for the past 20 years, Greg Steltenpohl, an avant-garde jazz saxophonist turned beverage entrepreneur, has worked to rekindle the magic behind his greatest hit — and make peace with a nightmare that led to an abrupt fall.

Food safety issue: Mr. Steltenpohl started the juice company Odwalla in 1980, selling drinks out of his band’s Volkswagen van in and around San Francisco. Within a few years, the company was a multimillion-dollar business, flying high as one of the first breakout healthy drinks now commonplace in grocery aisles.

Then, in 1996, a child died and dozens were sickened because of contaminated apple juice produced by Odwalla, changing everything. About 90 percent of the company’s revenue evaporated almost overnight in the wake of the outbreak. With the company on the brink of bankruptcy, Mr. Steltenpohl and his partners were forced to sell a controlling interest in Odwalla to private equity firms, the equivalent — to him — of selling out to the devil. Not long after, the company was sold to Coca-Cola.

odwalla-cider-e-coliDude, you sold out long before that, pushing production and foregoing safety to make bucks.

Quite a fairytale he spins.

“Odwalla took him to the top of the world and then to the bottom,” said Berne Evans, his business partner today. “I don’t think he’s ever gotten over it.”

But now Mr. Steltenpohl, a gentle and avuncular 62, is once again near the center of beverage industry buzz as the head of Califia Farms, a nut milk business that is fast expanding into bottled coffees and other drinks. This time, he is taking advantage of a new trend sweeping the industry, as young beverage companies — empowered by changes in distribution and consumer tastes — are rising and competing successfully with titans like Coca-Cola and PepsiCo.

Only a few years after its founding, in 2012, Califia is on track to ring up $100 million in sales and is adding products at a fast clip. The company is considered one of the hottest young brands in the beverage world, leading to whispers about whether one of the big competitors will soon swoop in with a buyout offer that Mr. Steltenpohl and his partners can’t refuse.

Not this time, he insists. “I’ve had to sell out once,” Mr. Steltenpohl said. “That was enough.”

The story has lots of financial stuff, and how people who know shit about food safety market and sell shit to people who don’t know better, and the people who know shit make billions.

With Trump as President, the time is ripe for a comeback, I guess.

Duane Stanford, the editor of Beverage Digest, said a young beverage company today can buy its flavors from a flavor house, branding expertise from a branding expert and manufacturing from a producer on contract.

“You have this situation where these companies can become viable, robust, cash-generating businesses without the help of a big company,” he said. “They’re even getting creative at building independent distribution networks.”

Odwalla came together out of a necessity to eat. After graduating from Stanford with a degree in environmental sciences, Mr. Steltenpohl joined with some friends to start a band called the Stance. He also got hooked on the taste of fresh-squeezed orange juice, which his father made for him.

“We were a band of musicians who weren’t really that accomplished — or popular,” Mr. Steltenpohl said of himself and the band members, who became his partners in Odwalla. “We were broke and starving, and we figured if we started a juice business, we could live off the juice and maybe make a little extra.”

He read a book, “100 Businesses You Can Start For $100,” and the partners invested in a juicer and started making juice. They didn’t even try to break into groceries and convenience stores, instead stocking refrigerators in video stores and laundromats with Odwalla fresh juice each day. “Everyone who was a musician back then was basically living out of a VW bus,” Mr. Steltenpohl said. “We quit living in ours and began selling juice out of the back.”

For most of its early years, the Santa Cruz Community Credit Union financed the company. But as consumers cottoned on to its intensely flavored, wacky mixes of unpasteurized juice, it needed something more.

In October, 1996, a 16-month-old Denver girl drank Smoothie juice manufactured by Odwalla Inc. of Half Moon Bay, California. She died several weeks later; 64 others became ill in several western U.S. states and British Columbia after drinking the same juices, which contained unpasteurized apple cider — and E. coli O157:H7. Investigators believed that some of the apples used to make the cider might have been ins

The brand’s claims about the healthiness came back to haunt it as reporters dug into its failure to heed warnings about food-safety lapses.

Those failures are legendary in the food safety world, and a similar failure for Steltenpohl to say, “(Coke) never saw the enormous potential of the Odwalla brand and instead saw it as just another product in the juice portfolio.”

It’s also a failure for the N.Y Times to not report how those Odwalla failures went straight to the top..

Odwalla’s brand is nothing more than a cautionary food safety fairytale.

I have many.

Maybe Cafia will become one.

Hucksters.

The story notes that Steltenpohl is also trying to avoid past mistakes. The plant is equipped with cutting-edge food-safety monitors that share alerts about problems as they happen with the entire senior management team. Josh Butt, who previously oversaw food safety systems at Danone, the big French dairy company, presides over the plant’s operations.

Cutting-edge is a phrase that appeals to investors but means shit to any food safety type.

Cutting corners is this guy’s calling card.

And making a buck.

This is what I wrote at the time:

Sometime in late September 1996, 16-month-old Anna Gimmestad of Denver has a glass of Smoothie juice manufactured by  Odwalla Inc. After her parents noticed bloody diarrhea, Anna was admitted to Children’s Hospital on Oct. 16.  On 8 November 1996 she died after going into cardiac and respiratory arrest.  Anna had severe kidney problems, related to hemolytic uremic syndrome and her heart had stopped several times in previous days.

The juice Anna — and 65 others who got sick — drank was contaminated with E. coli O157:H7, linked to fresh, unpasteurized apple cider used as a base in the juices manufactured by Odwalla.  Because they were unpasteurized, Odwalla’s drinks were shipped in cold storage and had only a two-week shelf life.  Odwalla was founded 16 years ago on the premise that fresh, natural fruit juices nourish the spirit.  And the bank balance: in fiscal 1996, Odwalla sales jumped 65 per cent to $60 million (U.S.).  Company chairman Greg Steltenpohl told reporters that the company did not routinely test for E. coli because it was advised by industry experts that the acid level in the apple juice was sufficient to kill the bug.

Who these industry experts are remains a mystery.  Odwalla insists the experts were the U.S. Food and Drug Administration.  The FDA isn’t sure who was warned and when.   In addition to all the academic research and media coverage concerning verotoxigenic E. coli cited above, Odwalla claimed ignorance.

In terms of crisis management — and outbreaks of foodborne illness are increasingly contributing to the case study literature on crisis management — Odwalla responded appropriately.  Company officials responded in a timely and compassionate fashion, initiating a complete recall and co-operating with authorities after a link was first made on Oct. 30 between their juice and illness.  They issued timely and comprehensive press statements, and even opened a web site containing background information on both the company and E. coli O157:H7.  Upon learning of Anna’s death, Steltenpohl issued a statement which said, “On behalf of myself and the people at Odwalla, I want to say how deeply saddened and sorry we are to learn of the loss of this child.  Our hearts go out to the family and our primary concern at this moment is to see that we are doing everything we can to help them.”

For Odwalla, or any food firm to say it had no knowledge that E. coli O157 could survive in an acid environment is unacceptable.  When one of us called this $60-million-a-year-company with the great public relations, to ask why they didn’t know that E. coli O157 was a risk in cider, it took over a day to return the call.   That’s a long time in crisis-management time.  More galling was that the company spokeswoman said she had received my message, but that her phone mysteriously couldn’t call Canada that day.

Great public relations; lousy management.  What this outbreak, along with cyclospora in fresh fruit in the spring of 1996 and dozens of others, demonstrates is that, vigilance, from farm to fork, is a mandatory requirement in a global food system.  Risk assessment, management and communication must be interlinked to accommodate new scientific and public information.  And that includes those funky and natural fruit juices.

How the hell could we have known? 10 years later, spinach soundbites fit for the post-truth era

In sentencing me to jail in 1982, the judge said I had a memory of convenience.

I had said I had a memory of not much.

cabbage-head-kithSpinach and lettuce growers seem to have a memory of not much, given the produce industry’s revisions to the 2006 E. coli O157:H7 outbreak in spinach that killed four and sickened 200.

In October, 1996, a 16-month-old Denver girl drank Smoothie juice manufactured by Odwalla Inc. of Half Moon Bay, California. She died several weeks later; 64 others became ill in several western U.S. states and British Columbia after drinking the same juices, which contained unpasteurized apple cider — and E. coli O157:H7. Investigators believed that some of the apples used to make the cider might have been insufficiently washed after falling to the ground and coming into contact with deer feces.

Almost 10 years later, on Sept. 14, 2006, the U.S. Food and Drug Administration announced that an outbreak of E. coli O157: H7 had killed a 77-year-old woman and sickened 49 others (United States Food and Drug Administration, 2006). The FDA learned from the Centers for Disease Control and Wisconsin health officials that the outbreak may have been linked to the consumption of produce and identified bagged fresh spinach as a possible cause.

In the decade between these two watershed outbreaks, almost 500 outbreaks of foodborne illness involving fresh produce were documented, publicized and led to some changes within the industry, yet what author Malcolm Gladwell would call a tipping point — “a point at which a slow gradual change becomes irreversible and then proceeds with gathering pace” (http://en.wikipedia.org/wiki/Tipping_Point) — in public awareness about produce-associated risks did not happen until the spinach E. coli O157:H7 outbreak in the fall of 2006. At what point did sufficient evidence exist to compel the fresh produce industry to embrace the kind of change the sector has heralded since 2007? And at what point will future evidence be deemed sufficient to initiate change within an industry?

lettuce-skull-e-coli-o145In 1996, following extensive public and political discussions about microbial food safety in meat, the focus shifted to fresh fruits and vegetables, following an outbreak of Cyclospora cayetanesis ultimately linked to Guatemalan raspberries that sickened 1,465 in 21 U.S. states and two Canadian provinces (U.S. Centers for Disease Control and Prevention, 1997), and subsequently Odwalla. That same year, Beuchat (1996) published a review on pathogenic microorganisms in fresh fruits and vegetables and identified numerous pathways of contamination.

Date Product Pathogen Cases Setting/dish State
Apr-92 Lettuce S. enteriditis 12 Salad VT
Jan-93 Lettuce S. Heidelberg 18 Restaurant MN
Jul-93 Lettuce Norovirus 285 Restaurant IL
Aug-93 Salad E. coli O157:H7 53 Salad Bar WA
Jul-93 Salad E. coli O157:H7 10 Unknown WA
Sep-94 Salad E. coli O157:H7 26 School TX
Jul-95 Lettuce E. coli O153:H48 74 Lettuce MT
Sep-95 Lettuce E. coli O153:H47 30 Scout Camp ME
Sep-95 Salad E. coli O157:H7 20 Ceasar Salad ID
Oct-95 Lettuce E. coli O153:H46 11 Salad OH
May-96 Lettuce E. coli O157:H10 61 Mesclun Mix  ML
Jun-96 Lettuce E. coli O153:H49 7 Mesclun Mix NY

Table 1. Outbreaks of foodborne illness related to leafy greens, 1992-1996.

By 1997, researchers at CDC were stating that pathogens could contaminate at any point along the fresh produce food chain — at the farm, processing plant, transportation vehicle, retail store or foodservice operation and the home — and that by understanding where potential problems existed, it was possible to develop strategies to reduce risks of contamination. Researchers also reported that the use of pathogen-free water for washing would minimize risk of contamination.

Date Product Pathogen Cases Setting/dish State
Feb-99 Lettuce E. coli O157:H9 65 Restaurant NE
Jun-99 Salad E. coli O111:H8 58 Texas Camp TX
Sep-99 Lettuce E. coli O157:H11 6 Iceberg WA
Oct-99 Lettuce E. coli O157:H7 40 Nursing Home PA
Oct-99 Lettuce E. coli O157:H7 47 Restaurant OH
Oct-99 Salad E. coli O157:H7 5 Restaurant OR

Table 2. 1999 U.S. outbreaks of STEC linked to leafy greens

 

Yet it would take a decade and some 29 leafy green-related outbreaks before spinach in 2006 became a tipping point.

 

Date Product Pathogen Cases Setting/dish State
Oct-00 Salad E. coli O157:H7 6 Deli IN
Nov-01 Lettuce E. coli O157:H7 20 Restaurant TX
Jul-02 Lettuce E. coli O157:H8 55 Bagged, Tossed WA
Nov-02 Lettuce E. coli O157:H7 13 Restaurant IL
Dec-02 Lettuce E. coli O157:H7 3 Restaurant MN

Table 3: Leafy green outbreaks of STEC, 2000 — 2002.

 

What was absent in this decade of outbreaks, letters from regulators, plans from industry associations and media accounts, was verification that farmers and others in the farm-to-fork food safety system were seriously internalizing the messages about risk, the numbers of sick people, and translating such information into front-line food safety behavioral change.

Date Product Pathogen Cases Setting/dish State
Sep-03 Lettuce E. coli O157:H7 51 Restaurant CA
Nov-03 Spinach E. coli O157:H7 16 Nursing Home CA
Nov-04 Lettuce E. coli O157:H7 6 Restaurant NJ
Sep-05 Lettuce E. coli O157:H7 11 Dole, bagged Multiple

Table 4: Leafy green STEC outbreaks, 2003 — 2005.

So why was spinach in 2006 the tipping point?

It shouldn’t have been.

But it lets industry apologists say, how the hell could we known?

Tom Karst of The Packer reports the crisis of confidence in the status quo of produce safety practices arrived with a thud a little more than 10 years ago.

Beginning Sept. 14 and continuing until Sept. 20, 2006, the U.S. Food and Drug Administration issued daily news releases that flatly advised consumers “not to eat fresh spinach or fresh spinach-containing products until further notice.”

The agency had never before issued such a broad warning about a commodity, said Robert Brackett, who in 2006 was director of FDA’s Center for Food Safety and Applied Nutritions. Brackett is now vice president and director of the Institute for Food Safety and Health at the Illinois Institute of Technology,

“In this particular case all we knew (was) that it was bagged leafy spinach, but we had no idea whose it was or where it was coming from,” he said in December of this year.

“It was a very scary couple of days because we had all of these serious cases of hemolytic-uremic syndrome popping up and people getting sick, and it was so widespread across the country.”

The Centers for Disease Control and Prevention reported about half of those who were ill were hospitalized during the 2006 spinach E. coli outbreak.

“It was shocking how little confidence that FDA and consumers had in the produce industry at that moment,” said David Gombas, retired senior vice president of food safety and technology for the Washington, D.C.-based United Fresh Produce Association.

Given the history of outbreaks, the only thing shocking was that the industry continued to expect blind faith.

“For FDA to say ‘Don’t eat any spinach,’ they blamed an entire commodity, and it became very clear to the produce industry at that moment they had to do something to restore public confidence and FDA confidence in the safety of fresh produce,” Gombas said Nov. 30.

“One of the things that was very different and had the greatest impact was the consumer advisory against spinach — period — regardless of where it came from,” said Trevor Suslow, extension research specialist and director of the University of California-Davis Postharvest Technology Center.

The stark warning — immediately followed by steeply falling retail spinach sales — was issued in the midst of a multistate E. coli foodborne illness outbreak eventually linked to Dole brand baby spinach.

The product was processed, packed and shipped by Natural Selection Foods of San Juan Bautista, Calif., which markets the Earthbound Farm brand.

U.S. Department of Agriculture data shows that California’s spinach shipments plummeted from 258,774 cartons in August 2006 to 138,278 cartons in September, a drop of nearly 50%.

Shipping point prices for spinach on the California coast dropped from $8.45-10.45 per carton on Sept. 14 — the day that FDA first issued its advice to avoid for consumers to avoid spinach — to $4.85-6.15 per carton on Sept. 15.

No market was reported by the USDA for the rest of September because supplies were insufficient to quote.

The final update on the 2006 spinach outbreak was published by the CDC in October. By March 2007, the FDA issued its own final report about its investigation on the cause of the outbreak.

The CDC said in October 2006 that 199 persons infected with the outbreak strain of E. coli O157:H7 were reported to CDC from 26 states. Later, the tally of those sickened was raised to 205.

Gombas said the FDA warning in mid-September caused leafy green sales to crash, not fully recovering for nearly a decade.

“There were outbreaks before that, but none of them were as devastating to industry or public confidence as that one.”

The FDA and the California Department of Public Health issued a 51-page report on the extensive investigation into the causes of an E. coli O157:H7 outbreak associated with the contaminated Dole brand baby spinach.

The report said investigators identified the environmental risk factors and the areas that were most likely involved in the outbreak. However, they were unable to definitely determine the source of the contamination.

The investigation explored the source of the spinach in 13 bags containing E. coli O157:H7 isolates that had been collected nationwide from sick customers, according to a summary of the report.

Using the product codes on the bags, and employing DNA fingerprinting on the bacteria from the bags, the investigators were able to match environmental samples of E. coli O157:H7 from one field to the strain that had caused the outbreak, according to the report.

The report said E. coli O157:H7 isolates located on the Paicines Ranch in San Benito had a (pulsed-field gel electrophoresis) pattern indistinguishable from the outbreak strain. The report said the pattern was identified in river water, cattle feces and wild pig feces on the Paicines Ranch, the closest of which was just under one mile from the spinach field.

According to investigators, the sources of the potential environmental risk factors for E.coli contamination at or near the field included the presence of wild pigs and the proximity of irrigation wells and waterways exposed to feces from cattle and wildlife.

From 1995 to 2006, researchers had linked nine outbreaks of E. coli O157:H7 infections to, or near, the Salinas Valley region. But the 2006 spinach outbreak was different.

There were guidelines for growers in 2006, but not a way to make sure growers were following them, said Joe Pezzini, CEO of Ocean Mist Farms, Castroville, Calif.

Convenient.

Is ‘best if used by’ better than ‘best before’

Kristen Leigh Painter of the Star Tribune reports date labels on food don’t quite represent the peril that people think.

use_by_egg1For years, foodmakers have put sell-by and use-by dates on a number of products. But some food experts and environmentalists have argued that people are throwing out perfectly good food because of those dates. And now, the U.S. Department of Agriculture agreed.

The department’s food safety division released new industry guidance that recommends that manufacturers use the phrase “best if used by” rather than “sell by” or “use by” when putting dates on food.

Infant formula is the only food product required by the U.S. Food and Drug Administration to date its products to ensure the nutrient levels match what is on the nutrition label.

No other products require dates, but manufacturers put them on labels to signal to retailers and consumers when products taste best. The USDA estimates that nearly one-third of all food is thrown away uneaten, something the agency is trying to reduce through better policies or simple packaging changes.

“Research shows that this phrase conveys to consumers that the product will be of best quality if used by the calendar date shown,” the USDA wrote in its guidance. “Foods not exhibiting signs of spoilage should be wholesome and may be sold, purchased, donated and consumed beyond the labeled ‘Best if Used By’ date.”

Because the U.S. has no uniform date labeling standard, a variety of terms are used. A “sell-by” date is not a safety issue but is meant to help a retailer know how long to display a produce for sale. A “use-by” date is also not a safety issue, but is the last date recommended to consumers for peak quality.

This guidance is part of the Agriculture Department and Environmental Protection Agency’s goal of reducing food waste by 50 percent by 2030, an initiative announced last year.

The USDA says food can be consumed after its “best if used by” date so long as there are no signs of spoilage.

“Spoiled foods will develop an off odor, flavor or texture due to naturally occurring spoilage bacteria. If a food has developed such spoilage characteristics, it should not be eaten,” wrote the USDA.

The exception is pathogenic bacteria, which is undetectable. If an unlucky consumer purchases a food product carrying this pathogen, however, the expiration date won’t protect them regardless.

Trump Grill could be the worst restaurant in America

I’ve never met Tina Nguyen, a writer now at Vanity Fair with an uncharacteristic way of cutting through the pop-culture-food bullshit, but have been following her on twitter for several years.

tina_nguyenSo I’ll call her Tina.

Her scathing review of the Trump Grill which apparently raised the ire of restauranter-in-chief, is below in an edited form.

Halfway through a recent late lunch at the Trump Grill—the clubby steakhouse in the lobby of Trump Tower that has recently become famous through the incessant media coverage of its namesake landlord, and the many dignitaries traipsing through its marbled hall to kiss his ring—I sensed the initial symptoms of a Trump overdose. Thanks to an unprecedented influx of diners, we were sitting at a wobbly overflow table outside the restaurant, in the middle of a crush of tourists, some of whom were proposing to their partners, or waiting to buy Trump-branded merchandise, or sprinting to the bathroom.

As my companions and I contemplated the most painless way to eat our flaccid, gray Szechuan dumplings with their flaccid, gray innards, as a campy version of “Jingle Bells” jackhammered in the background, a giant gold box tied with red ribbon toppled onto us. Trump, it seemed, was already fighting against the War on Christmas.

The allure of Trump’s restaurant, like the candidate, is that it seems like a cheap version of rich. The inconsistent menus—literally, my menu was missing dishes that I found on my dining partners’—were chock-full of steakhouse classics doused with unnecessarily high-end ingredients. The dumplings, for instance, come with soy sauce topped with truffle oil, and the crostini is served with both hummus and ricotta, two exotic ingredients that should still never be combined. The menu itself would like to impress diners with how important it is, randomly capitalizing fancy words like “Prosciutto” and “Julienned” (and, strangely, ”House Salad”).

Our waiter, coiffed and charming, was determined to gaslight us into thinking we were having a good time. “Trump gets the taco bowl and the lasagna and baked ziti,” he said, before subsequently informing the table that we could not order the lasagna or baked ziti. I asked the waiter what Trump’s children eat. He didn’t seem to understand the question, or, like Marco Rubio, appeared unable to depart from his prescribed talking points.“Oh, I’ve shaken hands with him before, and they’re pretty normal-sized hands,” he responded.

Our table nevertheless ordered the Ivanka’s Salad, a chopped approximation of a Greek salad, smothered in melting goat cheese and dressing and missing the promised olives, that seemed unlikely to appetize a SoulCycle-obsessed, smoothie-guzzling heiress. (Instead, it looked like a salad made by someone who believes that rich women only eat vegetables.) But the cuboid plant matter ended up being the perfect place to hide several uneaten Szechuan dumplings.

trump-grillOur waiter eventually noted that Don Jr. gets the filet mignon cooked medium-rare, with garlic mashed potatoes and steamed broccoli. The steak came out overcooked and mealy, with an ugly strain of pure fat running through it, crying out for A.1. sauce (it was missing the promised demi-glace, too). The plate must have tilted during its journey from the kitchen to the table, as the steak slumped to the side over the potatoes like a dead body inside a T-boned minivan. Don Jr. probably does not eat the filet mignon here regularly, either. Come to think of it, judging by its non-cylindrical shape, it might not have even been a filet at all.

The one thing required to save the meal—booze—turned into its greatest disappointment. Trump himself does not drink alcohol, a possible explanation for why the cocktails seemed to be concocted by a college freshman experimenting in their dorm room. The Tower was a tall glass filled with three types of rum and several types of fruit concentrate. (One person named it “The Cancun,” and slowly nursed the spring-break-colored drink over the next two hours like morphine.) The You’re Fired, an oversized Bloody Mary, appeared to be a chunky shrimp-cocktail sauce, heavy on the horseradish, mixed with ice and a lot of vodka. The Fifth Avenue—Grey Goose with Cointreau and a “splash of cranberry”—tasted like vodka mixed with Crystal Light, the ultimate drink for an 18-year-old pledging a sorority. The alternative to these cocktails—which we could not bring ourselves to finish over the course of two hours—was Trump’s own branded Trump Wine, which came with one red option and one white option.

Because serving certain foods to old folks is dumb: Listeria infections frequently reported among the EU elderly

European experts have noted an increasing trend of listeriosis since 2008, but they highlight that the number of affected people stabilised from 2014 to 2015. Infections were mostly reported in people over 64 years of age. These are some of the findings of the latest annual report by EFSA and ECDC on zoonotic diseases, which also includes the latest trends on salmonellosis, campylobacteriosis, and foodborne outbreaks in the European Union.

listeria4Listeriosis affected about 2,200 people in 2015, causing 270 deaths – the highest number ever reported in the EU. The proportion of cases in the over 64 age group steadily increased from 56% in 2008 to 64% in 2015. Additionally, in this period, the number of reported cases and their proportion has almost doubled in those over 84 years.

“It is concerning that there continues to be an increasing trend of Listeria cases which mostly occur in the elderly population. ECDC is working together with Member States to enhance surveillance for food- and waterborne diseases, starting with Listeria, as earlier detection of relevant clusters and outbreaks can help prevent further cases,” said Mike Catchpole, Chief Scientist at ECDC. “This is a public health threat that can and needs to be addressed”, he added.

Dr. Marta Hugas, Head of Biological Hazards and Contaminants at EFSA, said: “Listeria seldom exceeded the legal safety limits in ready-to-eat foods, the most common foodborne source of human infections. However, it is important that consumers follow manufacturers’ storage instructions and the guidelines given by national authorities on the consumption of foods.”

In 2015, there were 229,213 reported cases of campylobacteriosis. This disease remains the most commonly reported foodborne disease in the EU, showing an upward trend since 2008. Campylobacter is mostly found in chickens and chicken meat.

The number of cases of salmonellosis, the second most commonly reported foodborne disease in the EU, increased slightly – from 92,007 in 2014 to 94,625 in 2015. The increase observed in the past two years is partly due to improvements in surveillance and better diagnostic methods. However, the long-term trend is still declining and most Member States met their Salmonella reduction targets for poultry populations.

Salmonella is mainly found in meat (poultry) intended to be cooked before consumption.

$30,000 worth of seafood stolen from Australian restaurant

Canada’s got its maple syrup gang, Brisbane area has its seafood thiefs.

Clare Armstrong of the Courier Mail reports more than $30,000 worth of seafood including prawns, crabs, Moreton Bay bugs and oysters was stolen from an external freezer at the Belvedere Hotel, Woody Point at about 1.45am on Wednesday.

seafood-theft-brisbanePolice said CCTV showed the thieves broke the lock on the freezer before loading more than 30 boxes of seafood into a white ute and fleeing the scene.

Belvedere General Manager Andrew Cox said the company had scrambled to replace all the stock in time for Christmas but it “could have been a total disaster”.

“These low-life people obviously don’t have any Christmas spirit at all … we ordered the seafood back in October but because of their actions more than 600 people almost had their Christmas lunch ruined,” he said.

Mr Cox said the seafood had only been delivered hours before the robbery, which appeared to have been carefully planned.

 

Resistant Salmonella causes 6,200 illnesses a year in US

Chris Dall of the Center for Infectious Disease Research Policy reports the U.S. Centers for Disease Control and Prevention (CDC) has published new estimates of the incidence of antibiotic-resistant Salmonella infections in the United States, putting the burden at about 6,200 cases annually.

ab-res-salmIn a report in Emerging Infectious Diseases, CDC researchers estimate the overall incidence of resistant salmonella infections as roughly 2 for 100,000 persons per year from 2004 to 2012They also determined that clinically important resistance was linked to four specific Salmonella serotyopes: Enteritidis, Newport, Typhimurium, and Heidelberg.

Nontyphoidal Salmonella causes an estimated 1.2 million foodborne illnesses and about 450 deaths each year, according to the CDC. While most people who get Salmonella infections recover within a week and do not require antibiotics, more severe infections are generally treated with either ampicillin, ceftriaxone, or ciprofloxacin. Resistance to these drugs can result in increased hospitalization, invasive illnesses, and death.

The new estimates are based on data from the US Census Bureau and from two surveillance systems the CDC uses to track Salmonella and drug-resistant Salmonella: The National Antimicrobial Resistance Monitoring System (NARMS) and the Laboratory-based Enteric Disease Surveillance (LEDS) system. NARMS monitors resistance in Salmonella by testing isolates from infected individuals and determining the percentage of isolates that show resistance. LEDS collects Salmonella surveillance data, including serotypes, from state and territorial public health labs.

The researchers defined three mutually exclusive categories of resistance for the study: ampicillin-only resistance, ceftriaxone/ampicillin resistance, and ciprofloxacin nonsusceptibility.

According to the LEDS data, there were 369,254 culture-confirmed Salmonella infections from 2004 through 2012. Four primary serotypes—Enteritidis, Typhimurium, Newport, and Heidelberg—accounted for 52% of all fully serotyped isolates. NARMS tested 19,410 isolates from 2004 through 2012, and overall resistance was detected in 2,320 isolates. Ampicillin-only resistance was the most common resistance pattern detected, followed by ceftriaxone/ampicillin resistance and ciprofloxacin nonsusceptibility.

Using these data, the researchers determined that from 2004 to 20012 there were approximately 6,200 resistant culture-confirmed infections annually. Overall incidence was 1.93/100,000 person-years for any clinically important resistance, 1.07 for ampicillin-only resistance, .51 for ceftriaxone/ampicillin resistance, and .35 for ciprofloxacin nonsusceptibility.

The authors note that while Enteritidis, Typhimurium, Newport, and Heidelberg account for only half of all culture-confirmed Salmonella infections, the four serotypes accounted for 73% of the Salmonella infections that involved clinically important resistance.

The predominance of these four serotypes, they write, reflects their ability to persist in food animals, be transmitted through the food system, and cause illness. It also suggests that strategies to reduce Salmonella infections caused by these four serotypes could have an impact on the incidence of resistant infections overall.

“The 4 major serotypes that have been driving the incidence of resistant infections should continue to be high priorities in combating resistance,” the authors write.

The report also notes that two of these serotypes—Typhimurium and Newport—have been associated with outbreaks of drug-resistant Salmonella infections linked to contaminated meat, which highlights the need for NARMS to continue monitoring emerging resistance patterns by serotype.

The authors caution, however, that while this estimate of resistant Salmonella infection incidence will help define the magnitude of the problem and guide prevention efforts, it might be telling only part of the story. That’s because it relies on culture-confirmed infections only.

The CDC has estimated that for every culture-confirmed case of Salmonella, there may as many as 29 undetected cases. That could put the annual US incidence as high as 180,000 cases.