Data says so: Australia does have a raw egg problem

Statistics show that the consumption of foods containing raw or minimally cooked eggs is currently the single largest source of foodborne Salmonella outbreaks in Australia.

garlic_aioliI based a large part of my research career on verifying the soundbite, ‘we have released guidelines’ or, ‘we follow all recommendations’ by arranging to have students see what actually goes on.

In October 2014, the New South Wales Food Authority released Food Safety Guidelines for the Preparation of Raw Egg Products (the Guidelines). Despite this, outbreaks continued to take place, particularly where business hygiene and temperature control issues were apparent. In addition, businesses and councils approached the Food Authority for advice on desserts containing raw eggs and other unusual raw egg dishes. As a result, the Guidelines were recently updated and give specific reference to Standard 3.2.2, Division 3, clause 7 of the Australia New Zealand Food Standards Code to ensure that only safe and suitable food is processed.

To reduce the risk of foodborne illness outbreaks caused by Salmonella, retail businesses are advised to avoid selling food containing raw or minimally cooked eggs. The Guidelines give food businesses that do sell food containing raw egg specific safety steps for its preparation and clear guidance and advice on what they must do to meet food safety regulations. The revised Food Safety Guidelines for the Preparation of Raw Egg Products is available at www. foodauthority.nsw.gov.au/_Documents/ retail/raw_egg_guidelines.pdf.

raw-eggsOr as the Australian Food Safety Information Council now says, buy, don’t make aioli or mayonnaise.

This is nice but of no use to consumers at a restaurant who order fish and chips  with a side of mayo or aioli. I’ve already begun an ad hoc investigation – because I don’t want my family to get sick – and can say that out of the 15 times I’ve asked over the past few years – is the aioli or mayo made at the restaurant or bought commercially – the server invariably returns and proclaims, We only use raw eggs in our aioli or mayo.

Wrong answer.

Only once, so far, has an owner or chef said, we know of the risk, we only use the bought stuff. And they’re ex-pat Canadians.

Giv’r, eh.

A table of Australian egg outbreaks is available at https://barfblog.com/wp-content/uploads/2015/10/raw-egg-related-outbreaks-australia-10-9-15.xlsx

Shiga-toxin producing E. coli: Another reason to avoid pigeon poop

Verotoxigenic Escherichia coli infections in humans cause disease ranging from uncomplicated intestinal illnesses to bloody diarrhea and systemic sequelae, such as hemolytic uremic syndrome (HUS). Previous research indicated that pigeons may be a reservoir for a population of verotoxigenic E. coli producing the VT2f variant.

pigeon-poop-shamelessWe used whole-genome sequencing to characterize a set of VT2f-producing E. coli strains from human patients with diarrhea or HUS and from healthy pigeons. We describe a phage conveying the vtx2f genes and provide evidence that the strains causing milder diarrheal disease may be transmitted to humans from pigeons.

The strains causing HUS could derive from VT2f phage acquisition by E. coli strains with a virulence genes asset resembling that of typical HUS-associated verotoxigenic E. coli.

Whole-genome characterization and strain comparison of VT2f-producing Escherichia coli causing hemolytic uremic syndrome

Emerging Infectious Diseases, December 2016, Volume 22, Number 12, https://dx.doi.org/10.3201/eid2212.160017

http://wwwnc.cdc.gov/eid/article/22/12/16-0017_article

What is the infectious dose of Listeria? Who are susceptible?

The relationship between the number of ingested Listeria monocytogenes cells in food and the likelihood of developing listeriosis is not well understood.

listeria4Data from an outbreak of listeriosis linked to milkshakes made from ice cream produced in 1 factory showed that contaminated products were distributed widely to the public without any reported cases, except for 4 cases of severe illness in persons who were highly susceptible. The ingestion of high doses of L. monocytogenes by these patients infected through milkshakes was unlikely if possible additional contamination associated with the preparation of the milkshake is ruled out.

This outbreak illustrated that the vast majority of the population did not become ill after ingesting a low level of L. monocytogenes but raises the question of listeriosis cases in highly susceptible persons after distribution of low-level contaminated products that did not support the growth of this pathogen.

Infectious dose of listeria monocytogenes on outbreak linked to ice cream, United States, 2015

Emerging Infectious Diseases, December 2016, Volume 22, Number 12, https://dx.doi.org/10.3201/eid2212.160165

http://wwwnc.cdc.gov/eid/article/22/12/16-0165_article

Recall: 1.9 million pounds of ready-to-eat chicken that may be undercooked

National Steak and Poultry, an Owasso, Okla., establishment, is recalling approximately 1,976,089 pounds of ready-to-eat chicken products due to adulteration because of possible undercooking, resulting in the potential survival of bacterial pathogens in the products, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

national-steak-and-poultryThe scope of this recall expansion now includes a variety of ready-to-eat chicken products that were produced on various dates from August 20, 2016 through November 30, 2016. 

The cases containing the products subject to recall bear establishment number “P-6010T” inside the USDA mark of inspection. These items were shipped to food service locations nationwide and were sold directly to retail consumers at the establishments’ monthly dock sale.

The basis for recalling additional product was discovered on Nov. 28, 2016, when a food service customer complained to the establishment that product appeared to be undercooked.

Below are the details of the originally recalled product: 

– On November 23, 2016 – National Steak and Poultry recalled approximately 17,439 pounds of ready-to-eat chicken products produced Oct. 4, 2016.  The products were packaged on Oct. 4 and Oct. 5, 2016. The following products are subject to recall:

– 5 lb. bags packed 2 bags per case; product labeled “Distributed by National Steak and Poultry, Owasso, OK Fully Cooked, Diced, Grilled Boneless Chicken Breast Meat with Rib Meat” with Lot code 100416, and Case Code: 70020.

– 5 lb. bags packed 2 bags per case; product labeled “Hormel Natural Choice 100% Natural No Preservatives Fully Cooked Roasted Chicken Breast Strips with Rib Meat Natural Smoke Flavor Added” with Lot code 100416, and Case code 702113.

– The cases containing the products subject to recall bear establishment number “P-6010T” inside the USDA mark of inspection. These items were shipped to food service locations nationwide and should not be in consumers’ possession. No other Hormel product is impacted. The original problem was discovered on Nov. 14, 2016, when a food service customer complained to the establishment that product appeared to be undercooked. 

There have been no confirmed reports of adverse health effects or illnesses due to consumption of any of the recalled products. Anyone concerned about a health effect should contact a healthcare provider.

Effective inspections: Be kind and considerate

Conducting food safety inspections requires interpersonal skills and technical expertise. This requirement is particularly important for agencies that adopt a compliance assistance approach by encouraging inspectors to assist industry in finding solutions to violations.

george-carlin-honestyThis article describes a study of inspections that were conducted by inspectors from the Michigan Department of Agriculture and Rural Development Food and Dairy Division at small-scale processing facilities. Interactions between inspectors and small processors were explored through a qualitative, ethnographic approach using interviews and field observations. Inspectors emphasized the importance of interpersonal skills such as communication, patience, empathy, respect, and consideration in conducting inspections.

This article examines how these skills were applied, how inspectors felt they improved compliance, the experiences through which inspectors attained these skills, and the training for which they expressed a need. These results provide new insights into the core competencies required in conducting inspections, and they provide the groundwork for further research.

Interpersonal skills in the practice of food safety inspections: A study of compliance assistance

Journal of Environmental Health , December 2016, Volume 79, No. 5, 8–12

Jenifer Buckley, PhD

https://www.netforumpro.com/eweb/shopping/shopping.aspx?site=neha&webcode=shopping&shopsearchcat=merchandise&productcat=jeh%20articles&prd_key=8a34823b-b79b-4f9c-819f-1ce7b3410c3a

Ducks best goalie down with diarrhea

The Calgary Flames beat the Anaheim Ducks 8-3 last night.

bernierAt some point, there would usually be a goalie change en route to 8 goals. Jonathon Bernier never left the net.

So, coach Randy Carlyle, why did you do this to poor Bernier?

“RC said Bernier had to go the distance as (regulas starter John) Gibson had stomach flu. Even invoked the lovely word diarrhea. Would have pulled JB after four.”

E. coli: Event raises $50K for South Dakota boy

Jake Shama of the Mitchell Republic reports that watching 6-year-old Eagan Hudson playing darts, eating candy and running around the Tyndall Community Center on Saturday, one would never guess he’d been released from the hospital just one month earlier.

egan-hudsonBon Homme County residents and others from as far away as Wisconsin filled the community center and raised more than $50,000 during the benefit for Eagan and his family, according to James Torsney, one of the event’s organizers.

The benefit was held to help pay medical bills, which the family incurred when Eagan was taken to Sanford Children’s Hospital in Sioux Falls for treatment of hemolytic uremic syndrome (HUS), believed to be caused by an E. coli infection.

“It was really hard, and I had to go through lots of pain. It was not fun,” said Eagan, of Tyndall. “I just had all those doctors help me, and everything went good.”

Eagan and his brother, Kalem, 4, contracted E. coli in the middle of September. Kalem’s illness was resolved fairly quickly, his parents said, but Eagan’s condition didn’t improve. By Oct. 6, platelet and kidney tests raised red flags, and doctors sent Eagan to Sioux Falls for treatment.

Three days later, Eagan suffered a stroke, which temporarily prevented him from moving his right arm and leg, and he started having seizures the following morning.

Doctors had medication flown in from six hours away, and Eagan was sedated for 10 days, during which he was given nonstop dialysis treatments.

Leafy green cone of silence: Salad producers say don’t be scared by ‘ridiculous’ study

In a time when facts don’t matter and Donald Trump is President-elect, there is scrutiny of any new study, and rhetoric is increasingly common.

spongebob-oil_-colbert-may3_-10Socrates, via Plato, had some thought on rhetoric (yes I dabbled in philosophy many decades ago, didn’t everyone experiment in university?).

Still no comment from the Leafy Greens Marketing Agreement but they sent a few of their spokesthingies out to counter a study that says Salmonella grows in cut leafy greens, even at refrigerator temperatures..

Ashley Nickle of The Packer reports that Bruce Taylor, CEO and founder of Salinas, Calif.-based Taylor Farms, emphatically denounced the study.

“We find the artificial conditions created by this study to be ridiculous,” Taylor said in an e-mail. “Producers of bagged salads do not have ‘juice’ in the salad bag, and producers take painstaking steps to avoid the introduction of salmonella or any other pathogen.”

The conclusion regarding refrigeration was the only notable one in the study, said Trevor Suslow, a member of the technical committee of the Center for Produce Safety. Scientists would expect salmonella to be able to survive at the temperature recorded in the study but would not expect it to grow, he said.

“People will definitely be trying to reproduce their results as far as growth under refrigeration temperature for salmonella,” Suslow said. “That’s, for me, the key issue.”

Suslow, an extension research specialist at the University of California-Davis, said it is already known that a bagged salad is an environment in which salmonella can have the nutrients it needs to grow, which is why the industry has focused so intently on ensuring no pathogens make it into bags into the first place.

Drew McDonald, vice president of quality, food safety and regulatory affairs at Salinas-based Church Brothers Farms, said in an e-mail that, although the researchers did some things well, he also had some issues with the study.

“From my read, the study essentially grew salmonella in juices extracted from actual bagged salads in a mixture of sterile water,” McDonald said. “The issue is that in the ‘real’ world the salmonella has to come from somewhere (the surface of the leaf for example) but along with this would be many other microorganisms. That they were able to grow salmonella under these forced, artificial conditions without any competition from other organisms is not surprising.”

lettuceAlong with the growth conditions, the washed status of the lettuce also gave McDonald pause.

“From my understanding, (the) project used ‘bagged salad,’” McDonald said. “I am assuming this means it was already washed. The fact that they added salad juice and salmonella after it had already been bagged and washed really just shows how important it is to not cross-contaminate cleaned product.”

The researchers, as a result of their findings, suggested people eat bagged salads as soon as possible after purchase to minimize risk. They wrote in a question-and-answer supplement to the release that they no longer keep their bagged salads in the refrigerator longer than one day.

“Ridiculous recommendation,” Taylor said in his e-mail. “For 30 years consumers have enjoyed hundreds of millions of bagged salads weekly with great benefit to their health and wellbeing.”

Jennifer McEntire, vice president of food safety and technology at United Fresh Produce Association, also disagreed with the recommendation.

“People should always follow the instructions, including best-by dates, on packages, mainly so that they experience the best quality product,” McEntire said in an e-mail. “People shouldn’t be afraid to keep salad in their refrigerators for the full duration of the shelf life.”

She may mean use-by dates.

Suslow described the study as another piece of the puzzle in trying to find long-term solutions for food safety issues, but he was not impressed by it.

“Sort of generating a lot of additional concern and fear without any real basis for changing what (is) sort of standard practice isn’t necessarily helpful,” Suslow said. “Could hurt the category, but probably no more so than other things such as those instances when there are outbreaks or recalls.

“I think consumers understand that there’s no such thing as zero risk,” Suslow said (smartest thing anyone said in this story). “They understand and appreciate the convenience of packaged salads with multiple ingredients with very healthy mixed leafy greens, and that’s how the category has grown.”

UK regulator types on antimicrobial resistance in food

In 1969, the Swann report recommended strict oversight and restrictions on the use of antibiotics used in human medicine as growth promoters in agriculture. That was in the UK, and 37 years later, the UK Food Standards Agency has published a systematic review of the available evidence on antimicrobial resistance (AMR) in food. The review looked at research on the presence of AMR in bacteria in a number of different foods sold at retail.

fda-antibiotics-agricultureThe research has confirmed the need for extra surveillance of AMR in food at retail level, to support the wider programme of work currently underway across government to help reduce levels of AMR.

The study was produced by the Royal Veterinary College, on behalf of the Food Standards Agency, and looked at the areas where consumers are more likely to be exposed to AMR in bacteria from the food chain. Researchers examined published evidence between 1999 and 2016 for pork and poultry meat, dairy products, seafood and fresh produce sold in shops.

FSA action includes:

Working to encourage the adoption of clear transparent reporting standards that help consumers have access to and understand information about the responsible use of antibiotics in the food chain. 

Continued focus on improving the scientific evidence base relating to antimicrobial resistance in the food chain through supporting relevant research and improving surveillance. 

Setting up an independent group to advise us on responsible use of antibiotics in agriculture to support the above work.

Background

Antimicrobial resistance (AMR) is a major public health issue worldwide. It is a complex issue driven by a variety of interconnected factors enabling microorganisms to withstand antimicrobial treatments to which they were once susceptible. The overuse and/or misuse of antibiotics has been linked to increasing the emergence and spread of microorganisms which are resistant to them, rendering treatment ineffective and posing a risk to public health.

People can become exposed to AMR bacteria through a number of routes such as human-to-human spread, animals, through the environment and food chain. There is currently uncertainty around the contribution food makes to the problem of AMR and the types of AMR bacteria found in foods on retail sale in the UK. There is a need to consider the literature in this area to gain a better understanding of the potential risk to consumers through contaminated foods and also to identify the key evidence gaps.

Research Approach

The aim of this study was to assess the prevalence of antimicrobial resistant bacteria in retail pork, poultry meat, dairy products, seafood and fresh produce that could pose a risk to UK consumers. For this purpose a systematic review was undertaken following the PRISMA guidelines (Liberati et al., 2009) through which current existing evidence present in scientific databases and grey literature is collected and assessed. A protocol, which describes the methodology used, has been made accessible through the International Prospective Register of Systematic Reviews (PROSPERO). The protocol is available at http://www.york.ac.uk/crd/. Please search PROSPERO using registration number CRD42016033082.

ab-res-prudent-may-14Research questions were developed taking into consideration current evidence for relevant resistant foodborne pathogens and commensal bacteria observed in animals, food and humans in European countries published by the European Food Safety Authority (EFSA) (EFSA, 2015), feedback provided by experts and findings from scoping searches of the literature (i.e. PubMed).

Key recommendations: 

There is a need to standardise the selection of antimicrobials for antimicrobial susceptibility testing panels, harmonising criteria for assessment of resistance per bacteria/drug combination for surveillance purposes, using a standardised definition for multidrug resistance (MDR) and the adoption of random sampling and adequate study design for epidemiological studies.

Identification of a core set of relevant antimicrobials when developing and implementing prospective testing for surveillance systems for determination of AMR in the food chain.

Surveillance priorities could be set using a risk-based approach, taking into account the importance of antimicrobials used for treatment in both humans and animals, and continued surveillance of the incidence and emerging resistance (including MDR) in commensal bacteria (Enterococcus spp. and E. coli) should be encouraged.

Data on AMR bacteria from British and imported pork meat in the UK are limited and dated. Further research and surveillance efforts are needed to ascertain AMR levels in both foodborne and commensal bacteria in pork meat in the UK.

There is evidence of increasing levels of resistance to antimicrobials in foodborne bacteria (i.e., Campylobacter spp.) from poultry meat in the UK. Research and surveillance efforts should be continued to monitor AMR trends in both foodborne and commensal bacteria in British and imported chicken and poultry meats in the UK.

There is a lack of information on AMR bacteria in foods of animal origin other than meat at retail level. In recent years, there have been growing numbers of outbreaks associated with milk and dairy products (cheese, butter, yogurt), seafood (fish and shellfish) and fresh produce (fruit, vegetables and salads) at national and international levels but there is scarce, scattered evidence of resistance and MDR occurrence in foodborne and commensal bacteria in these food products and its implications for public health. These gaps should be addressed also using a risk-based approach following evidence of resistance in food items as well as the extent of expected consumer exposure using consumption and import volumes.

Data on antimicrobial usage in food-producing animals in the UK are important to explain the occurrence and dynamics of AMR, resistance genes and MDR phenotypes in a defined geographical area. More complete information should therefore be collected on the type of production system from which food samples originate to assess the impact of animal husbandry practices as risk factors for resistance.

There is a need for more studies to quantify the contribution of both domestic and imported foods to AMR occurrence. Information on country of origin for imported products should be collected.

Priorities should be set according to the importance of a food item in terms of exposure of consumers. Consumption data will be essential for assessing the risk of exposure of British consumers.

Finally, further research and surveillance are needed to establish and quantify the risk of transmission of AMR against critically important antimicrobials in organisms from foods of animal and non-animal origin) to humans.

A systematic review of AMR bacteria in pork, poultry, dairy products, seafood and fresh produce at UK retail level

August 2015-October 2016

Food Standards Agency

https://www.food.gov.uk/science/research/foodborneillness/b14programme/b14projlist/fs102127/a-systematic-review-of-amr-in-pork-and-poultry-dairy-products-seafood-and-fresh-produce

Raw is risky: Searching for answers behind Vibrio-in-raw-oyster outbreaks

Michael Casey of The Charlotte Observer reports that for the past 25 years, researcher Stephen Jones has tried to understand the threat that bacteria may pose to oysters in New Hampshire’s Great Bay estuary. He often couldn’t get funding to study the problem. But that is beginning to change as scientists notice “something is going on.”

Oyster-Vancouver, B.C.- 07/05/07- Joe Fortes Oyster Specialist Oyster Bob Skinner samples a Fanny Bay oyster at the restuarant. Vancouver Coastal Health now requires restaurants to inform their patrons of the dangers of eating raw shellfish.  (Richard Lam/Vancouver Sun)   [PNG Merlin Archive]

Scientists are recognizing that a waterborne disease sickening tens of thousands of people each year is associated with warmer waters of the Gulf of Mexico moving northward, partly due to climate change. The problem is extremely rare in New Hampshire and neighboring Maine, but scientists have seen cases elsewhere in New England and expect it to become a bigger problem.

Cases of human illness have been piling up since Sept. in Florida, Massachusetts and Western Canada.

“We have this situation in the northern part of the United States and other cooler climates where people haven’t thought this had been a problem,” said Jones, of the Northeast Center for Vibrio Disease and Ecology at the University of New Hampshire. “In the last 10 or 20 years, it’s become very apparent that there is something going on.”

In a paper in the science journal PLOS One, Jones and other scientists reported their findings that illnesses from vibrio bacteria have jumped significantly in New England — from five cases in 2000 to 147 in 2013. Disease-causing bacteria can contaminate oysters, leading to infections such as diarrhea, vomiting and abdominal pain.

Jones and his colleague, Cheryl Whistler, concluded that warmer waters in the Great Bay, higher salinity and the presence of chlorophyll all contributed to higher concentrations of one of the more common vibrio species that makes people sick — vibrio parahaemolyticus. The researchers are hoping their findings will serve as the foundation of an early warning system for the region’s booming oyster industry.

oysters-grillCurrently, all experts can do is monitor the waters and rapidly cool harvested oyster to halt bacteria growth.

An August report in the Proceedings of the National Academy of Sciences found that warming waters were linked to waterborne food poisoning, especially from eating raw oysters.

“There is similar reporting in Alaska where it has been found that increased cases have been occurring where it has not been reported before because of the temperature rise,” said the study’s lead author, Rita Colwell, of the University of Maryland.

The industry has welcomed Jones and Whistler’s work, noting that outbreaks like the one that occurred last month in Massachusetts need to be avoided. Nearly 75 people were sickened.

“When you are involved with a recall because people have gotten sick, you are a losing tremendous amount of money and a tremendous amount of credibility,” said Tom Howell, president of Spinney Creek Shellfish Inc., in Eliot, Maine, which harvests oysters from the Great Bay. A predictive model would allow the industry to move more aggressively to avoid an outbreak, he said.

But Howell and Chris Nash, New Hampshire’s shellfish program manager, said that day could be far off.

“We are still learning what seems to trigger these pathogenic strains to multiply … We don’t have that knowledge yet and it may be that we never do,” Nash said. “We are talking about biological organisms … They react to their environment different, the same way humans do.”