Know thy suppliers: Seattle restaurant Matador reopens after E. coli outbreak

Following an E. coli outbreak that sickened seven people, the Matador is back open. The favorite Ballard restaurant opened its doors Saturday morning after a week-long closure.

matador-seattleOn Thursday, public health officials inspected the restaurant and found that it had been thoroughly cleaned and sanitized.

One of the E. coli victims is a 16-year-old girl who was hospitalized after becoming anemic and suffering kidney failure. Her family is suing the Matador for the outbreak.

Elisa Hahn of King 5 reports on Friday, Matador’s chief culinary officer agreed to allow our cameras inside and talk about the investigation.

“We’re proud of the way we operate our kitchen and the cleanliness and sanitation practices that have always been in place,” said Tom Small. “When something like this happens, and you realize there isn’t anything you can do to prevent it, it’s incredibly impactful.”

Back in the kitchen, the staff was deseeding jalapenos and roasted peppers. The prep work in a Mexican restaurant is a time-consuming process. Just like these jalapenos, Matador has gone through a gutting.

“We’re down to zero product, starting from scratch,” said one employee.

After grilling the staff about possible illnesses, investigators are now leaning away from blaming food handling, focusing more on products and suppliers.

Unpasteurized cheese making record number sick in Texas

Claire Z. Cardona of The Dallas Morning News reports a record number of people in Dallas County have been sickened from an infection caused by consuming unpasteurized cheese, health officials said. 

brucellosisThere have been 13 brucellosis infections in residents so far this year, affecting patients between 6 and 80 years old, according to a health advisory released Thursday

All of the patients reported eating the cheese brought into the U.S. from Mexico by friends or relatives, consuming the cheese while traveling in Mexico or eating unidentified cheese products from local street vendors, officials said. 

The county typically sees two to six cases a year, though 11 were recorded in 2004. 

Health officials confirmed all the Dallas County cases by blood culture. In two instances, hospital lab personnel were exposed while handling the samples. 

The Brucella bacteria can infect livestock and is most commonly transmitted to humans who consume the unpasteurized dairy products. Some areas, such as Mexico and Central and South America, are considered high-risk, according to the Centers for Disease Control and Prevention. 

Australian citizenship

It’s a trifecta of citizenships for me and Sorenne – Canadian, American and now Australian — and a deux-fecta for Amy as we attended our citizenship ceremony on Saturday morning.

citizenship-sep-16We didn’t even know it was Australian Citizenship Day (a U.S. thing too, which is ironical because the three of us are also Americans), but there were 492 of us in a community centre — with another 500 of supporting friends and family, although we decided to keep ours a personal affair — who were welcomed to the Australian family.

Special thanks to Amy and Sorenne, and many others, who have stuck with me while I adjust to the next phase of our life.

We’ll be celebrating tomorrow, in sub-tropical Brisbane, by spending the day at the arena, playing and coaching ice hockey.

And many thanks for all the kind messages we received in response to our citizenships.

We are quite fortunate, and grateful.

dp

(before and after pics; are we different? that’s a softball question lobbed up there for your amusement)

family-citizen

Love it when regulators explain themselves: Scottish cheesemaker will go bankrupt as watchdog says all their cheese is to be destroyed

The family that produces the gourmet cheese at the centre of fresh concerns over a fatal E. coli outbreak say they will be made bankrupt after a food watchdog confirmed all its produce is to be destroyed.

cheese-2-png-galleryInvestigators confirmed that their probe has now been widened after two more people were identified as being infected bring the number who were ill to 22, of which 13 have needed hospital treatment.

They are also examining whether cases of E. coli O157 infection affecting children in the Angus area may also be linked.

Food Standards Scotland (FSS) on Wednesday issued a blanket ban on the sale of all cheese from Errington Cheese, of Carnwath, South Lanarkshire, the producer linked to the outbreak which led to the death of a three-year-old Dunbartonshire girl.

FSS explained for the first time details of tests during the seven-week long alert.

It confirmed E. coli non-O157 was detected in one sample of Dunsyre Blue produced by Lanarkshire-based Errington Cheese which is considered a “serious risk to public health”.

It said 13 samples in different batches of Errington’s Dunsyre Blue and one of Lanark White have tested “presumptive positive” for shiga toxin producing E .coli and are considered to be “potentially hazardous to health”.

While E. coli O157 was detected in one sample of Lanark White cheese it was not shown to contain stx genes which were found in people who were ill. However a food examiner declared it was “potentially injurious to health and/or unfit for human consumption”.

All positive tests were still awaiting “further confirmatory testing”. It was not clear when the testing took place.

A multi-agency Incident Management Team (IMT), that includes Health Protection Scotland and Food Standards Scotland’s Scottish arm has been reconvened to deal with the latest developments.

Ten days ago the IMT had declared the outbreak to be “over” and that it had stood down leaving the FSS working with South Lanarkshire Council to continue food safety investigation.

And Professor Hugh Pennington, an expert on E.coli has questioned the proportionality of the food watchdog’s decision to issue a blanket ban on the sale of all cheeses from Errington.

e-coli-o157-cheeseThe emeritus professor of bacteriology at the University of Aberdeen, said FSS had come down “very heavily” on Errington Cheese, stating there is a “real possibility” the organisation was “over-interpreting scientific evidence.”

He said that the “jury was still out” and while there may be a “moderately strong” case on Dunsyre Blue, there was “no scientific evidence” on any of the firm’s other cheeses.

Humphrey Errington, owner of Errington Cheese insisted there is no evidence linking his cheese to the outbreak insisting investigators will not talk to them about the proof for the sales ban.

FSS deny this, saying all all results from samples were shared with Errington and insist decision take to recall Errington Cheese Ltd products are “evidence-based and informed by interpretation from experts including legally designated food examiners”.

“They have destroyed us, basically. We are completely finished,” said Mr Errington. “It’s a nightmare. Unfortunately, nightmares are things you wake up from.

“They are destroying cheese to the value of £300,000, there is no company of our size that can survive that. “Our reputation is completely destroyed and the family will be bankrupt.

FSS said: “Potentially harmful strains of E.coli and the shiga toxin (stx) genes that can cause illness in humans have been found in a number of different batches of different cheeses produced by Errington Cheese Ltd.

“This means that FSS is not satisfied that the controls and production methods used by the business are producing safe food. Furthermore, the reliance on a limited number of negative test results as evidence that the food is safe provides insufficient assurance.

cheeseheads“Throughout this incident FSS has taken a proportionate approach based on the evidence and it considers that the evidence now

IMT chairman Dr Alison Smith-Palmer said that the IMT has established that 19 of the 22 confirmed cases had eaten blue cheese prior to becoming ill.

Of these, 15 are known to have eaten Dunsyre Blue while others cannot be certain about the brand of blue cheese they have consumed. Investigations are ongoing on the other cases.

Food Standards Scotland stated that on 14 September 2016 Food Standards Scotland (FSS) issued a food alert for action (FAFA) for all products produced by Errington Cheese Ltd. That decision was not taken lightly. FSS is fully aware of the impact on the business, but its priority is to protect public health.

FSS’s primary focus is protection of consumers. FSS has made information available where this has been in the public interest, but it would not be appropriate to conduct an ongoing food safety investigation through the media.

The recent outbreak of E. coli O157 has now affected 22 people, 13 of whom have required hospitalisation, and tragically, one child died as a consequence. The multi-agency Incident Management Team (IMT) chaired by Health Protection Scotland concluded that, based on strong epidemiological evidence, the outbreak of illness in humans was linked to Dunsyre Blue cheese, produced by Errington Cheese Ltd. Of the 22 confirmed cases to date, the IMT has established that 19 had eaten blue cheese prior to becoming ill. Of these, 15 are known to have eaten Dunsyre Blue while others cannot be certain about the brand of blue cheese they consumed. Investigations are ongoing on the other cases.

Since the outbreak was declared over on 5 September 2016, two new cases have been identified with the same outbreak strain of E. coli O157 and the IMT has consequently reconvened. 

Errington Cheese Ltd. has undertaken two voluntary recalls of cheese, and Food Standards Scotland has initiated two further recalls – on 10 and 14 September 2016.

The FSS recalls have been initiated on the basis of evidence available to FSS and South Lanarkshire Council (SLC) as a result of sampling and testing of cheese produced by Errington Cheese Ltd and concerns regarding its Food Safety Management System and its ability to produce safe products, and in view of the new epidemiological information available concerning the two new cases.

Errington Cheese Ltd has publically commented that E. coli O157 has not been found in its cheese. This is inaccurate. Some samples submitted for testing by SLC have tested positive for E. coli O157 and for another (non-O157) strain of E. coli. These organisms are considered a serious risk to public health by the Food Examiner and the Scottish E.coli O157/VTEC reference laboratory. In addition, further samples have tested positive for shiga toxin (stx) genes. These samples have tested “presumptive positive” for shiga toxin producing E. coli (STEC) and therefore are considered to be potentially hazardous to health.

Analysis of samples taken by SLC has been carried out using accredited methods in official laboratories. All results from these samples were shared with Errington Cheese Ltd as soon as they were available. The decisions FSS has taken to recall Errington Cheese Ltd products are evidence-based and informed by interpretation from experts including legally designated Food Examiners.

  1. coli O157 and non-O157 have been detected in different batches of Dunsyre Blue and Lanark White produced by Errington Cheese Ltd. Batch numbers relate to the dates the batches were produced.

Batch F15 Dunsyre Blue: Shiga toxin producing E. coli (STEC) has been cultured and isolated from a sample taken from batch F15 (Dunsyre Blue). This sample has been confirmed as a non-O157 E. coli (STEC). This type of E. coli has been known to cause severe illness. Nine further samples were subsequently taken from this batch, and all have also been found to contain the stx2 gene and one for the stx1 gene (all nine samples are therefore considered presumptive positive for STEC), FSS is awaiting further confirmatory testing on these samples. This product has not been placed on the market.

Batch G14 Lanark White: E. coli O157 has been cultured and isolated from a sample taken from batch G14 (Lanark White). This isolate has not been shown to contain the stx genes and is undergoing further analysis. Stx gene negative strains of E. coli O157 have been isolated from cases of human illness consistent with E. coli O157 infection.The Food Examiner declared this sample to be “potentially injurious to health and/or unfit for human consumption”. Therefore this batch was withdrawn by FSS following the refusal of the food business to withdraw it voluntarily.

Batch E24 Dunsyre Blue: two samples from batch E24 (Dunsyre Blue) have been found to contain the stx2 gene – these samples would therefore be considered as presumptive positives for STEC whilst FSS awaits further confirmatory testing. This batch was withdrawn voluntarily by the food business.

Batch G12 Dunsyre Blue: a sample from batch G12 (Dunsyre Blue) has been found to contain the stx2 gene (a presumptive positive for STEC) and FSS is awaiting further confirmatory testing on this sample. This product has not been placed on the market

Batch H24 Lanark White: A sample from batch H24 (Lanark White) has been found to contain the stx2 gene. This sample would be considered a presumptive positive for STEC whilst FSS awaits confirmatory testing.This product has not been placed on the market.

Potentially harmful strains of E.coli and the shiga toxin (stx) genes that can cause illness in humans have been found in a number of different batches of different cheeses produced by Errington Cheese Ltd.  This means that FSS is not satisfied that the controls and production methods used by the business are producing safe food. Furthermore, the reliance on a limited number of negative test results as evidence that the food is safe provides insufficient assurance, as it is clear that multiple samples across different cheese batches have had positive results.

Throughout this incident FSS has taken a proportionate approach based on the evidence and it considers that the evidence now justifies a full recall of Errington Cheese Ltd. products to ensure the protection of public health. FSS has been in frequent communication with Errington Cheese Ltd. throughout these investigations both directly, through SLC and through the company’s legal representatives.

From the point of issue of the FAFA, all Local Authorities in Scotland will be seeking to ensure all products manufactured by ECL are recalled and held with a view to being destroyed. If consumers have any products from Errington Cheese Ltd. they should dispose of them or take them back to the place of purchase. ‎

Going public: Missoula edition

The Missoula City-County Health Department is following the mantra of share what you know, what you don’t know and be available for questions following a possible hepatitis A exposure in Missoula, Montana.

According to KPAX, A food handler at a local retailer, the Good Food Store, was confirmed to be ill with the virus and may have exposed thousands of shoppers over the past month.saladbar

Missoula City-County Health Department officer Ellen Leahy says while the food service employee was excluded from work during most of the time that they had symptoms, there is a potential for customer exposure because Hepatitis A can be spread before a person has symptoms – before they know they are infectious or ill.

To address this possibility, the health department is issuing this public notice in conjunction with the Good Food Store, where the employee’s job included preparing foods for the self-serve salad bar. Ready-to-eat-foods such as those found on a salad bar won’t be cooked or washed by the consumer prior to eating and can be a vehicle for contamination.

Leahy says the Good Food Store followed proper sick employee exclusion rules and has excellent policies, practices, and facilities for food handling and hand washing.

The Missoula City-County Health Department recommends the following courses of action:

• If you ate food from the self-serve salad bar at the Good Food Store between August 15 and September 13, please be alert for symptoms of Hepatitis A.

• If you ate food from the self-serve salad bar at the Good Food Store within the past two weeks and have not been previously immunized for Hepatitis A, an immunization given within two weeks of exposure may protect you from getting the disease. Please come to the health department or contact your health care provider as soon as possible to discuss immunization options.

• If you did not eat food from the self-serve salad bar at the Good Food Store, no action is recommended at this time.

Contact the Missoula City-County Health Department at (406) 258-3500 if you have questions or concerns about Hepatitis A.

 

KPAX.com | Continuous News | Missoula & Western Montana

Trump: Stop regulating poisoned dog food, and people food

Samantha Allen of The Daily Beast e-mailed me about 4:45 a.m.

Of course I was up, and tried to talk quietly so as not to wake the family.

Fail.

 

trumpstoneAllen writes that Donald Trump often suggests that dogs can be fired. But who could have guessed that he would come out against safe food for all those unemployed canines?

In an official fact sheet that was pulled offline on Thursday afternoon—but not before The Hill reported its key points—the Trump campaign railed against the “FDA food police,” complaining that the agency “dictate[s] how the federal government expects farmers to produce fruits and vegetables and even dictates the nutritional content of dog food.”

The FDA does indeed regulate pet food—but that’s for good reason. Eleven of the 23 pet food recalls by the FDA since September of last year pulled chow off shelves due to food poisoned by listeria and salmonella.

Dr. Douglas Powell, a former Kansas State University food safety professor who now publishes the popular Barfblog, says the FDA’s role is key.

“Just like we regulate the nutritional content of vitamins that we add to breakfast cereal or bread, dogs also need proper nutrition,” he told The Daily Beast. “We should use science to improve the lives of not only humans but our four-legged companions.”

Paring back dog food regulations wasn’t even the most outrageous suggestion in the now-deleted fact sheet. As The Hill reported, the “FDA food police” was listed as one of many “specific regulations to be eliminated” in Trump’s economic plan. The fact sheet depicted “farm and food production hygiene,”food temperature regulations, and “inspection overkill” as cumbersome and costly safety measures that must be reviewed and potentially “scrapped.”

The Trump campaign did not immediately respond to request for comment on the “FDA Food Police” but, according to Dr. Powell, the use of the term is “patently ridiculous.”

“Regulations and the ‘food police’ are there to set minimal standards,” said Powell. “The best companies will go above and beyond those minimal standards.”

So tinkering with what are already basic preventative measures against foodborne illness, Powell says, is simply a bad idea. The FDA has already investigated ten foodborne illness outbreaks so far this year and, according to CDC estimates, every year 48 million Americans get sick from their food and 3,000 of them die. The annual figure for foodborne illness-related hospitalizations is a whopping 128,000.

trumpmcdonaldsPowell predicts that if Trump were to pare back FDA regulations, most providers would still be motivated to produce safe food under threat of litigation but “you would see more people trying to cut corners.”

“Every time we have an outbreak, once you delve into the details, what you find is that it wasn’t some act of God,” Powell explained. “It was a series of small mistakes, largely driven by economics, that add up and lead to catastrophe down the road. And people die.”

In fact, Trump’s own restaurants have benefited from “inspection overkill.” In 2012, as the Associated Press reported, the steakhouse in the Trump International Hotel in Las Vegas received 51 violations “including month-old caviar and expired yogurt.” The hotel reportedly “made [adjustments] immediately” and reopened shortly thereafter.

And during an ungraded inspection of the Trump Cafe and Grill October 2015, the New York City health department found 45 violations. By the time the graded inspection came around two months later, the restaurant had reduced the number of violations to 12. Now, it serves delicious taco bowls.

Of course, as Powell explains, it is not usually the FDA itself that goes around looking for aging yogurt in Trump restaurants but rather local food inspectors who largely adhere to the FDA food code.

“[FDA food police] is a term that doesn’t mean anything but it resonates with, I guess, the people who would vote for Trump,” Powell speculated. “He’s just doing it as an anti-regulation thing. It’s not really about food safety. It’s just an easy target.”

unknownThis isn’t the first time that the FDA has been the “easy target” of an anti-regulation message. In the early 1990s, in what the New York Times editorial board would later call “an industry-financed scare campaign,” advertisements helped convince Americans to restrict the FDA’s ability to regulate vitamin and supplement labelling. The result was the 1994 Dietary Supplement Health and Education Act (DSHEA), which set up a separate set of standards for dietary supplements than for other food.

One particularly memorable 1993 TV commercial in that “scare campaign,” as Powell recalls, featured Mel Gibson’s house being raided for vitamins by a SWAT team meant to represent the FDA.

“If you don’t want to lose your vitamins, make the FDA stop,” Gibson implores at the end of the ad.

But the Trump campaign may already be rethinking its own anti-FDA stance. As The Hill reported early Thursday evening, the anti-regulation fact sheet has already been replaced with one that doesn’t specifically target the FDA. Humans and dogs everywhere can rest a little easier tonight.

Stop kissing cats (and stop touching yourself)

I went through an extremely brief Ted Nugent phase when I was 16.

I was driving my then-girlfriend and her mom somewhere, and thought it’d be cool to put Wango Tango on the 8-track (a prehistoric device used to play music).

cat-scratch-fever-04What an asshole (me and Ted).

Erin Ross of NPR reports that cat-scratch disease, as the name suggests, is spread by cats. It’s long been considered a mild illness, but a study finds that people are getting more serious complications, which can be fatal.

And kissing kittens increases the risk of being infected.

“The scope and impact of the disease is a little bit larger than we thought,” says Dr. Christina Nelson, a medical epidemiologist with the Centers for Disease Control and Prevention and lead author on the study. It’s the first large-scale evaluation of the illness in the United States in over 15 years.

While the total number of people infected with the disease has gone down, the number of people becoming seriously ill has increased. Symptoms typically involve fatigue, fever and swollen lymph nodes. But in a small number of cases, cat-scratch disease can cause the brain to swell or infect the heart. Infections like those can be fatal if they aren’t properly treated.

“Most of the people who get seriously sick from cat-scratch are immunocompromised. The classic example is patients with HIV,” says Dr. Aaron Glatt, chairman of medicine and hospital epidemiology of South Nassau Community Hospital in New York. Glatt was not involved in the study

The fact that there are more people with suppressed immune systems today may be why a larger number of patients are getting dangerously ill, Glatt says. But Nelson thinks that severe cases of cat-scratch disease may have been misdiagnosed in the past. Either way, she says, this study, which was published Wednesday in Emerging Infectious Diseases, is a good first step.

“Cat-scratch is preventable,” Nelson says. “If we can identify the populations at risk and the patterns of disease, we can focus the prevention efforts.”

It’s preventable because you need direct contact with a cat to get it. The disease is caused by bacteria, usually Bartonella henselae, and passed between cats by fleas. The bacteria are also present in flea dirt — the official name for flea feces — which build up in the cats’ fur. It gets on their paws and in their mouths when they groom themselves. If a person is scratched by contaminated claws, they’re at risk of getting the disease.

The study combed health insurance claims from 2005 to 2013, and charted when and where cat-scratch disease is most likely to strike. It found that about 12,000 people will be diagnosed with cat-scratch disease each year, and 500 of them will be sick enough to be hospitalized.

Many of those infected will be children, probably because of the ways kids play with cats. And most of the infections will occur in the South, where heat-and-moisture-loving fleas are more common.

If you want to avoid cat-scratch disease altogether, says Nelson, go somewhere arid —like Colorado or Utah.

But moving to the Rockies isn’t an option for everyone. If you’re stuck in the South, how can you skip cat-scratch?

“Stay away from cats,” says Glass, although he acknowledges that in a country full of cat-lovers, this isn’t really realistic.

“Use adequate flea control and keep your cats indoors,” suggests Nelson. The bacteria can also enter your body through your nose, eyes or mouth, so the CDC recommends washing your hands after touching a cat. Kissing their flea dirt-filled fur probably isn’t a good idea, either. Neither is letting them lick you if you have any scrapes, scabs or open wounds.

Oh. And avoid kittens.

“Younger cats are more likely to have bacteria in their blood,” explains Nelson. Kittens aren’t immune to cat-scratch, so they’re an easy target for the bacteria.

So try to keep from kissing Felix … at least until he’s flea-free.

2600 sick, 5 dead over 14 years: Stop kissing chicks

Backyard poultry flocks have increased in popularity concurrent with an increase in live poultry–associated salmonellosis (LPAS) outbreaks. Better understanding of practices that contribute to this emerging public health issue is needed.

chicken-south-parkWe reviewed outbreak reports to describe the epidemiology of LPAS outbreaks in the United States, examine changes in trends, and inform prevention campaigns. LPAS outbreaks were defined as ≥2 culture-confirmed human Salmonella infections linked to live poultry contact. Outbreak data were obtained through multiple databases and a literature review.

During 1990–2014, a total of 53 LPAS outbreaks were documented, involving 2,630 illnesses, 387 hospitalizations, and 5 deaths. Median patient age was 9 years (range <1 to 92 years). Chick and duckling exposure were reported by 85% and 38% of case-patients, respectively. High-risk practices included keeping poultry inside households (46% of case-patients) and kissing birds (13%). Comprehensive One Health strategies are needed to prevent illnesses associated with live poultry.

Outbreaks of human Salmonella infections associated with live poultry, United States, 1990-2014

Emerg. Infect. Dis., Volume 22, Number 10 – October 2016 [ahead of print], DOI: 10.3201/eid2210.150765

Colin Basler, Thai-An Nguyen, Tara C. Anderson, Thane Hancock, Casey Barton Behravesh

http://wwwnc.cdc.gov/eid/article/22/10/15-0765_article

E.coli, Giardia and crypto: Beware the duck pond at NZ Botanical Gardens

Gisborne’s chief medical officer has warned parents that children do not have to be in contact with water to pick up bugs from dirty water at the Botanical Gardens.

botanical-garden-japaneseGisborne District Council this week confirmed the duck pond at the gardens contained E.coli, Giardia and Cryptosporidium.

Although a statement from GDC said someone would have to drink “a good amount” of water to get sick, medical officer of health Dr Margot McLean pointed out that was not the case.

“You don’t have to enter the pond or drink the pond water to pick up the bugs that can make you sick. You could also pick up the bugs by putting hands in the water or touching areas where there is duck poo.

“This shouldn’t put people off visiting the ducks, as long as extra care is taken with hand hygiene.

“Antibacterial wipes could be used immediately after leaving the area, however parents should supervise children washing their hands and use the 20/20 rule; 20 seconds to wash/20 seconds to dry on the return home.

“Any duck poo should be removed from shoes so that the poo doesn’t contaminate surfaces like floors, or hands.”

Bridesmaid chokes to death on her own vomit after excessive drinking session at Chinese wedding

I thought it was only drummers that did that – Keith Moon, John Bonham.

bridesmaid_chokes_to_death_on_her_own_vomit_after_excessive_drinking_session_at_chinese_wedding_1_2And Bon Scott.

A night of merriment ended in tragedy when a bridesmaid choked to death on her own vomit from drinking too much.

In a series of video clips, the 28-year-old woman is seen knocking back a glass of liquor with her male friends at a wedding banquet in Wenchang city, Hainan province.

She is then seen passed out and supported by her drinking companions.

After that, she is filmed being rolled away on a hotel baggage trolley.

The final video clip shows her in the hospital with doctors fighting to save her life by pumping on her chest but to no avail.

According to Shanghaiist, a lawyer said that revelers who encouraged her to drink bear some responsibility for her death.

Excessive drinking is common in China where the ability to out-drink peers and colleagues is seen as a marketable skill.