Australian parents warn of brain-eating parasite that killed baby boy

When Queensland mum Jodi Keough gave her children hoses to cool down with on a hot day, she had no clue it would lead to the death of her precious baby boy.

49c7026ff26063b321a181d8c3d24360One-year-old Cash died in April this year from what’s being called a “brain-eating parasite” that was thriving in the water at Jodi and Laine Keough’s cattle station, near Townsville.

Little is known about the extraordinarily rare disease that led to Cash’s death, but what is known is that he is the third child in central west Queensland to die from it.

And tonight, Australian Story looks at the amoeba that could be lurking in the water at many Australian rural homes.

“It’s rare but it’s deadly,” clinical microbiologist Dr Robert Norton tells the program.

“It’s something that rural Australia needs to be aware of.”

Naegleria fowleri thrives in fresh, warm water more than 25C. It’s caused at least 300 deaths worldwide, and at least 25 in Australia, and causes severe inflammation and brain destruction when contracted through the nose.

Mrs Keough said that’s exactly how her “very happy little boy”, Cash, became infected. She thinks it happened as he played with a garden hose on a hot day.

OMG: safe food Queensland says raw eggs risky (sorta)

The Melbourne Cup horse race starts in a couple of hours and the twitter-comms types at safe food Queensland have said something, in writing, I’ve never seen before:

omg“Avoid eating raw foods such as salad dressings and sauces made with raw eggs e.g. mayonnaise, hollandaise and aioli or uncooked foods containing raw eggs e.g. cookie dough, mousse, cheesecake, tiramisu.

“Check to see if sauces or salad dressings are pasteurized.”

About time.

The safe food advisory also contains poor attempts at humor such as, “It’s the race that stops a nation so don’t let food poisoning have you galloping!”

(Grimace).

Almost 300 sickened: Brisbane Convention Centre food poisoning caused by Salmonella on stick blender

Tomorrow is Melbourne Cup day, the (horse) race that stops a nation.

melbourne.cup.hatsIt’s like the Kentucky Derby but nation-wide, and the hats are more outrageous.

The news has focused on fashion tips for Derby Day, but they should instead focus on tips for not barfing from raw egg-based dishes.

Two years ago on Melbourne Cup day, at least 220 people were felled by Salmonella and one was killed at Melbourne Cup functions in Brisbane, all linked to raw egg based dishes served by Piccalilli Catering.

In July 2015, at least 90 people were stricken with Salmonella after a fancy tea at the Langham Hotel in Melbourne. Australian health types confirmed it was Salmonella in raw-egg mayonnaise that was included in chicken sandwiches that were served at the $79 tea.

Fancy food ain’t safe food.

In Jan. 2015, at least 130 diners were stricken with Salmonella after being served ice cream containing raw eggs at Brisbane’s Chin Chin Chinese Restaurant. Dozens were hospitalized. Follow-up? Nothing

In May 2013, 160 diners at the Copa Brazilian restaurant in Canberra were struck down with Salmonella – it was the raw egg mayo that was then used in potato salad.

And so it goes.

The carnage continues from raw eggs in Australia (a table of known Australian-based is available at https://barfblog.com/wp-content/uploads/2015/03/raw-egg-related-outbreaks-australia-3-2-15.xlsx).

There are a few plausible explanations for the uniquely high number of Salmonella outbreaks related to raw egg dishes in Australia.

amy.melbourne.cup.12There is a particular form of food snobbery that disses the use of pasteurized eggs in the food pornography biz, even though you could lose your restaurant and life savings to one dish. On those few occasions I go out to eat, I ask the server if the mayo or aioli is made with raw eggs. They always come back and insist, of course it is made with raw eggs, the chef wouldn’t have it any other way.

Wrong answer.

In March, 2015, 250 teachers were stricken with Salmonella at a Brisbane conference, and an additional 20 people were sickened on the Gold Coast from the same egg supplier.

Some answers are now available, but only through access to information requests.

The Courier Mail reports this morning that a kitchen stick blender contaminated with Salmonella was the source of a mass food poisoning outbreak in Brisbane early this year.

About 250 people, mostly state school principals, fell ill and 24 people were admitted to hospital after eating at an education conference at the Brisbane Convention and Exhibition Centre in February.

Documents obtained by The Courier-Mail show that investigators examining the outbreak found bacteria on several kitchen utensils, with that bacteria “incubated’’ during the cooking process.

Test results from the investigation showed the people who fell ill were sick with the same strain of salmonella found on a kitchen stick blender “which demonstrates the source of the outbreak.”

Not quite. Salmonella has to get on the stick, whether it was introduced by humans or raw eggs or something else.

The documents rule out the possibility the outbreak was caused by eggs being contaminated before they arrived at the convention centre.

Wow.

“(Redacted) suggested that if the eggs were contaminated when they arrived, that this was the cause, however I advised … that poor cleaning and sanitising of the stick blender was the ultimate cause,’’ the documents say.

“(Redacted) questioned why the Sal. was not killed during the cooking process of the bread butter pudding. I advised that the QH microbiologist suggest that 140deg was not hot enough to kill Sal, but rather it was an incubation temp.’’

Brisbane City Council is now considering prosecuting the operators, with a decision due by the end of this year.

egg.dirty.feb.12Documents show the centre lost their five-star food safety rating from the council in the wake of the test results and they are yet to regain it.

A food safety audit found a “breakdown in cleaning and sanitising processes as indicated by the following positive swabs from 17/03/15”, with poor hand washing the reason for E. coli being found.

They found Salmonella on a larger robotic mixer and B. cereus on a smaller mixer, pastry brush and a whisk.

Convention centre general manager Robert O’Keeffe said the incident was the first of its type in the centre’s 20-year history.

That’s nice.

“Since the reported cases of illness, we have undertaken independent food safety audits, continued our testing processes for the sourcing, processing and delivery of safe food to our guests,” he said.

“All of our cooking practices and processes are monitored and recorded on our 24-hour computerised food safety monitoring system.”

He said the blender at the centre of the controversy had been removed and whole eggs taken off the menu.

“This means no eggshells, which potentially carry pathogens, will ever come into BCEC’s kitchens,” he said.

He said during the salmonella outbreak the eggs were not being sourced from their regular supplier.

I want pasteurized eggs used in mayo and aoili because this isn’t CSI and those UV goggles won’t tell a chef which egg has Salmonella.

In addition to popular culture, the chefs are merely responding to government advice.

Victoria Department of Health spokesman Bram Alexander said the Latham outbreak was a warning to cooks about the dangers of using raw eggs: “You have to store them properly, you have to handle them properly, prepare them properly, and don’t used cracked eggs.”

What the health spokesthingy wouldn’t say is: don’t serve dishes that contain raw eggs.

They say that in Canada and the U.S., but somehow, Australian regulators won’t directly say, don’t serve raw-egg containing dishes.

And that allows people like the Langham’s Melbourne managing director, Ben Sington, to say with a straight face, “we can confirm that all our eggs are sourced from a reputable and certified supplier and stored in accordance with food safety guidelines.”

A table of Australian egg outbreaks is available at https://barfblog.com/wp-content/uploads/2015/03/raw-egg-related-outbreaks-australia-3-2-15.xlsx.

Advice ain’t adherence: Sprout safety in Australia

Australia’s Food Safety Information Council says that outbreaks of foodborne illness have been associated with eating seed sprouts. Most seed sprouts are consumed raw, therefore do not receive any form of heat treatment prior to consumption which would inactivate pathogens (if present). A 2005 Salmonella outbreak in WA of 125 cases was linked to alfalfa sprouts  and a 2006 Salmonella outbreak of 15 cases in Victoria was linked to alfalfa sprouts.

sprout.salad.aust.aug.15To eat bean sprouts safely adhere to the use by date displayed on seed sprout packaging and follow storage directions on the seed sprout packaging and store seed sprouts at 5ºC or below. Avoid cross contamination from other risky foods such as meat or poultry. Washing sprouts has been found to be not very effective as laboratory studies have shown that bacteria can be internalised in the sprouts, making it difficult wash off/sanitise, and bacteria can be protected in a biofilm on the sprout surface. People in the 4 vulnerable demographics (young children, people 70+, immune-compromised or pregnant) should not eat uncooked sprouts of any kind.

That’s all good advice. But not enough.

Wal-Mart stopped selling raw sprouts a few years ago because they could not get a consistently safe supply. Raw sprouts are one of the few foods I will not eat, yet it is impossible to get a sandwich, in Australia, without sprouts or sprout remnants. And this pic (right)? It’s from an Australian hospital, home to the immunocompromised and pregnant.

As I always tell my kids, whether at home or the arena, less talk, more action.

Hold Australian restaurants accountable: Food ratings in one state, shot down in another

Sometimes I don’t understand this country called Australia.

western-australia-kangaroo-beachTen days ago, Canberra, the former sheep-farm now acting as the Washington, D.C. of Australia, decided to abandon any plans for restaurant inspection disclosure. I did a live radio interview with a Canberra station, in my goalie skates, during an (ice) hockey practice on Sunday that Australian Capital Territory chief health officer, Paul Kelly, decided he was too busy to do.

Must be nice to have a government job.

Yet the next day, the state of South Australia declared that its pubs, cafés and restaurants will be able to publicly display the food safety rating they receive during council inspections.

A successful trial period has laid the foundation for the new program called the Food Safety Rating Scheme. The rating will be based on the business’s scores for a variety of criteria gathered by council health inspectors.

“Since the scheme started, three, four and five star certificates have been awarded to more than 800 local restaurants, cafes and pubs based on how well they did in their regular council inspection, which is a great result,” said SA Health Director of Food and Controlled Drugs, Dr Fay Jenkins.

“Of the businesses inspected so far, 54 per cent received a certificate with a star rating, demonstrating appropriate food handling skills and a clean and safe food preparation environment.”

“If a business does not meet the national food safety standards they will not be awarded a star rating and appropriate actions will be taken to ensure the business rectifies any problems. In most cases issues are resolved very quickly,” said Dr Jenkins.

Since the South Australian pilot program began, five-star certificates have been awarded to 389 food businesses, four-star-certificates to 328 and three-star certificates to 168.

However, a business will not have any obligation to display their food safety rating because the new scheme is voluntary.

That’s just dumb.

And now, a pizzeria owner has threatened a disgruntled customer with legal action alleging they defamed his business in a negative online review.

Law graduate Julian Tully wrote on travel site TripAdvisor that dining at an Adelaide pizzeria was “the worst service and experience” and warned people to “stay away”.

Mr Tully and friends had attended a $40-a-head birthday banquet on October 10 and alleged they were treated “in a fashion I don’t think was possible”.

“For 7 people we got a tiny amount of food (waiting more than 50 minutes between portions) and when we tried to complain in a reasonable way we literally got told ‘we have had our fill’ and ‘we shouldn’t go out for dinner if we can’t afford it’,” he wrote in the October 11 review. “They then called the cops on us because we walked out. Avoid like the plague!”

Sounds like Australia.

Q Fever outbreak in Australia linked to goat dairy farm

Landline can now reveal at least 24 people have contracted Q fever during an ongoing outbreak on a Victorian goat dairy farm. While the farm owners and health authorities seem to have stemmed the flow of people falling ill, they have not been able to stop the spread of the disease among the animals. Prue Adams reports.

q.fever.goats.austPRUE ADAMS, REPORTER: There’s a picture perfect quality to this farmland near Ballarat. Lambs at foot, bluestone buildings and at this time of year, golden canola. It’s a region that also boasts one of the biggest dairy goat farms in the country. The only clue to an underlying problem here are the warnings on the front gate.

SANDY CAMERON, GOAT FARM OWNER: The first thing is we’ve had to restrict access to the property, signs up saying “Don’t Enter”. Of course, being in the country, people are fairly used to ignoring signs, so then we – you’ve actually got to try and enforce that.

(Present) When Landline caught up with the Camerons in 1997, they were only producing sheep milk and cheese. Later that year, they got into goats. And now, in addition to milking thousands of sheep, they also milk 5,000 goats twice daily. This is a big enterprise with three dairies and employing 100 staff. Four years ago, some of those employees started getting sick.

SANDY CAMERON: In 2011, we had a few people get Q fever, including our daughter, but we didn’t know it was Q fever. Even though they went to doctors, we didn’t know what was going on. It was late-2012 before one of the staff had it diagnosed as Q fever. In hindsight we realised it was during 2012 was the main incidence of staff being infected.

SIMON FIRESTONE, UNIVERSITY OF MELBOURNE: It was sounding very significant from the start. So historically in Victoria, the Health Department receives notifications of about 30 cases of Q fever a year, and in one week, they’d five notified associated with the one farm property. So, yeah, that was an outbreak. That was clearly an outbreak smacking us in the face.

PRUE ADAMS: In 2013, Dr Simon Firestone, a senior veterinary lecturer at Melbourne University, was one of several authorities notified.

SIMON FIRESTONE: It’s the largest farm-associated outbreak in Australia’s history. So we’ve had large abattoir-associated outbreaks and a large single outbreak where there were 25 cases previously at a saleyard in South Australia in 2004. But, yeah, at 24 cases, this is – this is the largest by far of any of the single farm-associated outbreaks and then, as with all of these, there would be cases that have gone undiagnosed.

Australia still has an egg problem: Salmonella outbreak at Brisbane’s South Bank Surf Club investigated

Once again, Australian diners are barfing because chefs think they know better about Salmonella in eggs.

garlic_aioliThe South Bank Surf Club in Brisbane was inspected after complaints from diners who had confirmed cases of food poisoning.

Restaurant management told The Courier-Mail that Queensland Health and Brisbane City Council had contacted the business after several sick people came forward.

The manager said the cause had been identified as “a bad batch of eggs’’ provided by a supplier. They said the eggs had been used in sauces served with seafood platters.

“We’ve been caught out, unfortunately. Our customers’ wellbeing is our priority and anyone with concerns can get in touch with us,” they said. “To rectify the problem, we are not making sauces in-house.’’

This is something I wrote for the local paper a few months ago.

In 2013, at least 50 people, mainly children, were sickened with E. coli O157 at the Ekka. Scientific or public follow-up? Nothing.

Queensland Health has been warned repeatedly about Q-fever outbreaks at the Ekka related to the birthing of goats. Follow-up? Nothing.

In 2013, at least 130 people, including 55 nursing home patients were stricken by Norovirus in Ipswich and on the Sunshine Coast. Follow-up? Nothing.

In Nov. 2013, at least 220 people were felled by Salmonella and one was killed at Melbourne Cup functions, all linked to raw egg based dishes served by Piccalilli Catering. Follow-up? Nothing. (I even wrote to then health minister Lawrence Springborg; no response, guess he was busy with parliament).

In Jan. 2015, at least 130 diners were stricken with Salmonella after dining at Brisbane’s Chin Chin Chinese Restaurant. Dozens were hospitalized. Follow-up? Nothing.

In March, 2015, 250 teachers were stricken with Salmonella at a conference, and an additional 20 people were sickened on the Gold Coast from the same egg supplier. Follow-up? Nothing.

As a food safety professor in Canada and the U.S. who relocated to Brisbane four years ago to support my French professor wife, I look at these outbreaks and wonder: what does Queensland Health do? What does Safefood Queensland do?

I believe in science, however fallible it may be, and my church is the (ice) hockey arena.

I also believe in public disclosure, especially because these investigators are working on the Queensland tax dollar. These are hopelessly ineffective agencies — and I’ve seen a lot of agencies —  but these are the worst, especially in terms of public disclosure.

Surf Club GangNot the people, but the structure and confines in which they work for a pay cheque.

Now we’re told that hundreds of Brisbane restaurants, cafes, bakeries and caterers are operating below legal safety standards.

Brisbane City Council says it is waging war on shoddy operators in light of a massive jump in food poisoning outbreaks.

That’s a war of attrition.

Instead, Brisbane, and Queensland, could make a few simple changes to hold the purveyors of food accountable.

Mandate training.

Make restaurant inspection disclosure mandatory instead of the current voluntary.

And create a culture that values microbiologically safe food (the kind that doesn’t make you barf).

I was coaching an (ice) hockey game at the Gold Coast on the weekend, and the restaurant we went to afterwards was advertising a petting zoo – at the restaurant.

This is a microbiologically horrible idea.

Same with the petting zoos at kids’ schools and in malls, like the one in Fairfield.

Queensland is on track to suffer its worst year on record for salmonellosis, which has infected more than 2,500 people – mostly in the southeast – since the start of the year.

The state is also recording spikes in other gastrointestinal illness cases such as Campylobacter (1,993), cryptosporidiosis (604) and yersiniosis (180).

Data from the council’s Eat Safe star-rating system, shows almost 10 per cent of Brisbane’s 6000-plus food operators were operating below legal safety standards.

Queensland taxpayers deserve answers to some basic questions about all of the aforementioned outbreaks:

  • How did the outbreak happen;
  • was this commodity sourced from a food safety accredited supplier;
  • did handling by the caterer contribute to this outbreak;
  • what is Queensland Health’s policy on use of raw eggs in dishes to be consumed raw;
  • is this policy enforced;
  • is the investigation closed and if so, why and when was it closed;
  • will an outbreak investigation report be created and publicized;
  • why was the previous update erased from the Department’s website and on whose authority; and,
  • what is Queensland Health’s policy on providing information to the public.

This isn’t CSI, with its groovy UV lights that make great television but lousy science.

This also isn’t rocket surgery: publicly release all surveillance data on raw eggs in Queensland (or Australia), publicly release the menu items at the Queensland Convention Center and the Grocer and Grind on the Gold Coast where two of their own chefs got sick, and tell chefs to stop using raw eggs in dishes they have to so expertly craft from scratch like aioli or mayonnaise.

This is nothing new and we have been documenting the problem for years because it is a global food safety embarrassment. The solutions are there. It’s time for leadership.

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

Food fraud consequences: 10-year-old died in Melbourne after drinking coconut milk as importer admits label charges

But why wasn’t the investigation and cause revealed earlier, to warn and hopefully prevent further cases. Maybe it has something to do with the legal system in Australia.

coconut.drinkMaybe it doesn’t.

A 10-year-old child died from an allergic reaction in Dec. 2013 after drinking a “natural” coconut drink imported by a Sydney firm.

The canned product from Taiwan, Greentime Natural Coconut Drink, is sold in most states and was recalled just over a month later following the tragedy. But it was never revealed that it was blamed for causing the fatal anaphylactic reaction in the child from Melbourne.

The NSW Food Authority said importer Narkena Pty Ltd, based in western Sydney, pleaded guilty in September to three labelling charges and will be sentenced later this month.

The authority said the company entered pleas of guilty to two charges that the drink was labelled in a way that falsely described the food and to one charge of selling food in a manner that contravened the Food Standards Code.

A spokeswoman for the Victorian Coroner said a decision about whether there would be an inquest would be made after the other court hearings were concluded. Lawyers are understood to be pursuing a civil action against the importer.

Despite the tragedy occurring some 22 months ago, it was only in August that a suppression order was applied for in relation to the case.

The child, as a minor, cannot be named by The Sun-Herald.

The child is understood to have had an allergy to dairy products. The NSW Food Authority said at the time that the recall was because the milk content was not declared on the label.

Narkena Pty Ltd did not respond to a request for comment.

Five coconut drinks have been recalled in the last four weeks, all because they contained undeclared cow’s milk according to Allergy and Anaphylaxis Australia.

Last month, The Sun-Herald reported Aiden Henderson, nine, who is allergic to dairy products, went into anaphylactic shock after drinking the flavoured drink Coco Joy. It is also imported by a Sydney firm and was recalled after the incident.

Maria Said, president of Allergy & Anaphylaxis Australia said she was dismayed that although the coconut drink the child consumed immediately before the anaphylaxis that took his life was found to contain cow’s milk, it had taken almost two years for other similar products to be investigated.

“Surely someone in the food science industry would have known the cow’s milk was used for a functional purpose in coconut drink and if that was the case, it would likely be in other coconut drinks,” she said.

“Another child’s near-death experience after drinking a different coconut drink in July 2015 prompted NSW Food Authority to test other coconut drink products, some of which have now also been recalled due to undeclared cow’s milk. The spate of coconut drink-related recalls continues as it should have from Jan 2014.”

 

It was the filthy mixer: 16 sickened with Salmonella at Australian hospital

It wasn’t the fish, it was a filthy food mixer that sickened 16 this month with Salmonella at Burnside Hospital in Adelaide.

mixer.salm.adelaide.sep.15Hospital officials sent written warnings to more than 1,600 people about possible exposure earlier this month.

South Australia Health’s director of food safety and nutrition, Fay Jenkins, said hospital staff were unable to clean the stab mixer food appliance properly, which had led to a build-up of food residue and bacteria.

She said the equipment had been “implicated as a source” of the contamination.

“Due to the way it was constructed, the mixer was unable to be dismantled, which meant thorough cleaning and sanitizing could not occur and harmful bacteria were able to survive within the appliance.”

More for the duh files: Jenkins told a press conference this morning that “this sort of thing should’ve been picked up.”

Jenkins told reporters public hospitals have a thorough audit system which ensures the cleanliness of food operations, and that private hospitals – such as Burnside – also had compulsory audits, but that they were not undertaken by SA Health.

Audits and inspections are never enough.

And if Wal-Mart stopped selling raw sprouts a few years ago because of the risk, why are they still served in hospitals and virtually everywhere else in Australia, the ones with audits and inspections?

 

$250K fine in Australia for fake ‘free range’ eggs

In addition to changing Prime Ministers every 12 months (bye-bye Tony dumb-dumb) it’s almost impossible to buy cage eggs, at least without enduring the stigmatizing stares of other shoppers.

darling.down.eggsBut are consumers getting what’s advertised?

Darling Downs Fresh Eggs must pay a $250,000 fine after the Federal Court ruled it had purposely mis-labelled its eggs as free range, in a case brought by the competition watchdog.

The court found that RL Adams Pty, the company behind the egg producer, engaged in misleading conduct and made misleading representations to consumers in labelling and promoting its eggs as `free range’ from December 2013 to October 2014.

The company admitted, in the course of the Australian Competition and Consumer Commission investigation, that it had kept its hens confined to barns at all times, and kept doors shut so the chickens never had access to an outdoor range.

“It’s clearly misleading to claim your eggs are free range when the hens that laid the eggs didn’t roam freely outdoors,” said ACCC chairman Rod Sims.

“People are willing to pay a premium for free range eggs which they believe meet ethical or welfare standards. Businesses should not be benefiting financially from misleading claims about farming practices,” he said.

The severity of the penalty was mitigated in part by Rl Adams’ co-operation with the ACCC investigation, said the court.