Bacillus cereus fingered as agent in Zappos outbreak

Bullitt County (KY) heath dept folks are quick with their information release. Investigators had been investigating a bunch of illnesses associated with staff of Zappos, an online retailer earlier this week and according to WAVE3 have identified B. cereus as the causitive agent.

Preliminary data indicated a food borne illness as the cause of the outbreak. After tests, bacillus cereus, was identified in clinical specimens. The Bullitt County Health Department was not able to identify the specific food ingested that caused the food-borne illness due to the lack of food samples available.

Public Health’s Division of Laboratory Services launched an investigation into the issue after 58 employees who worked the same shift became ill with a gastrointestinal illness early on Monday. At least 29 sought medical attention, none were hospitalized. In most affected employees, the illness has been self-limited and not serious.

It was previously reported that the 10pm meal was linked to the illnesses, not sure if it was diarrheal or the vomit type of B. cereus but with the reported on-set time some sort of a temperature-abused starchy dish could be the culprit.
 

Manhattan, famous for sushi?

One of my great laments about Manhattan (Kansas) has been the lack of sushi. In the past few years, however, sushi has appeared on campus, in grocery stores and a Japanese restaurant is expected to open in Aggieville. Today during our regular pilgrimage to a Dillon’s grocery store (owned by Kroger), the "Sushi" sign was prominently displayed out front. While thinking to myself, "that might make a nice lunch today,"once inside the store I changed my mind. I snapped this picture (right) of an unattended rice container and decided not to buy sushi there because of the potential risk.

While most people presume that the greatest risk for foodborne illness in sushi comes from the raw fish, I’ve learned from living with Doug that rice is too often the culprit. When held at improper temperatures or temperature abused, Bacillus cereus, a soil dwelling bacterium, can germinate in the rice and create toxins. Although only responsible for 2-5% of foodborne illness, B. cereus can result in nausea, vomiting and diarrhea. Diarrhea onset usually occurs between 8 and 16 hours after consumption but nausea and vomiting can occur from 1 to 5 hours after consumption. This is one of the few foodborne illnesses with symptom onset soon after consumption.

Last year when one of my students told me he got sick from eating sushi on campus, he blamed himself for eating raw fish. He was rather surprised when I told him the rice was more likely to blame.

Sushi + bacteria = barf

I was always skeptical when it came to sushi because of hands constantly touching the rice, fish, and other ingredients that go in the roll. Rice is notorious for harbouring bacteria such as Bacillus cereus, a nasty little germ that is capable of forming a spore and can cause one to seriously embark on a journey of barfing. One of the critical control points in controlling the growth of this bacterium is to acidify the rice, that is, attain a pH of <4.6. Synder1 reports that a pH of less than 4.6 will retard the growth of this bacterium and others such as Clostridium botulinum. I remember when I attempted to make sushi at home, I added enough vinegar to the rice that one bite would have given you an instant gastric ulcer, so I stopped. But are food operators’ testing their product to ensure the rice is at a pH of <4.6?

The Arizona Daily Star reports that Sushi Ten was reported in having 11 critical health violations.

Sushi Ten, a midtown eatery specializing in raw seafood, failed its first health inspection with a new owner, Pima County reported Monday.

The restaurant, which for several years held the top spot for sushi in the Tucson Weekly’s annual "Best of Tucson" survey, amassed 11 critical food-safety violations during an inspection last Wednesday. Critical violations are those that carry the risk of spreading food-borne illness, and an eatery receives a provisional rating if a county sanitarian notices five or more of them.

Sushi Ten, 4500 E. Speedway, will be reinspected within 10 days, said Sharon Browning, manager of the county Consumer Health and Food Safety unit.

Sushi Ten’s owner, David Lam, who took over the restaurant in May, said many of the violations stemmed from his employees not being fully aware of Pima County’s health code. He said he plans to attend a county class to learn more about safe food preparation and to educate his employees.

Most of the violations were corrected during the course of the inspection, Lam said.

The violations included employees failing to wash their hands after handling raw food or dirty dishes, food not being kept at the proper temperature, and potentially hazardous food not being properly date-marked.

Source:

1. Synder, O.P. (2000A). Sushi rice HACCP. Hospitality Institute of Technology and Management.

Army colonel tries old C-ration pound cake, doesn’t get botulism

Field rations for soldiers are designed with two primary motives: 1) providing lots of calories and 2) lasting in a combat zone.

For the most part, taste is greatly sacrificed. But retired Army colonel Henry A. Moak, Jr., thought his 40-year-old C-ration can of pound cake was "good."

Moak got the drab olive can as a Marine helicopter pilot off the Vietnamese coast in 1973. He vowed to hang on to it until the day he retired, storing it in a box with other mementos.

"It’s even a little moist," he said, wiping his mouth after downing a handful in the Pentagon’s Hall of Heroes following a formal retirement ceremony.

Retired Lt. Gen. Paul T. Mikolashek, who was the U.S. Army Europe commander when Moak served overseas, took an even bigger piece. "Tastes just like it always did," Mikolashek mumbled with a mouthful of cake as Moak laughed and clapped.

The AP reports,

"Moak said he wasn’t worried about getting sick from any bacteria that may have gotten into the old can, because it looked sealed. But the military discourages eating from old rations.

"’Given the risks … we do everything possible to ensure that overly aged rations are not consumed,’ said Lawrence Levine, a spokesman for the Defense Supply Center in Philadelphia.

"Levine named the threats as mold and deadly botulism if the sealing on the food has been broken, which isn’t always visible."

Mold, maybe. Botulism, no; it arises from improper canning initially – or denting later – but not broken seals. (They only open the possibility of contamination to microbes that like air: B. cereus, Lavine…)

Fish of the day sauce a killer

The Sydney Morning Herald reports that coroner Jane Culver has found that a Sydney restaurant served asparagus sauce contaminated with bacteria in January last year, leading to the death of William Hodgkins, 81, because of slack procedures in its handling of the sauce.

The sauce, which was served with the fish of the day at Tables restaurant in Pymble on January 12, 2007, had 9.8 million colony-producing units of Bacillus cereus per gram.

Ms Culver said the sauce was made at 3pm the day before, on January 11, and refrigerated. It was taken out of the refrigerator on January 12 but not discarded after four hours of use. Four hours is the recommended amount of time for the sauce to be used after being refrigerated, Ms Culver said.

Instead of being thrown out, it was placed in a coolroom so that it could be used for serving meals.

Ms Culver said the container for the sauce had no label showing when it was made or when it should be discarded.

Even fancy restaurants need to refrigerate sauces — cause toxins can kill

The Sydney Morning Herald reports that 81-year-old retiree William Hodgins died just 12 hours after dining with his wife, Audrey, at the upmarket Tables restaurant in Pymble on Friday, January 12 last year (right, pic from Sydney Morning Herald).

Inspector Dean Lindley of Hornsby police told Westmead Coroners Court yesterday that an investigation by the NSW Food Authority discovered Bacillus cereus in an asparagus cream sauce served to Hodgins and 14 other customers that night who had ordered the fish of the day, snapper.

It is alleged the sauce was up to 48 hours old when it was served to him.

Inspector Lindley said he was contacted by food inspector, Bryan Biffin, who said he had taken a sample of cream asparagus sauce he had found in the restaurant after police left. It had been served with the fish of the day.

"The sauce had subsequently been analysed by the Division of Analytical Laboratories and had been found to contain the pathogen Bacillus cereus at a level of 9.8 million parts … Mr Biffin informed me that the toxic level of this pathogen is 1 million parts … Biffin further stated that in his experience this pathogen thrives in an environment where the food is heated and cooled over a period of time. During the course of the investigation I came to the opinion that the deceased William Hodgins had eaten the asparagus sauce. The sauce at the time of consumption was contaminated by the pathogen Bacillus cereus after having been repeatedly subjected to temperature abuse in that it was heated and cooled a number of times over 48 hours by restaurant staff."

The restaurant co-owner and principal chef Kim de Laive told the court he had been holidaying on the South Coast that day and that his fellow chef, Douglas Gunn, had prepared the sauce dishes, including the cream asparagus, the night before for use that Friday.

He said it was the restaurant’s practice to dispose of asparagus sauce if it was exposed to room temperature for more than four hours, and was unaware that the Australian food standards required it to be disposed after two hours. Mr de Laive said he could only assume that one of the apprentices had put the sauce back into the fridge after its use earlier in the day and it had been taken out again that night but he had not asked any of the apprentices about it.

Way to blame the underlings, chef, especially since you apparently didn’t know the basics.

When the restaurant’s co-owner, Daniel Brukark, entered the witness box counsel for the Food Authority counsel, Patrick Saidi, revealed the authority was prosecuting Mr Brukark’s company, Dan Brook Investments, for failing to place labels with dates on its sauce containers, an offence which carries a two-year prison term if a director or chef is convicted.