Poorly made pesto led to two botulism cases in 2014

Mrs. Kalisz, my middle school family studies teacher warned of the dangers of botulism by showing the class a bulging can of beans (which she kept in a ziplock bag). One of my classmates picked it up while she was demonstrating something and she freaked out like he was shaking a grenade.

I’ve been afraid of botulism ever since.newpesto72_large-229x300

The first case of food-related botulism recorded in the medical literature occurred in Germany in 1735 and was traced to uncooked fermented blood sausage. Food safety history guru (and pretty decent margarita recipe developer) Carl Custer pointed out in an IAFP workshop that botulism concerns (and regulatory responses) go back further than that. In the 10th century, Emperor Leo VI of Byzantium prohibited the manufacture of blood sausage because of repeated illnesses leaving folks paralyzed and dying not too long after exposure.

Botulism (derived from botulus, the latin word for sausage) is pretty nasty.

The spores, found commonly in soil turn into vegetative cells and secretes neurotoxins when the conditions are right: high pH, no oxygen and temperatures between 41F and 106F.

Sorta like jarred pesto stored at room temperature.

According to my favorite weekly publication, MMWR, two individuals got botulism from contaminated pesto in 2014 linked to a California business.

The two patients reported sharing a meal of baked chicken breasts, boiled pasta, steamed vegetables, and company A Pine Nut Basil Pesto on July 13 at approximately 8:30 p.m.

Patient A received the pesto from a family member who had purchased several jars in May 2014 at a farm stand in San Clemente, California. Health officials in California collected and analyzed an unopened jar of the pesto from this family member’s house. It was found to have a pH of 5.3 and water activity* of 0.965

On July 29, 2014, CDPH began an investigation and discovered multiple jarred food items, including the Pine Nut Basil Pesto, available for sale on company A’s website (VR Green Farms -ben) and farm stand. Neither company A nor the pesto manufacturer had permits or registrations allowing them to legally manufacture or sell canned food, including food in jars, in California. CDPH investigators identified a lack of knowledge of safety issues involved with jarring foods and inadequate acidification and pressurization practices. There were no records indicating that critical factors (e.g., pH, time, and temperature) were monitored during production. Invoices showed at least 39 jars of pesto were produced in 2014. After discussing the link between the cases in Ohio and company A pesto, company A voluntarily recalled all jarred food products. On July 30, CDPH posted Internet and social media notices warning consumers not to eat company A’s jarred foods.

Know the hazards associated with your products. Know how to manage those hazards. Actually do it. Don’t give people botulism.

Two die from apparent botulism; home canned foods fingered

There isn’t a whole lot of botulism in the U.S. every year, and not all of it is foodborne – infant and wound botulism is more common. Of the bot cases linked to food, canning low acid foods without a pressure canner is a common theme.
Last year over 20 folks in Ohio got sick after home canned potatoes were made into potato salad. Home canned carrots were also linked to a case in Ashe County, North Carolina. beansdone
Home canned stuff, if not preserved correctly, can lead to the devastating illness.
According to AP home canned foods may be linked to two tragic deaths in Moses Lake, Washington.
Health officials say two deaths in Washington state this month appear to be linked to botulism — apparently from home-canned foods.
The Grant County Health District said Friday the cause of the deaths has not been confirmed. The victims were in their 80s and lived together, but health officials say the disease can affect people of any age.

Kentucky woman claiming to be nurse threatens to put Clostridium botulinum in deputy’s IV

A woman who claimed to be a nurse made an unusual threat before she was arrested at 4th Street early Sunday morning, according to an arrest report.

C.bot.IVAuthorities say 24-year-old Shenite R. Joseph was causing a disturbance in the entertainment district — screaming obscenities at an employee — when a Jefferson County Sheriff’s Office deputy asked her to leave.

According to the arrest report, the deputy asked her to leave four times, but she refused.

At that point, authorities say she told the sheriff’s deputy that she is a nurse, and that if the sheriff’s deputy ever came to her hospital, she would put “Clostridium botulinum” in the deputy’s IV.

Joseph was arrested and charged with third degree criminal trespassing and disorderly conduct. Both are misdemeanor charges.

New research focuses on bot neurotoxin structure and protection

Earlier this year I ran into a barfblog reader who said, ‘You’re really scared of botulism, aren’t you?’

The question was was related to a few things I had posted about the 24 illnesses and a death linked to an Ohio church potluck dinner. Improperly home canned potatoes were implicated.

I dunno about scared, maybe just in awe. The toxin blocks motor nerve terminals at the myoneural junction, causing paralysis. It starts with the mouth, eyes, face and moves down through the body. It often results in paralysis of the chest muscles and diaphragm, making a ventilator necessary. Months of recovery follow an intoxication.

Maybe I am scared.Screen Shot 2015-12-07 at 9.55.42 PM

Today researchers from the Brookhaven National Laboratories published research in Nature Scientific Reports about how one of the neurotoxins produced by Clostridium botulinum is protected in certain environments – info that can provide insight into vaccination and post-exposure mitigation.

Molecular Assembly of Clostridium botulinum progenitor M complex of type E

Nature Scientific Reports | 5:17795 | DOI: 10.1038/srep17795

Subramaniam Eswaramoorthy, Jingchuan Sun, Huilin Li, Bal Ram Singh & Subramanyam Swaminathan

Clostridium botulinum neurotoxin (BoNT) is released as a progenitor complex, in association with a non-toxic-non-hemagglutinin protein (NTNH) and other associated proteins. We have determined the crystal structure of M type Progenitor complex of botulinum neurotoxin E [PTC-E(M)], a heterodimer of BoNT and NTNH. The crystal structure reveals that the complex exists as a tight, interlocked heterodimer of BoNT and NTNH. The crystal structure explains the mechanism of molecular assembly of the complex and reveals several acidic clusters at the interface responsible for association at low acidic pH and disassociation at basic/neutral pH. The similarity of the general architecture between the PTC-E(M) and the previously determined PTC-A(M) strongly suggests that the progenitor M complexes of all botulinum serotypes may have similar molecular arrangement, although the neurotoxins apparently can take very different conformation when they are released from the M complex.

Dirt possible source of botulism in California infant

Botulism is so rare the U.S. Centers for Disease Control and Prevention note only approximately 145 cases are reported yearly – 65% of those are infant botulism.

Here in San Diego, the county’s latest stats show 3 cases from 2009-2013. While people are familiar with honey containing the bacteria for infant botulism, Bri Escobar was surprised to find her daughter may have contracted the bacteria when her father unknowingly brought dirt home from his construction job.

“Spores grow in the ground and when a baby under 6 months inhales or ingest it their intestines are like a good area for that botulism toxin to grow,” Escobar explained.

She’s not a doctor, but after a week at Rady Children’s Hospital, she’s had to learn a lot about what’s ailing her daughter.

She said her daughter is slowly starting to regain the movement she lost a week ago and getting her personality back.

Home-canned pumpkin butter is scary

My kids are all geared up for tomorrow’s annual trick-or-treating. They’ve already found the stash of candy we’ve stockpiled for the neighborhood ghouls and are making trades for stuff they don’t even have yet (‘I’ll trade all my Skittles for all of your Twix’).

We’ll hit a couple of Hallowe’en parties this weekend and if there’s home-canned pumpkin butter served on the potluck tables, I’ll be avoiding it.

According to lots of folks in the home canning world, winter squashes like pumpkin are cool to can – in cubed form. The Plainsman has a good science-based discussion of why mashed winter squashes are problematic for safe canning: they are thick and end up with variable pH when acidified.jack_o_lantern_2_by_ericfreitas-d320vg3

“Pumpkin butter recipes often have acid, such as vinegar or lemon juice, added to reduce the pH level below 4.6 which is a level at which the pathogen Clostridium botulinum will grow,” Joan Hegerfeld-Baker, Assistant Professor & SDSU Extension Food Safety Specialist said.

Food safety concerns related to pumpkin butter were studied by the University of Missouri in 1995. “Their research determined that pumpkin butters produced by home canners and small commercial processors in Missouri had extreme variations in pH values. Some pumpkin butters pH values were as high as 5.4, a level that supports the growth of pathogens of concern,” she said.

When the pH of home canned pumpkin butters, with added acid, was tested in South Dakota by SDSU Extension Food Safety Specialists, Hegerfeld-Baker said similar results were observed. “The pH levels of three samples of pumpkin butter sent in by a home food processor ranged from 4.5 to 4.8,” she said.

Pumpkin and squash butters have two inherent risks — pH greater than 4.6 and thick viscosity. “The pH is difficult to control, and the thick viscosity does not allow for good heat penetration when processing in a boiling water bath or pressure canner,” Hegerfeld-Baker said.

In 1989, the USDA Extension Service Published the Complete Guide to Home Canning. This has served as the standard for Home Food Preservation, with recommended and tested home processing techniques. However, in 1994 a revision was made: the only directions for canning pumpkin and winter squash is to cube the squash or pumpkin and process in a pressure canner.

Keeping the fair judges safe from botulism

One of the roles I inherited when I came to North Carolina is organizing the judges for annual home food preservation competition at the State Fair. The fair has a long history in scoring entries based on color, consistency, shapes and in some categories, taste.

According to the fair organizers we’re one of a handful of state fairs that allow judges to taste entries. It’s the part that has always made me nervous. I recruit the judges and it would be a tragic situation if someone got sick volunteering their time to evaluate canned goods. 9690269_orig

A couple of years ago, following a bot illness linked to watermelon jelly in British Columbia we decided to test the pH of some entries. Armed with blenders and pH meters my group opened a bunch of products and tested away. We found that a few exceeded 4.6 (the threshold that the NCHFP sets for safety in their recipes) and informed the competitors of the risks.

In subsequent years we increased the number of products we tested, and eliminated a category (sweet potato butter) due to safety concerns.

But the big turning point was the 2014 competition where we had a couple of judges taste a product that was supposed to be pickled, that wasn’t, and the pH was 6.1; a nice environment for bot toxin production.

It was a nervous week of waiting.

In consultation with the fair organizers, I decided to change the rules of the competition and require that competitors follow recipes in one of the three sources that have safety data behind them – the Ball Blue Book, So Easy to Preserve and the USDA guide to home canning.

It was a risk management decision. And it made some folks mad.

Jill Warren Lucas of Indy Week, a first time judge this year wrote a nice piece on her experiences and and the new rules,

Somewhere in my house, there is a photo of a much younger me, looking stunned to have won a red ribbon on my first try at the Indiana State Fair. I was bested only by my inspiration, the perennial winner Mrs. Imogene Orme.

Other hobbies have come and gone, but my obsessive passion for canning has stood the test of time. I’ve tested recipes for successful cookbooks and even published a few items of my own. And this year, I’ve met a new canning milestone: I served as a judge for home preservation entries at the North Carolina State Fair, which continues through Oct. 25.

I was the only newbie among 18 judges, some of whom have been participating for decades. After receiving directions from contest director Ben Chapman, associate professor and food safety extension specialist at North Carolina State University, we were sent off in pairs to pass judgment on blind entries in various categories.

During the next three hours, I tasted about 70 jams, jellies and juices. Even with small samplings, I soon approached a sugar-fueled state of delirium that my colleague expertly diagnosed as “jam drunk.” We both confessed relief when certain jars were determined to be outside of the scope of their category—for example, a lovely mashed-fruit jam erroneously entered as a whole-fruit preserve—and thus did not need to be sampled.

While a handful of entries were so exceptional we nominated them for Best of Show consideration, others were so mundane (or awful) that we actually presented no awards in a few categories.

The reason for this surprising lack of top-quality entries? Changing food safety standards.

Perhaps because I’m a careful canner, worrying about the safety of tasting entries never crossed my mind. But as Chapman soberly warned judges, concerns about just that led organizers to make controversial changes to this year’s contest.

According to Chapman, the North Carolina State Fair is one of only five across the country that tastes nearly all entries. The exception is low-acid foods, which, because of their inherent risk of instability, are judged on appearance only by a pair of food scientists, serving in this role for about 40 years. All other entries were first tested for safe pH levels and then brought to judges.

To further ensure our safety—and, more broadly, to foster standardized canning processes—all entrants had to cite one of three established sources as the basis of their recipe: the ubiquitous Ball Blue Book Guide to Preserving, USDA.gov guidelines or So Easy to Preserve, a publication of the University of Georgia’s National Center for Home Food Processing and Preservation. “We know that these documents have data behind the safety of their recipes,” Chapman explains.

Entrants also had to submit their entire recipe. Some longtime canners, like those who faithfully recreate recipes handed down through generations, balked at having to use a specified source. Many more took offense at having to provide their recipe. A few expressed anger at the lack of trust. Some feared that secret recipes would be revealed. While the updated rules were published in July, the backlash hit its peak in the weeks preceding the October 12th deadline to submit jars for judging. Organizers expected nearly 1,200 entries, but only received about 700.

Chapman says one irate individual, a longtime participant, even stated the intention to launch a boycott. University and fair officials have advised Chapman to not discuss specifics of what the individual said, but he confirmed that security issues became involved. There was even a brief scare at the fairgrounds when someone tried to enter the closed judging area, though it proved to be a false alarm.

Chapman spent much of his day comparing non-sourced entries to the three guides to determine if they were sufficiently similar to remain in contention. Most were found to have acceptable ratios of ingredients. If such vigilance seems like too much worry over canned fruit, remember 24 cases of botulism, including one death, have been reported in the U.S. this year.

“This happened last spring, right about the time we were talking about the rule changes,” Chapman says, adding there also was a troubling case in Ashe County. An experienced canner who ate spoiled carrots suffered severe symptoms for 11 days before her doctor identified the cause. “Botulism is the most toxic, naturally occurring substance we know of. It’s been used in terror attacks (not actually used but identified as a potential weapon -ben). One gram of botulism that is crystalized can kill a million people. It’s serious stuff.”

Previous tweaks to entry rules, likewise made in the name of food safety, also frustrated entrants. Chapman recalls “a similar uproar” a few years ago when participants were required to state how many minutes they processed any entry, an essential clue to knowing whether a jar’s contents had enough time to reach the temperature necessary to kill potential toxins. Unlike mold or other visible signs of spoilage, dangerous bacteria is not always so evident.

“We want to keep the tradition of tasting entries, but it’s my job to worry about this stuff,” Chapman says. “Most people understood the rationale. If some people decide that they can’t participate anymore, we’ll live with that.”

Food Safety Talk 81: Food safety matters every week

Food Safety Talk, a bi-weekly podcast for food safety nerds, by food safety nerds. The podcast is hosted by Ben Chapman and barfblog contributor Don Schaffner, Extension Specialist in Food Science and Professor at Rutgers University. Every two weeks or so, Ben and Don get together virtually and talk for about an hour.  They talk about what’s on their minds or in the news regarding food safety, and popular culture. They strive to be relevant, funny and informative — sometimes they succeed. You can download the audio recordings right from the website, or subscribe using iTunes.

After a brief discussion about Quadrophenia, the guys thankfully decide to not sing this episode.Unknown-3

Ben mentions that the last video store in the Raleigh area is closing. This led to some discussion about the job security of academic careers where Don stated, ‘prediction is very difficult especially about the future.’

Spurred by Ben’s short visit to Baltimore, the guys then discuss how awesome The Wire is.  Don mentions a perspective by David Simon, the Wire’s creator, on the real life situation in Baltimore.  Ben was recently in Baltimore for the Food Safety Summit.  A nod goes out to Brian Saunders for doing a good job of boots on the ground coverage of what’s going on in Baltimore during the Food Safety Summit.

Don recommends Acorn TV for anyone interested in British TV. This subscription service has British programming not typically shown on US TV. At the Acorn website Ben spotted Time Team an archeology reality series that he thinks his kids would love.

This week Ben talks about media interviews and a focus on multiple food safety stories all hitting at the same time. He talked a cutting boards post on barfblog that garnered some attention.  He also fielded inquires regarding the Blue Bell Listeria outbreak .  Ben noted that Blue Bell announced they are recalling all the ice cream.

A tragic botulism outbreak linked to a church potluck in Ohio was also a topic in multiple media outlets. The potluck outbreak was linked to home-canned potatoes but the coverage prompted a side conversation about bot and foil-wrapped baked potatoes.

Looking ahead to future food outbreaks Ben mentions that a bill was introduced in North Carolina to legalize raw milk.  This bill would allow consumers to legally acquire raw milk via a cow share mechanism.  In this article Ben is quoted challenging an inappropriate comparison of raw milk outbreak data by the bill’s sponsor.

In After Dark Don shames Ben for not listening to Roderick on the Line. Again.

– 30 –

Botulism: Smoked sausages linked to four cases in Portugal

Outbreak News Today reports that Portugal health officials are reporting a botulism outbreak that has sickened up to six people, including one foreign national, according to the General Directorate for Health (DGS) last week (computer translated).

Origem Transmontana brand smoked sausagesThe DGS says there are four confirmed cases (one a Swiss resident) and two probable identified, linked to the consumption of Origem Transmontana brand smoked sausages and cheese.

Health officials report no deaths in the current outbreak.

‘But, but mom, I don’t like beets’: Asda in UK recalls beetroot in botulism warning

It was one of our go-to phrases growing up, and I have no idea why.

pickle.dishProbably because beets were a staple of the 1970s funky glassware along with pickles and pickled onions.

Customers of UK supermarket giant Asda have been warned not to eat jars of pickled beetroot amid fears they could contain botulism.

The recall affects a batch of 710g jars of ‘Asda Chosen By You Pickled Crinkle Cut Beetroot’.

Customers who have bought any of the jars have been warned not to eat it but to return it to a store.

It is not clear how the bacteria may have got into the jars, but a statement from the Food Standards Agency indicated measures to control the botulism toxin had not been demonstrated.