16 sick with Campy linked to ‘runny’ uncooked pate at UK golf club

There are so many outbreaks linked to improperly prepared foods at golf clubs. Maybe the fancy, outrageous clothes make people feel immune to dangerous bacteria.

Sixteen guests were food poisoned and had “cramps and diarrhoea” after eating “runny” uncooked chicken liver pate at an Essex golf club.

The club’s then-operating company Crown Golf Operators Ltd, have now been fined £60,000, after the guests fell ill after eating at Stapleford Abbots Golf Club in Romford on June 17, 2017.

After playing golf that day around 24-25 guests sat down for a three-course meal, which included the pate as a starter and a carvery for mains from a set menu.

Within a day after this meal, 16 of the guests reported being ill. Some of them were ill for up to two weeks and some had to be hospitalised.

On January 29, Crown Golf Operators Ltd, were sentenced at Basildon Crown Court after pleading guilty to placing food on the market at the Romford club that was unsafe and unfit for human consumption.

The head chef at the club, Chris James, who was a co-defendent and had cooked the chicken liver pate, entered a not-guilty plea. At his trial last year, he was offered a formal caution, which he accepted.

Stapleford Abbots Golf Club is currently under new ownership after it was sold and taken over in February 2019.

Birds and Campy, New Zealand edition

Campylobacter jejuni, a leading cause of gastroenteritis worldwide, has been frequently isolated from recreational rivers and streams in New Zealand, yet the public health significance of this is unknown.

This study uses molecular tools to improve our understanding of the epidemiology and sources of Campylobacter in recreational waterways, with a view to preventing human infection.

Epidemiological and microbiological data were collected between 2005 and 2009 from six high-use recreational waterways in the Manawatu-Wanganui region of the North Island. Campylobacter spp. and C. jejuni were isolated from 33.2% and 20.4% of 509 samples, respectively. Isolation of Campylobacter was observed in both low and high river flows. After adjusting for the confounding effects of river flow, there was a significantly higher likelihood of isolating Campylobacter in the winter month of June compared to January. A high diversity of C. jejuni multilocus sequence types was seen, with the most commonly isolated being the water rail-associated ST-2381 (19/91 isolates [20.9%]), ST-1225 (8/91 isolates [8.8%]), and ST-45 (6/91 isolates [6.6%]). The ST-2381 was found in all rivers, while the most commonly isolated ST from human cases in New Zealand, the poultry-associated strain ST-474, was isolated only in one river.

Although the majority of Campylobacter sequence types identified in river water were strains associated with wild birds that are rarely associated with human disease, poultry and ruminant-associated Campylobacter strains that are found in human infection were also identified and could present a public health risk.

IMPORTANCE In 2016, there was a large-scale waterborne outbreak of campylobacteriosis in New Zealand, which was estimated to have affected over 5,000 people. This highlighted the need for a greater understanding of the sources of contamination of both surface and groundwater and risks associated with exposure to both drinking and recreational water. This study reports the prevalence and population structure of Campylobacter jejuni in six recreational waters of the Manawatu-Wanganui region of New Zealand and models the relationship between Campylobacter spp. and ruminant-associated Campylobacter and the parameters “sites,” “months,” and “river flow.” Here, we demonstrate that both low and high river flows, month of the year, and recreational sites could influence the Campylobacter isolation from recreational waters. The presence of genotypes associated with human infection allowed us to describe potential risks associated with recreational waters.

Campylobacter jejuni strains associated with wild birds and those causing human disease in six high-use recreational waterways in New Zealand, 2019

Applied and Environmental Microbiology

Rima D. Shrestha, Anne C. Midwinter, Jonathan C. Marshall, Julie M. Collins-Emerson, Eve J. Pleydell, Nigel P. French

DOI: 10.1128/AEM.01228-19

https://aem.asm.org/content/85/24/e01228-19.abstract?etoc

 

Not-so-dirty birds? Nor enough evidence to link wild birds to food-borne illness

One of my favorite on-farm food safety lines is, “We can’t kill all the birds. They’re Salmonella and Campylobacter factories. Be the risk can be managed and reduced.”

That applies to greenhouses too, as one grower very publicly reminded me in 2000 that, ‘they get hot and we open the lids and birds fly in and crap on stuf.’

But a Washington State University study published in Biological Reviews on Jan. 31 has found scant evidence to support the link between wild birds and human illness involving those three pathogens.

The perceived risk of wild birds can impact their survival, said Olivia Smith, lead author on the study and a recent WSU Ph.D. graduate.

 “Farmers are being encouraged to remove wild bird habitat to make their food safer, but it doesn’t appear that these actions are based on data,” Smith said. “When you restrict birds from agricultural settings, you are doing something that can lead to their decline.”

Bird populations have been falling rapidly in recent decades. Scientists estimate that since 1970, North America has lost more than three billion birds. In light of this, the WSU researchers highlighted the need for more definitive research before destroying habitat and banning birds from fields in the name of food safety.

Smith and her colleagues, WSU Associate Professor Jeb Owen and Professor William Snyder, analyzed data for E. coli, Salmonella and Campylobacter in 431 North American breeding bird species and found no relevant studies for 65% of those species, including birds that are commonly found in farm fields such as raptors, great blue herons and black-billed magpies.

In their review, the researchers found only one study definitively linking wild birds to food-borne illness outbreaks: a case where sandhill cranes spread Campylobacter on fresh peas in an outbreak that sickened nearly 100 people in Alaska in 2008.

The most studied birds in relation to these pathogens were ducks, geese as well as two non-native species, house sparrows and European starlings, that tend to swarm on feed lots and can contaminate the food and water used for cattle. Yet there’s a huge gap in knowledge about many other common native species that are often around agricultural crops including American robins.

Only 3% of the studies that the researchers analyzed looked at the entire transmission process from bird to plant to human. The majority simply tested bird feces to see if the bacteria were present or not.

In order for the bacteria to make people sick, the bird needs to get pathogenic strains of E. coli, Salmonella or Campylobacter on a food crop, and that bacteria has to survive long enough until people eat the contaminated food, including through shipment, washing, food processing in plants and food preparation. The data on the pathogen survival is also very limited.

“Birds do carry bacteria that can make people sick, but from our review of the scientific studies, it’s unclear how big of a risk they are,” Smith said.

We’ll see.


 

Farm-to-fork food safety in Denmark: Campylobacter is prominent

Burden of disease metrics is increasingly established to prioritize food safety interventions. We estimated the burden of disease caused by seven foodborne pathogens in Denmark in 2017: Campylobacter, Salmonella, Shiga toxin–producing Escherichia coli, norovirus, Yersinia enterocolitica, Listeria monocytogenes, and Toxoplasma gondii.

We used public health surveillance data and scientific literature to estimate incidence, mortality, and total disability-adjusted life year (DALY) of each, and linked results with estimates of the proportion of disease burden that is attributable to foods.

Our estimates showed that Campylobacter caused the highest burden of disease, leading to a total burden of 1709 DALYs (95% uncertainty interval [UI] 1665–1755), more than threefold higher than the second highest ranked pathogen (Salmonella: 492 DALYs; 95% UI 481–504). Campylobacter still led the ranking when excluding DALYs attributable to nonfoodborne routes of exposure. The total estimated incidence was highest for norovirus, but this agent ranked sixth when focusing on foodborne burden. Salmonella ranked second in terms of foodborne burden of disease, followed by Listeria and Yersinia. Foodborne congenital toxoplasmosis was estimated to cause the loss of ∼100 years of healthy life, a burden that was borne by a low number of cases in the population. The ranking of foodborne pathogens varied substantially when based on reported cases, estimated incidence, and burden of disease estimates.

Our results reinforce the need to continue food safety efforts throughout the food chain in Denmark, with a particular focus on reducing the incidence of Campylobacter infections.

Burden of disease estimates of seven pathogens commonly transmitted through foods in Denmark, 2017

Foodborne Pathogens and Disease

Sara Monteiro PiresLea Sletting JakobsenJohanne Ellis-IversenJoana Pessoa, and Steen Ethelberg

https://doi.org/10.1089/fpd.2019.2705

https://www.liebertpub.com/doi/abs/10.1089/fpd.2019.2705

Salmonella, E. coli O157, Listeria, Campy: 1.9 million foodborne illnesses in US per year

In an ongoing effort to understand sources of foodborne illness in the United States, the Interagency Food Safety Analytics Collaboration (IFSAC) collects and analyzes outbreak data to produce an annual report with estimates of foods responsible for foodborne illnesses caused by pathogens. The report estimates the degree to which four pathogens – Salmonella, E. coli O157, Listeria monocytogenes, and Campylobacter – and specific foods and food categories are responsible for foodborne illnesses.

The Centers for Disease Control and Prevention (CDC) estimates that, together, these four pathogens cause 1.9 million foodborne illnesses in the United States each year. The newest report (PDF), entitled “Foodborne illness source attribution estimates for 2017 for Salmonella, Escherichia coli O157, Listeria monocytogenes, and Campylobacter using multi-year outbreak surveillance data, United States,” can be found on the IFSAC website.

The updated estimates, combined with other data, may help shape agency priorities and inform the creation of targeted interventions that can help to reduce foodborne illnesses caused by these pathogens. As more data become available and methods evolve, attribution estimates may improve. These estimates are intended to inform and engage stakeholders and to improve federal agencies’ abilities to assess whether prevention measures are working.

Foodborne illness source attribution estimates for 2017 for salmonella, Escherichia coli O157, listeria monocytogenes, and campylobacter using multi-year outbreak surveillance data, United States, Sept.2019

CDC, FDA, USDA-FSIS

https://www.cdc.gov/foodsafety/ifsac/pdf/P19-2017-report-TriAgency-508.pdf?deliveryName=DM10264

UK still insists on steaming (rather than piping) hot to reduce Campy in chicken; scientists do a Picard face palm

The UK Food Standards Agency reports the top nine retailers across the UK have published their latest testing results on campylobacter contamination in UK-produced fresh whole chickens (covering samples tested from April to June 2019).

The latest figures show that on average, across the major retailers, 3.6% of chickens tested positive for the highest level of contamination. These are the chickens carrying more than 1,000 colony forming units per gram (cfu/g) of campylobacter. 

Results

The sampling and analyses are carried out in accordance with protocols laid down by the FSA and agreed by Industry.

Background information

Contamination levels         July-September 2018          October-December 2018    January-March 2019           April-June 2019

cfu/g less than 10   58.8% 63.1% 55.4% 59%

cfu/g 10-99   26.7% 22.3% 25.3% 25.3%

cfu/g 100-1000         11%    11.4% 15.8% 12.1%

cfu/g over 1000       3.5%   3.1%   3.5%   3.6%

We have been testing chickens for campylobacter since February 2014 and publishing the results as part of a campaign to bring together the whole food chain to tackle the problem. Campylobacter is the most common cause of food poisoning in the UK.

In September 2017 we announced changes to the survey, with major retailers carrying out their own sampling and publishing their results under robust protocols laid down by the FSA. We are continuing to sample fresh whole chickens sold at retail, however, the focus is now on the smaller retailers and the independent market.

Chicken is safe if consumers follow good kitchen practice:

Cover and chill raw chicken – cover raw chicken and store at the bottom of the fridge so juices cannot drip onto other foods and contaminate them with food poisoning bacteria such as campylobacter

Don’t wash raw chicken – thorough cooking will kill any bacteria present, including campylobacter, while washing chicken can spread germs by splashing

Wash used utensils – thoroughly wash and clean all utensils, chopping boards and surfaces used to prepare raw chicken

Wash hands thoroughly with soap and warm water, after handling raw chicken – this helps stop the spread of campylobacter by avoiding cross-contamination

Cook chicken thoroughly – make sure chicken is steaming hot all the way through before serving. Cut into the thickest part of the meat and check that it is steaming hot with no pink meat and that the juices run clear.

It’s a scientific embarrassment.

Piping hot: Publication of year 4 Campylobacter retail chicken survey

The Food Standards Agency (FSA) has published the Year 4 report for the UK retail chicken survey which took place between August 2017 and July 2018. Samples were collected every quarter but after the first quarter only minor retailers were tested. The UK’s top nine retailers have carried out their own sampling since September 2017.

The report found that high level campylobacter contamination in UK chickens has decreased considerably, but remains high in smaller retailers, independents and butchers.

Rebecca Sudworth, Director of Policy at the Food Standards Agency, said:

“Retailers have achieved significant reductions in levels of campylobacter contamination since the retail chicken survey began in 2014. The FSA will continue to engage with industry and particularly smaller retailers, butchers and independents to build on this progress.” …

Make sure chicken is cooked thoroughly and steaming hot all the way through before serving. Cut into the thickest part of the meat and check that it is steaming hot with no pink meat and that the juices run clear.

Use a tip-sensitive digital thermometer and stick it in.

E. coli found in Icelandic meat

Keeping with all things Icelandic, E. coli was found in 30% of lamb samples and 11.5% of beef samples in a test carried out by the Icelandic Food and Veterinary Authority (MAST). The particular strain discovered is known as STEC, or shiga-toxin producing E. coli. This is the first time lamb and beef have been screened for STEC in Iceland.

The testing was carried out on around 600 samples of lamb, beef, pork, and chicken of both Icelandic and foreign origin between March and December 2018. The purpose of the testing was to determine the prevalence of pathogenic micro-organisms in products when they reach the consumer, and for this reason the samples were taken from shops.

Campylobacter and salmonella were not detected in pork or chicken samples, with the exception of a single sample of pork from Spain. MAST attributes this to improved preventative measures in slaughterhouses.

MAST points to several ways consumers can reduce the risk of infection from salmonella, campylobacter, and E. coli, including cooking meat all the way through and taking care to avoid cross-contamination. Most E. coli is found on the surface of meat, and therefore is killed by frying or grilling, but when meat is ground, the bacteria is distributed throughout. Therefore, hamburgers and other types of ground meat should be cooked through.

But what does that mean?

Use a tip-sensitive digital thermometer.

100 sick: Ice-maker in Iceland: stops sales to suppliers

E. coli was found in a water pool that is close to the infected area on Askøy. Nearly 100 primary school students have been sick Friday, and several have been admitted to hospital.

Later on Friday, Haukeland Hospital reported that it is campylobacter bacteria that cause intestinal infection, which has been detected in admitted from Askøy. Campylobacter is a bacterium that E-coli often finds along with.

Isbjørn Is has used the water in the municipality both in the products and for cleaning equipment. Kolseth explains that all the products in which it enters water are heat treated – so that no pathogenic bacteria can survive. However, they use lower temperature water for rinsing and cleaning parts and smaller equipment.

– This means that there can potentially be poor quality water on parts of our equipment when production starts. We have to have full control of this, says Kolseth.

2 dead, 2,000 sick from campy in water in Norway

MRT reports that a  patient from a southern Norway island with contaminated water has died after being hospitalized with gastrointestinal symptoms, authorities said Thursday.

Erik Vigander of the regional hospital entity in southern Norway said the bacteria Campylobacter was found in the patient’s system. That’s the same bacteria identified in other people sickened since E. coli was found in a reservoir that supplied drinking water for the island of Askoey.

Vigander says the patient who died Wednesday also had “a very serious underlying” health disorder and an autopsy will be performed to determine “the ultimate cause of death.”

A 1-year-old child from the island died last week of an infection in the digestive tract, but it was not clear whether the death was linked to the water contamination.

About 2,000 people have fallen sick. Since June 6, 64 have been hospitalized.

Hospital tests have shown that Campylobacter was found in at least three dozen cases.

Local newspaper Askoeyvaeringen reported that there had been been safety issues with the waterworks in the Askoey municipality, and feces was recently found near a reservoir that supplied part of the area’s drinking water.