Fail: eating grass-fed beef cannot help avoid E. coli infection

I’m getting to old for this shit – cow shit, that is.

HappyCow[1]Lisa Egan writes in Nutritional Anarchy, whatever that  is the commercial meat industry’s practice of keeping cattle in feedlots and feeding them grain that is responsible for the heightened prevalence of deadly E. coli O157:H7 bacteria. When cattle are grain-fed, their intestinal tracts become far more acidic, which favors the growth of pathogenic E. coli bacteria that can kill people who eat undercooked hamburger.

The author cites a 1998 study that has been completely discredited.

Since September 1998, there has been conflicting information on the effect of diet on E. coli shedding from cattle. The conflict arises in part from the effect of diet on the ability of E. coli to develop acid resistance. … Diez-Gonzalez et. al demonstrated that feeding a high-grain diet to cattle results in an acidic environment in the colon. Because the animals incompletely digested the starch in grains, some starch was able to reach the colon where it fermented, producing fermentation acids. The researchers believe an acidic environment selects for or induces acid resistance among the Escherichia coli population. … Diez-Gonzalez et al. concluded that if cattle were given hay for a brief period (five days) immediately before slaughter, the risk of foodborne E. coli infection would be significantly reduced because the acidity in the colon is greatly reduced. “Our studies indicate that cattle could be given hay for a brief period immediately before slaughter to significantly reduce the risk of food-borne E. coli infection.”

The Science article received mainstream media attention, and was covered by the Associated Press and The New York Times, as well as scientific releases and reports. In the Irish Times, it was cited as the basis for concluding that because Irish cattle are fed a grass-based diet rather than grain, Ireland has a low incidence of E. coli O157:H7. Hancock et al. contend that this conclusion is unsupported or contradicted by several lines of evidence. The E. coli that contaminate beef typically originate from the hide, the hooves, or the equipment used in slaughter and processing rather than directly from the colon, and likely replicate in environments unlike the colon. Therefore, the induced acid resistance of E. coli contaminating beef is likely to be unrelated to the pH of its ancestral colonic environment. The E. coli O157:H7 bacterium uses several mechanisms to survive acid environments, some of which are innate and are not influenced by environment . Although acid resistance is likely a factor in an infective dose, induced acid resistance has not been shown to be a factor in E. coli O157:H7 infectivity by experimental (dose-inoculation) or observational (epidemiological) data . Therefore, acid resistance induced by exposure to weak acid may not influence the virulence of this pathogen.

Published data on E. coli O157:H7 tends to contradict or does not support the effects of the dietary change proposed by Diez-Gonzalez et al. In a recent study on three different grain diets (85% cracked corn, 15% whole cottonseed and 70% barley, or 85% barley), the fecal pH of the animals fed the corn diet was significantly lower (P < 0.05) than the fecal pH of the animals fed the cottonseed and barley and barley diets, likely resulting in a less suitable environment for E. coli O157:H7 in the hindgut of the corn fed animals (2000, Buchko et al). In the Journal of Food Protection, researchers concluded that changing from grain to a high roughage diet did not produce a change in the E. coli concentration that was large enough to deliver a drastic improvement in beef carcass hygiene. Sheep experiencing an abrupt diet change have higher concentrations and increased shedding of fecal E. coli O157:H7 for longer periods than sheep fed a consistent high-grain diet. Another study compared the duration of shedding E. coli O157:H7 isolates by hay-fed and grain-fed steers experimentally inoculated with E. coli O157:H7 as well as the acid resistance of the bacteria. The hay-fed animals shed E. coli O157:H7 longer than the grain-fed animals, and irrespective of diet, these bacteria were equally acid resistant.

cow.poop2These results suggest that the proposed dietary change would actually increase contamination with E. coli O157:H7. Also, the 1,000-fold reductions in total fecal E. coli demonstrated by Diez-Gonzales et al. are far greater than those recorded in cattle experiencing similar ration changes . Finally, extensive surveys show that grain-fed feedlot cattle have no higher E. coli O157:H7 infection prevalence than similarly aged dairy cattle fed forage (hay) diets. Abrupt feed change immediately before slaughter could have unexpected deleterious effects. The proposed diet change has the potential to increase the risk of bovine salmonella infections, a potential source of food poisoning. The dietary change results in sharply reduced volatile fatty acid concentrations in the large intestine as well as changes in the bacteria, allowing for colonization of Salmonella.

Mike Osterholm, director of the Center for Infectious Disease Research and Policy and professor in the School of Public Health at the University of Minnesota wrote a cleaner critique in 2007 in the Minneapolis-St. Paul Star Tribune:

“Russo cited conclusions from a 1998 study from Cornell University that cattle fed a diet of grass, not grain, had very few E. coli, and that those bacteria that survived in the cattle feces would not survive in the human when eaten in undercooked meat, particularly hamburger. This statement is based on a study of only three cows rotated on different diets and for which the researchers did not even test for E. coli O157:H7. Unfortunately, the authors extrapolated these incredibly sparse results to the entire cattle industry. The Cornell study is uncorroborated in numerous published scientific papers from renowned research groups around the world. Finally, work conducted by the Minnesota Department of Health as part of a national study on foodborne disease recently showed that eating red meat from local farms was a significant risk factor for E. coli infection. …

And as my colleague David Renter wrote in Sept. 2006,

“Cattle raised on diets of ‘grass, hay and other fibrous forage’ do contain E. coli O157:H7 bacteria in their feces as do other animals including deer, sheep, goats, bison, opossum, raccoons, birds, and many others.

“Cattle diet can affect levels of  E. coli O157:H7, but this is a complex issue that has been and continues to be studied by many scientists.  To suggest switching cattle from grain to forage based on a small piece of the scientific evidence is inappropriate and irresponsible.  Several pieces of evidence suggest that such a change would not eliminate and may even increase E. coli O157:H7 in cattle.

“The current spinach outbreak may be traced back to cattle manure, but there are many other potential sources.  Simplistically attacking one facet of livestock production may be politically expedient, but instead provides a false sense of security and ignores the biological realities of E. coli O157:H7. In 1999, for example, 90 children were felled by E. coli O157:H7 at a fair in London, Ont. The source? A goat at a petting zoo, hardly an intensively farmed animal.”

Last time I looked, E. coli O157:H7 and about 60 other shiga-producing E. coli that are known to cause illness in humans are present in about 10 per cent of all ruminants – cattle, sheep, goats, deer, elk -– and I can point to outbreaks associated with all of those species. Pigs, chickens, humans, birds and rodents have all been shown to be carriers of shiga-producing E. coli but the resevoir appears to be ruminants.

That Cornell paper can be found here:

Diez-Gonzalez, Francisco, Todd R. Callaway, Menas G. Kizoulis, James B. Russell. Grain Feeding and the Dissemination of Acid-Resistance Escherichia coli from Cattle. Science: Sept 11, 1998. Volume 281, Number 5383, pages 1666-1668.

Isolation and Characterization of Shiga Toxin–Producing Escherichia coli in range and feedlot cattle from postweaning to slaughter

Cattle are the main reservoirs for Shiga toxin–producing Escherichia coli (STEC) strains. E. coli O26, O45, O103, O111, O121, O145, and O157 are among the STEC serogroups that cause severe foodborne illness and have been declared as adulterants by the U.S. Department of Agriculture, Food Safety and Inspection Service.

feedlotThe objectives of this study were (i) to estimate the prevalence of non-O157 STEC and E. coli O157 in naturally infected beef cows and in steer calves at postweaning, during finishing, and at slaughter and (ii) to test non-O157 STEC isolates for the presence of virulence genes stx 1, stx 2, eaeA, and ehlyA.

Samples were collected from study animals during multiple sampling periods and included fecal grabs, rectal swabs, and midline sponge samples. Laboratory culture, PCR, and multiplex PCR were performed to recover and identify E. coli and the virulence genes. The prevalence of non-O157 STEC (serogroups O26, O45, O103, O111, O121, O113, and O145) fecal shedding ranged from 8% (4 of 48 samples) to 39% (15 of 38 samples) in cows and 2% (1 of 47 samples) to 38% (9 of 24 samples) in steer calves. The prevalence of E. coli O157 fecal shedding ranged from 0% (0 of 38 samples) to 52% (25 of 48 samples) in cows and 2% (1 of 47 samples) to 31% (15 of 48 samples) in steer calves. In steer calves, the prevalence of non-O157 STEC and E. coli O157 was highest at postweaning, at 16% (15 of 96 samples) and 23% (22 of 96 samples), respectively.

Among the 208 non-O157 STEC isolates, 79% (164 isolates) had stx 1, 79% (165 isolates) had stx 2, and 58% (121 isolates) had both stx 1 and stx 2 genes. The percentage of non-O157 STEC isolates encoding the eaeA gene was low; of the 165 isolates tested, 8 (5%) were positive for eaeA and 135 (82%) were positive for ehlyA. Findings from this study provide further evidence of non-O157 STEC shedding in beef cows and steer calves particularly at the stage of postweaning and before entry into the feedlot.

Journal of Food Protection®, Number 7, July 2014, pp. 1052-1240, pp. 1052-1061(10)

Ekiri, Abel B.1; Landblom, Douglas2; Doetkott, Dawn3; Olet, Susan4; Shelver, Weilin L.5; Khaitsa, Margaret L.6

http://www.ingentaconnect.com/content/iafp/jfp/2014/00000077/00000007/art00001

Research says 2% of all cattle are E. coli supershedders

The latest research says about 2% of all cattle, including those in feedlots and those on pasture, may be supershedders,” a term scientists have coined to describe cattle which turn out high levels of pathogenic organisms.

supershedder.e.coliFindings from studies by researcher Terrance M. Arthur and his colleagues at the USDA Agricultural Research Service Roman L. Hruska US Meat Animal Research Center in Clay Center, Neb., hope to provide a scientifically sound basis for new and effective strategies to curb shedding of this bacterium.

Arthur and his co-workers have designed and conducted studies of 6,000 head of feedlot cattle and more than 13,000 manure, hide and carcass samples. To discover more about supershedding, Arthur and his colleagues gathered data representative of the entire U.S. cattle population to estimate the incidence of supershedding. Their analysis determined an average incidence of 2%.

ARS says this team was the first to show that in supershedders, E. coli O157 colonization may occur not just in the lower digestive tract but throughout the entire digestive system.

Scientists generally agree a supershedder is any animal that sheds 10,000 pathogenic organisms per gram of manure.

“It isn’t the amount of manure that’s shed; it’s the amount of the pathogen in the manure,” Arthur says.

Slaughterhouse accused of selling meat from cows with cancer

Rancho Feeding Corp., the Petaluma slaughterhouse that recently recalled 8.7 million pounds of beef, is under criminal investigation by the federal government for killing and selling meat from dairy cows with cancer, according to sources who would only speak on the condition of anonymity.

Stacy Finz and Carolyn Lochhead of the San Francisco Chronicle cite sources as saying Rancho allegedly bought up cows with eye cancer, R UMAX     SuperVista S-12  V2.0 chopping off their heads so inspectors couldn’t detect the disease and illegally selling the meat.

Although it’s against federal law, experts say eating the meat isn’t likely to make people sick. So far, no one has reported becoming ill from eating the meat.

The criminal investigation hasn’t just affected Rancho. Private cattle producers, who use the company for custom slaughtering, have also been swept up in the recall, leaving the shelves with a dearth of local, natural and high-end beef on the shelves.

Bill Niman, arguably one of the most respected cattlemen in the gourmet meat business and former owner of Niman Ranch company, said he used Rancho to slaughter 427 head of cattle and is complying with the recall. He said it’s causing him to hold back about 100,000 pounds of beef from the market and that he stands to lose as much as $400,000. He said his beef has nothing to do with the alleged tainted meat.

But in an abundance of caution, the U.S. Department of Agriculture wants to make sure none of the cancerous meat co-mingled with healthful beef.

Rancho officials could not be reached for comment; the plant has voluntarily shut down and is in escrow with new buyers.

“Rancho, we’re told, was slaughtering them, somehow after hours or in other ways where the inspector didn’t know about it,” the source said. “Because the carcass looked good, (Rancho) mixed it back in with other beef that it sold under its label.”

James Cullor, professor of population health and reproduction at the School of Veterinary Medicine at UC Davis, said cows suffering from eye cancer aren’t necessarily dangerous to eat, but he doesn’t recommend it. It would be possible that the cancer had spread to other parts of the animal’s body, Cullor said.

“If I’m out on top of Mount Everest and have a cow (with eye cancer) and I’m hungry, I’m going to cook her well and deal with getting down the mountain,” he said. “But if I’m here in this country, I will choose to not consume the animal. I wouldn’t feed the animal to my grandchildren.”

Nosestretcher alert: rhetoric of comparing actual with estimated cases of E. coli to make a political point

Get the data right.

There are many rhetorical flourishes available to advance a particular viewpoint, but they all crumble if the data is wrong.

Mike Baker of the World Society for the Protection of Animals (WSPA) International cites a report by his group in the Huffington Post that allegedly found “the tendency to rear animals in confined indoor spaces, using selective HappyCow[1]breeds and intensive management methods to dramatically increase production to satisfy voracious consumer demand for meat and other animal products is putting human health in serious danger. … The report illustrates how intensive farming practices are increasing the risk of these dangerous bacteria in our food chain, as stressed animals become more susceptible to infection.”

It’s one of those arguments which leave the brain comfortably numb; it seems so intuitive, it must be true.

Here’s the nosestretcher: in comparing the intensive methods of cattle rearing in the U.S. with the more bucolic practices in the UK — birthplace of mad cow disease and mushy peas — Baker says “the U.S. has around 73,000 human cases a year, compared to fewer than 1,000 in England and Wales, a significant difference even when the population discrepancy is taken into account.”

Yes, it’s a significant difference, because Baker is comparing estimated cases of E. coli O157:H7 in the U.S. with actual cases of E. coli O157:H7 in the U.K. cow.poop2There are about 500 confirmed cases of E. coli O157:H7 annually in the U.S. Throw in other shiga-toxin producing E. coli and the numbers are higher.

The UK Health Protection Agency stated in 2011, “In the UK the most common form of E. coli is the O157 strain, with the majority of outbreaks linked to open farm visits where children may have been in contact with animals such as sheep, goats, cattle or their environments.”

Get the data right.

Keeping countryside E. coli at bay

Jacqui Kennedy, Birmingham City Council’s head of regulation and enforcement, writes in the Birmingham Mail that last year, Sutton Park National Nature Reserve was associated with the E. coli infection.

A link was made between the cows that graze on the site and the E. coli cases reported.

Within Sutton Park, grazing livestock are a crucial element of the management sutton.park.UK.cattle.may.13regime of the site and have been in place for centuries.

They are an essential tool used to maintain the habitats within the site and are the reason we have such a unique rural landscape within an urban area.

One solution to the E.c oli problem could have been to remove cattle from the site permanently. However, if grazing animals were no longer a management tool, the nature of Sutton Park would alter substantially.

The nationally important habitat of low land heathland we are fortunate to possess would be threatened – including many important and locally rare species.

The cattle also play a vital role in the site’s eco-system, providing a food source through their feces for many mini-beasts. These creatures then provide food for other insects, birds and bats.

The cows are now back and have been given a clean bill of health, but I want to continue to spread the message that E. coli is part of our natural environment and safeguards should always be taken to protect ourselves from harm.

To reduce the risk of infection people should wash their hands whenever they visit any rural environment.

We have worked to provide further help to our visitors to the park by increasing hand washing facilities and signs.

6 children sickened with E. coli; cattle return to UK park

In July 2012, six children were sickened with E. coli O157 linked to feces from cattle that also roamed the grounds of Sutton Park in Birmingham, the largest city sutton.park.UK.cattle.may.13park in Europe.

Children have now been given the all-clear to return to the park.

New signage has been put up at the park, for visitors reminding them to wash their hands to avoid infection and showing them where facilities are available. Additional handwashing points have also been installed and areas such as the playgrounds and car parks have been cleaned.

Handwashing is never enough.

Rare burgers are not OK, whatever food porn says

Butcher and Meat Hook co-owner Tom Mylan tells Grub Street New York when you move to outlaw hamburgers because of E. coli, “it’s a pretty clear sign that your food system is broken and you really need to start doing some heavier lifting rather than just pass some asinine piece of legislation that penalizes restaurants and eaters.

“If there’s E. coli present in your hamburgers, you can legislate to cook that burger to death, and you’re moving to make food more mediocre in a way. But anything that’s handled by the same person who touched the meat before it went on the grill to become incinerated, anything else they come into contact with still stands the chance of becoming contaminated.

“… E. coli is everywhere. The real problem with it now is that producers feed their cattle things they shouldn’t eat, like corn, for example, that promotes excessive E. coli production. But the other thing that has implications for the future of humanity, really, is that these farm animals are getting subtherapeutic antibiotics, and that’s building up strains of antibiotic-resistant super-bacteria.”

Such fantasies are endemic in the food porn industry, where people pay more for less. Shiga-toxin producing E. coli, like the O157:H7 strain, occur naturally in ruminants, and there are hundreds of outbreaks to document this.

Any chef or self-proclaimed food activist that relies on the 1998 Cornell study that linked corn consumption in cattle to E. coli production to satiate their own conspiracy theories ain’t serving food to me or my kids.

Kansas State researchers find cattle vaccine works to reduce E. coli O157:H7 in a large-scale feedlot setting

A commercial vaccine for cattle can effectively reduce levels of E. coli by more than 50 percent, a Kansas State University study has found. The vaccine is also effective using two doses instead of the recommended three doses, which can help cut costs for the beef industry.

David Renter, associate professor of epidemiology, is the principal investigator on a project that researched the effectiveness of products used to prevent the shedding of E. coli O157:H7 in cattle. The research appears in a recent online version of the journal Vaccine and helps improve current preventative methods for addressing food safety concerns.

While E. coli O157:H7 does not affect cattle, it causes foodborne disease in humans. Vaccines and other products may be given to cattle to help prevent the spread of the bacteria.

"We wanted to test how well these products work to control E. coli O157:H7 in a commercial feedlot with a large population of cattle that were fed in the summer and may be expected to have a high level of E. coli O157:H7," Renter said.

Other Kansas State University researchers involved include T.G. Nagaraja, university distinguished professor of microbiology; Nora Bello, assistant professor of statistics; Charley Cull, doctoral student in pathobiology, Oakland, Neb.; and Zachary Paddock, doctoral student in pathobiology, Manhattan. Abram Babcock, an August 2010 Kansas State University doctoral graduate, also was involved in the research.

Using a commercial feedlot setting, the researchers studied more than 17,000 cattle during an 85-day period. They studied two products: a vaccine and a low-dose direct-fed microbial.

"What’s unique about this study is the number of animals we used, the research setting and that we used commercial products in the way that any cattle producer could use them," Renter said. "We didn’t want it to be any different than the way somebody would use the products in a commercial feedlot."

The researchers found that the vaccine reduced the number of cattle that were shedding E. coli O157:H7 in feces by more than 50 percent. E. coli shedding was reduced by more than 75 percent among cattle that were high shedders of E. coli. While the vaccine label suggests that it is given in three doses, the researchers found that two doses of the vaccine significantly reduced E. coli.

"Showing that level of efficacy with two doses is really important because a shift to two doses from three could significantly cut costs for the beef industry," Renter said. "In terms of logistics, it can be difficult for commercial feedlot production systems to vaccinate animals three times. Both of these benefits help when considering how the vaccine can be adopted and implemented in the industry."

The researchers also discovered that the low-dose direct-fed microbial product did not work as well as the vaccine. Renter said while the study used a lower dose of the direct-fed microbial and could find no evidence that it reduced E. coli shredding, it is possible that the direct-fed microbial product is more effective at a higher dose.

"This vaccine is an option for reducing E. coli," Renter said. "We have shown that this vaccine works and that it is a tool that could be adopted in the industry."
The research was supported as part of a three-year $1 million grant from the U.S. Department of Agriculture. Nagaraja and Renter are involved in several other studies on E. coli O157 and other types of E. coli closely related to O157, including research associated with the $25 million coordinated agricultural program, or CAP, grant with the University of Nebraska Lincoln and several other universities. That five-year grant is supported by the USDA’s National Institute of Food and Agriculture.

Abstract below:

Efficacy of a vaccine and a direct-fed microbial against fecal shedding of Escherichia coli O157:H7 in a randomized pen-level field trial of commercial feedlot cattle.
13.jun.12
Vaccine
Cull CA, Paddock ZD, Nagaraja TG, Bello NM, Babcock AH, Renter DG
http://www.ncbi.nlm.nih.gov/pubmed/22704925
Abstract
Our primary objective was to determine the efficacy of a siderophore receptor and porin proteins-based vaccine (VAC) and a Lactobacillus acidophilus-based direct-fed microbial (DFM) against fecal shedding of Escherichia coli O157:H7 in commercial feedlot cattle fed a corn grain-based diet with 25% distiller’s grains. Cattle projected to be on a finishing diet during the summer were randomly allocated into 40 study pens within ten blocks based on allocation dates. Blocks were complete; each of the four pens within a block was randomly assigned one treatment: control, VAC, DFM, or VAC+DFM. The DFM was fed (10(6)CFU/animal/day of Lactobacillus) throughout the study periods (84-88 days) and cattle were vaccinated at enrollment and again three weeks later. Fresh fecal samples (30/pen) from pen floors were collected weekly for four consecutive weeks (study days 52-77). Two concurrent culture procedures were used to enable estimates of E. coli O157:H7 shedding prevalence and prevalence of high shedders. From 4800 total samples, 1522 (31.7%) were positive for E. coli O157:H7 and 169 (3.5%) were considered high shedders. Pen-level linear mixed models were used for data analyses. There were no significant interactions among treatments and time of sampling. However, vaccinated pens had lower (P<0.01) overall prevalence of E. coli O157:H7 (model-adjusted mean ±SEM=17.4±3.95%) and lower (P<0.01) prevalence of high shedders (0.95±0.26%) than unvaccinated pens (37.0±6.32% and 4.19±0.81%, respectively). There was no evidence of a DFM effect on either measure of E. coli O157:H7 shedding. Results indicate that a two-dose regimen of the vaccine significantly reduces fecal prevalence of E. coli O157:H7 (vaccine efficacy of 53.0%) and prevalence of E. coli O157:H7 high shedders (vaccine efficacy of 77.3%) in commercial feedlot cattle reared in the summer on a finishing diet with 25% distiller’s grains.

GAO: preslaughter interventions could reduce E. coli in cattle

A new report concludes the federal government should provide more specific public guidance on the license approval requirements of vaccines that could reduce the incidence of E. coli O157:H7 and friends in cattle.

Because right now, it’s bureaucratic, and no one can offer a clear explanation.

The U.S Government Accountability Project in report GAO-12-257 (for sticklers) also concluded the Secretary of Agriculture should explore practices employed by other countries that are not currently used in the U.S. for reducing shiga-toxin producing E. coli (STEC) in cattle and consider whether the identified practices can inform U.S. efforts.

From the report:

U.S. Department of Agriculture (USDA) and university researchers identified several treatments administered before cattle are slaughtered, or preslaughter interventions, that could reduce Shiga toxin-producing Escherichia coli (STEC) in cattle. Such preslaughter interventions include bacteriophages (viruses that infect and kill bacteria), probiotics (live bacteria that can benefit the digestive system), vaccines (biological preparations that alter the immune system), and sodium chlorate (chemical that kills the STEC O157:H7 strain). However, few manufacturers have submitted applications for preslaughter intervention products to target STEC according to officials from USDA and the Food and Drug Administration. One exception is for vaccines to reduce STEC O157:H7.

For preslaughter interventions, USDA exercises responsibilities for licensing and regulating STEC vaccines. However, USDA’s approval requirements for these vaccines are unclear, according to some industry representatives. Specifically, USDA’s general guidance does not address some of the unique challenges faced by manufacturers of animal health products seeking STEC vaccine approval. For example, the guidance does not explain that, if studies conducted in the laboratory are insufficient to demonstrate efficacy, the manufacturer would also need to demonstrate that the vaccine is effective in a field setting such as a feedlot. In contrast, the Canadian Centre for Veterinary Biologics provides more specific guidance about when it requires the use of laboratory or field studies to demonstrate efficacy for vaccine license applications. Without guidance that gives manufacturers clear and more specific information they need to submit for an acceptable application, the approval process for STEC vaccines could face potential delays.

In addition to STEC O157:H7, which it stated in 1994 was an adulterant—a substance that renders food injurious to human health—in September 2011, USDA determined that six other STEC strains were adulterants in raw ground beef and beef trim (meat left after steaks and roasts are cut from beef). USDA has tests for these six strains and plans to use them in slaughter plants starting in June 2012. However, it may be difficult and time-consuming to confirm positive test results because certain test components are either not commercially available for all strains or do not always provide clear results. USDA is working to improve the tests and to find a commercial supplier for one key test component. Also, a few companies voluntarily test for these strains.

Some foreign governments have practices that could be relevant to U.S. efforts to reduce STEC in cattle such as the following:

The European Parliament and the Council of the European Union require certain measures, such as verification of cleanliness by an inspector, to ensure that the cattle going to slaughter are clean. In contrast, USDA assesses the health of cattle but does not inspect for cleanliness.
At least 12 European Union member countries collected and reported data on STEC in live cattle in 2009. USDA has conducted STEC testing in live cattle, but has not tested since 1999.
When a person becomes ill from E. coli in Sweden, government officials try to determine the specific farm that sold the contaminated cattle so that other carcasses from the farm can be tested for STEC. USDA does not trace the STEC source back to the farm.

The complete report is available at http://www.gao.gov/products/GAO-12-257.