57 kids sick in UK from petting zoos; one owner says risk is overblown; lawsuits pending; problems in Vancouver and Ontario too

With 57 children sick with E. coli O157 linked to petting farms in the U.K., and 10 still in hospital, farm owners said they would oppose a ban on small children visiting the attractions, and one of the owners said the risk is being greatly overblown.

The U.K. government has rightly decided to ignore such statements and is preparing to upgrade E. coli O157 to a "notifiable disease" – on a par with infections like smallpox and measles – to speed up detecting outbreaks.

With a half-dozen foodborne illness outbreaks of E. coli and Salmonella throughout the U.K. being reported in the past week, yes, maybe they should be notifiable disease(s).

Maybe I’m losing something in translation.

Hugh Pennington, emeritus professor of bacteriology at the University of Aberdeen and Groundhog Day enthusiast has seen all this before.

Pennington told The Times E coli O157 was prevalent in cows, sheep and goats, with research showing about one in 10 cows carried the bug and 40% of herds. He called for the Health and Safety Executive (HSE) guidelines on petting farms to be reviewed and a minimum age introduced.

“There will have to be a look at the guidelines to see if they need tightening and a review of whether they are being properly followed.”

This is the problem: there are plenty of guidelines out there to manage all sorts of risks, food-related or otherwise, but do people really do what they say they do? Or do they  really think, it’s no biggie.

In the wake of the outbreak, the U.K. has closed four such petting farms, either linked directly to the outbreak or, their standards sucked.

My friend Scott Weese, a veterinarian researcher at the University of Guelph and host of the Worms and Germs blog, wrote earlier today that:

Considering all of the outbreaks that have been attributed to petting zoos, including an outbreak in the UK this month that has sickened dozens and another in Vancouver has affected at least 13 people, you would think that people who operate petting zoos would start to get the clue. Unfortunately, that’s clearly not the case.

My family and I went to the Fergus (Ontario) Fall Fair today. Apart from the petting zoos, it was a great day, but the potential for ending up in hospital with a life-threatening infection shouldn’t have to be a concern for fair attendees.

This fair has two petting zoos. One is in association with a pony ride. We went there first and while my kids were looking at the animals, I noticed there was a table and a sign saying to use a hand sanitizer after touching the animals, but there were not actually any hand sanitizers present. I asked the attendant and he immediately started looking. They eventually found some but we gave up after waiting a few minutes and went to the other petting zoo location because a handwashing station was present there. Despite a large crowd around the first petting zoo, I didn’t see anyone following our actions so presumably almost no one washed their hands after petting the animals. The good thing about this first petting zoo was they had a clean facility, appropriate animals and no major problems apart from the forgotten sanitizers.

Petting zoo number 2 was not as good. There were numerous problems, some of them very major.

* Inappropriate animals #1: As we walked in, someone held out a baby chick and tried to give it two my 2-yr-old daughter to handle. Standard guidelines are that children under 5 should not handle young poultry, so these animals are inappropriate for any petting zoo.

* Inappropriate animals #2: The next thing we passed was a young calf. Calves are also considered a high-risk animal and should not be present in petting zoos.

* Inappropriate animals #3: The calf had diarrhea (see the diarrhea staining and hair loss probably associated with prolonged diarrhea in picture). It’s very likely that this calf was shedding one or more infectious agents in its diarrhea, such as Cryptosporidium.

* Food for sale: Food was being sold and consumed inside the tent where the petting zoo was. This is inappropriate.

Petting zoos can be great events for kids. They can also be sources of large and serious outbreaks.

Hopefully nothing bad will come from this and we won’t hear reports of illness in petting zoo participants. But, as I’ve said before, hope is not a proper infection control program.

Anyone having a petting zoo must know the issues, risks and proper measures. Reading the Compendium of measures to prevent disease associated with animals in public settings would be a good start.

A leading personal injury lawyer, Jill Greenfield, a partner at Field Fisher Waterhouse in the U.K., told The Independent that she has received instruction from a family involved and expects a class action. In 2001, she represented Tom Dowling, who was awarded damages of £2.6m after he contracted E. coli as a four-year-old during a school trip to a north London farm in 1997, which resulted in his becoming quadriplegic and brain damaged. His was the third case of E. coli at the farm within a few months.
 

Gettin’ shiggy wit it: Increase of shigella-linked illnesses in St. Louis

STLtoday reports tonight that there appears to be an Shigella outbreak going on linked to child care centers in St. Louis. Shigellosis is characterized by fever, cramps and may result in bloody diarrhea, but most recover within a week without treatment.

There have been 67 cases of shigellosis from July 1 through Monday, compared to nine cases for all of 2008, according to the St. Louis City Department of Health.

Health officials said four day care centers and one school clustered in south St. Louis city reported illnesses. Officials did not offer other specifics except to say that children ages 4 and younger are most commonly infected.

City health officials sent the shigellosis alert to day cares and schools, where the shigella bacteria is typically spread when people don’t wash their hands properly after using the bathroom or changing diapers. It can also be spread through contact with food. Shigella bacteria can remain in feces for several weeks.

 

E. coli backlash as UK health type apologies for delay in closing farm

With 13 kids in hospital and 37 sick after visiting a UK farm, Health Protection Agency chief executive Justin McCracken has phoned parents of the children most seriously affected to apologise to them.

"If this information had been taken into account on 27 August, then the advice given and the steps taken on 3 September would have been introduced earlier and the farm might have been closed earlier.

"I wanted to speak personally to the parents of those children who are most seriously ill in hospital to explain what has happened and, however inadequate under the circumstances, to apologise.

"The position they find themselves in is unbearable and it is of course worse that what has happened might have been avoidable."

The farm was closed on Saturday – although the first E.coli case was reported on 27 August.

A pair of two-year-old twins, from Paddock Wood in Kent, have suffered acute kidney failure.

Initially, the HPA said the first case came to light on 27 August.

It later emerged that the agency had received a report of two cases in the previous week.
 

Petting zoo terrors: another UK child treated for E.coli; twins affected

Another child is being treated in hospital following an outbreak of E.coli at a farm in Surrey.

The Health Protection Agency (HPA) said there were now 13 youngsters being treated, of which four were seriously ill and six were in a stable condition.

Three are improving in hospital, with the total number of cases of E.coli 0157 linked to Godstone Farm now at 37.

The farm, near Redhill, was closed on Saturday
– although the first E.coli case was reported on 27 August.

 

Parents upset at U.K. petting zoo and farm visit; dozen kids in hospital with E. coli

In the fall of 1998, I accompanied one of my five daughters on a kindergarten trip to the farm. After petting the animals and touring the crops –I questioned the fresh manure on the strawberries –we were assured that all the food produced was natural. We then returned for unpasteurized apple cider. The host served the cider in a coffee urn, heated, so my concern about it being unpasteurized was abated. I asked: "Did you serve the cider heated because you heard about other outbreaks and were concerned about liability?" She responded, "No. The stuff starts to smell when it’s a few weeks old and heating removes the smell."

I’m all for farm visits, local markets, petting zoos, but I want the operators to have a clue about the dangerous bugs that make people – especially little kids – sick.

The Brits are particularly pissed that Godstone Farm in Surrey, which appears to be the source of 36 E. coli O157 illnesses, including 12 kids in hospital, stayed open as long as it did.

The Telegraph reports this morning,

As many as 18,000 people were allowed to visit the farm, where children are allowed to touch and feed animals including geese, goats and llamas, in the nine days after health protection officials became aware of a possible risk.

A total of 36 people have been taken ill with the potentially lethal bacterial infection including 12 children who are in hospital.

Four of the children are said to be in a serious condition after developing complications such as kidney failure as well as diarrhoea.

Among those being treated in hospital are Tracy Mock’s two-year-old twin sons who visited the attraction on Aug 31 while her five-year-old daughter is also ill.

"If they had just shut the place down to investigate, my sons would not be in hospital on kidney dialysis machines," Miss Mock, from Kent, told the BBC.
"They are still in hospital, my partner and I are taking turns to be there with them. One has had a blood transfusion.

Neil Wilson’s six year-old nephew Tommy contracted E-coli after visiting the farm and is now in hospital in Sidcup suffering from kidney failure.

Mr Wilson said: "I can’t understand why they didn’t shut down that area of the farm until they found out exactly what the problem was.

"I just think they kept it open because it was the school holidays.”

Richard Oatway, the farm’s manager, said he had complied with everything officials had asked him to do and would not reopen until given the all-clear.

Dick, I want to ask you a few questions about verotoxigenic E. coli and ruminants.

Here’s a video about petting zoo safety we did a couple of years ago.

 

UK petting zoo E. coli O157 outbreak: 36 confirmed sick; 12 in hospital all under age of 10; four in serious condition; this won’t turn out well

It’s like people in the U.K. had never heard of E. coli O157. Despite outbreak after outbreak – often involving children at nurseries — public inquiries and a single food safety agency, the Brits just seem oblivious when it comes to dangerous pathogens that send kids to the hospital.

This morning, the
London Times reported that

“Thousands of children across the South of England may be at risk from the E. coli bug in what looks to be the largest UK outbreak linked to transmission from farm animals."

Godstone Farm in Surrey, a popular family attraction where children are encouraged to stroke and touch animals, is closed while the Health Protection Agency (HPA) conducts tests to find out the cause of the outbreak which has left 12 children in hospital, four of them in a serious condition.

About 1,000 children, mainly from South London, Surrey, Kent and Sussex, visit the farm every day during the school holidays and at weekends. It is feared that 30,000 children could be at risk of infection.

It has emerged health officials knew about the outbreak among people who visited the farm days before it was closed to the public.

The Health Protection Agency became aware of the outbreak in late August after cases were traced to the farm.

One parent has expressed her anger, saying the decision for the farm to remain open was an "absolute disgrace".

But farm manager Richard Oatway said the farm had acted responsibly and was co-operating with the investigation.

Richard, please share with us your knowledge of natural reservoirs of E. coli O157, and the steps you’ve taken to control such dangerous pathogens from infecting children who visit your farm. Handwashing isn’t enough.
 

Tennessee health officials investigating E. coli case; two children infected

WJHL??? reports a Tri-Cities boy could receive a blood transfusion today as he recovers from an E. coli infection. Meanwhile, the Northeast Tennessee Health Office is now investigating the case and trying to identify the source of the potentially deadly bacteria.

A week ago, doctors at the Johnson City Medical Center discovered four year-old Gage Peterson had E. coli. Richard Peterson expects his son to receive a blood transfusion at some point Thursday as he remains in the hospital.

According to a Johnson City Medical Center spokesperson, three weeks prior to Peterson’s admission, another child came into the hospital with E. coli. That child is now in the pediatric ICU.
 

Six children infected with E. coli in Colorado

The Mountain Mail reports that local and state medical officials Tuesday confirmed six children in Chaffee County have been infected with Escherichia coli in the incident that began earlier in July.

With the incubation period for the bacteria nearing its end, Chaffee County Public Health Nurse Susan Ellis said Tuesday no new cases have been reported since about July 14.

She said 30 people will have been tested by Friday as investigators continue to seek the source of contamination.

Ellis said DNA from stool samples is being examined at the state laboratory in Denver. DNA samples from two of the children, she said, were identified as matching.

Three kids stricken with E. coli O157:H7 linked to London, Ontario Halal store

The London Free Press – that’s London, Ontario, in Canada – reports that after three children were diagnosed with E coli O157:H7 infections within five days, the Middlesex-London Health Unit advised the public today to avoid eating any ground beef or spiced ground beef (kofta) purchased from Westmount Halal Food Store located at 490 Wonderland Road South.

In two of the cases, children consumed kofta purchased on June 14 and 15 from the store. The source of the third child’s infection has not been identified, but the child’s family also eats halal food, although it didn’t purchase any from the Westmount store.

The public is being advised to:

• Not eat any ground beef or kofta purchased from the Westmount Halal Food Store between June 2 and today. The store is prepared to refund any customer who purchased these products.

• Contact the Health Unit (519-663-5317 ext. 2330, after hours 519-675-7523) and their healthcare provider if they have developed symptoms of severe or bloody diarrhea since June 2.

• Contact the Health Unit if they have any ground beef or kofta purchased from the Westmount Halal Food Store between June 2 and today in their home.

Urban Hens promotes chicken poop for kids’ gardens in Colorado

A public health student at Kansas State passed along this story from 9NEWS.com about Urban Hens, a Boulder, Colorado-based group that is working with the Children, Youth and Environments Center for Research Design at CU and a private grant to supposedly help teach sustainability to children by placing chickens near neighborhood and school gardens.

Wynn Martens, the co-founder of Urban Hens, said,

"How can you be truly sustaining and that is by reusing the waste in any system and keeping it inside the system instead of continuing to consume and throw it off. People become interested for different reasons. Some people are concerned with the humane treatment of the chickens. Other people are interested in the nutritional value. Other people really are interested in the educational component, so we want to support all those."

The children go to the Blossom Pre-School across the alley from Shawnee Gardens. Their curriculum will include responsibilities such as feeding and partly taking care of the chickens. Many of their lunch and dinner scraps will go to the chickens. The chickens’ waste meanwhile will help fertilize the Shawnee Gardens garden. That garden’s products will be eaten by both parties as will the eggs the chickens lay.

Wow. I thought American maternity leave policies were sorta barbaric – six weeks versus a year in Canada – but to make pre-schoolers clean up chicken shit, compost it and then make them eat the food with chicken poop. Hey, maybe I got it wrong, but there is nothing mentioned about microbial food safety in this situation, no details in the story or on the websites as to what constitutes proper composting.

Food porn over food safety. It’ll be a public health person who gets to clean up the mess.