Salmonella in spices; how Rhode Island helped crack the Daniele outbreak

The Providence Journal ran a feature Sunday about how a outbreak of Salmonella Montevideo in Daniele sausage that sickened 272 people in 44 states and was linked to black pepper imported from Vietnam. The investigation unearthed a few other surprises along the way, highlighting the challenges of an epidemiological investigation.

Primarily, it reinforces the coda, know thy suppliers. Excerpts below:

On a gray Friday last January, three representatives of the Rhode Island Office of Food Protection drove down a long driveway to a sprawling white building, a meat-processing plant in the backwoods of Burrillville.

They were making an unannounced visit — a surprise in more ways than one — to the headquarters of Daniele Inc., a company that for 34 years has been producing millions of pounds of dry-cured sausage. Daniele favors a low profile.

The place doesn’t even have a sign.

From the car, the inspectors telephoned Michael DeCesare, Daniele’s director of food safety, and told him that Daniele was “a company of interest” in a nationwide outbreak of salmonella.

DeCesare was flabbergasted. For one thing, salmonella is usually associated with chicken and eggs, not beef or pork. For another, he knew all the steps Daniele takes to ensure its meat is safe.

A 10-week investigation would prove him right, but not before following twists and turns so unlikely that Ernest M. Julian, Rhode Island’s chief of food inspection, wondered at one point if the contamination were an act of terrorism.

With over 100 people sick, Kathryn MacDonald, an epidemiologist with the Washington Department of Health, noticed that seven of the victims in her state shopped at Costco. The state asked them for permission to check the records of their purchases through their shopper’s cards. Now the investigators didn’t have to rely on anyone’s memory.

“It was just lucky that the product happened to be purchased consistently in a single chain [store] that kept records,” MacDonald said.

The records revealed one item that five of the seven Costco-shopping victims had purchased: Daniele Italian Brand Gourmet Pack, made in Burrillville.

The Gourmet Pack included only pepper-coated salami. The meat itself goes through a curing process that kills harmful bacteria. Then it is rolled in fat heated to 160 degrees, hot enough to kill any bacteria in the fat. Only after all these “kill steps” is the salami rolled in pepper. Most people eat it out of the package, uncooked.

The possibility that pepper could be carrying disease was unnerving. Pepper, imported from Asian farmlands, is something that almost everyone eats, often without knowing it –– in the seasonings of a restaurant chef or as an ingredient in packaged foods, where it is often identified only as “spices.”

Salmonella was found in black pepper from two different wholesalers that supplied Daniele –– Mincing Overseas Spice Co. and Wholesome Spice and Seasonings. Both were buying from Vietnam, but from different farms.

Then came a curve ball. A Daniele variety pack bought in Iowa tested positive for the outbreak strain. It contained “capocollo” that had been rolled in ground red pepper. It turns out that black pepper wasn’t the only spice applied after the “kill steps.” Tests began on ground red pepper.

In early February, Daniele was preparing to resume operations at two factories when another curve ball hit: Someone in Minnesota got sick after eating a Daniele product called “panino” — salami rolled in mozzarella and sprinkled with crushed red pepper. The panino was made at the third plant, the one that was never shut down, and never a focus of the investigation, because no ground pepper was used there.

And the crushed red pepper came from India and China, not Vietnam.

The situation was getting bizarre. There were two importers. Three countries of origin. Three types of pepper (ground black, ground red, crushed red) –– all containing salmonella Montevideo with the exact same genetic fingerprint as the bacteria that made people sick. What’s more, all the contaminated pepper had so far been found in one place: Daniele.

To make sure this never happens again, Daniele took the extraordinary step of installing a permanent laboratory in a trailer next to the factory. The laboratory tests the ingredients, the meat at various stages of production and the finished products –– a “multiple hurdle approach” that exceeds USDA requirements.

Daniele salami was supposed to be recalled but Evan found some at retail in Minnesota

Evan Henke, a MS student at the University of Minnesota School of Public Health writes the recent expanded recall of over 1.25 million pounds of salami products produced by Rhode Island-based Daniele Inc. was long overdue.

Five days after Daniele’s initial recall of all black-pepper coated salami products on January 23/10, tests by the Rhode Island Department of Health found the outbreak strain of Salmonella Montevideo in an open container of black pepper used to coat salami products. On Jan. 29/10, I found a 3oz. package of the shredded product on store shelves in Minneapolis. Daniele had not listed this product on their initial recall list. For some reason, Daniele Inc. had decided that this product was still safe to sell to adults and children even after every other black-pepper coated product was recalled and a test of the company’s black pepper returned positive for Salmonella.

As a student of food safety, I purchased the product on Jan. 29th and called Daniele headquarters on Feb 2nd to ask why the product was still on the shelves. A spokeswoman assured me the product was not part of the recall, was not a concern of the company, and was safe to eat, all the while completely understanding my confusion.

Like any good citizen, I proceeded to hand the products over to the Minnesota Department of Agriculture the next day for microbial testing. I was told by an enthusiastic employee that the information on the product would be sent to the USDA’s Food Safety and Inspection Service (FSIS) for further investigation.

Two days after contacting Daniele Inc. directly and less than 24 hours after handing the product over to the Minnesota Department of Agriculture and FSIS, Daniele Inc. announced that all 3oz. packages of the product were to be added to the recall on Feb. 4th, 12 days after their they decided the product was safe enough to continue to sell and 7 days after a container of black pepper in the factory where the product was produced tested positive for the outbreak strain of Salmonella.

I would like to give the benefit of the doubt to food producers who initiate voluntary recalls after their products have been associated with outbreaks of food borne disease. Unfortunately, neither Daniele Inc. nor FSIS was interested in a thorough investigation of the completeness of the recall. Daniele Inc. either willingly chose to leave 3oz packages of a product reasonably suspected to be contaminated in commerce or was utterly incapable of completely reviewing their production systems and identifying all products that may cause harm to their consumers I hope it is only anecdotal that these small 3oz. packages not only contained very little salami (and thus a minute amount of black pepper that could have caused disease), but also has an extremely high profit margin.

Maybe this lackluster corporate response is an exception to standard practice. Under existing food safety infrastructure, a complete and honest industry recall to protect public health is the only way of determining exactly which products a careless food producer distributes and those that are not reasonably safe to eat.

Henke (left, exactly as shown) is an avid fan of foodborne disease epidemiology and food safety, and spends most of his free time angering his friends with his interest in food production and careful scrutiny of food safety practices.
 

U.S. CDC Investigating a multi-state Salmonella Montevideo outbreak; over 180 ill

A new food safety infosheet focusing on the investigation into a Salmonella Montevideo outbreak is out.

U.S. Centers for Disease Control and Prevention (CDC) is collaborating with public health officials, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS), and the U.S. Food and Drug Administration (FDA) to investigate an outbreak of Salmonella Montevideo.  Although CDC has not provided a list of potential sources, Daniele, Inc. has announced they are recalling 1.2 million pounds of products, including pepper-coated salami, as a result of the outbreak. Preliminary results from health authorities indicate that eleven ill individuals had consumed salami products from  “Daniele Italian Brand Gourmet Pack.”

Food safety infosheet highlights:
-Daniele brand pepper-coated Salami recalled after potential link to outbreak.
-184 Illnesses have been reported in 38 states since July 1, 2009. Reports suggest that pepper used in the product might be the source of the illnesses.
-Pepper and other dry spices have been linked to salmonella contamination in the past.
– A list of recalled products and labels are is attached.

Click here to download the food safety infosheet.