NZ food poisoning survivor to farewell friend

Emma Langlands will farewell Sarah Carter who died while they and a third friend, Amanda Eliason, were holidaying in Chiang Mai.

The university friends, all aged 23, suffered food poisoning after eating from a market near their hotel.

Just two days later – on Waitangi Day – Ms Carter was dead.

Ms Langlands, who was the least affected of the group, is now back home in Hamilton.

Her father, Richard Langlands, yesterday told the Herald that his daughter would pay her respects at Ms Carter’s funeral.

Ms Eliason, however, will not be able to attend. She is still in Thailand and is not yet well enough to fly.

The three women, who travelled to Thailand for a short holiday, were admitted to Chiang Mai Ram Hospital last week.

It was first reported that they had become sick after eating toxic seaweed but their families later said they had ordered curry.

Ms Carter and Ms Eliason required emergency heart procedures but Ms Carter lost her battle.

A spokesman from the Chiang Mai public health office told the Herald that results sent to a laboratory for testing were not expected for another two weeks.
 

E. coli mum’s call for justice

The mother of E. coli victim Mason Jones, along with other affected families, has spoken of their anger at the lack of justice for their children more than five years after the outbreak which sickened 157.

The families, including Mason’s mum, Sharon Mills, claim butcher William Tudor effectively “got away” with causing the world’s sixth largest E.coli outbreak.

Their outrage comes after another rogue food trader was jailed this week for breaching food safety regulations.

Ramazan Aslan, who owned the Llay Fish Bar, near Wrexham, was sentenced to eight months in prison by Mold Crown Court.

In sharp contrast, Tudor, who caused the 2005 South Wales outbreak, served just 12 weeks in jail after being sentenced to a year in September 2007.

He had pleaded guilty to six counts of supplying E .coli-infected meat to schools in South Wales and of breaching food hygiene regulations.

The subsequent E.coli public inquiry said Tudor, who ran John Tudor & Sons on Bridgend Industrial Estate, rode roughshod over essential food safety rules as he cut corners to cut costs.

Sharon Mills told Wales on Sunday,

“The eight-month sentence is good because it shows the courts are taking this more seriously. But the fact that Tudor only got four months extra doesn’t seem right. Even if this guy [Aslan] serves half his sentence it will still be longer than Tudor did.

“This bloke rightly deserves time in prison for what he’s done, but Tudor’s actions killed someone and left all these other children with long-term damage and uncertain futures. Tudor got away with it. I feel as though all the fighting we’ve done over the last five years has been for nothing.”

Julie Price’s 15-year-old son Garyn was one of nine of Tudor’s victims who needed dialysis after contracting E. coli O157. He may need a kidney transplant in the future.

“We’re still living with the consequences of what Tudor did. We said at the time that his sentence wasn’t long enough and this sentence [Aslan’s] confirms it.

“Tudor did the same, if not worse, than this shop owner – he blatantly ignored the risks and the warning and we’re still suffering the consequences.”

Salmonella kills 1 at Maine assisted living center

One person died and another was hospitalized in the last two weeks after a salmonella outbreak swept through Quarry Hill, a retirement and assisted living facility in Camden, Maine.

The Bangor Daily News cited Dr. Stephen Sears, acting director of the Maine Center for Disease Control and Prevention, as saying that seven positive cases of salmonella among the residents have been identified so far.

Quarry Hill offers independent living, assisted living, short- and long-term nursing care and rehabilitation and specialized memory-loss care to just over 150 people. Staff at the facility first became aware of the outbreak on Jan. 24, when several residents became ill with symptoms that included diarrhea, cramps, headache, fever and vomiting.

The Maine CDC sent two epidemiologists to the health care facility to try to find other sick residents and to identify a possible source. The experts also worked with facility staff to increase their education about salmonellosis, the infection caused by the salmonella bacteria.

Sears said efforts to track the cause of the outbreak have so far been fruitless. The strain of salmonella in the Camden outbreak has been identified as javiana.

He said that the Maine CDC has not seen other salmonella outbreaks from that strain in the state recently and that the problem appears to be “slowing down” at Quarry Hill, with no new cases reported in days.

Seaweed delicacy in Thailand kills 23-year-old NZ woman, two others in hospital

The New Zealand Herald is reporting that a dream Overseas Experience has turned to tragedy for three young New Zealand women after food poisoning killed one and left the other two in hospital.

Sarah Carter, 23, died on Sunday, reportedly after eating a seaweed delicacy at a market in Chiang Mai, Thailand – just hours before her mother could get to her bedside.

Her friends Amanda Eliason and Emma Langlands, both 23, also suffered food poisoning and were last night still in Chiang Mai Ram Hospital.

Amanda remained in the intensive care unit while Emma was yesterday moved into her own room and was now eating.

"We’ve just been on a rollercoaster from hell," Emma’s father, Richard, said last night. "Three of them went over, but one’s not coming back. It’s just horrific. These girls are so beautiful, professional and sensible. It’s a terrible, terrible tragedy.

"I just can’t understand how this happened … they’re all such amazing, hugely intelligent girls."

The three friends – who were on their OE after finishing their studies at Wellington’s Victoria University – were rushed to hospital last Friday when they became ill after eating what is thought to have been toxic seaweed.

Two days later, Sarah was dead.

Yesterday her father, Richard Carter of Auckland, told a news website that his daughter had "touched the hearts of everyone she knew."

* There are several types of edible seaweed used in many countries.
* The high iodine content can produce iodine toxicity if large amounts are consumed.
* Rotting seaweed is also a potent source of hydrogen sulfide, a highly toxic gas which can cause vomiting and diarrhoea, but is rarely fatal.
* Most edible seaweed is marine algae – most freshwater algae is toxic.While marine algae is not generally toxic, some do contain acids that irritate the digestion canal, while others can have a laxative effect.
* Is a staple food in most parts of Asia and is used in soups, salads and as a side dish.
* Recognised in many Western countries, as being used in sushi and in spirulina.

Missouri resident dies from E. coli; 10 others sick from family gathering

A Jasper County resident died earlier this week from what sounds like shiga-toxin producing E. coli food contamination and health department is investigating other possible cases that might be related to a single family gathering over Thanksgiving weekend.

Jasper County Health Department Director Tony Moehr told the Carthage Press the victim died this week of an extreme case of E. coli and his department is trying to determine what the people who got sick ate at this gathering, adding,

"Sometimes people have symptoms and they get over them in a day or a few days. In rare cases, severe E. coli poisoning can progress to conditions like hemolytic uremic syndrome that can cause the organs to shut down. That more severe form is apparently what happened in this case.”

Moehr said his office has collected the leftover food that remains from that family event. He said a total of 11 people out of 24 people who attended the event have reported some symptoms, including the one person who died.

Mother of E. coli victim prepares for inquest in Wales

Sharon Mills has waited over five years to tell a coroner how her 5-year-old son spent his final days dying from E. coli O157.

The long-awaited inquest into the death of E.coli victim Mason Jones is due to begin in front of Gwent coroner David Bowen, in Newport.

Wales Online reports Mason died on October 4, 2005, at Bristol Children’s Hospital, around two weeks after contracting the food poisoning bug. He was one of 158 victims, most of them children, struck down by the O157 strain.

The start of the inquest has been delayed to allow the completion of the South Wales Police investigation into Mason’s death, the prosecution of Bridgend butcher William Tudor under food hygiene laws and to allow E.coli expert Professor Hugh Pennington to conduct a public inquiry.

His report, which laid the blame for the outbreak firmly on the shoulders of Tudor but also identified serious failings in local authority inspection and procurement procedures, will form part of the evidence that Mr Bowen will consider before giving his verdict.

Ms. Mills, 36, from Deri, near Bargoed, said,

“This is what we have been waiting for for five years. I just hope that justice prevails. … The feeling that I need to get justice has taken over my life over the last five years and the end is near now and I am scared that we are not going to get the outcome that Mason deserves. I’m just hoping that I find the strength from somewhere to get through the next couple of days. I have experienced the worst thing I can ever experience, but having to deal with the inquest comes second. The hurt never goes away when you lose a child. You never get over it – you learn to live alongside it.”

FDA tests confirm listeria at Texas food plant linked to 4 deaths

When state regulators closed SanGar Fresh Cut Produce of San Antonio after linking the plant with four, maybe five deaths due to listeria, on Oct. 20, 2010, Sangar President Kenneth Sanquist Jr. said in a statement,

“The state’s claim that some of our produce now fails to meet health standards directly contradicts independent testing that was conducted on the same products. This independent testing shows our produce to be absolutely safe, and we are aggressively fighting the state’s erroneous findings.”

The U.S. Food and Drug Administration announced this morning they found the same listeria at the facility, matching testing done by the Texas Department of State Health Services at SanGar.

The tests found listeria bacteria in multiple locations in the plant.

Messages left for an attorney for SanGar by The Associated Press were not immediately returned.
 

A 20-year battle sparked by E. coli; after fighting for life, she died on own terms

Alisha Lewis died in June 2010.

The 22-year-old spent her final week on Earth paying a matter-of-fact visit to a funeral home to pick out a casket, choosing the white lilies that would rest atop it, and setting aside the hoodie and sweatpants she’d wear as mourners said their last goodbyes.

It was abject fear that coursed through her mother’s veins in early June 1990 when she raced to the Alberta Children’s Hospital, her sick twin toddlers crying in their baby seats. The week before, she had stopped at a fast-food drive-thru and picked up fries and a cheeseburger, which she split in two and handed to her daughters in response to their pleading.

Valerie Fortney of the Calgary Herald (that’s in Canada) writes this morning that after being diagnosed with what was then called "hamburger disease" — referred to today as E. coli infection– Alisha and Aimee Lewis became little celebrities in the city.

The Herald ran stories and photos of their plight, and they were featured on several TV news broadcasts, mainly because the girls were said to have possibly contracted the disease from the fast-food establishment, although the Calgary medical examiner at that time expressed concern that the contamination might have occurred outside of the disease’s normal incubation period.

Quickly, though, they slipped from the public eye. But the struggle had only just begun.

While Aimee quickly recovered, Alisha continued to suffer, and later went into complete renal, or kidney, failure.

When she was finally released from hospital six agonizing weeks later, her mother, Amanda Lewis, was told she’d suffered permanent kidney damage and might need a kidney transplant. "They first told me both of them might not make it," recalls Lewis, who not long after the crisis married her partner, Roger McLaren, who with their mom raised her two girls and boys, along with his two boys from a previous relationship.

Alisha later developed diabetic and autonomic neuropathy — a nerve disorder that can cause intense pain — and also had to have a feeding tube installed to keep nutrients in her body after being diagnosed with gastroparesis, a condition that affects the ability of the stomach to empty its contents.

Knowing all of her young life that she wasn’t likely to live to see age 25, Alisha made the difficult decision at the end of 2009 to end treatment. "She was sick of hospitals," says Lewis, "and she was sick and tired of always being sick and tired." Alisha gave up the painful tube feed, and began eating food again, although she often wasn’t strong enough to keep it in.

On June 8, 2010 — almost 20 years to the exact day of her contracting E. coli– Alisha died surrounded by her family, and cradled in the arms of her younger, by 12 minutes, twin sister. Thanks to accelerated osteoporosis and other life-threatening ailments, she was, says her mother, a young woman with the body of an 80-year-old.

Glacial government: CFIA still implementing recommendations from 2008 listeria outbreak

On Aug. 17, 2008, the Canadian Food Inspection Agency (CFIA) and Maple Leaf Foods, Inc. finally got around to telling Canadians they should avoid serving or consuming certain brands of deli meat as the products could be contaminated with L. monocytogenes. In the end, 23 deaths and 57 cases of listeriosis were linked to contaminated cold-cuts made by Maple Leaf.

In July 2009, investigator Sheila Weatherill who was appointed directly by the Canadian Prime Minister, issued a 181-page final report about the listeria crapfest, with 57 recommendations grouped into four broad categories:

– more focus on food safety among senior officials in both the public and private sectors;

– better preparedness for dealing with a serious foodborne illness with more advance planning for an emergency response;

– a greater sense of urgency if another foodborne emergency occurs; and,

– clearer communications with the Canadian public about listeriosis and
other foodborne illnesses, especially at risk populations and health professionals.

zzzzzzzzzzzzzzzzzzzzzz

On Oct. 21, 2010, CFIA issued a couple of public reports, responding to the Weatherill report, all this over two-years after people starting barfing and dying from Maple Leaf meats. Buried within the bureaucratese are a few nuggets that show Canadian food safety types are trying to say the right thing – but really don’t get it.

Most of the media coverage focused on meat inspection protocols and complaints by the union of too few inspectors. There’s this big debate about who needs to do what and whether the federally-mandated Compliance Verification System (CVS), which sets out the procedures to be used by inspectors to verify the design and implementation of a plant’s food safety plan, is any good.

However, within the Oct. 2010 food safety progress report, the feds are apparently trying to come up with guidance on when to go public about food safety risks.

Health Canada is developing a federal guidance document on the weight of evidence needed to take action to protect consumers during foodborne illness outbreak investigations. The weight of evidence takes into consideration the microbiological information gathered through food sample testing and human illness reports, as well as the information collected from the follow-up investigation at food processing plants. Federal, provincial and territorial partners have been consulted on the draft guidance document. Health Canada also shared the document with selected international counterparts in June 2010. Once finalized, the document will be used by Health Canada, CFIA and PHAC during outbreak investigations.”

I look forward to the public availability of such a document, 14 years after the feds were criticized for the erroneous implication of California strawberries rather than Guatemalan raspberries as the source of a 1996 North America-wide cyclospora outbreak.

The Weatherill Report makes a number of recommendations to improve communication between government and the public on food safety and foodborne illness. The Government has taken steps to improve how and when it communicates with Canadians in general and with at-risk populations and key stakeholders, specifically. These steps take into consideration how it communicates food safety information in periods when there is no outbreak as well as during a national foodborne illness event.

In February 2010, the Government of Canada launched an online Food Safety Portal that offers a one-stop source for information about food safety and foodborne illness (www.foodsafety.gc.ca). The food safety and foodborne illness information initiatives developed by CFIA, PHAC and Health Canada and described in this report can now be found on the Portal.

To raise awareness of the Food Safety Portal, CFIA sent out a social media news release that encourages individuals to share information about the Portal online by using social media book-marking and tagging options, thus ensuring the broadest possible outreach.

CFIA has also been using social media tools, such as Twitter, to reach a wider audience on food safety issues and recalls. The Agency has gained over 400 followers on Twitter, including representatives from the media, health organizations, consumer groups and cooking/food allergy bloggers. In addition, CFIA has developed a recall widget to automate further distribution of notices. Food safety stakeholders have been invited to embed the CFIA widget on their websites, blogs, or social media pages to display live content from CFIA on food recalls.

The Consumer Centre section of the CFIA website has also been redesigned to clearly explain the roles that consumers, government and industry play in food safety, and to provide more information on important food safety issues. In addition, CFIA is participating in six food-related events between May 2010 and March 2011 to promote the Food Safety Portal and raise awareness of safe food handling practices and recall procedures.

And it goes on and on.

Creating a new web site doesn’t mean anyone reads it. And using social media is of no use if the messages still suck. People dying from deli meat is not a food handling concern.

PHAC has developed a risk communications strategy that will guide how the Agency communicates to Canadians during a national foodborne illness outbreak. PHAC has begun to implement various components of the strategy so that it can communicate to the public, key stakeholders, and targeted at-risk populations (older adults, pregnant women and those with weakened immune systems) more effectively. The strategy uses a variety of traditional and innovative formats, such as media events, web- and audio-casts, the Food Safety Portal, and stakeholder briefings. PHAC also collaborates with Health Canada to ensure that PHAC’s information for Canadians during a national outbreak is consistent with the food safety information that Health Canada provides.

There’s more but it’s tortuous. No evaluation of effectiveness, no indication that fewer people are barfing, no evidence that dieticians at care facilities won’t keep giving out cold deli meats to at-risk populations, no evidence that medical types at place like the Toronto Hospital for Sick Kids won’t keep dispensening stupid advice about listeria risks to pregnant women.

And for all the bureaucratese, no mention was made by anybody about Weatherill’s recommendation for precautionary labeling – warning labels – for listeria-vulnerable populations like pregnant women and old folks.

There must have been hundreds of fully salaried government types at all the meetings and in the report prep and website building and travel.
Maple Leaf or any other processor, government can continue to dither, you’re the ones losing customers and profits.

Make listeria testing results publicly available, and put warning labels or some sort of information available on the package. And stop saying deli meat is a consumer handling problem.

Waiting for government is like waiting for Godot.

UK woman killed by campylobacter

A woman from York has died from food poisoning after doctors battled in vain to save her life.

Retired bank clerk Lynn Welsh, 57, fell ill with sickness and diarrhea over the August Bank Holiday weekend. Her husband Mike said today they thought at first it was just a run-of-the-mill stomach upset and waited for it to run its course.

But over the following few days, Lynn felt no better and went to see her doctor, who arranged for tests to be carried out.

The results came back showing she was suffering from food poisoning, probably caused by chicken, and she was prescribed antibiotics.

But a fortnight ago, her condition worsened. Mr Welsh called 999 and she was taken by ambulance to A&E at York Hospital.

Doctors there said her kidneys had failed because of the bug, and she was placed in intensive care and given dialysis.

However, over subsequent days, her other organs began to fail, and she died on Thursday, September 16.

An inquest into her death opened yesterday and was adjourned.