Raw is risky: Contaminated seafood

It’s been a rough few months of outbreaks related to seafood, especially the raw stuff.

More than 500 kilograms of raw oysters from Vietnam were recently seized by Taiwan’s Food and Drug Administration (FDA) after the products were found to be contaminated with dangerous foodborne viruses,

The FDA said it had seized a shipment of 270 kg of raw oysters contaminated with hepatitis A.

Two other shipments of raw oysters totaling 255 kg, meanwhile, were found to be tainted by norovirus, the agency said, adding that all the products had been confiscated and destroyed.

By Nov. 2020, Florida state health officials reported 33 cases of Vibrio vulnificus in 20 counties, including six deaths had been reported

In Dec. 2020, it was reported that sushi bars at two Harris Teeter stores in Concord, North Carolina, sickened 159 people.

Health officials said that many of the sick people developed symptoms like vomiting, diarrhea, fever, muscle aches, and abdominal cramps, but they did not confirm the type of infection.

Last Sept., New Brunswick health officials (that’s a province in Canada) uncovered at least nine cases of Vibrio parahaemolyticus, a bacteria found in shellfish that causes gastrointestinal illness in humans.

Speakin’ out: barfblog.com no longer on Facebook or Twitter

At least until we figure something out. Our blogging software no longer supports automatic links to these social media, and I’ve been blogging a lot.

Readers who were relying on these social media are best advised to visit barfblog.com and on the right side of the home page, choose the frequency you would like to receive barfblog updates.

The art of persuasion hasn’t changed in 2,000 years and applies to coronavirus

Carmine Galloof wrote in the Harvard Business Review last year that ideas are the currency of the twenty-first century. The ability to persuade, to change hearts and minds, is perhaps the single greatest skill that will give you a competitive edge in the knowledge economy — an age where ideas matter more than ever.

More than 2,000 years ago Aristotle outlined a formula on how to master the art of persuasion in his work Rhetoric. A summary of Galloof’s article appears below.

1) Ethos or “Character”

Aristotle believed that if a speaker’s actions didn’t back their words, they would lose credibility, and ultimately, weaken their argument.

2) Logos or “Reason”

Once ethos is established, it’s time to make a logical appeal to reason. Use data, evidence, and facts to form a rational argument.

3) Pathos or “Emotion”

According to Aristotle, persuasion cannot occur in the absence of emotion. People are moved to action by how a speaker makes them feel. Aristotle believed the best way to transfer emotion from one person to another is through the rhetorical device of storytelling. More than 2,000 years later, neuroscientists have found  his thesis accurate. Studies have found that narratives trigger a rush of neurochemicals in the brain, notably oxytocin, the “moral molecule” that connects people on a deeper, emotional level.

4) Metaphor

Aristotle believed that metaphor gives language its verbal beauty. “To be a master of metaphor is the greatest thing by far,” he wrote. When you use a metaphor or analogy to compare a new idea to something that is familiar to your audience, it clarifies your idea by turning the abstract into something concrete.

Those who master the metaphor have the ability to turn words into images that help others gain a clearer understanding of  their ideas — but more importantly, remember and share them. It is a powerful tool to have.

5) Brevity

Here again, Aristotle was ahead of his time. “Aristotle had discovered that there are fairly universal limits to the amount of information which any human can absorb and retain,” writes Kings College professor Edith Hall in Aristotle’s Way. “When it comes to persuasion, less is always more.”

Brevity is a crucial element in making a persuasive speech. An argument, Aristotle said, should be expressed “as compactly and in as few words as possible.” He also observed that the opening of a person’s speech is the most important since “attention slackens everywhere else rather than at the beginning.” The lesson here is: start with your strongest point.

Sorta like journalism.

Petting zoos in Switzerland as public health problem

Animal petting zoos and farm fairs provide the opportunity for children and adults to interact with animals, but contact with animals carries a risk of exposure to zoonotic pathogens and antimicrobial‐resistant bacteria.

The aim of this study was to assess the occurrence of Shiga toxin‐producing Escherichia coli (STEC), Salmonella, extended‐spectrum β‐lactamase (ESBL)‐producing Enterobacteriaceae and methicillin‐resistant Staphylococcus aureus (MRSA) in animal faeces from six animal petting zoos and one farm fair in Switzerland. Furthermore, hygiene facilities on the venues were evaluated.

Of 163 faecal samples, 75 contained stx1, stx2 or stx1/stx2 genes, indicating the presence of STEC. Samples included faeces from sika deer (100%), sheep (92%), goats (88%), mouflons (80%), camels (62%), llamas (50%), yaks (50%), pigs (29%) and donkeys (6%), whereas no stx genes were isolated from faeces of calves, guinea pigs, hens, ostriches, ponies, zebras or zebus. Salmonella enterica subsp. enterica serovar Stourbridge (S. Stourbridge) was detected in faecal samples from camels. A total of four ESBL‐producing E. coli strains were isolated from faeces of goats, camels and pigs. PCR and sequencing identified the presence of blaCTXM15 in three and blaCTXM65 in one E. coli. Antimicrobial resistance profiling using the disk diffusion method revealed two multidrug‐resistant (MDR) E. coli with resistance to ciprofloxacin, gentamicin and azithromycin, all of which are critically important drugs for human medicine. Multilocus sequence typing identified E. coli ST162, E. coli ST2179, extraintestinal high‐risk E. coli ST410 and E. coli ST4553, which belongs to the emerging extraintestinal clonal complex (CC) 648. No MRSA was detected.

On all animal petting venues, there were inadequacies with regard to access to hygiene information and handwashing hygiene facilities. This study provides data that underscore the importance of hygiene measures to minimize the risk of transmission of zoonotic pathogens and MDR, ESBL‐producing E. coli to visitors of animal petting venues.

Animal petting zoos as sources of shiga toxin-producing Escherichia coli, salmonella and extended-spectrum Beta-lactamase (EXBL)-producing Enterobacteriaceae

Zoonosis and Public Health

Meret Isler, Ramona Wissmann, Marina Morach, Katrin Zurfluh, Roger Stephan, Magdalena Nüesch‐Inderbinen

https://doi.org/10.1111/zph.12798

https://onlinelibrary.wiley.com/doi/abs/10.1111/zph.12798

FoodNet Canada, 2019

The Public Health Agency of Canada’s (PHAC) FoodNet Canada surveillance system (no, not that one, right, that’s the Canadian television network that wanted to sue me over video associated with 2004’s cooking show paper) is pleased to present this tables and figures report which provides the annual results of our surveillance activities conducted in 2019. The report is based on findings from its sentinel sites in British Columbia, Alberta, and Ontario. It also provides preliminary findings from Quebec, representing a partial year due to their implementation part way through the year in July 2019. The report focuses on trends in enteric pathogen disease rates, as well as trends in the prevalence of these pathogens found on potential disease sources: retail meats, manure from food producing animals and water. It is our hope that this report will be used to inform and shape discussions on food safety issues regarding enteric diseases and their sources.

Key findings:

  • In 2019, Campylobacter and Salmonella remained the most common causes of human enteric illness in the FoodNet Canada sentinel sites.
  • Travel continues to be an important factor in the burden of enteric disease. In 2019, approximately 30% of all cases of enteric disease were associated with travel outside of Canada.
  • Exposure to retail meat products remains a potential source of infection for human enteric illness. However, decreases in the prevalence of certain pathogen-food combinations were observed in 2019. For example, Salmonella on frozen breaded chicken products significantly decreased in 2019 compared to 2018 and is likely associated with interventions implemented at the industry level in 2019.
  • Other exposures, such as the farm environment and water, are also possible sources of infection for human enteric illness, with differences noted between the sites. For example, Salmonella is commonly found in broiler chicken manure, however, the prevalence significantly increased in BC whereas it significantly decreased in the AB site in 2019, resulting in an overall significant decrease in the combined sites.
  • The majority of clinical cases of shigatoxigenic Escherichia coli (STEC) were domestically acquired in 2019, with a significant increase in both travel and endemic incidence rates, which is primarily driven by the AB sentinel site who test all STEC-confirmed stool samples for non-O157 serogroups.
  • In 2019, surface water sampling was initiated for the first time in the ON site for STEC testing. The prevalence of STEC in the ON site (27%) was similar to the combined BC and AB irrigation water prevalence in 2019 (28%). · Continued monitoring of human illness and the potential exposures is important to ensure the continued health and safety of Canadians. The collection and integration of information across all of FoodNet Canada surveillance components (human, retail, on-farm, and water) in an enhanced and standardized way allows for the analysis of subtype distributions among human cases and potential exposure sources over time. This report will be followed by a comprehensive annual report, which will include more extensive analyses of temporal trends and subtyping information for an integrated perspective on enteric disease from exposure to illness.

Models for efficacy of restaurant inspections

Restaurant health inspections aim at identifying health violations and shall reduce the risk that restaurant visitors suffer from foodborne illness. Nevertheless, regulatory authorities’ resources are limited, so an efficient mechanism that supports scheduling of health inspections is necessary.

We build upon information efficiency theory and investigate whether information extracted from online review platforms is useful to predict restaurant health violations. Furthermore, we examine how the expectation disconfirmation bias impacts classification performance. Analyzing a large sample of health inspections, corresponding online reviews and restaurant visitor data, we propose and evaluate different predictive models.

We find that classifiers specifically taking into account information from online review platforms outperform different baseline approaches. We thus show that online reviews encompass private information indicating strong information efficiency. Furthermore, we observe that the expectation disconfirmation bias has an influence on classification performance in case of restaurants with a low star rating and with a poor inspection history. An ensemble classifier can help to mitigate this influence. Thus, online review platforms contain relevant information to predict future health violations. Our results are highly relevant for regulatory authorities, restaurant visitors and restaurant owners.

Leveraging online review platforms to support public policy; Predicting restaurant health violations based on online reviews

Decision Support Systems

Michael Siering

ttps://doi.org/10.1016/j.dss.2020.113474

https://www.sciencedirect.com/science/article/abs/pii/S0167923620302293

The Romans provided safe drinking water

Provision of safe drinking water in the United States is a great public health achievement. However, new waterborne disease challenges have emerged (e.g., aging infrastructure, chlorine-tolerant and biofilm-related pathogens, increased recreational water use).

Comprehensive estimates of the health burden for all water exposure routes (ingestion, contact, inhalation) and sources (drinking, recreational, environmental) are needed. We estimated total illnesses, emergency department (ED) visits, hospitalizations, deaths, and direct healthcare costs for 17 waterborne infectious diseases. About 7.15 million waterborne illnesses occur annually (95% credible interval [CrI] 3.88 million–12.0 million), results in 601,000 ED visits (95% CrI 364,000–866,000), 118,000 hospitalizations (95% CrI 86,800–150,000), and 6,630 deaths (95% CrI 4,520–8,870) and incurring US $3.33 billion (95% CrI 1.37 billion–8.77 billion) in direct healthcare costs.

Otitis externa and norovirus infection were the most common illnesses. Most hospitalizations and deaths were caused by biofilm-associated pathogens (nontuberculous mycobacteria, Pseudomonas, Legionella), costing US $2.39 billion annually.

Estimate of burden ad direct healthcare cost of infectious waterborne disease in the United States

Emerging Infectious Diseases vol. 2 no. 1

Sarah A. Collier , Li Deng, Elizabeth A. Adam, Katharine M. Benedict, Elizabeth M. Beshearse, Anna J. Blackstock, Beau B. Bruce, Gordana Derado, Chris Edens, Kathleen E. Fullerton, Julia W. Gargano, Aimee L. Geissler, Aron J. Hall, Arie H. Havelaar, Vincent R. Hill, Robert M. Hoekstra, Sujan C. Reddy, Elaine Scallan, Erin K. Stokes, Jonathan S. Yoder, and Michael J. Beach

https://wwwnc.cdc.gov/eid/article/27/1/19-0676_article?ACSTrackingID=DM44883&ACSTrackingLabel=Copy%20of%20Waterborne%20Disease%20Burden%20Paper&deliveryName=DM44883

How cooking shows influence viewers’ hygiene practices

ozforex

Speaking of cooking shows, researchers from Germany have concluded poor hygiene when handling food is a major cause of foodborne illness.

To investigate whether hygiene practices visible in television cooking shows influence viewers’ kitchen hygiene, a study on the adoption of demonstrated hygiene behavior was conducted under controlled, experimental conditions. In a study ostensibly on cooking by following recipes participants (n = 65) were randomly assigned to one of three conditions, in which they watched a cooking video that differed only with regard to the hygiene behavior of the chef. In condition 1, the chef engaged in poor hygiene practices while preparing the dish, in condition 2 the chef’s hygiene behavior was exemplary and in condition 3, the chef’s hygiene behavior was not visible (control condition).

After watching the video, participants were instructed to cook the recipe individually in the fully equipped laboratory kitchen. (Figure, above: Illustration of how three video versions with different hygiene levels were realized, using seasoning as an example. (Panel a) Correct hygiene video: Seasoning with spoon. (Panel b) Poor hygiene video: Seasoning with fingers (after touching raw chicken). (Panel c) Control video: Close‐up of food being sprinkled with seasoning.) Cooking sessions were videotaped and experimenters blind to condition coded hygiene lapses committed by participants. The level of kitchen hygiene displayed in the cooking video significantly affected hygiene practices of participants cooking the recipe. Participants who had watched the cooking video with correct hygiene practices committed significantly fewer hygiene lapses than those who had watched the video with poor hygiene practices. From a risk communication perspective, TV cooking shows are well placed to convey knowledge of essential hygiene practices during food preparation to a broad audience. To facilitate behavioral change toward safer food‐handling practices among viewers, visibly performing correct hygiene practices in cooking shows is a promising strategy.

Kitchen hygiene in the spotlight: How cooking shows influence viewers’ hygiene practices

Risk Analysis

Severine Koch, Mark Lohmann, Jasmin Geppert, Rainer Stamminger, Astrid Epp, Gaby‐Fleur Böl

https://doi.org/10.1111/risa.13584

https://onlinelibrary.wiley.com/doi/full/10.1111/risa.13584

Research for one of our most popular paers was initiated almost 20 years ago. The abstract is below:

Mathiasen, L.A., Chapman, B.J., Lacroix, B.J. and Powell, D.A. 2004. Spot the mistake: Television cooking shows as a source of food safety information, Food Protection Trends 24(5): 328-334.

Consumers receive information on food preparation from a variety of sources. Numerous studies conducted over the past six years demonstrate that television is one of the primary sources for North Americans. This research reports on an examination and categorization of messages that television food and cooking programs provide to viewers about preparing food safely.

During June 2002 and 2003, television food and cooking programs were recorded and reviewed, using a defined list of food safety practices based on criteria established by Food Safety Network researchers. Most surveyed programs were shown on Food Network Canada, a specialty cable channel. On average, 30 percent of the programs viewed were produced in Canada, with the remainder produced in the United States or United Kingdom.

Sixty hours of content analysis revealed that the programs contained a total of 916 poor food-handling incidents. When negative food handling behaviors were compared to positive food handling behaviors, it was found that for each positive food handling behavior observed, 13 negative behaviors were observed. Common food safety errors included a lack of hand washing, cross-contamination and time-temperature violations.

While television food and cooking programs are an entertainment source, there is an opportunity to improve their content so as to promote safe food handling.

 

Facebook deletes celebrity chef wannabe Pete Evans’s Instagram account over repeated coronavirus and vaccine misinformation

ABC (the Australian one) reports celebrity chef wannabe Pete Evans (right, exactly as shown) has been permanently booted off Instagram for sharing misinformation about coronavirus and vaccines.

Pete Evans’s Facebook page was removed last year, but he continued posting misinformation on Instagram, which Facebook owns

Facebook last week expanded the list of false claims it will remove, adding more about coronavirus and the vaccines.

The company no longer tolerates false claims the virus is man-made, that the disease is safer than the vaccine, that vaccines are toxic, dangerous, or cause autism

Facebook confirmed it deleted Mr Evans’s account on the popular picture-sharing platform on Wednesday.

The account had hundreds of thousands of followers.

Celebrity chefs are just so full of bad food safety information (except for Alton Brown).

“We removed Pete Evans’s account for repeatedly sharing debunked claims about the coronavirus or vaccines,” the company said in a statement.

“We don’t allow anyone to share misinformation about COVID-19 that could lead to imminent physical harm or about COVID-19 vaccines that have been debunked by public health experts.”

Mr Evans’s Facebook page was removed in December, but he continued to share misinformation through Instagram, which is also owned by Facebook.

Facebook had earlier removed several of the chef’s Instagram posts for violating its policies on misinformation.

Facebook’s COVID-19 and vaccine misinformation policies were updated last week, with the company vowing to crack down on false claims.

Mr Evans was a judge on My Kitchen Rules between 2010 and 2020.

He has repeatedly made posts opposing COVID-19 vaccines and masks, shared discredited coronavirus cures, and claimed in a podcast that the coronavirus is a hoax.

Mr Evans regularly used his Instagram account to cast doubt on official information about COVID-19, vaccines, and other parts of mainstream science.

His company was fined more than $25,000 by the Therapeutic Goods Administration (TGA) in April after he promoted a device called a “BioCharger” on a Facebook live stream, claiming it could be used in relation to coronavirus.

The TGA said the claim had “no apparent foundation”.

Mr Evans announced last week he would run for federal parliament, standing as a Senate candidate for a fringe party set up by former One Nation senator Rod Culleton.

Who knows, he may get some votes: On Saturday more that 1,000 clogged roads in downtown Brisbane to protest against the vaccine as the first inoculations were conducted in the federal capital of Canberra. Vaccines begin Monday in Brisbane.

As a risk communication dude, I am however concerned with the approach being taken by the Australian Capital Territory to win over anti-vaxxers. The Canberra Times reports the ACT government will launch a major public information campaign as part of efforts to counter anti-vaccination messages amid concern vaccination rates could be affected by misinformation. Flyers making false and misleading claims about vaccines have been distributed to households in Canberra in recent days, prompting renewed calls for people to stop undermining public health information.

On Saturday, about 150 people, including some affiliated with far-right groups, gathered near the Carillon on the shores of Lake Burley Griffin to protest mandatory vaccinations – despite no such initiative being proposed.

Ms Stephen-Smith said, “We aim to provide informative, trustworthy and up-to-date advice to the community so they understand the risks of COVID-19, our responsibilities in helping to reduce these risks and where to access healthcare services.

“As the vaccine program rolls out, we will be ramping up our public health information campaign. This will focus on educating Canberrans about the COVID-19 vaccine, where and when they can access it and how they can find factual and reliable information.”

It’s a leader’s duty to inform rather than educate. Further, the proposal reeks of a failed risk communication strategy: If I could only get that one person or group to change their minds, conflict will be removed. By focusing on vaccine opponents, leaders are not paying enough attention to vaccine proponents and the essence of good science. But I’ll let Jimmy Kimmel explain from 2015:

57 sick: Outbreak of Salmonella infections linked to eggs in Canada

The Public Health Agency of Canada (PHAC) is collaborating with provincial public health partners, the Canadian Food Inspection Agency (CFIA) and Health Canada to investigate an outbreak of Salmonella infections involving Newfoundland and Labrador, and Nova Scotia. The outbreak appears to be ongoing, as recent illnesses continue to be reported to PHAC.

Based on the investigation findings to date, exposure to eggs has been identified as a likely source of the outbreak. Many of the individuals who became sick reported consuming, preparing, cooking and baking at home with eggs. Some individuals reported exposure to eggs at an institution (including nursing homes and hospitals) where they resided or worked before becoming ill.

Eggs can sometimes be contaminated with Salmonella bacteria on the shell and inside the egg. The bacteria are most often transmitted to people when they improperly handle, eat or cook contaminated foods.

Illnesses can be prevented if proper safe food handing and cooking practices are followed. PHAC is not advising consumers to avoid eating properly cooked eggs, but this outbreak serves as a reminder that Canadians should always handle raw eggs carefully and cook eggs and egg-based foods to an internal temperature of at least 74 C (165 F) to ensure they are safe to eat.

PHAC is issuing this public health notice to inform Canadians of the investigation findings to date and to share important safe food handling practices to help prevent further Salmonella infections.

As the outbreak investigation is ongoing, it is possible that additional sources could be identified, and food recall warnings related to this outbreak may be issued. This public health notice will be updated as the investigation evolves.

As of February 18, 2021, there have been 57 laboratory-confirmed cases of Salmonella Enteritidis illness investigated in the following provinces: Newfoundland and Labrador (25), and Nova Scotia (32). Individuals became sick between late October 2020 and late January 2021. Nineteen individuals have been hospitalized. No deaths have been reported. Individuals who became ill are between 2 and 98 years of age. The majority of cases (68%) are female.

Between October and December 2020, CFIA issued food recall warnings for a variety of eggs distributed in Cape Breton, Nova Scotia, and Newfoundland and Labrador. The recalled eggs are now past their shelf-life and are no longer available for purchase. Some individuals who became sick in this outbreak reported exposure to recalled eggs; however, there are a number of recent ill individuals that do not.

It is possible that more recent illnesses may be reported in the outbreak because there is a period of time between when a person becomes ill and when the illness is reported to public health officials. For this outbreak, the illness reporting period is between three and six weeks.

Anyone can become sick with a Salmonella infection, but young childrenthe elderlypregnant women or people with weakened immune systems are at higher risk for contracting serious illness.

Most people who become ill from a Salmonella infection will recover fully after a few days. It is possible for some people to be infected with the bacteria and to not get sick or show any symptoms, but to still be able to spread the infection to others.

Raw or undercooked eggs and egg-based foods carrying Salmonella may look, smell and taste normal, so it’s important to always follow safe food-handling tips if you are buying, cleaning, chilling, cooking and storing any type of eggs or egg-based foods. If contaminated, the Salmonella may be found on the shell itself or may be inside the egg. The following food preparation tips may help reduce your risk of getting sick, but they may not fully eliminate the risk of illness.

  • Always handle raw eggs carefully and cook eggs and egg-based foods to an internal temperature of at least 74°C (165°F) to ensure they are safe to eat.
  • Do not eat raw or undercooked eggs. Cook eggs until both the yolk and white are firm.
  • When purchasing eggs, choose only refrigerated eggs with clean, uncracked shells.
  • Always wash your hands before and after you touch raw eggs. Wash with soap and warm water for at least 20 seconds. Use an alcohol-based hand rub if soap and water are not available.
  • Eggs (whether raw or cooked) should not be kept at room temperature for more than two hours. Eggs that have been at room temperature for more than two hours should be thrown out.
  • Use pasteurized egg products instead of raw eggs when preparing foods that aren’t heated (such as icing, eggnog or Caesar salad dressing).
  • Do not taste raw dough, batter or any other product containing raw eggs. Eating even a small amount could make you sick.
  • Microwave cooking of raw eggs is not recommended because of the possibility of uneven heating.
  • Sanitize countertops, cutting boards and utensils before and after preparing eggs or egg-based foods. Use a kitchen sanitizer (following the directions on the container) or a bleach solution (5 mL household bleach to 750 mL of water), and rinse with water.
  • Do not re-use plates, cutting boards or utensils that have come in contact with raw eggs unless they have been thoroughly washed, rinsed and sanitized.
  • Use paper towels to wipe kitchen surfaces, or change dishcloths daily to avoid the risk of cross-contamination and the spread of bacteria. Avoid using sponges as they are harder to keep bacteria-free.
  • Do not prepare food for other people if you think you are sick with a Salmonella infection or suffering from any other contagious illness causing diarrhea.

Symptoms of a Salmonella infection, called salmonellosis, typically start 6 to 72 hours after exposure to Salmonella bacteria from an infected animal or contaminated product.
Symptoms include:

  • fever
  • chills
  • diarrhea
  • abdominal cramps
  • headache
  • nausea
  • vomiting

These symptoms usually last for 4 to 7 days. In healthy people, salmonellosis often clears up without treatment, but sometimes antibiotics may be required. In some cases, severe illness may occur and hospitalization may be required. People who are infected with Salmonella bacteria can be infectious from several days to several weeks. People who experience symptoms, or who have underlying medical conditions, should contact their health care provider if they suspect they have a Salmonella infection.

The Public Health Agency of Canada leads the human health investigation into an outbreak and is in regular contact with its federal, provincial and territorial partners to monitor the situation and to collaborate on steps to address an outbreak.

Health Canada provides food-related health risk assessments to determine whether the presence of a certain substance or microorganism poses a health risk to consumers.

The Canadian Food Inspection Agency conducts food safety investigations into the possible food source of an outbreak.