Three die of salmonella poisoning linked to herbal remedy in Denmark

The BBC reports 19 people have been treated in hospital, according to Denmark’s SSI health agency. Those involved in the outbreak are aged between two and 92.

All those affected ate Husk brand psyllium husk capsules from batches recalled by manufacturer Orkla Care.

Authorities found traces of salmonella in the products at patients’ homes.

The herbal products are generally used as a laxative. Luise Müller of Denmark’s Statens Serum Institut said it was the first time the agency had found a herbal medicine to be the cause of a salmonella outbreak.

It is not clear which ingredient could have caused the poisoning.

Brucellosis sickens dozens in Algeria after drinking goats milk

Outbreak News Today reportsAlgerian media is reporting an outbreak of brucellosis in Batna. According to the report, 31 people were infected with brucellosis in the municipality of Ares after consuming goat’s milk.

This followed the discovery of a focus of the disease that infected 119 goats from a herd of 155.

Brucellosis is a contagious disease of animals that also affects humans. The disease is also known as Bang’s Disease. In humans, it’s known as Undulant Fever.

The Brucella species are named for their primary hosts: Brucella melitensis is found mostly is goats ,sheep and camels, B. abortus is a pathogen of cattle, B. suis is found primarily in swine and B. canis is found in dogs.

The more common ways people get infected with brucellosis include: First, individuals that work with infected animals that have not been vaccinated against brucellosis. This would include farmers, slaughterhouse workers and veterinarians.

They get infected through direct contact or aerosols produced by the infected animal tissue. B. abortus and B. suis are most common.

The second way is through ingesting unpasteurized dairy products.

Brucellosis is also an occupational hazard to laboratory workers who inappropriately handle specimens or have an accident or spill. Brucella is highly infectious in the aerosolized form.

If someone gets infected with Brucella, the incubation period is about 2-3 weeks, though it could be months. Fever, night sweats, severe headache and body aches and other non-specific symptoms may occur.

Better camel milk

Citrox alone or in combination with 1% chitosan on the survival of Campylobacter jejuni in camel meat slices vacuum-packed and stored at 4 or 10 °C for 30 days. The shelf life of camel meat was 30 days longer using 1% or 2% Citrox in combination with 1% chitosan than when using Citrox alone. The reductions ranged from 4.0 to 3.5 logarithmic cycles during the storage period at both 4 and 10 °C. The quality of camel meat treated with Citrox plus chitosan was also better than that of the control meat and of meat treated with 0.85% NaCl.

Abstract: Camel meat is one of the most consumed meats in Arab countries. The use of natural antimicrobial agents to extend the shelf life of fresh camel meat, control Campylobacter jejuni contamination, and preserve meat quality is preferred. In this study, we determined the antimicrobial effects of using 1% or 2% Citrox alone or in combination with 1% chitosan on the survival of C. jejuni in vitro and on camel meat samples during storage at 4 or 10 °C for 30 days in vacuum packaging. We determined the total viable count (TVC (cfu/g)), total volatile base nitrogen (TVBN) content, and pH of the treated camel meat samples every three days during storage. The shelf lives of camel meat samples treated with 2% Citrox alone or in combination with 1% chitosan were longer than those of camel meat samples treated with 1% Citrox alone or in combination with 1% chitosan at both the 4 and 10 °C storage temperatures, with TVCs of <100 cfu/g after the first ten days and six days of storage at 4 and 10 °C, respectively. The addition of Citrox (1% and 2%) and 1% chitosan to camel meat samples and the application of vacuum storage were more effective than using Citrox (1% and 2%) alone and led to a reduction in C. jejuni in approximately 4.0 and 3.5 log cycles at 4 and 10 °C, respectively. The experimental results demonstrated that using a Citrox-chitosan combination improved the quality of camel meat and enhanced the longterm preservation of fresh meat for up to or more than 30 days at 4 °C.

Improving the quality and safety of fresh camel meat contaminated with Campylobacter jejuni using citgrox, chitosan, and vacuum packaging to extend shelf life

Hany M. Yehia 1,2, *, Abdulrahman H. Al-Masoud 1, Manal F. Elkhadragy 3, Shereen M. Korany 3,4, Hend M. S. Nada 5, Najla A. Albaridi 6, Abdulhakeem A. Alzahrani 1 and Mosffer M. AL-Dagal 1

https://www.google.com/url?rct=j&sa=t&url=https://www.mdpi.com/2076-2615/11/4/1152/pdf&ct=ga&cd=CAEYACoUMTA4ODk5MjIzOTkyNzc5MjU4OTkyGmY3MjNlYjUzNWU2MmRlNzY6Y29tOmVuOlVT&usg=AFQjCNEeYwnVN7vKKPk-g30USCQDhsC3tg

Sewage leak and mouse droppings at takeaway in south London

Tristan Kirk of MSN writes a south London takeaway has been shut down after inspectors discovered a mouse infestation and raw sewage on the kitchen floor (that’s late 1980s great hair, right).

Chicken wings were being defrosted in the filthy kitchen at Dallas Chicken & Ribs despite sewage leaking from broken drain pipes, Wimbledon magistrates’ court heard.

A routine inspection by Wands­worth council uncovered used toilet paper on the floor, mouse droppings at the back of the kitchen and on a chopping board and ­“visible faecal matter” coming from the drains.

Environmental health official David Stupples, who served a prohibition notice on the business last week, told the court: “We found that there was an imminent risk to public health. It was flooded with raw sewage, including visible faecal matter.

“The drain pipes could be seen emanating with raw sewage, there was also evidence of mice droppings in the rear section of the kitchen.”

He supplied photos of the filth, including a dirty mop bucket containing sewage next to the sink where the chicken wings were being defrosted.

Referring to the photos shown to magistrates, Mr Stupples said: “Faecal matter was visible in the sewage and there was faecal matter around the working area.”

 

You see a flock of seagulls (songbirds) I see a pile of Salmonella

I knew that birdshit was a microbiological risk.

And there’s the yuck factor.

Jesus Jimenez of the New York Times writes a salmonella outbreak linked to contact with wild songbirds and bird feeders has sickened 19 people across eight states, eight of whom have been hospitalized, federal health authorities said.

The Centers for Disease Control and Prevention said it was investigating salmonella infections in California, Kentucky, Mississippi, New Hampshire, Oklahoma, Oregon, Tennessee and Washington State in people ranging in age from 2 months to 89 years old.

Six cases were reported in Washington and five in Oregon. No deaths have been reported.

Public health officials across the country interviewed 13 of the people who were infected and asked them about animals they had come in contact with a week before they became ill, the C.D.C. said. Nine said they owned a bird feeder, and two reported they had come into contact with a sick or dead bird. Ten people said they had pets that had access to or contact with wild birds, the agency said.

To prevent further cases, the C.D.C. recommends cleaning bird feeders and bird baths once a week or when they are dirty. People should avoid feeding wild birds with their bare hands, and should wash their hands with soap and water after touching a bird feeder or bath, or after handling a bird.

And why 1980s music sucked.

Do people know that flour can f**k you up: And surveys still suck

Consumers do not consider flour, a low-moisture food product, a high risk for microbial contamination. In the past 10 years, however, flour has been identified as a source of pathogenic bacteria, including Salmonella and Escherichia coli.

Online surveys were conducted to study consumers’ flour handling practices and knowledge about food safety risks related to flour. The survey also evaluated message impact on three food safety messages in communicating information and convincing consumers to adopt safe flour handling practices. Flour-using consumers (n ¼ 1,045) from the United States reported they used flour to make cakes, cookies, and bread. Most consumers stored flour in sealed containers. Less than 1% kept a record of product identification numbers, such as lot numbers, and less than 11% kept brand and use-by date information. Many consumers (85%) were unaware of flour recalls, or outbreaks, and few (17%) believed they would be affected by flour recalls or outbreaks. If the recall affected the flour they bought, nearly half of the consumers (47%) would buy the same product from a different brand for a few months before they returned to the recalled brand. Among consumers who use flour to bake, 66% said they ate raw cookie dough or batter. Raw dough “eaters” were more difficult to convince to avoid eating and playing with raw flour than “noneaters.” Food safety messages were less impactful on those raw dough eaters than noneaters. Compared with the food safety message with only recommendations, those messages with recommendations and an explanation as to the benefits of the practice were more effective in convincing consumers to change their practices. These findings provide insight into effective consumer education about safe flour handling practices and could assist in the accurate development of risk assessment models related to flour handling.

Consumer knowledge and behaviors regarding food risks associated with wheat flour, 2021

Journal of Food Protection, vol. 84 no. 4

YAOHUA FENG* AND JUAN C. ARCHILA-GODÍNEZ

https://doi.org/10.4315/JFP-19-562

https://watermark.silverchair.com/i0362-028x-84-4-628.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAArEwggKtBgkqhkiG9w0BBwagggKeMIICmgIBADCCApMGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQM-2AoNuDnzs3UGNOwAgEQgIICZNrYsrhGmbrJOPRXGPMN_ykaV9_9bCmmlGbOBVMxsPAc6urDkisCTPCm6O-LzmsxLidMftqqsCH-SIVwEZvc1mtxFllqth_TYN54lFGld3RL1GXHNECNY07yQnGwTc31mqchbqhg57A8vnJ8gh8PDZ9hK3mWgr8T0c7tfXnMVjAlnQg0jMJ2pLHaZoZAZ37H4EZIz5mNioYwgkXB_Um3qwJGG5AaMPoKqk4wh-j2fnIboZu712ZcAsG7zSKg9BpWfayLhI_YutkEahqD3hcbJpKzg-H79F8zC_Y7rbv0nn4VR2VMVWjdDeFfnFdUvNZkt9TGrTJZoLYSkElS84mNV78gUTBBAayojri1Fzp6nrfwonn6yqDVB1eih4jujoaaxTUSei9tlp_aUsm9qMECCHu6pMMWXGB31HJSi4ablT8wnWYnFekA5dD7gmSMjNzS8QtVVHDhZi9mj3X2HggLql8ogEXl4eSjUhN5kGBznUh3chJmVVNj2MMQtAj6oJ6fJxDO2C8dZy2qysrTWs8V3EdQGpY1p65XtRGVQ52ZpMRULJ4xA_arfBCvi1GXJ5HNBpa44WUme68mt-JOuqqMSLmT4KjWV9IqsVr53ebdC2oRX9-huhBIaFUZVXC16pC85MAqpq8tJ5C-EH0qhEkwajI5-l3s-NRtdCq3KNIK5hDeLPVzwQb6EJ8gt7DUE1v-PKiJanr46EWmIcZ3nxPpcNzgqGFS0lkrBmijy5TRhpkn8-ZUV2QLacCcPcIJHWK_mWaAAl3ELlwnjC-iyxgOLBQpfx4_IppwW0akg2bKgl5bhgVBMg

Good governance for food safety management

If there’s one food, safety types will not eat, it’s raw sprouts. Alfalfa, mung bean, pea and clover, they tend to be the same microbiological shithole.

Costco and Walmart stopped selling them five years ago in the U.S.

It’s impossible to get a sandwich or salad in Australia without sprouts.

I’ve written chefs who should not be serving raw sprouts to immunocomprised people in hospitals.

They poo-pooed my concerns.

My South Australian colleague, Andrew Thomson, is the company director for Think ST Solutions, a food consultancy offering practical solutions to both management and staff in hospitals, aged-care facilities, restaurants, hotels and the food industry.

Thomson writes in his latest column for Hospital Health that it’s time for the health- and aged-care sectors to move beyond meeting minimum compliance requirements and strive for business excellence in food safety management systems.

Health- and aged-care organisations face challenges and high expectations from an array of stakeholders, regulatory and accreditation agencies, and consumers. The area of food safety is no exception. Despite this, many organisations are achieving minimum regulatory compliance and failing to recognise related risks until after a serious episode occurs.

It is essential that board directors of health- and aged-care organisations, or those about to take on these roles, understand their role and responsibilities. It is important to be aware of food laws and other regulatory requirements, and ensure that organisations abide by them.

As far back as 1997, Winsome McCaughey AO, the former chief executive of the Australia New Zealand Food Authority, outlined the broad policy framework for food regulatory reform in Australia. The reforms promoted a risk-based approach to food safety management, which is consistent with international guidelines on risk analysis. Central to this approach was the introduction of national food safety standards.

The national food regulator, Food Standards Australia New Zealand, has developed standards that require food safety programs to be implemented in high-risk sectors, such as those providing food services to vulnerable persons. Food businesses providing potentially hazardous food to vulnerable persons — including hospital patients, aged-care residents and children in childcare centres — are captured by these requirements, in addition to businesses that prepare and deliver meals to vulnerable people in the home.

Health- and aged-care organisations need to ensure that risks to food safety management within their business are properly identified, reported and controlled.

The key action points for boards of directors to embrace are:

Understand and accept their role and responsibility in food safety leadership.

Understand and accept, at an individual board member level, the accountability for the role.

Understand the organisation’s obligations under various (food) legislation.

Create clearly defined policies on accountabilities, risk and reporting.

Consider the food safety implications of board decisions.

Oversee management actions in food safety matters.
The board should also agree on how to incorporate food safety management into existing governance structures; how to set objectives and monitor performance of the business and food-related risks; and the appointment of a board member as its food safety ‘champion’ — a nominated food safety director who will take the lead on ensuring that the board’s food safety management responsibilities are properly discharged.

The governance of an organisation involves the establishment of a framework of values, processes and practices designed to regulate, monitor and provide effective reporting on organisational performance. Through this framework, boards and directors exercise their governing authority and make decisions to achieve the organisation’s purpose and goals. Directors ensure the organisation operates effectively and ethically, and complies with all laws and regulations.

Food safety governance is as important as any other aspect of governance. It is also a fundamental part of an organisation’s risk management strategy, which is a key responsibility of a board of directors. Both the board and its management team have a duty to exercise due diligence to ensure that the organisation complies with its food safety duties and obligations. Failure to effectively manage food safety risk has both human and business costs — this includes damaged reputations and potential prosecution.

It is important to distinguish between governance and management practices. Directors should focus on governance-related issues — determining the organisation’s purpose, developing an effective governance culture, holding management to account and ensuring effective performance and compliance. Directors work with management to develop strategy and business plans which are then implemented by management.

There is no ‘one size fits all’ solution for establishing effective governance for food safety management, as the structures and levels of engagement vary with the size and complexity of the organisations involved. There are a number of basic questions that a board of directors can ask itself to assist in creating the right business culture:

How does the board assure itself that the food safety management system has been fully implemented across the organisation?

How does the board assure itself that the organisation is demonstrating its commitment to food safety?

How does the board verify that the organisation’s food safety strategic and operational risks have been adequately identified and assessed, with appropriate mitigation strategies implemented?

What relevant information is the board receiving on food safety management? Is this reporting sufficient?

What processes are in place to inform board members of the results (and actions taken) from internal and external audits and comprehensive senior management reviews to ensure the food safety management system is fit for purpose?

How does the board satisfy itself that the organisation has food-handling employees and managers that are competent and adequately trained in their food safety responsibilities and accountabilities?

Does the organisation have sufficient resources (people, equipment, systems and budget) for managing its food safety management systems?

What approach does the board use to compare the performance of the food safety management system with comparable organisations? How does it monitor and rate its organisation’s performance?
In regards to competency and adequate food safety training, shrinking training budgets and providing employees with traditional training approaches to basic compliance training is one area for urgent change if an organisation is to flourish.

The decades-long and less desirable training practice used by many organisations relies on herding as many employees as possible to undertake (any form of) training and then show the regulator and/or accreditation assessors the training records. This approach fails on several fronts: it does not provide employees with the skills they urgently need for doing their job now and in the future; lacks the required processes when employees learn new skills and behaviours; and does not address developing the best employees for future roles. Questions relating to employee learning strategies, skills development, performance and systems improvement, and measuring training success are largely overlooked by senior leaders and the regulator.

RMIT Online and Deloitte Access Economics recently released Ready, set, upskill: Effective training for the jobs of tomorrow. This report provides fresh insights into post-COVID skill needs; how prepared Australians feel for a changing workplace; and where employers should invest in training to prepare for what’s ahead.

Modern approaches to learning in the workplace necessitate a model of continuous learning and supporting employee learning — it moves beyond designing and delivering one-off training programs.

A comprehensive table of sprout-related outbreaks can be found here.

E. coli outbreak at childcare facility in mid-west Ireland

The Department of Public Health in the Mid-West is handling an E.coli outbreak at a childcare facility and is reminding the public of the danger this bacteria can pose. 

Verotoxigenic E. coli (VTec) is a powerful strain of E.coli bacterium that lives in the gut of healthy cattle and sheep and can cause serious illness in the elderly and in children aged under five. 

The Mid-West public health department said the outbreak was under control but the incidence highlights the importance of hand hygiene and proper water treatment. 

VTec can be a source of food poisoning and can cause bowel inflammation leading to bloody diarrhea and severe stomach cramps. 

A specialist in public health said Ireland had one of the highest incidence rates of VTec in Europe and that the Mid-West region has one of the highest reported rates in the country. 

It underpins the importance of hand hygiene before and after preparing food, after contact with farm animals and their environment, and effective treatment and rehabilitation of private wells. 

Best communication practices in communicating a drinking water-related public health emergency

I guess someone published this again, since the Walkerton outbreak of E. coli O157 which killed seven and sickened over 2,000 k in a town of 5,000 happened in May 2000.

I know it’s not the best writing, but I tried, and it was 20 years ago. I severed on an expert (I hate that word) committee and we wrote our report.

We live near the publicaly funded Princess Alexandria hospital in Brisbane.

A helicopter flies over our house a couple of times a day bringing some victim from the outback or the coast.

The state of Queensland is really, really big.

It reminds me of my Walkerton-resident friend and what he went through in the aftermath of the E. coli O157 outbreak in drinking water.dying being flown to the medical center in London, Ontario (that’s in Canada, like Walkerton).

I think of Jim and the victims every time a chopper goes past.

The E. coli O157:H7 waterborne outbreak in Walkerton, Ont., Canada, in May 2000, presented a clear and present danger of risk to citizens who consumed that water — at least in retrospect. More challenging though, is to know when a risk is severe enough to warrant extraordinary communications and how best to compel citizens to comply with health advisories.

Risk theory, involving assessment, management and communication, is important to underpin discussions of how regulators, industry and citizensincorporate and act on information about risks — such as the hazards posed by E. coli O157:H7 in drinking water. Today it is well accepted that the three components of risk analysis cannot be separated and are, in fact, integrated, and that communication involves the multi-directional flow of information.

Evidence from recent water-borne disease outbreaks illustrates the importance of timeliness in health related warnings.

Timeliness of message delivery is dependent on how quickly a problem is identified, and how the message is delivered. The public can passively receive information on health related risks  from the media or the utility, or actively seek out information from information sources such as the Internet, telephone hotlines or library services (Casman et al., 2000).

In determining when to go public with health advisories, health authoritiesreport that every outbreak of food- or water-borne illness must be examine dusing factors such as severity, potential impact and incubation time of the suspect pathogen. The health risk outcome of microbiological hazards to the public should be assessed, discussed and quantified among workers from diverse disciplines, including health officials, veterinarians, food processing experts, microbiologists, medical doctors, risk analysis experts, and consumer behavior experts.

Once sufficient evidence exists to issue a public health advisory, risk messages must be designed that accurately describe the risk to individuals and provide concrete steps that individuals can take to reduce the chances of risk exposure.

Further, the number of suspected or confirmed illnesses related to the particular outbreak should be included as a matter of course in any public communications. And once health advisories have been created, a variety ofmessage delivery techniques need to be employed, again depending on the severity of the hazard, the size of the impacted population and local circumstances.

For a severe and immediate hazard such as E. coli O157:H7 in drinking water, a mixture of low-to-high technology message delivery mechanisms should be employed, including door-to-door, the buddy system, the use of existing community networks such as Neighbourhood Watch, emergency hubsite information centers and even mobile megaphones, complimented by more broader mechanisms such as local media, posting information on a website, automated telephone messages, broadcast faxes, and electronic mail distribution.

However, the key to using any of these technologies effectively is to plan ahead and be prepared.  Effective planning will establish which techniques are best for the size of the community and the existing infrastucture.  No one technology can reach all members of the target audience, therefore combining delivery methods is essential.

The current state of risk management and communication research suggests that those responsible with food and water safety risk management must be actively seen to be reducing, mitigating or minimizing a particular risk. The components for managing the stigma associated with any food safety issue seem to involve all of the following factors:

  • effective and rapid surveillance systems;
  • effective communication about the nature of risk;
  • a credible, open and responsive regulatory system;
  • demonstrable efforts to reduce levels of uncertainty and risk; and,
  • evidence that actions match words.

This report has been concerned with the second point, the ability to effectively communicate about the nature of risk. E. coli O157:H7 is not regular E. coli. It is a highly virulent and dangerous pathogen that sickens tens of thousands annually in North America and kills hundreds. Each year since the 1993 Jack-in-the-Box outbreak has brought a high profile and deadly outbreak of E. coli O157:H7 from some corner of the developed world; outbreaks that receive significant media coverage and provide new insights; Australia in 1994 (involving the related E. coli O111); Scotland and Japan in 1996; a waterpark in Atlanta, Ga in 1998. While many Canadians may be unfamiliar with such outbreaks — media coverage in Canada is superficial at best, frequently focused on the hypothetical risks posed by various food-related technologies while ignoring the carnage associated with food and water-borne pathogens

Any local efforts must be supported by a national culture of awarenessregarding a risk such as E. coli O157:H7, which has been known to cause outbreaks and severe illness, and sometimes death, for almost 20 years. When compared to outbreaks and response in the U.S., it is observed that outbreaks, particularly of E. coli O157:H7 bring a sustained policy response from the highest levels of government, including the Office of the President. While there have been many private-sector initiatives in Canada to enhance the safety of the food supply, these efforts are rarely communicated or discussed by government, short of admonitions to “cook hamburger thoroughly.

If I dance, it’s poorly, but I loved it.