255 sick from same Salmonella in American beef and Mexican soft cheese

What is already known about this topic?

Decreased susceptibility to azithromycin is rare among Salmonella serotypes that cause human infections in the United States. If antibiotic treatment is indicated, azithromycin is recommended as an oral therapy.

What is added by this report?

During June 2018–March 2019, an outbreak caused by multidrug-resistant Salmonella Newport with decreased susceptibility to azithromycin led to 255 infections and 60 hospitalizations. Infections were linked to Mexican-style soft cheese obtained in Mexico and beef obtained in the United States.

What are the implications for public health practice?

Whole genome sequencing can be used in Salmonella outbreak investigations for rapid prediction of antimicrobial resistance and can link cases to each other and to possible sources of infection.

Outbreak of salmonella Newport infections with decreased susceptibility to azithromycin linked to beef obtained in the United States and soft cheese obtained in Mexico—United States 2018-2019

23.aug.19

CDC

https://www.cdc.gov/mmwr/volumes/68/wr/mm6833a1.htm?s_cid=mm6833a1_e&deliveryName=USCDC_921-DM7382

175 now sick with Listeria in Spanish outbreak

Jack Guy of CNN reports Spain’s health ministry has issued an international health warning over a listeria outbreak that has infected 175 people.

The bacteria was detected in a processed meat product manufactured in the city of Seville, in the southern region of Andalucia, according to an alert published Tuesday.

“My priority is to avoid the spread of the outbreak,” said Spain’s acting health minister María Luisa Carcedo, in a video watched by CNN. 

The country has informed the World Health Organization (WHO) and the European Commission about the outbreak. 

It comes during peak tourist season in Spain, with Andalucia a popular destination among visitors.

Fifty people remained in hospital Wednesday, 23 of whom were pregnant women, according to Reuters.

Inspector fraud: New York health department worker sentenced for falsifying food safety inspections

Erie County District Attorney John J. Flynn announced that 49-year-old Timothy Bean of Hamburg has been sentenced by Erie County Court Judge Kenneth Case to 3 years of probation. As part of his sentence, he must perform 200 hours of community service.

The defendant admitted that he falsified food safety reports while working as a Public Health Sanitarian for the Erie County Department of Health between November 16, 2018 through December 14, 2018.

Bean pleaded guilty to 14 counts of Official Misconduct, Class “A” misdemeanors, on June 4, 2019.

Food fraud: Gel-injected shrimp from China

Ms. Yang in the southern China port city of Guangzhou bought six high priced giant tiger prawns in October—she was happy with the purchase until she found gel inside the heads of the prawns.

Juliet Song of NTD writes that such gel, the presence of which is not typically detectable upon superficial inspection, is injected some time between when the shrimp are caught and when they’re sold, in order to add weight and thus earn a greater profit. Shrimp sold live have not been injected, because the injection would kill the shrimp.

Chinese food authorities have not been particularly active in pursuing the cases brought to their attention, according to interviews and news reports, and there is not even a consensus at which point in the production line the operation takes place.

China is the third-largest exporter of seafood to the United States, and it also exports significant amounts of shrimp and catfish, representing 2 of the 10 most consumed seafood products in the country. Nearly $150 million worth of shrimp were imported from China between January and October 2015, according to data by the U.S. Census Bureau.

The problem of adulterated shrimp has persisted for over a decade, despite new cases regularly reported in the Chinese press. Some of the first well-publicized cases of the gel-injected shrimp appeared in 2005, the same year in which the municipal government of Tianjin launched a strike-hard campaign against shrimp injectors. The report, which referred to the campaign gave no details about how many were arrested, or whether the shrimp adulteration rings were broken.

It is unclear how much, or if any of the gel-injected shrimp make their way to these shores, but food safety experts said there is reason to be concerned. The Food and Drug Administration issued an import alert on Dec. 11, 2015, about the “presence of new animals drugs and/or unsafe food additives” from seafood imported in China, including shrimp.

Wu Wenhui, a professor at Shanghai Ocean University, said in an interview in the Chinese press that customers should be wary about industrial gel ending up in shrimp, given that it’s cheaper than the edible version. “Industrial gel is used for furniture, print, and contains many heavy metals such as lead and mercury, which harms the liver and blood, and is even carcinogenic.”

But the act of injection is itself potentially unsafe.

“Even if what was injected was edible gel, which may not itself be harmful, who can guarantee that the process is aseptic?” said Liu Huiping, a member of the executive council of the Tianjin aquatic products association, in an interview with the Beijing News.

 

Scientists warn too much flaxseed could cause cyanide poisoning

Scientists are warning that eating too much flaxseed could cause cyanide poisoning.

Also known as linseed, it is rich in fibre, omega-3 fatty acids and micronutrients, and in the current trend is added to breakfast cereal or blended into smoothies.

But the seeds also contain a naturally occurring compound called amygdalin, a type of ‘cyanogenic glycoside’ that can produce cyanide gas as it degrades.

Scientists are warning that eating too much ground flaxseed could cause cyanide poisoning and adults could end up ill if they consume just three teaspoons of it in one sitting

Stephen Adams of the Daily Mail reports more cyanide is released if the flaxseed has been ground – a form in which it is commonly sold, as the seeds themselves are quite hard.

Now scientists at the European Food Safety Authority (EFSA) have published a report warning that eating as little as a third of a teaspoon of ground flaxseed can be dangerous for a small child.

Adults could end up ill if they consume just three teaspoons of it at one sitting. Signs of cyanide poisoning include headache, confusion, agitation, irregular heart beat and trouble breathing. In severe cases, it can be lethal.

Long-term damage including neurological problems can result from repeated exposure.

80 sick: Listeria outbreak in Spain

Charlie Smith of The Olive Press reports 80 people have now contracted listeria in Andalucia, 15 of whom are pregnant.

The disease, which can be fatal, has hospitalised 56 of those who have been infected, according to the Junta de Andalucia.

Several of those infected are believed to have eaten the meat products of the Sevilla-based pork firm Magrudis.

The company’s star product, its meatloaf, called ‘Mecha’ has been widely cited by Spanish media as the source of the spread of Listeria monocytogenes bacteria.

The family-run business, which launched in 2013, ceased production on August 15, while a spokesperson said: “I’m very sorry, from now on we are not going to make any more statements about it.”

It comes after the company admitted that over 2,000 packs of its meat products were infected with the bacteria.

Most hospitalised patients are in Sevilla, with 43 recorded so far in the Andalucian capital.

Piping hot: Publication of year 4 Campylobacter retail chicken survey

The Food Standards Agency (FSA) has published the Year 4 report for the UK retail chicken survey which took place between August 2017 and July 2018. Samples were collected every quarter but after the first quarter only minor retailers were tested. The UK’s top nine retailers have carried out their own sampling since September 2017.

The report found that high level campylobacter contamination in UK chickens has decreased considerably, but remains high in smaller retailers, independents and butchers.

Rebecca Sudworth, Director of Policy at the Food Standards Agency, said:

“Retailers have achieved significant reductions in levels of campylobacter contamination since the retail chicken survey began in 2014. The FSA will continue to engage with industry and particularly smaller retailers, butchers and independents to build on this progress.” …

Make sure chicken is cooked thoroughly and steaming hot all the way through before serving. Cut into the thickest part of the meat and check that it is steaming hot with no pink meat and that the juices run clear.

Use a tip-sensitive digital thermometer and stick it in.

7 sick in Canada: Listeria infections linked to Rosemount brand cooked diced chicken

As of August 18, 2019, there have been 7 confirmed cases of Listeria monocytogenes linked to Rosemount brand cooked diced chicken in British Columbia (1), Manitoba (1) and Ontario (5). Individuals became sick between November 2017 and June 2019. Six individuals have been hospitalized. Individuals who became ill are between 51 and 97 years of age. The majority of cases (86%) are female.

The collaborative outbreak investigation was initiated because of an increase of Listeria illnesses that were reported in June 2019. Through the use of whole genome sequencing, two Listeria illnesses from November 2017 were identified to have the same genetic strain as the illnesses that occurred between April and June 2019.

It is possible that more recent illnesses may be reported in the outbreak because of the delay between when a person becomes ill and when the illness is reported to public health officials. In national Listeria monocytogenes outbreak investigations, the case reporting delay is usually between 4 and 6 weeks.

If you have Rosemount brand cooked diced chicken meat 13mm – ½” (#16305), packdate – 01/21/2019 in your food establishment, do not eat the product or serve it to others

Secure the product and any foods made with the product in a plastic bag, throw it out and wash your hands with soapy water.

What a difference a grade makes

When I was about 10 or 11, playing goal in AAA hockey, I used to vomit before games I knew I was starting, Gump Worsley style.

There was this one time in a 3rd year cell biology class about a century ago, that I totally choked on an exam.

Guess I should have guessed I had anxiety issues back then.

I went to the prof the next day and she let me retake the exam and I aced it.

That’s the thing I’ve learned about anxiety, which is like playing goalie in ice hockey: sometimes you’re good, sometimes not so much (ya let in a goal, gotta get over it and keep your mind in the game).

Amy and I have a lot of shared values, but I can see that my anxiety is causing issues.

She’s going to a conference in the U.S. for a couple of weeks with the kid, and I’m going to a new rehab place (if what you’re doing ain’t working, try something different) with my trusted psychiatrist, beginning last Monday. It gives Amy some peace.

For at least three weeks.

I may write a little.

I may write a lot.

I’ve learned not to make predictions.

Can governments use grades to induce businesses to improve their compliance with regulations? Does public disclosure of compliance with food safety regulations matter for restaurants? Ultimately, this depends on whether grades matter for the bottom line.

Based on 28 months of data on more than 15,000 restaurants in New York City, this article explores the impact of public restaurant grades on economic activity and public resources using rigorous panel data methods, including fixed‐effects models with controls for underlying food safety compliance.

Results show that A grades reduce the probability of restaurant closure and increase revenues while increasing sales taxes remitted and decreasing fines relative to B grades. Conversely, C grades increase the probability of restaurant closure and decrease revenues while decreasing sales taxes remitted relative to B grades. These findings suggest that policy makers can incorporate public information into regulations to more strongly incentivize compliance.

Wiley Online Library

Michah W. Rothbart, Amy Ellen Schwartz, Thad D. Calabrese, Zachary Papper, Todor Mijanovich, Rachel Meltzer, Diana Silver

https://doi.org/10.1111/puar.13091

https://onlinelibrary.wiley.com/doi/abs/10.1111/puar.13091

50 sick: Norovirus the cause of Shropshire-area hotel illness outbreak

There’s about six new Norovirus outbreaks reported every day, but I choose this one today because I have a friend who lives in Shropshire, UK.

Deborah Hardiman of the Shropshire Star writes provisional tests carried out by Public Health England have confirmed that the group who attended the Buckatree Hall Hotel near Wellington on August 7 were struck down by the sickness bug norovirus, which was unlikely to have been spread by hotel staff.

This means that the illness that causes sickness had been spread by someone carrying the viral infection.

PHE said it was “unlikely that this is a member of staff at the hotel” due to no other reports among other guests who ate the same food falling ill.

Ann Fleming, Public Health England regional spokesperson, said: “We have just received confirmation that the samples from our laboratories have tested positive for norovirus.

“No other organisms has been detected so far.

“All the food samples have tested negative.

“There are no reports of illness in guests outside of the wedding party.”