Dead lizard found in Irvins salted egg fish snack: Singapore

A packet of salted egg fish skin snack that contained a dead lizard was manufactured at Irvins Salted Egg’s previous premises, which ceased operations in November last year, the Agri-Food and Veterinary Authority (AVA) said.

That facility is understood to be located in Admiralty Street.

In a statement on Monday (Feb 11), the AVA said that it had completed investigations into the Singapore-based food company, after a Bangkok customer found a dead lizard coated with salted egg in a packet of the popular snack in December.

The AVA said that it had since inspected Irvins’ current premises and told the company to improve its quality control checks.

Quality control checks include conducting regular refresher training for quality control operators, sourcing ingredients from reputable suppliers and conducting regular audits.

“Irvins has made improvements in these areas, as well as stepped up inspections on the production line,” the AVA said.

The authority added that it will continue to do periodic audits and enforcement checks on the company.

The AVA urged food manufacturers to be responsible in complying with food safety standards or requirements as well as maintaining robust food safety management systems, even as it continued to carry out periodic checks.

Consumers should also adhere to good food safety practices, the AVA said in its statement.

Some good food safety guidelines for consumers include the following:

– Examine packaged food carefully. Do not buy if the packaging is damaged or open as it may contain harmful micro-organisms that could cause food poisoning.

– Keep foodstuff – such as coffee, tea, powdered milk and biscuits – in clean, air-tight containers, away from heat and moisture.

– Inspect food regularly for insect infestation, mould, and other signs of spoilage. Discard when necessary.

– Check food storage cupboards regularly to ensure that they are free from insect infestation or contamination.

– Keep cupboards meant for food storage uncluttered and clean.

I’m not sure what consumers can do about reptiles in pre-packaged foods.

Everyone has a camera: Vancouver bakery edition

The Canadian Food Inspection Agency (CFIA) has issued a recall for Betty brand and Nancy’s Fancy Yummy in the Tummy brand bakery products.

The agency says the products may be unsafe due to possible contamination from mice infestation at the manufacturing plant.

The affected products were sold in Ontario and Quebec up to and including Feb. 8, and may contain harmful bacteria.

CFIA says there have been no reports of illness linked to the products.

Evidence-based barf: Gwyneth Paltrow and Goop on new Netflix show

My friend, Timothy Caufield, a prof at the University of Alberta and author of, Is Gwyneth Paltrow Wrong about Everything? will get loads of material from this after the Goopster confirmed with ABC News that she had signed a deal with Netflix that would see 30-minute episodes of a docuseries focused on physical and spiritual wellness.

CULVER CITY, CA – JUNE 09: Gwyneth Paltrow speaks onstage at the In goop Health Summit at 3Labs on June 9, 2018 in Culver City, California. (Photo by Neilson Barnard/Getty Images for goop)

Set to air later this year, Paltrow and Goop chief content officer Elise Loehnen will co-host the show and talk to experts, doctors and researchers. The pair already have a popular podcast series.

Paltrow started the company more than 10 years ago and has been criticised for promoting products like jade eggs, that Goop alleged improved vaginal muscle tone, hormonal balance and chi, but which health practitioners warned were dangerous.

Other health practices Paltrow and Goop have promoted include vaginal steaming, bee sting facials, bio frequency stickers (to “rebalance the energy frequency in our bodies”) and earthing.

She was married to that singer from Coldplay, and they suck.

Speaks volumes.

5 sick with Salmonella from Tahini

The U.S. Food and Drug Administration is posting this information to ensure the widest possible dissemination to the public.

FDA, along with the Centers for Disease Control and Prevention (CDC), and state and local partners, is investigating a multistate outbreak of Salmonella Concord illnesses linked to tahini imported from an Israeli manufacturer, Achdut Ltd., located in Ari’el, Israel.

On November 28, 2018, in response to the on-going investigation, Soom Foods voluntarily recalled the following additional products:

12 oz. Chocolate Sweet Tahini Halva Spread 071318CH. Packed from tahini lot 18-123.

And tahini in the following sizes and types:

40 lb. Organic Tahini.

40 lb. Premium Tahini.

16 oz. Premium Tahini.

16 oz. Organic Tahini.

11 oz. Premium Tahini.

The tahini product lot codes range from 18-097 through 18-141.

Some of the above listed products were included in the original voluntary recall by Achdut Ltd. on November 27, 2018. The FDA is advising consumers not to eat recalled Achva, Achdut, Soom, S&F, and Pepperwood brand tahini and Soom brand Chocolate Sweet Tahini Halva Spread (lot code 071318CH) with expiration dates ranging from April 7, 2020 to May 21, 2020 and Baron’s brand tahini with the expiration date of May 5, 2021. The product lot codes range from 18-097 to 18-141. Consumers should discard the product or return the product to the store for a refund.

Some brands of tahini manufactured by Achdut Ltd. may lack specific dates or may have labels that are written in Hebrew. Consumers who have purchased a tahini product and are uncertain of where the product was manufactured or cannot identify the brand by lot codes or expiration dates should discard the product or return the food to the store for a refund. More product information and pictures of the recalled product labels can be found in Achdut ‘s recall announcement. View Soom Foods’ recall announcement.

Retailers and restaurants should not use any of the recalled tahini manufactured by Achdut Ltd. at their establishments. Retailers and restaurants should throw the product out. 

Firms that may have used the recalled tahini (either repacked or used as an ingredient in a food without a kill step) should consider recalling their products.

(One of the only U2 songs I like, because of the guitar and it was inspired by a Tom Robbins novel.)

Raw is risky: Drug-resistant brucellosis linked to raw milk

The U.S. Centers for Disease Control and Prevention and state health officials are investigating potential exposures to Brucella strain RB51 (RB51) in 19 states, connected to consuming raw (unpasteurized) milk from Miller’s Biodiversity Farm in Quarryville, Pennsylvania. One case of RB51 infection (brucellosis) has been confirmed in New York, and an unknown number of people may have been exposed to RB51 from drinking the milk from this farm. This type of Brucella is resistant to first-line drugs and can be difficult to diagnose because of limited testing options and the fact that early brucellosis symptoms are similar to those of more common illnesses like flu.­

The New York case is the third known instance of an infection with RB51 associated with consuming raw milk or raw milk products produced in the United States. The other two human cases occurred in October 2017 in New Jersey and in August 2017 in Texas. Those cases reported drinking raw milk from an online retailer and a Texas farm, respectively. In addition to these three confirmed cases, hundreds of others were potentially exposed to RB51 during these three incidents.

RB51 is a live, weakened strain used in a vaccine to protect cows against a more severe form of Brucella infection that can cause abortions in cows and severe illness in people. On rare occasions, cows vaccinated with RB51 vaccine can shed the bacteria in their milk. People who drink raw milk from cows that are shedding RB51 can develop brucellosis.

People who consumed raw milk or raw milk products from this dairy farm since January 2016 may have been exposed and should talk to their doctor.

People who are still within six months of the date they last consumed the raw milk are at an increased risk for brucellosis and should receive antibiotics to prevent an infection and symptoms, and should monitor their health for possible symptoms for six months. If symptoms develop, they should see their doctor immediately for testing.

Milk samples from Miller’s Biodiversity tested positive for RB51. A cow that tested positive for RB51 has been removed from the milking herd.

3 sick: Another outbreak of listeriosis likely associated with prepackaged caramel apples

On December 1, 2017, PulseNet, the U.S. Centers for Disease Control’s molecular subtyping network for foodborne disease surveillance, identified a cluster of three Listeria monocytogenes clinical isolates with indistinguishable pulsed-field gel electrophoresis (PFGE) pattern combinations. These isolates were closely related to one another by whole-genome multilocus sequence typing within three allele differences (range = 0–3 alleles), indicating that the infections were likely from the same source.

CDC, the Food and Drug Administration (FDA), and state and local health departments initiated a multistate investigation. An outbreak case of listeriosis was defined as an infection with L. monocytogenes, with an isolate that was indistinguishable by PFGE and closely related by whole-genome multilocus sequence typing to the outbreak strain isolated during October–December 2017.

The cases corresponding to the three isolates were identified in Illinois, Iowa, and Michigan. Isolation dates ranged from October 15, 2017, to October 29, 2017. Patients ranged in age from 55 to 71 years (median = 69 years), and all three patients were male. All patients were hospitalized for listeriosis; no deaths were reported. PulseNet was queried routinely for new isolate matches during the investigation, and no additional cases were identified.

Interviews were conducted with all three patients or their surrogates using the standard Listeria Initiative questionnaire (1), which asks about a variety of foods consumed in the month preceding illness onset. Grocery store receipts were collected for the patient in Michigan. Review of reported exposures indicated that all three patients had consumed prepackaged caramel apples purchased from retail establishments in the month preceding illness onset. A case-case analysis was performed comparing exposure frequencies for all food items included in the Listeria Initiative questionnaire for the three outbreak-associated cases with exposure frequencies for 186 sporadic cases of listeriosis from the same states reported to CDC since 2006. Caramel apple consumption was significantly higher among patients included in the outbreak, compared with that among patients with sporadic illnesses (odds ratio = 21.7; 95% confidence interval = 2.3–infinity). None of the interviewed patients had leftover caramel apples in their home for testing.

State and local officials collected records at two of the three retail locations where caramel apples had been purchased. All three retailers sold the same brand of caramel apples (brand A). The product was packaged in a plastic clamshell containing three caramel apples, each on a stick. Caramel apples were seasonal products that were only available for a short period in the fall at two of the retail locations. However, the retail location where the Illinois patient purchased caramel apples had the product in stock at the time of the investigation. Eight packages of caramel apples were collected for testing by the Illinois Department of Public Health, but L. monocytogenes was not detected in any samples. It was not known whether the tested caramel apples were from the same lots as those consumed by the ill persons in this outbreak.

During an inspection at the caramel apple production facility, FDA reviewed records and practices and collected environmental samples for testing. No significant food safety concerns were observed. None of the environmental swabs yielded L. monocytogenes. Environmental swabs collected at a single whole apple supplier yielded L. monocytogenes, but it was not the outbreak strain. Traceback activities did not implicate a specific lot or supplier of whole apples used in brand A caramel apple production during the period of interest.

No additional outbreak-associated illnesses were identified during the investigation. In light of the limited shelf life of the product (reported by the production facility to be 15 days), it was unlikely that caramel apples consumed by ill persons in this outbreak would have still been available for purchase or in persons’ homes at the time of the investigation. Because there was no evidence to suggest an ongoing risk to the public, no public warning was issued by federal or state agencies.

Although the outbreak strain of L. monocytogenes was not isolated from caramel apples or their production environment, the epidemiologic evidence indicated that caramel apples were the suspected vehicle in this outbreak. All outbreak-associated ill persons consumed a specific brand of a relatively uncommon food product in the month before their illness onset, and all were infected with indistinguishable L. monocytogenes strains. Caramel apples were previously implicated in a large multistate outbreak of listeriosis during 2014–2015, caused by contamination of whole apples (2). Ready-to-eat food processors, including those that make caramel apples, could consider the introduction and persistence of L. monocytogenes in food production environments as a potential hazard and mitigate that risk through appropriate environmental monitoring and preventive controls (3). Further research into the control of L. monocytogenes in fresh produce, including fresh apples, might help identify prevention strategies to reduce or eliminate the pathogen in some ready-to-eat foods.

 

Notes from the field: Outbreak of listeriosis likely associated with prepackaged caramel apples

25.jan.19

CDC

Jessica R. Marus, MPH1; Sally Bidol, MPH2; Shana M. Altman3; Oluwakemi Oni, MPH4; Nicole Parker-Strobe, MPH2; Mark Otto, MSPH5; Evelyn Pereira, MPH5; Annemarie Buchholz, PhD5; Jasmine Huffman1,6; Amanda R. Conrad, MPH1; Matthew E. Wise, PhD1 

https://www.cdc.gov/mmwr/volumes/68/wr/mm6803a5.htm

1Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC; 2Michigan Department of Health and Human Services; 3Illinois Department of Public Health; 4Iowa Department of Public Health; 5Food and Drug Administration, Silver Spring, Maryland; 6Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee.

All authors have completed and submitted the ICMJE form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Healthcare types: Contrary to what you’ve been taught, use social media

Joshua Mansour, M.D., a board-certified hematologist and oncologist in Stanford, California doing work in the field of  hematopoietic stem cell transplantation and cellular immunotherapy (left, exactly as shown), writes in this contributed piece, from the beginning of medical school, one of the first things instructional videos that we had to watch during orientation was about social media and what not to do.  There began this stigma and it was frowned upon to use social media if you were a healthcare provider. 

There are the obvious things that physicians should not do, such as post private information about patients, show a patient’s face without their permission, or exploit medically sensitive information.  But no one tells you what you can do and possibly what you actually should do. 

There is a new wave that has now taken over that we as a healthcare community and a community as a whole should support, especially if it is meant to help others. Most recently I have approached social media in a different way and gone out to explore what is available as a tool to help others.  What I’m finding has been mind-blowing and I am very excited to see where it continues to progress in the future. 

People are sharing their journeys, inspiring others, raising awareness.  There is a whole community of individuals working as a team to help others.  It is incredibly inspiring. 

Before recently I had thought of social media as being full of people only posting pictures of fun trips or nights out, throwing out their opinions out into the open for people to see.  We now have social impact movements, live videos with question and answers for students, people showing their tough times and how they are overcoming them.  People are reaching out to others for encouragement, collaborations, and progress. Using it to spread the message.  With the busy days of many healthcare professionals, it is difficult for them to find the time to engage with social media and with others.  There are many healthcare providers that are making an impact and finding the time to do it.  

What we need to start teaching in medical school and in other schools in not only what not to do on social media, but how to use social media in a positive light.  This is something that is happening and only continuing to grow.  It is time to get on board but shine the light in a positive manner.  Teach students from early what to do instead of only what not to do.  You never know they may be able to influence people in a way like never before. 

Recently I have recently been able to connect with others across the world and learn new things about medicine and how it is practiced in those locations.  This will help me evolve as a physician as well and has helped my patients. 

You see a cute bird, I see a Campylobacter factory: In Finland too

The roles of environmental reservoirs, including wild birds, in the
molecular epidemiology of Campylobacter jejuni have not been assessed in
depth.

Our results showed that game birds may pose a risk for acquiring
campylobacteriosis, because they had C. jejuni genomotypes highly similar
to human isolates detected previously. Therefore, hygienic measures during
slaughter and meat handling warrant special attention. On the contrary, a
unique phylogeny was revealed for the western jackdaw (right) isolates, and certain
genomic characteristics identified among these isolates are hypothesized to
affect their host specificity and virulence.

Comparative genomics within sequence types (STs), using whole-genome multilocus sequence typing (wgMLST), and phylogenomics are efficient methods to analyze the genomic relationships of C. jejuni isolates.

 Population Genetics and Characterization of Campylobacter jejuni Isolates
 from Western Jackdaws and Game Birds in Finland
 Sara Kovanen, Mirko Rossi, Mari Pohja-Mykrä, Timo Nieminen, Mirja
 Raunio-Saarnisto, Mikaela Sauvala, Maria Fredriksson-Ahomaa, Marja-Liisa
 Hänninen and Rauni Kivistö

 Appl. Environ. Microbiol. February 2019 85:e02365-18; Accepted manuscript
 posted online 14 December 2018, doi:10.1128/AEM.02365-18

 http://aem.asm.org/content/85/4/e02365-18.abstract?etoc

Predicting zoonotic Salmonella from livestock

Increasingly, routine surveillance and monitoring of foodborne pathogens using whole-genome sequencing is creating opportunities to study foodborne illness epidemiology beyond routine outbreak investigations and case–control studies.

Using a global phylogeny of Salmonella entericaserotype Typhimurium, we found that major livestock sources of the pathogen in the United States can be predicted through whole-genome sequencing data. Relatively steady rates of sequence divergence in livestock lineages enabled the inference of their recent origins. Elevated accumulation of lineage-specific pseudogenes after divergence from generalist populations and possible metabolic acclimation in a representative swine isolate indicates possible emergence of host adaptation.

We developed and retrospectively applied a machine learning Random Forest classifier for genomic source prediction of Salmonella Typhimurium that correctly attributed 7 of 8 major zoonotic outbreaks in the United States during 1998–2013. We further identified 50 key genetic features that were sufficient for robust livestock source prediction.

Zoonotic source attribution of Salmonella Enterica serotype typhimurium using genomic surveillance data, United States

January 2019

Emerging Infectious Diseases vol. 25 no. 1

Shaokang Zhang, Shaoting Li, Weidong Gu, Henk den Bakker, Dave Boxrud, Angie Taylor, Chandler Roe, Elizabeth Driebe, David M. Engelthaler, Marc Allard, Eric Brown, Patrick McDermott, Shaohua Zhao, Beau B. Bruce, Eija Trees, Patricia I. Fields, and Xiangyu Deng 

https://wwwnc.cdc.gov/eid/article/25/1/18-0835_article

 

How Henry Heinz used ketchup to improve food safety

Deborah Blum, one of my favorite writers, writes in National Geographic that ketchup—that cheerful red sauce sold in handy glass bottles—first came on the American market in the 19th century. But its ingredients were shockingly different than they are today.

Food advocates complained that the sauce was frequently made from tomato scraps thickened with ground pumpkin rinds, apple pomace (the skin, pulp, seeds, and stems left after the fruit was pressed for juice), or cornstarch, and dyed a deceptive red. One French cookbook author described the ketchup sold in markets as “filthy, decomposed and putrid.”

By the late 19th century, it would become less putrid, as manufacturers added chemical preservatives to slow decomposition in the bottle. But the real change—the invention of modern ketchup—occurred in the 20th century, and it’s a story of both politics and personality. It begins with an unlikely alliance between one of the country’s richest food manufacturers, Henry J. Heinz, and an underpaid federal chemist. The two men bonded over a mutual belief that unsafe and untrustworthy food was a growing national problem.

Harvey Washington Wiley’s position on the matter surprised no one. As chief of the U.S. Department of Agriculture’s chemistry bureau, Wiley had been pushing for food safety standards since the 1880s. At that time, his tiny department was the only federal division responsible for the country’s food quality. His chemists had exposed both widespread fraud—from gypsum in flour to brick dust in cinnamon—and a dismayingly reckless use of untested preservatives, ranging from formaldehyde to borax.

Heinz’s stance was a shock, especially to his fellow industrialists. He refused to fall in line with other US corporations, which were mostly moving to block any effort to establish food and drink standards. And to understand that, we need to take a look at the man himself as well as the successful businessman.

He was born in 1844 in Pittsburgh, the son of German immigrant parents. His parents, John and Anna Margaretha, were devout Lutherans; their children—Henry was the oldest of eight—were educated at a Lutheran school. Their mother insisted they live by Christian principles: “Do all the good you can. Do not live for yourself,” was one of her favourite sayings. It was also expected that the children would work hard and make a good living. That went without saying.

As a child Henry sold extra vegetables from the family’s kitchen garden to neighbours; by age ten he had his own garden and carried produce by wagon to local grocers. By the time he was a teen, he was delivering produce to the grocers by horse cart and also selling prepared horseradish in small glass jars. Many commercial varieties were sold then in coloured glass—sometimes for decorative purposes, sometimes because it obscured the contents. Young Heinz deliberately used clear glass so that customers could see the horseradish inside. By 1888, at age 44, he had his own food manufacturing business, the H.J. Heinz Company, and from there he never looked back.

Heinz’s company made some 60 products in 1896—and that would rise to 200 by the turn of the century. The company still offered horseradish but also pickles, ketchup, vinegars, chilli sauces, tomato sauce, mincemeat, fruit butters, baked beans, preserved cherries, mustard dressings, currant jelly, pineapple preserves, an assortment of mustards, canned pastas. Heinz was a master promoter—the company used everything from lighted billboards to painted wagons to displays at World Fairs to advertise its products.

But Heinz also believed that for promotion to succeed, the product itself had to be good, the manufacturer trustworthy. He allowed public tours of his Pittsburgh factory so that people could admire its cleanliness and well-treated workers. He built greenhouses to experiment with the best varieties of fruits and vegetables. He continued to use clear glass, rather than coloured, for his products. For his ketchup, he created one with an eight-sided base so customers could study the sauce from many angles.

And it was ketchup itself that would inspire him to go even further. …

In June 1906 the first two pieces of major consumer protection legislation in the United States—the Meat Inspection Act and the Pure Food and Drug Act—became law, laying the foundation for federal safety regulations.

And H.J. Heinz’s new, preservative-free ketchup was ready to go. As the company’s advertising campaign proclaimed, it was “recognised as the standard by Government pure food authorities.” It was also the new model for American ketchup—a thick mixture of politics, personality, a 20th-century acceptance that food safety matters, and of course, tomatoes.

Pulitzer Prize-winning journalist Deborah Blum is director of the Knight Science Journalism Program at MIT. Her books include The Monkey Wars and her latest, The Poison Squad.