It was the waitress; 23 sick with Norovirus at Minn. Lion’s Club

A recently ill waitress was the likely source that caused about two dozen people to get sick after eating at a Nisswa Lion’s Club meeting, the Minnesota Department of Health (MDH) found.

brainerdThe March 24 Lion’s club meeting was held at the Nisswa Community Center, but was catered by Red, White and Blue Catering, which operates from the Nisswa American Legion.

An investigation by MDH showed that 23 people became ill with vomiting and diarrhea after the dinner meeting.

The symptoms of the illness lasted between seven to 115 hours for those affected, the department of health found. Other symptoms included cramps, fever and bloody stools.

Two people sought medical attention at a clinic and one was seen at an emergency room. No one was hospitalized.

Dan Bridge, owner of Red, White and Blue Catering, the waitress’ employer, said the incident is the first in the three decades he’s been operating the business.

“We try to do all we can to keep it from happening,” he said. “And it never does, except for this. It’s unfortunate. It just happened.”

Disappointed by the incident, Bridge says something like this “takes fun out of cooking.”

In MDH’s investigation, health officials determined that 23 people were sick, not the original six that first reported symptoms.

At the Lion’s club meeting, 35 people ate the buffet-style meal, which included pork chops, lettuce salad, potato salad, calico beans, rolls, butter and brownies.

But “no food item was significantly associated with illness,” the MDH said.

The waitress reported being sick with vomiting and diarrhea on March 19 and recovered on March 20.

She returned to work on March 21, where she plated salads and specials for the restaurant. On March 24, she prepared the salad for the Lion’s Club event.

The waitress tested positive for norovirus GII, the MHD said.

‘You just feel like you’re dying’ Food handlers cause 70% of norovirus outbreaks

Sunday has become hockey day.

It’s winter in Brisbane, and the locals are wearing parkas and Uggs as daytime temperatures struggle to climb above 80F.

doug.sorenne.hockey.apr.14On Sunday June 25, I was getting ready to take 5-year-old daughter Sorenne to weekly hockey practice when I promptly barfed after breakfast.

“But I’m the coach, I have to go.”

Amy the wife said, how can you preach that food workers shouldn’t show up to work sick when you won’t do it yourself?

She was right.

I stayed home.

The ice hockey world didn’t end (and I went and awesomely coached three hours of practice and games the next Sunday).

I realize the limitations when I, or the U.S Centers for Disease Control, tell the world, sick workers shouldn’t work. Economics and pride get in the way.

Liz Szabo writes in today’s USA Today that norovirus, the USA’s leading cause of foodborne illness, has become known as the “cruise ship virus” for causing mass outbreaks of food poisoning – and misery – on the high seas. Yet only about 1% of all reported norovirus outbreaks occur on cruise ships.

It might be more accurate to call it the “salad bar virus,” and not because customers are sneezing on the croutons.

But food handlers, such as cooks and waiters, cause about 70% of norovirus outbreaks related to contaminated food, mostly through touching “ready to eat” foods – such as sandwiches or raw fruit – with their bare hands, according to a new report from Centers for Disease Control and Prevention. More than 90% of contamination occurred during food preparation, and 75% of food involved in outbreaks was consumed raw.

Business practices in the food industry may contribute to the problem.

One in five restaurant workers admits having reported to work while sick with diarrhea and vomiting – the two main symptoms of norovirus – within the past year, the CDC says.

About 20 million Americans are sickened with norovirus every year, with a total of 48 million suffering food poisoning from all causes. The highly contagious family of viruses also causes up to 1.9 million doctor visits; 400,000 emergency room visits; up to 71,000 hospitalizations; and up to 800 deaths, mostly in young children or the elderly. Infections cost the country $777 million in health care costs.

norovirus-2Norovirus is wildly contagious.

As few as 18 viral particles can make people sick. In other words, a speck of viruses small enough to fit on the head of pin is potent enough to infect more than 1,000 people, according to the CDC report, released Tuesday. The virus can spread rapidly in close quarters, as well, such as dormitories, military barracks and nursing homes.

“Norovirus is one tough bug,” said CDC director Thomas Frieden.

Norovirus can make people violently ill so quickly that they don’t have time to reach a bathroom, says Doug Powell, a food safety expert in Brisbane, Australia, and author of barfblog.com. People who get sick in public often expose many others. Norovirus also can live on surfaces, such as countertops and serving utensils, for up to two weeks (I’m told it’s up to six weeks, which is why I always refer journalists to others more knowledgable about certain topics instead of talking out of my ass).

Norovirus is also the Terminator of germs — very tough to kill. Alcohol-based hand sanitizers don’t work very well, says Lee-Ann Jaykus, a professor of food science at North Carolina State University. That makes frequent handwashing important.

But even cooking may not kill noroviruses, which can survive the freezer and cooking temperatures above 140 degrees, the CDC says.

CDC recommends that restaurants offer paid sick leave and require food workers to stay home when sick, remaining out of work for at least 48 hours after symptoms cease. Restaurants should train their staffs well and have on-call workers who can fill in for sick co-workers. Lastly, restaurants should require food handlers to use disposable gloves and wash their hands frequently.

That may be easier said than done, says Powell, who notes that few restaurant workers today get paid sick leave. Many earn minimum wage and can’t afford to miss work. Others fear being fired if they call in sick.

Some restaurants are doing more than others, Jaykus says. “The large retailers are well-aware (of norovirus) and working very hard,” Jaykus says. “Smaller restaurants have, of course, fewer resources.”

The only good news about norovirus?

Scientists are working on a vaccine, although it’s in early stage.

And norovirus is less serious than other foodborne germs, such as salmonella, E. coli and listeria, all of which have led to recalls of fresh and frozen produce in recent years, Powell says. Although norovirus can sicken people for two to three days, it’s not usually fatal.

“You just feel like you’re dying,” Powell says.

The full CDC report is available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm63e0603a1.htm?s_cid=mm63e0603a1_e.

norovirus.prevention.fda.14

Pennsylvania funeral director dismayed by court ruling reinstating food ban

“I drove down your road

to Hazeldean where I tasted

greasy.jungle.hipyour funeral home’s sandwiches and coffee

I saw your hands melt into one another

I saw you grieve and grow

care a lot about one another”

Greasy Jungle, 1994, Tragically Hip

A federal judge has ordered no more food service at Pennsylvania funeral homes.

The food ban at Pennsylvania funeral homes was instituted in 1952 out of food safety concerns.  Then, in 2012, a federal judge deemed the earlier ruling unconstitutional.

Now, a federal appeals court has reversed the reversal, once again banning food at funeral homes in the commonwealth.

Chad Snyder, director of Charles F. Snyder Funeral Home in Lancaster, Pa. says he’s baffled and  disappointed by the ruling.

“There are many other places that would come to the conclusion of health hazards,” he said today.  “I mean, retirement communities, hospitals — they also provide food service.”

He says it was an ancillary service that gave comfort to families.

Restaurant food safety in US

There’s a lot of talking in the four papers about restaurant food safety sponsored by the U.S Centers for Disease Control in the latest issue of the Journal of Food Protection, but not a lot of solutions.

Doug Powell 007 Policies need to be developed and workers trained.

Uh-huh.

We’ve developed on-farm food safety programs for fresh produce when it wasn’t fashionable; we’ve examined whether worker training strategies work; we’ve developed training tools like food safety infosheets, we’ve watched a lot of video.

These findings indicate that restaurant chicken preparation and cooking practices and manager food safety knowledge need improvement. “

Some useful research would be, how best to improve restaurant practices?

But they don’t talk about how to inform; transmission of shiga toxin-producing E. coli O104:H4 at a family party possibly due to contamination by a food handler, Germany 2011

When academics or politicians or pretty much anybody is lost on an issue, they usually say, we need to educate people about this very important issue.

We’ve done research and found the education model don’t work so well. More importantly is how to inform people so they actually give a shit (instead communicationof putting shit, on food).

Some German researchers investigated a cluster of shiga toxin-producing Escherichia coli (STEC) O104:H4 infections after a family party during a large STEC O104:H4 outbreak in Germany and report their findings in Epidemiology and Infection.

To identify the vehicle we conducted a retrospective cohort study. Stool samples of party guests, and food and environmental samples from the catering company were tested for STEC. We defined cases as party guests with gastrointestinal symptoms and laboratory-confirmed STEC infection. We found 23 cases among 71 guests. By multivariable analysis consumption of salmon [odds ratio (OR) 15, 95% confidence interval (CI) 2·3–97], herb cream (OR 6·5, 95% CI 1·3–33) and bean salad (OR 6·1, 95% CI 1·4–26) were associated with STEC infection. STEC O104:H4 was detected in samples of bell pepper and salmon. The food handler developed STEC infection. Our results point towards transmission via several food items contaminated by a food handler. We recommend regular education of food handlers emphasizing their role in transmitting infectious diseases.

Daughters, whatever you post on social media stays somewhere; Taco Bell investigating taco-licking photo

Hours after many Consumerist readers woke up to the photo of a Taco Bell employee rubbing his tongue across a stack of taco shells, the fast food chain has released a statement regarding the caught-on-camera incident.

In a statement to Consumerist, a rep for the Bell writes:

Nothing is more important than the safety of our customers and team members, and we have strict food handling procedures and zero tolerance for taco-bell-lickingany violations. When we learned of the situation we immediately contacted this restaurant’s leadership and although we believe it is a prank and the food was not served to customers, we are conducting a full-scale investigation and will be taking swift action against those involved.

In the comments on the photo posted to the Taco Bell Facebook page, some are defending the employee in the photo, with one person saying he knows the employee and “I know that he is not dumb enough to lick a stack of taco shells and then serve them to the public… There is a 99% chance that that stack of Tacos was getting thrown out, as in: getting thrown away, so it’s not as if they were going to be served to anyone.”

Another woman claims to be the photographer of the image, writing — in all caps so you know she’s serious — “we weren’t even in the food area! If you can see in the back it’s the soda machines!…You’re opinion doesn’t even matter because this happened a long time ago! Dammit!”

 

Compel, not educate; E. coli O104:H4 spread at a family party possibly due to contamination by a food handler, Germany 2011

Primarily German researchers investigated a cluster of shiga toxin-producing Escherichia coli (STEC) O104:H4 infections after a family party during a large STEC O104:H4 outbreak in Germany. To identify the vehicle we conducted a retrospective cohort study. Stool samples of party guests, and food and environmental samples from the catering company were tested for STEC. We defined cases as party guests with gastrointestinal symptoms and restaurant_food_crap_garbage_10laboratory-confirmed STEC infection. We found 23 cases among 71 guests. By multivariable analysis consumption of salmon [odds ratio (OR) 15, 95% confidence interval (CI) 2·3–97], herb cream (OR 6·5, 95% CI 1·3–33) and bean salad (OR 6·1, 95% CI 1·4–26) were associated with STEC infection. STEC O104:H4 was detected in samples of bell pepper and salmon. The food handler developed STEC infection. Our results point towards transmission via several food items contaminated by a food handler. We recommend regular education of food handlers emphasizing their role in transmitting infectious diseases.

Epidemiology and Infection / FirstView Article, pp 1-8

M. Diercke, M. Kirchner, K. Claussen, E. Mayr, I. Strotmann, J. Frangenberg, A. Schiffmann, G. Bettge-Weller, M. Arvand and H. Uphoff

Vomit samples, nail scrapings tracks down S. aureus outbreak at Barcelona sports club

Solano et al. report in Food Control that an outbreak of acute gastroenteritis due to staphylococcal food poisoning occurred in July 2011 at a summer school held by a sports club in Barcelona (Catalonia, Spain). Of the 42 cases involved, 20 were hospitalised. To identify the outbreak source, a retrospective cohort study was performed on the group at risk, which soccer.barf.mar.13included 73 summer school students and 18 staff members. Food exposure at the sports club restaurant was identified as the most relevant common link among the study cohort.

Although the preliminary microbiological investigation suggested that enterotoxigenic Staphylococcus aureus (S. aureus) infections were the possible source, enterotoxin types A and D were identified, quantified and confirmed in the different biological samples collected. A descriptive, in-depth epidemiological and clinical investigation subsequently pointed to food intoxication rather than bacterial infection as being the cause of the outbreak. Molecular investigation of the strain isolates, using pulsed-field gel electrophoresis typing, revealed that all eight strains of S. aureus had the same profile and spa type (t008).

Samples of the incriminated foods, i.e., boiled macaroni, tuna and fresh tomatoes, specimens of vomit of those affected, and bilateral fingernail scrapings and nasal swabs of food handlers were shown to be the common source of transmission of the contamination. Following the outbreak, appropriate hygiene and control measures could be implemented to prevent any recurrence.

Food Control

Volume 33, Issue 1, September 2013, Pages 114–118

Blade-tenderized rib-eye in restaurants may present public health risk; better cooking protocols required

Fate of Escherichia coli O157:H7 in mechanically tenderized beef prime rib following searing, cooking, and holding under commercial conditions

Journal of Food Protection®, Number 3, March 2013, pp. 376-551 , pp. blade.tenderize.prime.rib405-412(8)

Porto-Fett, Anna C.S.; Shoyer, Bradley A.; Thippareddi, Harshavardhan; Luchansky, John B.

Abstract:

We evaluated the effect of commercial times and temperatures for searing, cooking, and holding on the destruction of Escherichia coli O157:H7 (ECOH) within mechanically tenderized prime rib. Boneless beef ribeye was inoculated on the fat side with ca. 5.7 log CFU/g of a five-strain cocktail of ECOH and then passed once through a mechanical tenderizer with the fat side facing upward. The inoculated and tenderized prime rib was seared by broiling at 260°C for 15 min in a conventional oven and then cooked in a commercial convection oven at 121.1°C to internal temperatures of 37.8, 48.9, 60.0, and 71.1°C before being placed in a commercial holding oven maintained at 60.0°C for up to 8 h. After searing, ECOH levels decreased by ca. 1.0 log CFU/g. Following cooking to internal temperatures of 37.8 to 71.1°C, pathogen levels decreased by an additional ca. 2.7 to 4.0 log CFU/g. After cooking to 37.8, 48.9, or 60.0°C and then warm holding at 60.0°C for 2 h, pathogen levels increased by ca. 0.2 to 0.7 log CFU/g. However, for prime rib cooked to 37.8°C, pathogen levels remained relatively unchanged over the next 6 h of warm holding, whereas for those cooked to 48.9 or 60.0°C pathogen levels decreased by ca. 0.3 to 0.7 log CFU/g over the next 6 h of warm holding. In contrast, after cooking prime rib to 71.1°C and holding for up to 8 h at 60.0°C, ECOH levels decreased by an additional ca. 0.5 log CFU/g. Our results demonstrated that to achieve a 5.0-log reduction of ECOH in blade tenderized prime rib, it would be necessary to sear at 260°C for 15 min, cook prime rib to internal temperatures of 48.9, 60.0, or 71.1°C, and then hold at 60.0°C for at least 8 h.

250 sick with Salmonella linked to Newcastle food festival

According to the U.K. Health Protection Agency, the number of people who have reported suffering from symptoms including diarrhea and abdominal pain after attending the Street Spice festival has reached 250, with eight testing positive for salmonella.

This is the result of tests carried out by a multi-agency team in conjunction with the City Council’s Environmental Health officers and the Health imagesProtection Agency.

Environmental health officers are continuing to investigate and are talking to businesses and suppliers to try to identify the source of the outbreak.

The results of further tests will be known next week.

It is estimated that 12,000 people from across the region attended the event, which took place in Times Square between 28 February and 2 March.

Anyone who attended the event, whether they have been ill or not, are being advised to complete a confidential online questionnaire, available at http://tinyurl.com/streetspice.

Temporary food events bring their own food safety challenges. We have experience with this.

Investigating the potential benefits of on-site food safety training for Folklorama, a temporary food service event

06.oct.12

Journal of Food Protection®, Volume 75, Number 10, October 2012 , pp. 1829-1834(6)

Mancini, Roberto; Murray, Leigh; Chapman, Benjamin J.; Powell, Douglas A.

http://www.ingentaconnect.com/content/iafp/jfp/2012/00000075/00000010/art00014

Abstract:

Folklorama in Winnipeg, Manitoba, Canada, is a 14-day temporary food service event that explores the many different cultural realms of food, food preparation, and entertainment. In 2010, the Russian pavilion at Folklorama was implicated in a foodborne outbreak of Escherichia coli O157 that caused 37 illnesses and 18 hospitalizations. The ethnic nature and diversity of foods prepared within each pavilion presents a unique problem for food folklorama.infosheet.10inspectors, as each culture prepares food in their own very unique way. The Manitoba Department of Health and Folklorama Board of Directors realized a need to implement a food safety information delivery program that would be more effective than a 2-h food safety course delivered via PowerPoint slides. The food operators and event coordinators of five randomly chosen pavilions selling potentially hazardous food were trained on-site, in their work environment, focusing on critical control points specific to their menu. A control group (five pavilions) did not receive on-site food safety training and were assessed concurrently. Public health inspections for all 10 pavilions were performed by Certified Public Health Inspectors employed with Manitoba Health. Critical infractions were assessed by means of standardized food protection inspection reports. The results suggest no statistically significant difference in food inspection scores between the trained and control groups. However, it was found that inspection report results increased for both the control and trained groups from the first inspection to the second, implying that public health inspections are necessary in correcting unsafe food safety practices. The results further show that in this case, the 2-h food safety course delivered via slides was sufficient to pass public health inspections. Further evaluations of alternative food safety training approaches are warranted.