It’s not just bacteria and viruses; parasites in leafy greens

On July 7, 1997, a company physician reported to the Alexandria Department of Health (ADOH) that most of the employees who attended a corporate luncheon on June 26 at the company’s branch in Fairfax, Virginia, had developed gastrointestinal illness. On July 11, the health department was notified that a stool specimen from one of the employees who attended the luncheon was positive for Cyclospora oocysts. Many others tested positive. It was subsequently revealed in a July 19, 1997, Washington Post story citing pesto_basil_cyclosporalocal health department officials that basil and pesto from four Sutton Place Gourmet stores around Washington D.C. was the source of cyclospora for 126 people who attended at least 19 separate events where Sutton Place basil products were served, from small dinner parties and baby showers to corporate gatherings. Of the 126, 30 members of the National Symphony Orchestra became sick after they ate box lunches provided by Sutton Place at Wolf Trap Farm Park.

In May 2001, 17 people in British Columbia were sickened with cyclospora associated with basil from Thailand. In 2005, 300 people in Florida were sickened with cyclospora from fresh basil.

My aunt was part of that outbreak.

Parasites. They’re everywhere.

Canadian researchers report in the Journal of Food Protection a “relatively high prevalence” of Cyclospora, Cryptosporidium and Giardia in ready-to-eat packaged leafy greens; most of the products were grown in the U.S.

Abstract below.

Detection of Cyclospora, Cryptosporidium, and Giardia in ready-to-eat packaged leafy greens in Ontario, Canada

Journal of Food Protection®, Number 2, February 2013, pp. 192-369 , pp. 307-313(7)

Dixon, Brent; Parrington, Lorna; Cook, Angela; Pollari, Frank; Farber, Jeffrey

http://www.ingentaconnect.com/content/iafp/jfp/2013/00000076/00000002/art00016

Numerous foodborne outbreaks of diarrheal illness associated with the consumption of produce contaminated with protozoan parasites have been reported in North America in recent years. The present study reports on the presence of Cyclospora, Cryptosporidium, and Giardia in precut salads and lettuceleafy greens purchased at retail in Ontario, Canada. A total of 544 retail samples were collected between April 2009 and March 2010 and included a variety of salad blends and individual leafy greens. Most of these products were grown in the United States, with some from Canada and Mexico. Parasites were eluted and concentrated before detection by PCR and immunofluorescence microscopy. DNA sequences were aligned with reference sequences in GenBank. Cyclospora spp. were identified by PCR-restriction fragment length polymorphism in nine (1.7 % ) samples and by DNA sequence analysis. Cryptosporidium spp. were identified in 32 (5.9%) samples; 29 were sequenced and aligned with the zoonotic species Cryptosporidium parvum. Giardia duodenalis was identified in 10 (1.8%) samples, and of the 9 samples successfully sequenced, 7 aligned with G. duodenalis assemblage B and 2 with assemblage A, both of which are also zoonotic. The presence of Cryptosporidium oocysts and Giardia cysts was confirmed in some of the PCR-positive samples using microscopy, while Cyclospora -like oocysts were observed in most of the Cyclospora PCR-positive samples. The relatively high prevalence of these parasites in packaged salads and leafy greens establishes a baseline for further studies and suggests a need for additional research with respect to the possible sources of contamination of these foods, the determination of parasite viability and virulence, and means to reduce foodborne transmission to humans.

Beaver fever closes New York spring; 6 sick from giardia

The Times Union reports the Rensselaer County Health Department closed a spring Friday after six people became sick with "beaver fever” after drinking water obtained from the site.

Residents are advised not to drink water from a spring located one-quarter mile north of the intersection of routes 22 and 43.

The intestinal illness is caused by a microscopic parasite called Giardia lamblia.
 

Don’t kiss fish

I’ve written extensively about the salmonella-related dangers of kissing pet turtles during my time as an emotionally-vacant adolescent.

Martin Armstrong, a member of the Fisheries Advisory Council, a life member in Trout Unlimited and a member of the Outdoor Writers Association of America, asks in The Advocate, ever watch a competitive angler on TV kiss a big fish that he just caught?

Did you ever kiss a big fish that made your day or, better yet, win a party boat pool?

Well, when you kiss that big fish you are risking contracting a bothersome intestinal parasite.

Giardiasis is a diarrheal illness caused by a microscopic parasite, Giardia intestinalis (also known as Giardia lamblia or Giardia duodenalis). Once a person or animal has been infected with Giardia, the parasite lives in the intestine and is passed in feces. Because an outer shell protects the parasite, it can survive outside the body and in the environment for long periods of time — often several months or even a year or more.

 

53 sick with Giardia in Ilkley, U.K.

Health officials urged people suffering symptoms of giardia lamblia to stay away from swimming pools as the number of infected people climbed to 53.

The Ilkley Gazette reports that the investigations continue to focus on Saffron restaurant, Station Plaza, currently closed for refurbishment, after local water supplies were ruled out.

The incubation period for the bug can be up to 25 days, and those who have contracted the illness may not show symptoms until then.

The PCT is still advising anyone with the symptoms of diarrhoea, gas or flatulence, indigestion, nausea, stomach cramps, bloatedness and lethargy, to see their GP. The trust also advises food handlers and health care workers who show the symptoms to seek advice about continuing to work.

Sounds like most people in the U.S. after Thanksgiving yesterday.