84 sick with E. coli O157: Leafy greens cone of silence – English-style

As if the English weren’t taunted enough, an outbreak of E. coli O157 phage type (PT) 34 linked with leafy salad has prompted regulators to remind consumers “about the importance of good hygiene and food preparation practice” and wash their f*cking hands (that pic, right, is what accompanied s300_Handwashing__NHS_MOORFIELDS_308-10056_960x640the PR; I can’t make this shit up).

This has nothing to do with E. coli O157 on leafy greens, and is a further continuation of Scotland’s it’s-a-f*cking pink chicken educational campaign.

Public Health England says it is investigating an outbreak of E. coli O157 which may be associated with eating leafy salad. To date 84 cases (figure correct as at 1 July 2016) of this strain of E. coli have been identified (77 in England, 5 in Wales, 1 in the Channel Islands and 1 in Scotland) with the majority of cases confirmed in the South West of England.

Dr. Isabel Oliver, director of PHE’s field epidemiology service, said: PHE has put in place heightened surveillance for this strain of E. coli and is and carefully monitoring the reporting of cases across the entire country. To assist with this investigation, we have convened a national outbreak control team to identify the source of infection and to ensure all necessary control measures are put in place.

lettuce.skull.e.coli.O145And collaborate with the U.K. Food Standards Agency, whose idea of science-based verification is to cook meat until it is piping hot, and declared in 2011 that E. coli O157:H7 found on or in leeks or potatoes, was the consumers’ responsibility.

Almost two months after revealing 250 people were sickened and one died with E. coli O157:H7 phage-type 8 over the previous eight months in 2011, linked to people handling loose raw leeks and potatoes in their homes, FSA decided to launch a campaign reminding people to wash raw vegetables to help minimize the risk of food poisoning.

No information on how those 250 became sick and no information on farming and packing practices that may have led to such a massive contamination that so many people got sick, no information on anything: just advice to wash things thoroughly so that contamination can be spread throughout the kitchen.

This outbreak once again combines two of the central themes of conflict and public trust in all things food, which the English are seemingly terrible at: when to go public, and blaming consumers.

And now, John Oliver, again (NSFV).

Going public (not): Leafy green cone of silence on Cyclospora in Romaine lettuce, 2013

Read this Packer story from 2013 for the convoluted hoops public health types are faced with while investigating foodborne illness outbreaks. And now the scientific report: same hoops, same dance, same unsatisfactory outcome for consumers who want to know what’s safe.

cone.of.silence.get.smartA regional, multistate investigation into a June–August 2013 cyclosporiasis outbreak was conducted in Nebraska, Iowa, and neighbouring states. Cases were confirmed on the basis of laboratory and clinical findings.

Of 227 cases in Iowa (n = 140) and Nebraska (n = 87) residents, 162 (71%) reported dining at chain A/B restaurants – 96% reported house salad consumption. A case-control study identified chain A/B house salad as the most likely vehicle. Traceback was conducted to ascertain production lot codes of bagged salad mix (iceberg and romaine lettuce, red cabbage, and carrots) served as house salad in implicated restaurants. A single production lot code of salad mix supplied by both a common producer and distributor was linked to the majority of confirmed cases in persons reporting regional chain A/B exposure.

The salad mix linked to illnesses contained imported romaine lettuce from two separate single-grower fields-of-origin and ≥1 additional field from another grower.

Regional investigation of a cyclosporiasis outbreak linked to imported romaine lettuce – Nebraska and Iowa, June–August 2013

Epidemiology and Infection / Volume 144 / Issue 09 / July 2016, pp 1807-1817Copyright © Cambridge University Press 2015  DOI: http://dx.doi.org/10.1017/S0950268815002484 (About DOI), Published online: 22 October 2015

F. Buss, M. V. Joshi, A. L. O’keefe, C. D. Allensworth, A. Garvey, K. Obbink, S. Mandernach And T. J. Safranek

http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=10346466&utm_source=Issue_Alert&utm_medium=RSS&utm_campaign=HYG

are.you.mental

Going public: Kale sucks and sickened 6 with Salmonella in Minn. in April

Posting a product recall (alert) notice on a company website, and then quickly removing it, is like putting down sugar to ward off ants. For the few remaining investigative journalists, such actions are akin to painting a bullseye on the company for further questioning.

spongebob.oil.colbert.may3.10And it shouldn’t be that way.

There is a scientific, public health and moral reason to make outbreaks known, whether product is still on the shelves or not. It’s how the rest of us mere mortals learn, it’s how to make things better, it’s the right thing to do.

Anyone who hides behind legalese is not worthy of trust – especially the consumer faith and trust that goes into every food purchase — because industry government, and academia rationalize a Chomsky-esque form of self-censorship that is barf-inducing to watch, and made worse by the Salmonella.

Coral Beach, formerly of The Packer and now with Bill Marler’s Food Safety News, reports that government and corporate entities failed to reveal in April that they were investigating a cluster of Salmonella illnesses in which at least five out of six victims reported eating Taylor Farms Organic Kale Medley Power Greens Mix purchased at various Sam’s Club locations.

After a notice on another company’s website — Pacific Coast Fruit Co. of Portland — brought the situation to light, Taylor Farms’ chairman and CEO Bruce Taylor confirmed that Minnesota officials had notified him about the investigation. However, it is not clear to whom Taylor issued his May 6 statement, which was still not available on the Taylor Farms website as of May 15.

Taylor’s statement, provided to Food Safety News on May 14, says:

organic.kale.screen.shot“On Thursday, May 5th, Taylor Farms was informed by the Minnesota Department of Health (MDH) and Minnesota Department of Agriculture (MDA) of an investigation of reported foodborne illness.

“In April, six people with Salmonella Enteritidis infections, with the same rare DNA fingerprint pattern, were reported to the MDH. All of those infected are from the state of Minnesota. All are recovering.

“The FDA is not requiring any action from Taylor Farms and we are not issuing any formal recalls. We will continue to work with the MDH and MDA regarding this issue.

“The safety and health of the consumers who buy our products has always and will always be the highest priority for us. We will continue to strive to deliver the industry highest quality, safest produce in the industry.”

Pleeeeassse.

Although Taylor did not reference a specific product or where it was distributed, the Pacific Coast Fruit Co. notice named Sam’s Club and said the retailer pulled Taylor Farms Organic Kale Medley Power Greens Mix from shelves nationwide on April 4.

The Pacific Coast Fruit notice, dated May 6, was available on the company’s website May 14, but has since been removed. The notice carried the headline “Taylor Farms-Organic Kale Medley Recall” and was addressed to “our customers and the Pacific Coast Fruit Team.”

Minnesota officials did not respond to weekend requests for comment on the situation. Similarly, no one from Pacific Coast Fruit or Sam’s Club responded this weekend to requests for comment.

The Pacific Coast Fruit notice said six people with Salmonella enteritidis infections, all with the same rare DNA fingerprint pattern, were reported to MDH in April. The victims ranged in age from 7 to 69 and their illnesses began between April 3 and April 26. One person was hospitalized, and all are recovering, according to Pacific Coast Fruit.

“Five of the ill people in Minnesota reported eating Taylor Farms Organic Kale Medley purchased at several Sam’s Club locations, and the source of the sixth person’s illness is under investigation,” Pacific Coast Fruit’s notice said.

An external communications spokesman for Taylor Farms said May 15 that the Salinas, CA, company did not need to issue a recall.

“No recall was needed because the issue being investigated was from back in late March early April. So, independent of the findings of the investigation, the product is no longer in the market place due to shelf-life limitations,” the Taylor Farms spokesman said.

OrganicKaleMedley-1web-216x300The failure of public health officials and corporate entities to announce the spike in Salmonella cases and the subsequent investigation is the latest incident in what one food safety professional says is a disturbing, decade-long trend.

After the deadly E. coli outbreak in 2006 that was linked to bagged fresh spinach, companies have increasingly demanded governmental agencies provide confirmation results from time-consuming follow-up laboratory tests before issuing voluntary product recalls, said Douglas Powell, former professor at Kansas State University’s Department of Diagnostic Medicine/Pathobiology.

Powell, who now lives in Australia, is publisher of barfblog.com, which has been monitoring and publicizing foodborne illness outbreaks since 2006 (1993, when Food Safety Network started), coined the phrase “leafy green cone of silence” to describe the lack of transparency on the part of government and industry in the decade since the spinach outbreak.

“This situation fits the pattern,” Powell told Food Safety News May 15. “It’s part of a bigger picture about the question of when to go public about outbreak investigations.

“There’s a question of public health. I don’t care that the product’s not on the shelves any more. The public has a right and a need to know about these incidents.”

do.the.right.thingBill Marler, partner at the Seattle law firm Marler Clark LLP, had similar concerns. Marler has been representing victims of foodborne illnesses since the 1993 E. coli outbreak traced to undercooked hamburgers served by the Jack in The Box chain. He provided testimony to Congress during the drafting of the Food Safety Modernization Act.

“My main concern is the lack of transparency, and that’s not just a comment on Taylor Farms, it’s a comment on FDA, the Minnesota departments of health and agriculture and a comment on the CDC,” Marler said May 15. “I think that anytime, especially when there are illnesses involved, I think the public has an absolute right to know what’s going on.

“My assumption is that someone’s determined that the product is no longer in the marketplace because it’s a perishable product and the public’s no longer at risk. While I appreciate that, it’s not a reason to not let consumers know.

“In order for the free market to work, in order for consumers to know what products are safe or safer, the companies and the government have a responsibility to educate the consumer.

“When they withhold that kind of information, for whatever justifiable reason they think they have, it doesn’t give (consumers) the information to know how to protect themselves and their families and also calls into question public health’s commitment to the public’s health.”

 

‘News, it just repeats itself’ What to do about Listeria

Chipotle is trying old-school PR with its legal whinging and free diarrhea burritos.

Outbreaks and recalls related to Listeria can provide new-school lessons.

lettuce.skull.noroBut don’t expect industry to adopt any of the suggestions.

In 2008, Maple Leaf Foods cold cuts laden with Listeria killed 24 Canadians and sickened another 50.

At the time, CEO Michael McCann was praised for his communication and management efforts to reign in Listeria.

I, and several others, were underwhelmed.

So it’s time to dust off that 2008 checklist and see how Dole, CRF Frozen Foods in Pasco, Wash. and SunOpta of Crookston, Minn. go.

There are arguments to be made about the U.S. zero-tolerance for Listeria policy (other countries have set limits) but that could take years to be resolved. Meanwhile, product is/was going out the door, disease trackers are getting really good at picking up previously undetectable outbreaks using whole-genome sequencing, and consumers need a confidence builder.

So:

  • A full accounting of who knew what when, from both the companies involved and regulators. But more important from the companies, because they do thousands of Listeria tests annually. In 2014, Maple Leaf performed more than 180,000 tests across its operations to detect any bacteria or pathogens as part of the company’s food safety program. Great.
  • Make those test results publicly available.
  • Warning labels. Someone will say, like Mr. McCann in 2008, that listeria is everywhere, and that, “All food plants and supermarkets have some amount of listeria.” Maybe a label should say, “Listeria is everywhere, don’t feed deli meats or other refrigerated ready-to-eat foods to pregnant women and old people. They may die.” Or do what Publix supermarkets, based in Florida, does. Cheese and cold-cuts sliced in the deli are put in a bag with a label that says, “The Publix Deli is committed to the highest quality fresh cold cuts & cheeses. Therefore we recommend all cold cuts are best if used within three days of purchase. And all cheese items are best if used within four days of purchase.”
  • Don’t tell us the plant passed an audit or is inspected. That is a minimal standard, and why do outbreaks keep happening from food that was audited or inspected or both?
  • Market food safety efforts at retail.

Because listeria is everywhere.

Waaaah: Chipotle still doesn’t get it, whinges about CDC reporting of E. coli outbreaks

According to Reuters, the U.S. Centers for Disease Control and Prevention has pushed back against complaints from Chipotle Mexican Grill that the health agency misinformed the public with its reporting of certain E. coli cases linked to the burrito chain.

finster.bugs.bunnyThe CDC, in a letter to a lawyer representing Chipotle, said it believes its web updates on the outbreaks served to protect and inform the public.

The CDC’s response, which was posted online this week and dated April 15, said its updates provided people who may have become sick after eating at Chipotle restaurants with information they might have needed to be diagnosed and treated for E. coli O26.

In December, Chipotle’s lawyer said in a letter to the CDC that some of the agency’s updates were confusing and unclear and that their release “only acts to create public panic.”

For a supposedly modernly hipster chain, Chipotle is purely old school when it comes to going public: patronizing, paternalistic, pathetic.

Too much time on my hands: Commodity promotion programs try to conceal their e-mails

I was in an air band.

I went and saw Styx in Toronto.

styxSomehow, these both seemed like good ideas in high school.

Now they’re together, courtesy of Jimmy Fallon and Paul Rudd.

This teenage reminiscence is a reminder to everyone who should know better: all e-mails should be considered public.

All.

There are forensic IT folks who make a fortune from divorce lawyers finding old e-mails on obsolete servers.

Better, don’t try and keep a deception trail about who-you-said-what-to, just be honest. It all becomes public anyway, especially if you’re employed but a public institution.

And don’t e-mail your junk to anyone Why you’re taking pictures of it is disturbing enough (and those will get found out too).

Dan Charles of NPR writes that an increasing number of people are discovering, to their embarrassment, that their emails are subject to the Freedom of Information Act (is this 2016 or 1980?). Scientists at state-funded universities have been forced to disclose emails that revealed cozy ties with the public relations arms of biotech and organic food companies. And last year, a FOIA request compelled the American Egg Board to turn over documents showing that its president tried to organize a public relations campaign against a vegan competitor called Just Mayo.

If the House Appropriations Committee has its way, though, the Egg Board’s private emails will remain private in the future. This past week, the committee passed its version of the U.S. Department of Agriculture’s 2017 budget. And in an accompanying report, the panel urged the USDA to make sure that FOIA does not apply to the American Egg Board and all similar “Research and Promotion boards that the USDA oversees.”

This language refers to a dozen or so “checkoff programs” that promote beef, pork, soybeans and other commodities. They are the source of advertising campaigns like “Pork: The Other White Meat” and “Beef – It’s What’s For Dinner.”

These programs have long been controversial because they use government authority to collect money for private commercial goals, such as advertising campaigns and research on the nutritional quality of particular foods. Farmers themselves vote to set up such programs, but Congress then establishes them and at that point, every farmer is required, by law, to contribute to them.

So do these operations belong to industry or the government? The industry groups “very much want to have it both ways,” says Parke Wilde, a specialist on food policy at Tufts University and a long-time critic of the checkoff programs.

In 2005, Wilde points out, industry groups argued before the Supreme Court that the checkoff programs were, in fact, “government speech.” At that time, the groups were facing a challenge from farmers who didn’t want to pay for those programs. If the programs were part of the government, though, the farmers could be forced to pay up, just as they are forced to pay taxes. The Supreme Court agreed.

Now that they wish to escape from the FOIA, however, the checkoff programs are emphasizing their private nature. In early April, a dozen agricultural industry groups — but not the checkoff programs themselves, because they aren’t allowed to lobby Congress —- asked Congress to declare the checkoff programs exempt from the FOIA because they “are funded solely with producer dollars, and therefore are not agencies of the federal government.” The House Appropriations Committee has now adopted that view. Even if it became law, the language could face a challenge in the courts.

(The original Styx video can be found here. Great air band performance.)

Avoid the soup or sandwiches: Norovirus suspected as 40 now sick at Carnegie-Mellon linked to café

At least 40 people have gotten sick after eating at La Prima Espresso on Carnegie Mellon University’s campus earlier this week, including two people who worked at the eatery, according to the Allegheny County Health Department.

La Prima ExpressoThe outbreak at the eatery, which closed for cleaning today, is believed to have been caused by transmission of a norovirus, a highly contagious virus that can be spread by ingestion, as well as mere contact with an infected surface or person, said Karen Hacker, health department director.

“The question for us now is was it something from the food handling itself,” she said.

There may be more people who were infected but have not reported it to a health agency and are just dealing with the discomforting, but rarely serious symptoms of nausea, vomiting or diarrhea that can last two to three days, Dr. Hacker said. No one is known to have been hospitalized by the illness in this case.

Officials involved in the ongoing investigation by the university, health department and La Prima, believe that the people who got sick may have eaten or come in contact with either the soup or sandwiches served there on Monday or Tuesday.

CMU tried to downplay the outbreak earlier this week, refusing to comment since Wednesday beyond a brief alert posted on its website Wednesday afternoon saying that 15 students had reported getting sick and that La Prima had pulled “certain food items” as a result.

The reason it was asked to do a more thorough cleaning was because it told the county on Thursday that two of La Prima’s employees had gotten sick, too, said Donna Scharding, the health department’s food safety program manager. CMU did not mention that in its alert to campus.

4 dead, 33 ill from Listeria in lettuce: Of course Dole knew

Beginning August 2, 1998, over 80 Americans fell ill, 15 were killed, and at least six women miscarried due to listerosis. On Dec. 19, 1998, the outbreak strain was found in an open package of hot dogs partially consumed by a victim. The manufacturer of the hot dogs, Sara Lee subsidiary Bil Mar Foods, Inc., quickly issued a recall of what would become 35 million pounds of hot dogs and other packaged meats produced at the company’s only plant in Michigan. By Christmas, testing of unopened packages of hot dogs from Bil Mar detected the same genetically unique L. monocytegenes bacteria, and production at the plant was halted.

four.monkeysA decade later, the deaths of two Toronto nursing home residents in the summer of 2008 were attributed to listeriosis infections. These illnesses eventually prompted an August 17, 2008 advisory to consumers by the Canadian Food Inspection Agency (CFIA) and Maple Leaf Foods, Inc. to avoid serving or consuming certain brands of deli meat as the products could be contaminated with L. monocytogenes. When genetic testing determined a match between contaminated meat products and listeriosis patients, all products manufactured at a Toronto Maple Leaf Foods plant were recalled and the facility closed. An investigation by the company determined that organic material trapped deep inside the plant’s meat slicing equipment harbored L. monocytogenes, despite routine sanitization that met specifications of the equipment manufacturer. In total, 57 cases of listeriosis as well as 22 deaths were definitively connected to the consumption of the plant’s contaminated deli meats.

As far back as 2013, Blue Bell ice cream was finding Listeria in places like floors, catwalks and cleaning tubs. Blue Bell had positive listeria findings from at least 11 swabs of plant surfaces between March 2013 and November 2014. Each time, it vigorously cleaned the area, and moved on without testing the equipment that touches the ice cream. At the same time, Blue Bell had problems with the layout of its plants, with condensation dripping all over the place. After federal officials linked an illness outbreak to Blue Bell in 2015, they tested the company’s food processing equipment and found LM. Three people died and 10 were sickened.

In all three Listeria outbreaks, the companies had data that showed an increase in Listeria-positive samples.

But rather than pay attention, they ignored the safety.

Those who study engineering failures –the BP oil well in the Gulf, the space shuttle Challenger, Bhopal – say the same thing: human behavior can mess things up.

listeria4In most cases, an attitude prevails that is, “things didn’t go bad yesterday, so the chances are, things won’t go bad today.”

And those in charge begin to ignore the safety systems.

Or hope the problem will just go away.

Kellogg’s was taking Salmonella-contaminated peanut paste based on paperwork in 2009? Pay attention, Nestle did.

In 2009, the operator of a yakiniku barbecue restaurant chain linked to four deaths and 70 illnesses from E. coli O111 in raw beef in Japan admitted it had not tested raw meat served at its outlets for bacteria, as required by the health ministry.

“We’d never had a positive result [from a bacteria test], not once. So we assumed our meat would always be bacteria-free.”

Chipotle Mexican Grill was aware of a norovirus outbreak among people who had eaten in one of its restaurants in Simi Valley, Calif., but did not tell public health officials there until after it had closed and cleaned the restaurant. More than 200 people were sickened.

So it’s no surprise that officials at Dole’s Springfield, Ohio plant, which bags lettuce and other supposedly healthy meals, knew about Listeria in its facility for 18 months before shutting down and issuing a recall.

Four people have died and 33 sickened in Canada and the U.S. from Listeria in the Dole products.

Kudos to Bill Marler and his Food Safety News, as well as Food Poisoning Bulletin, for filing the Freedom of Information request on U.S. Food and Drug Administration inspections at the Dole plant and putting together a preliminary picture of who knew what when.

Inspection reports (483) obtained by Food Safety News revealed the timeline of positive Listeria results and inaction. Dole Fresh Vegetables Inc. finally suspended production at its salad plant in Springfield, OH, on Jan. 21 this year after a random test by state officials showed a bagged salad contained Listeria monocytogenes.

Dole restarted production at the plant in Springfield, OH, on April 21. Company officials won’t say what was done to clean the plant or how they plan to prevent future contamination there.

powell_soli_AUG2Inspectors from FDA checked the production plant three times in January and twice in February after genetic fingerprinting showed the undeniable link between the sick people and salads from the facility. They collected swab samples, unfinished product samples, testing records and other documents and information.

According to the FDA’s inspection reports, in July 2014 Dole did swab tests of surfaces in the Springfield plant. The tests returned positive results for Listeria, but the facility kept producing salads, shipping them to dozens of states and at least five Canadian provinces.

At least five more times in 2014 and three times in late 2015 Dole’s internal tests showed Listeria contamination, but Dole kept the salad lines kept rolling until January this year.

The FDA inspection report states that Dole’s vice president for quality assurance and food safety, as well as the company’s quality assurance manager, were aware internal tests on Jan. 5 and 7 this year showed Listeria on equipment and other surfaces in the plant. But Dole continued to produce and ship salads.

The plant kept operating until Jan. 21. The following day Dole posted a recall notice with the FDA and the Canadian Food Inspection Agency (CFIA) for salads produced at the Springfield facility. Dole branded salads and house brands for Walmart, Kroger, Loblaws and Aldi were included in the recall.

Marler, a prominent food safety lawyer who represents one of the victims in a lawsuit against Dole told Stephanie Strom of the N.Y. Times, “If the government inspectors hadn’t showed up, who knows when or if they were going to tell anyone.”

“They’d been having positive tests for listeria for some time,” said William Goldfield, a spokesman for Dole. “We understand these recent news reports may raise questions among our consumers and customers. They should be assured, however, that we have worked in conjunction with the F.D.A. to address those observations and ensure that Dole products are safe.”

Lauren Sucher, a spokeswoman at the F.D.A., said that companies must notify the agency when they find a food has a “reasonable probability” of causing serious adverse health consequences.

But, Ms. Sucher said, not all strains of listeria cause disease. “When listeria is found in the manufacturing environment, rather than on the food itself, it is not uncommon for a company to immediately take corrective action rather than test further to see if the strain of listeria poses a threat,” she wrote in an email.

Food companies that find listeria during periodic testing are not required to run further tests to determine whether the pathogen is of a toxic variety.

In Dole’s case, it was swabbing various locations in its plant in Springfield, Ohio, not necessarily testing the finished products, according to the F.D.A. inspection. Rather, Canadian public health officials investigating an outbreak of listeriosis dating to summer 2015, tested bagged Dole salads and found four varieties that were contaminated.

Going public: 167 people with the runs in Iowa

That moment happened.

Usually it takes until puberty, but it happened.

diarrhea.toiletMy 7-year-old daughter, who was in a local Dettol commercial, which I had nothing to do with (that’s her, at the end, second row from the bottom, far rightin the pic below; I’ve always shamelessly promoted my children).

Yet this morning, she was too embarrassed to answer what number 1 meant, and number 2, while watching some other video this morning before school, something about poop.

And it happened.

Sure, kids find me hilarious until about 11-years-old, then it’s embarrassment for 10 years, then they come around.

Maybe the folks in Dubuque County, Iowa feel the same way, maybe they have state laws limiting what they can say.

But when 167 people have diarrhea since Oct 1, public health has to step in (not in the #2).

Seriously, no public announcement until April 11, 2011, on an outbreak that started Oct. 1, 2015?

 “This is a high number of diagnosed cases that we have had,” said Patrice Lambert, executive director of the Dubuque County Health Department.

Shigellosis is a disease caused by the bacterium shigella, which causes watery and sometimes bloody diarrhea, according to Lambert.

 “Wash your hands with soap and water,” Lambert said. “That’s the easiest thing to do, not only for shigellosis but for all communicable diseases.

Handwashing is never enough.

 

Going public: E. coli secrecy must end

The Des Moines Register Editorial Board writes that last December, the Centers for Disease Control and Prevention, along with other health agencies around the nation, allegedly detected a spike in E. coli food-poisoning cases in people who had eaten at Pizza Ranch restaurants.

communicationOn Jan. 31, Richard Simmons Jr. of Kansas took his family, including his 7-year-old daughter, to the Pizza Ranch in Emporia, Kan. Simmons says his daughter ate food from the restaurant’s buffet, including chicken, salad and dessert pizza. A few days later, the girl fell ill, experiencing stomach cramps and diarrhea. After testing positive for E. coli, she was hospitalized in Wichita on Feb. 12, where she placed in the intensive-care unit care after her kidneys failed. She remained hospitalized for two weeks.

The CDC later concluded Simmons’ daughter was one of 13 individuals believed to have been sickened by food from Pizza Ranch outlets in several states. Still, the CDC said nothing to the public about Pizza Ranch being the source of contaminated food. In fact, it wasn’t until The Des Moines Register contacted the federal agency on March 16, asking about the matter, that the CDC acknowledged the contaminated food had come from Pizza Ranch.

The CDC says its policy is to identify the providers of contaminated food only when “we perceive there are actions people can take to protect themselves.” In this case, a spokeswoman said, the restaurant chain stopped using the product suspected to be the cause of the illnesses, curtailing the outbreak. There was nothing else consumers could do at that point to avoid illnesses, she said.

The Iowa Department of Public Health, which was aware of the outbreak, took a similar stance. Even last week, Dr. Patricia Quinlisk, the department’s medical director, refused to discuss the business involved in the outbreak with a Register reporter. She said the department’s investigations remain confidential unless the department believes disclosure is necessary to protect the public health.

This is not the first time this has happened. Last fall, more than 50 people were sickened by cooked taco meat that was served to the staff at Des Moines’ Roosevelt High School. The cooked meat was purchased from a grocery store shortly before it was served as part of a staff luncheon for the school. State officials said the food was likely tainted during preparation at the store since the bacteria wouldn’t have had enough time to grow between the time the meat was purchased and the time it was served.

communication.context.13Unfortunately, county and state health officials chose not to disclose the name of the store that provided the meat. Thanks to a state law that was written not to protect the public health but to protect Iowa business and industry, Iowa’s public health reports on food-poisoning cases must be written in a manner that doesn’t identify the business believed to be at fault. The law goes on to say that the identity of the business may be shared with the public only when the state epidemiologist or the director of public health “determines such a release of information (is) necessary for the protection of the health of the public.”

The public deserves to know who is responsible for serving food than can seriously injure, or even kill, consumers. They also deserve to know what our “public health” officials are up to, and passing laws that specifically muzzle these officials and require them to remain silent about the source of contaminated food can’t possibly be in the public interest.