45 now sick in Iowa-based Cyclospora outbreak; veggies suspected?

Authorities suspect that fresh vegetables are the source of a rare parasite sickening dozens of Iowans.

The Iowa Department of Public Health reported this morning that 45 cyclospora infections have been confirmed in the state in the past few pesto.basil.cyclosporaweeks. 

That’s up from 22 cases earlier this week.

Only 10 such cases had been reported in the state in the past 20 years.
The parasite is usually transmitted by tainted produce or water. It can cause weeks of severe diarrhea.

Federal experts are helping to trace the cause. Officials are urging everyone to wash their produce carefully … though they note that Cyclospora can be difficult to wash off.

Investigators who interviewed the patients believe the outbreak started in tainted vegetables, not fruit. 

7 sick from Cyclospora in Iowa

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 basil.salmonellawas positive for Cyclospora oocysts. Many others tested positive. It was subsequently revealed in a July 19, 1997, Washington Post story citing local 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.

Beginning with California strawberry growers wrongly fingered as the source of a 1996 cyclospora outbreak that sickened over 1,000 people across North America (the culprit was Guatemalan pesto.basil.cyclosporaraspberries) through to several outbreaks on an Australian cruise ship that sickened at least 314 in 2010, cyclospora keeps popping up.

Today it was Iowa, where consumers are being urged to carefully wash their produce as public health officials hunt for the source of a parasite that has caused severe diarrhea in at least seven Iowans.

The cyclospora infections have been confirmed in five counties in the past two weeks, the Iowa Department of Public Health reported Wednesday. Only 10 such cases had been reported in the state in the previous 20 years.

Dr. Patricia Quinlisk, the department’s medical director said while many previous Iowa cases have involved people who picked up the parasite while traveling to other countries, that doesn’t appear to be the source of this outbreak. “It looks like they got it here,” Quinlisk said.

The epidemiologist said previous U.S. outbreaks have been traced to fresh produce, such as raspberries, basil, snow peas, and mesclun lettuce. She urged the public to carefully wash produce before consuming it.

Washing produce will do little. And good luck washing that pesto from food service.

Iowa Pizza Hut driver pees on woman’s door for not tipping

A Pizza Hut delivery driver in Des Moines, Iowa, has been fired thanks to his decision to urinate on a customer’s door after she stiffed him a tip. 

Eater reports that KCCI has the full report in which Chloe Teply ordered a pizza despite knowing she didn’t have the cash for a tip, then a few hours later noticed some yellow liquid on her door. Upon viewing the apartment building’s security tape, Pizza Hut fired the guy, who later called Teply to apologize and then cleaned her door.

But it’s a safe product: ex Iowa egg manager pleads guilty to bribery conspiracy

A manager at the Iowa egg farms linked to the 2010 salmonella outbreak has pleaded guilty to his role in a conspiracy to bribe an inspector to allow the sale of unapproved eggs.

AP reports former DeCoster Farms manager Tony Wasmund acknowledged in a hearing in Sioux City that he conspired to bribe a U.S. Department of Agriculture inspector in order to sell restricted eggs and misbranded food.

Wasmund was a manager in the companies owned by Jack DeCoster, whose egg production operations were blamed for the outbreak that caused the recall of 550 million eggs and sickened hundreds.

Wasmund admitted he authorized giving $300 in cash to be used by another employee to influence the inspector to approve the sale of eggs that’d been withheld for failing to meet USDA standards.

Going public: Iowa law shields targets of norovirus probe

In March 2012, dozens of people were apparently sickened with norovirus after visiting an eastern Iowa swim facility.

The Quad-City Times has been trying to name the facility, but an Iowa law allows public health officials to keep secret the name of a business involved in a disease investigation; this, say some of those sickened, puts business interests before public safety.

Johnson County and state health officials won’t release the name of the facility despite dozens being sickened, citing state law that shields businesses that have cleaned up their act after an outbreak. They also believe there is no ongoing public health risk.

“I just wish the name would be out there, so others could know about this happening at a family attraction,” said Courtney Evans of Blue Grass, Iowa. Evans’ two young boys and her husband fell ill from norovirus after a visit to the swim facility.

The Quad-City Times and The Gazette of Cedar Rapids jointly filed a complaint with the Iowa Office of Citizens’ Aide about the health department’s refusal to release the name of the swim facility or provide key details about the investigation, such as dates of when people got sick. The Citizens’ Aide ruled public health officials followed the law.

“The problem is that I have to obey the law,” said State Epidemiologist Patricia Quinlisk. “If people feel that is incorrect, they have to talk with their legislators (about changing the law).”

Some Iowa legislators say the current law might go too far.

“We have a duty to inform the public that this has occurred and that it’s been remedied,” said Rep. Rick Olson, D-Des Moines. “I want to keep my kids healthy.”

Rep. Vicki Lensing, D-Iowa City, said the public needs accurate information from the health department, not speculation. “It would seem like after an investigation is concluded that information could be released,” she said.

Records obtained by the Quad-City Times and the Gazette through an Open Records request with the Johnson County Public Health Department indicate more than 30 people contracted norovirus after visiting the swim facility in March. Johnson County, which handled the facility investigation, inspects pools in Johnson, Iowa, Louisa and Muscatine counties.

“Early this morning, all family members began vomiting and have experienced diarrhea,” states a Johnson County record-of-contact form. The complainant “contacted the family members they traveled with, and all are experiencing the same symptoms.”

“…the complainant believes that illnesses derived from exposure to pool water. The two individuals that did not enter the pool water have not become sick,” the report shows.

According to the records, which include handwritten notes, reports and emails, chemical tests leading up to the outbreak showed the pools had little or no chlorine, which kills pathogens that can cause disease. Pool management told officials a chlorine feeder was plugged.

Iowa Code Section 139A.3 states “information contained in the report may be reported in public health records in a manner which prevents the identification of any person or business named in the report.” This means public health officials can tell the public about the outbreak only in a generic way that doesn’t identify the business.

Before Quinlisk decides to keep investigation details secret she asks herself one question: Would she take her own child to the facility?

In this case, the answer was yes, she said.

Not every state gives businesses the same protection as individuals when it comes to disease reports. Minnesota, for example, only keeps the health records of individuals private, not businesses.

“If we have an outbreak at Joe’s Diner, that’s public,” said Richard Danila, deputy Minnesota epidemiologist.

The Illinois Department of Public Health has a policy to keep confidential the name of a business involved in a disease investigation, but the information can be obtained through open records requests after the investigation is concluded, said Department spokeswoman Melaney Arnold.

An accompanying editorial says several Quad-City area families sickened by the virus contacted us and were referred by Scott County health officials to the Johnson County Health Department in late March. We followed up, pursuing public records to confirm the account.

We were not seeking the names of the victims. The victims came to us. They spoke on the record.

So, yes, we know what business was investigated.

But we need public officials verifying the investigation to be able to report this responsibly and without fear of liability from a possible lawsuit since the origin of the norovirus has not been proven, the business complied with orders to take corrective action, and there was no perceived ongoing public health risk.

If I wanted to take my child to the facility, I would want to know their track-record and whether they could adequately manage things like chlorine levels, or whether I should bring my own pH strips.

Just like I want to know the track record of a restaurant before I spend my money there.

Barfing outbreaks not related to Republican primary, but sick preparers; norovirus rampant in Iowa

An alarming number of outbreaks of stomach illness across the state should be a reminder to Iowans participating in gatherings where food is served. With more than a week remaining for holiday and year-end celebrations, the Iowa Department of Public Health (IDPH) is asking sick Iowans to think twice before preparing food for others.

"If you’re healthy and you’ve been healthy for the last few days, go ahead and mix up a batch of cookies or slice up a fruit tray," said IDPH Medical Director Dr. Patricia Quinlisk. "But if you’ve had any sort of stomach illness, do not prepare food of any kind for others. In particular, symptoms such as vomiting and diarrhea should be your ticket out of the kitchen until 48 hours have passed since your recovery."

In the last 10 days, IDPH has been investigating reports of eight medium-to-large outbreaks of probable norovirus in five counties.

Three groups got ill after eating at a restaurant where several food handlers had also been ill. Outbreaks were also associated with events like holiday parties and holiday potlucks, where foods were likely prepared and served by recently ill people.

"We’re also getting lots anecdotal reports of probable norovirus outbreaks in other areas of the state," Quinlisk added. "This virus can be a real holiday spoiler, making your friends and loved ones sick for several days. So, if you are or have been sick, you’ll just have to wait for the next opportunity to make your signature fudge – you’re off kitchen duty until 48 hours after your symptoms have stopped."

Pregnant Iowa woman miscarries due to listeria-in-cantaloupe

Mommies-to-be like their cantaloupe too. So the news of the first stillbirth linked to listeria-in-cantaloupe is expected, but nonetheless tragic.

The Des Moines Register reports tonight that a pregnant Iowa woman miscarried recently because of a listeriosis infection she apparently picked up from tainted cantaloupe, state health officials said today.

The unidentified northwest Iowa woman was infected with the same strain of listeria that has been spread via cantaloupe grown by Jensen Farms in Colorado.

The company’s Rocky Ford brand melons, which were recalled Sept. 14, have been tied to at least 18 deaths nationwide.

The woman told state investigators that she bought cantaloupe at an Iowa store a few weeks ago. Officials strongly suspect the melon came from Jensen Farms and caused her illness, but they haven’t proven the theory yet.

Dr. Patricia Quinlisk, the department’s medical director, said that for some reason, listeria bacteria are particularly harmful to fetuses, and infections regularly cause miscarriages.

Quinlisk said about eight or 10 serious listeriosis cases are reported in Iowa each year. She urged Iowans to take precautions to reduce their risk, but she said occasional bacterial outbreaks should not scare people away from the produce aisle.

Wal-Mart and Costco want nothing to do with DeCoster eggs (good); multi-million lawsuits between egg execs does nothing for sick people (bad)

 Executives with the Iowa egg farms at the center of last year’s salmonella outbreak that sickened nearly 2,000 and led to the recall of 500 million eggs are locked in a legal battle.

Austin "Jack" DeCoster, the man who owns the egg farms, and his former right-hand man, John Glessner are bickering to the tune of $40 million in lawsuits.

In one lawsuit Glessner claims that the DeCoster family has mismanaged its Iowa egg production facilities and deprived him of more than $40 million, including more than $10 million in rent for use of his Hardin County facility, defaulted on bank loans, been "blackballed" by food vendors and been barred from bidding on contracts with retailers.

Clark Kauffman of The Des Moines Register writes in today’s USA Today that DeCoster’s Ohio Fresh Egg company is suing Glessner, accusing him of looting the company before he was fired this summer.

An executive with Hillandale Farms of Iowa, which was forced to recall 170 million eggs, sent an e-mail to Glessner in August 2010 saying DeCoster had become a liability to Hillandale.

"Unfortunately, Hillandale Farms can have absolutely no association with Jack, anywhere," wrote Orland Bethel, Hillandale’s founder. "We have been told by Costco and Wal-Mart that they will not be doing any business if Jack and his people have any involvement in management."

Salmonella Jack gets out of egg business

Jack DeCoster, the Iowa egg producer whose farms were involved in a salmonella outbreak last year that sickened almost 2,000 people and led to a recall of 500 million eggs, is maybe getting out of the egg biz.

The Des Moines Register reports two Iowa farm families will lease and manage the DeCoster egg operation for up to nine years with an option to purchase Ohio’s largest egg farm operation from DeCoster.

The Deans and Hennings will take over Ohio Fresh Eggs farms in Licking, Hardin and Wyandot counties. The Licking operations are expanding.

J.T. Dean of Sioux Center, Ia., said, "Jack DeCoster made the decision to exit the business and we were working with them on the Iowa production facilities, and we started discussing Ohio and fell in love with it.”

"This has all happened pretty quickly. I just see a lot of potential. (The facilities) just need to be managed properly. I think we need to be very honest and open."

"There’s not much I can do to change perception, other than be a good operator and let time heal those wounds.”