1442 sick: Salmonella in red onions

Chapman and I went on a road tour of farms and processing plants in 2000, and I remember one dude saying we blanch all the produce except onions because they’ve never had an outbreak.

Ahem.

According to the U.S. Food and Drug Administration, between June and October 2020, federal and state agencies investigated a Salmonella Newport foodborne illness outbreak associated with consumption of red onions from the Southern San Joaquin Valley and Imperial Valley in California. The outbreak, which caused 1,127 reported domestic illnesses and 515 reported Canadian cases, is the largest Salmonella outbreak in over a decade. This outbreak is also remarkable because the food vehicle, whole red onions, is a raw agricultural commodity that had not been previously associated with a foodborne illness outbreak.

The U.S. Food and Drug Administration (FDA), alongside state and federal partners, investigated the outbreak to identify potential contributing factors that may have led to red onion contamination with Salmonella Newport. While the Salmonella Newport outbreak strain (specific whole genome sequence [WGS]) was not identified in any of the nearly 2,000 subsamples tested, a total of 11 subsamples (10 water and 1 sediment) collected near one of the growing fields identified in the traceback were positive for Salmonella Newport, representing a total of three different genotypical strains (unique WGS patterns). Although a conclusive root cause could not be identified, several potential contributing factors to the 2020 red onion outbreak were identified, including a leading hypothesis that contaminated irrigation water used in a growing field in Holtville, California may have led to contamination of the onions.

While our investigation did not occur during any harvesting activities, visual observations of the implicated red onion growing fields suggested several plausible opportunities for contamination including irrigation water, sheep grazing on adjacent land, as well as signs of animal intrusion, such as scat and large flocks of birds which may spread contamination. Similarly, the investigation did not occur while packing activities were ongoing. However, visual observations and records review of packing house practices confirmed numerous opportunities for spread of foodborne pathogens such as Salmonella, including signs of animal and pest intrusion as well as food contact surfaces which had not been inspected, maintained, cleaned, or sanitized as frequently as necessary to protect against the contamination of produce. Thomson International Inc. cooperated with FDA throughout the investigation and is continuing to engage with FDA on the agency’s findings and recommendations.

Notably, Salmonella isolates from two sediment subsamples and two water subsamples collected during this investigation were found to be genetically related by WGS to clinical isolates from 2016 and 2018 foodborne illness outbreaks (Salmonella Muenchen and Salmonella Montevideo, respectively) associated with consumption of sprouts. This may be indicative of human pathogen persistence and distribution in this growing region (a concentrated area of seed for sprouting production), which could pose a risk of contamination for any produce commodity. FDA issued an assignment to follow-up at the associated firms. Sprouts are not a food vehicle of interest in the 2020 Salmonella Newport foodborne illness outbreak.

We urge growers to conduct risk assessments that include evaluation of hazards that may be associated with adjacent and nearby land uses—especially relating to the presence of livestock and wildlife and the potential for runoff into growing fields or water sources—and implement risk mitigation strategies where appropriate. FDA recognizes the interconnection between people, animals, plants, and their shared environment when it comes to public health outcomes, and we encourage collaboration among various groups in the broader agricultural community (e.g., produce growers, those managing animal operations, state and federal government agencies, and academia) to address this issue.

This document provides an overview of the traceback investigation, subsequent on-site investigation, and factors that potentially contributed to the contamination of red onions with Salmonella Newport.

Factors potentially contributing to the contamination of red onions implicated in the summer 2020 outbreak of Salmonella Newport

13.may.21

FDA

https://www.fda.gov/food/foodborne-pathogens/factors-potentially-contributing-contamination-red-onions-implicated-summer-2020-outbreak-salmonella

From the duh files: How well do you understand irrigation water risk management?

Doug Grant of The Packer writes food safety outbreaks have a massive effect not only on growers, but on all stakeholders throughout the fresh produce supply chain. Irrigation water has been identified over the years as a likely cause of fresh produce contamination, so it’s critical that our industry fully understands the potential risk involved and how these risks are being managed by growers.The Center for Produce Safety has numerous research projects involving irrigation water. One 2015 project titled “Evaluation of risk-based water quality sampling strategies for the fresh produce industry,” led by PI Channah Rock, Ph.D., University of Arizona, concluded that “localized environmental conditions play a large role in water quality.”

Further, that “growers must get a better understanding of their water sources through collection of water quality data and historical analysis.” Another outcome from this project was developing a computer app to provide guidance on the frequency of sampling based on risk factors (e.g. after rainfall).

Several other CPS research projects focus on predictive models for irrigation water quality, exploring the relationship between product testing and risk, reuse of tail water and evaluating alternative irrigation water quality indicators.

Let me introduce Natalie Dyenson, head of food safety and quality assurance at Dole. As you can imagine, she has a huge responsibility covering several product lines (fruits, vegetables, leafy greens and packaged salads) sourced from hundreds of growers throughout the Americas and other countries. She’s been involved with CPS for several years and takes a keen interest in new research findings.

With leafy greens as her top priority, she is still very concerned about the three romaine lettuce outbreaks during 2018. With all Dole crops, water quality risk assessment and testing are very important. Dole reviews water source (wells, reservoir, canals, etc.) and type of irrigation (foliar spray, furrow irrigation, flooding farms).
All water sources including deep wells are tested monthly, and after weather events such as wind and frost. Enhanced testing of product is done prior to harvest depending on their environmental risk assessments — for example, after an excessive rain event where potential contaminated water run-off could be introduced to the field.

Natalie said, “there is a huge potential to leverage historical water quality test data to help mitigate risk.” She’s also very interested in predictive models and is looking forward to the results of a CPS research project starting in 2019, “Development of a model to predict the impact of sediments on microbial irrigation water quality,” led by Charles P. Gerba, Ph.D, from the University of Arizona.

Previous CPS research has shown that sediments at the bottom of waterways can harbor 10 to 10,000 more fecal bacteria than surface waters. This new project will investigate the conditions where pathogens could be re-suspended in surface water and will design sampling strategies to minimize contamination to crops.

While discussing sediment in irrigation canals Natalie mentioned that it’s been observed that some non-Dole farmers are still laying irrigation intake hoses directly on the bottom of water sources (canals, ponds, etc.). A simple solution is to use a flotation device positioned so that the hose end extracts water just below the surface where there are fewer potential contaminants. While not a complete remedy to eliminate all organic matter and pathogens in the water supply, it is a simple tool to help reduce risk.

Money talks: Safety interventions in Dutch vegetable production

Surveys still suck, but the results of this one generally correlate to what we have found doing 20 years of on-farm food safety with fresh produce growers.

Outbreaks and crisis drive grower food safety concerns, prevention is a hard sell, but we’ve shown it can be done.

Understanding growers’ preferences regarding interventions to improve the microbiological safety of their produce could help to design more effective strategies for the adoption of such food safety measures by growers.

The objective of this survey study was to obtain insights for the design of interventions that could stimulate growers to increase the frequency of irrigation water sampling and water testing to reduce possible microbiological contamination of their fresh produce.

The results showed that price intervention, referring to making the intervention less costly by reducing the price via discounts, is the most effective strategy to change growers’ intentions to increase their frequency of irrigation water testing. Moreover, a sense of urgency affects their intentions to increase the frequency of irrigation water testing.

The findings of this survey support the hypothesis that, to date, safety is not perceived as a quality control issue under normal circumstances, but safety becomes an overriding attribute in a food crisis.

Understanding preferences for interventions to reduce microbiological contamination in Dutch vegetable production

June 2018, Journal of Food Protection vol. 81 no. 6

A. P. M. VAN ASSELDONK,1*L. MALAGUTI,2M. L. H. BREUKERS,1 and H. J. van der FELS-KLERX2,3

https://doi.org/10.4315/0362-028X.JFP-17-106

http://jfoodprotection.org/doi/abs/10.4315/0362-028X.JFP-17-106

You got water problems? These are water problems: Food production in arid regions

Climate change is one of the major challenges of our time that pose unprecedented stress to the environment and threats to human health. The global impacts of climate change are vast, spanning from extreme weather events to changes in patterns and distribution of infectious diseases.

Lack of rainfall associated with higher temperatures has a direct influence on agricultural production. This is compounded by a growing population forecasted to expand further with increasing needs for food and water. All this has led to the increasing use of wastewater worldwide.

In this review, we more specifically discuss the use of untreated wastewater in agriculture in the Middle East and North Africa (MENA) countries, the most arid region in the world. This presents challenges for agriculture with respect to water availability and increasing wastewater use in agri-food chain. This in turn exerts pressures on the safety of food raised from such irrigated crops.

Current practices in the MENA region indicate that ineffective water resource management, lack of water quality policies, and slow-paced wastewater management strategies continue to contribute to a decline in water resources and an increased unplanned use of black and graywater in agriculture. Radical actions are needed in the region to improve water and wastewater management to adapt to these impacts.

In this regard, the 2006 WHO guidelines for the use of wastewater contain recommendations for the most effective solutions. They provide a step-by-step guide for series of appropriate health protection measures for microbial reduction targets of 6 log units for viral, bacterial, and protozoan pathogens, but these need to be combined with new varieties of crops that are drought and pest resistant. More research into economic local treatment procedures for wastewater in the region is warranted.

The Impact of Climate Change on Raw and Untreated Wastewater Use for Agriculture, Especially in Arid Regions: A Review

01.feb.18

Foodborne Pathogens and Disease, Volume 15, No. 2

Faour-Klingbeil Dima  and Todd Ewen C.D.

https://doi.org/10.1089/fpd.2017.2389

 

Know thy water: If it’s dry, I’m gonna water rather than lose a crop

Foodborne disease outbreaks associated with fresh produce irrigated with contaminated water are a constant threat to consumer health. In this study, the impact of irrigation water on product safety from different food production systems (commercial to small-scale faming and homestead gardens) was assessed.

drip-irrigation-carrots-jun-16Hygiene indicators (total coliforms, Escherichia coli), and selected foodborne pathogens (Salmonella spp., Listeria monocytogenes, and Escherichia coli O157:H7) of water and leafy green vegetables were analyzed. Microbiological parameters of all irrigation water (except borehole) exceeded maximum limits set by the Department of Water Affairs for safe irrigation water. Microbial parameters for leafy greens ranged from 2.94 to 4.31 log CFU/g (aerobic plate counts) and 1 to 5.27 log MPN/100g (total coliforms and E. coli). Salmonella and E. coli O157:H7 were not detected in all samples tested but L. monocytogenes was present in irrigation water (commercial and small-scale farm, and homestead gardens).

This study highlights the potential riskiness of using polluted water for crop production in different agricultural settings.

Assessment of irrigation water quality and microbiological safety of leafy greens in different production systems

Journal of Food Safety, 2 November 2016, DOI: 10.1111/jfs.12324

http://onlinelibrary.wiley.com/doi/10.1111/jfs.12324/abstract;jsessionid=883317B2001984CC39815B1792B68759.f04t01

Irrigation water safety in Penn.

Recent produce-associated foodborne illness outbreaks have been attributed to contaminated irrigation water. This study examined microbial levels in Pennsylvania surface waters used for irrigation, relationships between microbial indicator organisms and water physicochemical characteristics, and the potential use of indicators for predicting the presence of human pathogens.

A total of 153 samples taken from surface water sources used for irrigation in southeastern Pennsylvania were collected from 39 farms over a 2-year period. Samples were analyzed for six microbial indicator organisms (aerobic plate count, Enterobacteriaceae, coliform, fecal coliforms, Escherichia coli, and enterococci), two human pathogens (Salmonella and E. coli O157), and seven physical and environmental characteristics (pH, conductivity, turbidity, air and water temperature, and sampling day and 3-day-accumulated precipitation levels).

Indicator populations were highly variable and not predicted by water and environmental characteristics. Only five samples were confirmed positive for Salmonella, and no E. coli O157 was detected in any samples. Predictive relationships between microbial indicators and the occurrence of pathogens could therefore not be determined.

Microbial survey of Pennsylvania surface water used for irrigating produce crops

Journal of Food Protection®, Number 6, June 2016, pp. 896-1055, pp. 902-912(11)

Draper, Audrey D.; Doores, Stephanie; Gourama, Hassan; LaBorde, Luke F.

http://www.ingentaconnect.com/contentone/iafp/jfp/2016/00000079/00000006/art00002

1036

Irrigation water, produce and pathogens

The microbiological sanitary quality and safety of leafy greens and strawberries were assessed in the primary production in Belgium, Brazil, Egypt, Norway and Spain by enumeration of Escherichia coli and detection of Salmonella, Shiga toxin-producing E. coli (STEC) and Campylobacter.

strawberryWater samples were more prone to containing pathogens (54 positives out of 950 analyses) than soil (16/1186) and produce on the field (18/977 for leafy greens and 5/402 for strawberries). The prevalence of pathogens also varied markedly according to the sampling region. Flooding of fields increased the risk considerably, with odds ratio (OR) 10.9 for Salmonella and 7.0 for STEC.

A significant association between elevated numbers of generic E. coli and detection of pathogens (OR of 2.3 for STEC and 2.7 for Salmonella) was established. Generic E. coli was found to be a suitable index organism for Salmonella and STEC, but to a lesser extent for Campylobacter. Guidelines on frequency of sampling and threshold values for E. coli in irrigation water may differ from region to region. 

Risk Factors for Salmonella, shiga toxin-producing Escherichia coli and Campylobacter occurrence in primary production of leafy greens and strawberries

International Journal of Environmental Research and Public Health

Siele Ceuppens, Gro S. Johannessen, Ana Allende, Eduardo César Tondo,  Fouad El-Tahan, Imca Sampers, Liesbeth Jacxsens, and  Mieke Uyttendaele

http://www.mdpi.com/1660-4601/12/8/9809

Irrigation water and produce safety

Back before there was youtube, we started videoing my friend, Jeff Wilson, about farming stuff.

boog.powell.mesquite.cookingWe knew irrigation water was an issue, but it was one most didn’t want to talk about.

Researchers at Cornell have reported that environmental (i.e., meteorological and landscape) factors and management practices can affect the prevalence of foodborne pathogens in produce production environments.

This study was conducted to determine the prevalence of Listeria monocytogenes, Listeria species (including L. monocytogenes), Salmonella, and Shiga toxin–producing Escherichia coli (STEC) in produce production environments and to identify environmental factors and management practices associated with their isolation.

Ten produce farms in New York State were sampled during a 6-week period in 2010, and 124 georeferenced samples (80 terrestrial, 33 water, and 11 fecal) were collected. L. monocytogenes, Listeria spp., Salmonella, and STEC were detected in 16, 44, 4, and 5% of terrestrial samples, 30, 58, 12, and 3% of water samples, and 45, 45, 27, and 9% of fecal samples, respectively. Environmental factors and management practices were evaluated for their association with terrestrial samples positive for L. monocytogenes or other Listeria species by univariate logistic regression; analysis was not conducted for Salmonella or STEC because the number of samples positive for these pathogens was low. Although univariate analysis identified associations between isolation of L. monocytogenes or Listeria spp. from terrestrial samples and various water-related factors (e.g., proximity to wetlands and precipitation), multivariate analysis revealed that only irrigation within 3 days of sample collection was significantly associated with isolation of L. monocytogenes (odds ratio = 39) and Listeria spp. (odds ratio = 5) from terrestrial samples.

These findings suggest that intervention at the irrigation level may reduce the risk of produce contamination.

Irrigation is significantly associated with an increased prevalence of Listeria monocytogenes in produce production environments in New York State

Journal of Food Protection®, Number 6, June 2015, pp. 1064-1243, pp. 1132-1141(10), DOI: http://dx.doi.org/10.4315/0362-028X.JFP-14-584

Weller, Daniel; Wiedmann, Martin; Strawn, Laura K.

http://www.ingentaconnect.com/content/iafp/jfp/2015/00000078/00000006/art00010

As always, more research required: Study analyzes tomato production practices

Doug Ohlemeier of The Packer writes that tomato production practices don’t significantly affect bacteria levels and the study’s results point to the need for additional research, according to University of Maryland and Rutgers University researchers.

tomato.traceabilityThat’s the conclusion of a study scheduled to be published in the March issue of the International Journal of Food Microbiology.

From July to September 2012, researchers from the College Park-based University of Maryland’s College of Agriculture and Natural Resources’ Center for Food Safety and Security Systems and New Brunswick, N.J.-based Rutgers’ Cooperative Extension collected and tested 422 samples from 24 conventional and organic tomato farms from four growing regions in Maryland, Delaware and New Jersey.

The researchers analyzed 259 tomato fruit samples and also examined irrigation water, compost, field soil and pond sediment for Salmonella enterica, shiga toxin and bacterial indicators in pre-harvest tomatoes.

They didn’t detect any salmonella on the farms and the prevalence of shiga toxin, a byproduct of E. coli, was very low, said Shirley Micallef, an assistant professor who heads the Maryland university’s food safety center and Plant Science and Landscape Architecture department.

One curious finding was an apparent difference in bacteria present on tomatoes that touch the ground vs. tomatoes higher in a vine canopy that don’t contact the plastic or straw mulch.

Researchers found indicator bacteria on the ones that connected with the ground but no pathogens, Micallef said.

That discovery doesn’t mean tomatoes that touch the ground shouldn’t be harvested but only points to the need for additional investigation, she said.

Another finding was groundwater from the end of drip lines possessed higher indicator bacteria counts than the source water, Micallef said.

tomato.dump.tankThe difference in microbiological quality of water signals potential risk and points to the need for growers to conduct more frequent drip line system maintenance by testing water at the end of the line, she said.

The research also found no difference in contamination risk between conventional and organic tomatoes and study was also different because it focused on small and medium-sized growers, Micallef said.

“It was encouraging we didn’t find a huge problem because here in the Mid-Atlantic, we have had outbreaks associated with tomatoes,” she said. “It’s good to see growers really paying attention to GAPs (good agricultural practices) and trying to implement food safety practices as best they can in the fields. They probably do help to reduce the risk.”

Do you know what’s in your water? Proposed regs put responsibility on growers

Federal regulators have softened some proposed restrictions to farming practices in the name of food safety, but the Yakima Valley’s tree fruit industry officials say the proposal is still too much.

two fistin wilsonFruit trade officials plan to submit comments to the U.S. Food and Drug Administration asking for additional allowances on proposed irrigation water quality standards called for by the Food Safety Modernization Act.

“It’s still complicated and still going to be costly for your grower,” said Chris Schlect, president of the Northwest Horticultural Council, a trade group that represents the fruit industry in federal affairs and international trade.

The Food Safety Modernization Act, or FSMA, is a 2011 federal law that mandated sweeping changes to the entire food production system to prevent the spread of food-borne illnesses, which kill 3,000 people a year nationwide and hospitalize 128,000, according to estimates from the Centers for Disease Control and Prevention.

It includes everything from hand washing to preventing acts of terrorism.

The FDA is charged with implementing the law and is taking public comments on its second attempt to impose the nuts and bolts of the regulation, spelled out in mind-numbing, scientific detail over several subsections that together would take up thousands upon thousands of pages.

“I don’t think any normal person can understand it,” Schlect said. “George Orwell would roll over in his grave.”

Growers objected most to a suggested stipulation that would prohibit any fruit from contact with water that does not meet the swimming quality standards set by the Environmental Protection Agency and would also require farmers to periodically test their water. If the test came back negative, the growers would have to shut off irrigation.

Most of the Yakima Valley farms rely on open canals and though many orchards use low sprinklers that water under the tree canopy, they also employ overhead sprinklers to cool fruit during the scorching peak of summer.

In the first round of public comments last year, Schlect and other grower groups argued the proposed rules would hold orchardists responsible for contamination upstream, and treat fruit that hangs on the trees the same as produce grown in the dirt.

While FDA officials didn’t soften the water quality standards in their revised proposal, they have suggested granting allowances for the time between the last round of irrigation and harvest. They also might allow growers to test water collectively, maybe at certain points in the canal.

Meanwhile, The Produce News reports that different standards for packinghouses under the Food Safety Modernization Act based on their location will cause confusion within the industry and are not science-based, produce industry groups told officials at the Food & Drug Administration during a Thursday public meeting on FSMA changes.

Under the FDA’s current interpretation of FSMA, on-farm packinghouses would need to meet produce safety standards, but off-farm operations, which must register with the FDA, would have to meet more extensive and costly preventive control requirements.

Registered facilities that only handle raw agriculture commodities and don’t conduct further processing should be covered under the produce safety rule, Reggie Brown, executive vice president of the Florida Tomato Exchange, argued during the meeting held in College Park, MD. Food safety and public heath benefits are likely to be best served by a single rule, he said.

My friend and collaborator, farmer Jeff Wilson addressed this issue over 10 years ago, long before youtube existed. We found the video.