Going public saves lives: E. coli kills child in Italy

My Italian food safety friend provides the following:

supershedder.e.coliLast summer, Apulia, a region in Italy’s south, was hit by a hemolytic uremic syndrome (HUS) outbreak with 20 cases; it was eventually linked to dairy products.

When two children came down with HUS in July,2014, authorities insisted that “there was no alarm.”

It is possible there has been no outbreak and no reason to alert the public, but a 18-month child has now died of HUS and it seems that the main reason was that doctors were slow to consider HUS as a possible diagnosis. Perhaps downplaying the issue to the public, including health professionals, has not helped.

Botulism from instant soup in Italy

A 33-year old man hospitalized in Camposampiero remains in critical condition, but is showing signs of recovery following botulism poisoning after eating an instant soup.

Though the young man remains intubated in intensive care, he is slowly regaining mobility of his limbs, after the paralysis caused by the intoxication. Meanwhile, the medical director of Local Health Unit 15 Sandro Artosi stated that he had immediately alerted the Ministry of Health (which was sent a sample of the soup eaten by the 33 year-old).

The Ministry of Health has initiated the emergency food alert procedure and ordered the seizure of the minestrone from retailers. The young man had eaten a pre-cooked instant soup of the company Buonaterra during his lunch break. The Local Health Unit of Alessandria, where the soup manufacturer is located, was also immediately alerted and a Food Alert was started, with the publication on the website of the Ministry of Health.

Botulinum toxin type B has been analytically confirmed in soup by the laboratories of the Istituto Zooprofilattico delle Venezie, Legnaro (Padova). The young man, who had eaten the pre-cooked soup on March 19, is still hospitalized in the intensive care unit of the hospital in Camposampiero Friday. On Saturday March 22 he was treated with antibotulin serum.

(Thanks to Luca Bucchini for the story and translation.)

Agromafia’s grip on Italian food ‘jeopardizes safety’

Following reports of rampant food fraud in the European Union, Roberto Moncalvo, head of the Coldiretti association in Italy, said, “The agriculture and food sectors have become priority investment areas for organized crime groups.”

He called it “a strategic move in times of crisis because they have understood that, as bad as it gets, nobody can do without food.”

Coldiretti estimates mafia groups took in around €14 billion last year from agromafiaagricultural rackets, an increase of 12 percent from 2012.

According to the anti-mafia unit in Rome, around 15 percent of turnover in the agriculture sector is linked to criminal activities.

Coldiretti said crime groups “control in many regions the distribution, and sometimes even production, of milk, meat, mozzarella, coffee, fruit and vegetables.”

They also run around 5,000 bars and restaurants – from pizzerias to ice-cream parlours – in Italy, mostly under dummy corporations.

The industry association said gangsters use extortion and intimidation to gain monopolies over products, force farmers to sell at low prices, as well as pressing businesses to buy their items and launder money.

Crime groups also tamper with ingredients and illegally butcher meat, it added.

Tampering with ingredients or swapping them for inferior ones in food then sold throughout Italy and Europe “seriously jeopardizes the quality and security of products,” said Coldiretti.

Lots of Listeria in Italian mozzarella cheese – but is it high risk?

Following a Listeria monocytogenes detection in a mozzarella cheese sampled at a dairy plant in Lazio Region, further investigations have been conducted both by the competent Authority and the food business operator (as a part of dairy factory HACCP control).

In total, 90 dairy products, 7 brine and 64 environmental samples have been tested. The prevalence of Listeria monocytogenes was 24.4% in mozzarella cheese, and 9.4% in listeriaenvironmental samples, while brines were all negatives.

Forty-seven strains of L. monocytogenes have been isolated, all belonging to 4b/4e serotype. In 12 of these, the macrorestriction profile has been determined by means of pulsed field gel electrophoresis. The profiles obtained with AscI enzyme showed a 100% similarity while those obtained with ApaI a 96.78% similarity. These characteristics of the isolated strains jointly with the production process of mozzarella cheese has allowed to hypothesise an environmental contamination.

Italian Journal of Food Safety 2014; colume 3:1708

10 sick; Croations in Italy hospitalized for food poisoning

At least 10 supporters of Cedevita Zagreb, a Croatian professional basketball team, were sickened during a trip to Sardinia.

Saturday there was a huge dinner on a farm, Sunday lunch in a restaurant with a menu based on fish. But something did not work and when the Cedevita Zagrebfans arrived at PalaSerradimigni, they began to twitch in the throes of an excruciating stomach ache that forced them to overshadow the game (something probably lost in translation).

People sick from Salmonella in salami in Italy

An increase in abnormal cases of salmonellosis throughout the Italian province of Piacenza has led the Health Services Veterinary Service to conclude the culprit was Val d’Ongina brand salami and advise consumers to return any product.

The owner of the delicatessen Val D’Ongina, Furio Burgazzi sought to reassure consumers: “We have already taken steps to withdraw Val d'Ongina brand salamithe product from all the restaurants and supermarkets with which we work. We agree with the local health authorities to ask, as a precaution, to return the salami they may have suffered contamination. Every week we sell 4,000 salami – he pointed out – and to this day had never happened. Thanks to our control systems and high-level cleaning our products have always been a guarantee of quality.”

Note: some things may have been lost in translation.

Safety vs tourism; 16 – mainly young children — now with HUS from E. coli O26 outbreak in Italy

An E. coli O26 outbreak appears to be spreading in the Apulia region of Italy, with 16 cases of hemolytic uremic syndrome, including14 children aged 10-to-36 months, a 15-year-old boy and an adult.

The most recent case occurred in Calimera, where an 11-month-old girl was admitted to hospital with symptoms that many now have learned to apuliarecognize: diarrhea often characterized by the presence of blood in the stool, vomiting and abdominal pain.

Something may be lost in translation here, but the story says:

From the information gathered through the statements of the parents, children affected by Seu had eaten fruit (watermelon, in particular), dairy products and salad. In some cases, little had been spoon-fed after the parent had come into contact with the meat, maybe the one that bought a sandwich stuffed in one of the many stalls that fill the streets of Puglia during the summer. In short, too many elements, but no certainty, except that which is coming from sea water bacteria.

Perhaps, more likely, from the wells from where it draws water to irrigate the fields, but the controls are still in progress. Yet in recent days had spread the rumor that to facilitate the contagion might just be the sea water. A circumstance which had raised fears sudden emptying of the seaside resorts and a stampede of tourists from Puglia. 

This has not happened, as confirmed by Fabrizio Santorsola, regional vice president of Assobalneari Puglia, federated Federbalneari, and holder of the beach and restaurant “Santos» Savelletri, on the coast of Fasano. “Our guests, and those establishments that belong to the association – he says – did not show any fear.

9 sick with HUS; E. coli O26 outbreak in Italy

There have been several reported cases of hemolytic uremic syndrome in patients who reside in or traveled to the Italian region of Apulia.

The Italian Ministry of Health reports that between 1 and 14 Aug 2013, 8 children and an adult patient were hospitalized after apuliadeveloping HUS.

A food vehicle has not been identified. Regional authorities are enhancing their epidemiological surveillance on local gastroenteritis activity, while the ISS sent an alert message to all Italian pediatric kidney diseases departments, through the SNIP, for early detection of other cases in the various regions, possibly linked to the Apulia outbreak.