Who knew? Measles outbreak linked to Kansas eatery

Who gets measles from eating in a restaurant? Apparently people in Wichita (that’s in Kansas).

5279798333_360c20d1d1_zIt is extremely contagious. If you have been exposed or think you have it, do not go to your doctor — call them. You can spread it just sitting in the waiting room,” said Skip Cowan, community services coordinator for the Harvey County Health Department.

There have been six cases in Sedgwick — several of them traced back to a restaurant worker who was working at the end of June and beginning of July.

Due to the concern of transmission to the public, health officials are requesting anyone who dined at Sal’s Japanese Steakhouse, 6829 E. Kellogg Dr. in Wichita, on the following dates: June 20, 23, 25, 29, July 3, 5, and July 7, and later developed an illness with fever and rash to contact their health care provider.

Measles is a respiratory disease caused by a virus. With the creation of the MMR (measles, mumps, rubella) vaccine, measles cases have generally been rare in the United States; however, it still sickens approximately 20 million and kills 164,000 people worldwide each year.

Cowan said the disease spreads most quickly among those who are not vaccinated — and the first vaccination doses begin with infants between 12 and 15 months old.

Kansas figuring out how to do restaurant inspections

The Kansas Department of Agriculture is working to improve and clarify with inspectors its food safety standards after The Topeka Capital-Journal pointed out some inconsistencies in its enforcement.

restaurant.inspection“Quality and consistency are two of our biggest priorities,” said Adam Inman, assistant program manager in the department’s food safety division. “We always take opportunities to improve whenever we can.”

The discrepancies might seem technical — down to the difference between the two types of critical violations — but for restaurants, that technicality can mean the difference between a year-long break from inspections and a follow-up visit in two weeks.

Follow-up inspections are important because they can start the legal process. One failed follow-up visit leads to a summary order. A second can result in fines.

Also, The Topeka Capital-Journal every two months runs a slideshow featuring the restaurants that recently required a follow-up visit. That kind of publicity is bad for restaurants, especially when people look only at the number of violations and not the content, said Lee Atwood, owner of Big’Uns Grill, 1620 S.W. 6th.

“The general person doesn’t know what a foundation violation is,” he said. “That makes a restaurant look bad.”

Faith-based food safety: shiga-toxin E. coli spreads in Kansas

Skip Cowan with the Harvey County Health Department in Kansas says, “Unfortunately, now we have one new case and we currently have two children that are currently in the hospital.”  Of the two children in the hospital, one got sick just last week and one has been on dialysis for almost a month now.

Health Department investigators say it’s been frustrating trying to figure out how this particular strain of E. coli reached its young victims.

“Not totally sure what did cause it,” said Cowan. “We do not think it was food related at this time.”

Investigators have spent weeks trying to figure out how the children got infected with a potentially deadly strain of E. coli that attacks the kidneys, causing something called hemolytic uremic syndrome or HUS.

They do know all the children infected attended the same church in Newton.

“Now it is ironic they all do go to the church, but as of right now we don’t have any reason to think it has anything to do with the church,” said Cowan.

The church is doing everything it can to prevent any more spread of the bacteria, sterilizing all equipment in the children’s areas, cancelling its Bible School this week, and beginning its summer break from Sunday School classes early. Meanwhile, they’re asking for prayers for the children in the hospital.

110 sick in Kansas; Jimmy John’s still sucks at food safety

Jimmy John’s is a popular sandwich outlet in U.S. college towns that has had numerous food safety outbreaks.

When Rob Mancini and I told our Kansas State colleagues that maybe we shouldn’t be getting lunch from this place, we were met with derision and disbelief.

jimmy.john's.sproutsBut they were profs, so they must be right.

A news release Friday said the Finney County Health Department, Kansas Department of Agriculture and the Kansas Department of Health and Environment are investigating the outbreak, which they said appears to be associated with the Jimmy John’s Gourmet Sandwiches restaurant in Garden City.

KDHE and the Finney County Health Department are contacting diners by telephone and an online survey to determine who has been ill, according to the news release.

As of noon Friday, more than 110 cases of illness had been reported among people who ate food from the restaurant. Their symptoms included diarrhea, vomiting, nausea and muscle aches.

KDA’s Food Safety and Lodging program conducted an inspection of the restaurant and has working with Jimmy John’s employees to respond to the outbreak.

80 sickened at back-to-school BBQ, first day of school cancelled in Kansas town

Not a good way to start the school year: local health officials in McPherson, Kansas, are investigating a possible outbreak of foodborne illness linked to a back-to-school cookout last Sunday.

Fern Hess, director of the McPherson County Health Department, said St. Joseph Catholic School in McPherson delayed its vomit.salmplanned first day of school on Wednesday because of a “significant number of students and staff who were ill.”

The school opened Thursday instead.

Hess said that based on symptoms and the time frame, health officials suspect the illnesses were caused by foodborne contamination from a Sunday, back-to-school barbecue.

The food served there was a combination of food provided by the school and food brought by people who attended.

 

20 sick: Kansas Mexican restaurant closed after food poisoning; S. aureus suspected

An East Topeka Mexican restaurant and meat market has been forced to temporary close after more than 20 people reportedly became sick after eating its food.

Carniceria Camecuaro, 1016 S.E. 6th, has been closed since Sunday after the Kansas Department of Agriculture advised it to shut down.

Manager Carmen Jaramillo confirmed the restaurant was closed Carniceria CamecuaroTuesday.

“We have done business for seven years. This is the first time we have this kind of problem when some persons became sick from the food,” she said.

Carniceria Camecuaro will remain closed while KDA conducts follow-up inspections and directs potentially contaminated food to be thrown out. The staff also has to undergo further training regarding food safety codes. Depending on how that goes, the establishment could be open within the week, said Charlie Hunt, epidemiologist with the Kansas Department of Health and Environment.

KDA and KDHE, which handles food-borne illness outbreaks, were advised of the issue Sunday when a local hospital reported at least four people suffering from food poisoning after eating at the restaurant, Hunt said.

Additional complaints have come in, he said, estimating that more than 20 people were affected by the restaurant’s food. Based on interviews, he said, the culprit looks to be the pork carnitas.

Although the investigation continues, the current hypothesis was that the food-borne illness was caused by a bacterium known as staphylococcus aureus, Hunt said.

Risks involved with human-animal interaction can be reduced, but only if guidelines are followed

Gonzalo Erdozain writes:

The same day I visited the Riley County Fair for the first time in the 8 years I’ve lived in Manhattan, Kansas, our paper, Observation of Public Health Risk Behaviors, Risk Communication and Hand Hygiene at Kansas and Missouri Petting Zoos – 2010–2011, gets published.

As we approached the fair, I noticed a big pavilion with lots of cows in it, being cared for by what I think were their owners. I had my 10-month-old in his stroller and a corn dog in hand. I decided to try to walk right through it and see if anybody stopped me. I even asked the person at the entrance if it was OK for me to walk through the pavilion with my corndog. To my surprise, she replied: “sure.” Both the U.S. Centers for Disease Control and the U.K. Health and Service Executive recommend against this.

Human food should not be allowed into animal areas (whether contact with animals is allowed or not). Personal items like strollers should not enter the animal area either, as they can become contaminated with animal bedding spilling over into the walkways. At this fair cattle were being walked in and out of the animal area through the same entrance/exit visitors were, which increases chances of cross-contamination. A few other things that could have been done to lower the risks are:

– Have hand hygiene stations at entrance and exits
– Have staff at entrance and exit encouraging hand hygiene and giving a few pointers on how to behave within the animal area
– Have signage easily visible by visitors as they enter and leave the area reinforcing what the staff is saying
– Don’t have the cattle water trough accessible to visitors
– Don’t use same entrance and exits for cattle and visitors due to risk of cross-contamination
– Don’t allow human food into the animal areas

These events can be fun and informative, and I can’t wait for my son to start actually understanding what’s going on, but the fun ends when a kid ends up with hemolytic uremic syndrome caused by E. coli O157:H7. Hand hygiene and risk awareness will go a long way when it comes to reducing the risk of zoonotic disease transmission at events that encourage human-animal interactions. If you think this can’t happen to you, check out our table with outbreaks related to petting zoos, available at http://bites.ksu.edu/petting-zoos-outbreaks.

Going public: outbreaks should be routinely publicized so others can learn

Telling produce farmers they need to clean up and pay attention to food safety stuff is a hard sell until there’s an outbreak.

But what if there’s no outbreak?

That was the situation 15 years ago when I started working with Ontario growers; outbreaks related to fresh produce were starting to become reported regularly in the U.S., the Food and Drug Administration was making rumblings about pathogen sampling (which can shut down cross-border trade) and produce exporters, like Ontario greenhouse veggie growers, were cautiously eyeing the situation.

But there hadn’t been any outbreak involving Ontario greenhouse product. Still hasn’t been (that anyone knows of).

Scare stories from other jurisdictions work to a point, pressure from retailers and others in the supply chain works better, but ultimately, when chatting with individual growers, it would usually come down to: I’ve been doing it this way all along and haven’t made anyone sick. So why should I change?

Public health types have adopted their own version of why change? It’s the increasingly heard, there-was-an-outbreak-but-the-product-was-gone-by-the-time-we-figured-it-out-so-there-was-no-ongoing-threat-to-public-health scenario; therefore, we didn’t have to tell anyone, publicly.

It happened with Fresh Express, the salad folks, that had some salmonella issues in 2010 in which people got sick.

It happened in several outbreaks involving Taco Bell, usually referred to as Mystery Restaurant A long after the fact.

According to long-standing policy at the Centers for Disease Control and the Food and Drug Administration, as long as it does not pose an ongoing public health risk, companies that may be the source of dangerous outbreaks are kept out of the headlines.

"Companies voluntarily share information with CDC and FDA, so when we publish company or brand names and there is not a public health need to do, it could have the effect of discouraging such cooperation between our agencies and the food industry," an FDA spokesperson told ABC News.

And now it’s happened in Kansas.

In Jan. 2012, 18 people were sickened by campylobacter in raw goats milk from a dairy in south central Kansas. The sick people attended the same community function so the outbreak was identified and isolated quickly, so no public warning was ever issued – until Friday, in what was supposed to be a statement from state health-types about the dangers of raw milk.

Instead, it’s another example of outbreaks not being publicly disclosed. And if they aren’t disclosed, how is the public, or farmers or others to know there are problems? How can people become informed without access to information?

People are instead doing it themselves.

The Internet, social media, smartphones, and a host of other tools are providing increasing access to public information, and the private experiences of individuals. Because who doesn’t want to share stories of barfing or bad hookups on the Internet. The information will, increasingly, get out.

In California, there are recurring reports of at least nine children being sickened by campylobacter, in raw milk, from Claravale Farm. No word from public health.

Public health types have a tough job, separating the wheat from the chaff, the meaningful noise from background chatter; resources are diminishing. But establishing some ground rules – and publicizing those rules – would help quell conspiracy theories and perhaps rebuild some public trust.

If people get sick, let it be known, sooner rather than later. Those stories are essential to support statistics. Otherwise I’m just another propeller-head who don’t know nothing about farming and food.

50 from Kansas treated for food poisoning on New York school trip

The 16-year-old daughter in Guelph left for a March-break school trip to Montreal, to learn French stuff.

But I can’t make her lunch.

Fifty students and chaperones from De Soto High School near Kansas City have been treated for food poisoning symptoms at a western Pennsylvania hospital after they stopped on their way home from a band trip to New York when they became ill.

A spokeswoman for Excela Frick Hospital says 40 students and 10 chaperones have been treated at the hospital in Mount Pleasant, about 30 miles southeast of Pittsburgh.

The group ate somewhere in New York before 164 of them headed home on three buses early Wednesday.

Those sickened have been treated and were packing up to continue their return trip to Kansas by Wednesday afternoon.

That could prolong and disperse the barfing. But I’d want my daughter home too.