What does pink mean? It’s a lousy measure, so why does CDC use it to measure hamburger risk?

(although imperfect)

Those words, in parentheses, are the most important in a paper by CDC-types about self-reported consumption of pink beef, and impair the conclusions.

Researchers from the U.S. Centers for Disease Control used FoodNet data from a 2006-2007 survey of 8,543 respondents to conclude 75.3% reported consuming some type of ground beef in the home, and of those respondents who ate ground beef patties in the home, 18.0% reported consuming pink ground beef.

That’s a high number, but is pink hamburger correlated with cooking temperatures of less than 165F? Not always.

For purposes of the paper, pink hamburger is equated to undercooked and therefore potentially dangerous hamburger, except for the acknowledgement that color is an “imperfect” indicator for the consumption of undercooked ground beef.

The authors do mention in the paper that “color is not a reliable indicator of ground beef doneness, and thermometer use was not assessed so self-reported consumption of pink ground beef may not truly represent consumption of undercooked beef.

A series of studies beginning in the 1990s and led by Melvin “Hunter” Hunt of Kansas State University concluded that color is a lousy indicator of whether hamburger has reached a microbiologically safe internal temperature of 160F with something like 30 per cent of burgers browning prematurely, based on levels of different forms of myoglobin within hamburger. The U.S. Department of Agriculture agrees, and has a thorough summary of the problems with color at http://www.fsis.usda.gov/factsheets/Color_of_Cooked_Ground_Beef/index.asp.

So why base a consumer study on color, which research concludes and U.S. and Canadian governments agree in the form of consumer advice, is unreliable? Guess it was easier.

The survey did further verify a long-standing observation that is apparently ignored by every local, state or federal agency that says rates of E. coli O157:H7 increase in summer months because more people barbeque: there’s no correlation with cooking. Instead, the correlation is with microbial loads in cattle, which increase in spring and summer.

“We noted a distinct lack of seasonality in the consumption of ground beef or pink ground beef patties in the home. This contrasts with the marked seasonality reported for E. coli O157:H7 infections in humans, which peaks in the summer months. These data suggest that factors other than seasonality in ground beef consumption, such as differences in food handling practices or increases in the amount of bacterial contamination on meat and other foods or environmental sources during warmer months, are responsible for the seasonal increase in E. coli O157:H7 infections. Shedding of E. coli O157:H7 by cattle peaks during the spring and summer months, corresponding to the period of the highest incidence of human infections. Others have suggested that fluctuations in E. coli O157:H7 prevalence in cattle may be linked to human infections. Our data support this hypothesis and suggest that further attention to pre-harvest food safety interventions may be warranted to decrease the numbers of organisms shed in cattle feces and, ultimately, decrease the number of human infections."

For those who think consumers need to be better educated to reduce incidence of foodborne illness, the survey found yet another link to trash such a notion.

“Although persons with higher education and income reported consuming pink ground beef patties in the home more often, this group consumed ground beef overall less frequently. These findings do not explain these patterns, but we speculate that the increased level of risky behavior among more highly educated and higher income respondents may be due to several factors. These persons may not prepare food at home as often as other groups and
therefore may be less practiced in appropriate safe food handling and cooking practices or they may prefer pink ground beef. Higher income persons have been shown both to have more confidence in the safety of the national food supply and to be more likely to use unsafe food practices than lower income persons. Persons that are more educated may also perceive themselves to be at less risk for foodborne illness and consequently be more likely to engage in risky behaviors. The increased willingness among this population to engage in unsafe food-related behaviors has been suggested to rise from more prevalent beliefs that they understand and can control food safety risks.”

Or, smart people can be dumb. Certainly applies to me (the dumb part).

The abstract of the paper is below.

Ground beef consumption patterns in the United States, FoodNet, 2006 through 2007
Journal of Food Protection®, Volume 75, Number 2, February 2012 , pp. 341-346(6)
Taylor, Ethel V.; Holt, Kristin G.; Mahon, Barbara E.; Ayers, Tracy; Norton, Dawn; Gould, L. Hannah
http://www.ingentaconnect.com/content/iafp/jfp/2012/00000075/00000002/art00016/
Infection resulting from foodborne pathogens, including Escherichia coli O157:H7, is often associated with consumption of raw or undercooked ground beef. However, little is known about the frequency of ground beef consumption in the general population. The objective of this study was to describe patterns of self-reported ground beef and pink ground beef consumption using data from the 2006 through 2007 FoodNet Population Survey. From 1 July 2006 until 30 June 2007, residents of 10 FoodNet sites were contacted by telephone and asked about foods consumed within the previous week. The survey included questions regarding consumption of ground beef patties both inside and outside the home, the consumption of pink ground beef patties and other types of ground beef inside the home, and consumption of ground beef outside the home. Of 8,543 survey respondents, 75.3% reported consuming some type of ground beef in the home. Of respondents who ate ground beef patties in the home, 18.0% reported consuming pink ground beef. Consumption of ground beef was reported most frequently among men, persons with incomes from $40,000 to $75,000 per year, and persons with a high school or college education. Ground beef consumption was least often reported in adults ≥65 years of age. Men and persons with a graduate level education most commonly reported eating pink ground beef in the home. Reported consumption of ground beef and pink ground beef did not differ by season. Ground beef is a frequently consumed food item in the United States, and rates of consumption of pink ground beef have changed little since previous studies. The high rate of consumption of beef that has not been cooked sufficiently to kill pathogens makes pasteurization of ground beef an important consideration, especially for those individuals at high risk of complications from foodborne illnesses such as hemolytic uremic syndrome.

Dead mouse ‘doesn’t meet expectations of cleanliness;’ inspections of Kansas school food services yield few violations

The Topeka Capital-Journal reports that during a Nov. 16 inspection of the Shawnee Heights High School food services area, a state inspector found the decomposing body of a baby mouse.

The dead mouse, nestled between a stack of refried beans and chemical cleaner in a warehouse connected to the kitchen, was one sign of the presence of mice.

The inspector also found dozens of feces pellets and some nesting materials in the warehouse, which stores canned and frozen foods shipped daily throughout the entire district.

The signs most likely were left over from the last time the warehouse reported a mouse issue — six months prior to the inspection, when six mice were exterminated.

“That doesn’t reach our level of expectation of cleanliness in the warehouse,” said Unified School District 450 superintendent Marty Stessman.

However, he said, the violations have been handled, and the facility is ready for its Dec. 16 follow-up inspection.

The findings at Shawnee Heights High School were rare for schools. Only three other instances of mice in Topeka-area schools have been reported since 2009, according to inspection reports from the Kansas Department of Agriculture’s Division of Food Safety and Lodging.

Critical violations were found in 80 of the 256 state inspections of Topeka’s public and private schools since 2009. And nine of those required a 30-day follow-up — usually because of the presence of pests. The rest of the problems are minor enough to be fixed on site, typically by the inspector.


A critical violation is something that is more likely to contribute to illness, food contamination or environmental health hazards, according to Amber Barham, food safety and loding district manager for northeast Kansas.

Topeka’s 56 public schools have been less likely to have critical violations and follow-up visits than the city’s nine private schools, which have had critical violations in half of their inspections since 2009.

Although these reports are public record — available on the KDA website — and typically are posted in the cafeteria, few people outside the cafeteria, including parents, school board members and superintendents, see the results.

Most school cafeteria inspections turn up few, if any, critical violations, making schools among the easier inspections for the state.

Almost 70 percent of school inspections in the past two years didn’t yield any critical violations. The remaining 80 inspections found a total of 130.

Kansas cases part of national listeria outbreak

The Kansas Department of Health and Environment (KDHE) has received word that the five isolates sent to the U.S. Centers for Disease Control match the multistate listeria-in-cantaloupe outbreak.

Rocky Ford cantaloupes from Jensen Farms were distributed in Kansas and several other states.

Kansas has eight cases of listeriosis reported since Aug. 26, with 5 cases now matching the multistate outbreak. Two of these eight patients have died and the causes of death are being investigated.

Pushing raw milk – Kansas style

As raw milk pushers protest in Washington, D.C. today, Kansas is delving into some kind of Learning Annex approach to promote the stuff.

A course being offered at UFM Community Learning Center in Manhattan (the Kansas one) declares,

Unpasteurized, farm-fresh milk is Mother Nature’s most perfect food. During this class, you will discover the differences between pasteurized and unpasteurized milk, the political history of raw milk in America and in Kansas, and how to find quality sources of raw milk for you and your family. … this class is essential for all people who want a healthy lifestyle.”

Some background: What appears to be the local version of the he-man-woman-haters club, the University for Man, was founded in Manhattan in 1968. Being progressive, the group changed its name in the early 1990’s to University for Mankind. In 1999, the words were eliminated, but the initials UFM were kept and additional explanatory words, Community Learning Center were added. The official name is now, UFM Community Learning Center.

The class on raw milk is being taught by Stephanie Schiefelbein, who apparently works in the library at Kansas State University, and is active with the usual groups of raw milk pushers, and Deane Lehmann (disclaimer: UFM is a community learning program that contracts with nonprofessional community instructors).

In Kansas, dairies may only sell raw milk on the farm. The transaction must be on the farm and it must be between the dairyman and the consumer. Advertising raw milk sales is prohibited except on the farm premises. The milk container must be labeled as "raw" or "unpasteurized-ungraded" milk. The Kansas Department of Agriculture advises consumers to not consume raw milk and dairy products because they may contain pathogenic bacteria that can make them sick.

The UFM course is hucksterism. In the interests of educational discussion, will outbreaks of foodborne disease related to raw milk be thoroughly covered?

A table of raw milk outbreaks is available at http://bites.ksu.edu/rawmilk.
 

Study looks at enhancing food safety culture to reduce foodborne illness

If providing safe food is a priority, why do large outbreaks of foodborne illness keep happening? Incidents like 2010’s salmonella-in-eggs outbreak sickened more than 1,900 across the U.S. and led to the recall of 500 million eggs.

A new study by a Kansas State University professor and colleagues finds how the culture of food safety is practiced within an organization can be a significant risk factor in foodborne illness.

Doug Powell, associate professor of food safety at K-State, said how businesses and organizations operate above and beyond minimal food safety regulations and inspections, or their food safety culture, is often overlooked.

"You’d think making customers sick is bad for business, yet some firms go out of their way to ignore food safety," Powell said. "Some places are motivated by money and efficiencies. The amount of regulation, inspection and audits just doesn’t seem to matter. And those ‘Employees Must Wash Hands’ signs don’t really work."

Powell, along with Casey Jacob, a former K-State research assistant, and Ben Chapman, an assistant professor at North Carolina State University, examined three food safety failures: an E. coli O157:H7 outbreak in Wales in 2005 that sickened 157 and killed one; a listeria outbreak in Canada in 2008 that sickened 57 and killed 23; and a salmonella outbreak in the U.S. in 2009 linked to peanut paste that killed nine and sickened 691.

Their study "Enhancing Food Safety Culture to Reduce Rates of Foodborne Illness" is being published by the journal Food Control and is available in advance online at http://bit.ly/hDh9EE.

"Creating a culture of food safety requires application of the best science with the best management and communication systems," Chapman said. "Operators should know the risks associated with their products, how to manage them, and most important, how to communicate with and compel their staff to employ good practices — it’s a package deal."

According to the researchers, individuals focusing on food safety risks within an organization with a good food safety culture do the following:

* know the risks associated with the foods they handle and how those should be managed;

* dedicate resources to evaluate supplier practices;

* stay up-to-date on emerging food safety issues;

* foster a value system within the organization that focuses on avoiding illnesses;

* communicate compelling and relevant messages about risk reduction activities, and empower others to put them into practice;

* promote effective food safety systems before an incident occurs; and,

• don’t blame customers, including commercial buyers and consumers, when illnesses are linked to their products.

Source: Doug Powell, 785-317-0560, dpowell@k-state.edu

Clostridium perfringens suspected in Kansas turkey church dinner outbreak, 179 now sick

That Kansas turkey church dinner outbreak mentioned in today’s USA Today was probably caused by Clostridium perfringens, highlighting the need for proper cooling after cooking and sufficient reheating.

The Kansas Department of Health and Environment (KDHE) and City-Cowley County Health Department, with assistance from the Kansas Department of Agriculture and the cooperation of the Sacred Heart Catholic Church in Arkansas City, have been conducting an investigation of a foodborne illness outbreak associated with the Sacred Heart Turkey Dinner that was held on the evening of November 8.

Since that date, 179 people individuals who attended this event have reported becoming ill, with one requiring hospitalization. Preliminary results from initial testing indicate that the illness is due to exposure to toxin produced by bacteria called Clostridium perfringens; however, further results are still pending.

Many Clostridium perfringens outbreaks are associated with inadequately heated or reheated beef, turkey or chicken, allowing the bacteria to multiply to high levels. Once eaten, the bacteria produce a toxin that can lead to illness.

Incubation period, or the time from eating a contaminated food to onset of symptoms, is usually about six to 24 hours; however, this can vary depending on the amount of bacteria present.
 

Kansas church dinner toll climbs

There are now at least 159 individuals have reported becoming ill, with one hospitalization, following a Kansas church dinner earlier this month.

The Sacred Heart Turkey Dinner that was held on the evening of November 8, 2010, in Arkansas City, KS, had over 1,800 people in attendance.

The Kansas Department of Health and Environment (KDHE) and City-Cowley County Health Department, with assistance from the Kansas Department of Agriculture and the cooperation of the Sacred Heart Catholic Church in Arkansas City, are continuing to conduct an investigation of a possible foodborne illness outbreak, and are asking for the public’s help in completing a survey to identify the source of the outbreak.

“It’s really important that everyone who attended the dinner or consumed food prepared for the event complete this survey or contact the health department,” said Dr. Jason Eberhart-Phillips, Kansas State Health Officer and Director of KDHE’s Division of Health. “Regardless of whether you’ve become sick, the information you provide will help us better understand what may have caused this gastrointestinal outbreak.”

The KDHE survey is available at: https://www.surveymonkey.com/s/SacredHeartDinner.
 

Church turkey dinner sickens 22 in Kansas

The Kansas Department of Health and Environment (KDHE) and City-Cowley County Health Department, with assistance from the Kansas Department of Agriculture and the cooperation of the Sacred Heart Catholic Church in Arkansas City, are conducting an investigation of a possible foodborne illness outbreak associated with the Sacred Heart Turkey Dinner that was held on the evening of November 8.

Since November 8, at least 22 individuals have reported becoming ill; symptoms include vomiting, diarrhea, abdominal pain and cramping. Follow-up investigations are ongoing, but preliminary information suggests that the illnesses among these individuals are associated with attendance at or consumption of food from the turkey dinner. No other common links have yet been identified.

At this time, no specific foods have been identified as the potential source of illnesses. As a precaution, KDHE is recommending that no food that was prepared for this dinner is consumed. Any food left over from the event should be discarded to reduce the potential of further illness.

To aid in the investigation and potentially identify the source of the outbreak, KDHE is conducting an online survey that can be accessed at:
https://www.surveymonkey.com/s/SacredHeartDinner

Nikki Marcotte: Some Manhattan restaurants sloppy with food safety

In the month of September, there were three Manhattan (Kansas) restaurants that received five critical violations or more during routine food safety inspections by the state.

On September 20, 2010. HuHot Mongolian Barbecue in the Manhattan Town Center received nine critical violations for issues such as employees not properly washing their hands, bare hand contact with ready-to-eat food during preparation, improperly sanitizing food contact and preparation areas, and improper cold holding temperatures.

On September 22, Chili’s Bar & Grill received eight critical violations for things like employees improperly washing their hands, improperly sanitizing food contact and preparation areas, improper cold holding temperatures, and failing to post their license within the establishment.

On September 28, Pat’s Blue Ribbon Barbecue in Aggieville received nine critical violations for employees not properly washing their hands, improperly sanitizing food contact and preparation areas, and not marking correct dates on food storage containers.

Follow-up inspections have been or will be conducted sometime this month.
 

Nikki Marcotte: critical violations at Manhattan (Kansas) restaurants in August

On Aug. 17, 2010, the Kansas Department of Agriculture’s Division of Food Safety and Lodging inspected Mr. K’s Cafe, located at 3901 Vanesta in the Grand Mere district, and cited them for seven critical violations including improper cold holding temperatures, improperly storing chemicals above food preparation areas, and improperly cleaning and sanitizing food contact surfaces.

Details reveal Mr. K’s was cited because mold was found in the ice machine, the meat slicer and tomato slicer weren’t cleaned properly and were found with bits of dried food on them, pretty much all the food in the cooler was stored at a temperature of 50 degrees F, and butane fuel was found stored over their food prepping areas.

On Aug. 19, KDA visited the Chinese Chef restaurant located at 2704 Anderson Avenue. The establishment was cited for ten critical violations including failure to properly wash and sanitize hands, improperly cleaning and sanitizing food contact surfaces, improper cold holding temperatures and improperly disposing of sewage and waste water.

In the walk-in cooler, raw chicken was being stored over cooked fried chicken tubs; a majority of the rice that was prepared and stored in the same walk-in cooler had an average temperature of 66 degrees.

On Aug. 27, Mr. Goodcent’s Subs and Pastas was inspected and cited for seven critical violations, including improper cold holding temperatures, improperly storing chemicals near food preparation areas, and improperly marking dates on food packages; sliced tomatoes and tuna salad were stored in a cooler at almost 60 degrees.