Travel agents: if people are barfing at a resort, don’t keep sending more tourists

A 48-year-old teaching assistant from Crayford, and a family from Broadstairs are among more than 500 British tourists who won compensation for a nightmare Caribbean holiday at the Bahia Principe Hotel in the Dominican Republic (below, left) in 2007.

According to media accounts, the holiday companies continued sending guests to the hotel despite a major outbreak of Shigella and Salmonella which lasted for months.

"My husband couldn’t reach the toilet when we were there. I went down to reception to tell them to call a doctor and they said put a nappy on him to take him to the medical centre. … Some people had to have new mattresses because they hadn’t made it to the toilet in time. There were children screaming all over the place and pregnant women."

Tracey Chambers, 43, said,

“People were being sick in the swimming pool and the toilets were all blocked up. Lots of people were being sick. We were told to watch what we ate because there was bug going round. …  My dad had to be put on a drip because he was dehydrated and couldn’t take on enough water. They were charging 40 dollars for a trip to the hospital.”

Other guests were diagnosed with shigella, giardia, salmonella and E coli, thought to have come from food dressings.

A spokesperson for Thomas Cook said,

"We are pleased that the majority of legal cases have now been settled and we want to be able to reassure all our customers that we work with our hotel partners to continually monitor the hygiene standards in their properties."

NEHA 2009 Annual Educational Conference training showcase materials

I’m in Atlanta for the National Environmental Health Association’s Educational Conference.

At 1pm today I’ll be presenting during the Food Safety Training Showcase (Courtland Rm at the Hyatt Regency Atlanta for those of you who are in town).

You can find the materials I’ll be presenting at bites.ksu.edu/NEHA2009.

Homemade pancakes, Woody Allen and robots

When Katie Filion lived with us for a few months before setting off for graduate work in New Zealand, Amy and I would tell the 22-year-old, "‘oh, you should see this movie" – insert Monty Python and the Holy Grail, Wonderboys, or even more modern fare like Napoleon Dynamite – at which point she would politely recoil. Maybe she found our movies … old.

However, Katie did confess she now misses my homemade-from-scratch buckwheat pancakes with berries.

Have I got a movie for Katie.

Woody Allen’s 1973 classic, Sleeper, when the director was at a more, uh, slapstick stage of his career, features Allen as Miles Monroe, a jazz musician and health-food store owner living in Manhattan in 1973, who is cryogenically frozen without his consent, and not revived for 200 years. When Miles is arrested as a counterrevolutionary, he escapes by disguising himself as a robot, the kind frequently used in the future for mundane chores like cooking.

Maybe the Japanese like Woody Allen more than the French like Jerry Lewis because various prototype robo-chefs showed off their cooking skills at the International Food Machinery and Technology Expo in Tokyo last week, flipping Japanese pancakes, serving sushi and slicing vegetables.

Narito Hosomi, president of Toyo Riki, manufacturers of the pancake-cooking robot, which was apparently based on me, said,

"We all know that robots can be very useful. We want to take that utility out of the factory so that they can be used elsewhere.”

I have to agree, Katie. While clever, Sleeper is slow.

Soft-serve ice cream concerns in Toronto

I’m a fan of soft-serve ice cream. If I’m out somewhere and have an urge for a treat I’m likely looking for a DQ dipped cone or a McDonald’s hot fudge sundae (with nuts). The Toronto Star reports today that eating my top dessert choice from some Ontario outlets might not be a good idea. Investigative reporter Diana Zlomislic from the Star tested vanilla ice cream and frozen yogurt samples from 14 sites, including mobile trucks, street kiosks and retail chains.  Zlomislic reportedly found coliform, a group of indicator bacteria that may mean a lack of sanitation, exceeding suggested limits at five of the vendors.

The highest level the Star found – at 3,000 coliform organisms per gram – was purchased from JJ Dairy Cool, a mobile ice cream truck stationed outside Toronto City Hall on Queen St. W.
Owner George Koutsaris, one of Toronto’s original ice cream truck vendors who’s been selling cones for more than 40 years, says he prides himself on the cleanliness of his operation.

It’s a small study size (14 sites, and I’m assuming one cone per site), and I’m not sure how acseptic the reporters’ sampling was (samples could have been contaminated by a dirty journo putting the cone into a bag) but, if everything was done correctly, finding coliform in the served product at 5 places isn’t good. It’s not all that surprising, coliform has routinely been found on the nozzles of soft-serve machines when folks look. Based on sanitation data, Australian health authorities suggest that moms-to-be avoid soft-serve throughout pregnancy.

Zlomislic writes that:

Koutsaris worries the problem may lie with his supplier of the liquid soft-serve mix, which he purchases by the bag. His daughter, who works with him, said their supplier is buying products from a new wholesaler.

Coliform shouldn’t be in soft-serve ice cream. It shows a lack of sanitation, poor supplier practices or both. Regardless of the source, it could indicate that pathogens are present. In one of the most popular barfblog posts ever, Doug took on Tori Spelling and Baskin-Robbins over a soft-serve ice cream giveaway targeted at moms-to-be

Poor hygiene can lead to the spread of foodborne illness through soft serve ice cream. Soft serve ice cream is typically kept at a higher storage temperature than frozen ice creams, which could lead to increased bacterial growth. Ice cream is high in moisture and protein content, which is favorable for bacteria to grow. The Food Safety Authority of Ireland has its own publication warning of such risks.

Food safety is not in the eyes of the beholder

As someone with experience in microbiology, I have high standards for sanitation. (I always wash my hands after picking up a bag of raw chicken—even if it’s frozen—and I wipe down the counter, too.) My mother, on the other hand, focuses on visual cleanliness. Since she’s on her way for a visit, I’m doing all the things that I don’t find quite so important, like dusting and putting my husband’s toys away. While, despite my efforts, her house will always look better than mine, I’m content to think my family will get less diarrhea.

Michael McCain is the president and CEO of Maple Leaf Foods, which allowed an undetected build-up of pathogenic listeria deep inside its slicing machines to contaminate deli meats that eventually killed 22 Canadians and sickened 57 more.

He stated yesterday that, despite concerns by the media and a meat inspectors’ labor union that overworked inspectors spend most of their time doing paperwork, more visual inspections would not have made a difference. Inspectors, without the aid of listeria-vision goggles, could not have seen the bacteria that contaminated the meats.

While regulators play an important role in persuading food producers to make safe products, it’s the culture of each organization that primarily determines whether they produce safe food.

In the case of Maple Leaf Foods, communication with consumers during the outbreak (as discussed by Doug and Ben) demonstrated that it was an organization that recognized the value of producing safe food. Their failure to detect L. monocytogenes in product samples led to a $50 million recall, settlements to victims totaling $27 million, and a loss of business that suggested they could do more to act out the food safety culture they had fostered.

No scrap of such a culture could be found at Peanut Corporation of America when the peanut products it was shipping sickened 714 people across the US. As of yesterday, claims totaling $202 million have been filed against PCA in U.S. Bankruptcy Court on behalf of the people who were sickened and families who lost loved ones in its salmonella outbreak, in addition to companies that bought contaminated PCA products for use in their own food products.

Smart food producers and preparers know that it pays to take responsibility for the safety of your products, no matter how closely an inspector (governmental or parental) is watching.

Street meat (and other roadside dishes) on the rise

Last week, the Wall Street Journal profiled street food vendors throughout the U.S. highlighting the popularity of mobile/temporary/cart foods. It appears that the segment of foodservice is increasing in popularity as consumers want more than just hot dogs and sausages.  Many of the operators profiled by WSJ have online ordering, text message support and tweet (on twitter) to better connect with customers and provide speed and convenience.

With more complex foods (other than just reheating cooked meats) comes more complicated (and potentially risky) preparation and handling steps. Multiple raw ingredients need to be kept at the right temperature, operators have to avoid cross-contamination and, keep bacteria and viruses off of their hands. All within the confines of a cart or trailer.

Operators must know (and care) about the risks associated with the products they sell. Health inspectors are part of the solution, but a good street vendor manages the risks before the inspector points them out.

The WSJ also reported back in April that the strictly street meat industry is booming as well– hot dog cart sales for some manufactures have doubled.

Sales of carts, which start at about $2,000 new, have heated up in the past year. "Every model is…taking off," says Joel Goetz, owner of American Dream Hot Dog Carts Inc. in St. Petersburg, Fla. Since January, he has sold about 25 carts a week, 15 more than usual.

"Business is really off the charts," says Dan Jackson, a division manager at Nation’s Leasing Services in Newbury Park, Calif. Leases for hot-dog carts account for about three-quarters of sales, and revenue is triple what it was this time a year ago, he says.

Some of the problems that can arise with mobile vendors were exemplified by the good folks at Seattle & King Co. Health. The Seattle Times reports that the health authorities closed a bistro-style mobile restaurant (which was profiled in the WSJ piece), operated out of an Airstream trailer by Skillet Street Food, after finding several health code violations.

The department found several issues — including no water in the hand-washing area, no cold storage for food and no arrangements for restrooms — and shut it down.

The trailer also reportedly didn’t have a license to operate (while a sister trailer, which remained open, did). 

In a follow-up article, chef-owner Josh Henderson tried to explain the situation:

"We have one trailer not fully approved," explained Henderson as he readied for tonight’s game. "The original trailer people see every day was having some mechanical issues, so we were forced to bring out the one that’s not approved."

Forced?

"We signed a contract with the Mariners for the season, saying we’ll be out in that lot." It was a choice between not operating and potentially having a breach of contract, he said, or not having a permit for the night and hoping they could get away with it. "We made a bad choice."

Henderson went on to say: 

"We’re a young business. We’ve invested money. We’re struggling to pay bills. We don’t have deep pockets and large investors. When it comes down to paying payroll and operating a business, sometimes these risks are outweighed by other stuff. That’s the reality."

Yeah, not so sure that potentially making a bunch of people sick so you can honor the terms of your contract the best risk to take. If something goes wrong you’re probably out of business (and not fulfilling that contract with the Mariners).

Stop tweeting, get some water and wash your hands.

New food safety infosheet: Possible scombrotoxin outbreak at Raleigh, NC restaurant

A couple of weeks ago I was watching the local 11pm news and a story about a pretty nasty event  linked to Raleigh restaurant popped on. WRAL reported that one paramedic unit was dispatched and called for backup when 10 patrons of EVOO (which I drive by on my way to campus)  suddenly became ill on April 17th, 2009. At least three patrons were taken to hospital with stomach cramps, vomiting and dizziness.

When I first heard about how violent and sudden the outbreak was I was reminded of an a couple of scombrotoxin outbreaks that occurred in Washington State in 2004.  My favorite part about that outbreak report was what diarrhea associated with escolar looks like:

Diarrhea associated with consumption of escolar is caused by an indigestible waxy ester (gempylotoxin) that is naturally present in the fish; the diarrhea is often described as oily and/or unusually colored, and may be accompanied by abdominal discomfort and fecal incontinence.

Mmmm.

Although the true cause may never be known the epidemiology reports point to salad consumption as a common food. One of the working theories for this outbreak is cross-contamination of scombrotoxin poison from fish on the menu or high-histamine containing anchovies used in Caesar salad dressing.

Here’s this week’s food safety infosheet on EVOO and scombrotoxin.

 

Sprout farm to begin testing for listeria

Close to 15,000 pounds of Chang Farm bean and soy sprouts were recalled from retailers and restaurants in four northeastern states last week after Listeria monocytogenes was found in a bag of sprouts at a retail store.

Speaking for the company, Sidney Chang said,

"We followed FDA guidelines to test for salmonella and E. coli 0517:H7. We don’t test for listeria, because they don’t require that."

So?

It is consumers who ultimately decide which food companies stay in business and make a profit, and consumers demand food that is free of all pathogens.

Is Chang Farm willing to step it up?

As stated in an article by The Packer,

“We want to make sure our facility is safe," Chang said. "We’re going to add more measures. We thought we were doing the right things.”

Dairy-free brownies and other sacrifices

It has been almost three months now that my diet has been more or less dairy free. Shortly after Sorenne turned two months old, she became plagued with eczema. Her pediatrician never recommended I change my diet, as he was satisfied that she continued to gain weight, but I couldn’t stand watching her turn red and try to scratch herself with little hands that she could barely control. A friend of mine, and many articles I read, suggested cutting dairy. My first reaction was – that will be the end of nursing. I am a cheese addict, I love butter, and really, dairy is one of my main sources of protein. Soy is fine – but giving up cheese? How cruel can life be?

I eventually decided that cutting dairy for a couple of days would not kill me, and Sorenne did seem to get a little better. But Doug and I were really not sure if it was the dairy or any number of other variables in our daily life that could be affecting her. I had changed detergents and soaps and made sure she wore only 100% cotton material in the meantime.

The first two weeks of avoiding dairy were very difficult. Giving up cheesecake was almost painful, but I eventually found substitutes and cheated a little here and there when necessary. Sorenne had flare ups that I attributed to a dairy allergy, but we really have no way of knowing for sure. Sorenne doesn’t complain – neither does Doug – and I brought this challenge entirely on myself. After I discovered tofutti cream cheese and (yes it’s gross) veggie cheddar, quitting milk no longer seemed like such a big deal. I noticed I’m generally less gassy (pleasant for everyone around me) and Sorenne vomits significantly less.

For the past week Sorenne’s skin has been almost entirely clear. Today, while contemplating the dairy-free brownies I was about to make, I realized that living dairy free is a challenge I enjoy. I still salivate thinking about Roquefort, but I lived without most of my favorite cheese throughout my pregnancy due to the risk of listeria. (At least now I can eat pâté without much worry.) Finding substitutes has been somewhat enjoyable with some pleasant side effects. For those who cannot enjoy dairy due to serious allergies or lactose intolerance, the diet may feel more like a burden. Worse yet, it’s scary to not know if an allergen has contaminated your food when you’ve been careful to protect yourself or your child. I’m fortunate to have a choice and a knowledgeable partner tolerant of my neurotic parenting.
 

Carrot producers sue sheepherders

According to the Bakersfield (CA) Californian, a producer concerned with foodborne illness risks is suing a sheepherding couple (right, not exactly as shown) for crop losses after a flock of sheep were allowed to graze in a carrot field.

Grimmway Enterprises Inc. is suing Fernando and Yvonne Iturriria for $230,059.34 in damages, plus attorneys fees.

The carrot giant alleges the Iturririas allowed an "unknown number" of sheep to graze on 1.9 acres of carrots at the outset of harvest season, after which the sheep defecated on the crops, the lawsuit says.

The original 1.9 acres of carrots and the adjoining 73.567 acres were destroyed to prevent food poisoning, according to the lawsuit.

"It is a legitimate concern," said Michele Jay-Russell of UC Davis’ Western Institute for Food Safety and Security. "I’d be especially worried about direct defecation on a food that could be consumed raw."

Sheep poop has been linked to risks in fresh produce, a 1981 Listeria monocytogenes outbreak in Canada was linked to cabbage fertilized with composted and raw sheep manure. Mud mixed with sheep poop was also linked to a Campylobacter outbreak last summer at a Welsh mountain bike race.