U.K. targets listeria risk in old people – when will Canada?

I got an e-mail from the vice-president of communications for Maple Leaf Foods on Saturday afternoon.

She was sending me a blog that her boss, Michael McCain wrote, about his new knowledge of listeria and the role of food safety inspectors.

I figure she’s making at least $150,000 to do her vp communicating, so, even though I was a dick, I felt OK responding,

“Thanks for forwarding this in a timely manner. I blogged about it yesterday.”

It was about 24 hours earlier.

And while McCain and Maple Leaf go about enhancing their communications reputations, even the mother country, land of the cook-your-turkey-till-it’s-piping-hot advice, has decided listeria is a problem, maybe we can’t rely on manufacturers, maybe listeria is everywhere like Michael McCain says, so maybe we better tell old people they could be at risk.

The U.K. Food Standards Agency commissioned a bunch of research and figured out that people over the age of 60 are more likely to take risks with ‘use by’ dates than younger people and that eating food like cold-cuts beyond its ‘use by’ date increases the risk of food poisoning from listeria.

A recent sharp rise in the number of people taken ill with listeria has seen more older people affected. The number of cases rose by 20% in 2007 and has doubled since 2000, this increase occurring predominantly among people over 60.

The number of cases of listeria in people over 60 years of age has doubled in the past nine years. And one in three of the people who get food poisoning caused by listeria die as a result.

Listeria is a type of food poisoning bacteria that can live and grow in a wide range of food – chilled ready-to-eat food in particular – for example pâté, cooked sliced meats, certain soft cheeses and smoked fish.

Dr Andrew Wadge, Chief Scientist at the FSA, said,

The rise in listeria food poisoning among older people is worrying. Listeria can make people very ill, and 95% of cases end up needing treatment in hospital.

‘There are some really simple steps people can take to prevent getting ill in the first place: be aware that ‘use by’ dates indicate how long food will remain safe, and then make sure you stick to them; always follow the storage instructions on the label; and make sure your fridge is cold enough – between 0°C and 5°C is ideal.

‘These are the three messages that our new campaign is focusing on and Food Safety Week is a good time to be raising awareness of them."

VP communications thingy: stop sending me e-mails that you or any of your underlings – and I know how many people at Maple Leaf subscribe to bites.ksu.edu and barfblog.com – know was repetition and maybe work on an information strategy so that the genius dieticians in Canadian old-folks homes stop serving unheated cold-cuts to their patients. That’s how 22 people died last year.

More testing, not inspectors may have prevented listeria says McCain; will test results be made public?

Micahel McCain, the president of Maple Leaf Foods, was correct yesterday when he told a Winnipeg Chamber of Commerce event that adding more food inspectors to the plant floor would not have made a difference in preventing last August’s listeria outbreak at one of its Toronto plants that caused 22 deaths.

"What is very important to recognize about bacteria is that you cannot see it. We wish you could visually inspect for bacteria, but it can’t be seen with the eyes, tasted or touched."

The head of the $5.2-billion-a-year Toronto-based food giant was adamant that more testing was the only effective way to address the issue and that Maple Leaf has doubled the number of tests being undertaken.

Thank you for that lesson in microbiology, Mr. McCain. Yes, the inspectors’ union in Canada has been shamelessly exploiting the deaths of 22 people to get more shifts for its workers. Good of you to call them on it.

Now to the harder questions, which McCain continues to avoid.

Why didn’t Maple Leaf do more extensive testing prior to the outbreak? It’s not like there haven’t been listeria outbreaks in ready-to-eat refrigerated foods like cold cuts before.

Why won’t Maple Leaf make all of its listeria test results public, especially since it wants to build consumer confidence.

Will Maple Leaf put warning labels on its cold cuts to advise pregnant women and older folks that such products shouldn’t be eaten raw?

And to all the dieticians running the menus at the elderly folks homes where the 22 people died: what were you thinking serving cold cuts? How hard is it to heat a sandwich? Have any of you had any decent food safety training?
 

This is how useless single food inspection agencies can be

When to go public remains a difficult question for public health types, but us mere mortals were offered a glimpse yesterday.

"To wait until one has evidence beyond doubt . . . is often too late to protect the public," McKeown said.

In front of a parliamentary subcommittee Wednesday, the medical health officers for Ontario and the City of Toronto chastised the Canadian Food Inspection Agency for its handling of last summer’s listeriosis outbreak.

"This was a national outbreak, but it wasn’t clear that the national public health dofficer had a mandate for leadership at the federal level," Dr. David Williams, Ontario’s chief medical officer of health, told the committee.

Williams, along with Dr. David McKeown, Toronto Public Health medical officer, testified at a special parliamentary probing the state of food safety in Canada.

The committee was called after people consumed contaminated meat last summer from a Maple Leaf Foods plant in Toronto, resulting in the death of 22 Canadians.

That death toll was exacerbated by "a lack of effective communication" among health agencies, Williams said, along with what the health officers suggest are differences in reporting procedures between the federal health authorities, and their local and provincial counterparts.

Public health officials should act when there are "reasonable and probable grounds to believe food products poses a health hazard," McKeown explained, adding this "standard" is included in Ontario’s public health legislation. But the CFIA generally waited for "conclusive evidence" a specific product is responsible for documented human illness before taking action, he said.

So, all these people died, the president of Maple Leaf thinks he’s a food safety hero cause he’s learned so much about listeria, and the food safety types at various levels are still talking bullshit.

The locals were left hanging by the omnipotence of the single food inspection agency.
 

Canadians – Listeria investigator wants to hear from you, or sell you a Sham-Wow

Sheila Weatherill, Independent Investigator, Listeriosis Investigation, Ottawa, Ont., who apparently has an affinity for upper case, writes in the Times & Transcript this morning,

“Help us to help you! Give me your views on listeriosis.”

Oh, OK. I’m still Canadian, so my views are below the italicized questions asked by Weatherill.

Last summer Canadians began asking themselves whether their food was safe. Even though few had heard of it before, the term "listeriosis" became a household word.

Canadians began asking whether their food was safe a long time ago. Like after E. coli O157:H7 killed 19 residents in a London, Ontario, nursing home in 1985. But I understand history is not your strong suit. Or using Google. Listeriosis has been around a long time too.

I believe that ensuring the safety of our food supply is a priority for all of us. As the independent investigator, I feel a strong obligation to find out the facts and make recommendations to protect the health of Canadians.

I believe that with ready-to-eat meat products, the responsibility lies with the processor, not the consumer. Unless Canadians are supposed to start frying their smoked turkey breast.

I am interested in learning:
* How you first learned about the outbreak (e.g. TV, newspaper, radio, word of mouth)?

I first learned from a BS press release from the Canadian Food Inspection Agency that contained the weasel words, “There have been no confirmed illnesses associated with the consumption of these products.” ??????Usually, CFIA press releases say there have been no illnesses associated with the product in question, if that is indeed the case. The “confirmed illness” was a wiggle phrase that Canadian media dutifully reported and then went back to sleep.
 
* How well do you think the crisis was managed? What else do you think should have been done?
Please let me know what you think. You can go to the "Listening to Canadians" link on the investigation website at www.listeriosis-listeriose. investigation-enquete.gc.ca or send an e-mail to contacts@li.listeriosisenquete.gc.ca.
My role as investigator ends on July 20, 2009. I hope to hear from you soon. Your opinions do count!
All of us have a duty to help ensure that such a tragedy doesn’t happen again.

The crisis was handled poorly. No one –government, Maple Leaf – has provided a full accounting of who knew what when. And Weatherill, your questions suck. Why were nursing homes serving unheated deli meats, a known risk factor for listeriosis – which you may have recently discovered but lots of food science types or readers of newspapers heard about at least 10 years ago. And why are pregnant woman not more explicitly informed of the risks associated with listeriosis and consumption of ready-to-eat foods?
 

Canadian politicians beware: Maple Leaf’s Michael McCain isn’t really that into you

He may ooze empathy and smooth, but Canadian politicians on the Standing Committee on Agriculture and Agri-Food’s Subcommittee on Food Safety beware: Michael McCain (below, not exactly as shown) really isn’t that into you.

Sure he got dressed up for the committee appearance last night, prefaced it with a little foreplay at a luncheon for business types, and said I’m sorry, it was all me, but when a guy says that, he really means, it’s all you.

McCain just wants to get into your pants, or pants pockets, in the form of public tax dollars for inspections to ensure a future food safety façade so the profits at Maple Leaf Foods won’t be further inconvenienced by death and illness from deli meats.

McCain of Maple Leaf Foods has become the latest corporate type to ask for government help in the form of increased inspection. The dude from Kellogg’s did the same thing in the U.S., as did the growers of lettuce and spinach in California, and tomatoes in Florida. They all said the same thing: we can’t figure out how to provide a safe product while sucking in profits, so government, please, do it for us (that way, when there is an outbreak, we can at least say we met enhanced government standards). If anyone wants to know why government at best sets a minimal standard, read the testimony of Carole Swan, President of the Canadian Food Inspection Agency and Dr. Brian Evans, Executive Vice-President of CFIA.

All of this is tragically embarrassing.

And this ain’t rocket surgery.

Opposition MPs praised McCain for taking responsibility for the tragedy and questioned whether the government should do more to accept part of the blame.

No. Stop being taken in by the fabulously handsome McCain. The best food producers and processors will go far beyond government standards to provide a safe product; they make the profit; they should make it safe. They should brag about it.

McCain told business leaders earlier on Monday, perhaps after a lunch of liquor and delicious deli meats, that the food industry "has to raise its game" because it doesn’t take food safety seriously enough.

“This industry has to raise its game. It has to take food safety more seriously, it has to invest more in food safety, and it has to improve its record of delivering safe food to consumers."

Wow. Sixteen years after Jack-in-the-Box and McCain and his $5.5 billion a year company discovers food safety after killing 21 people. He also felt it necessary to lecture parliamentarians and others that ‘poke and sniff’ methods of inspection were outdated. That rhetoric is at least 20-30 years outdated.

You know (a listener said my overuse of ‘you know’ on a Baltimore phone-in show yesterday was appalling and that as a professor lecturing to ‘glasses’ I should know better; I told him I had a voice for print and he should watch his spelling) Amy and I need people to help out with baby Sorenne. I’m not sure we need a village, but babysitters and friends are handy a few hours a week so we can slog through some work. Or shower. Sorenne is 4-months-old.

I’m somewhat baffled, however, when the so-called leaders of multi-billion dollar corporations or producer groups ask for babysitters in the form of government inspectors. Are your managers 4-month-olds that need someone to play ga-ga with? Help to get in their walker?

Canadian parliamentarians, stop being swooned by this guy. NDP MP Malcolm Allen said, “The only way you can get trust back with the public is through third-party verification.”

Apparently the star-struck Mr. Allen, thinking he was asking a tough question, showed himself as the star-struck girlfriend, who knows nothing about food safety, like the shitfest of third-party (non)verification at the Peanut Corporation of America plant which led to nine dead and 600 sick from Salmonella.

Here’s what is appalling about all this: no one, or at least me, expects anything but the bare minimum from government. The CFIA types can say they’re sorry all day, they’ll still have jobs and still go off for six-months of French lessons to move up in the Canadian government bureaucracy.

Michael McCain (above, exactly as shown), who runs that $5.5. billion a year company manufacturing products identified for decades at high risk of listeria, could stick with, yeah, we screwed up, we should have learned from all these past listeria outbreaks, we should have paid attention to the positive test results sitting in our filing cabinets, we’re sorry.

As Steve Martin once said, ‘But Noooooooooooo.’

Instead, McCain makes a big deal out of hiring a food safety dude after the fact, and lectures the rest of the industry and the country on what should be done; instead it’s like dating the worst kind of reformed smoker or born-again addict preaching to everyone else: forget minimal government regulations, forget the preaching, sell safe food. Listeria didn’t just come along 10, 20, 30 years ago, or yesterday, as you would have Canadians believe.

McCain, take care of your own shop, the one that happily makes money. Then maybe we can talk about another date.

Until then, I’m just not that into you.

Bureaucrats blame and battle over Canadian listeria outbreak; still can’t answer basic questions

The feds failed miserably during the Aug. 2008 outbreak of listeria that claimed 21 lives across Canada but the province of Ontario handled the outbreak well and that, "compared to other outbreaks, experts will say this went amazingly fast.”

I have no idea who these experts are that Ontario’s Chief Medical Officer of Health, Dr. David Williams, said would endorse the response to the outbreak other than other bureaucrats and politicians who were quick to praise themselves in the early days of the outbreak. And while media accounts are focusing on the bureaucrat blame game, they’re giving the Williams report little more that a fawning glance.

The good news is that the report has a basic timeline of who knew what when, at least from the perspective of Ontario bureaucrats.  By Aug. 1, 2008, the Ontario “Public Health Division identifies 16 cases of listeriosis in the month of July: the majority were in elderly people who had been in a long-term care home or hospital.”

By Aug. 4, 2008, the Listeria Reference Lab confirms that three food samples from Toronto long-term care home – all opened 1 kg packages of meat cold cuts – are positive for Listeria.

Yet the first public warning didn’t happen until the early hours of Sunday, Aug. 17, 2008.

This is the bad news. Other questions are simply ignored in the report — like what are long-term care facilities doing serving cold-cuts to the immunocompromised elderly? Should there be warning labels or additional information provided to others at risk, such as pregnant woman? Why aren’t listeria test results made public?

The report does say the medical officer of health for Canada was missing in action during the outbreak, and that the Canadian Food Inspection Agency hampered the overall investigation.
 

Maple Lodge to market food safety on deli meats; will Maple Leaf follow?

Maple Lodge Farms is Canada’s largest independent chicken processor and I’ve been to the slaughter plant in Brampton, Ontario. With all the Maple Leaf listeria stuff over the past eight months, Maple Lodge has been sorta quiet.

Until today.

Maple Lodge chief executive officer Michael Burrows unveiled a new high-pressure method of killing listeria and other bacteria in sliced luncheon meats after the package is sealed. The process applies water under extremely high pressure to the packaged product, has no adverse impact on the product itself, and has been approved by Health Canada and the Canadian Food Inspection Agency.

So Maple Leaf, using that newfangled blogging technology, responded by saying Maple Leaf Foods was an early adopter of Ultra High Pressure (UHP) technology in Canada and began using it in Maple Leaf Simply Fresh entree products when they were introduced more than two years ago, in a bunch of other products, and will look at using it in deli meat if it can provide added food safety assurance to consumers.

Maple Leaf, seriously, you need better writers.

But this is what I like about the Maple Lodge approach:

They came out and said internal research showed consumer demand for higher levels of food safety has risen sharply in the past year, and that consumers would be willing to pay a premium of 1-2 cents per 100 grams of product to get it.

Maybe, consumers will say anything on a survey but vote with their money at checkout.

But Maple Lodge is going to label the stuff with a" SafeSure" sticker and market food safety at retail.

Good for them. Rather than lecturing consumers, let them choose. At checkout.

Maple Leaf discovers food safety – too late

During the Bite Me ’09 road trip, a very prominent food safety colleague told a very public audience that he wasn’t so impressed when a company hired a chief food safety dude after the poop had hit the fan.

Me thinks he was talking about Maple Leaf Foods, a Canadian company doing $5.5 billion a year in sales that decided it needed a chief food safety officer after killing 21 people with its listeria-laden deli meats last fall.

On March 25, 2009, Maple Leaf announced it was launching an external company blog at http://blog.mapleleaf.com. The first posting, "The Journey to Food Safety Leadership," is a letter written by President and CEO, Michael McCain.

Anything mentioning Journey should be banned. So many times while flipping the radio during the Bite Me ’09 3600-mile roadtrip, a Journey song would come on. And they’re on some new ad. Horrible, horrible music.

So it’s apt that Maple Leaf Foods chose a Journey to food safety because like the Toronto Maple Leafs hockey team, they are all aggressively mediocre.

The letter from McCain is not a blog post: it’s a missive that needs some serious editing for brevity. There’s been a couple of other posts that run the gamut from boring to pedantic. My group has written a paper on what makes a good blog post. McCain may want to check it out.

McCain and his food safety hire, Randy Huffman, are apparently touring the editorial boards of the remaining newspapers in Canada as a prelude to parliamentary hearings that begin next week on the future of Canada’s food safety system.

“We are going to be advocating more regulation, not less. More-stringent protocols, not less-stringent protocols. We’re going to be advocating more transparency and a stronger role for government, not a reduced role.”

Of course they are. Just like leafy green growers and the dude from Kellogg’s. Isn’t it embarrassing when industry – the ones who make a profit – says, we can’t do this ourselves, we need a babysitter.?

He (McCain) was accompanied by the company’s new chief food safety officer, Randy Huffman, whose appointment and position are being touted as evidence of Maple Leaf’s responsiveness to the crisis.

I’ll defer to my very prominent food safety colleague.

McCain also told the Globe and Mail this morning,

“We have to be candid and open and honest to the Canadian public, as does the industry and government. In the world of food safety we can do the very best job we can, but zero risk is not achievable based on what we know today.”

Dude, I co-wrote a book called Mad Cows and Mother’s Milk back in 1997 that said zero-risk was unachievable and consumers actually don’t want that. They just want to know that whoever is in charge is doing what can be reasonably expected to reduce risk. Twelve years later and McCain feels it necessary to lecture the Canadian public about this stuf? Had McCain really never heard about the 1998 outbreak of listeria associated with Sara Lee hot dogs?

Back to the questions the Globe editorial board apparently forgot to ask while fawning over McCain: should Maple Leaf products contain warning labels for pregnant women and old folks; why aren’t Maple Leaf listeria results publicly available; and who knew what when in the days leading up to the Aug. 2008 recall?
 

Canadian food safety: there are no rules on informing the public

Toronto’s Globe and Mail reports in tomorrow’s edition that the Canadian Food Inspection Agency often finds problems with bottled water, but doesn’t tell the public about them.

CFIA food safety and recall specialist Garfield Balsom said there are no hard-and-fast rules on what requires public notification.

“There is nothing indicating what is to be made public or what’s not.”

The way the story is written, it’s difficult to tell whether this rather explosive quote refers to just bottled water or all food safety issues. The story does explain that an Access to Information Act request was required to determine CFIA issued 29 recall notices for bottled water products between 2000 and early 2008, but issued a public warning in only seven cases, two of which came after the U.S. Food and Drug Administration made public its recall orders.

Balsom said that other countries follow the same approach and don’t automatically issue notices because consumers would soon be overwhelmed by publicity over recalls, most of which would pose low risks.

“There are downsides to publicizing everything.”

True. But based on past case studies, people hate it when government-types are inconsistent or bureaucratic or less than forthcoming.

The agency has an internal hazard ranking system, known as class one, class two and class three, for products that respectively pose high, moderate and low risk. … But the access records show that there was no consistency in the agency’s approach. There were cases of the same bacteria and same hazard ratings being treated differently, with some having public recalls and others not.

This is a persistent problem – when to go public. Suspicions remain that CFIA and Maple Leaf Foods were slow in responding to last year’s listeria shitstorm that killed at least 21 – and a public offering of who knew what when is still missing.

Same with the Salmonella in tomatoes and jalapenos last summer in the U.S. Many were frustrated by conflicting messages and finger-pointing. Same with cyclosproa in the U.S. in Canada in 1996, in which California strawberries were erroneously fingered when it was the Guatemalan raspberries.

Epidemiology, like humans, is flawed. But it’s better than astrology. The more that public health folks can articulate when to go public and why, the more confidence in the system. Past risk communication research has demonstrated that if people have confidence in the decision-making process they will have more confidence in the decision. People may not agree about when to go public, but if the assumptions are laid on the table, and value judgments are acknowledged, then maybe the focus can be on fewer sick people.

Listeria la bamba

The beat goes on.

Brian Evans, executive vice-president of the Canadian Food Inspection Agency, wrote in the Globe and Mail this morning that the only part of a July 24 meeting between officials from Maple Leaf Foods and the Canadian Food Inspection Agency that concerned listeria centred around consistency between Canada’s approach to import testing and monitoring, and that of other countries.

Michael McCain of Maple Leaf said the same thing in a March 4, 2009, press release,

"While we welcome open discussion of the outbreak in any and all reviews to ensure appropriate lessons are drawn from this tragedy, we take the strongest possible exception to any inference that we withheld information from the public."

As I said March 4, those explanations are probably true.

But CFIA and Maple Leaf  — especially Maple Leaf if it’s the world-class thingy it claims to be – need to publicly state, for the record, who knew what when, instead of continuous damage control every time someone asks a question.

Evans also writes today that,

These consultations had nothing to do with the listeria outbreak that was brought to light several weeks later and to which the agency responded quickly and professionally.

No one can judge whether the agency responded quickly and professionally because a detailed timeline of who knew what when is simply not available. If McCain really valued “open discussion of the outbreak” they would publicize their own listeria test results leading up to the public recall in an outbreak that killed 20.

Bamba bamba.