Can you hear me know? The new holiday tradition: Searching for recalls and outbreak information

Longtime friend of the barfblog.com, Michéle Samarya-Timm, health educator at the Somerset County Department of Health (that’s in New Jersey, represent) writes:

Baking pumpkin pies with Aunt Kay’s secret recipe.  Watching Miracle on 34th Street.  Preparing the dining room with the good china.  Diffusing political conversations at the dinner table. 

Some traditions give a sense of warmth, connection, and continuity, and regularly define a family’s holiday. Unfortunately, there is now a need to add an additional tradition to the season – actively checking for foodborne outbreaks and recalls to prevent folks from getting sick.

 Last week, on Tuesday, November 20th at 2pm, (two days before Thanksgiving), the CDC posted a media statement with advice to consumers, restaurants, and retailers: 

 “CDC is advising that U.S. consumers not eat any romaine lettuce, and retailers and restaurants not serve or sell any, until we learn more about the outbreak.”

 The need to release such a notice, right before a major holiday is an unpropitious scenario.  It was also very concerning in its specificity to consumers, retailers and restaurants:

“Wash and sanitize drawers or shelves in refrigerators where romaine was stored.”

Such an alert is most effective if it reaches the intended audiences.   Folks at my holiday table did not hear about the outbreak.  Neither did many local health departments.

Issuing media releases is one way for public health agencies to reach large groups of people. However, distracted by holiday preparations, travel, shopping, family, football and bad weather this advisory was only partially disseminated to the public. A person had to be following news outlets or social media to receive timely notice. I heard about the recall from the woman next to me while I was getting a haircut – not from the CDC or FDA, or any other federal or state agency.   

 It’s disturbing. The CDC could have sent this info directly to local health departments, or notify them that a news release was issued. This was not the first time as a local public health official that I received delayed – or no – official communication about a national foodborne issue.

Local public health professionals rely on communications systems established by federal and state oversight agencies. Most commonly, if a verified or suspect foodborne contamination or outbreak has occurred, the Centers for Disease Control and Prevention (CDC), the U.S. Department of Agriculture, or the U.S. Food and Drug Administration (FDA) will ascertain the appropriateness of information release. If this information is deemed credible, notification is forwarded individually or en masse to state departments of health. The states, in turn, push this information down to local regulators. Each step in the process contains elements that may delay the rapid dissemination of outbreak information. The ability and willingness of all stakeholders to quickly and readily share incident particulars with fellow responding agencies can enhance effectiveness and amplify response efforts.

Electronically sending this advisory directly to the nearly 3,000 local health departments in the US would provide the opportunity for hundreds of health inspectors, health educators, epidemiologists and other to reach the hospitals, food banks, schools, mom and pop establishments and local residents who may not have otherwise received the alert. This was a missed opportunity, and hopefully one that didn’t cause additional cases of illness.

As I’ve written before, coordinated communication strategies within and between public health agencies is less robust than it should be. As a result, state and local public health officials may hear about foodborne disease issues first from other sources, such as the media, word of mouth, public complaints, or the food industry.   

 We need to learn how to communicate better with each other.  Local public health shouldn’t have to keep an eye on the news media, Twitter or Facebook for information pertinent to protecting the people in our jurisdictions.  A multitude of electronic portals exist for purposes of interagency  communication, CDC, FDA, and the public health system should collectively define how pertinent information – such as this romaine advisory – rapidly and routinely gets to the grass roots public health workforce. Continuously improving interagency coordination and communication is a goal that is fundamental to increasing the effectiveness of this nation’s food safety systems. I’m putting this out there, because I’m willing to help with the solution. That way, in future years, I can spend my holidays perfecting Aunt Kay’s pie recipe.

This holiday, I’m thankful for public health influencers and amplifiers – like barfblog.com – that act as outbreak aggregators, and push out info to local public health types like me.   

Some background information and recommendations on this topic can be found in:  Getting the message across: an analysis of foodborne outbreak communications between federal, state, and local health agencies   https://calhoun.nps.edu/handle/10945/49379

Schaffner in Consumer Reports: ‘you have to recall the whole burrito.’

When a common ingredient used in a bunch of ready-to-eat foods is recalled things snowball. One recall announcement turns quickly into multiple and leads to larger questions about overall systems.

Or as Don told Consumer Reports last week, ‘It’s the nature of our complex food system today. If a potentially contaminated bit of onion gets used in a burrito,’ he explains, ‘you have to recall the whole burrito.’

Since Oct. 16, there have been at least 13 recalls of ready-made foods, such as salads, sandwiches, wraps, pizza, and burritos, due to potential salmonella and listeriacontamination. All of these foods have been traced back to a single plant owned by McCain Foods, in Colton, Calif., which processes, cooks, and freezes vegetables for distribution to other food producers.

To date, almost 4 million pounds of food sold under many different brand names have been recalled, and the Food and Drug Administration says more recalled products may still be announced.

All of the products involved are now past their expiration dates, so they shouldn’t be on store shelves. In addition, according to a spokesperson from the USDA’s Food Safety and Inspection Service (FSIS): “FSIS routinely conducts recall effectiveness checks … to verify [that] recalling firms notify their customers of the recall and that steps are taken to make certain that the product is no longer available to consumers.” (In this case, “customers” refers to food companies that purchase vegetables from McCain.)

The FDA notes that some of the recalled products require cooking, which could potentially kill dangerous pathogens. However, many of the recalled items are considered “ready-to-eat” or RTE.

And that makes them risky, says James E. Rogers, Ph.D., director of food safety research and testing at Consumer Reports. Even if the product was intended for cooking at home, different food items need to be heated to different temperatures to guarantee bacteria will be killed. Consumers may not always know to heat the product thoroughly.

Additionally, Rogers notes that handling products that contain foodborne pathogens—even if heated thoroughly—could contaminate anything they come into contact with, like your hands. The safest bet is to throw them out.