84 raspberry pickers stricken with leptospirosis in Australia, 2018

In 2018, an outbreak of leptospirosis was identified among raspberry workers from a mixed‐berry farm in New South Wales, Australia. Initial testing had not revealed a cause, but eventually leptospirosis was detected via polymerase chain reaction (PCR). Further serological testing detected Leptospira borgpetersenii serovar Arborea, of which rodents are the predominant reservoir. Leptospirosis is rare in Australia, with outbreaks usually related to flooding. We conducted an investigation to identify risk factors for infection, to inform control measures.

Cases were detected through laboratory notifications, hospital‐based syndromic surveillance, awareness‐raising among farm employees and clinician alerts. Confirmed cases had a four‐fold rise in antibody titre or single titre ≥400 on microscopic agglutination test, and a positive IgM. Probable cases had a positive Leptospira PCR or IgM, and possible cases had a clinically compatible illness. We conducted a case–control study among raspberry workers on the farm and compared reported exposures between cases and seronegative controls. We assessed environmental risks on‐site and tested rodents for leptospirosis.

We identified 84 cases over a 5‐month period (50 confirmed, 19 probable and 15 possible). Compared with controls, cases were less likely to wear gloves and more recently employed. Cases also more commonly reported always having scratched hands, likely from the thorns on raspberry plants. We observed evidence of rodent activity around raspberry plants and three of thirteen trapped mice tested positive for Leptospira Arborea. Control measures included enhanced glove use, doxycycline prophylaxis and rodent control.

This is the largest known outbreak of leptospirosis in Australia. Workers were likely exposed through scratches inflicted during harvesting, which became contaminated with environmental leptospires from mice. Leptospirosis should be considered an occupational risk for raspberry workers, requiring protective measures. Chemoprophylaxis may assist in controlling outbreaks. PCR assists in the early diagnosis and detection of leptospirosis and should be included in surveillance case definitions.

Investigation and response to an outbreak of leptospirosis among raspberry workers in Australia, 2018

Zoonoses and Public Health

Anthea L. Katelaris, Keira Glasgow, Kerryn Lawrence, Paul Corben, Anthony Zheng, Suhasini Sumithra, John Turahui, Janet Terry, Debra van den Berg, Daneeta Hennessy, Stacey Kane, Scott B. Craig, Ellena Heading, Mary‐Anne Burns, Hanisah L. Corner, Vicky Sheppeard, Jeremy McAnulty

 https://doi.org/10.1111/zph.12652

https://onlinelibrary.wiley.com/doi/abs/10.1111/zph.12652

Australia still has an egg problem, state of New South Wales trying to do something about it

The NSW Food Authority is urging people to check their kitchens for any eggs that are marked with the identifying stamp BEC or BEC115 because they may be contaminated with a particular type of Salmonella.

The stamp BEC or BEC115 will be found on the shell of individual eggs, not on the carton.

NSW Food Authority CEO Dr Lisa Szabo said thanks to mandatory egg stamping required in NSW, the Food Authority has been able to isolate the particular batch of eggs.

“All other eggs are safe to eat, provided people exercise the usual caution required for a special care food like eggs such as washing your hands and avoiding raw egg products particularly if you are a vulnerable population such as the immune compromised, under two or over 70 years of age or pregnant,” Dr Szabo said.

(That means asking at a restaurant or catered meal if the aioli or mayonnaise served with many dishes, especially great Australian seafood, was made with raw or pasteurized eggs, or was commercially purchased.)

“It is important to know that not all eggs are impacted but if you have any stamped with BEC or BEC115 we recommend as a precaution that you discard them.

“We typically see a rise in Salmonella during the warmer summer months, so this is an opportune time to remind people to practice good hygiene generally when preparing food and to always keep their hands, surfaces and utensils clean and dry before and after handling eggs.”

NSW Health data indicates that during January 2019, 412 cases of Salmonella infection have been notified, which is similar to the number notified during January in recent years. Children under 5 years of age account for most cases notified this month, although all age groups are affected.

The NSW Food Authority placed a Prohibition Order on the business that produced the eggs earlier in January preventing them from selling eggs while the possible Salmonella contamination was investigated.

“While it is likely that most affected eggs are no longer in the supply chain, it is possible that people may have purchased them earlier and still have some at home in the fridge or pantry,” Dr Szabo said.

“We’d just like people to check and if they do have any eggs stamped BEC or BEC115 to throw them out to avoid any risk of food poisoning.”

Further information about how to reduce your food safety risk when consuming eggs can be found at www.foodauthority.nsw.gov.au/eggs

An updated table of Australian egg-related outbreaks) is available here.

Obit: Des Sibraa

Widely admired former Chief Food Inspector for New South Wales, Australia, (NSW), Des Sibraa, sadly passed away on Saturday, 7th April 2018.

Des was a truly special soul, with an infectious humour and passionate about the important things in life –  his family, animal welfare and of course, food safety. Des was an avid advocate for food safety, constantly seeking to improve the integrity and expected standards of the food service industry in NSW. In later years, he also became very passionate and vocal about animal welfare.

His legacy lives on through his family. Des was a loving husband to Helen, father of Tatiana, Veronica and Paul, and doting grandfather to Mick, Natalia and Ivan.

Rats? We got no stinking rats: Australia restaurant reassures community it’s rat-free

A Chinese restaurant has exterminated a large rat after a video of the rodent in the shopfront window went viral yesterday.

The family business in Minto, NSW, has reassured the community the rat’s appearance was a freak incident after a resident’s video was shared hundreds of times in the space of hours, reported the Macarthur Chronicle.

Restaurant owner Emily Tang said the rat likely rushed through the door from the street at the start of the day.

“I opened the door and it maybe came from the streets, trying to get into the kitchen,” she said.

“Every night we close the door, put down material at the door to stop the rats. We have never ever had any rats like this before.

“We called the pest control man straight away and got rid of the rat. We have always had a good record with the health inspector.”

 

Whole genome sequencing PR in Australia

In a press release story that oozes with promotional fanfare, foodborne illnesses caused by bugs such as salmonella could be cut by a third in NSW within five years, with food and health authorities adding a “revolutionary” tool to their arsenal.

NSW Health and NSW Food Authority have started using whole genome sequencing technology to more quickly identify a foodborne outbreak and connect it with its source, which could reduce illnesses and even deaths.

“[It’s] a significant breakthrough that could help revolutionise how food-borne illnesses are identified, understood, tracked and managed,” said Dr Craig Shadbolt, the Food Authority’s acting chief executive.

“This will be invaluable in terms of achieving the NSW Government’s Food Safety Strategy goal of reducing foodborne illnesses caused by salmonella, campylobacter and listeria by 30 per cent by 2021.”

That sounds nice, but some practical steps, like not using raw eggs in mayo, aoili, or baked Chinese ice cream, would go farther. In Australia, rates of foodborne salmonella poisoning have climbed from 38 per 100,000 people in 2004 to 76 per 100,000 in 2016, with a record-breaking 18,170 cases last year, according to the National Notifiable Diseases Surveillance System.

A table of raw-egg-based outbreaks in Australia is available at: https://barfblog.com/wp-content/uploads/2017/05/raw-egg-related-outbreaks-australia-5-1-17.xlsx-

Australian raw milk conviction success for food safety

The NSW Food Authority (that’s in Australia) reports a woman has been fined a total of $28,000 and ordered to pay professional costs of $25,000 after she pleaded guilty to four charges relating to the sale of unpasteurised or ‘raw’ milk in Goulburn Local Court.

On Thursday 8 June 2017, Julia Ruth McKay from Bungonia on the southern tablelands was fined under section 104 of the Food Act 2003 for selling milk which was not pasteurised in contravention of Food Regulation 2010, and for conducting a food business without a licence as required by the Regulation.

She also pleaded guilty to two charges under section 21 of the Act for selling unpasteurised milk that exceeded acceptable microbiological limits for standard plate counts and Listeria.

NSW Food Authority CEO Dr Lisa Szabo said Food Authority officers found that Ms McKay was operating a ‘herd sharing’ business whereby a person enters into a contract and purchase shares in a herd or individual cow and consequently receives raw milk produced by that herd.

“Claims that this doesn’t constitute the sale of food are false, the operation of a herd share arrangement can constitute food for sale under the Food Act,” Dr Szabo said.

“Milk for sale in NSW needs to be licensed with the NSW Food Authority to ensure it is subject to the stringent safety requirements of the Dairy Food Safety Scheme.”

Dr Szabo said statistics show that raw milk is a high food safety risk.

“Nationally and internationally raw milk products account for a small proportion of sales but a very large proportion of outbreaks,” she said.

“Unpasteurised milk could contain harmful bacteria such as E.coli, Salmonella and Listeria that can result in illness or even death.

The prosecution resulted from an investigation of Ms McKay by the NSW Food Authority in 2015 where samples of raw milk taken from an animal that was part of her herd share arrangement returned positive for the presence of Listeria.

The operation was immediately shut down by the NSW Food Authority and the Prohibition Order remains in place.

Dr Szabo said consumers need to be aware of claims that raw milk has superior nutritional value are unfounded.

 

Crypto hits NSW pools

As we chill (sweat) in the sleepy haven of South Golden Beach in New South Wales for a brief Christmas break, health authorities report Cryptosporidium has sickened at least 200 people in December and are warning people with diarrhea to stay out of shared pools.

sorenne-south-golden-beach-16The Sydney Morning Herald reports almost half of the cases were in children under 10-years-old. 

Health authorities have issued the warning urging people to stay out of shared swimming pools and water parks.

The biggest outbreak of cryptosporidiois was recorded in Sydney in 1998, when there were more than 1,000 confirmed cases.

Sydney was forced to boil its drinking water because it was found to be infected with the pathogens cryptosporidium and giardia.

Name change? 86 sick with Salmonella from Red Dirt Melons in Australia

Sorenne had scooter day today at school.

It’s all part of the active lifestyle thingy the school does – and our school is really good at it, because driving just doesn’t makes sense for the locals – but Sorenne’s scooter has seen better days and now she’s an avid bike rider.

cantaloupe.salmonellaShe still got a sausage on white bread – breakfast of champions – and some fruit for her efforts.

The fruit this morning consisted of watermelon and orange slices. I asked the co-ordinator if she considered rockmelon — otherwise known as cantaloupe – and she said, I did last week, but then just didn’t.

And then I heard the news last night.

Food safety Doug, who ruins all the fun for the other kids, gave her a big thumbs up.

Later today, it was confirmed that at least 86 people in Australia have contracted an “exceedingly rare” form of salmonella linked to the consumption of rockmelon.

Red Dirt Melons – a Northern Territories-based supplier – is recalling its rockmelons after Food Standards Australia New Zealand (FSANZ) launched an investigation into a spike in salmonella cases in a number of Australian states. 

Whole rockmelons, as well as pre-sliced melons, can carry the bacteria, and should be avoided, health authorities said. 

There have been 86 reported cases of Salmonella Hvittingfoss (S. Hittingfoss) nationally – 43 cases in NSW – in the two weeks to August 1.

It’s a sizeable jump compared to the two cases per month on average in NSW over the last five years.

The people affected by the recent outbreak range in ages, but 49 per cent of cases in NSW were children under five years old.

Victorian authorities are investigating eight suspected cases of salmonella poisoning that may be linked to the fruit.

Red Dirt Melons have begun a recall of their rockmelons after the Salmonella bacteria was detected by health authorities in South Australia on August 2.

Woolworths removed all Red Dirt rockmelons from its stores on Monday evening when they were told of the possible link, a spokesman for the supermarket giant said.

The chain has also suspended any future supply from Red Dirt until the food authorities provide further guidance.

Rockmelons could become contaminated with salmonella due to water contamination, contact with fertiliser, pests or animals, or if the rockmelons were not cleaned properly before sale, The NSW Food Authority said.

Rockmelons have been linked to salmonella poisonings in the past, including in the US in the 1950s, 1960s and in 2002.

The Hvittingfoss strain turned up in Sydney and Adelaide in the past few weeks, according to the Australian Melon Association. Food Standards Australia New Zealand says authorities are investigating and has warned pregnant woman, infants and the elderly not to eat the fruit.

Industry, state and federal authorities are expected to discuss the issue in a teleconference on Wednesday afternoon.

“We want more details so consumers can find out which parts of Australia are not impacted,” melon association spokeswoman Dianne Fullelove told AAP.

“We would like to have our supply chain moving. At the moment it’s virtually stopped.”

Nicevmessage of safety and compassion.

The fruit has previously been linked to salmonella, with 50 cases linked to the Saintpaul strain reported in NSW in 2006. In America in 2011, rockmelon contaminated with listeria was linked to more than 20 deaths (33 – dp).

This chart of Salmonella-in-cantaloupe outbreaks will be updated in the next couple of days. Cantaloupe Related Outbreaks

cantaloupe.infosheet

Depends if you’re in the capital region or NSW: Norovirus outbreak in Australia

Alexandra Back of the Canberra Times reports an isolation ward has been set up at Calvary Hospital and visitors are being discouraged as the hospital works to contain a gastro outbreak.

norovirus-2An intensive care patient was diagnosed with the highly contagious norovirus – that causes fever, cramping, vomiting and diarrhea – Friday last week.

Calvary Hospital chief executive Karen Edwards said there were 16 suspected cases of the virus and the patients were isolated.

The general medical ward 5W has been closed to new admissions and staff movement across the hospital was being restricted.

But one man said his wife, who had a caesarean birth under general anaesthetic two days ago, was rushed out on Thursday, a day early. He was concerned because she was still in a lot of pain.

“My concern is the continuance of care. The whole thing is, there were no options provided, in essence, we’re told they are getting everyone out by 11.30.”

Neighboring NSW Health issued a public health warning after an above average number of people went to emergency with gastro.

ACT Health said viral gastro cases weren’t notifiable in the capital, but the government had not seen a recent spike in cases.

Fail: Restaurant inspection disclosure programs that remain voluntary

Toronto, Los Angeles and New York City, along with hundreds of jurisdictions have figured this out: public health should disclose public health ratings, at the door, when people make up their mind about entering an establishment to brisbane.stars.scoresspend their money.

But the UK and several Australian states go through this convulsed process where they have scores on doors, but restaurants only have to post them if they want to, and who knows about food in school or hospital cafeterias.

The Brits were never ones for public disclosure (see Mad Cows and Mother’s Milk, 1997, or Yes, Minister).

Australian newspapers are reporting that customers are demanding voluntary food hygiene ratings become mandatory across New South Wales restaurants.

Same in the UK.

As someone who has been involved in these public disclosure efforts, including NSW’s back in the day, and advocated mandatory public disclosure from the beginning, it’s painful to watch the contortions.

According to The Border Mail, “Some retail food businesses in NSW display their  rating in the window, but only if their council signs up to the program and only if the business is happy with its rating.

Councils and industry groups are calling on the NSW Food Authority initiative, Scores on Doors, which issues certificates with three, four and five-star ratings during routine health inspections, to be made mandatory to standardise food safety across NSW and give customers more consistent information about hygiene at food establishments.

Since the program was launched in 2010, only about one-third of local governments in NSW have adopted the system.

North Sydney Council is the latest to announce that from July 1, following annual food safety inspections, it will begin issuing certificates that eateries can then choose to display.

“If a restaurant is displaying the purple and green poster, it has met minimum hygiene and food safety standards during the last food inspection. If it’s not displaying one, they can ask why,” North Sydney mayor Jilly Gibson said.

Wok On Inn at The Rocks, which scored five stars, has been displaying the certificate since the end of last year, and waiter Sunny Dongdang said he thinks that all businesses should be required to do so.

The best places will always come forward.