Carolina defeats Jersey with two goals in last minute shocker

I was a Carolina Hurricanes hockey fan even before Chapman moved to NC State in Raleigh.

The team is run by former goalie, Detroit Red Wings executive and Beeton, Ontario, native, Jim Rutherford, who’s a few years younger than my parents but went to the same high school in Alliston, Ontario.

When Carolina unexpectedly won the Stanley Cup in 2006, I was hooked. Rutherford brought the Cup back to Beeton; Amy bought me a Carolina Hurricanes coffee mug at the Charlotte airport. I still use it every morning.

Chapman and family went to one of the playoff games this year – we could never do that in Toronto, even if they did magically make the playoffs (and that’s the future of their son, Jack, right, at a ‘Canes game).

So tonight, with 1:20 left and Carolina trailing 3-2, facing who many call the best goaltender in the game or ever – I’ll always defer to Tony Esposito of the Chicago Black Hawks — the ‘Canes pop in two goals to take the series.

I’ll miss film director Kevin Smith’s twitters of his beloved New Jersey Devils, and Kevin, don’t kill yourself.

Oh, and this has nothing to do with food safety. I just miss playing hockey.
 

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.
 

Bad idea: running a restaurant without water, people get sick, owners fined $15,000

Two co-owners of the Yaman Restaurant, a St. Catharines, Ontario, restaurant linked to a 2007 E. coli outbreak, were fined $7,500 each for selling food that made customers sick.

The problems started when Asaad and Daoud continued to run their business on May 19, 2007, despite the fact water to the restaurant was cut off due to a water-main break.

The restaurant was shut down by the region that month after several people got sick, but reopened with a clean bill of health in August that year.

The owners also pleaded guilty on March 4 to failing to provide hot and cold running water in the food-preparation area of the restaurant.
 

Raw milk: ‘media coverage far beyond its importance’

Here’s the most important point in a column written by long-time Toronto Globe and Mail medical reporter Andre Picard:

The trial of Ontario raw milk farmer Michael Schmidt has garnered media coverage far beyond its importance.

Oh, and the outcome is largely irrelevant.

It seems somewhat absurd to jail a man for selling a product that clients desperately want and which, on the surface at least, seems harmless. But, hey, it happens to pot dealers every day.

What is not harmless is Mr. Schmidt’s attack on pasteurization and on food-safety regulations more generally.

Under the guise of civil liberties and freedom, he and his supporters have uttered all kinds of nonsense and portrayed themselves as martyrs for pure food. …

Farmer Schmidt and his acolytes can suckle the milk from the teat of a cow, a goat, a cat, or any other lactating mammal to their hearts’ content.

Their rights and freedoms are in no way compromised.

What the law restricts is the commercial sale of raw milk.

Mr. Schmidt tried to circumvent this fact by selling "cow shares" and arguing that his clients were actually proprietors and free to consume raw milk from their own cows.

Whether that little manoeuvre exempts him from the law is up to the courts to decide. But it seems unlikely. After all, bar owners tried this technique to sidestep anti-smoking laws, selling "shares" in their establishment and arguing that patrons were smoking in a private club. Judges saw through the subterfuge. …

Another argument is that meat – which can also contain pathogens – is sold raw, so why not milk? The practical reason for this is obvious. It is easy and efficient to pasteurize milk; it is not practical to cook meat before selling it, but its refrigeration (designed to minimize the growth of bacteria) is mandatory and regulated.

Raw milk is really boring – except for the kids who barf

I try and take baby Sorenne and the dogs out every day for a three-mile walk. The dogs get to run off-leash on the trail, and I get to work on burning off that baby weight.

Sorenne usually conks out after 15 minutes of walking, and then I catch up on phone calls. It’s my kind of multi-tasking.

A reporter called a few days ago while out on one of these walks. She asked me about raw milk, I said I don’t care, it gets far too much attention and that public health folks have better things to do.

I also told her I had baby brain and was having trouble articulating. There’s a reason people have kids when they’re young — like I did with the other four – and not when they’re 46. Ah but it’s fun (see the video clip below – and I do compost).

The Canwest News Service story reporting that interview showed up tonight, and has the usual raw milk stuff, with me saying it is difficult to change the minds of people who hold "hocus-pocus scientific theories about the nutrient benefits of raw milk."

Amy laughed at that.

"From a public health point of view, it’s a no brainer, don’t drink it," Powell said. "From a consumer point of view, why not make raw sprouts illegal because there is the risk of Salmonella or E. coli?"

Powell said he doesn’t take issue with adults choosing to drinking raw milk, but it’s usually children who get sick because of their parents dietary choices.

What I would have added is that with sprouts and other foods, there’s no simple control like there is with raw milk – pasteurization.

A table of raw dairy outbreaks is available at http://www.foodsafety.ksu.edu/articles/1138/Raw_Milk_Outbreak_Table.pdf

And here’s an op-ed Brae and I wrote a couple of years ago that predated barfblog.com. But the video at the end is far more interesting.

About Choice

Michael Schmidt, Ontario’s raw milk lord along with his evangelical disciples, maintain that their crusade is about choice.

Choice is a Good Thing.

But the 19th century English utilitarian philosopher, John Stuart Mill, noted that absolute choice has limits, stating, "if it [in this case the consumption of raw unpasteurized milk] only directly affects the person undertaking the action, then society has no right to intervene, even if it feels the actor is harming himself."

Excused from Mill’s libertarian principle are those people who are incapable of self-government – children.

In September, two children who drank raw milk from a Whatcom County dairy in Washington State became ill with E. coli O157:H7. At the same time, four children, including two eight-year-olds in San Diego County, Calif., were hospitalized with E. coli infection after consuming raw milk products.

In December 2005, 18 people in Washington and Oregon, including six children, were infected with E. coli O157:H7 after drinking an unlicensed dairy’s raw milk.

Two of the kids almost died.

In April 2005, four cases of E. coli linked to unpasteurized milk were reported to Ontario health officials — in this case, from an individual who routinely sold raw milk from the back of a vehicle parked in the city of Barrie. Dozens of other outbreaks are listed at: http://www.foodsafety.ksu.edu/articles/384/RawMilkOutbreakTable.pdf

Ontario finance minister Greg Sorbara can obliviously insist that "raw milk is safely distributed in parts of the United States and Europe" but politicians are expected to spin facts.

So are lobbyists. Thus it was that the Toronto contact for an organization strongly advocating raw milk successfully passed himself off in the National Post this morning as a food safety researcher.

Schmidt, celebrity chefs and the wannabe fashionable can devoutly state that grass fed cattle is safer than grain-fed by spinning select scientific data, except cattle raised on diets of grass, hay and other fibrous forage do contain E. coli O157:H7 bacteria in their feces as well as salmonella, campylobacter and others.

Poop happens, especially in a barn, and when it does people, usually kids, will get sick. That’s why drinking water is chlorinated and milk is pasteurized.

From Kansas, this looks like an awfully familiar clash of science and faith. But it’s not so simple as natural is good, and science — in this case pasteurization — is bad. Science can be used to enhance what nature provided; further, society has a responsibility to the many — philosopher Mill also articulated how the needs of the many outweighed the needs of the one — to use knowledge to minimize harm.

There are lots of other foods that make people sick. On the one-year anniversary of the Ontario salmonella-in-sprouts outbreak that sickened 650 people, raw sprouts are widely available and no one seems to notice. After being banned for three weeks, raw mung bean sprouts were back on grocery store shelves and being placed ever so gingerly on gourmet, supposedly healthy sandwiches.

This fall, it was spinach, lettuce and tomatoes sickening hundreds across North America. So why aren’t Ontario government-types, who treat an outwardly eco-friendly and holistic health product like raw milk as a major biohazard, setting their sights on fresh produce?

Part of the answer is that the risks associated with fresh produce have only been recognized in the past decade; the risks associated with raw milk have been recognized for over a century. Further, unlike fresh produce, there is a relatively simple and benign solution for producing safe milk: pasteurization.

And perhaps that is why health officials are adamant that a ban stay in place: there simply isn’t the resources to manage all the microbial food safety outbreaks that strike down 11-13 million Canadians each year, let alone someone proselytizing the virtues of raw milk while flaunting the law.

The only things lacking in pasteurized milk are the bacteria that make people – especially kids – seriously ill. Adults, do whatever you think works to ensure a natural and healthy lifestyle, but please don’t impose your dietary regimes on those incapable of protecting themselves … your kids.
 

Jail sucks, so does the listeria food

It’s been 27 years since I served time in an Ontario correctional institution where I got all corrected and rehabilitated.

I never saw a health inspector. But apparently they do check out the jail food. Good thing too. The Milton, Ontario, food production facility – the ‘Hurst –provides 9,000 meals per day to approximately 4,500 inmates at seven Ontario correctional facilities. And listeria was found last week.

Dr. David Williams, Acting Chief Medical Officer of Health, is alerting individuals who were incarcerated in seven provincial correctional institutions between November 13 and 16, 2008 of a possible exposure to Listeria monocytogenes.

On November 21, 2008, the operator of a correctional services food production facility in Milton informed the Halton Region Health Department that food and environmental samples taken during routine surveillance at the facility had tested positive for Listeria monocytogenes.

The tests relate to samples taken from food that may have been consumed between November 13 and November 16, 2008.

As a result of the positive tests, the Halton Region Health Department issued an order to the operator, Eurest Dining Services, to cease production and distribution of food from the facility and to immediately prepare and implement a plan to sanitize the plant and equipment.

There are no reported cases of listeriosis.
 

Silence of the lettuce

If there’s one result from the Salmonella Saintpaul outbreak this summer it’s this: public health types sure are reluctant to finger fresh produce in outbreaks of foodborne illness.

On Tuesday, a spokesman for the bureaucrats club know as the Canadian Food Inspection Agency confirmed they are looking to U.S. suppliers of E. coli-infected romaine lettuce that has been linked to 153 illnesses across southern Ontario, “but he had few other details.”

On Monday, something called the Produce Safety Project, an Initiative of The Pew Charitable Trusts at Georgetown University concluded in a report that weaknesses in food safety policy, organization and communications were all displayed during this summer’s outbreak of Salmonella Saintpaul.

The report, "Breakdown: Lessons to Be Learned from the 2008 Salmonella Saintpaul Outbreak," represents an in-depth review of the public record of last summer’s Salmonella Saintpaul outbreak that caused illnesses in more than 1,400 people across the country.  For a full copy of the report and the executive summary click here: http://www.producesafetyproject.org/reports?id=0001

Highlights and recommendations from the report include:

The need for the Food and Drug Administration (FDA) to use its existing statutory authorities to establish mandatory and enforceable safety standards for fresh produce.  While FDA officials said the outbreak showed the need for these standards, they said Congress needs to pass legislation to grant it explicit authority to do so.  However, the report notes that FDA has already used existing authorities to put in place preventive safety standards for seafood in 1995 and for juice in 2001.

The need for organizational reforms throughout the public health system for a more coordinated outbreak response. The report raises questions about how timely and effectively data was shared between public health agencies and if it contributed to a delayed identification of jalapeno and serrano peppers as a vehicle for Salmonella Saintpaul.

The need to have established and unified risk communication plans in place before an outbreak. The report documents "dueling" public health messages from various agencies announcing the outbreak, and questions why the Centers for Disease Control and Prevention changed its presentation of data numerous times in the middle of the outbreak.

I haven’t read the report in detail but will get to it.  And while everyone is pointing fingers, recall that epidemiology is a messy thing, but it can prevent people from barfing. Self-censorship could be worse.

Both CFIA and FDA need to establish clear and transparent protocols on when to go public in outbreaks of foodborne illness. No one will be happy, but it will provide a basis for discussion and a way to move forward; once it’s written down, it can be improved.

Mixed messages from Guelph during E. coli O157:H7 outbreak

There are now seven confirmed cases of E. coli O157:H7, all University of Guelph students, and 43 probable cases, as part of a larger Ontario outbreak believed to involve romaine lettuce.

Cameron Clark, health protection program manager with Wellington-Dufferin-Guelph Public Health said the outbreak served “as a reminder for anyone who ate at the campus from that date on, or has experienced symptoms of extreme diarrhea, stomach cramps, nausea and vomiting to contact public health.”

I thought it would be a reminder for food service to check their suppliers of lettuce and ask what is being done to ensure the microbial safety of fresh produce.

Clark also said it’s important to continually remind people to wash their hands to prevent human-to-human spread and to thoroughly wash fruits and vegetables.

Does continual reminding work? Or is it nagging? Is washing the lettuce in a Pita Pit wrap — believed to be the Guelph source — an effective consumer strategy?

E. coli O157:H7 outbreak links point to lettuce

Two local health units said today that lettuce – specifically Romaine lettuce –was the common factor in an E. coli O157:H7 outbreak linked to food service operations in four southern Ontario towns that has sickened 130 people.

The Canadian Food Inspection Agency responded by saying,

“Canadians are reminded that the best way to prevent foodborne illness is by handling their food safely. … Canadians can also refer to CFIA’s detailed four point plan to prevent E. coli in the home.”

All of the people got sick at restaurants or cafeterias – not in their homes. And contamination of lettuce and other fresh produce needs to be prevented on the farm – there is little consumers or food service can do when contaminated product arrives.
 

S. Ontario E. coli O157:H7 outbreaks linked; produce eyed

There are now 24 confirmed cases of E. coli O157:H7 in the southern Ontario towns of Niagara, Burlington, Guelph and Waterloo, with some of the cases sharing the same genetic fingerprint.

Another 64 suspected cases are being investigated.

Dr. Doug Sider of Niagara Region Public Health said,

"It seems likely there was contaminated produce in the commercial market being distributed to restaurants back to the mid-part of October.”

In Waterloo Region, two high-school students contracted the bacteria and public health officials expect to keep the cafeteria at St. Mary’s High School in Kitchener closed for a few more days.

The region’s associate medical officer of health, Dr. Hsiu-Li Wang, said provincial investigators are studying whether the outbreak is linked to romaine lettuce.

University of Guelph spokesperson Chuck Cunningham said "as a precaution" the university has removed lettuce from the main University Centre food court, cafeterias in residences and the Creelman dining hall. That’s because lettuce is part of the probe by public health and the provincial Ministry of Health, he added.