E. coli O157:H7 outbreaks close 4 Ontario restaurants

At least one media outlet is reporting this morning that outbreaks of E. coli O157:H7 in southern Ontario have been linked by DNA fingerprinting.

But I’d like to see that confirmed elsewhere.

Dr. Robin Williams, medical officer of Health for Niagara Region, said,

"We are trying to track through the supply and the source of the foods … we’re not just looking at the restaurants (involved) we’re also looking at the cross-link between distributors.”

So far 208 food samples have been taken from those restaurants for analysis

The Little Red Rooster in Niagara-on-the-Lake, Ont., was closed last Friday to let Niagara Region Public Health officials investigate potential sources of contamination. On Tuesday, M.T. Bellies in nearby Welland, Ont., was closed. The number of sick related to these two eateries has climbed to 31, with nine confirmed.

Thursday afternoon, Johnathan’s Family Restaurant of Burlington, Ontario, after the Halton Region Health Department linked several new cases of E. coli O157:H7 to the ’50s-style diner.

Owner Greg Tasoulis told the Toronto Star yesterday he had no option.

"A health department representative came and said `I want you to close the restaurant down.’ … How do they know it doesn’t come from the lettuce I got from our supplier. What if it’s not us? The cost is tremendous to us … over 5,000 people come through here in a week.”

An outbreak at a Harvey’s fast-food restaurant in the central Ontario city of North Bay has led to 237 cases of E. coli O157:H7, of which 46 are laboratory confirmed. At this time there is no link between the southern Ontario outbreak and the North Bay outbreak.

Raw milk crusader Michael Schmidt: A thoroughly modern Marie Antoinette

Amy and I went to Versailles last summer while touring around France, and I’ve seen that Marie Antoinette movie so I consider myself well-versed in the French aristocracy of the late 18th century.

Toronto Globe and Mail columnist John Doyle explored the same themes this morning in a review of a documentary about Ontario raw milk crusader Michael Schmidt which is being broadcast tonight on Wallyworld – sorry, Newsworld, Canada’s cable news program.

It’s a fascinating documentary with many passionate declarations on whether farmers should be allowed to sell raw milk and the public should be allowed to consume it. It’s rich in irony.

It’s also an enraging program, largely because the real issue is the existence of the urban bourgeoisie’s delusion of invincibility, ignorance about science and tendency to posture in order to justify selfishness.

Schmidt himself is a fascinating character, self-mythologizing relentlessly and shrewdly. He’s always in a hat or cap and presents himself as an artist. No doubt his little farm is clean and well-run, but when Schmidt and his cabal of celebrity-chef supporters appear together and prattle on about taste and claim to be against "big business," they’re just nitwits. …

The vulnerability of children is a key issue. Sure, adults are entitled to choice – but allowed the choice of giving unpasteurized milk to children, who have no choice? Call me peculiar, but the safety of children has nothing to do with the "nanny state" interfering in some alleged gourmand’s taste for dangerous foods. One reason the nanny state exists is to protect the young, the elderly and the vulnerable. …

Watching Schmidt and his supporters, I was reminded of the one of the phenomena of the Romantic period in Europe – all those pastoral elegies of the 1700s, in which the poet idealizes rustic life, especially the shepherd, for the enjoyment of aristocrats.

That phenomenon peaked, I suppose, in France, in the late 18th century, when it was a fad at the French court to play at being part of the pastoral world. Marie Antoinette liked nothing better than to pretend she was a shepherdess (that’s her Versailles farmhouse, right and below). It was an indulgent fantasy, very far removed from the reality of rustic life. Then came the Revolution. And little wonder. The raw-milk issue is about today’s Marie Antoinettes.
 

Do Michael Schmidt’s cows ‘produce wonderful abstract-expressionist paintings in their off hours’

The Owen Sound Sun Times has had enough of raw milk evangelist Michael Schmidt.

The Ontario paper  correctly observes that the Ontario government does not have the capacity to ensure that unpasteurized milk is safe to distribute and Michael Schmidt does not have the right to pick and choose which laws he wishes to obey.

Schmidt’s raw-milk operation may be the most sparkling-clean in all of Ontario. His methods of storage and transport may be beyond reproach. His milk cows may be grass-fed, free-range, pest-free and of above average intelligence. For all we know they may produce wonderful abstract-expressionist paintings in their off hours.

That does not change the fact that drinking raw milk brings with it a heightened risk of salmonella, E. coli and Listeriosis. Nor does it change the fact that pasteurization saves lives.

Anyone who doesn’t believe this should ask someone old enough to remember the days before pasteurization was introduced.

If selling raw milk were legal, it would in short order become a big business. The Ontario government, knowing the statistical risks of raw-milk distribution, would be legally and morally responsible for ensuring that no one got sick as a result.

That is a chance no responsible, reasonable government can or will take.

Therefore, Schmidt’s crusade will fail. It should fail.

One man, however impassioned, cannot set health policy for all Ontarians, in the face of medical evidence that doing so would put people at risk.
 

Ontario Farmer Michael Schmidt found guilty of contempt of court in raw milk case

An organic farmer accused of ignoring a court order to stop selling unpasteurized milk was found guilty of contempt of court Monday morning in Newmarket, Ont.

Michael Schmidt has run a co-operative organic dairy farm near Owen Sound, Ont., for more than 20 years.

Contempt charges were sought by York Region officials, who fear there are health risks for people consuming the raw milk, including the risk of spreading salmonella, E. coli and listeria.

Schmidt also still faces 20 charges laid by the Ministry of Natural Resources and the Grey-Bruce Health Unit. That trial is expected to begin in early 2009.

A table of raw dairy outbreaks is available at http://www.foodsafety.ksu.edu/articles/384/RawMilkOutbreakTable.pdf
 

and an updated one here.

146 stricken with E. coli from Harvey’s in Canada

The North Bay Parry Sound District Health Unit is now reporting a total of 146 cases of which 24 are lab confirmed for E. coli O157:H7, linked to dining at a Harvey’s Restaurant on Algonquin Avenue in North Bay, Ontario.

Included are cases being investigated by 6 other health units in Ontario, and the people who are ill range from 1 to 90 years old. Some are in hospital receiving treatment, while most are recovering at home. 

“The Health Unit is screening staff at the restaurant located in North Bay.  This includes collecting samples and conducting interviews,” reports Dr. Catherine Whiting, Medical Officer of Health for the North Bay Parry Sound District Health Unit.  Health Unit staff continue to collect information and analyze data to ensure that all possible sources of E. coli O157:H7 are being investigated.  City of North Bay emergency crews also conducted extra testing on the municipal water last weekend.  Lab test results confirm that drinking water is not the source.
 

Lettuce linked to 36 ill in Michigan, 3 in Ontario, came from California

The Detroit Free Press is reporting that state agriculture officials say the tainted iceberg lettuce that has been linked to 36 E. coli O157:H7 illnesses in Michigan and 3 in Ontario originated in California before being shipped to Michigan.

Aunt Mid’s Produce of Detroit was identified as one of the local suppliers. The company immediately stopped its lettuce distribution, said Philip Riggio, chief executive officer, and had its supply and processing facilities tested by outside experts. The tests found no evidence of contamination.

The Michigan Department of Agriculture also tested Aunt Mid’s lettuce, with no findings of E. coli, but, “we never had product available that was tested from the outbreak timeframe, primarily due to the perishable nature of the product we dealt with,” said Jennifer Holton, MDA spokesperson.

A Michigan State University student sickened by E. coli-tainted lettuce is suing Aunt Mid’s. Samantha Steffen of East Lansing began suffering from bloody diarrhea and was hospitalized with dehydration in mid-September.

“At this point, based on testing…I don’t believe the lawsuit has any merit,” said Riggio.

Canadian food safety bureaucrats continue to stumble — and more people are sick

I started FSnet, the food safety news, shortly after the Jack-in-the-Box outbreak in Jan. 1993. Sure, Al Gore hadn’t invented the Internet yet, but those of us in universities had access, and I started distributing food safety stories.

It all seems sorta quaint now, what with Google alerts and blogs and RSS feeds, but my goal was straightforward: during the Jack-in-the-Box outbreak, a number of spokesthingies said, they didn’t know E. coli O157:H7 was a risk, they didn’t know that Washington State had raised its recommended final cooking temperature for ground beef, they didn’t know what was going on.

So FSnet was conceived and made widely available so that no one could legitimately say, they didn’t know.

Yet that’s exactly what federal bureaucrats in Canada said last night when questioned about the delay in warning those in southwestern Ontario that lettuce from Aunt Mid’s in Detroit, implicated in a large Michigan-based E. coli O57:H7 outbreak that has stricken at least 34, had made its way across the border.

And now at least two people in Ontario have tested positive for the same strain of E. coli O57:H7.

David Musyj, president and chief executive officer of the Windsor (Ontario) Regional Hospital, said last night that authorities in Michigan issued a public-health alert about the link to Aunt Mid’s iceberg on Friday, Sept. 26, 2008, but the Canadian Food Inspection Agency didn’t bother notifying Windsor health officials until Wednesday, Oct. 1, 2008.

"What happened between Sept. 26 and Oct. 1? Clearly there is a communication gap that occurred. I want an investigation to be launched into this to find out why there was a communication gap, whether it was our CFIA or whether it was the State of Michigan."

Dustin Pike, a spokesman for Agriculture Minister Gerry Ritz, said in an e-mail yesterday that the Public Health Agency of Canada notified the CFIA of the E. coli outbreak in Michigan potentially linked to the lettuce on Tuesday, and after determining that the product had been imported into Canada, the CFIA contacted Windsor health authorities the following morning. …

Davendra Sharma, a food-safety recall specialist at the CFIA, said the agency acted promptly when it heard of the outbreak to identify who in Canada purchased the product and to notify Windsor officials.

Again, I started FSnet all those years ago so bureaucrats and others couldn’t say, I didn’t know.

The Michigan outbreak was first publicly reported on Sept. 16, 2008. Lettuce was identified as the primary suspect on Friday, Sept. 26 2008. Why it took until Tuesday, Sept. 30, 2008 for someone at Health Canada, the Public Health Agency of Canada or the Canadian Food Inspection Agency to notice there was an outbreak next door in product that could be shipped to Canada is baffling.

Especially because of all the bureaucrats that read FSnet. According to tonight’s numbers, 27 people at PHAC, 149 people at Health Canada, and 316 people at CFIA receive FSnet. That’s almost 500 people, and no one noticed?

Tonight, test results have, unfortunately, revealed that two cases of E. coli O157:H7 in Chatham-Kent, Ontario, are of the same strain identified in 38 cases in the United States. All of the cases are thought to be linked to shredded iceberg lettuce distributed by Aunt Mid’s Produce Company. This product is distributed in five pound industrial bags to institutions such as hospitals and long-term care homes, as well as restaurants in southwestern Ontario.

Musyj of the Windsor hospital captures the failings of CFIA when he says:

"Once something is thought of seriously enough to raise a red flag, then you better call everyone affected by the red flag. You can’t wait for a death to happen to notify everyone."

Although that seems to have been the CFIA policy with listeria: with 20 dead and counting, it’s a bad policy.

CFIA, what is your policy on going public with information that can prevent illness? Is your primary priority to protect public health? If so, can you provide evidence to back such a claim? 

And how can any of you say you didn’t know?

Oh, and for those who see salvation in a single food inspection agency, as is often discussed in the U.S., please notice the dysfunctional mess that is CFIA.
 

Canadian train quarantine: System worked well, except that person who died was 43, not 86, not mid-60s

The train finally arrived in Toronto, some passengers were flaunting free booze as they disembarked while others complained there was no free breakfast (is that a good combination for people stuck on a train an additional 11 hours?), and health-types have proclaimed the great train quarantine of 2008 a success in public health emergency preparedness.

Except for some errant communications bout the female who died.

She was initially identified Friday as in her 60s, by Saturday she was 86, and today, authorities said she was a 43-year-old from South Africa.

Don’t barf in public; it’s against the law

City council in Windsor, Ontario (Canada) wants to make it illegal to vomit in public in an attempt to control late-night rowdiness.

Council was also set to discuss a mandatory 2 a.m. closing-time for hotdog vendors.

Apparently that’s to keep munchie-driven zombies from roaming the streets.

Patrick Lacey, 25, said,

"What are they really going to do about vomiting in public? …  you can’t stop someone from throwing up. Throwing up in public is embarrassing enough as it is; you don’t need to get arrested."

I can’t wait for the next norovirus outbreak to hit Windsor.

33 Salmonella cases at Ontario Pita Pit

The London Free Press reports that 33 people are now reporting symptoms of Salmonella believed linked to the Pita Pit at the University of Western Ontario Community Centre.

Dr. Bryna Warshawsky, associate medical officer of health with the Middlesex-London health unit, said 15 of the salmonella cases have been lab-confirmed.

The health unit has inspected the restaurant twice since the issue first surfaced, said Warshawsky, and deemed it safe to operate. The task now is to determine if the outlet received contaminated food product, or if something happened there.