Canada: Raw frozen chicken thingies outbreaks

We’ve done extensive work on this topic dating back to 2006 (search barfblog.com), but new tools, like whole genome sequencing, mean additional outbreaks have been identified. A summary paper of recent outbreaks has just been published. Abstract below:

Frozen raw breaded chicken products (FRBCP) have been identified as a risk factor for Salmonella infection in Canada. In 2017, Canada implemented whole genome sequencing (WGS) for clinical and non-clinical Salmonella isolates, which increased understanding of the relatedness of Salmonella isolates, resulting in an increased number of Salmonella outbreak investigations. A total of 18 outbreaks and 584 laboratory-confirmed cases have been associated with FRBCP or chicken since 2017. The introduction of WGS provided the evidence needed to support a new requirement to control the risk of Salmonella in FRBCP produced for retail sale.

Outbreak of salmonella illness associated with frozen raw breaded chicken products in Canada 2015-2019

22 August 2019

Epidemiology and Infection vol. 147

  1. K. Morton(a1)A. Kearney(a2)S. Coleman (a3)M. Viswanathan (a1)K. Chau (a4)A. Orr (a5)and A. Hexemer (a1) 

DOI: https://doi.org/10.1017/S0950268819001432

https://www.cambridge.org/core/journals/epidemiology-and-infection/article/outbreaks-of-salmonella-illness-associated-with-frozen-raw-breaded-chicken-products-in-canada-20152019/9F1E5C0D2BF560E540C47BA064E7F713

Frank talks about sprouts

Frank didn’t waste any time after leaving Wal-Mart for government.

Good on ya.

But guidance is not enforcement.

My group learned that the hard way 20 years ago.

And they still serve sprouts to immunocompromised people in Australian hospitals despite a ridiculous number of outbreaks.

“Over the past 22 years, the U.S. Food and Drug Administration (FDA) has investigated 50 reported outbreaks of foodborne illness associated with contaminated sprouts. Together, these outbreaks resulted in more than an estimated 2,600 cases of illness. Last year, there were two reported outbreaks associated with sprouts, resulting in more than an estimated 100 illnesses. Studies indicate that contaminated seed is the likely source of most sprout-related outbreaks, as this commodity is inherently more susceptible to these issues because they are grown in warm and humid conditions that are favorable for bacteria like Salmonella, Listeria and E. coli,” said FDA Deputy Commissioner for Food Policy and Response Frank Yiannas.

“The FDA is committed to taking swift action to respond to outbreaks related to sprouts and keep our food supply safe, but we also know that measures to prevent issues from happening in the first place are an important element of protecting consumers. By studying outbreaks related to sprouts over the years, we have been able to recommend changes in the industry to help lower the incidence of sprout-related outbreaks. Today’s new draft guidance is another critical step, like the Sprout Safety Alliance or sprout-specific requirements of the Produce Safety Rule, the agency is taking to prevent illnesses related to sprouts.”

FDA today released a proposed draft guidance, “Reducing Microbial Food Safety Hazards in the Production of Seed for Sprouting,” intended to make the sprout seed industry (seed growers, conditioners, packers, holders, suppliers, and distributors) aware of the agency’s serious concerns with the continuing outbreaks of foodborne illness associated with the consumption of raw and lightly-cooked sprouts.

Incorporating aspects of the Codex Code of Hygienic Practice for Fresh Fruits and Vegetables Annex II, Annex for Sprout Production; the International Sprout Growers Association-Institute for Food Safety and Health’s “U.S. Sprout Production Best Practices”; and Good Agricultural Practices, the FDA’s draft guidance issued today provides the agency’s recommendations to firms throughout the production chain of seed for sprouting. It states that if a grower, holder, conditioner, or distributor reasonably believes that its seeds are expected to be used for sprouting, we recommend that the grower, holder, conditioner, or distributor take steps that are reasonably necessary to prevent those seeds from becoming contaminated. We also recommend that firms throughout the supply chain – from seed production and distribution through sprouting – review their current operations related to seeds for sprouting.

During the 60-day comment period for this draft guidance, stakeholders will be able to provide comments on the draft provisions. For more information on this guidance, as well as instructions on how to submit your comments, please visit Draft Guidance for Industry: Reducing Microbial Food Safety Hazards in the Production of Seed for Sprouting.

It was probably the raw egg butter: 11 sick with Salmonella, Australia still has an egg problem

A salmonella outbreak linked to three bakeries in the northern suburbs has left nine people in hospital.

SA Health has confirmed 11 cases of salmonella have been reported after people ate Vietnamese rolls from three Angkor Bakery stores.

Deputy chief medical officer Dr Nicola Spurrier said that of those eleven people, nine were hospitalised due to the severity of the poisoning.

 “Early investigations indicate the cases could be linked to raw egg butter, pate or BBQ pork ingredients.

“The businesses complied with a council request on Tuesday to cease using these ingredients and, from today, the businesses have agreed to cease selling all Vietnamese rolls until the source has been identified.

“Cleaning and sanitising procedures have also been assessed and improved,and will continue to be monitored.”

An updated table of raw-egg related outbreaks in Australia is available at raw-egg-related-outbreaks-australia-2-3-2019

Raw is risky: At least 44 sick in California from Norovirus in raw oysters

The California Department of Public Health has closed Tomales Bay to oyster harvesting due to a norovirus outbreak associated with the oysters.

Dr. Matt Willis, Marin County’s public health officer, said the closure was issued on Jan. 3. and on the following day the state health department issued a recall order on Tomales Bay oysters that had been sold to 34 restaurants by Hog Island Oyster Co., based in Marshall.

“There were 44 confirmed cases of norovirus between Dec. 29 and Jan. 5 across the Bay Area,” Willis said. “Only seven of those 44 cases were Marin cases.”

Willis said there is no concern in this case that the outbreak is related to food handling, cultivation or harvesting practices.

“It’s likely this represents contamination of the water itself,” he said. “The water testing showed high levels of bacterial and viral contamination, which is normal following high rainfall over a long interval.”

Willis said it is unusual for a norovirus outbreak to be linked to oysters. He said there are typically about 20 norovirus outbreaks every year in Marin County, and they usually occur in places where people congregate in close quarters such as schools or nursing homes.

What bullshit.

There are plenty of Norovirus-related raw oyster outbreaks throughout the world weekly.

Maybe not in Marin County, Matt, but globally, yes.

Raw and local risky: Milk & Honey sued over salmonella outbreak caused from raw egg use

Guess lots of areas got raw-egg-based problems.

Jason Steen of Scoop Nashville reports that newly filed court documents reveal Milk & Honey served salmonella-tainted ‘short rib gnocchi’ to patrons during August of 2018, causing over 20 patrons to fall ill with salmonella poisoning, and the Metro Health Department to deem it an outbreak.

Between August 3rd and August 15th of 2018, more than 20 patrons of Milk & Honey, a restaurant on 11th Ave S in the Gulch, were diagnosed with salmonella poisoning, according to the Metro Health Department, who formally deemed the incident an ‘outbreak’. Environmental, epidemiological, and lab testing linked the outbreak to the raw egg product furnished to Milk & Honey by a vendor, Gravel Ridge Farms. Specifically, they found the gnocchi was were only being cooked to 130 degrees, well below the required 145 degree required cook-kill temperature.

Documents from the lawsuit and Metro Health reveal:

Milk & Honey purchased unpasteurized raw eggs and/or raw egg product from Gravel Ridge Farms to be used in food prep, as part of their desire to source “local foods”

Milk & Honey used the unpasteurized eggs in a featured menu item: ‘Short Rib Gnocchi’. The gnocchi portion of this dish involves fashioning flour and raw egg yolk into dough, cutting it into pieces, and placed on a pan for freezing.

A plaintiff in the lawsuit dined at Milk & Honey in August of 2018, after which he fell sick with symptoms that found him hospitalized at Centennial Medial Center, which was diagnosed as salmonella poisoning.

At least 20 additional patrons were diagnosed with salmonella poisoning after eating the same dish.

An investigation by the Metro Health Department found a ‘lack of management oversight’ into the preparation of the short rib gnocchi. During their initial interview with the restaurant management, boiling of the raw gnocchi was indicated, however, in a reconstruction of events, it was learned that boiling did not take place in the actual kitchen production of the dish. It was being pan-seared upon each order, instead of boiled.

The Metro Health Department also found a lack of training to be a factor. The employee responsible for the final cooking and preparation of the dish was not unfamiliar with Gnocchi and was not trained on measuring or verifying final cooking temperatures of the raw gnocchi.

Taylor Monen, who is the owner of Milk & Honey, wrote a follow-up letter to Metro Health, which reads, in part:

After your visit on Friday, we felt that our past cook that evening probably did not cook the gnocchi long enough to reach a temperature that would have completely killed this bacteria present in the gnocchi…

I am not certain that I will be keeping it on the menu unless I am able to acquire pasteurized egg product that we can use to make these gnocchi noodles.

During the same email, Monen acknowledges the dangers of using small farms for egg sourcing, and acknowledged safer alternatives were readily available from food suppliers.

The newly filed lawsuit claims seeks claims of negligence in the amount of $575,000.00 &  punitive damages  up to $1,000,000.00.

Raw is still risky: Say no to raw dough

My mother used to make and lot of cakes and brownies with her groovy 1960s hand mixer and I always got to lick the beaters.

No more.

And it’s not just the raw eggs, it’s the raw flour.

In June, 2009, an outbreak of shiga-toxin producing E. coli (STEC, primarily O157:H7) in Nestle Toll House cookie dough sickened at least 77 people in 30 American states. Thirty-five people were hospitalized – from cookie dough.

The researchers could not conclusively implicate flour as the E. coli source, but it remains the prime suspect. They pointed out that a single purchase of contaminated flour might have been used to manufacture multiple lots and varieties of dough over a period of time as suggested by the use-by dates on the contaminated product.

The study authors concluded that “foods containing raw flour should be considered as possible vehicles of infection of future outbreaks of STEC.”

So it wasn’t much of a surprise when 63 people fell sick from the outbreak strain of E. coli O121 from Dec. 2015 to Sept. 2016 linked to raw General Mills flour.

There have been about a dozen other flour-related outbreaks. STEC means people – and kids – get quite sick.

Flour is a raw commodity, crops the flour is derived from could be exposed to anything, and testing is so much better than it used to be.

There are some brands of pasteurized flour out there, but people seem to have gotten used to flour as a cheap source of play-dough-like stuff for kids and something to throw at people.

The U.S. Centres for Disease Control says, nope.

This is not a Christmas conspiracy (although I prefer Solstice Season): it’s CDC providing information, like they are supposed to.

People can, and will, do what they want.

As Maggie Fox of NBC reports, “Do not taste or eat any raw dough or batter, whether for cookies, tortillas, pizza, biscuits, pancakes, or crafts made with raw flour, such as homemade play dough or holiday ornaments,” the CDC advises.

“Do not let children play with or eat raw dough, including dough for crafts.”

Handling food, including flour, requires care and hygiene.

“Keep raw foods such as flour or eggs separate from ready-to eat-foods. Because flour is a powder, it can spread easily,” the CDC notes. “Follow label directions to refrigerate products containing raw dough or eggs until they are cooked. Clean up thoroughly after handling flour, eggs, or raw dough.”

48 sick: Raw is risky: Icelandic oysters cause noro at top notch restaurant

There’s nothing like people forking over huge coin only to end up barfing.

Irony is sometimes ironic.

The Iceland Monitor reports infected Icelandic oysters caused food poisoning for 48 individuals at Skelfisksmarkaðurinn, a relatively new restaurant owned by succcessful tv chef and restaurant owner Hrefna Sætran. Icelandic oysters are a novelty in Iceland as all oysters on menus until now have been imported from Ireland or other countries. 

The oysters were imported as youngsters and raised in Skjálfandaflói bay by company Víkurskel. This is the first time that the noro virus is confirmed in oysters in Iceland. 

Forty-four individuals ate oysters at the restaurant from November 8th to November 13th and four further individuals ate oysters between October 29th and November 4th. Oysters infected by the noro virus were on the menu during this period of time, confirms the Icelandid food and veterinary authority. According to the health authorities they found that the restaurant complied to all regulations and standards with regards to food safety and hygiene. 

 

Vanity: Raw egg face masks and risks

Ireland has an egg and a BS problem.

Miranda Larbi of The Irish Sun reports that experts have slammed beauty bloggers who claim that they have the answer to treating wrinkles –  smearing raw egg whites onto their faces.

The DIY hack, they say, is not only is it totally bogus, but it could also spread harmful bacteria.

Putting raw egg on your face has absolutely no benefit for your skin, experts say

Cosmetic surgeon Christopher Inglefield is concerned that raw egg masks will result in Brits getting harrowing bouts of food poisoning due to contamination from the unrefrigerated foodstuff.

Mr Inglefield, founder of the London Bridge Plastic Surgery clinic, warned: “Not only is this ineffective practice, it could potentially spread harmful bacteria, such as Campylobacter and even salmonella if you’re really unlucky.

“You should always wash your hands after handling raw egg.

“If it’s on your face all day then you are potentially contaminating everything and everyone you touch. Just think of the risks.”

Bloggers like Beauty Vixxen, AKA Lizbeth Eguia, have promoted using raw egg as a face mask, but experts warn it’s not safe

Raw is risky: Longtime North Dakota lawmaker dies after eating raw oysters in New Orleans

The New Orleans Advocate reports that former longtime Mandan Republican state Rep. Rae Ann Kelsch has died.

Alex Kelsch says his mother died early Tuesday morning at a New Orleans hospital from a bacterial infection caused by eating raw oysters at a restaurant there. She was 58.

Kelsch died after becoming infected with Vibrio vulnificus, which is linked to oysters, according to the Bismarck Tribune.

Kelsch was first elected to the North Dakota House in 1990 and served 22 years, including as the chairwoman of the Education Committee.

She was defeated in the 2012 primary, after it came to light she didn’t file state income tax returns for seven years.

Kelsch’s husband, Thomas, a lawyer, said at the time that he was to blame for the tax problems. The couple said the tax bill was eventually paid.

Raw is risky: Outbreak of multidrug-resistant Salmonella infections linked to raw chicken products

The U.S. Centers for Disease Control (CDC) and public health and regulatory officials in several states are investigating a multistate outbreak of multidrug-resistant Salmonella infections linked to raw chicken products. The U.S. Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS) is monitoring the outbreak.

Always handle raw chicken carefully and cook it thoroughly to prevent food poisoning. This outbreak is a reminder that raw chicken can have germs that spread around food preparation areas and make you sick.

CDC is not advising that consumers avoid eating properly cooked chicken, or that retailers stop selling raw chicken products.

CDC advises consumers to follow these steps to help prevent Salmonella infection from raw chicken:

Wash your hands. Salmonella infections can spread from one person to another if hands have Salmonella germs on them. Wash hands before and after preparing or eating food, after contact with animals, and after using the restroom or changing diapers.

Cook raw chicken thoroughly to kill harmful germs. Chicken breasts, whole chickens, and ground poultry, including chicken burgers and chicken sausage, should always be cooked to an internal temperature of 165°F to kill harmful germs. Leftovers should be reheated to 165°F. Use a food thermometer to check, and place it in the thickest part of the food.

Don’t spread germs from raw chicken around food preparation areas. Washing raw poultry before cooking is not recommended. Germs in raw chicken can spread to other foods and kitchen surfaces. Thoroughly wash hands, counters, cutting boards, and utensils with warm, soapy water after they touch raw chicken. Use a separate cutting board for raw chicken and other raw meats if possible.

CDC does not recommend feeding raw diets to pets. Germs like Salmonella in raw pet food can make your pets sick. Your family also can get sick by handling the raw food or by taking care of your pet.

CDC will update the advice to consumers and retailers if more information comes available, such as a supplier or type of raw chicken product linked to illness.

Symptoms of Salmonella Infection

Most people infected with Salmonella develop diarrhea, fever, and stomach cramps 12 to 72 hours after being exposed to the bacteria.

The illness usually lasts 4 to 7 days, and most people recover without treatment.

In some people, the diarrhea may be so severe that the patient needs to be hospitalized. Salmonella infection may spread from the intestines to the bloodstream and then to other places in the body.

In rare cases, Salmonella infection can cause death unless the person is treated promptly with antibiotics.

Children younger than 5 years of age, adults older than 65 years of age, and people with weakened immune systems are more likely to have severe illness.
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