96 sickened with stomach flu at San Jose school

Not sure of the basis for this policy, but a San Jose elementary school was keeping children indoors all day Friday to stop the spread of stomach flu.

norovirus-resized-600.jpgIn a matter of weeks, 90 students and six employees at Horace Mann Elementary School have caught the virus.

It began April 29, when a student started vomiting in a classroom. Since then, more and more students have gotten sick.

The health department has ordered a complete wipe down of the facilities to stop the outbreak.

“They closed off the drinking fountain, they’ve closed off the bathroom, they’ve cleaned everything… even the posts at the school,” said parent Bethany Lewis.

Despite the sunny forecast and warm temperatures Friday, the school was on a rainy day schedule where all the kids are indoors all day, including lunch and recess.

The district calls it “social distancing,” where they limit the contact between students to try and stop the spread of germs.

On Friday, they got another six cases reported, pushing the total to 96.

182 sick: Shigella cases continue to climb linked to California restaurant

The Santa Clara County Public Health Department on Monday reported an additional 41 people sick with Shigella, bringing the total to 182.

A majority of the sick ate food last weekend from Marisco’s #3 Mexican Sea Food restaurant, located at 205 N. 4th Street in San Jose and public health officials say they expect to see more secondary cases, in which people had contact with someone who ate the restaurant.

shigella.mariscos
Shigella is extremely contagious and causes severe fever, diarrhea and stomach pain and can be spread quickly to others
. County health officials say people with diarrhea must not work, especially food service workers, healthcare providers and childcare workers. Symptoms can take as long as a week to appear, but most often begin one to four days after infection.

County health experts say thorough and frequent hand washing is extremely important in preventing the continued spread of the outbreak.

Can Yelp help in tracking outbreaks of food poisoning?

Doug Powell, a former professor of food safety at Kansas State University who now lives in Australia and writes for barfblog.com, regards Yelp and social media as potentially useful tools for public-health investigators.

yelp-395“But it doesn’t replace boots on the street, the epidemiological work that people have to do,” he said. “All these things have to be taken with a grain of salt, because Yelp is a business.”

That’s what I told Barbara Feder Ostrov, writing for The Atlantic and PBS, who says that when an outbreak of Shigella sickened 98 diners at a San Jose restaurant last weekend, Yelp reviewers were on the case, right alongside public health officials.

“PLEASE DO NOT EAT HERE!!!!” Pauline A. wrote in her Oct. 18 review of the Mariscos San Juan #3 restaurant. “My sister in and brother-in-law along with his parents ate here Friday night and all four of them ended up in the hospital with food poisoning!!!”

That same day, the Santa Clara County Public Health Department shut down the restaurant. Two days later, officials announced that more than 80 people who had eaten there had become acutely ill, with many requiring hospitalization. Twelve diners went to intensive care units.

Since then, the outbreak has grown to more than 90 cases in Santa Clara and Santa Cruz counties.

Some health researchers and public health professionals believe consumer review sites like Yelp might just help them identify and investigate food poisoning outbreaks similar to this one. It’s not unlike using Google searches to track potential flu and Dengue outbreaks.

Public health workers in New York, aided by Columbia University researchers, scanned thousands of Yelp reviews in 2012 and 2013 to find previously undetected food-borne illness, unearthing nearly 900 cases that were worthy of further investigation by epidemiologists. Ultimately, the researchers found three previously unreported restaurant-related outbreaks linked to 16 illnesses that would have merited a public health investigation if officials had known of them at the time. Follow-up inspections of the restaurants found food-handling violations.

In another study, researchers from Boston Children’s Hospital analyzed more than 5,800 Yelp reviews of food services businesses near 29 colleges in 15 states, concluding that reviews describing food poisoning tracked closely with food-borne illness data maintained by the U.S. Centers for Disease Control and Prevention. The timeliness and often-graphic details of the reviews could prove useful for public health agencies investigating food poisoning outbreaks, the researchers concluded.

Researchers also have examined Twitter and Facebook as possible food-borne illness surveillance tools, and Chicago’s public health agency automatically sends information about its Foodborne Chicago reporting site to local Twitter users who complain of food poisoning.

But Yelp’s usefulness for epidemiologists is going to depend a lot on how it handles food poisoning complaints down the road.

The company has been accused of approaching restaurants to remove negative reviews in exchange for advertising dollars, although a class action lawsuit on those grounds was dismissed.

On Tuesday, the company placed an “Active Cleanup Alert” notice on Mariscos San  Juan #3’s review page noting that because the business “recently made waves in the news,” Yelp would “remove both positive and negative posts that appear to be motivated more by the news coverage itself than the reviewer’s personal consumer experience with the business.”

While some reviews were easily visible, others were segregated into Yelp’s “not currently recommended” category, which requires readers to click to see them and do not figure in the establishment’s overall rating.

Red-yellow-green disclosure for San Jose

“Whether you are grabbing a quick lunch or settling in for a fancy dinner, you want to know that the food was prepared in a kitchen that is clean and safe.” That’s how county supervisor Joe Simitian summarized his push for a major countywide system that will eventually rate every one of the 8,000 dining places in the county and later all food trucks and caterers.

doug.honolulu.rest.inspecIt will require posting in the front a placard with a red, yellow or green color and also put online the complete results of most recent inspections along with any past violations.

This significant public health program launched over the past year by the county’s Department of Environmental Health has been tested, vetted and analyzed at workshops along with a huge number of public comments. There are also on-going class sessions for restaurant operators and their staffs. And now it is ready for a rollout.

A variation of this program has been working for several years in many other jurisdictions including Sacramento, San Diego, Alameda and Los Angeles counties (and Toronto; this is what it looks like in Honolulu earlier this week, right) but our county has carefully tweaked it to fit locally. And it appears to have the support of the dining industry, according to DEH Consumer Protection Director Mike Balliett.

The website at sccgov.org/SCCDineOut will provide the food facility inspection results and also list the restaurants that have been shut down for food safety violations over the past six months.

The county’s 38 inspectors will begin using the placard and website system as they complete their regular inspections here in San Jose and all the other cities. 

Color placards for Calif. county restaurants hailed as ‘major new consumer protection initiative for diners’

“Whether you are grabbing a quick lunch or settling in for a fancy dinner, you want to know that the food was prepared in a kitchen that is clean and safe.” That’s how county Supervisor Joe Simitian summarized his push for a major countywide system that will eventually rate every one of the 8,000 dining places in the county and later all food trucks and caterers.

toronto.red.yellow.green.grades.may.11According to this editorial in the Mercury News, the San Jose area is going to adopt a Toronto-style red, yellow or green color sign in restaurant windows, and also put online the complete results of most recent inspections along with any past violations.

This significant public health program launched over the past year by the county’s Department of Environmental Health has been tested, vetted and analyzed at workshops along with a huge number of public comments. There are also on-going class sessions for restaurant operators and their staffs. And now it is ready for a rollout.

A variation of this program has been working for several years in many other jurisdictions including Sacramento, San Diego, Alameda and Los Angeles counties but our county has carefully tweaked it to fit locally. And it appears to have the support of the dining industry, according to DEH Consumer Protection Director Mike Balliett.

The three principal grades that will apply is the green card, which can be earned with a perfect inspection or nothing worse that one serious violation which was corrected immediately. The yellow placard denotes that two such violations have taken place. A red card, with a trio of serious flaws, will shut the restaurant down until corrections take place.

sylvannus.toronto.2005The website at sccgov.org/SCCDineOut will provide the food facility inspection results and also list the restaurants that have been shut down for food safety violations over the past six months.

The county’s 38 inspectors will begin using the placard and website system as they complete their regular inspections here in Milpitas and all the other cities. So the visual impact will be gradual although it will be sending important signals to all the other food service operations. In addition to restaurants, the new regulatory system covers markets, bakeries, liquor stores, bars, farmers’ markets, food services at fairs and festivals, ice cream and hot dog carts, food trucks, produce trucks and food vending machines.