Summer Heights High and an Australian boarding school campylobacter outbreak

When someone says Australian boarding school, all I can think of is the highlarious television show, Summer Heights High.

Some researchers from Canberra report in the current issue of Foodborne Pathogens and Disease about an outbreak of Campylobacter jejuni gastroenteritis at an Australian boarding school.

Thirty-five cases of gastroenteritis were recorded among 58 questionnaire respondents, with 14 of 18 persons submitting fecal samples having confirmed C. jejuni infections. Attendance at one evening meal was statistically associated with illness (ratio of proportions of 3.09; 95% confidence intervals: 1.21, 14.09; p = 0.02). There was no statistically significant association between any single food provided at the implicated evening meal and illness, suggesting that the potential cause of the outbreak was a cross-contamination event.

The study highlights the potential of cross-contamination as a cause of epidemic campylobacteriosis. The application of molecular techniques to aid epidemiological investigation of recognized C. jejuni outbreaks is illustrated.
 

5 sick with E. coli O157 at Kamloops, British Columbia, school

The Kamloops Daily News reports Interior Health officials are investigating the cause of an E. coli outbreak at South Kamloops secondary that sickened four students and one employee.

Medical health officer Dr. Rob Parker said,

“As far as I know, they’re all recovering. One student was briefly hospitalized but is on the mend now.”

The local cases occurred between April 25 and 29. Parker said it can take three or four days to get sick after exposure, and people often take a few days before seeing a doctor. Getting samples to the lab can tack a few more days onto that.

Parents were notified about the outbreak in a newsletter that went out Wednesday.

Food safety standards for fast-food far better than for school lunches

Every semester I give a couple of lectures in an introductory food science class at Kansas State University and every semester I ask the same question: what is safe food, and what retailers come to mind when thinking about safe food?

Safe food is food that doesn’t make you barf; food that doesn’t make you barf is based on food safety programs validated with microbiological testing. Whole Foods Markets may be trendy and a nice place to shop, but they suck at food safety. Good food safety programs can be found at places like McDonald’s, Burger King, Costco and WalMart.

Students are generally surprised.

As will be readers of today’s USA Today, which once again slams the U.S. school lunch program as behind the times and proclaims that “McDonald’s, Burger King and Costco, for instance, are far more rigorous in checking for bacteria and dangerous pathogens. They test the ground beef they buy five to 10 times more often than the USDA tests beef made for schools during a typical production day. And the limits Jack in the Box and other big retailers set for certain bacteria in their burgers are up to 10 times more stringent than what the USDA sets for school beef.”

David Theno, who developed the safety program at Jack in the Box before retiring last year, says,

"We look at those (measures) to gauge how a supplier is doing.”  If shipments regularly exceed the company’s limits on indicator bacteria, "we’d stop doing business with them.”

Mansour Samadpour, a Seattle-based food safety consultant and microbiologist says the AMS approach to sampling "is not robust enough to find anything."
 

US school lunch program needs more food safety accountability

Today’s USA Today has a feature story today about meat served in the U.S. school lunch program and asks why certain batches of meat were excluded from a Salmonella-related recall and outbreak last year. What stands out is that the U.S. Department of Agriculture initially refused to match suppliers with positive test results as part of an analysis of 146,000 tests for bacteria including salmonella and E. coli.

USDA spokesman Bobby Gravitz wrote in an e-mail to USA Today that divulging their identities "would discourage companies from contracting to supply product for the National School Lunch Program and hamper our ability to provide the safe and nutritious foods to America’s school children."

The newspaper appealed the USDA’s decision. On Monday, the department released the names of the companies.

Although one company, Beef Packers Inc., appeared to stand out for the wrong reasons – in 2007 and 2008, its rate of positive tests for salmonella measured almost twice the rate that’s typical for the nation’s best-performing, high-volume ground beef producers, USA TODAY found — the company kept getting government business. Since 2003, Beef Packers has garnered almost $60 million in contracts.

That sounds eerily familiar to what happened in the 2005 E. coli O157 outbreak in Wales that killed five-year-old Mason Jones (left) and sickened another 160 kids eating their school lunches, where buyers were quick to look the other way to save a pound. A public inquiry into the outbreak concluded the procurement process was, “seriously flawed in relation to food safety.”

One way to push food safety through the system is to demand continuous improvement from suppliers in terms of lowering the number of pathogen positive results. Any consumer-oriented company is going to insist on evidence of such steps or they will take their business elsewhere. Those overseeing school lunches for U.S. kids should demand the same.

What also stands out is that despite the focus on food safety of the feature and an additional heart-wrenching story about a child sickened 11 years ago through the school lunch program, a third story about a company trying to provide low-cost, healthier, natural (whatever that means) school lunches makes no mention of – food safety. The story cites a sample lunch that may now contain fresh lettuce and tomatoes in a wrap, rather than the canned or cooked variety of fruits and veggies. Fresh is great, but introduces an array of microbial food safety and supplier management issues that isn’t even mentioned. Sorta ironical.

 

Food safety in schools sorta sucks

Today’s USA Today has a great feature about food safety and school lunches in the U.S.

Students at Starbuck Middle School stumbled through the halls just after lunch on Oct. 31, 2007, holding their bellies and moaning. When the vomiting began, teachers knew that it wasn’t a Halloween prank.

By midafternoon, almost 70 children waited outside the nurse’s office at the school near Milwaukee. "There were so many kids there, it was like, ‘Holy cow!’ " recalls Michael Hannes, then a seventh-grader who felt "like someone kept punching me in the stomach."

During the Racine outbreak, the scene at Starbuck was so striking that photos of a hallway full of sick kids memorialize the day in the school yearbook. In the foreground sit trash barrels; the school ran out of bags to catch the vomit.

Much about the following days typifies what happens after such outbreaks. Worried that a virus might be to blame, officials closed the school and custodians disinfected every surface; meanwhile, health and school officials tried to learn all they could about what the children ate.

Days would pass before local health officials determined that the tortillas served at Starbuck and four other schools in Racine were to blame for 101 illnesses. An Internet search showed them the stunning particulars: The company that supplied the tortillas had a long history of making children sick.

The feature has lots more details. And is why I always helped pack the kids a lunch.

Welsh government responds to E. coli outbreak report; parents of Mason say it’s not enough

After the 2005 E. coli O157 outbreak which killed 5-year-old Mason Jones and sickened 160 schoolchildren in Wales, Professor Hugh Pennington led a public inquiry which revealed the futility of food safety training, government inspection, and pretty much anything to do with the so-called food safety system.

Yesterday, First Minister Rhodri Morgan announced
more of the same in responding to Pennington’s report in the Wales Assembly.

“We know already that the Food Standards Agency is to review the use of equipment such as vacuum-packing machinery for both raw and cooked products.”

Duh. It shouldn’t happen.

“The training of inspectors and their managers is also being examined, with the aim of making this more comprehensive, helping them develop a sixth sense of what is potentially catastrophic.”

So they can see dead people?

“Inspections will be unannounced unless there is a clear requirement otherwise.”

Just make the inspections unannounced.

Sharon Mills and Nathan Jones, the parents of Mason Jones (above, right) said they would like to see Mr Morgan take more direct action and impose measures on the authorities involved, instead of leaving them to correct their own mistakes, with Ms. Mills stating,

“It was a bit disappointing because there was nothing definite about what he said. I thought we were going to get some answers and there still aren’t any. I don’t think we are any further forward than we were before.”

Somewhere, Prof. Pennington, who also headed the inquiry after the 1996 E. coli O157 outbreak in Scotland that killed 21 and sickened over 400, is wondering how to escape this Groundhog-Day-esque cycle of outbreak-illness-death-report-repeat.
 

Lizard droppings may have poisoned Bangladesh students

Lizard droppings or similar contamination may have been the cause for scores of students falling ill after eating at a girls’ hostel of Bagerhat Government PC College, civil surgeon Subhash Kumar Saha said on Sunday.

Saha was making an inspection of the hostel’s kitchen after 63 students, who had taken lunch there on Saturday, underwent treatment for food poisoning at Bagerhat Sadar Hospital.

Of them, 31 were admitted in critical condition, said doctors, but all were treated and out of danger.

Food fight: Massachusetts school cafeteria inspections suck

Sara Brown, Husna Haq, and Hannah McBride, journalism students at Boston University, got their feature on school cafeteria food safety inspections published in the Boston Globe this morning. They’d been working on it for much of last semester, and I spent some time on the phone with Sara and provided some background. Good for them; glad the Globe is still around to publish such features. Highlights below.

At an elementary school in Billerica, the sewage smell was so strong it forced a nauseated health inspector to leave after 15 minutes. During a five-week period in Framingham, 17 mice were caught in an elementary school’s kitchen storage area. And in a Foxborough middle school, a complaint of hair in the food prompted an inquiry by a local health inspector.

School cafeteria inspections in communities throughout Greater Boston last year found problems ranging from expired milk and rotting meat to disposable utensils and a meat slicer stored in employee bathrooms.

But, in many ways, that was the good news.

Those cafeterias were inspected, their problems identified for correction. Cafeterias in 7 percent of private and public elementary and secondary schools across Massachusetts were never inspected at all in the 2007-2008 school year, according to state records. And 38 percent were inspected just once, though federal law requires two health inspections annually.

The Massachusetts data gathered from school districts tell only part of the story.

A closer look at more than 1,000 schools in 157 communities in Greater Boston reveals a slipshod system of local enforcement with virtually no state or federal oversight. …

In Massachusetts, school cafeteria inspections fall under the jurisdiction of local boards of health, typically small groups that are either elected or appointed, depending on the community. There are no minimum education or experience requirements to be a health inspector; candidates need only pass a state-approved performance test and a written exam, which can be taken online through the Food and Drug Administration. The state also sets no minimum qualifications for directors of local boards of health.

"The guy who inspects your car has more training" than some health inspectors, said Michael Moore, food safety coordinator at the Massachusetts Department of Public Health. …

In August, Lynn health inspector Frank McNulty was called to Lynn English High School to investigate a foul odor. When he opened the cafeteria freezer, a puff of steam reeking of rotting meat gushed out. "I nearly passed out," McNulty said. "I’ve never dealt with something like that before."

The freezer had shut down, but the condenser was still operating, drawing in hot summer air and cooking hundreds of pounds of meat for weeks. McNulty and food service employees called dozens of cleaning services, but none would take the job. Finally, he contacted a company that cleans up crime scenes.

"They must do dead bodies," he said, "so I figured they’d do this."
 

From France to Kansas City: foodborne illness in schools

Several headmasters from the Haute-Garonne and Tarn primary schools in France simultaneously informed the health authorities of the occurrence of digestive disorders of low severity among students.

A retrospective cohort study, conducted through self-administered questionnaires among approximately 3,000 students and teachers who had participated in two meals in 36 schools concerned, was initiated to confirm the existence of a foodborne outbreak and its origin. …

This large-scale foodborne outbreak illustrates the main factors that encourage the occurrence of foodborne outbreaks (multiple malfunctions in the preparation of meals), and stresses the importance of associating the epidemiological, veterinary and microbiological investigations in the early management of the alert, as well as the first management measures (eviction of sick personal) to avoid major consequences in collective catering.

Meanwhile in Missouri, two Lee’s Summit kindergarten students have been hospitalized with salmonella.

The kids, a boy and a girl, have been enrolled in Richardson Kids Country during the school year. The Health Department has not determined if their illness is related to the school.

Teacher packs poop in 5-year-old’s backpack

A father and mother in Washington state are outraged after their 5-year-old son was sent home from school, allegedly forced to carry a package of human feces along with an embarrassing note from his kindergarten teacher.

"This little turd was on the floor in my room," said the note from Susan Graham, an instructor at Apple Valley Elementary School in Yakima, Wash. (right, exactly as shown).

"I’m still kind of in shock over this, because why would somebody do this? It’s disgusting!" said the boy’s father, wishing to be identified only as "Jason."

The case has sparked a flood of comments on KOMO’s messageboard, including:

* If the teacher still has a job after this, then we as a society get what we deserve. This sub-human does not belong in any place of employment where they have control over children.

* Kudos to this teacher. The parents are responsible for teaching their child basic hygiene and potty training not the school system. Sounds like the parents and the brat don’t believe they have any responsibility or know right from wrong. Give this teacher an award for not being politically correct and teaching the parents and the brat a lesson.

* I smell a lawsuit.