Raw is risky: Eating raw pig liver from Singapore market may increase risk of hepatitis E

Danielle Ann of Alvinology reports researchers at the Singapore General Hospital have found definite similarities between the virus strains of Hepatitis E virus or (HEV) in pig liver and human liver.

This means that ingesting raw pork liver could mean you’re ingesting a strain of HEV that’s similar enough to human HEV that it could cause you get infected.

The same report said that people who have contracted HEV has risen steadily over the years. While the researchers could not say if the ingestion of raw pig liver is the main cause of the rise in cases, many local dishes feature this ingredient and do not cook the meat thoroughly.

The same report said that you can acquire the disease from eating contaminated food or substances. Ingesting water that is laced with the disease or accidentally drinking water that has trace amounts of faeces. Eating raw or half-cooked meat that is infected can also transmit the virus to you.

Raw is risky: Eating raw pig liver from Singapore market may increase risk of hepatitis E

Danielle Ann of Alvinology reports researchers at the Singapore General Hospital have found definite similarities between the virus strains of Hepatitis E virus or (HEV) in pig liver and human liver.

This means that ingesting raw pork liver could mean you’re ingesting a strain of HEV that’s similar enough to human HEV that it could cause you get infected.

The same report said that people who have contracted HEV has risen steadily over the years. While the researchers could not say if the ingestion of raw pig liver is the main cause of the rise in cases, many local dishes feature this ingredient and do not cook the meat thoroughly.

The same report said that you can acquire the disease from eating contaminated food or substances. Ingesting water that is laced with the disease or accidentally drinking water that has trace amounts of faeces. Eating raw or half-cooked meat that is infected can also transmit the virus to you.

Dead lizard found in Irvins salted egg fish snack: Singapore

A packet of salted egg fish skin snack that contained a dead lizard was manufactured at Irvins Salted Egg’s previous premises, which ceased operations in November last year, the Agri-Food and Veterinary Authority (AVA) said.

That facility is understood to be located in Admiralty Street.

In a statement on Monday (Feb 11), the AVA said that it had completed investigations into the Singapore-based food company, after a Bangkok customer found a dead lizard coated with salted egg in a packet of the popular snack in December.

The AVA said that it had since inspected Irvins’ current premises and told the company to improve its quality control checks.

Quality control checks include conducting regular refresher training for quality control operators, sourcing ingredients from reputable suppliers and conducting regular audits.

“Irvins has made improvements in these areas, as well as stepped up inspections on the production line,” the AVA said.

The authority added that it will continue to do periodic audits and enforcement checks on the company.

The AVA urged food manufacturers to be responsible in complying with food safety standards or requirements as well as maintaining robust food safety management systems, even as it continued to carry out periodic checks.

Consumers should also adhere to good food safety practices, the AVA said in its statement.

Some good food safety guidelines for consumers include the following:

– Examine packaged food carefully. Do not buy if the packaging is damaged or open as it may contain harmful micro-organisms that could cause food poisoning.

– Keep foodstuff – such as coffee, tea, powdered milk and biscuits – in clean, air-tight containers, away from heat and moisture.

– Inspect food regularly for insect infestation, mould, and other signs of spoilage. Discard when necessary.

– Check food storage cupboards regularly to ensure that they are free from insect infestation or contamination.

– Keep cupboards meant for food storage uncluttered and clean.

I’m not sure what consumers can do about reptiles in pre-packaged foods.

‘I don’t know how to face my friends and relatives’ Dozens ill after wedding banquet in Singapore

Jeffrey Sivalingam, 61, the father of the bride, told The New Paper yesterday an eight-course meal had been catered for more than 400 guests.

After contacting them yesterday, the retiree said many of them had told him about falling ill after the banquet.

“About four people from each table fell ill as well as some entire tables,” he said.

“I didn’t expect this and now I don’t know how to face my friends and relatives.”

Mr Sivalingam said he was warded at Tan Tock Seng Hospital with his son after they developed fever, and that at least three youngsters, including his 16-year-old niece, were also warded.

A wedding guest, Mr Matthew Tjow, 40, said he and his three children started vomiting and having diarrhoea on Monday.

The counsellor added: “My daughter, who is in Primary 1, vomited from the hall to the toilet. She has kept vomiting and is looking as frail as a rag doll.”

He said the other two, aged 12 and 10, also vomited and had diarrhoea and fever. His wife also started showing symptoms last night.

The spokesman said staff who handled food during the banquet events have been “temporarily relieved of duties” until they complete all necessary medical tests and are cleared by the relevant authorities.

The hotel will also cease serving raw food from its banquet kitchens during the investigation.

Mr Sivalingam hopes to warn the public about such incidents.

“I am not interested in compensation from the hotel. I am interested in the well-being of our guests,” he said.

Singapore: 1 dead, 72 sick from Spize restaurant

The Sats officer who fell sick after consuming food from popular restaurant Spize has died on Wednesday (Nov 14).

Mr Fadli Salleh, who was married with two young children, had been in critical condition in the intensive care unit (ICU) of Sengkang General Hospital (SKH) after he was one of 72 people who suffered gastroenteritis, allegedly after eating bento boxes prepared by Spize’s River Valley outlet for an event last Tuesday. (the raw egg looks like a Salmonella factory).

 

The party was for a Deepavali celebration organised by security company Brink’s Singapore and held on its premises at Kaki Bukit.

Mr Fadli attended the gathering as he was deployed to Brink’s Singapore, though the event itself did not involve Sats.

A Sats spokesman said: “We are providing support to the family during this sad and difficult time. Please approach Brinks if you have further questions.”

 

Brinks offered its condolences to Mr Fadli’s family and said it it was “deeply saddened” that an employee of its business partner died.

 

A joint statement by the National Environment Agency (NEA), MOH and Agri-Food and Veterinary Authority last Friday said the authorities were notified of the cases last Wednesday and they conducted a joint investigation that day.

Spize’s 409 River Valley Road branch’s licence was suspended at 7pm that evening.

 

The statement added that they were investigating several cases of gastroenteritis traced to the consumption of food prepared at the restaurant.

 

“Several hygiene lapses were observed, including leaving ready-to-eat food uncovered in a chiller, not providing soap for hand washing (soap dispenser was faulty) and slotting knives for preparing ready-to-eat food in the gap between the food preparation tables,” said the statement.

Spize had supplied 88 bento sets to Brink’s Singapore and Spize’s co-owner Mr Haresh Sabnani had told The Straits Times on Wednesday before news of Mr Fadli’s death was confirmed that “on that day, 221 bento sets were sent to six different locations, but only that one location was affected”.

Surveys still suck: Restaurant inspection disclosure in Singapore

The aim of this study was to examine the consumer use of Singapore’s letter-based grading information disclosure system and its influence on dining establishment choice.

We used data from a national survey of 1533 households collected from 2012 to 2013 in Singapore to assess (i) the proportion of adults who refer to the letter grade before dining and (ii) the impact of the letter grade on their willingness to dine at an establishment. We used multivariable logistic regression to account for the independent effects of socio-demographic factors. The proportion of respondents who referred to a letter grade before dining was 64.5% (95% confidence interval [CI] = 62.1%, 66.9%). Propensity for referral differed by dining frequency, ethnicity and employment.

Fewer respondents were willing to dine at a ‘C’ (lower) graded establishment [10.3% (95% CI = 8.8%, 11.8%)] compared to a ‘B’ graded establishment [85.3% (95% CI = 83.5%, 87.0%)]. Willingness to dine at a ‘C’ graded establishment differed by dining frequency, housing type and citizenship. The letter-based grading information disclosure system in Singapore is commonly used among Singaporeans and influences establishment choice.

Our findings suggest that information disclosure systems can be an effective tool in influencing consumer establishment choice and may be useful to help improve food safety in retail food establishments. The implementation of such information disclosure systems should be considered in other countries where it has yet to be introduced and be periodically assessed for its effectiveness and to identify areas requiring improvements.

Use of the letter-based grading information disclosure system and its influence on dining establishment choice in Singapore: A cross-sectional study

Food Control, Volume 90, August 2018, Pages 105-112, https://doi.org/10.1016/j.foodcont.2018.02.038

https://www.sciencedirect.com/science/article/pii/S0956713518300847

 

Singapore: y’know, don’t hurl the contents of your stomach in public

Another serial vomiter story, this time from Coconuts Singapore, but with the risk communication tagline, “y’know, don’t hurl the contents of your stomach in public.”

The residents at Pinnacle@Duxton’s Block 1C have a whole ‘other level of revolting (and downright strange) situation to handle — piles of vomit at random places at the car park and the common area, as many as three to four times a week. The case of the serial vomiter at the Tanjong Pagar estate has gotten so bad that even the town council had to step in a few months ago with posters that say, y’know, don’t hurl the contents of your stomach in public.

According to Channel NewsAsia, the Tanjong Pagar town council received a complaint last year about the recurring problem of vomiting at the common area of that one particular block.

“Town Council put up the poster as an educational tool to deter this anti-social behavior as well as to seek residents’ assistance to contact the Town Council if they know who had committed this act,” said the town council’s vice-chairman in a typical politically correct tone to CNA.

Singapore rocked by 5 separate outbreaks at eateries

Clara Chong of The Straits Times writes that good food can be passed off as food worth eating – only if it is safe to consume.

TTdurianpuff-goodwoodThe current case involves Pow Sing restaurant, which, as of July 12, had 29 verified cases of gastroenteritis and investigations are currently ongoing.

This is just the latest case of a food establishment being suspended after outbreaks of food poisoning among its diners.

Here is a look at the five most recent cases.

  1. Pow Sing Restaurant

Pow Sing restaurant and its sister eatery Pow Sing Kitchen at Serangoon Gardens had their licences suspended indefinitely on July 13 after the authorities became aware of at least 29 cases of gastroenteritis, otherwise known as gastric flu, that were linked to the eatery.

An inspection on July 5 threw up several food lapses, such as the failure to maintain temperature records and allowing an unregistered food handler to prepare food.

Pow Sing, which sells zi char or cooked food in addition to chicken rice, has been told to dispose of all food and completely sanitise the kitchen.

  1. Pek Kio Food Centre

With more than 180 cases of gastroenteritis reported, Pek Kio Market and Food Centre in Owen Road area had to be closed on May 25 for a thorough cleaning and disinfection, including disinfection of dining tables, chairs, food preparation surfaces, walls and floors, for two days.

  1. Kuisine Catering

Poor hygiene standards at Kuisine Catering are a likely cause of a mass food-poisoning incident last February, resulting in 231 people falling ill, with five of those affected requiring in-patient medical treatment.

Investigations by the National Environment Agency (NEA), Ministry of Health and Agri-Food and Veterinary Authority concluded that food poisoning was likely due to Salmonella enteritidis.

  1. Goodwood Durian Pastries

Goodwood Park Hotel’s food establishment licence was suspended on April 22 after 76 cases of food poisoning were linked to its durian pastries.

singapore-food2But on May 3, it was revealed that up 183 cases may be linked to the hotel’s hugely popular durian pastries.

Further investigations revealed that lapses in food handling in the durian pastry kitchen were to blame. All food handlers had to undergo medical screening and retraining on safe food handling practices

  1. GBS infection from raw fish dishes

In December 2015, stalls were no longer allowed to sell Chinese-style raw fish dishes such as raw fish porridge due to its link with an aggressive strain of Group B Streptococcus (GBS) bacteria.

The outbreak, caused by the Type III GBS ST283 strain, is the largest of its kind in the world, with about 360 cases of GBS infections since January 2015 and about 150 cases linked to the consumption of Chinese-style raw fish dishes that use freshwater fish.

This ban extended to hawker centres, coffee shops, canteens, food courts and caterers but left out restaurants, which generally observed hygiene standards.

The ban on using such freshwater fish remains in force until further notice.

At least 29 sick: Singapore restaurant suspended for links to outbreak

The Ministry of Health (MOH), National Environment Agency (NEA), and Agri-Food & Veterinary Authority of Singapore (AVA) are investigating several cases Pow Sing Restaurantof gastroenteritis reported between 4 and 11 July 2016, traced to the consumption of food prepared at Pow Sing Restaurant, located at 63-65 Serangoon Garden Way. As of 12 July 2016, a total of 29 cases were verified to be affected, and further investigations are ongoing.

Laboratory tests are ongoing.

MOH has collected stool samples from the affected cases and the restaurant’s food handlers have been sent for stool screening. Only food handlers who are tested to be free of food poisoning pathogens, and have re-attended and passed the Basic Food Hygiene Course will be allowed to resume work. MOH and NEA will continue to monitor the situation.

Salmonella in Singapore

Lim Jia Qi of Channel News Asia reports that when Mdm Chia started having abdominal pain, she thought it was nothing serious. She took some painkillers, thinking that the pain would go away. But instead, she vomited twice and had diarrhea up to 10 times within a day.

vomit.toilet“I have no idea what I ate because Singapore is very clean and I just ate normal food like those at the food court and I didn’t go overseas at all,” said Mdm Chia.

Mdm Chia was admitted to hospital the next day and was diagnosed with salmonella gastroenteritis on May 8. The condition is caused by a food-borne pathogen that can cause diarrhoea, vomiting, abdominal cramps and fever.

Mdm Chia is one of the 1,042 people infected by salmonella so far this year. According to data published by the Ministry of Health (MOH) on its website, the number of people infected has increased over the years. Since 2012, the cases have risen by about 30 per cent to about 2,000 in 2015. The trend looks set to continue, with the number of cases so far in 2016 exceeding the 779 that were reported between January and Jun 20 last year.

In a statement to Channel NewsAsia, an MOH spokesperson said human salmonellosis is generally associated with the consumption of contaminated poultry, meat and eggs.

The spokesperson added that the ministry is working closely with the Agri-Food and Veterinary Authority (AVA) and the National Environment Agency to monitor the situation and better understand the reasons behind the increase.