100 sickened: Fancy food ain’t safe food, Spain edition, with Vibrio in shrimp

We describe an outbreak of seafood-associated Vibrio parahaemolyticus in Galicia, Spain in on 18th of August 2012 affecting 100 of the 114 passengers travelling on a food banquet cruise boat. Epidemiological information from 65 people was available from follow-on interviews, of which 51 cases showed symptoms of illness.

jimmy.buffett.cruiseThe food items identified through the questionnaires as the most probable source of the infections was shrimp. This product was unique in showing a statistically significant and the highest OR with a value of 7.59 (1.52–37.71).

All the nine strains isolated from stool samples were identified as V. parahaemolyticus, seven were positive for both virulence markers tdh and trh, a single strain was positive for trh only and the remaining strain tested negative for both trh and tdh.

This is the largest foodborne Vibrio outbreak reported in Europe linked to domestically processed seafood. Moreover, this is the first instance of strains possessing both tdh+ and trh+ being implicated in an outbreak in Europe and that a combination of strains represent several pathogenicity groups and belonging to different genetic variants were isolated from a single outbreak.

Clinical isolates were associated with a novel genetic variant of V. parahaemolyticus never detected before in Europe.
Further analyses demonstrated that the outbreak isolates showed indistinguishable genetic profiles with hyper-virulent strains from the Pacific Northwest, USA, suggesting a recent transcontinental spread of these strains.

Epidemiological investigation of a foodborne outbreak in Spain associated with U.S. West Coast genotypes of Vibrio parahaemolyticus

http://7thspace.com/headlines/523567/epidemiological_investigation_of_a_foodborne_outbreak_in_spain_associated_with_us_west_coast_genotypes_of_vibrio_parahaemolyticus_.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+7thspaceNews+(7thSpace+Interactive+-+News+%26+Headlines)

 

Germans who wrongly fingered Spanish cucumbers ordered to pay

Many regulators see going public with information related to an outbreak as a no-win situation. As Paul Mead once said – ‘If you’re wrong, you went public too early; if you’re right, you went [public] too late.’

Best to err on the side of public health – and tell folks about the uncertainties in your data and decision-making.spain_ag_minister_cuc_may_11(2)

In 2011, at the height of an E. coli O104 outbreak which led to 4,075 illnesses (including 908 cases of HUS) and 50 deaths in 16 countries, epidemiological information was evolving. During the investigation, German authorities, based on a sample taken out of a trash bin, fingered Spanish cucumbers as the source. It turned out to be fenugreek sprouts.

According to ThinkSpain, a Spanish cucumber firm is being compensated for being wrongfully implicated.

A German court has upheld a Málaga-based vegetable cooperative’s claim for compensation after the E.coli scare was incorrectly linked to Spanish cucumbers.

Sales director for Frunet, Richard Söpenberg, says that although the co-op had sued for €2.3 million, the case was more about clearing its name than earning back the money it had lost through the unfair finger-pointing at its produce.

“The judge in Hamburg has recognised that we did nothing wrong, and we are very proud and happy about that – above and beyond the compensation awarded, what’s most important is the restitution of the company’s good name,” Söpenberg revealed.

The cooperative’s sales manager says he ‘trusts the case will serve as a learning curve’, since it highlights the extent of harm an ‘unfounded accusation’ can cause any firm.

cucumber.spainMEP-300x188“Pointing the finger at a company can destroy it completely in seconds, and this is something that could happen to any firm in the world,” Söpenberg warned.

Missing from the mis-fingered cucumber story is the food safety steps that Spanish growers/shippers/distributors take to ensure microbial food safety. An outbreak like this was an opportunity to brag – if procedures are in place and there’s data to back it up. Too bad it had to come out in court proceedings over four years later.

Fancy food ain’t safe food, Spain edition: Food poisoning sucks even for food safety experts

Elizabeth Meltz, Director of Environmental Health for Batali & Bastianich Hospitality Group (B&BHG), writes on Mario Batali’s blog that even for a healthy person, food poisoning sucks. If you are remembering the last time you had it and thinking it wasn’t that bad, you are lying to yourself. (The joke goes: First you are afraid you’re going to die and then you are afraid you are not going to die.) For a person with a compromised immune system of any kind, it could truly mean death.

elizabeth meltz_headshotAnother common part of my job is following up with the (very few) complaints of foodborne illness we might get from guests. It is very difficult for anyone (myself included) to ascertain what made them sick and when. Incubation periods, and correspondingly, onset times for the most common food forms of foodborne illness: Staphylococcus auerus, E. coli, Salmonella, etc. vary greatly. Salmonella, the most common cause of food borne illness, has an average onset time of 18 to 36 hours. So though people usually assume it was the last thing (or place) they ate that made them sick, it quite often is not.

My job and my personal life made a head on collision last week. My father had a successful lung transplant a year and a half ago. He had a rare condition called pulmonary fibrosis, for which there is no other treatment. He was cleared for travel in the spring and wanted to celebrate by torturing us all with a family trip to Madrid. My husband, Alex, who also works for B&BHG, made lunch and dinner reservations for every day at a Michelin-starred chef’s latest outpost, or some other highly recommended haunt. We had every must-eat place in Madrid on our schedule.

We ate so well I thought I would die; around 1a.m. on Jan. 1, I really did think I would. I had been complaining of nausea since we finished dinner around 11pm. My mom just kept saying we had been eating too much, but I knew something was wrong. And then — I will spare you the details — I was lying on the bathroom floor, well aware that I officially had food poisoning. I was only the first to fall. My mom was sick within the hour and Alex was in writhing pain by 2a.m.

I was panic-stricken. If my dad gets sick, he could die. He’s on all kinds of immunosuppressant medication and his body can’t handle a bacterial or viral infection of any kind. I’m half moaning, half yelling to my mom in the other room, “Put dad on a plane now please!” I think she thought I was in a feverish state, which I was, but I was serious. He was still not sick, and neither was my brother, which gave me hope, but I was terrified.

Because the thought of food made me want to throw up more, I was struggling to go through what we had all eaten in the past few days to see what commonalities I could find to identify the culprit. Because of my dad’s condition, he doesn’t eat anything that’s raw, including vegetables, so that made the tuna tartar a good candidate. However Daniel, my brother, had eaten some of the tartar — maybe he just had a stronger immune system? The tartar was rolled into five separate piles, maybe his pile was handled differently?

So I spent New Year’s Eve in Spain in a pool of sweat, fighting back vomit as I pondered what made me sick and hoping my dad doesn’t die.

But I’m OK with this now. My dad didn’t get sick and die. And though I could have done without the refresher, it strengthened my resolve and reminds me of why we do what we do. No one, not even the healthiest person, should spend any night projectile vomiting. And no one should have to worry about taking a life or death chance when they walk into one of our restaurants.

27 sickened including 11 pregnancies in two outbreaks of Listeria, Northern Spain 2013

In the province of Gipuzkoa, Spain (≈700,000 inhabitants), 7–12 episodes of human listeriosis were recorded annually during 2009–2012. However, during January 2013–February 2014, 27 episodes were detected, including 11 pregnancy-associated cases.

amy.pregnant.listeriaAll cases produced sepsis in the patients, except 1 case that produced diarrheal disease in a 34-year-old parturient woman who had undergone a splenectomy. Eleven episodes (40.7%) occurred in pregnant or parturient women, and 8 of the children of these patients were affected: 5 newborns (4 of them premature infants) became ill, 2 pregnancies ended in miscarriage, and 1 infant was stillborn.

Fifteen cases in 2 epidemiologically unrelated outbreaks were caused by a rare type of Listeria monocytogenes, sequence type 87 serotype 1/2b. 

Emerging Infectious Diseases, Volume 20, Number 12—December 2014 [ahead of print]

Pérez-Trallero E, Zigorraga C, Artieda J, Alkorta M, Marimón JM

http://wwwnc.cdc.gov/eid/article/20/12/14-0993_article

‘Our worst nightmare coming to life’: UK family contracted E. coli O157 on holiday to Spain with toddler daughter left in critical condition

A family of four fell ‘horrifically’ ill during a Spanish summer holiday which left two young daughters in hospital, one in critical condition.

e.coli.spain.aug.14The Smith family, from Bishop Auckland in County Durham, travelled to the 3* Azuline, Coral Beach resort in Ibiza in June, but say the trip turned into every family’s ‘worst nightmare’ when all of them fell ill and two-year-old daughters Olivia and Hannah were hospitalised for days as they battled E. coli. 

Dad, Stuart, who was made redundant on his return to work, was also diagnosed with having contracted the bacteria.

The toddlers have now been diagnosed with hemolytic uraemia syndrome – a condition related to E. coli which can cause kidney failure due to a breakdown of red blood cells – and distraught parents Stuart and Nicola have instructed expert international illness lawyers at Irwin Mitchell to investigate what caused them to fall ill and to help secure their daughters funds for on-going treatment.

To make matters worse, Stuart was made redundant on his return from his job as a production worker in manufacturing, as he took time off to care for his daughters, which affected his redundancy score negatively. 

Stuart, Olivia and Hannah were all diagnosed as suffering with E. coli O157 on their return and the girls symptoms were so severe that they were admitted to the Royal Victoria Hospital in Newcastle. 

Olivia, who was two in July, was discharged after six days but Hannah, who turns three at the end of the month, spent 21 days in hospital and needed dialysis to help her kidneys function properly.

Stuart, 38, said: ‘The last few weeks have been like our worst nightmare coming to life as we have had to watch our little girls fight for their lives in hospital.

‘The last thing we imagined was that we would all fall so horrifically ill. We did notice that some of the food that should have been chilled was left at room temperature and some of it was undercooked, but we tried to be as careful as possible.

‘The worst thing now is not knowing whether the girls have been left with permanent kidney problems as a result. We just cannot believe how going on holiday has turned all of our lives upside down.

Nearly 200 affected by salmonella in a school in Spain

(Something may be lost in translation.)

Nearly 200 people, mostly children 2-to-17-years-old, have suffered food poisoning from a salmonellosis outbreak in a school in San Bartolome de Tirajana (Gran Canaria).

pasta.saladThe outbreak at the private education center was apparently traced to Salmonella Enteritidis on a pasta salad that served as lunch.

The CEO of Public Health of the Canary Government, José Díaz Flores, said  the analysis of their department does not attribute the salmonella outbreak to products with which the dish is prepared, made with salsa and eggs, but hygienic conditions inadequate sanitary by the manipulator.

Study in Spain shows freshwater turtles can transmit Salmonella to humans

Professors from the University CEU Cardenal Herrera studied 200 specimens of freshwater turtles from eleven Valencian wetland areas, to determine the prevalence of Salmonella and Campylobacter in these animals, because of their potential risk of transmitting gastrointestinal diseases to humans, especially children.

According to the results, published in the journal Plos One, 11% of the analyzed specimens of freshwater turtles were found positive for Salmonella. However, Campylobacter was not salm.freshwater.turtle.14detected in any of them. This is the first study to rule out terrapins as transmitters of campylobacteriosis to humans.

The research group has used specimens of the native Emys orbicularis and of the exotic species Trachemys scripta elegans, found in eleven wetlands of the Valencian Region (Spain), including the marshes of Pego-Oliva, Xeraco, Cabanes or Peníscola, among others. In eight of the eleven wetlands the researchers found terrapins carriers of the bacteria Salmonella with moderate prevalence but none with the Campylobacter bacteria.

As pointed out by Professor of Veterinary Clara Marín, who led the study, campylobacteriosis and salmonellosis are common infections in humans: there have been 212,064 cases of the first and 99,020 cases of the second registered in the European Union during last year. Moreover, both are the two most frequent zoonosis worldwide, and thus represent an important public health problem in many countries which are interested in designing methods of preventing transmission of these infections from animals to humans. Salmonella can cause human gastroenteritis and meningitis, especially in children and elderly. 

3 family members die in Spain from food poisoning

Officials in a southwestern Spanish town say a mother, father and one daughter belonging to the same family have died from food poisoning, and have ordered an investigation into the deaths.

Local government spokeswoman Miriam Burgos told state broadcaster RTVE that a 13-year-old girl was the only family member to survive, having emerged Sunday from the intensive care unit of a Seville hospital after suffering from food poisoning.  Reporting from Alcala de Guadaira, 17 kilometers (10.5 miles) east of Seville, RTVE said in its afternoon news bulletin that neighbors of the family had said both parents were unemployed and were known to have accepted free food from local stores.

2011 E. coli allegations make Almerian cucumber a national symbol in Spain

Translated by Sol and Gonzalo Erdozain

“After closely following campaigns in favor of cucumber consumption, conducted by different media, government, etc., we conclude that a crises of this magnitude can lead to a sense of “patriotic pride,” which in this case transformed a simple vegetable into a national symbol. Our analysis, added to interviews with experts on the subject, indicates that these campaigns not only minimized the effects of the crises but actually had a positive impact on the agriculture in Andaluz.

This is one of the main conclusions of the research article, “Media and food crises. The 2011 E. coli outbreak: The cucumber crises,” conducted by five students for a course in Expert in Gastronomic and Nutritional Journalism.

It’s been over a year and a half since those fateful days at the end of May and beginning of June 2011, when the Hamburg (Germany) Health Minister, Cornelia Prüfer-Storcks, accused Spain, and specifically Almeria, of being responsible for the E. coli outbreak victims in Germany linked to cucumber.

Without proof she pointed her finger to an agriculture system, thereby accusing the whole Almerian economic system, which is always innovating in quality materials, food safety, technology and research, is environment-conscious and sustainable, and an example for the community regarding fruit and vegetable exporting.

The industry, and Spanish society, caused an uproar regarding a subject that turned into an issue of rich country versus poor country, one who makes decisions versus one who abides by them, one who makes the most from commercial margins dressed in a suit versus one who earns their bread sweating under a greenhouse.

In spite of economic damage, approximately 27 million taking into account what was thrown out, and the reputation damage, which is still incalculable, he Almerian agriculture industry was still able to pull through it strong, with estimates for 2011-2012 production numbers at a record high of three million tons and sales of 2.336 million Euros, competing with international markets and showing the world its strength in quality products and food safety, with perfect traceability methods, as shown with the E. coli.