Child dies from E. coli O157 in Scotland linked to blue cheese

Is there a way to mediate the values between protecting public health and protecting business?

dunshyre.blueMy suggestion would be the company stop asserting that testing found nothing – because that means shit – and Food Safety Scotland get the legal plug out of its ass and go public with whatever information they have.

So while the Scottish company at the centre of an E. coli O157 recall related to its raw milk Dunsyre blue cheese continues to say it’s innocent, and Food Standards Scotland isn’t talking, maybe this will help focus the participants on what matters.

A child has died following the outbreak of E. coli O157 in Scotland, one of 20 confirmed cases of infection – detected between 2 and 15 July – 11 of whom had received hospital treatment.

Health officials are investigating possible links to Dunsyre blue cheese, which is made with unpasteurised milk.

South Lanarkshire-based Errington Cheese, which makes Dunsyre blue, said last month that testing had shown it to be “completely clear of E. coli O157”.

Health Protection Scotland said that epidemiological investigations had “identified Dunsyre Blue cheese as the most likely cause of the outbreak”.

It added: “Despite extensive investigation, including looking for other possible food sources, no other link to a majority of cases could be established.”

Testing don’t prove shit.

Dr Alison Smith-Palmer, from Health Protection Scotland’s Incident Management Team (IMT), said: “On behalf of the IMT, I would like to take this opportunity to extend our deepest sympathies to the family of the child who has died.

“Our thoughts are with them at this time and we ask that their privacy be respected.

“All confirmed cases became unwell prior to the end of July. As there have been no new cases since then the IMT will now stand down and work to produce its final report.”

It is understood that the final report could take up to six months to produce.

In a statement issued last month on its website, Errington Cheese said its own tests had shown the product to be clear of the bug.

“All our testing, covering a period of almost six months from 21 March to date, is completely clear of E. coli O157,” the statement said.

“All authority testing is negative for E. coli O157. All customer testing for E. coli O157 is negative. All farm testing for E. coli O157 is negative.”

The statement added: “From what we can gather all cases had an onset of symptoms between 1st -15th July (2 week period).

“However, our cheese was available over a 8/9 week period.

“From this we conclude that the outbreak was more likely to have been caused by something with a shorter shelf-life or not by a food at all.”

At least 200 sicken by E. coli linked to salad in Finland

Some 200 people suffered from a gastroenteritis epidemic in the Helsinki metropolitan area of Finland after eating food supplied by a catering company, media reported on Thursday.

rucola.saladEeva Ruotsalainen, deputy director of the Hospital District of Helsinki and Uusimaa (HUS), told the Finnish daily Helsingin Sanomat that most of the infections occurred in festive occasions arranged in Helsinki about two weeks ago, and some others occurred in Espoo, Vantaa and Kauniainen after the events.

Laboratory results showed that more than 80 of the patients were infected by EHEC (Enterohaemorrhagic Escherichia coli) which include Shiga-toxin producing E. coli. said Finnish National Institute for Health and Welfare.

Officials contacted patients of high-risk groups, such as children under the age of five, elderly people, pregnant women and persons who work in the food industry.

Health officials suspected that the infection originated from an Espoo-based catering company which provided food services for the events.

Finnish national broadcaster Yle reported that the source of the epidemic was traced to rucola or rocket salad sold by Kesko, a major retailer of Finland.

Matti Kalervo, vice president of Kesko, told Yle that the rucola in question was grown in Denmark and packaged in Sweden. The breakout of the epidemic was caused by a single batch of rucola exclusively for industrial kitchens. Kesko has started to perform microbiological tests on the product, said Kalervo. EHEC bacteria, a subtype of Escherichia coli, can cause human hemorrhagic colitis. The infection of EHEC can lead to hemolytic uremic syndrome, which in turn may cause permanent kidney damage or even death.

Prevent E. coli before church

Looks like former U.S. undersecretary for food safety, Richard Raymond, is losing his religion.

richard.raymondIn a column he wrote for MeatingPlace, Raymond confesses, “Members of a church I used to belong to decide to start a community garden plot. I volunteered to be on the planning committee. The first item out of the gate was that the garden had to be organic. I asked what they considered to be organic. The main emphasis was no artificial fertilizer could be applied, meaning the fields would have to lie idle or grow legumes periodically to recharge the soil.

“It also meant they intended to spread cow manure on the field, a great way to turn an organic garden plot into an E coli O157:H7. Field of Nightmares.

“I resigned.”

Good on ya.

We’re both necessary evils, he gets paid better: Food lawyers

Ronald L. Doering, a past president of the Canadian Food Inspection Agency and counsel in the Ottawa offices of Gowling WLG (Ronald.Doering@gowlings.com) writes in his latest Food in Canada column:

ron.doeringExcept for maybe the Income Tax Act, it’s hard to imagine any area of the law that is more intimately pervasive in the daily lives of Canadians than food law. It regulates the agriculture and food industry, the second largest sector of the Canadian economy. For reasons of health, trade and consumer protection, this large and rapidly growing field has over a dozen specific federal statutes and many more provincial ones that form the basis of thousands of pages of regulations.

The food regulations under the Food and Drug Act are over 400 pages long and the nine sets of regulations under the Canada Agricultural Products Act are even much longer.

And yet, surprisingly, in this country, food law has not been widely recognized as a distinct area of law as it has been in the United States and Europe. We still don’t have a modern comprehensive text in food law. We don’t have a regular reporting service. Our law societies don’t recognize it as a separate area of specialization. Our law schools don’t teach it. Even lawyers who work for food companies don’t think of themselves as food lawyers. But this could all be changing.

One reason for the change is the dramatic growth in the scope and profile of food law over the last 20 years. While Canada got its first food adulteration statute as far back as 1876 and the original Food and Drug Act in 1920, to my mind, the modern era of food law can be traced to the famous 1993 “Jack in the Box” case that graphically showed the world that a young woman’s life could be ruined just by eating a hamburger that had an invisible trace of a little known bacteria. Several other high-profile foodborne illness outbreaks in the U.S. soon followed.

Twenty years ago this winter, Canada led the world when it brought together 16 programs that had formerly been de­livered by four departments to integrate the whole food chain — seeds, feeds, fertilizers, plant health, animal health, all food commodities including fish — by creating the Canadian Food Inspec­tion Agency (CFIA), a true watershed in Canadian food law. In the years that followed Canada too experienced many major national foodborne illness outbreaks causing many deaths and a flurry of new laws and regulations.

With the growth of food law in the last 20 years came the concomitant explosion of media attention to food issues sensationalizing a whole range of controversial food stories on, for example, pesticide residues, genetically modified foods, the danger of imported food, and mad cow disease. What the poor public mostly got was contradictory nutrition advice and bad science reporting. We saw the explosive growth of the urban foodie movement with its enthusiasm for local, organic and natural, whatever that means. Food stories rode the rising wave of social media. In 1993 a young journalist turned professor started what was probably the world’s first blog on food safety; now Doug Powell’s barfblog has 75,000 direct subscribers in more than 70 countries. When I started this column over 14 years ago many readers told me that it was the first time that they had ever seen the words “food” and “law” together.

Which brings me to what may be another interesting step on the road to recognition for this burgeoning area of practice and study. The Schulich School of Law at Dalhousie University has partnered with a nascent group called the Food Lawyers of Canada to host The Future of Food Law and Policy in Canada, Nov. 3 to 4, 2016 in Halifax with the stated purpose of promoting greater understanding and recognition of food law as a distinct discipline (visit foodlaw.ca/halifax2016).

Some years ago a food industry executive said to me: “Because food is so highly regulated, I guess you damn food lawyers are a necessary evil.” I took this as a compliment. We’ve been called worse.

Epi works but needs to be stronger than ‘some people ate the cheese ’ Cheese firm in Scotland linked to E. coli outbreak threatens legal action

Victoria Weldon of Herald Scotland writes that a cheese firm at the centre of an E.coli outbreak is threatening legal action to prevent a ban on sales of its popular delicacy.

dunsyre.blue.cheeseDunsyre Blue, a mould ripened, gourmet cheese from Lanarkshire, is suspected of being the source of last month’s outbreak which struck down 16 people, hospitalising two.

Makers Errington Cheese were initially forced to recall two batches but claim they have now been ordered to halt all sales or face enforcement action.

It follows fresh tests carried out by FSS identifying genes that, while not confirmation of E.coli, indicate a “presumptive positive” result for naturally occurring bacteria strains.

Company founder Humphrey Errington claims the ban is “unprecedented” and argues that scientific evidence suggests presumptive positive results are notoriously inconclusive, adding, “The behaviour of FSS is monstrous. They blamed our cheese for this outbreak in the absence of any hard evidence and have refused to share with us details of their investigation. We had independent tests carried out two weeks ago that showed the suspected batches of cheese were not contaminated. We shared these results with FSS and they said nothing to restore public trust in the product.”

Errington said the ban on Dunsyre Blue, which accounts for about two-thirds of the company’s revenue, was a “catastrophe” and revealed that his lawyers will decide today whether or not to take legal action.

“I’m afraid I can see this ending up in the courts,” he told the Sunday Times.

Dunsyre Blue is characterised by its chunky blue-green moulds and is favoured by the Queen and Michelin-starred restaurants, including an eaterie run by renowned chef Andrew Fairlie at Gleneagles resort in Perthshire.

It became the focus of the health scare after 14 people in Scotland and two in England were struck down with E.coli in July, suffering stomach cramps, diarrhoea, vomiting and fever.

By the end of the month, health officials announced that Dunsyre Blue was the most likely cause of the outbreak.

However, questions are now being asked over the strength of evidence linking the cheese to the outbreak.

Hugh Pennington, professor of bacteriology at the University of Aberdeen, said: “I don’t know if Dunsyre Blue was the cause or not, but if you’re going to accuse Errington’s cheese of being the vector of the outbreak, then without further ado effectively destroy his business, then I think you should have stronger evidence than just ‘some people ate the cheese’.”

A spokesman for FSS said that all victims had been contaminated with the same strain of E.coli O157 and that “there is a strong link with certain batches [C22 and D14] of Dunsyre Blue cheese”.

He added: “Dunsyre Blue cheese remains the most likely source of this outbreak, with confirmed cases becoming unwell between July 2 and 15. It would not be appropriate to respond in more detail as investigations have not yet concluded.”

A lot of STEC: Numbers mean new interventions

Shiga toxin-producing Escherichia coli (STEC) strains can colonize cattle for several months and may, thus, serve as gene reservoirs for the genesis of highly virulent zoonotic enterohemorrhagic E. coli (EHEC).

Cattle-Heat-Load-ForecastingAttempts to reduce the human risk for acquiring EHEC infections should include strategies to control such STEC strains persisting in cattle. We therefore aimed to identify genetic patterns associated with the STEC colonization type in the bovine host. We included 88 persistent colonizing STEC (STECper) (shedding for ≥4 months) and 74 sporadically colonizing STEC (STECspo) (shedding for ≤2 months) isolates from cattle and 16 bovine STEC isolates with unknown colonization types. Genoserotypes and multilocus sequence types (MLSTs) were determined, and the isolates were probed with a DNA microarray for virulence-associated genes (VAGs). All STECper isolates belonged to only four genoserotypes (O26:H11, O156:H25, O165:H25, O182:H25), which formed three genetic clusters (ST21/396/1705, ST300/688, ST119). In contrast, STECspo isolates were scattered among 28 genoserotypes and 30 MLSTs, with O157:H7 (ST11) and O6:H49 (ST1079) being the most prevalent. The microarray analysis identified 139 unique gene patterns that clustered with the genoserotypes and MLSTs of the strains. While the STECper isolates possessed heterogeneous phylogenetic backgrounds, the accessory genome clustered these isolates together, separating them from the STECspo isolates.

Given the vast genetic heterogeneity of bovine STEC strains, defining the genetic patterns distinguishing STECper from STECspo isolates will facilitate the targeted design of new intervention strategies to counteract these zoonotic pathogens at the farm level.

The accessory genome of Shiga toxin-producing Escherichia coli defines a persistent colonization type in cattle

Appl Environ Microbiol 82:5455–5464. doi:10.1128/AEM.00909-16.

SA Barth, C Menge, I Eichhorn, T Semmier, LH Wieler, D Pickard, A Belka, C Berens, L Geue

http://aem.asm.org/content/82/17/5455.abstract?etoc

2 Detroit kids sick with E. coli from raw milk

Two metro Detroit children have been infected with E. coli, authorities said Friday.

Spew milkThe Michigan Department of Health and Human Services says the cause is unpasteurized milk. The separate cases have been reported in Oakland and Wayne counties.

Officials are now reminding residents of the potential risks associated with consuming raw milk.

“The public should be aware that raw milk and other unpasteurized dairy products have not been heat treated and, therefore, pose a potentially serious risk to human health,” said Dr. Eden Wells, chief medical executive for MDHHS.

Hamburger safety videos: Who’s the bullshitter, UK or US?

How can two different countries come up with two different recommendations – yet equally cheesy videos – on the basics of hamburger food safety?

Value assumptions in risk assessments.

My guess would be the UK Food Standards Agency thinks consumers can’t handle thermometers so they provide misguided and meaningless risk messages. And when talking about steaks, they don’t talk about needle- or blade tenderized steaks, in which the outside is pushed into the inside.

The U.S. Department of Agriculture gets the science right, but fails to expand beyond the simplistic cook-chill-clean-separate mantra and doesn’t mention sourcing food from safe sources, like the World Health Organization does.

I provide information. You decide.

 

2 students at UK school sickened with E. coli O157

Paul Cargill of the Daily Record writes that a Perth Academy pupil is recovering at home after being struck down by E. coli O157.

The sixth year pupil’s mother, who did not want her son to be named, told the PA he was doing well after coming down with the stomach bug following an expedition which was organised through the school.

Duke of Edinburgh Gold Award tripIt is understood that at least one other Perth Academy pupil took ill with the same strain of the bug after returning from a Duke of Edinburgh Gold Award trip, which took place two weeks ago.

The two boys did not return to school this week as expected and the mother who talked to the PA yesterday, confirmed her son was being kept off school to recover.

Consultant in public health medicine Dr Daniel Chandler told the PA: “We can confirm that NHS Tayside and Perth and Kinross Council are together investigating a small number of linked cases of E coli O157 infection.

“Those affected have received appropriate medical treatment and advice.

“Possible sources are currently being investigated and control measures have been put in place to prevent further spread.”

How can that be if the source is unknown? Maybe person-to-person transmission can be limited, but there did it come from originally?

‘Timing couldn’t have been better’ 40 sickened with E. coli O157 at Richey reunion

It was supposed to be unforgettable, but for some who attended the Richey, Montana, Centennial last month, it was unforgettable for the wrong reasons.

Richey1Around 40 people from 10 states reported they had been infected with E. coli O157.

At least seven were hospitalized, and six Montana counties have been affected.

“If you had to have a foodborne outbreak, the timing couldn’t have been better,” says Jennifer Fladager, Dawson Co. Emergency Preparedness Coordinator.

Fladager had relatives who attended the celebration. She says staff members were prepared for this outbreak.

“We were aquatically trained and prepared for something like this. It’s rather ironic, we were just at a public health summer institute and we went over how to properly conduct case interviews with foodborne illness,” says Fladager.

Investigators say they have nearly completed their investigation and are working with the caterer to determine how the meal became contaminated.