Obama moves on food safety: will it mean fewer sick people?

Reuters is reporting this morning ahead of a press conference later today by recently formed supergroup, the Food Safety Working Group (right, not exactly as shown), that the Obama administration is ordering tougher steps to curb salmonella and E.coli contamination in U.S. food processing plants and created a new deputy food commissioner post to coordinate safety.

In response to the working group recommendations, the administration created a new position — deputy commissioner for foods — at the Food and Drug Administration to increase coordination of food safety activities in different parts of the federal government.

Other highlights include:

• the FDA has issued a rule aimed at reducing salmonella contamination of eggs during production;

• the administration directed the Food Safety and Inspection Service to develop standards by the end of the year to reduce salmonella in turkey and poultry;

• to reduce E.coli contamination of beef, the FSIS was directed to improve surveillance and testing for the bacteria in plants that handle beef, especially ground beef; and,

• the administration said the FDA would issue new guidance to the industry by the end of the month in an effort to reduce E.coli contamination in tomatoes, melons and green leafy vegetables.

Scott Faber of the Grocery Manufacturers Association said the absence of a federal standard for commodities like leafy greens, tomatoes and melons was the "biggest hole in the current food safety net" and the proposal to issue guidance "is the single most important step that we can take to reduce the risk of foodborne contamination."

Yes, fresh produce is the biggest hole – although all the processing-related outbreaks of late suggest a fairly big hole – but FDA has been issuing guidance for growing safe, fresh produce for 10 years. Does anyone follow it? Will more guidance mean fewer sick people? Doubtful.

As I wrote when the supergroup, Food Safety Working Group, announced its inaugural tour back in March, ??????U.S. President Obama is excellent at setting tone, and maybe that’s the best that can be expected. At least food safety is on the White House agenda. Maybe it will send a message that everyone, from farm-to-fork, needs to get super-serious about providing microbiologically safe food. Maybe that will increase the safety of the food supply and result in fewer sick people. Maybe there will be a hit single to be found in the Working Group’s first release.
 

CDC speaks: Surveillance for U.S. foodborne disease outbreaks, 2006

The U.S. Centers for Disease Control reports in tomorrow’s Morbidity and Mortality Weekly Report that foodborne illnesses are a major health burden in the United States . Most of these illnesses are preventable, and analysis of outbreaks helps identify control measures. Although most cases are sporadic, investigation of the portion that occur as part of recognized outbreaks can provide insights into the pathogens, food vehicles, and food-handling practices associated with foodborne infections.

In 2006, CDC reported 1,270 foodborne disease outbreaks (FBDOs) from all states and territories through the Foodborne Disease Outbreak Surveillance System (FBDSS), resulting in 27,634 cases of foodborne illness and 11 deaths. Among the 624 FBDOs with a confirmed etiology, norovirus was the most common cause, accounting for 54% of outbreaks and 11,879 cases, followed by Salmonella (18% of outbreaks and 3,252 cases). Among the 11 reported deaths, 10 were attributed to bacterial etiologies (six Escherichia coli O157:H7, two Listeria monocytogenes, one Salmonella serotype Enteritidis, and one Clostridium botulinum), and one was attributed to a chemical (mushroom toxin).

Among outbreaks caused by a single food vehicle, the most common food commodities to which outbreak-related cases were attributed were poultry (21%), leafy vegetables (17%), and fruits/nuts (16%). Public health professionals can use this information to 1) target control strategies for specific pathogens in particular foods along the farm-to-table continuum and 2) support good food-handling practices among restaurant workers and the public.

Food Safety Working Group hears ‘good is simply not good enough’

A White House Food Safety Working Group Listening Session was held Wednesday that marked "the beginning of a significant and critical process that will fully review the safety of our nation’s food supply," according to USDA Secretary Tom Vilsack.

In his opening remarks, Vislack outlined several specific challenges that would require imput from the stakeholders present at the session. These included the development of an approach consistent between the FDA and USDA for preventing foodborne illnesses, as well as an active surveillance and response system for foodborne disease outbreaks.

In regards to the latter, Vislack stated, "Our regulatory agencies must actively watch for disease outbreaks and take rapid action to ensure that we have effective and targeted recalls. Such recalls are in the interests of public health and the strength of industry sectors that might otherwise be tarnished by massive recalls."

Health and Human Services Secretary Kathleen Sebelius, who oversees the FDA and the CDC, also briefly mentioned the subject of foodborne outbreaks in her opening remarks, saying, "When outbreaks do occur, we must all respond quickly, both to protect public health and to speed the recovery of affected industries."

Sebelius went on to say, “We have already made good use of new tools to protect and inform the public. When peanut products were recalled, we produced a widget that was placed on more than 20,000 external Web sites and resulted in 9.6 million page views. And as we saw during the H1N1 flu outbreak, communication is critical during any kind of crisis and we will use every tool possible to get the word out."

However, she failed to mention how effective that tool was in protecting public health and speeding the recovery of the peanut industry.

As Vislack stated at the end of his opening remarks, "[W]e need to develop a way to measure our success… Lives are at stake and good is simply not good enough."

Google Flu Trends – early warning system for foodborne illness outbreaks?

Google Flu Trends is a new Web tool that Google.org, the company’s philanthropic unit, unveiled on Tuesday, just as flu season was getting under way in the United States.

The N.Y. Times reports that Google Flu Trends is based on the simple idea that people who are feeling sick will probably turn to the Web for information, typing things like “flu symptoms” or “muscle aches” into Google. The service tracks such queries and charts their ebb and flow, broken down by regions and states.

Early tests suggest that the service may be able to detect regional outbreaks of the flu a week to 10 days before they are reported by the Centers for Disease Control and Prevention.

We’ve thought of doing something like this with surveillance of foodborne illnesss, or even restaurant inspection and complaints. But we don’t have the resources of Google.

Google Flu Trends (www.google.org/flutrends) is the latest indication that the words typed into search engines like Google can be used to track the collective interests and concerns of millions of people, and even to forecast the future.

Don’t serve poop – it’s on candid camera

While awaiting DNA test results on the poop in the Australian ice cream, Sydney’s Coogee Bay Hotel has announced it will install six new security cameras, with the food preparation area to be under constant surveillance.

It has also invited NSW health authorities to do monthly inspections of the kitchen, and customers will be able to have their say about the hotel via its website, to be launched soon.

Canada’s surveillance system still sucks

During the 728 or so interviews I’ve done on tomatoes and Salmonella in the past week, a radio reporter in Calgary asked me, as did several other Canadian outlets,

"What is the Canadian Food Inspection Agency doing?"

"Nothing."

CFIA can speak for itself.

When asked if Canadians were safe from this outbreak, I said, maybe, depends on first figuring out where the contaminated tomatoes were grown, then depends on what was coming into Canada at that point in time.

That uncertainty would help explain why Canadian fast-food outlets pulled fresh tomatoes from their offerings — at least until the source could be verified.

But, I added, even if someone did get sick, it would be difficult to notice because Canadian health surveillance sucks.

Apparently the Canadian Medical Association agrees, calling the system,

"a national embarrassment."

Dr. Kumanan Wilson writes in the Canadian Medical Association Journal that the Auditor General of Canada has warned 3 times, most recently in May, 2008, that Canada’s failure to develop surveillance systems puts Canadians at risk.

In an accompanying editorial, Dr. Amir Attaran  of the University of Ottawa, writing on behalf of CMAJ’s editorial team, calls upon the federal government to "legislate a way past the jurisdictional schisms" and make information regarding health epidemics readily available. Currently, "12 of 13 provinces are under no obligation to share information with the federal government or the rest of Canada during an outbreak," writes Dr. Attaran. "We at CMAJ believe this is a national embarrassment."

Why burn poop on a doorstep when you can cook it in a 7-Eleven microwave

Three high school students who thought they were being funny by sticking a bag of poop in a Sandy, Utah 7-Eleven microwave and cooking it for 10 minutes have been arrested.

Earlier this week, police released surveillance video of three teens who walked into the convenience store near 2200 East and 9400 South, took out a one-gallon plastic bag with human feces inside and put it into the microwave while the clerk wasn’t looking.

The boys left the store, and the clerk figured out what had happened when a foul stench filled the building. The store had to be closed temporarily because of the odor.

Sandy police Sgt. Victor Quezada said the surveillance video was broadcast by local news stations, investigators received numerous tips from callers, and that on Wednesday morning, five high school students were greeted by police as they arrived for school in the morning. Two of the boys eventually were released, while the other three, two aged 16 and a 17-year-old, were arrested for investigation of third-degree felony criminal mischief.

The 7-Eleven figured out the video surveillance thing, but USDA says it’s too complicated for slaughterhouses.