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)

 

Vibrio from undercooked scallop leads to wrongful death suit

There are certain folks who are at higher risk for foodborne illness, the young, elderly, pregnant and immunocompromised.

Food safety is about making risk decisions. When it comes to my kids, who can’t really make salient risk/benefit decisions around food safety, I’m cautious. I don’t mess around with undercooked meats and temp everything.scallops-065

Hope, faith, trust-based food safety is even riskier for those who are more susceptible to pathogens. Eating out is largely a trust-based activity; trust in the managers, food handlers and suppliers when it comes to keeping meals safe.

A San Diego man, who had a weakened immune system, died in 2014 following complications associated with Vibrio he got from an undercooked scallop dish in 2013, according to the Napa Valley Register. 

Redd restaurant in Yountville is being sued for wrongful death by the family of a San Diego man who claimed to have suffered food poisoning attributable to scallops eaten as an appetizer and as an entree.

Larry Sacknoff, 61, died Aug. 16, 2014, due to complications caused by Vibrio parahaemolyticus, a bacteria found in estuarine or marine environments, according to court documents.

About a year earlier on July 21, 2013, Sacknoff enjoyed scallops at the Yountville restaurant, the suit alleges. He became ill with diarrhea, a symptom of Vibrio, and so did his friends, Mary and Scott Papas, who ate at Redd with him, according to the civil suit.

Sacknoff, a former television sportscaster in San Diego, had a history of heart problems and had recently undergone a heart transplant prior to visiting the restaurant. This caused him to have a compromised immune system and inhibited his ability to fight off infection, according to the complaint. “Larry’s fragile condition simply could not handle the aggressive Vibrio pathogen,” the family alleges.

He was treated in the San Diego area for the lingering effects of his infection between Aug. 2, 2013 and March 7, 2014, according to court documents. His treatment included several hospitalizations.

Redd Restaurant and Pierless Fish Corp., a scallop supplier based in Brooklyn, New York, were both named as defendants. In court papers, both denied all allegations.

A settlement with Pierless Fish Corp. was reached in September, and claims against the company were dismissed on Nov. 12, according to Pierless’ attorney Michael Burke with Vogl Meredith Burke LLP in San Francisco. Burke said the terms of the settlement are confidential.

In response to a complaint from Sacknoff’s family, Napa County’s environmental health division inspected the restaurant on Aug. 6, 2013.

Redd, which got a passing B grade, was found to be out of compliance in three food safety areas, including:

“Scallops prepared during this inspection were less than thoroughly cooked,” the inspector reported. Scallops were served between 108 and 132 degrees, failing to meet the 145-degree cooking requirement, according to the report.

The plaintiffs are seeking unspecified damages due to strict product liability, negligence, and breach of implied warranties. They also seek wrongful death damages and, in their complaint filed on July 16, 2015, demanded a jury trial.

A jury trial is scheduled for July 11.

It’s vulnificus, dumbass: Florida reports most Vibrio cases in years

I did an almost one-hour radio interview this morning, and I messed up: I had a brain cramp and couldn’t remember the species of Vibrio that can cause problems, especially in raw oysters.

BC.oystersBut then I saw this story and was reminded that the number of Vibrio vulnificus cases reported in Florida in 2015 to date is the highest seen in the state in years, according to Florida Department of Health data. The 2015 tally, which has reached 42, is higher than any year from 2008 to 2014 (data available on DOH website).

Prior to this year, the high was reported in 2013 with 41 cases. Vulnificus cases have been reported in 25 counties with Hillsborough (5), Duval (4), Bay (3) and Polk (3) counties seeing the most.

In addition, the Vibrio death toll in Florida has reached 13, the most since 2011. Deaths have been reported from the following counties: Brevard (2), Duval (2), Escambia (1), Hillsborough (3), Lake (1), Marion (1), Pinellas (1), Polk (1) and Sarasota (1).

Vibrio vulnificus can cause disease in those who eat contaminated seafood or have an open wound that is exposed to warm seawater containing the bacteria. Ingestion of Vibrio vulnificus can cause vomiting, diarrhea and abdominal pain. Vibrio vulnificus can also cause an infection of the skin when open wounds are exposed to warm seawater; these infections may lead to skin breakdown and ulcers.

Healthy individuals typically develop a mild disease; however, Vibrio vulnificus infections can be a serious concern for people who have weakened immune systems, particularly those with chronic liver disease.

6 sick from Vibrio in oysters in Mass.

State health and fishery officials are extending the closure of several oyster beds in Boston’s South Shore area because of illnesses linked to seasonal shellfish bacteria.

SUN0705N-Oyster7The beds in Duxbury Bay, Kingston Bay, Bluefish River, Back River and Plymouth Harbor have been under a 7-day precautionary closure since last week. Tuesday’s announcement extends that until Oct. 8. It could be extended again if more illnesses arise.

The Massachusetts Department of Health and the state Division of Marine Fisheries say six illnesses linked to contaminated oysters have been confirmed. The illnesses are blamed on the Vibrio bacteria that thrive in warmer ocean waters.

The quasi-daily probe E1: The okra of the sea

My friend Mike Batz of University of Florida’s Emerging Pathogen Institute and I were chatting a while back and thought it would be cool to connect for short podcasts when there was something fun going on. Here’s the first episode (and maybe the last) in it’s raw, unedited, short format.Daily-probe

Today we talked about oysters, raw and steamed, Vibrio, norovirus, burden and risk-based messaging.

The article that prompted the probe was from Lifezette where oysters are referred to as those scary shellfish.

Heads up, raw oyster lovers. New research from China shows the bivalves not only transmit human norovirus, they also serve as a reservoir for the harmful and highly contagious virus.

In an expansive study published recently in Applied and Environmental Microbiology, a journal of the American Society for Microbiology, scientists discovered that more than 80 percent of the known noroviruses matched those found in oysters.

Even common recommendations for reducing the risks of illness, such as avoiding them from warm-water sources, aren’t a guarantee you won’t get sick, food safety expert Ben Chapman told LifeZette.

“Considering where they’re from, and not eating them at a certain time of year, may reduce the risk, though risk is always there,” said Chapman, a researcher at North Carolina State University. Chapman also notes that cooking oysters may lower risk, but that steaming — a popular way to prepare them — isn’t likely to get them above 140 degrees.

Listen to the episode here.

Minimize risk: Tracking shellfish contamination

Some shellfish, especially raw oysters, may contain dangerous levels of the pathogen Vibrio parahaemolyticus (Vp), a cousin of the bug that causes cholera.

Raw oystersWhen ingested, Vp can cause the food poisoning called vibriosis, which usually entails an unpleasant three days of nausea, diarrhea, fever and chills. In rare cases and among vulnerable populations—the very young, very old or those with weakened immune systems—the bacterium can cause a more serious blood infection. Vp, which can also cause skin infections, leads to about 30 hospitalizations and kills one to two people each year, according to the Centers for Disease Control and Prevention.

In Massachusetts, 58 cases of Vp-related illnesses were reported to the Department of Public Health in 2013, up from 13 cases in 2011. The state banned oyster harvesting in waters off Cape Cod, Martha’s Vineyard and Nantucket as well as off the towns of Plymouth, Kingston, Duxbury and Marshfield that year. The last two years waters in New York, Oregon and Washington State have been closed to oystering.

Vp occurs naturally in most marine ecosystems, but it typically has only been linked to disease in warm coastal areas, such as the Gulf of Mexico. The recent emergence of Vp-associated illness linked to seafood from waters off Alaska, Long Island and Massachusetts has made public health officials and others sit up and take notice, says Meghan Hartwick, who received a master’s degree in conservation medicine from Cummings School in 2012 and now works to predict and control future outbreaks.

oysters.grillWhy has Vp-related illness spread to more northern latitudes? Some scientists speculate it might have to do with climate change and rising ocean temperatures. “When we see these kinds of outbreaks in historically cold-water areas, it’s really unusual,” says Hartwick, who is studying the Vibrio species as a Ph.D. student in biology at the University of New Hampshire.

Hartwick hopes to develop a predictive mathematical model that can warn public health officials and shellfish growers when Vp outbreaks might occur. She helped implement such an environmental surveillance tool for cholera in Vellore, India, as part of her conservation medicine program at Tufts.

Nationwide, Vibrio parahaemolyticus cases are also on the rise. The Centers for Disease Control reports a 115 percent increase since 1996, when the agency started tracking Vp-associated illnesses. Of the 431 cases the CDC confirmed in 2012, six were fatal. Officials also suspect that Vp is vastly underreported, by as much as tenfold.

Hartwick is studying the Vibrio population in the Great Bay tidal estuary on the New Hampshire coast that empties into the Gulf of Maine. Collaborating with UNH colleagues with expertise in microbial ecology, genetics, molecular evolution and remote sensing, Hartwick is trying to understand the role the bacteria plays within Great Bay’s ecosystem.

The “sole goal [of Vp] in life is not to be a human pathogen,” she says. “Vp is an intrinsic part of the flora and fauna of most marine and estuarine ecosystems.”

In the spring and summer, Hartwick collects water and sediment samples and gathers data about water temperature, salinity, pH levels and anything else that might affect the bacteria’s numbers. Over time, she hopes to map how much and which species of Vibrio bacteria are present in Great Bay during the summer, as well as what factors might promote an outbreak.

In addition to developing a Vibrio early-warning tool, Hartwick and the UNH team, including her advisor, bacteriologist Stephen Jones, are working with shellfish growers to figure out how to prevent future outbreaks. After all, no one wants to sell food that makes people sick, she says.

“We’re not blindly throwing a dart and hoping it solves the problem,” Hartwick says. “We’re asking, ‘What is the problem, and what’s the best way to address it,’ so there are no unnecessary burdens placed on the shellfish industry, and there’s also no unnecessary illness. It’s sustainable science contributing to sustainable policy.”

Now into a second summer of collecting samples in Great Bay, Hartwick says she eventually would like to do work in sustainable development on a global scale. Disrupting ecosystems is one of the surest ways to trigger epidemics, such as cholera, she says, and disease is one of the heaviest economic burdens developing nations have to bear.

“If a developing nation can navigate that, it can jump ahead economically,” she says. “It’s hard for me not to think, ‘How can we conserve the environment and improve human health and the economy and education—everything at once?’ My approach is to minimize disease.”

Florida Vibrio vulnificus cases reach 30, Canadian growers upset with ban

As the number of Vibrio cases in Florida hit 30, and 81 in western Canada in a separate outbreak, producers of shellfish in B.C. say they cutting jobs because of a month-long raw oyster ban in Vancouver.

BC.oystersRoberta Stevenson, executive director of the B.C. Shellfish Growers Association says producers are testing the oysters and they meet health requirements, so the ban should be lifted.

“They are tested five times more than they used to be with the new Health Canada guidelines that are more stringent. So we are 100 per cent confident that before those oysters leave that processing plant they are completely safe to eat,” she said.

Local oysters are being sold to customers in the rest of Canada and to the U.S., Stevenson said, so she doesn’t understand why Vancouver Coastal Health isn’t lifting the ban.

If you’re so confident in your data, make it pubic and market food safety at retail.

“We will lift the order when public health officials in B.C. are satisfied that oyster conditions in coastal waters are not at a level to be a food safety concern,” said Vancouver Coastal Health in a statement.

81 sick: Vibrio outbreak linked to raw oysters grows in Canada’s west

The Public Health Agency of Canada reports 5 additional cases of Vibrio parahaemolyticus that have been reported in British Columbia (4), and Saskatchewan (1).

Coos Bay Oyster Co.PHAC is collaborating with provincial public health partners, the Canadian Food Inspection Agency, the Department of Fisheries and Oceans and Health Canada to investigate 81 Canadian cases of Vibrio parahaemolyticus infections in British Columbia, Alberta, Saskatchewan and Ontario linked to raw shellfish. The majority of the illnesses have been linked to eating raw oysters.

The risk to Canadians is low, and illnesses can be avoided if shellfish are cooked before being eaten. People with weakened immune systems, young children, pregnant women and older adults are at increased risk for developing complications if they get sick.

Individuals became sick between May 26 and August 26, 2015 and all reported consumption of raw shellfish, primarily oysters.

Based on the investigation of the foodborne illness outbreak by the Canadian Food Inspection Agency, oysters harvested from British Columbia coastal waters for raw consumption on or before August 18, 2015 have been recalled from the marketplace. See the food recall warning for more information on the recalled products that were distributed nationally. Consumers should not consume the recalled products.

Mass. closes oyster beds on Martha’s Vineyard after three sickened

With west coast growers in B.C. fuming about a Canadian Food Inspection Agency recall of oysters, east coast Massachusetts has ordered closed an area of oyster beds in Martha’s Vineyard’s Katama Bay after three people became sick from consuming raw oysters from the area.

Raw oystersThe Katama Bay oyster beds will be closed for one week, DPH officials said.

The department confirmed three cases of vibrio — a bacteria that causes watery diarrhea, vomiting, fever and chills for up to three days when ingested — linked to oysters in the area.

 If additional cases of vibrio are confirmed, DPH said, the U.S. Food and Drug Administration could enforce an extended closure of the beds, located between Edgartown and Chappaquiddick Island.

 

Popular China restaurant serves crayfish with bacteria, causes food poisoning

Bacteria has been detected in crayfish served by a restaurant which had been ordered to suspend operation after an outbreak of food poisoning earlier this month.

crayfishInspection reports showed that Vibrio parahemolyticus had been detected in food samples provided both by Zheng Wen Qi Crayfish Donburi restaurant and its customers, Yangpu District government said on Friday.

“Considering the restaurant staff’s nonstandard practices in dealing with the excessive quantity of food, the incident is deemed as a food poisoning case caused by food affected by Vibrio Parahemolyticus,” a district government notice said.

A number of diners suffered from diarrhea, stomach aches and vomiting after eating crayfish donburi — a dish of crayfish meat on a bed of rice — at the outlet. The restaurant was so popular before the accident that it was said to have served 1,300 portions of donburi on its second day of opening.