One dead, six hospitalised with Listeria in Australian food poisoning surge

Emily Woods of the Age reports one person has died and at least six others have been taken to hospital with listeria during a surge in food poisoning cases in the weeks before Christmas.

listeria4The tragedy is one of seven cases of listeria reported in the last three weeks, although none are believed to be linked.

Victoria’s acting chief health officer Dr Finn Romanes advised doctors and other health professionals to “educate at-risk patients” about safe food-handling and which foods to avoid.

The department was unable to reveal further details about the patient’s death.

The seven recent cases are among 25 that have been reported in Victoria so far this year. In 2015, there were 22 cases of listeria in the state. 

Victorian Health Minister Jill Hennessy said the incidents were a timely reminder for pregnant women, and other at-risk people, in the days leading up to Christmas.

“Food-borne illnesses typically increase during the summer months, when bacteria can multiply quickly. With a recent rise in listeriosis notifications it’s particularly important pregnant women take extra precautions this Christmas,” Ms Hennessy said.

“Pregnant women should remain vigilant and avoid eating salads prepared well in advance of consumption, cold seafood and cold deli meats, soft cheeses, soft-serve ice cream, dips and any unpasteurised dairy products.”

All of the other patients have since left hospital and are recovering. 

Norovirus GII.4 a new strain

A norovirus recombinant GII.P4_NewOrleans_2009/GII.4_Sydney_2012 was first detected in Victoria, Australia, in August 2015 at low frequency, and then re-emerged in June 2016, having undergone genetic changes.

norovirus-qmraAnalysis of 14 years’ surveillance data from Victoria suggests a typical delay of two to seven months between first detection of a new variant and occurrence of a subsequent epidemic linked to that variant. We consider that the current recombinant strain has the potential to become a pandemic variant.

A norovirus intervariant GII.4 recombinant in Victoria, Australia, June 2016: The next epidemic variant?

Euro Surveill. 2016;21(39):pii=30353. DOI: http://dx.doi.org/10.2807/1560-7917.ES.2016.21.39.30353

L Bruggink, M Catton, J Marshall

http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=22594

Cause unknown: 72 sickened by Salmonella in Australian state

Matt Johnston of the Herald Sun reports that Victoria is battling a major outbreak of salmonella and bacteria-related illnesses which has experts desperately searching for a cause.

mayonnaise.raw.eggIn the past two months 72 cases of foodborne infections have been reported to the Department of Health — including 46 identified in one June week alone.

The average number of ­salmonella reports each month is about six.

Despite the outbreak, a clear pattern has not been identified and experts have been unable to pin down a suspect food source.

Health Minister Jill Hennessy has issued a blanket food-safety warning. “All Victorians should remember to take care when preparing food at home, especially during the winter months, to prevent food turning nasty,” she said.

In the first six months of this year there were 67 per cent more cases compared to the last six months of 2015.

Also, Melbourne’s opulent Langham Hotel has been charged over a salmonella outbreak that left 90 diners ­violently ill.

The high tea crisis, which was triggered by raw egg mayonnaise, put 16 people in hospital last year.

The Sunday Herald Sun can reveal Melbourne City Council has charged the hotel over its handling and service of unsafe food and noncompliance with the Food Standards Code.

The case will be heard in the Melbourne Magistrates’ Court in October.

Australian farmers’ markets branded meat risk

Kath Sullivan of The Weekly Times reports that farmers’ markets put the reputation of Victoria’s meat exporters at risk, according to the former MeanGirls_162Pyxurzchairman of the ­industry’s Victorian regulator, PrimeSafe.

Tempy farmer Leonard Vallance criticised the Victorian Government’s handling of meat safety, and its relationship with the regulator, as he completed his term as PrimeSafe chairman.

“Farmers’ markets are the achilles heel of the Victorian food industry,” he said. “The reputational risk to our export markets is massive … they (farmers’ markets) are nowhere near adequately regulated.”

In Victoria, PrimeSafe regulates meat processors, including all butchers, abattoirs and supermarkets, but compliance of farmers’ markets is a local government responsibility.

“Local government would be fine if they were doing their job properly,” Mr Vallance said. “The issue is that people are selling meat in less than ideal conditions.”

Mr Vallance said the Government had created “double standards” where butcher shops were required to operate under strict conditions, including in a temperature-­controlled environment, but people selling meat in farmers’ markets were not.

“There should be a level playing field for all meat retailers,” he said.

Victorian Farmers Market Association president Wayne Shields said accredited markets complied with the food safety regulation.

“All meat has to be packaged and sealed at a PrimeSafe premises before it can be sold at a market,” Mr Shields said.

He said PrimeSafe “would prefer to snipe from the sidelines,” rather than help small producers.

Dad says ‘I don’t want to drag this out’ Raw milk probable cause of Australian 3-year-old’s death

In late 2014, three children in the Australian state of Victoria developed hemolytic uremic syndrome linked to Shiga-toxin toxin producing E. coli in unpasteurized bath milk produced by Mountain View farm. One child died, and two others developed cryptosporidiosis.

mountain.view.dairyThe Victorian government quickly banned the sale of so-called bath milk, which although labeled as not fit for human consumption, was a widely recognized way for Australian consumers to access raw milk.

What followed was a despicable whisper campaign that the child who died had an underlying medical condition, it wasn’t Shiga-toxin producing E. coli (STEC), farmers were losing access to lucrative markets – anything but the basic and sometimes deadly biology of STECs and everything involving fantasy and fairytales.

Today, a coroner heard unpasteurised milk was the probable cause of death of a three-year-old Victorian child who had no previous medical issues.

The toddler’s father told police he had given his son small amounts of Mountain View Organic Bath Milk on rare occasions in the months leading up to his October 2014 death.

The Coroner’s Court yesterday heard a Department of Health investigation, a forensic pathologist’s report and a subsequent outbreak of illnesses among four other children who drank the raw milk had all established its consumption as being the likely cause of the tragedy.

The child’s death prompted a health warning and led the State Government to introduce tough laws making unpasteurised milk sold in Victoria undrinkable.

After hearing details of the investigations Coroner Audrey Jamieson yesterday said she was satisfied issues that would have warranted a full hearing into the death had already been dealt with and she could make a determination on the balance of probabilities.

But after lawyer Rose Raniolo representing Mountain View Farm said she wanted to review a hospital form in which the boy’s parents listed everything he had consumed, Coroner Jamieson granted her seven days to put forward any additional information before making a final decision on whether a public hearing was required.

colbert.raw_.milk_3-300x212-300x212Coroner’s solicitor Rebecca Cohen told the court the three-year-old had been a healthy child until suffering gasto symptoms on September 30, 2014, and being admitted to Frankston Hospital four days later.

He was transferred to Monash Medical Centre on October 6, where it was found his entire large bowel was infected. The boy passed away shortly after.

Ms Cohen told the court a Victorian Institute of Forensic Medicine autopsy was consistent with tests taken during the toddler’s medical treatment, finding the same genetic traces in his bowel that lead to hemolytic uraemic syndrome (HUS), a rare and dangerous infection stemming from E. coli bacteria which can be present in raw milk.

In the weeks following the death the Department ordered tests on samples from 39 bottles of Mountain View Dairy milk and found that shiga toxin which produces E. coli bacteria was cultured in one sample.

The department’s investigation stated that although HUS infections were usually an “exceptionally rare occurrence” it was dealing with two non-fatal cases at the same time as the death — and the only link was that all three children had consumed the same unpasteurised milk.

Two cases of cryptosporidium also reported among young raw milk drinkers in the same area within a 10 days of two HUS cases reinforced the pathology evidence, Ms Cohen said.

Ms Cohen emphasised that at no time was there any suggestion Mountain View Farm breached regulations, and no prosecution had even been considered against the producer.

She said that during a police investigation the toddler’s father told officers he purchased Mountain View Organic Bath Milk in the months before his son became ill.

“(The father) understood the milk was labelled not to be drunk, but he noted it looked like every other milk container,” Ms Cohen said.

“Due to his intolerance to dairy, (the child) would only drink very small amounts of the unpasteurised milk, and only on odd occasions. “(The father) said it only amounted one-eigth of a sippy cup, and only twice per month at a maximum.”

Ms Raniolo said she disagreed with a recommendation for the coroner to rule unpasteurised milk as the probable cause of the death, stating the child drank it too rarely for it to be considered as the cause.

After a separate review cleared the hospitals’ of any concerns over the treatment of the child, the toddler’s emotional father told the coroner he now wanted the probes to be finished.

“To me it was a big deal watching everything that unfolded, and I do still struggle with the idea that it was treated as seriously as possible. But, I understand it was not likely to have changed the outcome. I don’t want to get involved in this any further, I don’t want to drag this out.”

 

No more bath milk BS: Australian dairy farmer shuts down

One of the main dairy farmers pushing for the introduction of legal raw drinking milk in Victoria has shut down his farm after sales dropped by 70%.

raw.milk.aust.sep.15The death of a three-year-old boy in 2014, which was linked to the consumption of unpasteurised bath milk, prompted changes to dairy licences in Victoria, including the mandatory addition of bittering agents to stop people drinking what was being marketed as cosmetic milk.

Reg Matthews, from Lakes Entrance in Gippsland, said he had now shut down his Miranda Dale Dairy and sold off his cows because he had not been able to recover from the changes.

“We had a five-year plan put in place, and that came to fruition in late 2014, just about the same time that the raw milk was discontinued,” he said.

Name and shame, Victoria style

That’s Victoria, the Australian state, where 25 per cent of the name and shame offences in food service directly related to a lack of training.

trainingGrace Smith writes for the Australian Institute of Food Safety that once an eatery has been discovered to breach Standard 3.2.2 Clause 3(1) (b) of the Food Act S16 (1), their details are added to the register for twelve months where the public can access details about their misconduct. The clause demands that all food-based establishments are responsible for ensuring that the people who are supervising or undertaking food handling operations must have “knowledge of food safety and food hygiene matters”.

Some of the establishments that were charged with failing to comply with food safety training laws include:

Milk Torquay Pty Ltd: Fined $6000.00 as part of their aggregate order, with $10,000 costs.

High Street Bakers and Confectioners of Thornbury: Fined $40,700.00 as part of their aggregate order with $1,300.00 costs.

Dream Cakes Café of Oakleigh: Fined $5,000.00 as part of their aggregate order with $6009.35 costs, and $10,000 in another aggregate order with $6009 costs.

While it’s safe to say that these convicted vendors were found guilty of various breaches, including handwashing and cleanliness problems, it’s shocking to imagine that in 2014, restaurants, cafes, and eateries are still staffed by individuals ignorant of food safety matters.

The federal legislation in Australia currently states that all people who are responsible for handling food must undertake food safety training appropriate to their position. The law also requires that businesses comply with the Food Standards Code – a collection of individual food standards that was jointly developed by professionals in Australia and New Zealand. Providing people with food that does not meet this code is a criminal offence.

Furthermore, the state legislation in Victoria outlines that every business dealing with food must have a Food Safety Supervisor on staff who is reasonably contactable at all times. The Food Safety Supervisor must have completed a mandatory training course and is responsible for preventing, monitoring and dealing with food safety issues as they arise, as well as being responsible for the ensuring all food handlers are trained appropriately in food safety.

Are Australian raw milk pushers the same as U.S. anti-vaxxers?

Adults can choose to do many things, like drink unpasteurized milk or not get vaccinated, but those choices should not be inflicted on children.

milk.dirty.toronto.1913A growing number of parents in recent years, especially in the U.S., have skipped their children’s vaccines because of a discredited belief that vaccines are linked to autism.

According to the U.S. Centers for Disease Control and Prevention, 84 people in 14 states were diagnosed with measles from Jan. 1 through Jan. 28. Most were infected either at Disneyland or by someone who went there.

Controlling a measles outbreak is expensive and time-consuming. Each case in a 2008 measles outbreak cost taxpayers more than $10,000 as public health staff traced each patient’s contacts, quarantined patients and administered vaccines.

Now apply the same language to those in Victoria who plan to fight for their right to drink unpasteurized milk today (it’s Saturday in Australia) despite one death and four serious illnesses in children under five-years-old, announced in Dec. and linked to consumption of raw milk.

Three of the four children – all under five — developed hemolytic uremic syndrome, usually associated with shiga-toxin producing E. coli, such as E. coli O157, and the other developed cryptosporidiosis.

The death was attributed to HUS. How many others developed milder forms of illness is unknown.

Rebecca Freer, who is planning the drink-in outside a state Minister’s office in Melbourne, said exactly what anti-vaxxers would say: “I think they’re in denial that there’s a large subculture of raw milk drinkers, who are well-informed, educated people.”

In May 1943, Edsel Bryant Ford, the son of auto magnate Henry Ford, died at the age of 49 in Detroit, of what some claimed was a broken heart.

1418367700411Biology, however, decreed that Ford died of undulant fever, apparently brought on by drinking unpasteurized milk from the Ford dairy herd, at the behest of his father’s mistaken belief that all things natural must be good.

Shortly thereafter, my mother – then a child — developed undulate fever, which my grandfather, with no knowledge of microbiology, attributed to the dairy cows on his farm in Ontario, Canada.

He got rid of the cows and went into potatoes, and then asparagus.

In addition to the personal tragedies, every outbreak raises questions about risk and personal choice.

It’s true that choice is a good thing. People make risk-benefit decisions daily by smoking, drinking, driving, and especially in Brisbane, cycling.

But the 19th-century English utilitarian philosopher, John Stuart Mill, noted that absolute choice has limits, stating, “if it (in this case the consumption of raw unpasteurized milk) only directly affects the person undertaking the action, then society has no right to intervene, even if it feels the actor is harming himself.”

Excused from Mill’s libertarian principle are those people who are incapable of self-government — children.

Society generally regulates what is allowed for children – most parents aren’t having a scotch and a smoke with their 3-year-olds.

Celebrity chefs, would-be farmers and the wannabe fashionable can devoutly selectively spin scientific data. Does the Internet inform or merely solidify pre-existing beliefs?

Ten years ago, Ontario’s former chief medical health officer (that’s in Canada), said, “Some people feel that unpasteurized milk is either not bad for their health (they don’t believe the health risks) or they actually believe that it has healing properties because it’s all natural and untainted by government interference.”

Except poop happens, especially in a barn, and when it does people, usually kids, will get sick. That’s why drinking water is chlorinated and milk is pasteurized — one more example of how science can be used to enhance what nature provided.

Yes, lots of other foods make people sick, but in the case of milk, there is a solution to limit harm – pasteurization.

Society has a responsibility to the many — philosopher Mill also articulated how the needs of the many outweighed the needs of the one — to use knowledge to minimize harm.

The only thing lacking in pasteurized milk is the bacteria that make people, especially kids, seriously ill.

Adults, do whatever you think works to ensure a natural and healthy lifestyle, but please don’t impose your dietary regimes on those incapable of protecting themselves: your kids.

Victorian eateries (the Australian ones) with poor hygiene have been named, shamed, fined $450K

Dozens of restaurants, cafes and other eateries in Victoria have copped about $450,000 in fines for breaches of food safety rules.

rest.inspection.victoria.jan.15Most of the culprits were Asian food venues, which were prosecuted for offences ranging from failure to protect food from contamination by pests to knowingly handling food in an unhealthy manner.

Offenders caught by council health inspectors are “named and shamed” on a state Health Department website for a year.

About 30 businesses are listed for convictions recorded over the past 18 months.

Former Southbank restaurant Olla Messa was fined $90,000 in April last year for poor storage of food and failing to keep out pests.

A court was told the City of Melbourne temporarily shut down the eatery after two patrons complained of an infestation of cockroaches.

An inspection of the restaurant found an unsealed grease trap and live and dead cockroaches “throughout the premises.”

‘People should not be feeding it to their children’ Victoria law preventing the sale of raw ‘bath’ milk begins today

In response to the death of a child and the hospitalization of others, the Victorian government has changed the laws around the sale of raw milk.

raw.milk.victoriaAll raw bath or cosmetic milk products now must be pasteurized, or have a gag-inducing agent added that makes it taste bitter, before sale.

Victorian Minister for Consumer Affairs, Jane Garrett, says the law change is prudent.

“There’s been a lot of confusion about the capacity for humans to consume raw milk and its effects,” she said.

“A lot of these products are in containers identical to drinkable milk and stored in the same locations in shops.”

Producers of bath milk in Victoria contacted by ABC Rural say the law change has been so swift that they don’t know what it will mean for them, or what equipment they’ll need to continue production.

Minister Garrett says she had no choice but to act quickly.

“We did need to act quickly becasue clearly, undrinkable milk was being sold in containers the same as drinkable milk, and clearly people have been drinking it.”

“All of the advice says it is a dangerous activity and it is (already) unlawful to sell raw milk for consumption in Victoria.”

At this stage the law change is only for Victoria.

Another loophole the United Dairyfamers of Victoria (UDV) want closed is a scheme that allows farmers to sell part of their cow to a consumer who is then supplied the production of their cow as raw milk.

Minister Garrett says whilst there are no current penalties for these practices at this stage, the law could soon change.

“There is an investigation being led by the Australian Competition and Consumer Commission (ACCC) which all states are participating in.

“We would expect to see results from that.”

Although these rule changes are for producers and sellers of raw milk the Minister says consumers should be wary of the new law.

“If people want to feed raw milk to their children and their children get sick, that may be an issue authorities want to look into.

“People should not be feeding it to their children. People should not be drinking it.”