41 suspected ill; crypto cases climb in Minnesota water park outbreak; another 15 suspected ill at another park

The number of suspected cases of cryptosporidium linked with Duluth’s Edgewater Resort and Water Park has risen to 41, a state official said on Thursday.

Meanwhile, a second outbreak of cryptosporidiosis has been linked to a water park in the Brainerd area, the Lodge at Brainerd Lakes.

Trisha Robinson, an epidemiologist for the Minnesota Department of Health, said it wasn’t a surprise that the number of suspected cases linked to the Edgewater grew from the six that were listed when reports became public Tuesday. It is believed that for every confirmed case in a crypto outbreak, there are 98.6 additional cases, Robinson has said.

The number of confirmed cases remained at three on Thursday. Robinson said it’s probable that some, but not all, of the suspected cases eventually will be confirmed as crypto.

The outbreak of the same illness linked to the Lodge at Brainerd Lakes so far is not as extensive as the Edgewater outbreak, Robinson said. As of Thursday, one case had been confirmed and 14 cases were suspected.

Robinson, whose specialties include crypto, said she typically investigates between one and three outbreaks of the disease each year. To have two outbreaks occur simultaneously is “unprecedented,” she said.

All of the people who became ill in the Duluth outbreak had spent time at the Edgewater Resort’s water park sometime in March. The victims included children and adults and residents of Minnesota and Wisconsin.

Stop pooping in pools; cryptosporidium outbreak in Minnesota sickens 9

The Minnesota Health Department says three people have tested positive for cryptosporidium and another six cases are suspected — all had recently been swimming at the Edgewater in Duluth in March.

Of those nine possibly affected, seven are kids and two are adults.

The Edgewater responded to concerns by closing pools and super chlorinating them to kill any parasite, ahead of getting water testing results back.

"Our pools are the cleanest, you know, that they’ve been because of the super chlorination, and we do take it very seriously and are very controlled about how often we test the water and what to do with issues," said Leanne Joynes of ZMC Hotels.

"The people should not be changing diapers at poolside. They should take a shower before and after swimming and that when they’re swimming, they should take frequent bathroom breaks," said Trisha Robinson of the Minnesota Department of Health.

The Minnesota Department of Health is also investigating a pool facility in Brainerd for the same parasite, but did not say which one.

One person who swam there was confirmed to be infected, while two others are suspected.

So far, officials believe the cases in Duluth and Brainerd are not related.

Here’s a brochure; that should prevent E. coli O157:H7 from making swimmers sick

In Aug. 2011, Terry Brady, a spokesperson with Pennsylvania’s Department of Conservation and Natural Resources said that the lake at Cowan’s Gap State Park remained open, despite links to three cases of E. coli O157. “The beaches are open and actually there was a good turnout today. A link to the park has not been established."

The lake was closed the next day. Eighteen people, primarily kids, were stricken with E. coli O157:H7; 10 were hospitalized. An additional 24 people were classified as suspected cases.

Swimming can be risky.

Public Opinion reports today that Cowan’s Gap State Park beach will reopen May 5, and officials will be handing out a fact sheet urging swimmers to take precautions against germs that can contaminate lakes and pools. The source of the bacterial outbreak that sickened 14 people in July and August remains a mystery, but state officials suspect poopy pants may be the culprit.

"If people aren’t careful, there are chances it would happen again," Mary Lorah, regional park manager with the Department of Conservation and Natural Resources. "Our goal is to make them aware of steps they can take with their young children to prevent it."

DCNR spokesman Terry Brady, the same one, said, "It’s not unusual for people to leave thoughtfulness and cleanliness at home and not bring them to the state parks.”

The park also has encased its wells that provide drinking water to visitors, according to Brady. During the E. coli investigation, authorities discovered that a well at the park was contaminated with a different E. coli strain. They suspect the well was tainted with runoff from heavy rains. The well was not fingered as the cause of the outbreak because the park’s well water is chlorinated before it is sent to taps.

20 firefighters sickened with cryptosporidium after rescuing calves in barn fire

We have a hockey friend near Guelph who is forever creating News-of-the-World type drama to keep his mates entertained. Like the girlfriend who held his cat hostage in a bar; missing hockey because he fell off a roof, and having his tractor spontaneously combust and burn his father’s Lincoln SUV also parked in the barn.

This summary from the Centers for Disease Control’s Morbidity and Mortality Weekly Report didn’t involve our hockey friend, but could have.

On June 6, 2011, a fire occurred in a barn housing approximately 240 week-old calves. A total of 34 firefighters responded from three Michigan fire stations and one Indiana fire station. Local hydrant water and onsite swimming pond water were used to extinguish the fire.

On June 20, 2011, the Indiana Department of Homeland Security notified the Indiana State Department of Health (ISDH) of an Indiana fire station that reported gastrointestinal illness among a substantial percentage of their workers, causing missed workdays and one hospitalization as a result of cryptosporidiosis.

All ill firefighters had responded to a barn fire in Michigan, 15 miles from the Michigan-Indiana border on June 6; responding firefighters from Michigan also had become ill. ISDH immediately contacted the Michigan Department of Community Health (MDCH) concerning this outbreak. The investigation was led by MDCH in partnership with ISDH and the Michigan local health department (LHD). Among 34 firefighters who responded to the fire, 33 were interviewed, and 20 (61%) reported gastrointestinal illness ≤12 days after the fire.

Cryptosporidium parvum was identified in human stool specimens, calf fecal samples, and a swimming pond. Based on these findings, the following public health recommendations were issued: 1) discontinue swimming in the pond, 2) practice thorough hygiene to reduce fecal contamination and fecal-oral exposures, and 3) decontaminate firefighting equipment properly. No additional primary or secondary cases associated with this exposure have been reported. The findings highlight a novel work-related disease exposure for firefighters and the need for public education regarding cryptosporidiosis prevention.

The complete report is available at:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6109a2.htm?s_cid=mm6109a2_e.

When lightning strikes, E. coli can show up in water, even at Xmas

An Australian town was hit with its second E. coli outbreak in three years on Friday, forcing residents and businesses to boil their water for five days over the holidays after a lightning strike struck the town’s chlorination plant.

Residents of Braidwood, near Canberra, are demanding an explanation from their local council.

The latest contamination has highlighted the town’s drinking water crisis, with a new treatment plant for the town now 18 months overdue. Palerang Council allocated almost $3 million to build a new plant in 2010 but have since gotten into a contractual dispute which has cost it $400,000.

Frank and Shaunea Exon were both hit with severe cases of diarrhea in 2008, while Mrs Exon was pregnant, after a similar outbreak of E. coli shut down the town’s water supply for 20 days.

”I don’t understand it,” Mrs Exon said. ”We’re paying some of the highest rates in the country, higher than Sydney and Canberra, so they can build this new water treatment plant and they still can’t seem to get it right. To not have access to basic services in this day and age, especially at Christmas, is a bit ridiculous.”

The new TorPeas restaurant was caught off guard by the outbreak after just opening their doors nine weeks ago.

Owner Jane Norris said her main street business was one of the only eateries open on Christmas Day and she had 80 people booked in for lunch.

”We got the notification two days before Christmas and we freaked out a little because we had so much seafood on the menu that we couldn’t wash with town water,” she said.

”We spent an hour every day boiling water, decanting it and keeping it in the cooler room and bought extra bottles of hand sanitizer.

”The whole situation was made worse on Friday because we had a two-hour blackout, so it was like cooking in the restaurant in the dark with just a few torches.”

Dirty hydrant water theory flushed; unlikely source of Vegas marathon outbreak

Health officials told Associated Press tainted water doesn’t seem to be the cause behind hundreds of reports of gastrointestinal illness following the Rock ‘n’ Roll Las Vegas Marathon.

Southern Nevada Health District epidemiologists say preliminary results of their investigation released Thursday are "largely inconsistent" with the hypothesis that hydrant water passed out during the race sickened runners.

Authorities say no cause for the illness has been determined.

Vegas officials reviewing marathon illness claims

Some runners who participated in the Rock `n’ Marathon in Las Vegas say water passed out during the race made them sick.

The Las Vegas Sun reports that health officials are investigating at least 10 claims of intestinal problems following the Sunday night marathon. They also have posted a survey to pinpoint a possible source for illness complaints that have been posted on Facebook.

Race organizers filled lined buckets or trash cans with hydrant water, which was used to fill cups offered to racers along the course.

Some runners complained that the water tasted odd or unclean.

Race organizers say the hydrant water was tested and found to be safe.

How about those trash cans?

Crypto sufferer from North Wales had ‘six years of torture’

A woman who endured “six years of unnecessary torture” after being struck down by cryptosporidium is finally to get compensation.

Nicola Roberts (right), from Llangoed, Anglesey, was a happy and outgoing mum-of-three until she became one of 231 people affected by the bug after drinking tap water in November 2005.

Two years later Dwr Cymru/Welsh Water pleaded guilty to supplying water “unfit for human consumption.”

Dozens received compensation of between £1,300 and £5,000 after suffering symptoms like diarrhoea, stomach ache and fever for up to six weeks, others got more.

Nicola, who has just become a grandmother, is one of those still suffering six years on. She was initially offered £10,000 by Dr Cymru but refused it, claiming loss of earnings over six years. Her case was settled out of court before trial last week after Dwr Cymru improved its offer.

Nicola said: “They tested me and it was confirmed I had cryptosporidium. I was shocked. We weren’t told for about a month that the bug was in the water. It’s more embarrassing than anything else. I’m unable to go out anywhere. I’ve now got irritable bowel syndrome (IBS).”

Listeria-linked farm had rated high in third-party audit

Chlorine is a wonderful thing when it comes to sanitation; especially with fresh produce. It’s also necessary to control dangerous bacteria, so it’s mind-numbing to hear a leading third-party auditor say that, based on the recommendations of staff who are supposed to know about food safety, that water does not have to be treated with something like chlorine.

Elizabeth Weise of USA Today reports that Jensen Farms, whose listeria-laden cantaloupes have killed 26 and sickened at least 123, got a top score — 96% — from a firm auditing the plant’s sanitation practices six days before the first person fell ill.

The rating has once again helped raise questions about the credibility of so-called third-party audits, a practice used increasingly by food sellers who hire auditing companies to check the safety and sanitation of the firms that sell them products and ingredients.

The Primus audit also gave only a mention to a change in how the fruit was washed, though one of the nation’s foremost cantaloupe safety experts, Trevor Suslow, calls it "unacceptable" and a clear violation of current industry practices.

Suslow, an expert on the post-harvest handling of produce at the University of California-Davis, said he was rendered "speechless" at news that Jensen was using untreated water to wash its melons.

The problem, which Suslow called a "red flag," was a switch by Jensen to a new fruit-washing system in July 2011. According to the FDA report and Gorny, that month Jensen Farms purchased and installed a used potato-washing machine to wash its cantaloupe.

According to the audit done by Primus Labs in August 2010, it appears that Jensen Farms had previously used a "hydro cooler" system to wash and cool the melons as they came in from the field, using recirculated water that was treated with an anti-microbial to kill bacteria.

For the 2011 harvest, the farm switched to a system in which cantaloupes were washed with fresh water that was not recirculated and "no anti-microbial solution is injected into the water of the wash station," the auditor, James DiIorio, noted on the first page of his audit.

"You would flat-out never do that, absolutely not," said Suslow, who spent more than six years researching cantaloupe safety and handling. No matter how clean the source of water is, once it’s sprayed on "any kind of surface where you have multiple produce items rolling across it, you’re trying to prevent cross-contamination … so you always add something to the water."

Suslow called this a "fundamental error with just tragic consequences. We can’t know that it absolutely made a difference, but I honestly think it could have prevented the scale and scope of what happened."

Robert Stovicek, president of Primus Labs, defended the audit, saying requiring that the wash water be treated with an anti-microbial is not "industry standard" at this time. He said his auditor, who so far has done 86 audits for Primus, did a good job in that he noted on page one of the audit that untreated water was being used. "He didn’t score them down but he commented on it," Stovicek said.
Audit companies do not set standards, he said. "We’re a company out there making observations and recording them."

Suslow and others disagree. Jensen Farms was "relying on people they consider knowledgeable and expert — that’s why they’re paying them," Suslow said.

Stovicek said that putting an anti-microbial agent such as chlorine in the water "certainly would retard any kind of spread. I think Trevor’s right to question that." But the Jensen Farms staff believed they were making an improvement in the safety when they switched to their new system. After the outbreak came to light, Stovicek consulted with his staff and they told him that water that’s not recirculated isn’t required to be treated. "I think Jensen’s will now go to sleep every night for the rest of their lives thinking, ‘Would that have made a difference?’"

The problems that were found at Jensen Farms are "Packing House 101," said Stephen Patricio, chairman of the California Cantaloupe Advisory Board. "Every common surface must be cleaned, rinsed and sanitized," he said. "These are all just known, recognized practices."

"It’s just disgusting to me," Patricio said of both Jensen Farms and Primus Labs. "I think of the damage that they’ve done to our industry as the result of this oversight. No, I won’t even talk about it as oversight, it’s abuse."

21 dead, 109 sick from listeria-in-cantaloupe; focus on farming practices

 As the number of people sickened with any of the four outbreak-associated strains of Listeria monocytogenes associated with cantaloupe has risen to 109 in 24 states, with 21 deaths, media reporting and investigators are increasingly questioning on-farm food safety practices that may have led to such a catastrophic outbreak.

Lynn Brandenberger, who has worked in Oklahoma’s horticulture extension since the 1980s, has a message for farmers: Make sure your “farm is not a potential source for listeria contamination,” adding that the effect the outbreak of the illness has on the crop markets is adverse.

His colleague at Oklahoma State University, Beth Schaefer Caniglia, an associate professor of environmental sociology, explains that when an outbreak like listeria occurs, even if it’s isolated to one farm or region, understandably people tend to avoid taking the risk.

Microbiologist Peter Muriana and horticulturist Brandenberger agree that listeria bacteria can originate from any animal source, including dogs and cats, as long as they shed any of these bacteria in their feces and then come in contact with food materials.

Mike Ssegawa of News Oklahoma cites the OSU professors as explaining the problem is much more serious than blaming the cantaloupes from Jensen Farms. Instead, it is about observing food safety practices from where the food is raised to where it is sold and prepared for dinner.

Wayne Whitmore, of Whitmore Farms in Coyle animals to get in contact with crops. So he urges consumers to “take some level of responsibility by washing fruits well before eating them.”

Brandenberger said, washing cantaloupe with warm water and a brush appropriate for cleaning fruits and vegetables is helpful, though “there are no sure ways to keep listeria from contaminating fresh produce”.

Muriana advises groceries to adhere to the “knowing your supplier” slogan, while reminding them to request letters of assurance or certificates of analysis.

Muriana maintains the latest outbreak is an opportunity to change the way business at the farms, farmers markets, groceries, etc., is done to improve food safety.

Farmers markets in particular, he said, lack a “nominal sanitation program or requirement.”

(Note: Mike Ssegawa is a Ugandan journalist. He is one of the 14 food security fellows from Kenya and Uganda at Oklahoma State University on a one-month exchange program supported by the U.S. Department of State to study farming in America. The program has seen them visit farms and ranches, and job shadowing at various organizations in Oklahoma to learn skills they can share when they return to their to countries.)