Nevada Added To List Of States With Salmonella Saintpaul Cases

The Centers for Disease Control & Prevention today added Nevada to the list of states with confirmed cases of Salmonella Saintpaul.  It is the 34th state to be included in the tomato-related outbreak, which also includes the District of Columbia.

CDC is now counting 652 confirmed cases in the outbreak.  

CDC Updates Confirmed Cases of Salmonella Saintpaul

Information updated as of 5 pm June 23, 2008

Massachusetts Latest State

Since April, 613 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 33 states and the District of Columbia. These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for chaStates with persons with the outbreak strain of Salmonella Saintpaul, by state of residence.racterization. The marked increase in reported ill persons since the last update is not thought to be due to a large number of new infections. The number of reported ill persons increased mainly because some states improved surveillance for Salmonella in response to this outbreak and because laboratory identification of many previously submitted strains was completed. In particular, one new state, Massachusetts reported ill persons. The number of ill persons identified in each state is as follows: Arkansas (3 persons), Arizona (34), California (8), Colorado (4), Connecticut (4), Florida (1), Georgia (14), Idaho (3), Illinois (45), Indiana (9), Kansas (9), Kentucky (1), Maryland (18), Massachusetts (12), Michigan (4), Missouri (12), New Hampshire (1), New Jersey (1), New Mexico (79), New York (18), North Carolina (1), Ohio (3), Oklahoma (17), Oregon (5), Pennsylvania (5), Rhode Island (2), Tennessee (4), Texas (265), Utah (2), Virginia (21), Vermont (1), Washington (1), Wisconsin (5), and the District of Columbia (1). Among the 316 persons with information available, illnesses began between April 10 and June 13, 2008. Patients range in age from <1 to 99 years; 50 percent are female. At least 69 persons were hospitalized. No deaths have been officially attributed to this outbreak. However, a man in his sixties who died in Texas from cancer had an infection with the outbreak strain of Salmonella Saintpaul at the time of his death. The infection may have contributed to his death.

Source: Centers for Disease Control & Prevention (CDC), Atlanta

HHS Secretary Leavitt Wants To Move FDA South of Border Full-Time

We are not sure if he is suited up and ready for some lab work, but Michael Leavitt, Secretary of Health and Human Services, is in Mexico with the U.S. Food & Drug Administration (FDA) team that is looking for the source of the tomatoes carrying Salmonella Saintpaul.

Jalisco, Sinaloa and Coahuila are the only three states in Mexico that have not yet been found to be safe tomato growing areas by FDA and that's where the hunt for the bad tomatoes is now focused.
Leavitt said FDA is working with Mexican agricultural and food safety officials to inspect farms, distribution centers, and transportation facilities.

A similar probe continues in central and south Florida, about the only remaining area in the USA not already put in FDA's safe list.

While the HHS Secretary may not get his hands dirty with tomatoes, he is talking up an idea of opening an FDA office in Latin America to increase the agency's response time in dealing with outbreaks like this one and last March's bad Honduran cantaloupes.

Leavitt said safeguards in producer countries were key.  "We simply cannot inspect our way to product safety," he said. "Our new strategy, as I proposed it, would be, rather than stand at the border, to roll the borders back, and to find those places where products are actually being produced for American consumption."

While FDA crawls around the tomato fields of Mexico and Florida, the count from the Centers for Disease Control & Prevention (CDC) is 552 people sick with Salmonella Saintpaul from tomatoes in 32 states.  


Salmonella Tomatoes Strike Florida, Georgia, Missouri, New York, Tennessee, Vermont, Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kansas, Michigan, New Mexico, Oklahoma, Oregon, Texas, Utah, Virginia, Washington and Wisconsin

According to the CDC, Florida, Georgia, Missouri, New York, Tennessee and Vermont with 61 ill persons were added to the prior list of Arizona (12 persons), California (2), Colorado (1), Connecticut (1), Idaho (2), Illinois (27), Indiana (7), Kansas (5), Michigan (2), New Mexico (39), Oklahoma (3), Oregon (3), Texas (56), Utah (1), Virginia (2), Washington (1), and Wisconsin (3) - bringing the number of ill persons to 228 and affected states to 23.  There have been dozens hospitalized and one reported death in Texas.

The FDA still hasn't pinpointed the source of the outbreak (Mexico and South Florida are still in the running) and producers have criticized the FDA and CDC for taking too long to determine the source of the outbreak, which they say is hurting sales of the $1.4 billion U.S. tomato market.

Raw Milk Isn't Cheap, That's For Certain

Got Raw Milk? It ran on American Public Media. Pointed out one thing we didn't know. Raw milk sells for $12 a gallon! Check it out here.  It is fair and balanced.

MRSA Found In Pigs & Farmworkers By University of Iowa

Andrew Schneider, Senior Correspondent for the Seattle Post-Intelligencer, ruined many a breakfast this morning---that’s if any of his Emerald City readers still eat bacon with their eggs.

You see Schneider put in his newspaper today what had already been on his Seattle P-I's "Secret Ingredients" blog:  that Tara Smith, an assistant professor at the University of Iowa Department of Epidemiology, and her graduate researchers found MRSA in more than 70 percent of the pigs they tested on farms in Iowa and Illinois.

MRSA -- methicillin-resistant Staphylococcus aureus –is a potentially fatal bacteria.
Schneider reports:

In what is apparently the first testing of swine for MRSA in the U.S., Smith and her team swabbed the noses of 209 pigs on 10 farms. They also found the bacteria among livestock workers employed by those hog operations.

On Friday, at the annual meeting of the American Society for Microbiology in Boston, Abby Harper, one of Smith's graduate assistants, presented the results of the study on farmworkers. She said she and Michael Male tested 20 workers at the Iowa swine farms and found that
45 percent carried the same MRSA bacteria as the pigs.

As they say in Seattle, "Its in the P-I" here.


Salmonella Saint Paul Tainted Tomatoes in Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kansas, New Mexico, Oklahoma, Oregon, Texas, Utah, Virginia, Washington, and Wisconsin.

The Food and Drug Administration has expanded its warning to consumers nationwide that a salmonellosis outbreak has been linked to consumption of certain raw, red tomatoes.

At this time, FDA is advising consumers to limit their consumption of tomatoes to the following types of tomatoes. The following types of tomatoes listed below are NOT likely to be the source of this outbreak.

* cherry tomatoes
* grape tomatoes
* tomatoes sold with the vine still attached
* tomatoes grown at home

Also, FDA recommends consuming raw red plum, raw red Roma, or raw red round tomatoes only if grown and harvested from the following areas that HAVE NOT BEEN ASSOCIATED WITH THE OUTBREAK:


Arkansas
California
Georgia
Hawaii
North Carolina
South Carolina
Tennessee
Texas

Belgium
Canada
Dominican Republic
Guatemala
Israel
Netherlands
Puerto Rico

Consumers who are unsure of where the tomatoes are from that they have in their home are encouraged to contact the store or place of purchase for that information.

Consumers should also be aware that raw tomatoes are often used in the preparation of fresh salsa, guacamole, and pico de gallo, are part of fillings for tortillas, and are used in other dishes.

Restaurants, grocery stores, and food service operators have been advised by the FDA not to offer for sale or service raw red plum, Roma, or red tomatoes and products made from these types of tomatoes unless they are from one of the areas listed above.

Since mid-April, 145 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 16 states: Arizona (12 persons), California (1), Colorado (1), Connecticut (1), Idaho (2), Illinois (17), Indiana (1), Kansas (3), New Mexico (39), Oklahoma (3), Oregon (2), Texas (56 persons), Utah (1), Virginia (2), Washington (1), and Wisconsin (3). These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. Among the 73 persons who have been interviewed, illnesses began between April 16 and May 27, 2008. Patients range in age from 1 to 82 years; 49% are female. At least 23 persons were hospitalized. No deaths have been reported.

Deadly Form of Tuberculosis Linked To Raw Cheese

Raw Milk's first cousin Raw Cheese is bringing death to San Diego in the form of a disease most Americans think no longer exists in the United States.   Doug Irving, writing in the Orange County Register, yesterday reported:

Researchers have found a potentially deadly strain of tuberculosis infection spreading through Latino communities in Southern California and suspect the disease is being imported from Mexico in unpasteurized cheese...
Tuberculosis is an infection of the lungs that kills nearly 2 million people worldwide every year. The strain of tuberculosis that researchers found in San Diego County is more often linked to cattle, but can spread to people through raw dairy products.
That particular strain remains rare, even in San Diego County, the researchers concluded. But more than 90 percent of the people who were sickened by it were Latino, mostly from Mexico.

There's one error in Irving's story, his report has all unpasteurized milk and cheese being illegal in the United States.  Some may wish that were true.   However,  the OC Register is well worth the read and can be found here.


South Dakota Recalls Unpasteurized Milk

South Dakota is recalling milk  for a potential health risk due to improper pasteurization.

 We are wondering if the "dirty dairy" bill passes in California if states that discover unpasteurized milk could in the future just send it to the Golden State where it could be mixed into the "bacteria cocktails" for sale by retailers like Whole Foods.

But we digress.  Health officials in South Dakota are urging people not to drink any half-gallon, 1 percent Hy-Vee Health Market Milk with a product code before June 2nd.  The recall was issued by the South Dakota Department of Agriculture.

Unpasteurized milk may contain E. coli, Salmonella, and other harmful bacteria that can cause life-threatening illness.  

"Dirty Dairy" Bill Introduced In California Senate

Let’s call it what it is: the “dirty dairy” bill.

California has always been silly about its organic movement. Yet, it’s usually been serious about food safety and public health.

Raw milk is NOT pasteurized. According to the Centers for Disease Control & Prevention, more than 1,000 people got sick from raw milk and raw cheese between 1998 and 2005. More than 100 went to the hospital. Two died.

There’s a small market commercial market for raw milk in California—about 40,000 people. (Or 1/10th of one percent of all California consumers)

But with just two raw milk producers in the state, the troubled Organic Pastures of Fresno County and Claravale Farms on San Benito County, the raw milk market is big enough. OP sells to 300 retail stores, including Whole Foods.

Hang in there; we will get to the “dirty dairy” bill in a minute.

Sacramento health officials are very much aware of the destruction caused by Organic Pastures. It is implicated in both E. coli and Campylobacter outbreaks and a Listeria recall. Attorney Bill Marler represents a couple of OP’s former customers, both HUS victims with one for sure requiring a transplant.

So, California, being a serious state, opted to regulate raw milk with a scientifically measurable standard of 10 coliform bacteria per milliliter of raw milk.

The “dirty dairies” howled and went into action, filing a lawsuit against the new state regulation. They lost. Now, the “dirty dairies” are commanding their minions, specifically Sen. Dean Florez, D-Shafter, to introduce the “dirty dairy” bill to lift the safety standard.

The limits are there to make sure dairies are clean because dirty dairies are more likely to breed pathogens. The California Department of Food & Agriculture views the standards as “reasonable and attainable.”Current regulations allow the dairies to use independent labs and only if specific harmful pathogens are found and verified could raw milk production be halted.

Not good enough for Dean’s “dirty dairy “ bill, which would eliminate bacteria limits.
The crux of what he is saying is that what raw milk customers want to buy is the bacterium cocktail that only a “dirty dairy” can produce.

All those dairy cases at Whole Foods can get pretty confusing.   Lots of people are just grabbing for a bottle of milk, and are not aware they might be buying a "bacterium cocktail."  Today California is in business to protect consumers.  Tomorrow, it might be in business to protect Dean's dirty dairies.