President's Choice E. coli O157:H7 Beef Recalled (JBS Swift Beef)- So, What Is President Obama Grilling For the 4th of July?

News yesterday from the Canadian Food Inspection Agency (CFIA), which is warning the public not to consume certain beef products described below because they may have been contaminated with E. coli O157:H7. This recall of beef products in Canada is related to the expanded recall of beef products in the USA by JBS Swift Beef Company, Greeley, Colorado due to possible E. coli O157:H7 contamination. JBS Swift Beef is recalling over 420,000 pounds of meat that has been linked to at least 23 illnesses in 9 states, including 2 with HUS.

The following President’s Choice (PC) brand beef products – steaks, roasts and ground beef, bearing Best Before dates April 29 to June 16, 2009 inclusive, are affected by this alert. These fresh (not frozen) beef products were sold at retail in variable weight packages consisting of trays with a plastic over wrap as well as from the in-store meat counters. Consumers are advised to check their freezers and dispose of if they have the affected beef products. These products have been distributed in Ontario, Quebec and Atlantic Canada from the following retail stores:

Ontario:

Cash & Carry
Real Canadian Wholesale Club
Dominion
Extra Foods
Fortinos
Freshmart
Loblaws
No Frills
Real Canadian Superstore
Loblaw Superstore
Valu-mart
Your Independent Grocer
Zehrs
Westfair

Québec:

AXEP
Intermarché
Loblaws
Entrepôt Presto
Club Entrepôt Provigo
Provigo

Atlantic:

Cash & Carry
Real Canadian Wholesale Club
Dominion
Freshmart
Red & White
Quick Mart
Save Easy
Atlantic Superstore
Valu-mart

Mr. President, you might check the full list just released by USDA/FSIS.  Another idea is to invite Secretary Vilsack over for the picnic.

Cuyahoga County Ohio has at Least Five E. coli O157:H7 cases, Two in Olmsted Falls and One from Strongsville

The Cuyahoga County Board of Health confirms that three children have contracted E. coli O157:H7 bacteria. Two more cases are under investigation. The three children with confirmed cases also developed Hemolytic Uremic Syndrome (HUS).

"Five cases is very unusual for us to have," says Terry Allan, the health commissioner in Cuyahoga County. Allan says the children must have contracted E. coli O157:H7 in one of two ways: “either from a batch of meat that is contaminated or from just undercooked beef.” Testing will be conducted on meat in the area, but so far, there is no indication that any particular batch of beef in Ohio is contaminated.

Wegmans, Peppers, Salmonella?

Wegman's grocery chain (73 stores in five states--MD, PA, NJ, NY, and VA) issued a recall yesterday for all fresh Anaheim peppers sold in its produce departments due to concerns of possible Salmonella contamination.  The recall involves all Anaheim peppers sold at Wegman's since June 11, 2009.  The FDA is currently investigating, and we have received no word, yet, whether there are any illnesses associated with the contaminated peppers.

Dunkin Doughnuts' Salmonella Worries

I'm no longer surprised when we get word of an outbreak associated with some new, seemingly innocuous food item.  Cookie dough for Christ's sake.  Elissa Elan reported this week that Dunkin Doughnuts learned that its supplier of instant non-fat dried milk and whey protein (Plainview Milk Products Cooperative of Plainview, Minn) had detected Salmonella on some of its equipment used to produce the products. 

Good catch.  Salmonella, or any pathogen, on equipment is bad news for consumers.  In some situations, it's even worse than a single contaminated food item because, while a single contaminated item will pass through the production process and likely sicken a few, a contaminated piece of equipment may contaminate every food item that passes through it.  This means lots of people get sick, sometimes over long periods of time, which can frustrate public health efforts to determine how people are becoming ill. 

Hopefully the problem at Dunkin, or Plainview Milk Products, is taken care of.  Dunkin certainly did the right thing by immediately stopping the sale of any of its products with a Plainview ingredient until the problem there can be fixed. 

FSIS Releases Names of More Grocery Stores That Received E. coli O157:H7 Tainted JBS Swift Meat

It really is a bit hard to imagine what today was like for JBS Swift and the FSIS - checking the list of retailers that might have received the 420,000 pounds of E. coli O157:H7 meat. This morning a few names trickled out - this evening a torrent, tomorrow a flood? Here is the most recent list:

Price Chopper

Hannaford

Stop & Shop

Food 4 Less

Fry's

Smith's

Costco

Sams Club

Kroger

SAV a Lot

Knight Super Foods #4

Weldon's Meat Market

Jasper Mercantile

Keeney's Food Mart

Sweetbay

All DAY AM PM MART

Hobby's Hoagies Produce

SHRTN HTL Produce

Giant

Here is the most recent list (sure to expand in the coming days).

Six Michigan Victims in JBS Swift E. coli O157:H7 Outbreak

Michigan is no stranger to outbreaks of E. coli O157:H7 . . . particularly over the course of the last year.  The CDC reports six culture-confirmed, PFGE matched cases in the JBS Swift outbreak and recall.  Michigan also counted many of its residents as victims in the E. coli outbreak linked to lettuce sold by Aunt Mid's and Santa Barbara Farms last September/October. 

Among the Michigan victims of the Aunt Mid's/Santa Barbara Farms lettuce outbreak is Lindsey Jennings, a then 21-year-old pre-med student at the University of Michigan in Ann Arbor.  In fall 2008, Lindsey suffered an E. coli O157:H7 infection and illness the likes of which we don't often see . . . at least not in somebody so undeniably healthy and vibrant. Lindsey was hospitalized for 12 days with a gastrointestinal illness so severe that she required replacement nutrition (total parenteral nutrition) because her gastrointestinal tract was too injured to process food or fluid. She did not eat solid food for over a month, and actually had to continue to receive this nutrition through a tube (peripherally inserted central catheter--PICC) even after she was discharged from the hospital.

Lindsey has continued to recover from her illness in 2009, but she has chosen not to forget about the experience of being so ill. Along with several other Marler Clark clients, Lindsey recently spoke to members of Congress about food safety issues and the need for more vigorous legislation and regulation of the food supply. Afterward, in an interview with Elizabeth Rackover of The Oakland Press, Lindsey stated, “It’s made me much more interested in the political side of things.” “No one should have to go through what we’ve gone through. There are approximately 5,000 people who die every year from foodborne illnesses and almost all of it is preventable.”
 

95 People Stricken by E. coli-tainted Cookies and Meat - Nestle and JBS Swift - Time to Take Care of Your Customers

In the last several weeks Nestle and JBS Swift customers have been hospitalized (some still are) with medical bills in the millions of dollars. Those that developed hemolytic uremic syndrome (HUS), face a life-time of kidney and bowel complications that will cost families tens of millions of dollars. People have been out of work for weeks – some have lost jobs. And, what have we heard from two multi-billion foreign corporations (Nestle - Swiss and JBS - Brazilian)? Nothing. Both companies have been linked by Local, State and Federal authorities to the illnesses, yet the companies remain silent. Nestle, JB Swift, time to step up and take care of your customers.

Nestle Cookie Dough E. coli Outbreak

72 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 30 states. Of these, 51 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arizona (2), California (3), Colorado (6), Connecticut (1), Delaware (1), Georgia (1), Iowa (2), Illinois (5), Kentucky (2), Massachusetts (4), Maryland (2), Maine (3), Minnesota (6), Missouri (1), Montana (1), North Carolina (2), New Hampshire (2), New Jersey (1), Nevada (2), New York (1), Ohio (3), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (4), Virginia (2), Washington (6), and Wisconsin (1). Ill persons range in age from 2 to 65 years; however, 65% are less than 19 years old; 71% are female. Thirty-four persons have been hospitalized, 10 developed hemolytic uremic syndrome (HUS).

JBS Swift Beef E. coli Outbreak

23 persons infected with a strain of E. coli O157:H7 with a particular "DNA fingerprint" have been reported from 9 states. Of these, 17 have been confirmed by an advanced DNA test as having the outbreak strain; confirmatory tests are pending on others. The number of ill persons identified in each state is as follows: California (4), Maine (1), Michigan (6), Minnesota (1), New Hampshire (1), New Jersey (2), New Mexico (1), New York (1) and Wisconsin (6). Among 17 ill persons for whom hospitalization status is known, 12 (70%) were hospitalized. Two patients developed a type of kidney failure called hemolytic uremic syndrome (HUS).

FSIS and JBS Swift reveal partial distribution of E. coli Tainted Meat

More than a week after JBS Swift initiated a nationwide recall of E. coli-tainted meat, the USDA’s Food Safety and Inspection Service (FSIS) and JBS Swift have taken the necessary steps of alerting consumers as to which retail outlets received the beef. After an initial recall of 41,280 pounds on June 24, JBS Swift expanded the recall to include an additional 380,000 pounds on June 28. Now the entire April 21 production run of beef primal from the JBS Swift Greeley, Colorado plant is being recalled. The retail outlets listed by FSIS and JBS Swift are:

  • Price Chopper stores
  • Hannaford stores in ME, NH, VT, MA, and NY
  • Stop & Shop stores in ME, MA, RI, CT, NH, northern KY, Southeastern IN, western TN, and AR
  • Kroger stores in MS and IL
  • Food 4 Less stores in the Chicago area
  • Fry’s stores in AZ
  • Smith’s stores in AZ, UT, and other Western states
  • Costco

The CDC announced on July 1 that 23 people in 9 states had been infected with the genetic fingerprint of E. coli O157:H7 associated with the outbreak. Twelve people were hospitalized and two suffered hemolytic uremic syndrome (HUS), a complication of E. coli O157:H7 infection that can lead to kidney failure. Illnesses have been reported in the following states: California (4), Maine (1), Michigan (6), Minnesota (1), New Hampshire (1), New Jersey (2), New Mexico (1), New York (1) and Wisconsin (6).

Consumers need to know that the meat they have in their homes may be contaminated with a deadly pathogen. Following is a list to date of individual store recalls that came out before the FSIS/JBS Swift release. Our hope is that you will help us spread the word.

Additional Consumer Resources: List of Recalled JBS Swift Beef Products (PDF), Downloadable Family Health Guide on E. coli (PDF)

CDC Announces Link Between JBS Swift and 17 E. coli O157:H7 Illnesses in California, Maine, Michigan, Minnesota, New Hampshire, New Jersey, New Mexico, New York and Wisconsin

Several state health departments, CDC, and the United States Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multi-state outbreak of Escherichia coli O157:H7 infections. On June 24, FSIS issued a notice about a recall of 41,280 pounds of beef products from JBS Swift Beef Company that may be contaminated with E. coli O157:H7. On June 28, the recall was expanded to include 380,000 pounds of assorted pieces of beef (beef primal products) from the same company. Health officials in several states who were investigating reports of E. coli O157:H7 illnesses found that most ill persons had consumed ground beef, and many reported that it was undercooked. At least some of the illnesses appear to be associated with products subject to these recalls. Samples from unopened packages of ground beef recovered from a patient's home were tested by the Michigan Public Health Laboratory yielded an E. coli O157:H7 isolate that matched the "DNA fingerprint" of the outbreak strain.

Twenty three persons infected with a strain of E. coli O157:H7 with a particular "DNA fingerprint" have been reported from 9 states. Of these, 17 have been confirmed by an advanced DNA test as having the outbreak strain; confirmatory tests are pending on others. The number of ill persons identified in each state is as follows: California (4), Maine (1), Michigan (6), Minnesota (1), New Hampshire (1), New Jersey (2), New Mexico (1), New York (1) and Wisconsin (6).

Most ill persons reported consumption of ground beef, and many reported that it was undercooked. Ground beef with the outbreak strain was obtained from the home of one person infected with that strain. The first reported illness began on April 2, 2009, and the last began on June 13, 2009. Among 17 ill persons for whom hospitalization status is known, 12 (70%) were hospitalized. Two patients developed a type of kidney failure called hemolytic uremic syndrome (HUS). No deaths have been reported. Of patients with available information, 14 (64%) were male and 59% are less than 19 years old (range 2 to 74 years).

Most of the beef packages in the first recall bear the establishment number "Est. 969" inside the USDA mark of inspection and have identifying package dates of "042109" or "042209." Consumers are urged to check their refrigerators and freezers for beef products produced by this firm and purchased on or after April 21, 2009 and discard or return the recalled beef products to the place of purchase for a refund. The pieces of beef (primal beef products) in the expanded recall were produced on April 21, 2009, and were distributed nationally and internationally. Boxes of these pieces of beef bear the establishment number "EST. 969" inside the USDA mark of inspection, the identifying package date of "042109," and a time stamp ranging from "0618" to "1130." These pieces of beef were sold to retail stores nationwide after April 21, 2009, and some was probably cut again or made into ground beef, then re-packaged, so packages purchased by consumers may not have identifying information.

E. Coli Outbreak Investigation Tries To Solve Mystery By Turning Focus To Nestle Flour Supplier

Nestle USA’s flour supplier for its Danville, VA cookie dough plant is now the focus of a joint investigation by the U.S. Food and Drug Administration (FDA) and the Virginia Department of Agriculture and Consumer Services.

The name of the flour supplier was not made available.

FDA found the E. coli O157:H7 bacteria in samples of the prepackaged Nestle Tool House refrigerated cookie dough, but inspections inside the Danville plant found no traces on equipment or workers.

As result, FDA is turning to individual ingredients beginning with the flour in hopes of finding out how a deadly bacterium from the intestines of cattle came to be found in raw cookie dough.

The contaminated Nestle cookie dough is now blamed for infecting 72 people in 30 states with a strain of E. coli O157:H7 with a common DNA fingerprint. Fifty-one have been confirmed by advanced testing and additional confirmatory tests results are pending on the others.

The E. coli outbreak forced Nestle to recall an estimated 300,000 cases of the popular Toll House cookie dough, or 3.6 million individual packages.

The victims range in age from 2 to 65 years old. Most (71 percent) are female, and 65 percent are under 19 years of age. While no deaths have yet been attributed to the outbreak, 34 have been hospitalized and ten have developed the often life-threatening hemolytic uremic syndrome (HUS).

The number of infections is also continuing to rise.

Food safety attorney Bill Marler, managing partner of the Seattle law firm of Marler Clark, is urging Nestle to immediately begin paying the medical bills and lost wage claims of all legitimate victims of the outbreak. Marler has already sued Nestle on behave of victims in Colorado, California and Washington State.

“True, it will not completely prevent Nestle from being sued to both uncover why the outbreak happened and to deal with the suffering of the victims and the need for possible future medical expenses that might well include life time monitoring, kidney dialysis and transplant, but it certainly will not hurt, “ says Marler. 

CDC Reports 72 E. coli O157:H7 Illnesses in 30 States Linked to Nestle Cookie Dough

As of Tuesday, June 30, 2009, 72 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 30 states. Of these, 51 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arizona (2), California (3), Colorado (6), Connecticut (1), Delaware (1), Georgia (1), Iowa (2), Illinois (5), Kentucky (2), Massachusetts (4), Maryland (2), Maine (3), Minnesota (6), Missouri (1), Montana (1), North Carolina (2), New Hampshire (2), New Jersey (1), Nevada (2), New York (1), Ohio (3), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (4), Virginia (2), Washington (6), and Wisconsin (1).

Ill persons range in age from 2 to 65 years; however, 65% are less than 19 years old; 71% are female. Thirty-four persons have been hospitalized, 10 developed hemolytic uremic syndrome (HUS); none have died. Reports of these infections increased above the expected baseline in May and continue into June.

ABC Brian Hartman Reports - "Smoking Gun" Found in Nestle Cookie Dough E. coli Scare

E. coli O157:H7 was found today at the Danville, Virginia plant Nestle makes Toll House Cookie Dough.  According to Brian Hartman of ABC News and the Associated Press,

According to an FDA official,  the bacteria was found at the plant in an unopened package of raw chocolate chip cookie dough. The package had been manufactured on February 10, 2009 (but had not yet been shipped.)

Investigators are still trying to determine how the toxic pathogen E. coli got into the dough. But finding this “smoking gun” package confirms they pushed for a recall of the correct product.
 

Well done Brian.

The "Guess Who Inspects It Game": Nestle E. coli Cookie Dough Edition

The recent (and still unfolding) E. coli O157:H7 outbreak linked to contaminated Toll House cookie dough manufactured by Nestle has no shortage of lessons to teach, including the reminder that this deadly pathogen can find its way into nearly any food product if sufficient care is not taken during its manufacture. But this sad outbreak is also a case study in the ridiculously complicated, and too-often ineffective, state of food safety inspection in the United States. What makes the outbreak such an excellent case-study is the fact that the Nestle plant located in Danville, Virginia was not only manufacturing Toll House cookie dough products, but also a variety of Buitoni flat and stuffed pastas, and pasta sauces. This made the plant what is called a “dual jurisdiction establishment” that fell under the regulatory authority of both the FDA and the USDA. And to make things even more interesting, Virginia Department of Agriculture and Consumer Services (VDACS) was performing routine plant inspections under contract with the FDA. So how come with all these agencies involved no one prevented the outbreak?

By way of background, the FDA has jurisdiction over all domestic and imported food products, except meat, poultry, or processed egg products, which fall under the jurisdiction of the USDA. But not all food products fall neatly on one side of the jurisdiction line or the other. For example, the products that Nestle manufactured for its Buitoni-brand fell on both sides of the line, with a few falling almost on the line. Meat-flavored pasta sauce would be inspected by the FDA, while meat sauce containing 3% or more of meat would be inspected by the USDA. The ravioli stuffed with cheese would be the responsibility of the FDA, while those stuffed with pork or prosciutto would be the responsibility of the USDA. Thus, if you look at the FDA Inspection Report from September 11 and 12, 2006, you will see that the inspector takes note of fettuccini and linguine being manufactured (FDA products), and chicken tortellini being manufactured (USDA product). Only the Toll House cookie dough products feel solely within the jurisdiction of the FDA. Nonetheless, the FDA plainly took note of all products being manufactured, without, however, making mention of whether or how what was found would be communicated to the USDA. Of course, since the USDA had an inspector onsite, and the FDA showed up in the plant only every year or so, it is the USDA that presumably knew much more about the plant.

Given the presence of the USDA in the plant on a daily basis, the obvious question then is what did the USDA know, and when did it know it? Another obvious question is: Could the USDA have prevented this outbreak from occurring? And, indeed, was it potentially in a better position to prevent this outbreak. (NOTE: As part of my firm’s investigation into this outbreak we are currently attempting to obtain the USDA inspection records for this plant.)

For more, please click on the Continue Reading link.

Continue Reading...

Marler Clark Calls for JBS Swift and FSIS to Reveal Retail Distribution of E. coli-Tainted Beef - Contaminated Meat Has Sickened at Least Eighteen to Twenty-four People

 In the early morning hours of Sunday, June 28, the JBS Swift Beef Company expanded the earlier recall of 41,280 pounds of beef contaminated with the highly toxic pathogen E. coli O157:H7 to include an additional 380,000 pounds. The beef recalls are FSIS Class I, meaning the “use of the product will cause serious, adverse health consequences or death.” The company and The Food Safety and Inspection Service (FSIS) have made available a list of recalled products, but so far have refused to reveal where those products were shipped, even in light of illnesses linked to the meat.

 
“The FSIS has indicated that 24 illnesses are being investigated in connection with the recall, and 18 have been linked,” said food safety advocate and attorney William Marler. “Yet consumers have no information as to what states or countries the tainted meat was shipped to or what retail outlets or restaurants received it. JBS Swift has this information at its fingertips, FSIS should have access to it as well, and it is unconscionable that they have not made it available to the public.”
 
“The JBS Swift recall is the seventh so far in 2009. FSIS policy of identifying retailers that received recalled products within 3-10 days appears to be getting a hit-or-miss application. At times, retailers were identified on the same day as a recall, and on others, not at all,” added Marler.
 
“We know where we shop,” continued Marler. “If we are told that the supermarket where we buy our food received beef that has been recalled due to contamination with a pathogen that could severely sicken our family, we’re going right to the refrigerator to see if we have any of the product. On the other hand, if we hear that some beef has been recalled, and maybe see a list of numbers and codes, most of us are going to assume that the recall doesn’t apply to us. Because if it did, certainly we would be alerted by the government agency responsible for our health. We entrust our family’s lives to the FSIS and to the companies it regulates. They must step forward with the information that consumers need, and they must do it now.”
 
After years of large recalls, focused efforts by meat regulators brought down E. coli contamination recalls to a low of 182,000 pounds in 2006. Recalls shot up again in 2007, and in the ensuing years (2007-2009), over 42 million pounds of beef have been recalled due to contamination with E. coli O157:H7. 

"Where's The (Recalled) Beef? Massive Expansion of JBS Beef Linked To Multi-State E. Coli O157:H7 Outbreak And Still No List of Retailers From FSIS

At least when Nestle USA announced that it was recalling all its Toll House cookie products, the public pretty much knew which retailers were involved. Every retail grocery in the country provides generous space for Nestle products.

Nestle is currently at the center of the largest E. coli recall and largest E. coli outbreak in the country, and one-by-one the victims and their families are filing lawsuits against the cookie giant. The deadly E. coli O157:H7 with a particular DNA fingerprint has linked 69 people in 29 states with the apparent cookie dough contamination.

Nestle today is getting some competition from beef as the JBS Swift Company recall of four days ago has been increased to 380,000 pounds, up from 41,280 pounds.

Contamination from E. coli O157:H7 at its Greeley, CO processing plant has now linked JBS with an ongoing investigation into 24 illnesses in multiple states by the Centers for Disease Control and Prevention. (CDC)

With the JBS, there are currently seven beef recalls due to E. coli O157:H7 contamination according to the Food Safety and Inspection Service (FSIS) of the U.S. Department of Agriculture (USDA).  

When a meat processor recalls its beef, the information is not much use to consumers unless they are told which retailers and restaurants are selling the product.   Time and time again, food safety advocates have found “recalled” items still on the shelves long after retailers were told to remove them.

A year ago, FSIS announced it would at least identify which retailers are involved in a recall within a three to ten day period. That new policy appears to be getting hit and miss attention this year by FSIS.

Andrew Shain at The State newspaper in South Carolina unsuccessfully attempted last Friday to get a list of retailers in that state who carry meat from JBS Swift Beef Company’s Colorado plant.

A JBS official told The State processors and stores did not want their names released and would “contact the public as they see fit.”

The JBS recall due to contamination by E. coli O157:H7 is the seventh to occur since May 4th.   It was announced on June 24th, and no list of retailers has yet been made available by FSIS.

It came just two days after Chicago’s International Meat Company on June 22nd recalled 6,152 pounds of ground beef products believed to be contaminated with E. coli 0157:H7.   That meat went to other distributors and restaurants in the Chicago area, so FSIS says there will be no list of retailers. (Restaurants must not be retailers, according to FSIS).

The 75 pounds of fresh beef trim products recalled on June 8th by Snow Creek Meat Processing in Seneca, SC all went to the Amazing Savings Stores in Asheville and Black Mountain, NC.   The retailers were identified on the same day by FSIS.

It took two days after the June 2nd recall by Portland, OR-based SP Provisions of almost 40,000 pounds of E. coli-tainted ground products for FSIS to finger Riley’s Market in Bend, OR as the only retailer involved.

On May 21st, Coal Valley, IL-based Valley Meats LLC recalled 95,898 pounds of ground beef found contaminated with E. coli O157:H7 after an outbreak was discovered by the Ohio Health Department.   Its by far the biggest recall of 2009, but FSIS claims no retailers are involved.   It seems all the meat went to what FSIS said were “various consignees nationwide.”

The May 12th recall by Bob’s Food City in Hot Springs, AK of 375 pounds of ground beef products thought to be contaminated with E. coli O157:H7 involved only that retail outlet and FSIS said so on the same day.

May 4th was the date of the first E. coli recall of both 2009 and the new Obama Administration.    FSIS said none of the 4,663 pounds of ground beef products contaminated with E. coli O157:H7 went to retailers, only western New York restaurants.  Alex & George Wholesale, Inc. of Rochester, NY issued the recall.

And with the sudden huge expansion of the size of the JBS recall, there are now a total of 527,061 pounds of bad beef out there. All seven of the E. coli O157:H7 beef recalls present a “High” health risk to the American public. 

All are rated as “Class 1” recalls.   The Valley Meats recall is linked to the E. coli outbreak cluster identified by the Ohio Health Department, and the JBS expanded recall is now connected to the multiple-state outbreak CDC is now investigating.

As for FSIS, the agency has released a PDF file with a 104-page list of all the JBS products subject to the recall, but no list of the retailers or restaurants receiving the bad meat processed on a single day last April 21.   (On its own, Smith's Foods has said it retails JBS products.)

It remains to be seen whether FSIS will "see fit" to tell the public what they really need to know.

JBS Swift E. coli Recalls Linked to Illnesses in Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin? And Canada?

Sometime in the early hours of June 28, JBS Swift Beef Company expanded the approximately 40,000 pounds of “assorted beef primals” recalled on June 24 to include another approximately 380,000 pounds of “assorted beef primals" due to E. coli O157:H7 contamination.

There are a lot of questions.  So, are the illnesses in Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin? More than these eleven? Are these the only states that received product? Where internationally did the meat go (are the three Canadian cases somehow linked)? Which restaurants, grocery stores, schools, hospitals did the product land?  Why is the public not being informed?

As reported by the Food Safety and Inspection Service (FSIS):

Together with traceback information and laboratory data, the recall is being expanded as a result of FSIS' cooperation with the Centers for Disease Control and Prevention (CDC) in an ongoing investigation into 24 illnesses in multiple states, of which at least 18 appear to be associated.

The beef products were produced on April 21, 2009 and were distributed both nationally and internationally. A list of the products subject to the expanded recall attached – 104 Pages.

Each box bears the establishment number "EST. 969" inside the USDA mark of inspection as well as the identifying package date of "042109" and a time stamp ranging from "0618" to "1130." However, these products were sent to establishments and retail stores nationwide for further processing and will likely not bear the establishment number "EST. 969" on products available for direct consumer purchase. Customers with concerns should contact their point of purchase.

The recalled products include intact cuts of beef, such as primals, sub-primals, or boxed beef typically used for steaks and roasts rather than ground beef. FSIS is aware that some of these products may have been further processed into ground products by other companies. The highest risk products for consumers are raw ground product, trim or other non-intact product made from the products subject to the recall.

CDC - 24 Illnesses in Multiple States Appear Linked - JBS Swift Beef Company Expands Recall of Beef Products to over 420,000 Pounds Due To E. coli O157:H7 Contamination

It appears that E. coli season is now upon us with what now appears to be the 8th recall of the year.  On June 24 JBS Swift Beef Company (former ConAgra Plant famous for 2002 E. coli Outbreak) recalled approximately 41,280 pounds of beef products contaminated with E. coli O157:H7. A few hours ago, the FSIS announced that JBS Swift Beef Company is voluntarily expanding its June 24 recall to include approximately 380,000 pounds of assorted beef primal products that may be contaminated with E. coli O157:H7.

According to FSIS, together with traceback information and laboratory data, the recall is being expanded as a result of FSIS' cooperation with the Centers for Disease Control and Prevention (CDC) in an ongoing investigation into 24 illnesses in multiple states, of which at least 18 appear to be associated.

This investigation prompted the company to re-examine the effectiveness of their food safety system for the April 21 production of beef primals, and they are conducting this recall out of an abundance of caution as the safety of the products produced on a portion of that day could not be assured.

The beef products were produced on April 21, 2009 and were distributed both nationally and internationally. A list of the products subject to the expanded recall attached.

Each box bears the establishment number "EST. 969" inside the USDA mark of inspection as well as the identifying package date of "042109" and a time stamp ranging from "0618" to "1130." However, these products were sent to establishments and retail stores nationwide for further processing and will likely not bear the establishment number "EST. 969" on products available for direct consumer purchase. Customers with concerns should contact their point of purchase.

The recalled products include intact cuts of beef, such as primals, sub-primals, or boxed beef typically used for steaks and roasts rather than ground beef. FSIS is aware that some of these products may have been further processed into ground products by other companies. The highest risk products for consumers are raw ground product, trim or other non-intact product made from the products subject to the recall.

69 Ill in 29 States with E. coli O157:H7 Linked to Nestle Toll House Cookie Dough - 34 Hospitalized - 9 with Hemolytic Uremic Syndrome

69 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 29 states. Of these, 46 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arizona (2), California (3), Colorado (5), Connecticut (1), Delaware (1), Georgia (1), Iowa (2), Illinois (5), Kentucky (3), Massachusetts (4), Maryland (2), Maine (3), Minnesota (6), Missouri (1), Montana (1), North Carolina (2), New Hampshire (2), New Jersey (1), Nevada (2), Ohio (3), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (2), Virginia (2), Washington (6), and Wisconsin (1).

 

Ill persons range in age from 2 to 65 years; however, 64% are less than 19 years old; 73% are female. Thirty-four persons have been hospitalized, 9 developed hemolytic uremic syndrome (HUS); none have died. Reports of these infections increased above the expected baseline in May and continue into June.

Genetic Fingerprinting - PFGE and MLVA - Scientists Expand Testing Methodology to Distinguish Cookie Dough E. coli Illness Cases

The CDC has confirmed that 69 people, ages 2 to 67, are linked to an E. coli O157:H7 outbreak linked to the consumption of refrigerated Nestle Toll House Cookie Dough. The links are both the food histories as well as the discovery of the outbreak strain of the E. coli O157:H7 bacteria. Nestle has recalled the product and the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) continue to investigate both illnesses and the cause of the contamination. It is presumed that environmental samples are being tested from the Nestle manufacturing facility as well as recalled cookie dough. To date no non-human samples have tested positive for E. coli O157:H7. However, in most outbreaks (excluding some recent successes in the Dole 2006 E. coli O157:H7 outbreak and the Peanut Corporation of America Salmonella outbreak) the likely offending product (even left-over’s) and the plant that made it, do not produce positive samples.

In addition to interviewing sickened individuals about potential exposures to E. coli O157:H7, the CDC has conducted further scientific tests to determine the link between all sick individuals and the consumption of Nestle Toll House Cookie Dough.

Pulsed-field gel electrophoresis (PFGE), also referred to as “genetic fingerprinting,” is a process used in molecular microbiology to compare E. coli O157:H7 isolates to determine if the strains are distinguishable. In 1993 public health investigators successfully used PFGE analysis to distinguish patients who acquired E. coli O157:H7 after eating contaminated hamburgers from persons infected with E. coli O157:H7 from other sources. The CDC has established PFGE as the molecular test of choice used by public health laboratories for genetic typing of E. coli O157:H7 and other pathogenic bacteria. To date, the 69 sickened individuals share the same “genetic fingerprint” of the E. coli O157:H7 bacteria found in their stool cultures.

Perhaps because cookie dough is a product that has not been linked to E. coli O157:H7 in the past, and because the “genetic fingerprint” found in this outbreak has been seen since 2005, the CDC employed additional scientific testing to assure consumers and Nestle of the actual link between the product and the illnesses.

Other genetic testing methods have been developed, including Multiple-Locus Variable-Number Tandem Repeat Analysis (MLVA). This test has proven to be highly reproducible and portable, features especially important in outbreak investigations. MLVA is a polymerase chain reaction (PCR) based technique used to target tandem repeats, which are areas of the bacterial genome that evolve rapidly. Thus far the CDC has linked 46 of the 69 people by MLVA as well as PFGE. These results, along with the common ingestion of Nestle Toll House Cookie Dough accounted for the recall of the product. Studies have shown that PFGE and MLVA results are well correlated. Evaluating MLVA results in tandem with PFGE results in an outbreak situation allows investigators to further delineate outbreak related illnesses to non-outbreak cases. This has proven to be valuable when the outbreak strain is one that is detected frequently and assumed to have many sources.

So, where does all this science leave us? We know that we have at least 69 individuals who share both the consumption of Nestle Toll House Cookie Dough and the E. coli O157:H7 recovered from their stool match by PFGE. We also know that at least 46 tested by the more sensitive test, MLVA, also match. This is very significant and gives the CDC, FDA, Nestle and its consumers, proof that a link has been found between the product and the illnesses. What we do not yet have are environmental (product and/or plant) sample data, which may or may not have results. However, even without those results the work done by the CDC and FDA (along with state and local health departments) is compelling proof of the link between the illnesses and the Nestle product.

Nestle Plant Refused Full Cooperation with FDA

Two reports of past inspections were made public today.  The most notable inspection occurred in September 2006 at the Nestle plant in Danville, Virginia where it manufactures cookie dough products, as well as stuffed pastas and pasta sauces.  A number of deficiencies were noted as part of the inspection. These were:

Three live ant-like insects were observed on a ledge along the W wall of the powdered sugar dump station in the cookie dough manufacturing area.

Dirty stainless steel equipment and utensils were observed in a bin which was identified as "clean" in the cookie dough cleaning area.

Water or other clear liquid was observed dripping from an overhead line in the liquid egg receiving bay.

The knock off ann for the check weigher was improperly timed or otherwise not functioning properly to remove trays of cookie dough on line ten.

More disturbing, however, is  the refusal by the plant to give FDA inspectors access to important food safety related documents and information, including:

Percent ofproducts which move in interstate commerce

Review of complaint log

Use of camera

Review ofpest control records

Review ofHACCP program

Information on environmental testing program

This is troublingly reminiscent of the Peanut Corporation of America, which also refused to give access to important records, forcing the FDA to invoke the Bioterrorism Act of 2002. 

A copy of the FDA Inspection Report can be found here: www.fda.gov/downloads/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/UCM169114.pdf

Madison Sedbrook: Nestle cookie dough victim

We filed suit yesterday in Federal Court for the District of Colorado on behalf of Madison Sedbrook, who is six years old, and her parents Tristan and Cindy.  Madison ate cookie dough on multiple occasions in April 2009 and developed a severe gastrointestinal illness.  She bounced from hospital to hospital, doctor to doctor, while nobody could really figure out what was wrong with her. 

In the meantime, toxins released by the E. coli O157:H7 bacteria that she had ingested, along with the cookie dough, began to cause a cascading, destructive process in her blood stream that culminated in the development of hemolytic uremic syndrome.  See www.about-hus.com.  Ultimately, Madison was hospitalized for 9 days and suffered from hemolytic anemia severe enough to require a blood transfusion. 

Madison Sedbrook, and the six other known HUS victims in this outbreak, not to mention the likely hundreds of people sickened from Nestle cookie dough, is the reason that we fight this fight every time another serious outbreak occurs.  View the complaint that we filed on Madison's behalf here:

Orca Distribution May Have Repacked Recalled Pistachios

The Food and Drug Administration (FDA) has warned consumers not to eat two brands of pistachios repacked by Orca Distribution West Inc. of Anaheim, California.  The brands are:

* California Prime Produce
* Orange County Orchards

The pistachios may be contaminated with Salmonella, an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems.  The products affected by the current warning are associated with an earlier recall by Setton Pistachio of Terra Bella Inc. The distributor, Orca, received and repacked some pistachios recalled by Setton Pistachio.

The two brands of pistachios, California Prime Produce and Orange County Orchards, were distributed to retail locations in airports and hotels nationwide. Both brands were packaged in clear 6-ounce flexible plastic Ziploc bags, UPC Number: 8 10826 01116 2, with Sell By Dates of 7/30/09 and 8/30/09.

FDA visited Orca as part of its follow-up checks on Setton Pistachio’s recall. The agency found that products that were part of the recall had been repacked and distributed by Orca under the California Prime Produce and Orange County Orchards brands.

Colorado Child Sickened by E. coli Cookie Dough Files Lawsuit

 

An E. coli lawsuit was filed yesterday on behalf of a Denver-area child who became gravely ill with E. coli O157:H7 after eating refrigerated Nestle Toll House cookie dough. The lawsuit was filed on behalf of the family of Madison Sedbrook by her attorneys, William Marler of the Seattle-based foodborne illness law firm Marler Clark and Kara Knowles of the Denver firm Montgomery, Little, Soran, & Murray.

Six-year-old Madison ate Nestle Toll House refrigerated cookie dough several times in mid-April, 2009. She began to experience flu-like symptoms including fatigue, fever, nausea, and vomiting. Not knowing the source of her illness, she continued to eat Nestle cookie dough, and by the first week of May, she had abdominal cramps, fever, and bloody diarrhea. Over the next several weeks, the family sought medical care several times for Madison’s illness, which deepened in severity. She was admitted to the hospital and then released before being rushed back and admitted to pediatric intensive care. It was determined that Madison had hemolytic uremic syndrome, or HUS, a complication of her E. coli infection, which was not diagnosed until her second hospital stay. The genetic fingerprint of the E. coli O157:H7 found in her stool matches that of the nationwide outbreak tied to cookie dough.

“This child – and this family – have been through a terrible ordeal, not the least of which is how many times they sought care before E. coli was detected,” said Marler, who spoke from the National Environmental Health Association (NEHA) convention.. “In order to detect and limit foodborne illness outbreaks, we have to make changes in our healthcare system; doctors and emergency health providers need to be encouraged to test for foodborne pathogens any time these symptoms – especially bloody diarrhea - are present.”

On Monday, the CDC released updated information on the nationwide outbreak, which now encompasses 70 ill in 30 states. Thirty people have been hospitalized, and 7 have developed HUS. Almost seventy percent of the victims are female and under the age of 19. Nestle USA has voluntarily recalled the product, has stopped production at the facility that made it and are cooperating with FDA and CDC to pinpoint the cause.

State health departments did a great job of getting to the bottom of this outbreak, and getting the word out,” continued Marler. “But more resources are needed to speed the process up. Every day saved means dozens, maybe hundreds of families spared the Sedbrook family experience.”

 

North Dakota Salmonella outbreak may be linked to caterer

According to an article in the Bismarck Tribune, the North Dakota Department of Health is investigating a Salmonella outbreak among McLean County residents.  The apparent outbreak occurred last week, and sickened members of two groups who ate foods catered by the same unlicensed caterer.  Nine people were hospitalized, and approximately 40 people became ill after attending the two events - a family reunion in Wilton and a wedding in Washburn. 

Symptoms of Salmonella infection

include diarrhea, abdominal cramps, fever, nausea, and/or vomiting. In mild cases diarrhea may be non-bloody, occur several times per day, and not be very voluminous; in severe cases it may be frequent, bloody and/or mucoid, and of high volume.

Fever generally occurs in the 100°F to 102°F (38°C to 39°C) range. Vomiting is less common than diarrhea. Headaches, myalgias (muscle pain), and arthralgias (joint pain) are often reported as well. Whereas the diarrhea typically lasts 24 to 72 hours, patients often report fatigue and other nonspecific symptoms lasting 7 days or longer.

Salmonella infections usually resolve in five to seven days, and many times require no treatment unless the patient becomes severely dehydrated or the infection spreads from the intestines. Persons with severe diarrhea may require re-hydration, often with intravenous fluids.

Treatment with antibiotics is not usually necessary; however, if the infection spreads from the intestines, or otherwise persists, the infection can be treated with ampicillin, gentamicin, trimethoprim/sulfamethoxazole, ceftriaxone, amoxicillin, or ciprofloxacin. The length of treatment varies depending on the extent of a patient’s illness, and can range from 14 days for enteric fever to six weeks for bactremia (Mayo Clinic, 2007, April 12). Some Salmonella bacteria have become antibiotic-resistant.

Consult your healthcare provider if you believe you have become ill with salmonellosis.

You Want a Glass of Milk with that E. coli Cookie?

Although not really a good defense in the arenas of law or common sense, I was struck by how quickly Nestle suggested that the consumers sickened by eating their contaminated cookie dough were themselves at fault for ignoring the recommendation on the label that the cookies be “bake before consuming.” What most struck me as most odd (and indefensible) about Nestle’s suggestion that the consumer was to blame, is how incongruous it is for Nestle to say that its product was too dangerous to be eaten raw when it manufactures its cookie dough with pasteurized eggs. Prior to this outbreak, few (if any) would have argued that the risk of eating raw cookie dough, to the extent that it was risky at all, came from anything other than the risk of Salmonella poisoning due to the presence of raw eggs. But Nestle had plainly chosen to eliminate that risk. And my guess is that they did so specifically because they knew (and encouraged) people to eat the cookie dough while it was raw, a guilty pleasure of lots and lots of people.

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First Lawsuit in E. coli Cookie Dough Outbreak Filed by Marler Clark

 

A young woman who was hospitalized for seven days after eating raw cookie dough made by Nestle USA filed suit today against the company in California Superior Court, San Mateo County. The lawsuit was filed on behalf of 18-year-old Jillian Collins by her attorneys, William Marler of the Seattle-based foodborne illness law firm Marler Clark and Terry O’ Reilly of the San Mateo firm O'Reilly Collins.

San Mateo resident Jillian Collins ate Nestle Toll House refrigerated cookie dough in late May, 2009. On May 26, she fell ill with painful abdominal cramps and diarrhea that soon turned bloody. Her symptoms worsened to the point where she sought urgent care. She was later admitted to the hospital, where tests revealed that she was infected with E. coli O157:H7. The genetic fingerprint of her test matched that of the outbreak strain which has infected 65 people in 29 states to date. 

This outbreak is an example of how virulent E. coli bacteria can be, and how many people can be affected when it enters the national food supply,” said Marler, who was traveling between food safety speeches. “Nestle USA is a company with a good food safety record, andupon learning of the CDC investigationthey worked very quickly to get a voluntary recall of the product started. But even that isn’t enough for those who were sickened in this outbreak. It points to how vigilant we need to be in our food safety regulation and oversight.”

The first announcement about the multi-state outbreak was made on Thursday, June 18 by the Colorado Department of Health and Environment (CDPHE), warning consumers about consuming the uncooked Nestle Toll House cookie dough product, and revealing that more than sixty were confirmed ill in 28 states. It wasn’t until late Friday, June 19 that the CDC released their outbreak information, which updated the totals to 65 ill in 29 states. 

“Nestle has stopped production at the Virginia facility that produced the cookie dough,” continued Marler. “Everyone I talk to is stumped by how a bacteria normally associated with cattle feces made its way into the facility, and then into such a highly processed product. We may not solve that mystery; what we can do is work to prevent this type of event from happening again.  The way to do that is better food safety surveillance – and that comes down to legislation and funding.” 

 

Mom, Judy Akers, unknowingly buys daughter, Melissa Kitchens Nestles Toll House Cookie Dough Contaminated with E. coli O157:H7

Lynne Terry from The Oregonian reports on a parent’s worst nightmare – buying food that sickens your child and husband.  Here is part of the story:

One day while shopping, a Gresham mom, who had long shunned sweets to keep her family's diet healthy, gave in to her daughter's pleas for a special treat. Melissa Kitchens, 15, was craving chocolate chip cookies. So, her mom, Judy Akers, 38, reached for a tub of refrigerated Toll House chocolate chip cookie dough made by Nestle USA, a company that she trusted. It was a mistake. The decision cost her family weeks of pain and anguish in a nationwide food poisoning outbreak of E. coli O157:H7 associated with Nestle cookie dough. Nearly 70 people in more than two dozen states have been sickened, 25 have been hospitalized and seven people suffered kidney failure.  Read the full story in the Oregonian.

Nestle Cookie Dough E. coli Outbreak Update: Further Details On 5 WA Cases

The Washington State Department of Health has just released further details on the five confirmed Washington E. coli O157:H7 cases connected to the emerging nationwide Nestle cookie dough outbreak:

-- May 6, Grays Harbor County woman,

-- May 12, Thurston County teenage girl, hospitalized,

-- May 15, Pierce County girl,

-- May 20, King County boy,

-- May 21, King County girl, hospitalized.

Beyond the voluntary recall, the response from Nestle has thus far been little more than an apology for the "inconvenience" this outbreak has caused.  Click here for more details.

E. coli O157:H7 Outbreak Illnesses Linked to Nestle Toll House Cookie Dough Confirmed in Colorado, Texas, Washington and Minnesota

State health departments have taken the lead in releasing news about the E. coli outbreak tied to Nestle Toll House raw cookie dough.  The Colorado Department of Public Health and Environment (CDPHE) put out the first official information about the outbreak late on June 18.  The CDPHE release revealed that 66 people in 28 states were infected with the same genetic fingerprint of E. coli O157:H7, and that epidemiological evidence was strong that the infection vehicle was Nestle Toll House raw cookie dough.  Five Coloradans were part of the outbreak; two had been hospitalized and one had contracted HUS (Hemolytic Uremic Syndrome).

On June 19 the Minnesota Department of Health (MDH),  a leader in foodborne illness outbreak investigation, put out a release urging consumers to avoid the Nestle Toll House raw product.  The MDH release indicated that routine monitoring by the Minnesota Department of Health found that the cases of illness were all caused by E. coli O157:H7 with the same DNA fingerprint. The individuals became ill between May 3 and June 11. All six reported eating raw cookie dough of the Nestle’s Toll House brand. The cases ranged in age from 2 to 18 years of age; five (83 percent) were female. One was hospitalized. All recovered.

The Texas Department of State Health Services (DSHS) also put out a release on Friday, June 19.   The DSHS release indicated that three Texans had been infected with the outbreak strain of E. coli O157:H7, and that all three had recovered.

Although Washington State Department of Health has not yet put out a release, information they shared with the Seattle Post-Intelligencer was that five Washingtonians were part of the outbreak.

The CDC has not released information on the complete breakdown of how many cases each state is reporting, but that announcement is expected shortly.

Potentially E. coli-contaminated cookie dough still being sold

I am now in possession of potentially E. coli-contaminated Nestle Toll House cookie dough.  In an attempt to learn more about the warning labels Nestle prints on its cookie dough packaging, I set out for the supermarket closest to my house.  That store happens to be a Fred Meyer.  When I arrived, I was surprised by a few things:

  • The refrigerated Cookie Dough section is so big, it has a sign - kind of like what you'd see over the egg, ice cream, or frozen pizza section.  I was stunned, mostly because I've never purchased refrigerated cookie dough before and I would never have guessed that there would be a big enough market for refrigerated cookie dough that it would command its own section.  It is a true tribute to Nestle and other companies' marketing departments that this section is necessary.
  • Fred Meyer had not posted any recall notices in the refrigerated cookie section.
  • A mother and daughter were trying to decide which refrigerated cookies to buy, and were leaning toward buying Kroger brand cookies, but were debating on whether to splurge and buy Nestle cookies.  I told them about the Nestle refrigerated cookie dough recall that was announced this morning, and they decided not to buy any cookie dough at all.  I can't say I would have made a different choice.

After purchasing recalled product, I notified a woman at the service desk that the cookie dough I had just purchased was recalled for potential E. coli contamination.  She seemed surprised, but told me she'd look up the Nestle cookie dough recall information on the FDA Website and would make sure the product was dealt with appropriately.

Since arriving home with the potentially E. coli-contaminated cookie Recalled Cookie Doughdough, I have washed my hands at least 20 times and have sanitized my counters 4-5 times.  The Nestle cookie dough is currently in my freezer and I'm terrified.  I'm treating cookie dough, of all things, like I treat ground beef.  I assume that all ground beef is contaminated with E. coli and that all eggs are contaminated with Salmonella.  But cookie dough contains pasteurized egg products and should not be hazardous to our health - or at least that's what I thought until yesterday.

My roommates are out of town and know about the recall, but in case they forget by the time they get home on Sunday and I haven't yet thrown the cookie dough away, I've properly labeled it and am keeping it in the freezer. 

Nestle Cookie Dough E. coli Outbreak Update: 5 Illnesses in Washington

According to local news channel Komo 4, the Washington State Department of Health announced this morning that five people in Washington state are believed to have been sickened by the E. coli O157:H7-contaminated Nestle cookie dough. Two of those sickened were hospitalized.

As a reminder, the products currently being recalled due to E. coli O157:H7-contamination include:

Cookie & brownie dough bar
- Chocolate Chip bar 16.5oz
- Chocolate Chip bar 16.5oz
- Chocolate Chunk bar 16.5oz
- Walnut Chocolate Chip bar 16.5oz
- Jumbo Chocolate Chip bar 16.5oz
- Oatmeal Raisin bar 16.5oz
- Sugar Cookies bar 16.5oz
- Sugar Cookies bar 16.5oz
- Mini Chocolate Chip bar 16.5oz
- Mini Chocolate Chip bar 16.5oz
- Mini Brownie Bites bar 16oz
- Fudgy Brownie With Peanut Butter Filling 19oz

Cookie Dough Tub
- Chocolate Chip tub 40oz
- Chocolate Chip tub 80oz (5 lb)
- Sugar tub 40oz.
- Gingerbread tub 40oz
- Peanut Butter tub 40oz

Tube Dough
- Chocolate Chip tube 16.5oz
- Chocolate Chip tube 32oz

Ultimates Cookie Bar Dough
- Ultimates Peanut Butter Cups, Chips & Chocolate
- Chunks bar 16oz
- Ultimates White Chip Macadamia Nut bar 16oz
- Ultimates Chocolate Chip & Chunks with Pecans bar 16oz
- Ultimates Chocolate Chip Lovers 16oz
- Ultimates Turtles bar 16oz
- Ultimates Peanut Butter Lovers bar 16oz
- Ultimates Chocolate Chip with Caramel Filling bar 16oz
- Ultimates Chocolate Chip with Chocolate Filling bar 16oz

Seasonal Cookie & Brownie Dough
- Valentine Hearts Sugar Cookie Shapes 15.5oz
- Valentine Swirled Chocolate Chip bar 16oz
- Fudgy Brownies With Raspberry Filling 19oz
- Easter Eggs Sugar Cookie Shapes 15.5oz
- Easter Swirled Chocolate Chip bar 16oz
- Easter Swirled Mini Brownie Bites bar 18 oz
- Red, White & Blue Swirled Choc Chip bar 16oz
- Halloween Pumpkin Pals Sugar Cookies 13.5oz
- Halloween Swirled Chocolate Chip bar 16oz
- Halloween Swirled Fudgy Brownies bar 18oz
- Christmas Shapes Sugar Cookies 15.5oz
- Christmas Swirled Chocolate Chip bar 16oz
- Christmas Swirled Fudgy Brownies bar 18oz
- Limited Edition Mint Swirled Chocolate Chip 16oz

Discounted Varieties
- Valentine Hearts Sugar Cookies 13.5oz
- Easter Brownie Bar 18oz
- Easter Bunnies Sugar Cookies 13.5oz
- Halloween Sugar Shapes 15.5oz
- Christmas Sugar Cookie Tube 16oz
- Oatmeal Cranberry Cookie Tub 48 oz.

Cookies and E. coli: Here's an E. coli story we will never forget

 Today's recall of Nestle cookie dough got me thinking about other E. coli O157:H7 cases that we've recently handled.  John McDonald was a 5-year-old boy who we represented in a ground beef outbreak that occurred in 2007.  Unfortunately, John's illness was about as bad as an illness can get without causing a death.  (it is unbelievable how many times I find myself saying that about our clients) 

John was hospitalized at East Tennessee Children's Hospital from October 4 through 12, then was transferred to the University of Tennessee Medical Center where he remained until October 29.  During his hospitalization, John's kidneys failed requiring extensive dialysis to cleanse his blood, and he became badly anemic requiring many blood transfusions.

But these conditions, though in and of themselves potentially lethal, were just the beginning.  What truly separates John's illness from most of the hemolytic uremic syndrome illnesses that we see was the extent of injury to his gastrointestinal tract. 

Jim McDonald, John's father, was present at the moment it became apparent just how severe John's illness was.  It occurred in the early morning hours of Thursday, October 11, 2007.  He recalls: 

As usual, I got up to help as much as possible when the nurses came in and woke us up. When we opened his diaper, I got excited since it looked like he had had dark brown diarrhea, which told me that his digestive system was finally starting to kick in again. Realizing how liquidy the diaper was, we turned on an extra light to help us while changing him.

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Nestle Toll House Raw Cookie Dough Linked to E. coli Outbreak in 28 States

The Colorado Department of Public Health and Environment (CDPHE) issued a press release on June 18 about an outbreak of E. coli O157:H7 which has been under investigation by several state health departments and the CDC.  The CDPHE release revealed that 66 people in 28 states have been sickened, and that epidemiological evidence is strong that the vehicle is Nestle Toll House uncooked cookie dough.  The CDPHE reports that there are five cases in Colorado; two have been hospitalized and one has developed HUS (hemolytic uremic syndrome).  

Reports had been surfacing about the potential link to Nestle Toll House raw Cookie Dough, but the Colorado release was the first official announcement.  Made late in the day, the press release urged consumers to stay away from the product until more information was available.

"We can’t be certain that raw cookie dough is the source of these infections, but we are concerned enough that it might be and want consumers to be aware," said Colorado foodborne illness epidemiologist Alicia Cronquist.

Further information is expected today.

E. coli and . . . Cookies??? Wouldn't be the first contaminated confection

We have been investigating several seemingly unrelated E. coli O157:H7 illnesses that may not be so unrelated.  There are 63 confirmed illnesses possibly linked to Nestle's Toll House Cookies.  Before you say, "No way, cookies can't be contaminated" or "E. coli is just a ground beef problem," realize that if these illnesses are, in fact, linked to cookies, it wouldn't be the first time that a sweet treat turned lethal.

On June 30, 2005 the Minnesota Department of Health notified the federal Centers for Disease Control and Prevention (CDC) that four cases of Salmonella Typhimurium (S. Typhimurium) with an indistinguishable Pulsed Field Gel Electrophoresis (PFGE) subtype (CDC PulseNet pattern JPXX01.1173) had been identified. The only common exposure among the four ill individuals was that all had eaten at one of two Cold Stone Creamery stores. All cases had eaten cake batter flavor ice cream in the week before onset of symptoms.

We represented several injured people in the outbreak, including a young girl named Diana Mckune, who suffered a particularly severe Salmonella infection.  It landed her in Seattle Children's Hospital for a week.  Fortunately for Diana, she wasn't part of an E. coli O157:H7 outbreak.  Had she eaten E. coli-laden cookies, we may have handled her wrongful death action. 

Only time, and some good epi work, will tell the truth about Nestle cookies and E. coli O157:H7. 

Food Poisoning is an International Problem

The World Health Organization estimates that Food and waterborne diarrhoeal diseases are leading causes of illness and death in less developed countries, killing approximately 2.2 million people annually, 1.9 million of whom are children.  Here are just a few reports around the world of foodborne illness outbreaks reported in the last twenty-four hours.

Polish Radio reports that dozens poisoned with Salmonella.  Twenty-four people have been poisoned with salmonella in the south-eastern city of Przemysl following consumption of ice cream.  The first cases of salmonella poisoning were reported at the Main Sanitary Inspectorate on Friday evening. So far, twenty-four people have been diagnosed with the bacteria and three have been hospitalized in Przemysl.  All patients suffered severe poisoning but, after treatment, are feeling much better.  Salmonella bacillus, the cause of the poisoning, was discovered in ice-cream.

The shop which sold poisoned ice-cream has been closed and the staff is under observation.

The Sir Lanka Daily News reports nearly 500 hospitalized. Nearly 500 devotees including children who participated in the Ther festival held at Lilees Land Estate, Wedamulla, Ramboda were admitted to hospitals in Gampola, Pussellawa, Kotmale and Wahugupitiya following food poisoning. Out of these patients, six who were critical have been admitted to Gampola hospital.

It is reported that the devotees had vomited and fainted followed by loose motion after consuming the food.

Indian International Business Times reports that a 18-inch snake served with mid-day meal, 55 fall sick, "gross negligence"

Fifty-five school children between 2 and 6 years have fallen ill after a 18-inch dead snake found in cooked rice of their mid-day meal. All the children started throwing up and were hospitalized immediately. Fifty-five school children between 2 and 6 years have fallen ill after an 18-inch dead snake found in cooked rice of their mid-day meal. All the children started throwing up and were hospitalized immediately.

The cook Maya Konai said "There are many snakes, insects and worms in the shed. I had told the authorities to get it cleaned many times."

The Dubai Daijiworld reports that Little D'Souza Siblings Die After Eating Restaurant Food.  A five-year-old boy Nathan D'Souza, his eight-year-old sister Chelsea D'Souza, and their mother became ill after eating a home delivery from a restaurant serving Chinese food in Al Qusais. Health officials and Dubai Municipality have launched investigations and the restaurant has been closed until the test results are returned.

More than half of Sharjah’s restaurants failed basic food hygiene inspections over the past year, and almost 500 of them were temporarily closed. Daily News Papers in UAE reported warnings from doctors last week to minimise eating out during the summer months, especially at smaller eateries where hygiene levels are often of lower standard.

Bar Date Extended to October 31, 2009 for Filing of Salmonella Personal Injury Claims Against Peanut Corporation of America

Valley Meats recalled hamburger due to E. coli O157:H7 contamination AFTER illnesses were found in Ohio, Pennsylvania and Illinois - Why are we not all "Testing and Holding?"

Valley Meats LLC, a Coal Valley, Illinois grinding plant recalled approximately 95,898 pounds of ground beef that might have been contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced in late May.

However, the problem was discovered through an epidemiological investigation of illnesses, NOT before the meat made it between hamburger buns. On May 13, 2009, FSIS was informed by the Ohio Department of Health of a cluster of E. coli O157:H7 infections. Illnesses have now been reported in Ohio, Pennsylvania, and Illinois. About a dozen people were sickened and one young girl in Ohio died.

So, where was Valley Meats “Test and Hold” food safety program? Shouldn’t the objective be to mitigate consumer risks associated with the presence of E. coli O157:H7 and other Shiga-toxin E. coli? Shouldn’t every USDA inspected slaughter facility, grinding operation and grocer utilize a “Test and Hold” program using science-based, robust serial sampling of finished ground beef products? Shouldn’t the testing include PCR/DNA genetic testing to identify a specific DNA strand unique to E. coli O157:H7 so if people do become ill, they can be linked to the source?

True, you cannot “Test and Hold” your way to complete food safety. You cannot test all hamburgers before it hits a consumer’s kitchen. However, we can test more – perhaps in part to validate a plant’s HACCP program – perhaps in part to try and save the life of one young girl.

Meat and Poultry Product Recalled

FSIS has announced a Class I recall of 79,312 pounds of various fully cooked, ready-to-eat meat and poultry products because the products may contain under-processed ham components after contacting surfaces of equipment.  Consuming undercooked pork products, or foods that have come into contact with those products, has been associated with a variety of serious illnesses, such as Cysticercosis, Trichinosis, and Salmonella.

The recalled products were manufactured by Cameco, Inc., a company out of Verona, N.J and were distributed to wholesale distributors throughout Alabama, Arizona, California, Connecticut, Michigan, North Carolina, Ohio, Puerto Rico, South Carolina, Texas and Virginia.

For a complete list of each product affected, please click below.

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Two Kindergarten Students Hospitalized From Salmonella

We at Food Poison Blog have been highlighting recently that food poisoning can be, and often is, much more than "just a little diarrhea."  This is especially true for the very young, the very old, and those with compromised immune systems.

Today the news media is reporting on yet another example of the severe nature of these foodborne bugs.  Two kingergarten students from Lee's Summit, Missouri have been hospitalized due to the symptoms of a Salmonella infection.  At this time it is known that one of the children is in fair condition while the other child's condition is not being released.  The source of their illnesses is not yet known.  Our thoughts go out to these two kids, and their families, with the hope that a speedy recovery is just around the corner.

Salmonella is the second most commonly reported bacterial foodborne illness in the US (however, only about 3 percent of Salmonella cases are officially reported).  The CDC estimates that 1.4 million cases occur annually, including approximately 600 deaths, accounting for 31 percent of all food-related deaths.

The symptoms of Salmonella gastroenteritis include diarrhea, abdominal cramps, fever, nausea, and/or vomiting. In mild cases diarrhea may be non-bloody, occur several times per day, and not be very voluminous; in severe cases it may be frequent, bloody and/or mucoid, and of high volume.

Fever generally occurs in the 100°F to 102°F (38°C to 39°C) range. Vomiting is less common than diarrhea. Headaches, myalgias (muscle pain), and arthralgias (joint pain) are often reported as well. Whereas the diarrhea typically lasts 24 to 72 hours, patients often report fatigue and other nonspecific symptoms lasting 7 days or longer.  In some cases more severe, long-term complications arise, including typhoid fever, bacteremia, and Reiter's syndrome (reactive arthritis).

And just this past week a study conducted by Henrik Nielsen, MD, of Denmark, was cited on WebMD, and reports that Salmonella and Campylobacter infections triple the risk of Inflammatory Bowel Disease for at least 15 years post-infection.

Much more than "just a little diarrhea" indeed.

Hamburger E. coli season is underway

 

Valley Meats LLC recently recalled nearly 96,000 pounds of ground beef due to potential contamination by E. coli O157:H7.  Now, SP Provisions of Portland, Oregon has recalled almost 40,000 pounds of ground beef due to positive sampling of its ground beef during production.   Hamburger E. coli season appears to be getting underway.

John McDonald was a victim of E. coli O157:H7 in hamburger almost two years ago now.  We represented John and his family in a ground beef outbreak that occurred in 2007.  The following summary tells you a bit about John's very sad case.

John was hospitalized at East Tennessee Children's Hospital from October 4 through 12, then was transferred to the University of Tennessee Medical Center where he remained until October 29.  During his hospitalization, John's kidneys failed requiring extensive dialysis to cleanse his blood, and he became badly anemic requiring many blood transfusions.

But these conditions, though in and of themselves potentially lethal, were just the beginning.  What truly separates John's illness from most of the hemolytic uremic syndrome illnesses that we see was the extent of injury to his gastrointestinal tract. 

Jim McDonald, John's father, was present at the moment it became apparent just how severe John's illness was.  It occurred in the early morning hours of Thursday, October 11, 2007.  He recalls: 

As usual, I got up to help as much as possible when the nurses came in and woke us up. When we opened his diaper, I got excited since it looked like he had had dark brown diarrhea, which told me that his digestive system was finally starting to kick in again. Realizing how liquidy the diaper was, we turned on an extra light to help us while changing him.

I will never forget what I saw. To my dismay, the diaper was not full of a bowel movement like I had desperately hoped. It was full of blood. An entire bowel movement of blood. Maybe an entire cup of blood. I got light-headed and almost passed out. I immediately sat down and grasped my head, apologizing to the nurses and telling them that I could no longer help them treat my son. This was the first of five grossly bloody stools that day.

Now bloody diarrhea is typical in the setting of an E. coli O157:H7 illness.  But this was another animal altogether.  John was losing blood from his gastrointestinal tract like he was bleeding from an opened artery.  In fact, over the course of the day on October 11, John was given two transfusions of packed red blood cells to address the significant blood loss he had suffered.  John was transferred to The University of Tennessee Medical Center the next day, where he endured, hopefully, the fight of his life. 

After transfer to UT, it became apparent that John was suffering from an infection somewhere in his body.  Coupled with the fact that he was bleeding heavily from his rectum and was constantly complaining of severe abdominal pain, doctors began to suspect that the infection was in his abdomen.  Heavy duty antibiotics were administered, but with no effect.  John continued for several days to exhibit signs of severe infection. 

The afternoon of October 16, 2007, doctors began to suspect that John had suffered a perforation (e.g. a puncture) somewhere in his gastrointestinal tract.  Besides the immense pain, the concern was that the contents of John's gastrointestinal tract, including the shiga-toxin producing E. coli O157:H7 bacteria, would escape and cause severe, potentially lethal infection elsewhere in his body. 

At around 8:00 PM on October 16, John was rushed to the Operating Room for an emergency exploratory laparotomy—i.e., an incision through the abdominal wall to gain access to the abdominal cavity. What the pediatric surgeon found inside was a mess of fecal material and grossly swollen bowel loops. The surgeon also found a portion of John’s rectum to be necrotic (i.e. diseased and dead) and there he located the perforation through the rectal wall that had allowed the contents of John’s bowel to spill into his abdomen, thus causing the severe infection in his peritoneal cavity.  

Ultimately, the surgeon decided that the necrotic and damaged portions of John’s colon and rectum stood no chance of recovery or survival, and so he removed about five inches of John's colon and rectum. After cutting and removing the damaged tissues, the surgeon washed John’s peritoneum copiously with normal saline. He then took a portion of John's colon outside of the peritoneal cavity and formed a pouch out of John's own tissue.  This pouch was then connected a colostomy bag to drain feces from John's abdominal cavity. 

It goes without saying that John's illness was severe.  After his surgery to remove part of his colon, John had to be sedated and kept on mechanical ventilation for many days.  He was hardly able to walk at discharge on October 29, 2007.  About John's discharge, his father recalls:

October 29, 2007: John got to come home today. He came home to a new house. He still couldn’t walk, but was trying to very hard. It was difficult for him (like Michaela) to rebuild his strength in his atrophied and skinny legs. We carried him when he couldn’t crawl. Nonetheless, everybody, including John, was thrilled that he was home. There were many tears of joy shed by all.
 

John's recovery is still ongoing.  He has done well since discharge, and has proved to be an extremely tough little customer.  We were honored to represent him and his family (by the way, his younger sister Michaela had HUS too), and have truly been inspired by his story.

 

Baby Steps: USDA Implements Increase in E. coli O157:H7 Testing.

As I noted in an earlier post on a different blog about the USDA’s decision to, in a matter of speaking, take its head out of the sand and recognize that E. coli O157:H7 is a problem that starts (and someday will hopefully end) with the slaughter and dressing process, the agency is finally appearing to take a more reality-based (which is to say, less industry-biased) approach to ensuring food safety.  For the earlier post, see here:www.foodpoisonblog.com/2009/05/food-policy-regulation/usda-sees-the-light-on-e-coli-o157h7-and-meat/#comments

Specifically, the only way that meat gets contaminated is because insufficient care was taken during slaughter and feces or ingesta cross-contaminates the previously uncontaminated carcass. Knowledge that this cross-contamination is commonplace is what has given rise over the years to post-slaughter “interventions” like steam-pasteurization and organic acid washes. Put bluntly, there is no need to try to remove the poop on the meat if it does not end up there in the first place.

Since the Pathogen Reduction; HACCP Final Rule was issued in 1996, it has been the stated policy of the USDA that E. coli O157:H7 be reduced to an "undetectable level." This is the so-called zero-tolerance policy for this deadly pathogen, which is based on the irrefutable fact that if the “presence [of E. coli O157:H7] can be prevented, no amount of temperature abuse, mishandling, or undercooking can lead to foodborne illness.” See HACCP Final Rule, 62 Fed. Reg. at 38,962. Now, seemingly more intent at make zero-tolerance a reality, USDA yesterday issued notice that it was mandating an increase in the frequency of its in-plant testing for E. coli O157:H7 in raw ground beef. While this is an improvement, it is but a baby step, since the most frequent testing that will occur under this policy is 4 times per month, and this is only at plants that produce volumes of ground beef greater than 250,000 pounds PER DAY.


For more on this change in policy, please click on CONTINUE READING.
 

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Local Seattle Woman Dies in Thailand from Possible Foodborne Illness

According to a news report on Seattletimes.com, the death of a local West Seattle Woman, Jill St. Onge, may have been caused by a microbial infection contracted through contaminated food consumed while on vacation in Thailand.  At this point the precise source of the microbes is unknown, although contaminated seafood is suspected.

Preliminary lab tests show that Jill and Julie Bergheim, 22, of Norway, had signs of microbial infection in blood samples taken from the two women, Krabi Provincial Police Commander Maj. Gen Pasin Noksakul told the Gazette.

Gen Pasin said that the results from the Forensics Institute were preliminary and not yet official, but it's possible the two women ate contaminated seafood.

The two women, who stayed in adjacent rooms at the Laleena guesthouse on Phi Phi Don Island at the beginning of May, died within hours of each other at Phi Phi Island Hospital after severe vomiting.

In blood samples taken from Bergheim, researchers found three different kinds of potentially harmful microbes, while blood samples from Onge had one, Gen Pasin said.

Although it is not normal procedure to release results until they are official, Gen Pasin said he wanted to quell widespread speculation over the cause of the deaths on Internet blog and chat forums.

Such theories have included exposure to toxic gas from a nearby wastewater treatment plant, problems with the air conditioning in the guest rooms, accidental overdoses of the 4 X 100 drug cocktail that has been gaining popularity in the south over the past year and even murder by poisoning.

The Forensics Institute is continuing to study the microbes to positively identify them and test their virility, according to the Gazette.

"I don't know when the official results will be released, but the commander of the Royal Thai Police has ordered the lab work expedited because the embassies of the two deceased tourists want to know the cause of the death as soon as possible," he told the Gazette.

Gen Pasin ruled out the possibility that [methane] gas emanating from the nearby wastewater treatment plant might have been the cause, saying the plant had been in the area for a long time with no ill effects on local people or tourists.

Produce E. coli Problems of a Different Variety

Most of the time when we're writing about, reading about, or representing people for illnesses suffered in an E. coli O157:H7 outbreak related to produce, we're looking at things retrospectively.  An outbreak of E. coli O157:H7 happened, we know it was linked to lettuce, spinach, or some other type of fresh, raw produce, but we are sometimes left digging for answers as to how the E. coli got onto (or even into) the lettuce or spinach leaves.

For once, we may have a glimpse, albeit a narrow one, of how these lettuce and spinach E. coli outbreaks actually get started.  The attached is an "incident alert" from the Food Safety and Defense organization.  It involves a modern day Bo Peep who apparently forgot what fences mean (actually, it's a little unclear who owned the property).  The sheepherders allowed their herd to invade a carrot growing field where the carrot behemoth Grimmway was actively growing carrots.

Sounds innocent enough, right?  I mean, they're just sheep, and they just wanted to eat a few carrots.  Probably just the tops of the carrots that nobody eats anyways.

Well, sheep are ruminant animals well-known to harbor E. coli O157:H7, and other pathogenic bacteria, in their gastrointestinal tracts.  I know nothing about any "problems" (i.e. linked e. coli illnesses) . . . yet.  Hey, just an aside here, but what's up with California lettuce?  Anybody know anything that we don't?

Ground Beef, Hamburgers, and E. coli: John McDonald's illness

The recent recall of nearly 96,000 pounds of ground beef by Valley Meats LLC got me thinking about hamburgers and E. coli O157:H7.  Anytime I hear those words together (which, as an attorney at Marler Clark, is quite often), I think of John McDonald.  John was a 5-year-old boy who we represented in a ground beef outbreak that occurred in 2007.  Unfortunately, John's illness was about as bad as an illness can get without causing a death.  (it is unbelievable how many times I find myself saying that about our clients) 

John was hospitalized at East Tennessee Children's Hospital from October 4 through 12, then was transferred to the University of Tennessee Medical Center where he remained until October 29.  During his hospitalization, John's kidneys failed requiring extensive dialysis to cleanse his blood, and he became badly anemic requiring many blood transfusions.

But these conditions, though in and of themselves potentially lethal, were just the beginning.  What truly separates John's illness from most of the hemolytic uremic syndrome illnesses that we see was the extent of injury to his gastrointestinal tract. 

Jim McDonald, John's father, was present at the moment it became apparent just how severe John's illness was.  It occurred in the early morning hours of Thursday, October 11, 2007.  He recalls: 

As usual, I got up to help as much as possible when the nurses came in and woke us up. When we opened his diaper, I got excited since it looked like he had had dark brown diarrhea, which told me that his digestive system was finally starting to kick in again. Realizing how liquidy the diaper was, we turned on an extra light to help us while changing him.

I will never forget what I saw. To my dismay, the diaper was not full of a bowel movement like I had desperately hoped. It was full of blood. An entire bowel movement of blood. Maybe an entire cup of blood. I got light-headed and almost passed out. I immediately sat down and grasped my head, apologizing to the nurses and telling them that I could no longer help them treat my son. This was the first of five grossly bloody stools that day.

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Spinach E. coli Outbreak Revisited: The Story of Regan Erickson

The spinach E. coli outbreak in September 2006 was perhaps the most devastating outbreak of foodborne disease since the Jack in the Box E. coli outbreak in 1993.  Over two hundred people suffered confirmed illnesses in the spinach outbreak, with 102 hospitalizations, and at least four deaths.  We represented over 100 victims, including nearly 30 who suffered kidney failure and hemolytic uremic syndrome  (HUS).  The outbreak caused spinach, and produce companies generally, to lose hundreds of millions of dollars.  But this is all just numbers and words, things that are no closer, or more real, to most of the 300 million Americans than a successful missile launch by North Korea or Iran.  It happens, and its a little scary, but do we do anything different in our daily lives because of it?  

Tiffany and Russ Erickson were just like most Americans until September 2006.  Their four-year-old son Regan (pronounced "Ree-gun") was one of many young kids whose future was unalterably and forever changed by spinach.  What appears below is Regan's story.  It is a little long, but that must be forgiven.  Regan's illness very nearly cost him his life.

ONSET OF ILLNESS:

Regan's mother, Tiffany, and his sister, Emma, were both sickened during the Spinach outbreak as well.  Tiffany actually fell ill first, on August 28. It felt like cruel timing, given that it was only three days before Emma’s birthday and little more than a week since discovering that she was pregnant with her third child, Maggie, but Tiffany took everything in stride. She had no reason to suspect that she was dealing with anything more than a run-of-the-mill flu, and her primary concern was with the health of her unborn child.

After twenty-four hours or so, however, thoughts began to change about the nature of Tiffany’s illness. Her bouts of diarrhea had grown more frequent and severe, and her abdomen was beset by cramps more severe than labor pains. Then, the evening of August 29, after a particularly painful bout of diarrhea, Tiffany noticed that the toilet bowl was streaked with blood. Up until this point, Tiffany had endured everything with resolute confidence, but this symptom suggested something that she had never before reckoned with.

Tiffany soon underwent a diagnostic procedure called an endoscopy to shed light on what was wrong.  Of his wife’s illness, before his thoughts turned to Regan alone, Russ recalls:

We left the urgent care facility and gave the drugs some time to work, but the pain continued to be unbearable. As my concern shifted from the baby to Tiffany I couldn’t stand seeing her in that much pain, tired from lack of sleep, and not able to get comfortable.

Meanwhile, Regan had begun to develop symptoms, and Emma soon would. “We didn’t realize that the illnesses could be related,” Russ recalls, “since Regan couldn’t express his pain as well as Tiffany. He just knew his ‘tummy’ hurt and he began having diarrhea.” Emma’s symptoms began the very next day, September 1.

Russ recalls:

Everyone in the family was sick, tired, and the children being so young, not knowing how to tell or deal with the symptoms like diarrhea, I was continually cleaning, comforting, and helping where I could, all without Tiffany’s help who is usually the stalwart caregiver. We knew that we had some kind of ‘bug’ but not how severe yet. It presented a lot like flu symptoms, but we began to know it was more serious as the kids, just as Tiffany, began to have blood in their stool, and then blood instead of stool. That is a scary, unnerving experience to see blood when your 3 and 4 year olds are using the bathroom.

Compared to four year-old Regan, the illnesses that Tiffany and Emma Erickson suffered were nothing more than a small current in a raging sea. Nevertheless, to hear Russ describe what his wife and daughter endured is to fully comprehend the aggressive nature of this virulent pathogen. Emma endured many days of an illness more acutely painful than anything her parents had ever seen. But as sick as she was, her older brother was fast-becoming critically ill, and her parents thoughts and attention soon went solely and exclusively to Regan.

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E. coli in Lettuce or Hamburgers: Sadly, the Results are Often the Same

Bill Marler and the other attorneys at Marler Clark have been litigating E. coli O157:H7 cases for sixteen years.  I have done it now for six.  Collectively, we have seen E. coli illnesses ranging from a few days of diarrhea to some of the most agonizing deaths imaginable . . . and everything in between.  It doesn't matter how it happens--at least not to the parents of the kids getting sick.  Whether its lettuce, hamburgers, stagnant pond water, or contaminated venison, the results can be tragic.

Many of the saddest cases we have been involved came from California produce.  Ruby Trautz is a perfect example.  She was a beloved mother and grandmother who lived in Bellevue, Nebraska.  Ruby died a death more befitting of a capital murderer . . . and only because she ate contaminated spinach.  Read more about Ruby's E. coli O157:H7 illness here.

Kelly Cobb is yet another example.  Kelly was also infected by California produce, though her illness arose from a different outbreak than Ruby Trautz.  Kelly was more fortunate than Ruby, but only because her younger body was more capable of fighting the severe infection than Ruby's was. 

Nonetheless, Kelly's E. coli O157:H7 infection also resulted in hemolytic uremic syndrome.  See www.about-hus.com.  Here is the story of Kelly's illness:

In the early morning hours of May 16, 2008, Kelly was roused from sleep, at first by a strange bloated feeling and then a bad bout of diarrhea. It seemed as if there was a rock under her rib cage causing an overwhelming feeling of nausea, yet she did not vomit. This was followed by crampy pain in the upper part of her stomach, with sharper spasms of pain coursing through her torso every ten minutes or so. With the pain came diarrhea, which by 5:00 AM had turned to blood.

Kelly was seen in the emergency room of Good Samaritan Hospital in Tacoma, Washington from 6:00 AM until 11:00 AM. She described to the doctors the surprisingly severe, sudden onset of the nausea, abdominal cramping and bloody diarrhea. The history taken by the triage nurse revealed nothing out of the ordinary: Kelly had been in good health, she was not pregnant, her children had not been sick.

But blood tests showed an elevated number of white blood cells, the sign of a bacterial infection. The presence of gallstones was picked up by an abdominal ultrasound, yet there was no evidence that Kelly had cholecystitis, an active gallbladder attack. A watery stool was guaiac positive—in other words, there was blood in it. This was sent to be cultured and also for Clostridium difficile toxin-testing. Kelly was initially given intravenous fluids and pain medication, then sent home with prescriptions for the antibiotic Ciproflaxin, as well as oral pain and anti-nausea medications. She was told to see her primary care physician in a day or two, or return to the emergency room if other problems arose.

Other problems did crop up, almost immediately. Kelly could not drink or eat anything, including her prescribed medications, without vomiting. The diarrhea was unrelenting, and the watery rectal discharge was mostly bright red with blood. She was also suffering from intense pain. Kelly returned to the Good Samaritan Hospital emergency room on May 17, and this time she was admitted to the hospital for treatment. She was severely dehydrated, with depressed levels of serum electrolytes, blood urea nitrogen and creatinine. She was started on IV fluids and given something for the pain.

A colonoscopy performed on May 18 showed pancolitis, a form of severe, ulcerative colitis that is manifested by an irritation throughout the length of the colon and that typically is the result of an infection. The pathologist suspected that the source was likely E. coli O157:H7, but could not rule out the possibility of ulcerative colitis. Bowel tissue biopsies showed inflammatory pseudomembranes. These findings were nonspecific, so still did not explain the cause of the problem.

On May 19, the doctor noted that Kelly’s abdominal pain was relatively better, and that she no longer felt nauseated and was not vomiting. Her pancolitis was improving and there was no blood in her stool. The plan was to take her off intravenous medications, switch her to oral treatments and then let her go home.

On the morning of May 20, the mystery of Kelly’s symptoms was solved. A stool sample collected on May 16 had grown out E. coli O157:H7 bacteria. The Ciproflaxin was discontinued. Kelly still rated her abdominal pain as a seven on a scale of one to ten, and she was nauseated again. But doctors were encouraged that she could finally keep down food and water and that there had been no bouts of bloody diarrhea overnight, so they discharged her to go home around midday.

The following day, May 21, Kelly’s symptoms returned worse than ever. She had awakened overnight feeling quite ill and began to vomit again repeatedly. She was absolutely unable to keep any fluids down. Her family took her back to the hospital on May 22 after she had been up the whole night with awful nausea and vomiting.

Laboratory tests now indicated that she was anemic. Since her discharge May 20, her hematocrit and platelet counts had decreased significantly, while her BUN and creatinine levels had increased since her recent discharge. These were ominous signs that Kelly’s kidneys were beginning to lose filter function and that she appeared to be developing hemolytic uremic syndrome (HUS), the dire complication of an E. coli O157:H7 infection. Kelly was told her kidney function was at 50 percent of normal.

Kelly was once again admitted to the hospital, where a catheter was inserted so she could receive intravenous fluids and for blood draws. She was tired and miserable. Whenever she opened her eyes she felt dizzy and sick to her stomach.

By May 23, the doctors agreed that plasmapheresis, or plasma exchange, would be necessary as soon as possible to remove waste products from the blood that were accumulating as Kelly’s kidney function diminished. Plasmapheresis involves withdrawing whole blood from the patient, removing the plasma from the blood cells through a cell separator, and then returning the blood cells to the patient while replacing the plasma with donor plasma.

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E. coli O157:H7 Outbreaks Linked to Produce

E. coli O157:H7 outbreaks associated with lettuce or spinach, specifically “pre-washed” and “ready-to-eat” varieties, are by no means a new phenomenon. By way of illustration:

- in October 2003, thirteen residents of a California retirement home were sickened, and two people died, after eating E. coli-contaminated, pre-washed spinach;

- in September 2003, nearly forty patrons of a California restaurant chain fell ill after eating salads prepared with bagged, pre-washed lettuce; and

 - in July 2002, over fifty young women fell ill with E. coli O157:H7 at a dance camp after eating “pre-washed” lettuce, leaving several hospitalized and one with life-long kidney damage.

Here are a few more examples:

  • Aug. 1993--E. coli O157:H7 outbreak linked to a salad bar; 53 reported cases in Washington State
  • July 1995 Lettuce (leafy green; red; romaine) E. coli O157:H7; 70 reported cases in Montana
  • Sept. 1995 Lettuce (romaine) E. coli O157:H7; 20 reported cases in Idaho
  • Sept. 1995 Lettuce (iceberg) E. coli O157:H7; 30 reported cases in Maine
  • Oct. 1995 Lettuce (iceberg; unconfirmed) E. coli O157:H7; 11 reported cases in Ohio
  • May-June 1996 Lettuce (mesclun; red leaf) E. coli O157:H7; 61 reported cases in Connecticut, Illinois, and New York
  • May 1998 Salad E. coli O157:H7; two reported cases in California
  • Feb.-Mar. 1999 Lettuce (iceberg) E. coli O157:H7; 72 reported cases in Nebraska
  • July-Aug. 2002 Lettuce (romaine) E. coli O157:H7; 29 reported cases in Washington and Idaho
  • Oct. 2003-May 2004 Lettuce (mixed salad) E. coli O157:H7; 57 reported cases in California
  • Apr. 2004 Spinach E. coli O157:H7; 16 reported cases in California
  • Sep. 2005 Lettuce (romaine) E. coli O157:H7; 32 reported cases in Minnesota, Wisconsin, and Oregon

But we all know that the list does not end there.  E. coli O21:H19 nearly killed two women at a Wendy's in Utah.  Who can forget the September 2006 outbreak associated with Dole Baby Spinach?  Click here to see how the Spinach outbreak unfolded, and what all the epidemiological and other scientific evidence revealed.  Also Taco Bell and Taco John's in late 2006.  2008 saw E. coli outbreaks linked to lettuce in Michigan and the State of Washington - Spinach too in Oregon.  And, there have been may others sickened in produce-related outbreaks of E. coli O157:H7, Salmonella, and other dangerous bugs.

FDA Inspectors Found Numerous Violations at Setton Pistachio Plant Linked to Salmonella Recall

In a 483 Inspection Report released today, FDA inspectors identified multiple food-safety shortcomings at the Setton Pistachio of Terra Bella California that was linked to a Salmonella outbreak earlier this year:

1. The company detected the bacteria in roasted pistachios in October but did not change its processing procedures until March

2. In one instance, the company re-roasted pistachios that had tested positive for Salmonella and blended them together with other nuts for sale.

3. Inspectors identified a "failure to manufacture, package and store foods under conditions and controls necessary to minimize the potential for growth of microorganisms and contamination."

4. Specific physical problems ranged from a rusty hole in the roof above one pistachio roaster to "thick layers of dust and debris" in a packaging room.

5. Procedural shortcomings included failure to monitor roasting temperatures and allowing raw and roasted pistachios to potentially come into contact.

6. Between October 2008 and March 2009, the report noted that "there were at least eight reported Salmonella-positive test results" coming out of the Terra Bella plant. When the firm learned of the private laboratory test results, inspectors said, there were no "procedures in place" to respond appropriately.

7. Prior to January, inspectors added, the Terra Bella plant did not monitor roasting temperatures, roasting times or the depth of pistachios placed on the roasting conveyor belts.

8. Inspectors checked records for 14 lots of roasted pistachios. In a potentially dangerous step, 10 of these lots had raw pistachios packed on the same packaging equipment prior to the roasted pistachios being run.

Does this not sound just a bit like the 483 Inspection report at the Peanut Corporation of America? Setton is just lucky they did not sicken and kill people or they may too be facing bankruptcy and jail time.

Was Valley Meats (or at least the plant) Linked to THREE Prior E. coli O157:H7 Outbreaks and Recalls?

Yesterday the FSIS announced that Valley Meats LLC, a Coal Valley, Illinois meat establishment (USDA EST. 5712) recalled approximately 100,000 pounds of ground beef products that are likely contaminated with E. coli O157:H7 after illnesses linked to the hamburger were reported in Pennsylvania, Ohio and Illinois. One child is reported to have died as a result of E. coli O157:H7 complications – likely Hemolytic Uremic Syndrome. Valley Meats is located at 2302 1st St., Coal Valley, IL 61240. One of the products recalled in this recent recall are a variety of J & B Brand Products.

Interestingly, J & B Meats Corporation (USDA EST. 5712) is (or was) also located at 2302 1st St., Coal Valley, IL 61240 and is (or was) a manufacturer of branded specialty meats and prepared foods serving the institutional food service market. As of 2005, J&B Meats Corporation was a subsidiary of Topps Meat Company, LLC. Topps Meat was linked to dozens of illnesses in October 2007, was forced by FSIS to recall over 21,000,000 pounds of hamburger and eventually filed for bankruptcy. J & B recalled nearly 175,000 pounds of hamburger in that recall, 76,000 pounds in August 2003, and in June 2002 recalled nearly 65,000 pounds of hamburger.

Nearly 100,000 pounds of ground beef recalled for E. coli O157:H7 contamination

Approximately 96,000 pounds of ground beef products are being recalled by Valley Meats, a company operating out of Coal Valley, Ill., for E. coli O157:H7 contamination.

It appears this recall did not come soon enough for one unfortunate person.  The Department of Health in Cleveland, Ohio has announced that a 6 or 7 year old girl has died, apparently from consuming some of the recalled ground beef.

For a complete list of the products currently being recalled, see below:

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A Point Well Taken

Once again, the Perishable Pundit has managed to give, and get, some excellent commentary on sprouts and other food safety issues.  I particularly enjoyed the statement by Devon Zagory, Ph.D, an industry leader in produce safety science, discussing the proper role of FDA regulations.  If I may be so bold, and speak for Dr. Zagory, I believe he would fully acknowledge the importance of FDA regs on any number of produce, medicinal, or other food products.  But he appears to also share the sentiment that FDA regs are a floor, not a ceiling.  He states, in reference to sprouts and his new job with Salad Cosmo:

"In the mean time we are already instituting a program that includes adherence to FDA test-and-hold procedures [step one] and goes well beyond FDA guidelines [step two] in terms of seed testing, water testing, environmental sampling, hazard analysis, development of detailed SOPs and validation of food safety programs and processes. Of course we are investigating seed sources to try to find seed produced following GAPs. It is a challenge that we relish. I don’t eat sprouts unless I know where and how they were produced. I eat sprouts from Salad Cosmo."

(emphasis and commentary supplied)

We see way too many companies in litigation trumpeting their adherence to FDA regs, or standards, and drawing the connection between that and proof of reasonable conduct.  The two are not equal.  There are hundreds, probably even thousands, of files in our file cabinets at Marler Clark containing the records of people injured in outbreaks where the manufacturer was "adhering to FDA standards."  Think about it.  Would you ever advise somebody--your children, co-workers, anybody--to "do the bare minimum and all will be well?"  Why should that defense work in front of a jury then?

Giving New Meaning to the Term "Kill Step"

Yesterday, the New York Times published an interesting, as well as disturbing, article on the continuing dangers of ConAgra frozen pot pies.  Specifically, despite the 2007 outbreak and all the serious illnesses it caused, the safety of the pot pies still depend on the customer cooking them correctly.  Apparently, the challenge of making the pot pies safe to eat, even if cooked to a temperature below what would constitute a "kill step," was simply too difficult.  Here is how the NY Times described the decision:

The frozen pot pies that sickened an estimated 15,000 people with salmonella in 2007 left federal inspectors mystified. At first they suspected the turkey. Then they considered the peas, carrots and potatoes.

The pie maker, ConAgra Foods, began spot-checking the vegetables for pathogens, but could not find the culprit. It also tried cooking the vegetables at high temperatures, a strategy the industry calls a “kill step,” to wipe out any lingering microbes. But the vegetables turned to mush in the process.

So ConAgra — which sold more than 100 million pot pies last year under its popular Banquet label — decided to make the consumer responsible for the kill step. The “food safety” instructions and four-step diagram on the 69-cent pies offer this guidance: “Internal temperature needs to reach 165° F as measured by a food thermometer in several spots.”

For the full article, see www.nytimes.com/2009/05/15/business/15ingredients.html

But getting a frozen-hard pot-pie to reach a uniform temperature of 165 degrees is by no means an easy thing to accomplish, as the Times article amply demonstrates. 

But attempts by The New York Times to follow the directions on several brands of frozen meals, including ConAgra’s Banquet pot pies, failed to achieve the required 165-degree temperature. Some spots in the pies heated to only 140 degrees even as parts of the crust were burnt.

A ConAgra consumer hotline operator said the claims by microwave-oven manufacturers about their wattage power could not be trusted, and that any pies not heated enough should not be eaten. “We definitely want it to reach that 165-degree temperature,” she said. “It’s a safety issue.”

A safety issue indeed.  Because if that pot pie is contaminated with a deadly pathogen, and the cooking process does not essentially pasteurize the pot pie, then eating will could be the real "kill-step" here. 

For additional discussion, please click Continue Reading.

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Sprouts: 235 victims . . . and counting???

A new study finds that only 60 percent of Americans search their homes for recalled foods when a recall happens.  Reuters carried an interesting article on the study recently, and it got me thinking . . . about the current sprouts situation, as usual.  I have talked to a number of different publications recently about the sprouts outbreak generally, and more specifically about the actions (or some would say omissions) of Caudill Seed in responding appropriately to the outbreak.  As i've talked about for many days now, Caudill Seed has chosen to conduct a "market withdrawal" rather than announce a "recall." 

Why?  You got me.  Actually, that's not true.  I know perfectly well that Caudill is simply avoiding the stigma, and ultimately the financial responsibility, of announcing a recall of its product--an unfortunate decision for the many Americans who continue to eat sprouts, and who probably believe that the FDA, and more importantly the businesses involved in this recent outbreak, have done everything they can to protect the people they profit from.  (By the way, at last count by the CDC, there were 235 confirmed illnesses in this outbreak)  But a class I recall requires "serious risk of injury or death."  Oh, I forgot, we don't have that here.  Are these 235 people that the CDC says were sick in this outbreak really just monopoly figurines or something?

Update on Sprouts Salmonella Outbreak: 235 confirmed illnesses

The CDC has updated its numbers with respect to the alfalfa sprouts outbreak.  See the full report here, which gives a good summary of the epidemiological evidence that establishes that Caudill Seed was the source of this outbreak.  My homework assignment for Lyle Orwig is to read this report before doing anymore interviews.  Seems to me that the CDC has linked this outbreak to Caudill Seed. 

The CDC update report is also instructive on the issue of Caudill's failure to recall the product.  Here's what Mr. Orwig had to say, including my commentary, on the necessity of a recall based on the known information. 

I don't know about Caudill Seed, or the FDA, or the CDC, but something has me a little frightened that nobody seems to be talking about:  the exceptionally long shelf-life of alfalfa sprout seeds.  The research that I've done suggests that the seeds may remain viable for years.  If that's true, and if the responsible entities fail to act in a timely and forceful manner, might we be seeing people get sick in this Salmonella Saintpaul outbreak for months to come?   If the answer is no--and it may in fact be--I wish somebody would tell me why not.  I mean, granted, the CDC's epi curve shows a significant reduction in illnesses in March and April, but does that mean that there isn't viable, contaminated seed out there waiting to be cultivated and, ultimately, consumed?

States Tell the Feds: If You Don't Fix It, We Will

State legislators around the US, fed up with the perceived slow response of the federal government to enact stronger food safety laws, have begun sending a clear message to Washington:  if you won't protect our citizens from increasing foodborne illness outbreaks, then we will.

in a Wall Street Journal article by Jane Zhang, she highlights the numerous changes some states are making to strengthen their food safety laws and better protect their own citizens, including:

  • Georgia recently enacted legislation that gives food processors 24 hours to report internal tests that find tainted products. The state's peanut industry was hit hard after a widespread salmonella outbreak was traced to a processing plant in rural Blakely, GA.
  • Idaho enacted a law last month that authorizes the state to charge food services, retailers and processors a licensing fee to help pay for food-safety inspections.
  • The Oregon Senate, with the support of the food industry, passed legislation in February that would let the state impose civil fines of as much as $10,000 for food-safety violations. Under current law, a food company must be convicted of a criminal violation and the fine is limited to $200.
  • California lawmakers have introduced a bill aimed at strengthening food safety after a massive recall this year of pistachios from Setton Pistachio of Terra Bella Inc. that could be tainted with salmonella. Like the new Georgia law, it would require food processors to report positive tests for pathogens or harmful contaminants within 24 hours. It also would require food processors to keep detailed safety plans to prevent contamination and stepped-up testing of foods from California facilities.

Of course, these state-led efforts are leading to another potential issue: lack of uniformity for food manufacturers and distributors.  Food-industry groups say anything other than a uniform federal food-safety system will add to their costs. "It's a good thing states are trying to raise the bar and improve food safety, but it needs to be looked at carefully," said Robert Brackett, chief science officer of the Grocery Manufacturers Association, a trade group in Washington. "It should really lead to a national system."

What are your thoughts on this issue?

More from Mr. Orwig and Caudill Seed

I know you're dying for more.  I posed a question to Caudill Seed yesterday about why they haven't recalled their product.  Jim Prevor, the Perishable Pundit, had the same question apparently. 

Pundit:  FDA says Caudill made the decision to voluntarily withdraw from the market all the alfalfa seeds bearing six digit lot numbers that start with 032. Why a withdrawal and not a recall? What is the difference? Does a recall have a greater legal obligation, where Caudill would be agreeing to pay for companies to ship back and dispose of product, etc.?

Orwig:  The biggest difference between a recall and withdrawal is that a recall is a request from FDA because they have discovered an adulterated product. A market withdrawal is voluntary, as this one is because there is no proof, only suspicion. It is a significant difference. There is no proof; there are only problems and suspicion.

They have to have scientific proof to have a recall. There has to be an exact match. There are multiple strains of salmonella. In this instance, the only way you should have a recall is if it traces back the exact fingerprint of Salmonella Saintpaul. To justify a recall you have to have an exact match from the sick person to the seeds or product, otherwise it’s just suspicion.

My two cents:  Don't hate me for this.  I swear, I never use those acronyms that everybody but high-school kids hate like LOL and OMG.  But OMG!  (For my parents, that stands for Oh My God!, as if i was astonished at something).  Give me a break Caudill and Orwig.  You should have recalled your product long ago.  There are 228 people sick (and that's only the confirmed illnesses).  What if people continue to get sick, or even worse, die?  So you're telling me that if this outbreak balloons to 500 illnesses and ten deaths that you're still not going to recall your product unless the FDA comes up with a Salmonella positive from seeds at your building or in a bag marked O32?  Wow, that would be bold.  I wonder how long Mr. Orwig will toe this untenable line. 

Much more to come. 

Interview with Lyle Orwig, Spokesman for Caudill Seed

 

Good Lord, where do I start?  Well, to begin with, thank you to Mr. Orwig (picture left), Caudill Seed, and Jim Prevor, aka "the Perishable Pundit" (the latter thank you being entirely without my tongue in my cheek--I really do enjoy Jim's weekly emails) for a wealth of extremely valuable information.  What I'm referring to here is an interview that the Pundit had with Lyle Orwig, spokesman for Caudill Seed, who is now embroiled, despite any remonstrances to the contrary, in a public health nightmare--i.e. national Salmonella outbreak--linked to its alfalfa sprout seeds.  Read the interview here

There are lots of things to talk about, legal and otherwise, after reading the interview.  Much of it will have to wait for official discovery and trial, but I do want to highlight just a couple of things:

Pundit:  FDA says the preliminary epidemiology ties the alfalfa salmonella outbreak to Caudill seeds. What can you tell us?

Orwig:  The seeds have been implicated but there is no proof. While the seeds are said to be epidemiologically linked, FDA hasn’t been able to conclusively tie the source of the salmonella in the sprouts back to where it actually occurred. FDA would need an exact fingerprint serotype match, but it has no confirmed test.

From the seed company perspective, we encourage all sprouters to follow FDA food safety guidance. Back in ’99, they did all that work to establish best practices. If the seeds are treated with recommended soaking chemical and the sprouters do that and test and hold, we wouldn’t be talking about this problem now. Not everyone tests and holds.
 

The voice of reason (that's debatable):  I don't mean to tell anybody how to do their job.  That is for bosses, and I'm not there yet.  Mr. Orwig is a public relations guy who works for a prominent PR firm called Charleston Orwig.  Here is my one bit of advice for Mr. Orwig:  you do not do your business or, more importantly, your client's business any good by trying to obscure the issue.  I don't know, maybe it's a legitimate PR tactic to deny and then hedge, but the reality is that Caudill has been linked to a massive salmonella outbreak.  How do I know?  What do 228 people across the country who are sick with Salmonella Saintpaul have in common?  You guessed it.  I don't need a genetically matched sample from the grounds or product at Caudill Seed to convince a jury of that. 

Pundit:

Are food safety measures conducted at the seed level? Does the seed company hold some responsibility here? On your website, it says all of the alfalfa sprouting seed provided by Caudill has been tested for germination, purity and absence of salmonella and E coli. How does that work?

Orwig:

We sell a raw agricultural product. What that means is that the alfalfa seed is either put into the ground to grow, or the sprouter will use it to produce edible product. It can be the same seed. Part of the seed industry law, in and of itself, is that when we sell, there’s a seed tag that shows what the germination is of that bag of seed, as well as the purity and process it has gone through. This is part of the federal law we follow that has to go on every bag we send out. When we buy seed, it’s sorted, tested and bagged and when it’s bagged and the tag goes on it, we’ve followed our legal duty. Then it’s the sprouter’s responsibility.
 

The voice of reason (highly debatable):  Mr. Orwig gives yet another example of the attitude that, in my view, is responsible for many, many of the foodborne illnesses that occur in this country every year.  Essentially what he's saying is, "our responsibility for food safety begins when the seeds come through our doors, and our responsibility ends when the seeds leave."  Is bullshit too strong a word here?  I don't care about FDA guidance, if any, on this issue.  Caudill, you and every other food manufacturer in the country has a continuing obligation to protect the people you profit from--i.e. consumers--before you receive your product and after you sell it.  This means, at a minimum, knowing the companies you do business with, and knowing all intended uses.  It also means TAKING ADEQUATE STEPS TO PROTECT THE CONSUMERS WHEN YOU KNOW, OR HAVE REASON TO KNOW, THAT A PROBLEM EXISTS.  See my post yesterday about recalls and market withdrawals.  I guess the good thing in this kind of attitude is that it will keep us in business.  I don't know how this helps consumers of your products though.

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Heather Whybrew's E. coli O157:H7 Illness

Andrew Martin of the New York Times wrote a nice article this morning on the safety of our food supply.  We represent all three individuals profiled in his article:  Heather Whybrew, Carl Ours, and Mary Tardiff.  All suffered devastating illnesses in separate outbreaks and from different pathogens.  All have unbelievable stories of suffering. 

Heather's story is unique, perhaps because she had lived through so much pain in her life even before her severe E. coli O157:H7 illness.  In November 2004, after two years of headaches, she was diagnosed with a brain tumor. Treatment for her relatively rare condition—giant cell glioblastoma—included a full craniotomy to remove the tumor from the left frontal lobe of Heather’s brain. The procedure left her partially paralyzed. She remained hospitalized at Seattle Children’s Hospital and in intensive rehabilitation from November 16 until December 24, 2004.

During her rehabilitation, Heather had to relearn many basic motor functions, including how to walk.  Relearn these skills she did, and despite her brain tumor, Heather eventually went on to college at Pacific Lutheran University.

Heather was infected by E. coli O157:H7 in the midst of finals her freshman year from contaminated lettuce served in a University Cafeteria. She would ultimately be hospitalized at St. Francis Hospital and Seattle Children's Hospital for three weeks.  During her hospitalization, Heather battled endless nausea, vomiting, and diarrhea, a bad pneumonia illness, and severe blood clots in the superficial veins of her arms.  The combined medical treatment would cost almost $114,000.  She would have to make up her final exams during the next school year.

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A Question for Caudill Seed

I'm doing my best to find any reference to a recall of the seeds implicated by the FDA and CDC in the recent Salmonella Saintpaul outbreak, which is now responsible for at least 228 illnesses in 13 states.  I can't find any action by Caudill Seed taken to actually recall the product.  I'm not talking about a market withdrawal, or any other less-than-serious effort to obscure the reality of this very significant public health nightmare.  I'm talking about a recall . . . something that is supposed to voluntarily happen when a company (Caudill Seed) sells a product (alfalfa sprout seeds) that pose a significant public health risk (228 illnesses and counting). 

Maybe the answer from Caudill Seed would be "well, we issued a market withdrawal."  Here's how the FDA defines "market withdrawal:"  "occurs when a product has a minor violation that would not be subject to FDA legal action. The firm removes the product from the market or corrects the violation. For example, a product removed from the market due to tampering, without evidence of manufacturing or distribution problems, would be a market withdrawal."

By comparison, the FDA defines a Class I Recalls as follows:  "a situation in which there is a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death."

This is not a market withdrawal situation.  There are 228 confirmed illnesses in 13 states.    These are human beings who have been exposed to something that can kill them.  

Moreover, I've done some research to find out that alfalfa sprout seeds have an extremely long "shelf-life"--we're talking years--the significance of which fact needs very little explanation here.  If Caudill Seed doesn't act quickly and, this time, with resolute action that is not done for purely PR purposes, but to actually PREVENT THE FURTHER SPREAD OF DISEASE, we may be having this same discussion for months.  A Class I Recall was, and remains, warranted. 

It is actions like this--which amount to little more than veneers of concern by foodmanufacturers--that keep Marler Clark in business.   

Sprout advice from a Sprouter

I recently received this comment to a recent post that I called ...:

"You need to buy your seeds organically grown. This will almost ensure that there will be a lesser chance of bacterial problems.

Before you begin sprouting you should rinse your seeds very well with a mixture of hydrogen peroxide. The hydrogen peroxide will kill any bacteria. "

The picture to the left is an actual sprout growing kit.  Didn't even know they existed at the consumer level, but that's beside the point.  With regard to the sprouter's comment, and putting aside for the time being the thought that organic food is a safeguard against bacterial contamination, here are a couple of thoughts about this comment:  (1) I appreciate that the person who wrote this comment, who is in the sprout industry, seems to have a genuine interest in producing a safer product (why else would you email a lawyer who represents the victims of this outbreak . . . at least one not filled with expletives) and (2) I'm certainly willing to serve as a sounding board or discussion forum to start generating new ideas on sprout safety.  There are too many people sick.

Actually, there are so many people sick in different areas of the country, and such a long exposure period . . . I am really beginning to wonder what Caudill Seed knew about its sprouts and when they knew it.  What testing were they running on product that they were selling?  Well, give me a few weeks and I'll be able to tell you much more on how this outbreak happened.

Recalls Found to be Even Less Effective Than Expected

There has for a long time been valid criticism of food recalls, both with regard to how agencies like the FDA implement them, and whether recalls really work to prevent foodborne illness.  In my view, most recalls are best described as closing the barn-doors after the horses have escaped.  But that said, when a food product is determined to be contaminated, there is no avoiding the need to try to remove the product from the market.  That means recalls are necessary.  It also means that recalls need to be effective as possible at limiting the spread of foodborne disease. According to a great and interesting new study out of Rutgers' Food Policy Institute, it appears that recalls are anything but effective in prompting necessary public action.  For example, in a survey of over 1,100, the study found that only about 60 percent of the studied sample reported ever having looked for recalled food in their homes, and only 10 percent said they had ever found a recalled food product.

This is a disturbing finding, because, unless we can reliably count on the public to take the actions necessary to prevent the spread of foodborne disease, we may be assuming that recalls work when, in fact, they do not.  This study thus deserves to be read carefully by public health officials, and additional research definitely seems to be needed.

The full study can be found here: www.foodpolicyinstitute.org/docs/news/RR-0109-018.pdf

To read the full press release announcing the study, please hit the Continued Reading link.

 

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Sprout Outbreak Update: this may get messy

Here is a copy of the Morbidity and Mortality Weekly Report from the CDC addressing the recent sprout outbreak.  We have been reporting on this for weeks now (maybe months), since cases were first report in Nebraska in February.  Please take a look at this report; it provides a good summary of the anatomy of an outbreak, especially when sprouts are the vehicle. 

Moreover, consider now that the CDC is reporting at least 228 illnesses from 13 states (including NE, IA, SD, MI, KA, PA, MN, OH, IL, WV, FL, NC, and UT).  These outbreaks are evolving things, and more illnesses may ultimately be determined to have been confirmed in this outbreak by the time all is said and done.  But even if a hundred additional illnesses are added, that's nothing compared to the true scope and impact of this outbreak.  I've been posting for weeks that the number of likely ill people in this outbreak already exceeds a thousand, maybe many thousands.  But that's only part of the story.

There are many other victims in these outbreaks.  In fact, this is exactly what Bill Marler is speaking to the House of Lords in England about this week:  How One Peanut Company Caused 1.5 Billion Dollars in Losses.  My guess is that there are many more victims in this current sprout outbreak, in the form of both people and business losses, than the 228 people who are currently recognized as victims in the CDC report.  How many millions, hundreds of millions, billions (a little too bold??? maybe, maybe not) will the outbreak now linked to Caudill Seed cause?  Only time, and a little hard-driving discovery about what Caudill Seed knew and when they knew it, will tell.

Sprouts: Honestly, Does it get any Riskier???

There can only be two reasons why anybody in the country would be eating alfalfa sprouts right now:  one, they have not seen any of the hundreds of news reports, blog posts, or FDA/CDC reports on the several large outbreaks or recalls that have happened already in 2009; or two, they just don't care about the risk.  In all honesty, other than raw milk, I don't think there's one food right now (maybe anytime) that I would avoid with more dedication.  228 illnesses in 13 states due to contamination by Salmonella Saintpaul--and that's probably not even half the story in that outbreak.  See my recent post on the likely true scope of this outbreak.  If, for some reason, you really are continuing to eat sprouts, just stop for the time being while we bring a little more pressure to bear on the sprout industry to start producing a safer product. 

Not exactly the Italian vacation I had planned . . .

Our work at Marler Clark requires lots of travel . . . sometimes even overseas.  Looks like it might be time to up my intake of spaghetti carbonnara and red wine so that I'm ready to roll when it comes time to take a closer look at the Italian company selling the sprout seeds that are now responsible for a major Salmonella outbreak in the US associated with alfalfa sprouts.  Of course, there are a number of reasons why we might do this . . . not least of which is to find out exactly what, or who, Caudill Seed was relying on for the safety of the product that it was selling.

I Ate Contaminated Sprouts . . . What Should I do?

There is plenty of information out there on (1) what sprout and seed companies should be doing to reduce or eliminate the risk that they sell contaminated food to customers, and (2) what sprout sellers should be doing now, in the context of the Salmonella Saintpaul outbreak linked to sprouts/sprout seeds.  With absolutely no effort at sarcasm, that is truly all well and good.  But what about YOU?  What should you do when you have eaten a contaminated product?

My guess is that the sprout sellers of the world aren't reading this blog.  If they are, and they're doing it for ideas on how to improve the safety of their product, that's a little scary.  So this post is dedicated to the victims.  First, from a medical standpoint, doctors and moms across the country stress the importance of staying hydrated.  Second, it is important to have a doctor monitor your progress, or lack thereof.  Symptoms like a high fever, reduced urine production, nose bleeds, etc., may not seem too alarming in a vacuum, but they can signify the onset of devastating conditions, among them hemolytic uremic syndrome and sepsis.  Finally, it is always a good idea to encourage your doctor to run a stool test.  Now your doctor may or may not think that this is warranted in your individual circumstances, but it is extremely important in certain medical situations, and it is critical in helping to stop the spread of disease if you're involved in an outbreak.  The truth of the matter is that any investigating health authorities in an outbreak will not have the benefit of knowing your involvement (and your individual circumstances may be quite important in the outbreak investigation) unless you have a stool sample that tests positive for the outbreak bacteria or virus.  Important steps, all.

Pistactachio Salmonella Outbreak Confusion

Setton International Foods, Inc., has just announced another expansion of its previously announced recall for Salmonella contaminated pistachios. 

This announcement is a clarification to their earlier clarification issued on April 20, 2009 which specified that a small amount of the 2007 pistachio crop that was packaged alongside the 2008 pistachio crop was included in their expanded voluntary recall announced on April 6, 2009 due to potential contamination with the Salmonella organism.

Umm, I thought the whole point of a clarification was to make clear that which was not previously clear--to free the mind from ambiguity.  So if this clarification clarifies the earlier clarification, are we all clear now?

I say just head over the FDA's website and check out the complete list of products currently affected.  And as the FDA's notice makes clear, "consumers should not eat pistachios or food products containing them (such as pistachio bakery goods and pistachio ice cream) until they can determine that the products do not contain pistachios recalled by Setton."

Sprouts and Salmonella: A reason to get Twittered

Sprouts have gotten a bad rap recently, and I suspect that the sprout market will have that much-maligned feeling for many months to come.  In this day and age, with all the channels of communication available to health departments (federal and state) around the country, and all the detective work that we do here at Marler Clark, outbreaks simply do not go unnoticed.  Which brings me to my point.  If you're a sprout devotee whose simply not going to be deterred by the recent Salmonella outbreaks and recalls linked to your favorite risky food, maybe you should read this article and take it's advice to follow the developing outbreaks on Twitter.  That way, particularly if you're going to continue to eat sprouts and you live in . . . well, almost anywhere between the Rocky Mountains and the Eastern Seaboard, you can at least have the most up-to-date information before eating any Salmonella contaminated sprouts.

Sprouts, Sprouts, and more . . . Salmonella

The Salmonella-sprouts outbreak that we formerly reported was linked to illnesses in Michigan has grown.  Health officials from multiple states (Michigan, Minnesota, Ohio, Pennsylvania, South Dakota, Utah and West Virginia) report at least 31 confirmed illnesses, which means that the number of actual illnesses in the outbreak is probably over one hundred.  The FDA is on the case (see Bill's recent post), as are the health departments of many states.  Interestingly, the strain of Salmonella involved in this sprout outbreak is the same (Salmonella Saintpaul) as that involved in the CW Sprouts outbreak.   The common link is thought to be the seeds.

Some ideas:

§ Seeds for sprout production must be grown under good agricultural practices. Purchasers of seed should request verification from their supplier that appropriate practices were followed.

§ Seeds for sprouting should be treated with one or more treatments (such as 20,000 ppm calcium hypochlorite) that have been approved for reduction of pathogens in seeds or sprouts. Some treatments can be applied at the sprouting facility while others will have to be applied earlier in the seed production process. However, at least one approved antimicrobial treatment should be applied immediately before sprouting.

§ Microbiological testing of spent irrigation water from each production lot for Salmonella, E. coli O157:H7 (or EHEC), and Listeria monocytogenes. There is a potential that pathogens may survive antimicrobial treatments, even if used properly, so testing becomes the last chance to detect contaminated lots. Because testing for pathogens can be done with irrigation water as early as 48 hours into what is generally a 3 to 10 day growing period, producers who plan accordingly can obtain test results before shipping product without losing product shelf-life. Testing, whether done by the producer or contracted out, should be done by trained personnel, in a qualified laboratory, using validated methods.

RAW ALFALFA SPROUTS LINKED TO SALMONELLA CONTAMINATION

The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) today recommended that consumers not eat raw alfalfa sprouts, including sprout blends containing alfalfa sprouts, until further notice because the product has been linked to Salmonella serotype Saintpaul contamination. Other types of sprouts have not been implicated at this time.

The investigation indicates that the problem may be linked to contamination of seeds for alfalfa sprouts. Because suspect lots of seeds may be sold around the country and may account for a large proportion of the alfalfa seeds currently being used by sprout growers, and cases of illness are spread across multiple states, FDA and CDC are issuing this general advisory.

FDA will work with the alfalfa sprout industry to help identify which seeds and alfalfa sprouts are not connected with this contamination, so that this advisory can be changed as quickly as possible.

CDC, FDA and six State and local authorities have associated this outbreak with eating raw alfalfa sprouts. Michigan, Minnesota, Pennsylvania, South Dakota, Utah, and West Virginia have reported 31 cases of illness with the outbreak strain of Salmonella Saintpaul to CDC. Most of those who became ill reported eating raw alfalfa sprouts. Some reported eating raw sprouts at restaurants; others reported purchasing the raw sprouts at the retail level.

The illnesses began in mid-March. Cases are still being reported, and possible cases are in various stages of laboratory testing, so illnesses may appear in other states. No deaths have been reported. The number of infected people may be higher than currently reported because some illnesses have not yet been confirmed with laboratory testing.

The CDC and FDA recommend at all times that persons at high risk for complications, such as the elderly, young children, and those with compromised immune systems, not eat raw sprouts because of the risk of contamination with Salmonella or other bacteria. Salmonella is an organism that can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy individuals infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses, such as meningitis and bone infections.

Initial investigation results trace the contaminated raw alfalfa sprouts to multiple sprout growers in multiple states. This suggests a potential problem with the seeds used, as well as the possible failure of the sprout growers involved to appropriately and consistently follow the FDA Sprout Guidance issued in 1999 http://www.cfsan.fda.gov/~dms/sprougd1.html. The guidance recommends an effective seed disinfection treatment immediately before the start of sprouting (such as treating seed in 20,000 parts per million Calcium hypochlorite solution with agitation for 15 minutes) and regularly testing the water used for every batch of sprouts for Salmonella and E coli O157:H7 contamination.

This outbreak appears to be an extension of an earlier outbreak in 2009. In February and March, an outbreak of Salmonella Saintpaul infections occurred in Nebraska, South Dakota, Iowa, Kansas, and Minnesota. This outbreak was linked to raw alfalfa sprouts, and the outbreak strain was indistinguishable from that of these recently reported cases. A separate outbreak of Listeria monocytogenes infections was also linked to sprouts in 2009. In the 1990s, a number of outbreaks related to sprouts led FDA to issue its guidance. Experience over the past decade has shown that the likelihood of Salmonella in sprouts can be minimized when recommendations from FDA’s Sprout Guidance are followed.

Preventive controls are very important in the growing of all raw sprouts. FDA reminds sprout growers to be vigilant in their food safety practices and strongly encourages sprout growers to follow the Agency’s Sprout Guidance. Additionally, the United Fresh Produce Association has advised all of its members to follow FDA’s guidance on sprouts. FDA appreciates that the produce industry has reinforced this message and reminds retailers that it is prudent to sell sprouts from growers who follow FDA's recommendations.

Salmonella Sickens 31 in Michigan, Minnesota, Ohio, Pennsylvania, South Dakota, Utah and West Virginia - Who Produced Them? Where Were They Sold? FDA is Silent - So Far

FDA held a call Saturday, April 25 to inform industry (but not consumers) of a forthcoming FDA press release (today or tomorrow?) related to an outbreak of Salmonella SaintPaul linked to alfalfa sprouts - AGAIN. The multi-state outbreak began mid-March and is ongoing. Currently 31 cases in Michigan, Minnesota, Ohio, Pennsylvania, South Dakota, Utah and West Virginia are linked to this outbreak. The serotype and PFGE pattern are considered to be rare, and the PFGE pattern is a match to that of the strain causing illnesses from sprouts in Nebraska in February/March that was linked to CW Sprouts and Jimmy Johns. The outbreak involves multiple sprouters in multiple states and multiple lots of seeds that went to at least 20 states. Some seeds went to primary sprouters and others to distributors; FDA does not have all the data on where these distributors send seeds, so other states may be involved. It appears that a single seed supplier is involved. Many of the cases are linked to restaurants.

FDA will be warning consumers (when?) not to eat raw alfalfa sprouts, reminding the sprouting industry of the importance of following FDA’s guidance on sprouts safety, and reminding restaurants/retailers to obtain sprouts from sprouters following the guidance. As part of this investigation FDA will be reviewing how closely sprouters are complying with the FDA guidance to assess whether changes in the guidance are needed. Information to date suggests a number of sprouters have not been following the recommended control measures.

FDA’s Guidance Document for the safe production of sprouts gives clear direction to seed producers, seed conditioners, distributors, and sprout producers on important steps that must be taken to ensure the safety of sprouts.

Bacterial Outbreaks linked to sprouts are not new.  In 2003, FDA, the Centers for Disease Control and Prevention (CDC), the California Department of Health Services and others jointly developed a video to assist the industry in producing the safest possible products. The video may also be useful for retailers, regulators, and anyone working with the industry that wants to better understand the product and current recommendations for best production practices.

Both of these resources provide guidance regarding the sources of contamination, ways to eliminate potential contamination and methods to detect contamination when it happens. FDA believes strongly in these recommendations and “will consider enforcement actions against any party who does not have effective preventive controls in place, in particular, microbial testing.”

Some of the basic controls directed by FDA include:

§ Seeds for sprout production must be grown under good agricultural practices. Purchasers of seed should request verification from their supplier that appropriate practices were followed.

§ Seeds for sprouting should be treated with one or more treatments (such as 20,000 ppm calcium hypochlorite) that have been approved for reduction of pathogens in seeds or sprouts. Some treatments can be applied at the sprouting facility while others will have to be applied earlier in the seed production process. However, at least one approved antimicrobial treatment should be applied immediately before sprouting.

§ Microbiological testing of spent irrigation water from each production lot for Salmonella, E. coli O157:H7 (or EHEC), and Listeria monocytogenes. There is a potential that pathogens may survive antimicrobial treatments, even if used properly, so testing becomes the last chance to detect contaminated lots. Because testing for pathogens can be done with irrigation water as early as 48 hours into what is generally a 3 to 10 day growing period, producers who plan accordingly can obtain test results before shipping product without losing product shelf-life. Testing, whether done by the producer or contracted out, should be done by trained personnel, in a qualified laboratory, using validated methods.

Arkansas E. coli: Is Hamburger E coli Season Underway?

We are currently investigating multiple E. coli O157:H7 and HUS illnesses in the east-Texas, west-Arkansas area.  We do not yet know what, if anything, links the illnesses together.  The reason for this post is simply that this is the first day of the new year (2009) (maybe it's the sun finally shining through my office window in Seattle, or the Mariners taking batting practice at the stadium in the distance) where I've had the distinct sense that hamburger e. coli season is getting underway. 

Bill Marler has already had the feeling.  See his recent posts here and here, questioning whether 2009 will continue the trend of 2007-08, during which period 44 million pounds of ground beef were recalled due to potential contamination by E. coli O157:H7.  Safe to say that nobody in the world has better instincts on the subject?  Whatever your answer to that question, Spring is not much of a joyful season at Marler Clark.  Too many people sickened with E. coli O157:H7; too many kids developing HUS; too many calls like the one that I received this morning from a young mother whose son has been on dialysis for fifteen days now. 

Sprouts and Salmonella . . . Again

Sprouts have done it again.  This time in Michigan.  The Michigan Department of Community Health is telling people to avoid consuming alfalfa sprouts due to potential contamination by Salmonella bacteria.  To date, as best as I can tell, there are at least 16 illnesses, including two hospitalizations, in Wayne, Macomb, Oakland Counties and the City of Detroit. 

I guess the good thing about people continuing to eat sprouts is that it gives us countless opportunities to tell people that they shouldn't eat them.  See these recent posts:

Salmonella and Sprouts--CW Sprouts Outbreak

Amalgamated Sprouts Outbreak--Listeria

The Michigan Department of Community Health is certainly doing its constituents a service by the recent admonishment to avoid sprouts.  But really, the proper advice for the food-consuming public to take shouldn't be limited to the wake of an outbreak when it's already too late.  Sprouts are too-frequently implicated in outbreaks of foodborne disease for my taste.   

Who Pushed The Pause Button on Foodborne Illness Prevention?

The CDC has just released a 10-state study, Preliminary FoodNet Data on the Incidence of Infection with Pathogens Transmitted Commonly Through Food --- 10 States, 2008, the conclusions of which I have suspected for some time (and our busy law practice at Marler Clark has confirmed)--illness related to foodborne pathogens is NOT decreasing.

As the study's authors state, "progress toward the national health objectives has plateaued, suggesting that fundamental problems with bacterial and parasitic contamination are not being resolved...The lack of recent progress toward the national health objective targets and the occurrence of large multistate outbreaks point to gaps in the current food safety system and the need to continue to develop and evaluate food safety practices as food moves from the farm to the table. "

In the past two years alone we've had two huge peanut-related Salmonella outbreaks, and now another is emerging related to pistachio nuts.  When are food companies that sell these products to the trusting (but decreasingly so) public going to step up to the plate?  Perhaps when they too start falling ill from consuming their own products.

New Hampshire Schoolchildren sickened by Salmonella

The New Hampshire Department of Health and Human Services is investigating a large Salmonella outbreak that occurred among students of Woodbury Middle School in Salem.  Director of Public Health Dr. Jose Montero was quoted as saying, "it's a high probability it was related to food."

It's a high probability that Dr. Montero is right.  Sure, Salmonella, E. coli O157:H7--in fact, just pick your poison--can persist in our environments (natural and home), and can be transmitted in lots of different ways.  It's conceivable that the water was contaminated (a la Alamosa, CO).  It's conceivable that a lot of things could have happened to rid the Woodbury Middle School of students.  But I'm with Dr. Montero.  It's the food.  If so, we will be interested to know who stocked the Stone Environmental School's shelves and cupboards. 

Salmonella and sprouts--CW Sprouts outbreak

We have filed two lawsuits on behalf of two victims of the Salmonella Saintpaul outbreak linked to sprouts manufactured by CW Sprouts, a Nebraska Company.  For information about the outbreak, click here.  Keep in mind, studies have shown that the actual number of victims in any given outbreak is many times more than the number of culture-confirmed "cases"--i.e. by stool or blood test.  Some people don't seek medical attention, but are no less infected by the bacterium or virus; and some, like one of our clients in Colorado, are sick enough to have their intestines spilled out onto the operating table but their stool tests are negative.  Bottom line, you are no less a victim of an outbreak merely because your stool sample is not positive for Salmonella, E. coli O157:H7, hepatitis A, or any other bacterium or virus associated with foodpoisoning, assuming you have an epidemiological relationship to the outbreak.  Bottom line in the CW Sprouts outbreak, there may be hundreds sick across the midwest due to Salmonella-contaminated sprouts.

The CDC's Foodborne Diseases Active Surveillance Network (FoodNet) Shows Increase from 2007 to 2008

Surveillance Results

In 2007, a total of 17,883 laboratory-confirmed cases of infection in FoodNet surveillance areas were identified. The number of cases and incidence per 100,000 population were reported as follows: Salmonella (6,790; 14.92), Campylobacter (5,818; 12.79), Shigella (2,848; 6.26), Cryptosporidium (1,216; 2.67), STEC O157 (545; 1.20), STEC non-O157 (260; 0.57), Yersinia (163; 0.36), Listeria (122; 0.27), Vibrio (108; 0.24), and Cyclospora (13; 0.03). Substantial variation occurred across surveillance sites. The highest incidence per 100,000 population for Salmonella (62.11), Shigella (27.77), Campylobacter (24.01), and STEC O157 (3.66) infections was among children aged <5 years. In 2006, FoodNet identified 82 cases of postdiarrheal HUS in persons aged <18 years (0.78 cases per 100,000 children); 58 (0.7%) cases occurred in children aged <5 years (2.01 cases per 100,000 children).

Of the 6,299 (92.8%) Salmonella isolates serotyped, seven serotypes accounted for 61.6% of infections: Enteritidis, 1,062 (16.9%); Typhimurium, 1,006 (16.0%); Newport, 656 (10.4%); I 4,[5],12:i:-, 358 (5.7%); Javiana, 347 (5.5%); Heidelberg, 243 (3.9%); and Montevideo, 211 (3.4%). Among 102 (94.4%) Vibrio isolates for which the species was identified, 59 (57.8%) were parahaemolyticus, 18 (17.7%) were alginolyticus, and 13 (12.8%) were vulnificus. Among 260 STEC non-O157 isolates tested for O antigen determination, 228 (87.7%) had an identifiable O antigen, primarily O26 (21.5%), O103 (20.6%), or O121 (19.3%).

In 2008, a total of 18,499 laboratory-confirmed cases of infection in FoodNet surveillance areas were identified. The number of infections and incidence per 100,000 population were reported as follows: Salmonella (7,444; 16.20), Campylobacter (5,825; 12.68), Shigella (3,029; 6.59), Cryptosporidium (1,036; 2.25), STEC O157 (513; 1.12), STEC non-O157 (205; 0.45), Yersinia (164; 0.36), Listeria (135; 0.29), Vibrio (131; 0.29), and Cyclospora (17; 0.04). Substantial variation in incidence rates occurred among surveillance area. Among all age groups (<4 years, 4--11 years, 12--19 years, 20--49 years, and >50 years)†, the highest incidence occurred among children aged <4 years for all infections except those caused by Cyclospora and Vibro.

Among age groups of persons infected with the following pathogens, the percentage of persons hospitalized was highest in persons aged >50 years: Listeria (86.2%), STEC O157 (53.3%), Vibrio (45.6%), Salmonella (40.0%), Yersinia (37.5%), Shigella (27.9%), Cryptosporidium (24.5%), and Campylobacter (20.5%). Among age groups of persons infected with the following pathogens, the case fatality rate (CFR) was highest in persons aged >50 years: Listeria (19.5%), Vibrio (7.4%), Salmonella (1.3%), Shigella (0.4%), and Campylobacter (0.4%). For infection with STEC O157, the CFR was highest among children aged <4 years (2.8%); for infection with Cryptosporidium and Yersinia, the CFR was highest in persons aged 20--49 years (1.3% and 3.0%, respectively).

Among 6,750 (91%) Salmonella isolates serotyped, 10 serotypes accounted for 73% of infections: Enteritidis, 1,356 (20.1%); Typhimurium, 1,077 (16.0%); Newport, 681 (10.1%); Javiana, 423 (6.3%); Saintpaul, 403 (6.0%); I 4,[5],12:i:-, 269 (4.0%); Muenchen, 213 (3.2%); Heidelberg, 198 (2.9%); Montevideo, 194 (2.9%); and Braenderup, 108 (1.6%). Among 131 (92%) Vibrio isolates for which the species was identified, 72 (55.0%) were parahaemolyticus, 19 (14.5%) were vulnificus, and eight (6.1%) were alginolyticus. Among 205 STEC non-O157 isolates tested for O antigen determination, 185 (90%) had an identifiable O antigen, most commonly O26 (28.1%), O103 (27.0%), or O111 (19.5%).

Outbreak-Associated Cases of Infection

In 2007, outbreak-associated infections accounted for 86 (15.8%) of STEC O157 cases and 364 (5.4%) of Salmonella cases ascertained, similar to proportions in previous years. Four large multistate outbreaks of Salmonella infections that included FoodNet sites were investigated in 2007: an outbreak of S. Tennessee infections caused by contaminated peanut butter, an outbreak of S. I 4,[5],12:i:- infections caused by contaminated frozen pot pies, an outbreak of S. Wandsworth and S. Typhimurium infections attributed to a puffed vegetable snack, and an outbreak of S. Paratyphi B var. Java associated with exposure to turtles.

In 2008, outbreak-associated infections accounted for 132 (25.7%) of STEC O157 cases and 547 (7.4%) of Salmonella cases. Two large multistate outbreaks of Salmonella infections that included FoodNet sites were investigated in 2008: an outbreak of S. Saintpaul infections associated with imported produce and an outbreak of S. Typhimurium infections associated with peanut butter and peanut butter--containing products.

Sprouts and Salmonella do not Mix - Very Well Anyway

Sprouts are the germinating form of seeds and beans. Sprouts, including mung beans and alfalfa sprouts, have become a common food item in grocery stores, salad bars and Asian dishes. As the popularity of sprouts increases, however, so does the potential for sprout-related illnesses. Most sprouts, including alfalfa sprouts, can only be eaten raw. This means they are not exposed to temperatures high enough to kill bacteria that may be present.

During the past decade, over 20 percent of all produce related foodborne illnesses were associated with the consumption of raw or lightly cooked sprouts. Worldwide, at least 37 outbreaks of foodborne illnesses have been linked to sprouts between 1973 and 2005. In most instances, the illnesses were caused by either Escherichia coli (E. coli) O157:H7 or Salmonella bacteria. The largest outbreak linked to sprouts took place in Japan in 1996, when 6,000 people got sick and 17 died after eating radish sprouts contaminated with E. coli O157:H7.

Scientists believe that the most likely source of contamination is the seeds that are used to grow the sprouts. Seeds may become contaminated by animal manure in the field or during storage, and the conditions required to grow sprouts (e.g, warmth and humidity) are ideal for the rapid growth of bacteria. Poor hygienic practices in the production of sprouts have also caused some sprout-related outbreaks of foodborne illness in the past. Also, sprouts are very democratic, and like all sorts of different pathogenic organisms. Many different serotypes of Salmonella have been implicated in sprout outbreaks, as well as E. coli.

CDC first brought sprouts to national attention as a vehicle for foodborne illness back in 1995. In a 1998 white paper on fresh produce, the National Advisory Committee on Microbiological Criteria for Foods identified raw sprouts as a special food safety problem. In 1999, the National Advisory Committee on Microbiological Criteria for Foods issued a report entitled "Microbiological Safety Evaluations and Recommendations on Sprouted Seeds." Since then, FDA has issued several consumer advisory warnings about health risks associated with the consumption of raw sprouts. FDA also released two guidance documents, one on seed disinfection and the other on testing irrigation water, concerning practices to minimize microbial contamination of sprouts.

Outbreaks implicating sprouts continue to occur, however. Unfortunately, it is difficult to detect pathogens. The contamination is usually non-homogenous, so that sampling sample one part of the seed or the sprout may not provide a representative sample of levels of contamination elsewhere. Also, there can be low levels of contamination which are difficult to pick up on culture methods. Finally, sprouts are rarely cooked or washed by the consumer. Sprouts have also been referred to as a stealth vehicle in foodborne outbreaks, because many people don't realize they're eating sprouts. Sprouts are often in salads or in sandwiches and people don't remember that they ate sprouts. In fact, in many of the outbreak investigations only 30-40 percent of people will outwardly recall eating sprouts.

Anyone who eats raw sprouts or lightly cooked mung bean sprouts, is at risk for exposure to E. coli O157:H7 or Salmonella bacteria. However, the risk of serious health effects is greater for young children, seniors and people with weak immune systems. Persons who belong to those groups at high risk for serious health effects from foodborne illness should avoid eating raw sprouts, especially alfalfa sprouts and mung bean sprouts.

Pistachios, Peanuts and Almonds, and Salmonella

Nuts have been associated with Salmonella outbreaks in the US and Canada several times over the last ten years. Almonds were responsible for the first outbreaks, in 2001 and then again in 2004, when contamination with Salmonella Enterica triggered a recall of 13 million pounds of California almonds. A requirement was implemented in 2007 that all almonds sold on the domestic market be pasteurized. A court recently upheld that requirement.

The first US instance of Salmonella traced to peanuts was the Peter Pan/Great Value (ConAgra) outbreak of 2006-2007 (there was a Salmonella-Peanut outbreak in Australia in 1996). 648 people in 47 states were culture-confirmed with Salmonella Tennessee. ConAgra undertook a 33-million dollar renovation of their facility before resuming production. If it sounds familiar, it should. Not 75 miles away from the ConAgra plant, history repeated itself. Learning nothing from ConAgra’s experience, the Peanut Corporation of America was the source of the 2008-2009 outbreak of Salmonella Typhimurium, which was responsible for 691 illnesses, 9 deaths, and the recall of over 3,800 products made by hundreds of companies for an overall price tag north of a billion dollars.

Now it’s pistachios. In the most recent outbreak, Setton Pistachios has recalled two million pounds of nuts, which were sold to both retail and wholesale customers. What is unusual about this recall is that it happened in advance of any reported illnesses, based on testing done by one of Setton’s customers. Another unusual aspect of the current recall is that four different strains, or serotypes, of Salmonella have been linked to the outbreak: Montevideo, Newport, Seftenberg and Larochelle.

As with other foodborne illness outbreaks, the reason for the increase is difficult to identify. It could be a result of more disease surveillance, better reporting, and better medical testing of ill people or it could be due to businesses growing and trying to make more product faster, cutting back on safety measures. It’s impossible to know for sure. What is certain is the need for more resources in the hands of the FDA to inspect food manufacturing plants more often than once every four to six years. And, we need more resources for State Health Departments and the CDC to track foodborne illnesses quicker, so less people are sickened.

Camillus, N.Y. Applebees Sickens 100 with Shigella

Onondaga County Health officials have confirmed seven cases of Shigellosis among people who ate at an Applebee's restaurant in a Syracuse suburb earlier this month; about 100 more have reported getting sick.  Shigella, a bacterial infection, causes gastrointestinal illness. It is associated with consuming water or food contaminated with fecal matter.  The restaurant, located on Genesee Street in Camillus, is cooperating with the agency's investigation.

Anyone who ate at the restaurant between March 1 and 20 may have been exposed and those who fell ill after eating at the restaurant during that time are advised to contact their doctor or call the health department at (315) 435-6607.

'Lion How' Salmonella Spices Linked to 33 Illnesses

The California Department of Public Health traced the tainted spice to Union International Food Company, a Union City firm that distributes most of its pepper to Asian restaurants. Most of the 33 sick people found in this state were in northern and central California, although nine additional cases were found in other states.

The products to not have lot or batch numbers, but bear the "Lion How Brand" label, including the company's entire product line, including ground or whole peppercorns of the white, black and cayenne varieties, chopped onion and onion powder and chopped, minced or granulated garlic.

Lion How Brand wasabi powder and mustard powder should also not be eaten.

Put Another Brick Of E. coli On The Fire Campers!

Meat contaminated with E. coli O157:H7 was the likely cause of the last summer’s outbreak at a 4,000 acre youth camp in the Shenandoah Valley, the Virginia Department of Health says in a final report of its investigative findings.

Fifty-four campers who visited the area between July 20-26, 2008 were part of the E. coli outbreak. Onset of symptoms occurred between July 20 and August 5, 2008.

Virginia health officials include both laboratory confirmed E. coli infections and those who reported diarrhea, fever, vomiting, nausea, and abdominal cramps as victims of the outbreak.

Previously, we knew it was the Virginia Department of Health’s investigation at the camp that forced S&S Foods LLC., an Azusa, Calif., firm, last August to recall approximately 153,630 pounds of frozen ground beef products because of the E. coli O157:H7 contamination.

The report says investigators obtained an opened package of frozen raw ground beef and submitted it to bacterial culture. Several other un-opened boxes of ground beef were also collected and tested

The report goes into much detail about its survey of campers and all the food and water provisions at the camp. Some campers had the option of cooking their own meals of camp fires in a method called “foil dinners.” However, one pound “bricks” of ground beef provided by Azusa were probably not real suitable to thorough cooking.  Full Report and Exhibits Below:

Midwest Salmonella Outbreak Due To Sprouts Becoming All Too Common

 

The outbreak that's sickened people in four Midwest states has been tied to SunSprout Enterprises' sprouts that were distributed to grocery stores and restaurants.  The Omaha company "voluntarily" recalled its products.

Nebraska health officials say 84 cases of Salmonella saintpaul have been confirmed near Omaha, Lincoln and Kearney.

Iowa officials confirmed 27 cases. South Dakota and Kansas officials have both confirmed five cases in their states.

Sprouts have been implicated in an increasing number of foodborne illness outbreaks in recent years, and although procedures have been developed to significantly reduce bacterial contamination, not all sprout growers have adopted techniques to decrease the risk of contaminated produce. In 1999, the FDA announced new guidelines for the growing of sprouts, including using calcium hypochlorite treatment on seeds. This treatment exposes seeds to high levels of chlorine, killing bacteria, but leaving seeds unharmed. Since its introduction, manufacturers who consistently use this seed disinfectant treatment have not been implicated in foodborne illness outbreaks.

Salmonella Sprouts Linked to Dozens Ill in Iowa, Nebraska, South Dakota and Kansas

Today, the Kansas Department of Health and Environment (KDHE) confirmed five cases of salmonella that might be linked to sprouts from a Nebraska company.  KDHE said it had identified a possible link to sprouts from SunSprout Enterprises, Inc. of Omaha, Neb., but added that laboratory testing hasn't confirmed it yet.  The sprouts also have been linked to salmonella cases in Iowa, Nebraska and South Dakota.

Sprouts have been implicated in an increasing number of foodborne illness outbreaks in recent years, and although procedures have been developed to significantly reduce bacterial contamination, not all sprout growers have adopted techniques to decrease the risk of contaminated produce.  In 1999, the FDA announced new guidelines for the growing of sprouts, including using calcium hypochlorite treatment on seeds. This treatment exposes seeds to high levels of chlorine, killing bacteria, but leaving seeds unharmed. Since its introduction, manufacturers who consistently use this seed disinfectant treatment have not been implicated in foodborne illness outbreaks.

Other Kellogg Salmonella Peanut Butter Victims Speak Out - Billie, Shannon and Payton Rector

When Marler Clark clients, Billie Rector went to St. Joseph Hospital in mid-January complaining of nausea and wrenching stomach pain, doctors at first suspected his gallbladder. When his 3-year-old daughter, Payton, was hospitalized a day later because of bloody diarrhea, doctors wondered if both family members might have been infected with E. coli. It turned out that the little girl, at least, was among the 666 people in 44 states to become ill after eating peanut products tainted with Salmonella typhimurium.

Rector said that under questioning from Whatcom County public-health officials, he and wife Shannon narrowed the likely source of poisoning to the Austin brand of peanut-butter crackers, one of more than 2,100 products that have been voluntarily recalled during the nationwide salmonella outbreak.  Contaminated peanut products traced to peanut butter and peanut paste made by a Peanut Corp. of America plant in Blakely, Ga., also have been linked to at least nine deaths nationwide.

The Food and Drug Administration has said the company knowingly released its products into the nationwide food chain, even though Peanut Corp. officials knew it was tainted with salmonella.

"It makes me sick that my 3-year-old and husband were hospitalized so this company could save a few bucks and not pay to keep their building up to code," Shannon, 29, said in an e-mail interview.

Salmonella Outbreak in Douglas County Nebraska Not Linked to Peanut Butter

Douglas County Health Department has been working to determine the source of salmonella cases in Nebraska.

As of Friday, February 27, 2009, 14 cases had been confirmed, with the majority in Douglas County. The cases were reported in early February.

According to Dr. Joann Schaefer, Chief Medical Officer, the cases have the same kind of bacteria and may come from the same or similar source.  She said the strain of salmonella in these cases does not match the strain that, earlier this year, was traced to peanut butter and peanut paste.

666 persons infected with Salmonella Typhimurium Peanut Butter have been reported from 45 states

CDC now report that 666 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 45 states (added Montana). The number of ill persons identified in each state is as follows: Alabama (2), Arizona (13), Arkansas (6), California (76), Colorado (17), Connecticut (10), Florida (1), Georgia (6), Hawaii (6), Idaho (17), Illinois (10), Indiana (10), Iowa (3), Kansas (2), Kentucky (3), Maine (5), Maryland (10), Massachusetts (48), Michigan (36), Minnesota (42), Missouri (15), Mississippi (7), Montana (2), Nebraska (1), New Hampshire (13), New Jersey (23), New York (30), Nevada (6), North Carolina (6), North Dakota (17), Ohio (94), Oklahoma (4), Oregon (12), Pennsylvania (19), Rhode Island (5), South Dakota (4), Tennessee (14), Texas (10), Utah (6), Vermont (4), Virginia (21), Washington (21), West Virginia (2), Wisconsin (5), and Wyoming (2). Additionally, one ill person was reported from Canada.

Among the persons with confirmed, reported dates available, illnesses began between September 1, 2008 and February 3, 2009. Patients range in age from <1 to 98 years. The median age of patients is 16 years which means that half of ill persons are younger than 16 years. 21% are age <5 years, 17% are >59 years. 48% of patients are female. Among persons with available information, 23% reported being hospitalized. Infection may have contributed to nine deaths: Idaho (1), Minnesota (3), North Carolina (1), Ohio (2), and Virginia (2).

FDA reports, as of today 2670 products have been recalled.

70 Ill After Eating Steriod Tainted Pork In China

State media in China is reporting that at least 70 people have fallen ill after eating pork treated with the steroid clenbuterol, which is used to prevent animals from gaining fat, BBC News reported.  The China Daily said on Monday that the people involved suffered from stomach pains and diarrhea after eating the tainted pork in southern China's Guangdong province over the past few days, with three victims still in hospital.  Clenbuterol, a drug often given to people to treat asthma, has been administered to pigs in China to reduce their fat, despite being a banned food additive.  The drug can sometimes be fatal for humans, although some athletes have used it to illegally build muscle.  In 2006, some 336 people in Shanghai were hospitalized after eating pig meat or organs contaminated with the additive, the China Daily said.

Huge Peanut Butter Recall Expansion--All PCA-Produced Product From January 2007 Forward

Well, it's official.  This peanut butter Salmonella Typhimurium outbreak is out of control.  I can barely keep up with the fast and furious announcements coming from the various state and national health agencies, and the recalls from food product manufacturers whose products were made with the implicated peanut butter.  For a more complete, play-by-play source of information about this outbreak, please see some of the many excellent articles over at Bill Marler's site: http://www.marlerblog.com/

Today's big development to this ongoing saga comes from the FDA in the form of their announcement that ALL peanut butter products manufactured by Peanut Corporation of America (PCA) at their Blakely, Georgia over the past two years are being recalled.  Why such a large increase in the recall's scope?  Click here to find out (and be simultaneously disgusted). 

It turns out that since January of 2007, PCA has been producing peanut butter under insanitary conditions.  Even worse, at least twelve separate times, finished product was tested by PCA and the results returned positive for SalmonellaAfter PCA had the product retested, however, the results were negative and the product was shipped in interstate commerce where it was added to food products for the public to eat.  So, are you angry yet?

Girl Scout Cookies Safe! "Sweet Success Peanut Butter Cookie Dough?"...Not So Much

Hey.  Did you just hear that?  It was the collective sigh of relief  from all the cookie fiends out there like me who are addicted to those delicious, sweet morsels of goodness known as Do-si-dos and Tagalongs Girl Scout Cookies.  In the first bit of good news I've heard since this whole Salmonella peanut butter outbreak began, the Girl Scouts announced today that their products were not made from peanut butter manufactured at the Blakely, Georgia peanut processing plant operated by Peanut Corporation of America and implicated by the FDA as the source of the Salmonella outbreak.  Just look at that Tagalong...crunchy, chocolatey, peanut buttery deliciousness....OK, I'm back.

However, all is still not well in cookie land.  In addition to the laundry list of recalled food items already listed on the FDA's website, it was also announced today that peanut butter cookie dough sold as a fundraiser for several Southern California schools is being recalled because it may contain Salmonella.  The product is packed in a 3-pound white plastic tub and labeled "Sweet Success Peanut Butter Cookie Dough." Contaminated peanut butter may have been used to make the dough, which was distributed to schools after Dec. 8 by Sweet Success Fundraising in Ontario.

FDA Announcement to the Public: Don't Eat Peanut Butter

In a stunning and far-reaching announcement today regarding the ongoing investigation into a nationwide Salmonella outbreak, the FDA urged the public to avoid eating ANY products containing peanut butter.  In its own words, "because identification of products subject to recall is continuing, the FDA urges consumers to postpone eating peanut butter-containing products until further information becomes available about which products may be affected. Efforts to specifically identify those products are ongoing."

Expect more specific information in the coming days as this investigation continues.  As of the latest information, more than 470 people in 43 states have been culture-confirmed with genetically indistinguishable strains of Salmonella Typhimurium, and 90 have been confirmed hospitalized.  More tragically, at least six deaths are being attributed to this outbreak.

Conneticut Dept of Health Confirms Salmonella Found in UNOPENED Jar of King Nut Peanut Butter

Food inspectors conducting recall effectiveness checks in the state this week in response to the nationwide salmonella outbreak linked to King Nut peanut butter have confirmed the presence of salmonella bacteria in an unopened five-pound tub of peanut butter found at a Connecticut food distributor, Consumer Protection Commissioner Jerry Farrell, Jr.

“This is the first unopened tub of King Nut peanut butter found in the country that is definitively identified as being tainted with salmonella,” Farrell said.

“My office just received the results from the Connecticut Department of Public Health Laboratory confirming the presence of Salmonella Type B in an unopened tub. This provides further evidence that some lots of King Nut brand peanut butter delivered to food service accounts are responsible for a recent outbreak of salmonella infections in consumers.”

The product, bearing one of the lot numbers identified in the recall, (lot # 8234 with a production date of 8/21/2008) was found at City Line distributors of West Haven. It was the only tub of that recalled lot. However, agency inspectors have taken samples of the other King Nut peanut butter tubs for analysis.

“City Line is cooperating fully with our agency, is sharing with us its distribution lists identifying where the other tubs of King Nut peanut butter were shipped, and we are contacting the appropriate health and consumer protection officials with this information,” Farrell said. “We believe that the peanut butter was distributed to a variety of locations in Connecticut, New York, Rhode Island and Mass., and we are going make sure the company takes appropriate action to prevent this product from being served.”

Peanut Corporation of America, the manufacturer of the King Nut peanut butter, recalled the product when it was informed that salmonella had been found in an open five-pound tub of King Nut peanut butter. All other King Nut products are safe and not included in this voluntary recall.

This product is not sold in retail stores, and therefore is unlikely to be in consumers’ homes.

The Salmonella bacteria can cause an infection known as Salmonellosis, which often produces diarrhea, fever, and abdominal cramps 12 to 72 hours after infection. The illness usually lasts 4 to 7 days, and most persons recover without treatment. However, in some persons, the diarrhea may be so severe that the patient needs to be hospitalized. In these patients, the Salmonella infection may spread from the intestines to the blood stream, and then to other body sites and can cause death unless the person is treated promptly with antibiotics. Older adults, infants, and those with impaired immune systems are more likely to experience severe illness, and should be seen by a physician if they experience these symptoms.

The CDC and FDA Updates on the Nationwide Salmonella Outbreak Linked to Peanut Corp of America

Today the CDC and FDA updated their websites to reflect new information on the continuing (and widening) Salmonella outbreak that has thus far caused a confirmed 453 Salmonella Typhimurium infections in citizens of 43 states, and has led to at least six deaths.

As the investigation continues, do not be surprised to see more announcements regarding other peanut butter products that used Peanut Corporation of America's product and are possibly also contaminated.  As the FDA said in their updated announcement today, "Given the potentially-wide distribution of this peanut butter and peanut paste as ingredients in numerous products, the FDA is asking companies to check the records of their supply chain and determine if their peanut butter and peanut paste ingredients came from PCA, and if so, to take appropriate precautionary measures."

The CDC offers this advice to consumers: 

Advice to Consumers

To date, common brands of peanut butter sold in grocery stores do not appear to be associated with the outbreak. Public health officials will advise the public if more products are identified as being associated with the outbreak. Persons who think they may have become ill from eating peanut butter are advised to consult their health care providers.

On January 10, 2009, King Nut Companies, a distributor of peanut butter manufactured by Peanut Corporation of America (PCA), issued a voluntary recall of peanut butter distributed under the King Nut label. In addition, King Nut Companies issued a voluntary recall of Parnell’s Pride peanut butter, which they also distributed and which is produced by the same manufacturer. The recalled products have lot codes beginning with “8”. No other King Nut products are included in this voluntary recall. More information about this recall can be found on the FDA website.

On January 13, 2009, Peanut Corporation of America (PCA), the manufacturer of King Nut peanut butter, announced a voluntary recall of peanut butter produced in its Blakely, Georgia processing facility produced on or after July 1, 2008, that had specific lot numbers and descriptions. More information regarding the recall is available on the FDA website.  The peanut butter being recalled is sold in bulk and distributed to institutions, food service industries, and private label food companies, under the brand names Parnell’s Pride and King Nut. None of the peanut butter being recalled is sold directly to consumers through retail grocery stores.

On January 14, 2009, Kellogg Company announced it has taken the precautionary measure of putting a hold on a variety of Austin® and Keebler® branded toasted peanut butter sandwich crackers. Peanut Corporation of America, the manufacturer currently under investigation by FDA and other regulatory agencies, is a peanut paste supplier that the Kellogg Company uses in its Austin® and Keebler® branded peanut butter sandwich crackers.  More information can be found on the FDA website. 

 And Food Safety Expert Bill Marler offers these excellent suggestions:

1. Make sure ALL product is promptly recalled;


2. Do not destroy any documents;


3. The companies should pay the medical bills and all related expenses of the innocent victims and their families;


4. The companies should pay the cost of all related Health Department, CDC and FDA investigations;


5. Provide all bacterial and viral testing of all recalled product and any other tested product (before and after recall);


6. Release all inspection reports on the plants by any Governmental Entity or Third-party Auditor;


7. Release all Salmonella safety precautions taken by either King Nut or Peanut Corporation of America - especially after the 2007 Salmonella Peanut Butter Outbreak;


8. Provide the public with the Epidemiological investigation (with names redacted), so it is clear who knew what and when about the likely source of the outbreak; and,


9. Show the public what is being done to prevent the next outbreak.

Nationwide Salmonella Outbreak Source Expanding?

As Federal, State, and Local health agencies continue their investigations into the nationwide Salmonella outbreak recently linked to King Nut brand peanut butter, other products containing the implicated peanut butter may also be linked to the outbreak.

Preliminary analysis of an epidemiologic study conducted by CDC and public health officials in multiple states comparing foods eaten by ill and well persons has suggested peanut butter as a likely source. Ongoing investigations suggest that peanut butter-containing products may also be linked with illnesses. To date, no association has been found with common brands of jars of peanut butter sold in retail grocery stores. 

An epidemiologic investigation by the Minnesota Department of Health has suggested King Nut creamy peanut butter as a likely source of Salmonella infections among many ill persons in Minnesota. The Minnesota Department of Agriculture Laboratory isolated the outbreak strain of Salmonella Typhimurium from an open 5-pound container of King Nut brand creamy peanut butter.

Clusters of infections in several states have been reported in schools and other institutions, such as long-term care facilities and hospitals, and King Nut is the only brand of peanut butter used in those facilities for which we have information.

CDC and other public health officials are continuing to conduct surveillance for cases of infection with the outbreak strain, and to gather and analyze data on exposures to peanut butter and peanut butter-containing products that may be associated with illness.

Two very similar DNA fingerprints of Salmonella serotype Typhimurium have been linked to this outbreak. All ill persons reported as part of this outbreak have had laboratory testing that confirmed infection with a strain that had one of the two outbreak DNA fingerprints.

Salmonella to do list - one down, eight to go

As of a few moments ago, 15 more cases of salmonella poisoning in the now nationwide outbreak have been reported, bringing the total to 425 in 43 state with 3 deaths. Nearly 18% of the victims have been hospitalized. Praise to Peanut Corporation Corporation for the Recall.

From a Press Release

Peanut Corporation of America (PCA), a peanut processing company and maker of peanut butter for bulk distribution to institutions, food service industries, and private label food companies, today announced a voluntary recall of peanut butter produced in its Blakely, Georgia processing facility because it has the potential to be contaminated with Salmonella. All product affected was produced on or after July 1, 2008, specific to the lot numbers and descriptions listed below.

The peanut butter being recalled is sold by PCA in bulk packaging to distributors for institutional and food service industry use. It is also sold under the brand name Parnell's Pride to those same industries. Additionally, it is sold by the King Nut Company under the label King Nut. PCA customers who received the recalled product are being notified by telephone and in writing. None of the peanut butter being recalled is sold directly to consumers through retail stores.

"We deeply regret that this has happened," said Stewart Parnell, owner and president of PCA. "Out of an abundance of caution, we are voluntarily withdrawing this product and contacting our customers. We are taking these actions with the safety of our consumers as our first priority."

PCA initiated this recall after an open container of King Nut brand peanut butter in a long-term care facility in Minnesota was found to contain a strain of salmonella. King Nut brand peanut butter is produced by PCA. The voluntary recall of 21 lots of its peanut butter, in containers ranging from five to 50 pounds, is being taken immediately.

Lot Numbers Affected:

8193, 8194, 8197, 8233, 8234, 8235, 8241, 8255, 8256, 8275, 8276, 8282, 8283, 8284, 8296, 8316, 8330, 8331, 8336, 8345, 8354

Stock Numbers Descriptions and Pack Size Affected:

551000 Creamy Stabilized Peanut Butter 6 ct / 5 lb
551006 Crunchy Stabilized Peanut Butter 6 ct / 5 lb
551020 Creamy Stabilized Peanut Butter 35 lb
551022 Natural Course Peanut Paste 35 lb
551025 Old Fashioned Creamy Peanut Butter with 1% Salt 35 lb
551035 Crunchy Natural Peanut Butter 35 lb
551040 Creamy Natural Peanut Butter 35 lb
551050 Creamy Stabilized Peanut Butter 50 lb
551050-D Dark Creamy Stabilized Peanut Butter 50 lb
551051 Creamy Stabilized Peanut Butter with Monodiglyceride 50 lb
551053 Crunchy Stabilized Peanut Butter 50 lb
551072 Peanut Butter Variegate 45 lb

So, here was out TO DO LIST - Before this recall.  So, CDC, FDA, King Nut and Peanut Corporation of America, what say you?  Still no full response to my To Do List?

1.     Make sure ALL product is promptly recalled;
2.     Do not destroy any documents;
3.     The companies should pay the medical bills and all related expenses of the innocent victims and their families;
4.     The companies should pay the cost of all related Health Department, CDC and FDA investigations;
5.     Provide all bacterial and viral testing of all recalled product and any other tested product (before and after recall);
6.     Release all inspection reports on the plants by any Governmental Entity or Third-party Auditor;
7.     Release all Salmonella safety precautions taken by either King Nut or Peanut Corporation of America - especially after the 2007 Salmonella Peanut Butter Outbreak;
8.     Provide the public with the Epidemiological investigation (with names redacted), so it is clear who knew what and when about the likely source of the outbreak; and,
9.     Show the public what is being done to prevent the next outbreak.

Minnesota DOH Confirms: King Nut Peanut Butter Salmonella Is A Genetic Match to National Salmonella Outbreak

The Minnesota Departments of Agriculture and Health today announced that laboratory analyses have confirmed a genetic match between the strains of Salmonella bacteria found in a container of King Nut brand creamy peanut butter and the strains of bacteria associated with 30 illnesses in Minnesota and nearly 400 illnesses around the country.

MDA lab tests conducted last week discovered Salmonella bacteria in a 5-pound package of King Nut peanut butter collected from a long-term care facility associated with one of the reported illnesses.  The Minnesota Department of Agriculture (MDA) and the Minnesota Department of Health (MDH) issued a product advisory on Friday alerting institutions that may have received the product. MDA and MDH scientists performed additional testing this weekend to verify the connection between the contaminated product and the illnesses. 

State officials initially discovered the contaminated product through product testing conducted after MDH epidemiological evidence and an investigation by MDA’s Rapid Response Team implicated King Nut creamy peanut butter as a likely source of Salmonella infections in Minnesota residents. In the product advisory issued Friday, state officials urged establishments who may have the product on hand to avoid serving it, pending further instructions as the investigation progresses.

Eating food contaminated with Salmonella can result in abdominal cramping, diarrhea, and fever.  Anyone who believes they may have become ill as a result of eating this product or foods made with this product should contact their health care provider. 

King Nut peanut butter is produced by Peanut Corporation of America, of Lynchburg, Va., and is distributed nationally by Ohio-based King Nut Companies. The product was distributed in Minnesota to establishments such as long-term care facilities, hospitals, schools, universities, restaurants, delis, cafeterias and bakeries. King Nut Companies reports that the product is not distributed for retail sale to consumers, and has voluntarily withdrawn the product from distribution.

Minnesota officials continue to coordinate their investigation with the Centers for Disease Control and Prevention, the U.S. Food and Drug Administration and other states. 

People get Salmonella Typhimurium from eating Peanut Butter, Minnesota points the finger at King Nut, who points the finger at Peanut Corporation of America, so what is next?

Minnesota Department of Health announces late Friday that the have linked thirty illnesses ( and a death) to the consumption of King Nut Peanut Butter (and Parnell's Pride?). There is nothing on the CDC website or other State Health Department sites naming names - yet. On Saturday King Nut and the FDA jointly release a recall notification, but King Nut blames the Peanut Corporation of America (PCA) for its problem. PCA’s lawyers write a press release that tries to deny as much as possible.

So, what is next? Here are a few ideas (not in any particular order) that the companies involved and the government should do Monday morning:

1. Make sure ALL product is promptly recalled;
2. Do not destroy any documents;
3. The companies should pay the medical bills and all related expenses of the innocent victims and their families;
4. The companies should pay the cost of all related Health Department, CDC and FDA investigations;
5. Provide all bacterial and viral testing of all recalled product and any other tested product (before and after recall);
6. Release all inspection reports on the plants by any Governmental Entity or Third-party Auditor;
7. Release all Salmonella safety precautions taken by either King Nut or Peanut Corporation of America - especially after the 2007 Salmonella Peanut Butter Outbreak;
8. Provide the public with the Epidemiological investigation (with names redacted), so it is clear who knew what and when about the likely source of the outbreak; and,
9. Show the public what is being done to prevent the next outbreak.

Taking these steps will go a long way in convincing us that food safety and consumer confidence is of primary importance both to the companies and the government.

Salmonella Typhimurium Outbreak Source - King Nut Peanut Butter

Here we go again!  Peanut butter is once again being implicated as the source of a major samlonella outbreak in the US (Peter Pan and Great Value peanut butter were the implicated sources in the previous outbreak).

The Minnesota Department of Agriculture (MDA) and the Minnesota Department of Health (MDH) today issued a product advisory after MDA’s preliminary laboratory testing indicated the presence of Salmonella bacteria in a 5-pound container of King Nut brand creamy peanut butter.

The product is distributed in Minnesota to establishments such as long-term care facilities, hospitals, schools, universities, restaurants, delis, cafeterias and bakeries. At this time, the product is not known to be distributed for retail sale in grocery stores. State officials are urging establishments who may have the product on hand to avoid serving it, pending further instructions as the investigation progresses.

Eating food contaminated with Salmonella can result in abdominal cramping, diarrhea, and fever. Anyone who believes they may have become ill as a result of eating this product or foods made with this product should contact their health care provider.

State officials discovered the contamination as a result of product testing initiated after an MDH epidemiological investigation implicated King Nut creamy peanut butter as a likely source of Salmonella infections in Minnesota residents. The Minnesota cases have the same genetic fingerprint as the cases in the national outbreak that has sickened almost 400 people in 42 states; however, laboratory results for the product sample have not yet been linked to this national outbreak. Additional laboratory results are expected early next week.

State officials are coordinating their investigation with the Centers for Disease Control and Prevention, the U.S. Food and Drug Administration and other states. More information about the investigation – including laboratory results will be available early next week.

Important Announcement Expected on the Salmonella Typhimurium Oubtreak

As I'm sure many of you are aware who follow food poisoning in the news, there is a huge nationwide Salmonella Typhimurium outbreak currently being investigated by the CDC and many state and local health departments. 

To date there has been no identification of the source of this outbreak, but I have just learned that an announcement is expected shortly.  Any further information on this outbreak will be posted as soon as it becomes available.  Stay tuned...

Tis The Season For Food Poisoning - Even Health Department's Are Not Immune

It turns out none of us are invulnerable from food poisoning illnesses, not even health department employees.  That's the hard lesson learned by the folks at the Lawrence County Health Department in Illinois following their holiday party this month.

Phyllis Wells, the head of the Lawrence County Health Department, was among the 42 people who ultimately got sick after partaking in a buffet gathering of 72 people on December 15.  She says the cause of the outbreak hasn't been pinpointed, but she suspects the culprit was a norovirus.

People can get it through contact with infected people, ingesting contaminated food or drink, or by touching contaminated items and then their mouths.

For now, Wells says the common denominator appears to be ham served in the salad bar.

Remember people (food service workers, restaurant patrons, everyone), WASH YOUR HANDS! These tips from the CDC are a good guide to follow:

Steps to proper handwashing:

  1. Hands should be washed using soap and warm, running water
  2. Hands should be rubbed vigorously during washing for at least 20 seconds with special attention paid to the backs of the hands, wrists, between the fingers and under the fingernails
  3. Hands should be rinse well while leaving the water running
  4. With the water running, hands should be dried with a single-use towel
  5. Turn off the water using a paper towel, covering washed hands to prevent re-contamination.

Hands should be washed after the following activities:

  • After touching bare human body parts other than clean hands and clean, exposed portions of arms
  • After using the toilet
  • After coughing, sneezing, using a handkerchief or disposable tissue, using tobacco, eating or drinking
  • After handling soiled equipment or utensils
  • After food preparation, as often as necessary to remove soil and contamination and to prevent cross-contamination when changing tasks
  • After switching between working with raw food and working with ready-to-eat food
  • After engaging in other activities that contaminate the hands.

 

Melamine-Tainted Foods Still On US Shelves!

Winter has certainly come to the Northwest!  Here in Seattle we have over a foot of snow and the temperature has yet to crack freezing level in the past week and a half.  Wherever you are, now is the time of year to bundle up, take a walk, and sip on a nice cup of steaming hot cocoa.

But if you purchased that cocoa from Big Lots or Shopko under the brand name "G & J," put that cup down.   

Three "G & J" brand cocoa products packaged for Christmas sale at Big Lots and Shopko are being recalled after testing positive for melamine.  It seems this melamine problem will just not go away, as evidenced by the numerous recalls and stories from around the world, including contaminated baby formula in China that led to 294,000 children sickened, hundreds hospitalized, and at least six infants who lost their lives. 

As Phyllis Entis points out in her excellent three-part article, Getting Rid of Melamine, this problem is now not just China's or the US's.  More must be done to stop this type of flagrant disregard for food safety laws that puts all of us at risk.  How about starting with some of the suggestions made by Bill Marler in his open letter to the new Undersecretary for Food Safety at FSIS?

But I digress.  Getting back to the current recall, the products are:

  • Hot Cocoa Stuffer (bar code number 061361201444), sold in small green and blue packages along with a candy cane and marshmallows.
  • His and Hers Hot Cocoa Set (bar code number 489702201296), sold with two ceramic mugs in a brown box.
  • Cocoa (bar code number 061361201260), sold in two flavors -- French vanilla, sold in a small green bag, and double chocolate, sold in a small pink bag. Both have a whisk attached.

For more details, see the Wisconsin Department of Agriculture, Trade, and Consumer Protection.

WHO's Foodborne Disease Counting and Tracking System

I wanted to follow-up to my previous post regarding the World Health Organization's (WHO) recent announcement that much more research is needed into foodborne pathogens and their overall impact on humans.

Today I received some additional information from James R. Hollyer, Project Manager for the Agricultural Development in the American Pacific (ADAP) Project, regarding steps the WHO is already undertaking.

In 2007, the WHO launched an international initiative to fill in the gaps. The WHO Initiative to Estimate the Global Burden of Foodborne Diseases aims to quantify how many people die from or are affected by all major foodborne causes each year. It hopes to report by 2011. The initiative operates through an expert group, the Foodborne Disease Burden Epidemiology Reference Group (FERG), that includes scientists from all regions of the world and all areas of food safety, as well as professionals from policy and regulatory bodies.

Global atlas of disease

FERG plans to collect and summarise existing scientific data on foodborne disease and mortality into a global atlas. It will also train people from developing countries and help them conduct their own national studies to estimate and monitor the burden of disease from unsafe food.

The group invites stakeholders from governmental and non-governmental organisations, industry, consumer groups, donors and scientific media to get involved, open new communication channels and explore how the initiative can best achieve its aims.

The WHO will welcome involvement in this effort to count the millions affected by these entirely preventable diseases. Could you help provide the much-needed epidemiological yard-stick of death and disability against which progress can be measured?

The next FERG stakeholder meeting is scheduled for 20 November, in Geneva, Switzerland. If you are a professional working with development issues, you should have it in your calendar.
 

Foodborne disease research needed

As you know, we have repeatedly made calls for more research into the public health risk known as foodborne pathogens.  Yesterday, the World Health Organization (WHO) unequivocally agreed (although the question of funding still remains). 

At a conference in Geneva, WHO's direct of food safety, Jorgen Schlundt, announced that more research is needed to determine how much sickness and death stems from contaminated food, such as the tainted Chinese milk that caused kidney problems in more than 50,000 children and killed four, and the U.S. salmonella outbreak that made more than 1,400 people ill.

An estimated 30 percent of new infectious diseases originate in bacteria, viruses, parasites, chemicals and toxins introduced along food production chains, he told an experts' meeting.  "There are some indications that the foodborne disease burden is increasing. But there is not very good data, it is difficult to say exactly what is happening," Schlundt said.

About 2.2 million children die each year from diarrheal illnesses including cholera caused by dirty water, food, and poor sanitation, according to the United Nations agency.  Food products needed to be monitored at every stage of their handling, Schlundt said.  "If you want to deal with food safety you have to go from the 'farm to the fork'. The notion that you can deal with it at the end of the food chain is clearly wrong," he said.  In many countries, regulatory authorities fail to work together, he said.  "In China there are 16 different authorities involved in some way in dealing with the melamine crisis," he said.

Julie Ingelfinger, a Harvard Medical School professor and pediatric nephrologist, said many people had overlooked the seriousness of complications caused by contaminated food.  For instance, E.coli poisoning can cause hemolytic-uremic syndrome, a cause of kidney failure in children, she said.  "Research into the long-term effects of foodborne disease is increasingly important because it is unquantified and goes on for decades," she said.

David Heymann, WHO assistant director-general for health, security and the environment, told the meeting that rich and poor countries were both vulnerable to foodborne diseases.  "Foodborne diseases occur on every continent and in every country really. We never know where these events will happen," he said.

The recent salmonella outbreak in the United States -- its worst in a decade -- was an example of the changing picture of foodborne diseases, according to the WHO.  Although salmonella is often linked to poultry, eggs and dairy products, recent outbreaks have been tied to fresh produce, it said. Tomatoes were suspected in the U.S. outbreak before the salmonella was traced to peppers from Mexico.

Nancy Donley, president of the U.S. non-profit group S.T.O.P. (Safe Tables Our Priority), said food safety needed to be taken more seriously as a public health concern.  "It's crucial to keep foodborne disease prevention as a top priority in the world," said Donley, whose 6-year-old son Alex died in 1993 from e.coli-contaminated meat. "Behind every statistic is a face, a name, a life." (Editing by Laura MacInnis and Angus MacSwan)

China's Melamine Poisoning Problem - The Gift That Keeps Giving

As if the poisoning of tens of thousands of China's babies was not enough, now the problem of how to get rid of the nasty, toxic chemical is causing further headache.

Disposal techniques so far have ranged from having it burned, buried and mixed into coal. The most astounding method used thus far?  One trash-hauling company dumped a load into a river, turning the waters a frothy white and raising fears about the safety of the drinking water.  Really, dumping it into water used for drinking?  Isn't that basically how this whole mess started in the first place?!

Tens of thousands of tons of milk laced with melamine, a chemical used in making fertilizer and plastics, have been pulled from shelves and warehouses since September, and local governments now face the huge -- and costly -- problem of safely disposing of it.

Last month alone, more than 32,000 tons -- enough to fill about 23 Olympic-sized pools -- were disposed of in a single province, Hebei, according to the official Xinhua news agency.

At a factory in the southern city of Guangzhou, tons of contaminated milk powder were incinerated in 3,000-degree heat.

"All the remaining substance will be put into cement," said Wang Fan, director of Guangzhou's food safety office. "Our disposal process meets the national environmental protection requirements. It will not harm people's health."

Not known for making environmental safety a priority, China has gotten good marks so far from scientists and environmentalists in its efforts to dispose of the adulterated milk.

Beijing has issued new guidelines on how to destroy the tainted products. They recommend burning the milk in large-capacity incinerators or, if such facilities aren't available, burying small amounts in landfills -- as long as local environmental bureaus approve.

Burning or burying breaks down melamine and neutralizes its toxicity, said Peter Ben Embarek, a Geneva-based scientist at the World Health Organization's food safety department.

"We're talking about very large quantities so it's very important that these products are being destroyed in a proper way," he said in a telephone interview.

"Burying is OK if it is done in official, controlled waste disposal sites," he said. "We don't want to see products buried in illegal dumping places."

 

What's the Best Way to Deal with the Next E. coli or Salmonella Outbreak?

Not have an outbreak in the first place!

That was the theme at the recent Fresh Summit 2008 conference, "Food Safety: Keeping Your Business Healthy," where attendees heard from panelists about the latest in regulations and safety initiatives as well as how to consider food safety investments in a return-on-investment perspective.

Bob Whitaker, PMA’s Salinas, Calif.-based chief science officer, said the industry must continue its food safety diligence and try to stay ahead of the curve and anticipate possible future food safety issues.

“I see the industry is demonstrating the will to go forward by having the courage to act and to act now and to get involved in industry food safety activities,” Whitaker said. “And the industry has character to ask what we need to do further to make our programs better.”

Whitaker said the industry is better overall after the outbreaks and said he has noticed many positive changes bubbling under the surface during the past 1½ years. More PMA members, he said, are asking him for technical information.

The industry, Whitaker said, is putting more funding into food safety research and global standards are arising.

“There have been inconsistencies between buyers and suppliers,” Whitaker said. “Often, a supplier that invested heavily in food safety competed in the marketplace with someone who didn’t. What we’re seeing today is an increased awareness on both sides.”

Rise of Recent E. coli O157:H7 Infections Tied to Biofuel?

Last year we saw a huge rise in the number of beef recalls due to E. coli O157:H7 contamination.  While there were eight beef recalls in the US in 2006, the number jumped to an astounding 21 beef recalls in 2007, including the second largest beef recall in US history from Tops Meat Company.  About a third of the recalls were prompted by reports of human illness, while none of the 2006 recalls were.  According to a recent Washington Post article by staff writer Annys Shin, researchers at Kansas State University may have found the reason.

The study found higher levels of E. coli O157:H7 in the feces of cattle fed a diet that included an ethanol product called distillers grain.

Distillers grain is what is left after the starch from corn is removed to make ethanol. It has been around for decades, but its popularity as a feed ingredient has surged in recent years. One reason is that demand for ethanol, fueled by rising gas prices and federal mandates and subsidies, has pushed the price of corn -- and in turn, corn feed -- to record levels, said Darrell Mark, an economist at the University of Nebraska at Lincoln.

Distillers grain is also cheaper than corn and is high in the proteins and fats that help cattle put on more weight, said David M. Smith, a University of Nebraska researcher. For cattle ranchers, who are being squeezed by lower beef consumption and higher prices for fuel and grazing land, such benefits are important.

The researchers at Kansas State followed up with another study in which they inoculated calves with E. coli O157:H7 (which is harmless to cattle) using a modified form of the bacteria that was easier to track. They found that calves fed distillers grain had higher levels of the bacteria than those that were not. The USDA findings appear to back them up.

But the connection between distillers grain and E. coli is still far from conclusive, researchers said, for several reasons. Another study done by researchers at the University of Nebraska found that cattle fed a diet of up to 25 percent distillers grain actually had less of the bacteria than the control group, while those fed a diet that was 40 percent or more distillers grain had more of the bacteria. Another study done at Kansas State found no statistically significant increase in the bacteria in distillers-grain-fed cattle compared with the control.

T.G. Nagaraja, one of the Kansas State researchers, suggests that the variation in results may be due to differences in the distillers grain, which can depend on where it was produced.

New Cattle Vaccine May Reduce E. coli O157:H7 Infections

On Monday, a Canadian biopharmaceutical company, Bioniche Life Sciences, Inc., announced it has received full licensing approval from the Canadian Food Inspection Agency (CFIA)—an analogue to the USDA—for the world’s first cattle vaccine designed to reduce the shedding of E. coli O157:H7 in cattle feces.

The vaccine works by preventing the E. coli O157:H7 bacteria from attaching to the intestines of the cattle. This, in turn, reduces reproduction of the bacteria within the intestines and leads to a reduced quantity of bacteria released through the cattle’s feces into the environment. It is this release of bacteria that ultimately leads to human infections of E. coli O157:H7 through food and water contamination. 

This vaccine may also help reduce the risk of E. coli O157:H7 infections through contact with farm animals at petting zoos and agricultural exhibitions, and with E. coli O157:H7-contaminated water runoff flowing into fresh produce fields (see Dole and Natural Selections spinach outbreak, or the more recent Aunt Mid's lettuce outbreak.

Bioniche is currently working to meet the USDA’s requirements for a conditional license to bring the vaccine to the US.  The USDA informed Bioniche this past February that the latest data “meets the ‘expectation of efficacy’ standard” and is eligible for a conditional license, provided that Bioniche develops a plan “that would collect sufficient data to move the product to full licensure.”

The vaccine sounds like a great step towards potentially reducing the thousands of kids and elderly folks (the two most affected demographics) who become infected by E. coli O157:H7 each year. I cannot help but wonder, however, what effect this vaccine will have on current slaughter practices. With regard to meat contamination, the real problem is not solely with cattle that shed a bacteria naturally existing within their intestinal tracts, but rather with the high-speed slaughtering operations (over 300 cattle slaughtered per hour is not uncommon) that take inadequate precautions to ensure feces is not sprayed onto raw meat during the mind-bogglingly fast slaughter line. Despite beef industry claims to the contrary, it IS very possible to produce feces-free (and therefore E. coli-free) beef. So even with this very important vaccine coming to the market, my hope is for beef slaughter operations to slow down, and to continue improving and testing the adequacy of their Hazard Analysis and Critical Control Point (HACCP) plans so that fecal contamination of meat does not occur in the first place. I don’t know about you, but I’d prefer my meat both feces AND E. coli O157:H7 free.