Alamosa Salmonella Outbreak Linked to Leaky Water Tank

A state report has indicated the city of Alamosa ignored a recommendation to have a deteriorating drinking water tank inspected years before the 2008 outbreak that sickened hundreds. The final Department of Public Health and Environment Report on the outbreak was released Wednesday along with an Executive Summary and Appendix.

The report found animal waste likely contaminated an in-ground storage tank that had been identified as a problem in 1997. The 2008 outbreak included 442 reported cases of illness, but state health officials estimate as many as 1,300 of the towns 8,900 residents were sickened. One death was associated with the outbreak.

Also see Youtube Links:

Alamosa Outbreak Photo Journal Slideshow

Alamosa Outbreak Investigation

Government Accountability Project (GAP) Speech of Protecting Food Integrity

I am the Luncheon Speaker Friday (I always find it odd when I am asked to speak over a meal).  Here is the outline of Speech at The Government Accountability Project (GAP) - videos can be found on right.

The Government Accountability Project (GAP) is a 32-year-old nonprofit public interest group that promotes government and corporate accountability by advancing occupational free speech, defending whistleblowers, and empowering citizen activists. We pursue this mission through our Nuclear Safety, International Reform, Corporate Accountability, Food & Drug Safety, and Federal Employee/National Security programs. GAP is the nation's leading whistleblower protection organization.

S 510 - FDA Food Safety Modernization Act "Mark-up" on to Senate Floor

It has been a busy few days.  I spent all day and evening Wednesday trying to resolve a number of E. coli O157:H7 cases involving the Barbecue Pit and Nebraska Beef in South Georgia - made some progress, but not there yet on all the cases.  This morning was the deadline given to the insurers to resolve two Hemolytic Uremic Syndrome cases linked a raw goat milk E. coli outbreak in Missouri.  The insurers, the farm, the store and the families opted to settle the claims.

In the meantime, I am trying to keep up on the comings and goings in Washington D.C. - food safety in particular.  Attached you will find the HELP Committee Chairman's "Mark-up" of S 510, which was adopted by the Committee.  It now moves on to the full Senate.  Assuming it passes, there will be a Conference Committee to work out the details of the House version, HB 2749.  I have not had time to read the "Mark-up," (click on image of bill to download) but have time this evening in addition to preparing my speech for Friday at the Government Accountability Project.

Regarding S 510, I understand that four amendments were accepted.

Sen. Murkowski - To require a study of food transportation that includes an examination of the unique needs of rural areas.

Sen. Murkowski - To require that the Secretary update the Fish and Fisheries Products Hazards and Control Guidance.

Sen. Burr - To clarify certain provisions with respect to alcohol wholesalers (exempting wholesalers in addition to producers from Sec 103, preventive controls. Sen. Murray cosponsored)

Sen. Burr - To ensure that the Secretary carries out consultation and outreach with various types of entities engaged in the production and harvesting of fruits and vegetables that are raw agricultural commodities, including small businesses and entities that sell directly to consumers and farmer representatives.  Require more public meetings/consultation with producers, growers, etc. Sen. Bennet cosponsored).

So, I guess I will start reading while looking out the window.

Barbecue Pit E. coli O157:H7 Outbreak and Nebraska Beef's Problem History

The E. coli Outbreak at the Barbecue Pit

The E. coli O157:H7 outbreak that is the subject of this claim is but one part of a big, multistate outbreak that seriously injured dozens of innocent victims. The source of the E. coli O157:H7 that infected all these victims was adulterated meat manufactured and sold by Nebraska Beef, a company from which no reasonable restaurant, grocery store, or any other retail outlet should have ever been doing business. For its part, the Barbecue Pit, a restaurant that very definitely used Nebraska Beef meat—top sirloin butt—may or may not have known that Nebraska Beef was its source. But there is no question that the outbreak was caused by cross-contamination in the restaurant.

At the request of the Southwest Georgia Public Health District, Barbecue Pit shut-down temporarily, on July 2, to give investigators full access in their hunt to determine if the restaurant was the source of infection that had sickened scores of people in the area. It was subsequently confirmed that the restaurant was in fact the source of infection. Tests of meat samples from the restaurant were positive for E. coli O157:H7, and PFGE testing of the bacterial isolated were found to be indistinguishable from patient isolates. The tests also found that these isolates were indistinguishable from national outbreak pattern—i.e., the previously-identified strain that had caused infections in other parts of the country.

An environmental investigation conducted at the restaurant found much evidence of cross-contamination attributable to unsafe practices. The restaurant used the gooseneck cuts to make shredded beef and ground beef, which it ground itself. There were no grind-logs kept, however. More troubling, there was no designated hand-washing sink, and the one available sink for hand-washing was also used to wash lettuce. The meat grinder was also found to be in close proximity to the coleslaw chopper, and cutting boards were old, deeply cracked, and used interchangeably for cutting meat and other food items. Finally, raw meat was stored in cracked plastic dishwashing bins that were difficult to clean. As a result, there was ample proof that customers were infected by the consumption of tainted food made that way through cross-contamination from adulterated Nebraska Beef meat.

Nebraska Beef’s Six-Plus Years of Serious Food Safety Violations

Nebraska Beef and its meat-processing plant not only has a long history of safety and health violations, it has repeatedly been the target of USDA efforts to shut it down, including this year. This sordid history is summarized in a recent front-page, investigative news article that was published in the Washington Post, which stated:

Nebraska Beef has a contentious history with the USDA. Over the past six years, federal meat inspectors have repeatedly written it up for sanitation violations, and the company has fought back in court.

From September 2002 to February 2003, USDA shut down the plant three times for problems such as feces on carcasses, water dripping off pipes onto meat, paint peeling onto equipment and plugged-up meat wash sinks, according to agency records.

After the third suspension, Nebraska Beef took USDA to court, arguing that another shutdown would put the company out of business. A judge agreed and temporarily blocked the department. The USDA and the company then settled out of court and inspections resumed. However, when federal meat inspectors found more violations, Nebraska Beef sued the department and the inspectors individually, accusing them of bias. The suit was later dismissed.

In 2004 and early 2005, Nebraska Beef ran afoul of new regulations aimed at keeping animal parts that may be infected with bovine spongiform encephalopathy, or mad cow disease, out of the meat supply. Meat processors are required to remove certain high-risk parts, such as brains and spinal cords. Between July 2004 and February 2005, federal meat inspectors wrote up Nebraska Beef at least five times for not removing spinal cords and heads, according to USDA records obtained by Food and Water Watch, a Washington advocacy group. The company corrected the problems.

In August 2006, federal meat inspectors threatened to suspend operations at the packing house for not following requirements for controlling E. coli. The company corrected the problem a week later, USDA records show.

The hundreds of safety and sanitation violations from April 2002 through February 2003 include dozens of instances of documented fecal contamination—the major source of E. coli O157:H7—on beef carcasses and other cut meat items, like chuck rolls. There were also repeated instances where failures were identified in the plant’s E. coli testing program. And nearly every violation for that time period involved the plant’s failure “to prevent insanitary conditions or the adulteration of product.”

Ultimately, it was the regrettable history of food safety violations, and the threat the plant and its meat products posed to the public health, that prompted the USDA to conduct a “comprehensive public health assessment…during the week of September 2, 2002.” According to the legal brief later filed by the USDA in its attempt to shut down Nebraska Beef’s plant and operations:

That assessment was conducted because Nebraska Beef was one of the few suppliers of meat products used to prepare ground beef which was identified to contain E. coli O157:H7. The evidence…will show that Nebraska Beef provided a large amount of the meat products used to prepare the contaminated ground beef.

Accordingly, USDA argued that the Court should not prevent it from shutting the plant down, explaining:

FSIS has determined after extensive oversight that Nebraska Beef’s HACCP system is not working, and that its products are being produced under insanitary conditions that may make them unsafe for human consumption….Anyone who might handle or consume Plaintiffs’ [Nebraska Beef] products is therefore being exposed to greater than normal risk.

There is ample evidence that Nebraska Beef continued to run its meat-processing plant in a way that put the public at a “greater than normal risk” when consuming its products. This risk was because the plant’s HACCP and other safety systems—e.g., Standard Sanitation Operation Procedures (SSOP’s) and E. coli testing program—were insufficient or simply not working. The earlier E. coli outbreak caused by Nebraska Beef meat that occurred during the summer of 2006 is but one piece of such evidence. Indeed, in a striking replay of what had occurred in 2003, the USDA once more tried to shut down Nebraska Beef’s plant. Specifically:

On August 3, 2006, the Food Safety and Inspection Service (FSIS) issued establishment 19336, Nebraska Beef, a Notice of Intended Enforcement (NOIE). This decision was based on the finding noted during the Comprehensive Food Safety Assessment performed at [its] establishment from July 10, 2006 through August 3, 2006.

Not coincidentally, this time period was the one leading up to and including the same time period as the first Nebraska Beef E. coli Outbreak.

The NOIE Letter that FSIS sent to Nebraska Beef on August 3, 2006 is replete with examples of unsafe and insanitary practices and conditions at the plant in the months—if not years—leading up to the Longville E. coli outbreak. FSIS notes numerous noncompliances, including: the insufficiency and failure of its E. coli testing program; the failure to maintain or implement SSOP’s in compliance with regulatory requirements; and HACCP system that was inadequate because it “allowed adulterated product to be produced,” and failed to meet numerous other regulatory requirements.

Another Outbreak, and FSIS Attempt to Shut Nebraska Beef Down

Since the Longville E. coli outbreak, Nebraska Beef has been involved in another E. coli O157:H7 outbreak linked by FSIS, CDC, and other public health officials to contaminated meat products like those implicated in the present case—i.e., 60-pound boxes of Nebraska Beef chuck rolls. See, e.g. FSIS Recall No. 022-2008, dated June 30, 2008. According to FSIS:

[it] has concluded that the production practices employed by Nebraska Beef, Ltd. are insufficient to effectively control E. coli O157:H7 in their beef products that are intended for grinding. The products subject to recall [including chuck rolls] may have been produced under insanitary conditions.

See, e.g. FSIS Recall No. 022-2008, dated June 30, 2008. The cited practices and conditions have also been explicitly linked to insufficiencies that were subject to FSIS Noncompliance Reports as far as April 25, 2002 involving, among other things, insanitary practices in the fabrication area—i.e., the part of the plant where carcasses are turned into primal and subprimals. The Nebraska Beef plant has been operating with a broken safety system for over six years, and all aspects of its plant and operations are evidence of Nebraska Beef’s long history of continuing negligence—indeed, negligence so severe that it appears consciously indifferent to the safety and well-being of the consuming public, including the plaintiffs in this present action.

Unfortunately, not many ordinary consumers know of the systemic problems at Nebraska Beef, and those who are unaware have regrettably placed their faith in this company who so woodenly adheres to its intransigent, dilapidated, and mostly non-existent, food safety practices. The world would certainly be a better place if Nebraska Beef simply vanished as a link in our country’s food chain.

Perhaps more reprehensible than Nebraska Beef, however, are the companies that continue to buy or use Nebraska Beef’s products. These companies, which include many otherwise respectable organizations like Kroger and Whole Foods, simply have no excuse for what transpired in summer 2008. These companies have actual knowledge of the USDA’s repeated efforts to shut Nebraska Beef down.

Pictures from last week's China Food Safety Conference

For those avid blog readers who wondered what happened to me last week, I was doing more than hiking the Great Wall.

WHO - a Global Approach to Food Safety

WHO was a presence at the recent China Food Safety Conference.  Here is too hoping more governments - FDA and USDA - spend a bit more time thinking about food safety as a global issue.

Millions of adults die every year from bugs and toxins in what they eat, according to new WHO data that shows food-borne diseases are far more deadly than the UN agency previously estimated.

The research faults unsafe food for 1.2 million deaths per year in people over the age of five in Southeast Asia and Africa — three times more adult deaths than the Geneva-based WHO had thought occurred in the whole world.

“It is a picture that we have never had before,” WHO food safety director Jorgen Schlundt said in an interview. “We now have documentation of a significant burden outside the less than five group, that is major new information.”

Ailments linked to contaminated food and water have long been seen as a major threat to young children, who can dehydrate quickly. But the Danish veterinarian and microbiologist said the risks to older populations had been grossly underestimated.

Older children and the elderly are especially vulnerable to severe illness from major food and water-borne diseases such as salmonella, listeria, E. coli, hepatitis A and cholera.

Food safety experts are now seeking to measure the burden of such afflictions in people over the age of five in the Arab world, Latin America and elsewhere in Asia including China.

And already, Schlundt said, health officials are recognizing the need to confront the most dangerous types of contamination in their industrial regulations and trade standards.

“Literally millions are dying every year and we know that a lot of these could be prevented,” he said. “There is a realization that instead of doing what we did in the past, in the future we should really focus on where the problems are.”

Many of the contaminants that have made headlines in recent years in the US, such as salmonella and E. coli, also exist in poorer countries but are not monitored as carefully there, Schlundt said.

Health authorities in developed countries are now much more able to document food safety risks because of tests that can quickly connect disparate cases of illness to tainted foods such as lettuce, peppers, spinach and beef.

But the WHO expert said that some ailments have also become more prevalent in the food system alongside the globalization of the food supply and the rise of modern food production methods, which can propagate ailments quickly and on a large scale.

“There are certain pathogens that have increased over the last 20 or 30 years. Some problems clearly have moved and become bigger because of the ways that we produce,” he said.

Simple steps can cut the levels of chemicals and toxins in foods, such as avoiding conditions where mould can grow, Schlundt said. Farming techniques can also root out microorganisms from the food chain and parasites can be wiped out by targeting their hosts and transmission patterns, he said.

Because it is now clear that some foods are more vulnerable to certain food-borne ailments than others, health officials are well placed to focus their energies on monitoring areas posing the highest potential disease risk, Schlundt said.

Another vital part of the food-borne disease fight is having consumers take precautions in the way they prepare foods, and ensuring patients and health workers take symptoms such as diarrhea seriously as a risk across population groups.

“Many of the deaths that we see in developing countries, if they had been treated at the right time, they would not have died,” Schlundt said.

"Change?" Give me a $%&#ing Break - FDA backs off oyster ban after strong criticism

I'm still dealing with a bit of jet lag from my trip to China.  I woke up too early this morning (about 1 AM), and just woke up from a nap in my office chair to yet another move by the Obama administration that shows that "real change" in Washington is hard to come by - unless it is another cash request by a political candidate. 

First, let me make clear that I dumped a lot of "change" into the Democratic change wagon - I have given or raised millions of dollars for Democratic candidates over the last several years.  My goal was to put people in office that did good public policy.  Well, I guess I needed to wake up literally and figuratively. 

So, the food safety reality?  "Real change" Legislation is bogged down in the Senate, and despite overwhelming public and industry support, the bill will likely not come out of committee until next year - "change is on the way?" 

Now, the FDA runs and hides from the Oyster industry.  Here is what AP just posted on the wire:

Facing fierce resistance, the Obama administration on Friday backed off a plan to ban sales of raw oysters from the Gulf of Mexico during warm-weather months.

The abrupt turnaround came as oyster-lovers and industry officials — as well as Democrats and Republicans across the Gulf — blasted the plan as unnecessary government meddling. Industry officials said it could have killed a $500 million economy and thousands of jobs.

"They might have been tone-deaf in the beginning, but they got the tune pretty quickly and listened to what we had to say," said Sen. Mary Landrieu, D-La., who said FDA Commissioner Peggy Hamburg notified her of the decision Friday afternoon. "I'm really thankful that they listened."

About 15 people die each year in the United States from raw oysters infected with Vibrio vulnificus, which typically is found in warm coastal waters between April and October. Most of the deaths occur in people with weak immune systems caused by health problems like liver or kidney disease, cancer, diabetes, or AIDS.

While the total number of deaths is small compared with the annual estimates of 5,000 U.S. deaths from food-borne illnesses, FDA officials say it is a relatively high frequency that could be easily eliminated by processing oysters through treatments such as pasteurization.

Industry officials argue that anti-bacterial processing is too costly. They also say the treatments ruin the fresh taste and texture of raw oysters, which are considered a delicacy by many, particularly in the Gulf, which supplies about two-thirds of the U.S. oyster harvest.

The oyster industry has been working with regulators for years to improve its safety performance by increasing refrigeration and trying to raise awareness of the hazards to people with weak immune systems.

But the FDA says the results haven't changed much.

The FDA proposal — which was announced last month and had been slated to go into effect in 2011 — would have prohibited sales of raw oysters from the Gulf for much of the year unless the shellfish were treated.

Perhaps the FDA should never have passed the ban to begin with, but FDA, get some b%$*%s for goodness sake.  "Change you can believe in" my a%$!  Democratic candidates - do not bother calling, this "change" machine is out of order.