Ohio and Michigan E. coli Outbreak Linked To Nebraska Beef

Well guess what, you sue a church and lightening strikes you - Nebraska Beef, Ltd., is now, not only responsible for sickening a bunch of people at a church picnic and killing one church lady, but also is now responsible for a new Class 1, High Health risk recall of 531,707 pounds of "ground beef components" that were contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service announced a few moments ago.

The E. coli O157:H7 tainted Nebraska Beef was discovered by FSIS through traceback investigations and ground beef samples collected from two federally inspected establishments positive for E. coli O157:H7, as well as multiple samples of Kroger brand ground beef positive for E. coli O157:H7, with matching pulsed-field gel electrophoresis (PFGE) patterns.

Kroger brand ground beef samples were collected by the Michigan and Ohio Departments of Agriculture and Health from patients in Michigan and Ohio. Nebraska Beef, Ltd., was identified as a common supplier to those stores in addition to two federally inspected establishments where FSIS obtained a positive ground beef sample that was matched to the outbreak strain identified in Michigan and Ohio.

The epidemiological investigations and a case control study conducted by the Michigan and Ohio Departments of Agriculture and Health and the Centers for Disease Control and Prevention determined that there is an association between the ground beef products and 35 illnesses reported in Michigan (17) and Ohio (18). The illnesses were linked through the epidemiological investigation and by their PFGE pattern, or DNA fingerprint, found in PulseNet, a database maintained by the Centers for Disease Control and Prevention.
Related Posts

Summer Cookout - "I'll just have the bun please."

E. coli O157:H7 Outbreak Linked to Kroger Hamburger

Although Ohio and Michigan officials count nearly 50 ill, the CDC announced today that 35 confirmed cases of E. coli O157:H7 have been linked both epidemiologically and by molecular fingerprinting to this outbreak, 17 in Michigan and 18 in Ohio.  The onset of illness in these patients occurred from 5/30/08 to 6/14/08. Nineteen ill persons have been hospitalized.  One patient has developed a type of kidney failure called hemolytic-uremic syndrome (HUS).  No deaths linked to the outbreak have been reported.  Twenty-two (63%) of patients are female.  Patients range in age from 4 to 78 years with a median age of 22 years.

Salmonella Saintpaul Outbreak Linked to What?

After the tomato industry was thrown under the bus, the CDC announced today that it was only "an initial epidemiologic investigation comparing foods eaten by ill and well persons identified consumption of raw tomatoes as strongly linked to illness.  Recently, many clusters of illnesses have been identified in Texas and other states among persons who ate at restaurants.  These clusters have led us to broaden the investigation to be sure that it encompasses food items that are commonly consumed with tomatoes." 

The CDC also announced new numbers - 851 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 36 states and the District of Columbia.  The number of ill persons identified in each state is as follows: Arkansas (10 persons), Arizona (39), California (10), Colorado (11), Connecticut (4), Florida (1), Georgia (18), Idaho (3), Illinois (91), Indiana (11), Kansas (14), Kentucky (1), Maine (1), Maryland (29), Massachusetts (21), Michigan (6), Minnesota (2), Missouri (12), New Hampshire (3), Nevada (4), New Jersey (4), New Mexico (90), New York (26), North Carolina (5), Ohio (6), Oklahoma (19), Oregon (10), Pennsylvania (8), Rhode Island (3), Tennessee (6), Texas (346), Utah (2), Virginia (22), Vermont (2), Washington (4), Wisconsin (6), and the District of Columbia (1).  Among the 581 persons with information available, illnesses began between April 10 and June 20, 2008, including 173 who became ill on June 1 or later.

USA Today reports that, “CDC broadens its investigation of salmonella outbreak.”
Related Posts

Who Is Minding The Store?

If you weren't able to join us in Seattle for the conference Marler Clark sponsored in April, here's the next best thing.  We've posted the power point presentations from "Who's Minding the Store: The Current State of Food Safety and How it Can Be Improved" on Marler Clark.

As you'll recall, we had a tremendous array of speakers from the local, national, and international food safety communities - the power points are clickable from the speaker names, so you can browse through by panel and topic.

Thanks again to all of the speakers who shared their time and expertise.  We are considering making this an annual event.  I will keep you posted.
Related Posts

First E. coli Lawsuit filed in Kroger Tainted Ground Beef Recall

We will file the first E. coli lawsuit in the Ohio and Michigan E. coli outbreak Monday in the Court of Common Pleas in Franklin County, Ohio against Kroger and its as yet unidentified meat supplier (“John Doe”).  The complaint was filed on behalf of a New Albany resident who was infected with the toxic E. coli strain O157:H7 after eating ground beef purchased from a Dublin, Ohio Kroger.

The lawsuit states that the plaintiff purchased beef patties from the Kroger at 7100 Perimeter Loop Road in Dublin on June 4.  She cooked and consumed the beef that same day.  She began feeling ill on June 8, and over the next two days her symptoms became increasingly severe.  By June 10, she was experiencing intense nausea, vomiting, diarrhea, and abdominal cramps.  She was admitted to the hospital, where she tested positive for E. coli O157:H7.  She was released on June 12, and continues to recover from her illness.

E. coli illnesses began showing up in central Ohio in mid-June.  This was paralleled by a sharp increase in E. coli cases in Michigan.  By June 20, officials had genetically linked many of the Ohio and Michigan cases; the days that followed, the outbreak was traced to ground beef from Kroger stores.  With illnesses nearing 30, Kroger initiated a voluntary recall on June 25.  The products subject to recall include all varieties and weights of ground beef products bearing a Kroger label sold between May 21 and June 8 at Michigan stores, as well as Kroger stores in Columbus and Toledo, Ohio.  These ground beef products are marked with a sell-by date between 05/21/08 and 06/08/08.

Since the spring of 2007 over 34 million pounds of E. coli contaminated beef has been recalled by different companies.  Kroger has recalled beef and beef products at least five times over the last seven years:

· 2001: Excel Corporation of Newnan, GA recalled 190,000 pounds of fresh ground beef and pork that had been distributed to Kroger stores in Alabama, Georgia, Kentucky, South Carolina, and Tennessee.

· 2002: Kroger stores in 18 states recalled ConAgra ground beef products. In all, 18.6 million pounds of beef was recalled.  45 People in 23 states became ill with E. coli from the tainted meat. One woman in Ohio died.

· 2002 - One store in Arkansas recalled 240 pounds ground beef, no illnesses.

· 2003: Green Bay Dressed Beef doing business as American Foods Group recalled 106,000 pounds of fresh and frozen ground beef products distributed under the Kroger logo.

· 2007 - United Food Group recalled 5.7 million pounds of beef, including ground beef sold at Kroger.

News Coverage to date:

Ohio woman files E. coli lawsuit against Kroger

E. coli lawsuit names Kroger, beef suppliers

Lawsuit filed against Kroger in E. coli case

Marler Clark Files First E. coli Lawsuit in Kroger Tainted Ground Beef Recall

Seattle, Cleveland firms file E. coli lawsuit in state

Related Posts

Update - Michigan and Ohio Health Departments Report on Kroger E. coli Illnesses and Recall

The Michigan Department of Community Health has confirmed 17 E. coli cases that are genetically linked and over half of those cases have either prepared or consumed hamburger meat from Kroger. 11 of these cases required hospitalization. The 17 genetically linked cases, E. coli O157:H7, are present in seven Michigan counties including Eaton (1), Macomb (3), Washtenaw (4), Saginaw (1), Genesee (1), Wayne (3) and Oakland (4).

The Ohio Department of Health is reporting 22 confirmed and probable cases of E. coli O157:H7, 18 of which are confirmed and linked to the outbreak in Michigan and Ohio. The cases are in Franklin (10 confirmed, one probable); Delaware (one confirmed); Fairfield (four confirmed); Lucas (one confirmed, three probable); Seneca (one confirmed); and Union (one confirmed) counties.

Since the Jack in the Box outbreak of 1993, we have been involved in every major E. coli O157:H7 outbreak in the country. Keep reading below:
Related Posts

Georgia Investigation Into E. coli - Tainted Meat Continues - Lauren Hill Bannister To Be Released From Hospital

Delivrine Registre of Albany Georgia station WALB reports that an E. coli outbreak that has sickened at least one young woman in Albany may be responsible for the illnesses of a dozen others.  As she reports, the investigation into the source an E. coli outbreak in Colquitt County continues.  At least a dozen people have shown up at the emergency room this week with symptoms similar to those caused by E. coli bacteria.  So far 15-year-old Lauren Hill Bannister is the only confirmed case of E. coli.  Health officials believe the common link is ground beef.

We have been involved in many outbreaks of E. coli O157:H7 since the Jack in the Box outbreak of 1993, including many in Georgia.  See, Marler Clark E. coli Litigation.  Recently, we have been investigating E. coli illnesses in Ohio, Michigan and Alabama that all appeared tied to hamburger consumption.  Since the Spring of 2007, E. coli related Illnesses and Meat recalls have been on the rise.  Nearly 25 recalls have occurred amounting to over 34,000,000 pounds of meat.

The Centers for Disease Control and Prevention (CDC) estimated in 1999 that 73,000 cases of E. coli O157:H7 occur each year in the United States. Approximately 2,000 people are hospitalized, and 60 people die as a direct result of E. coli O157:H7 infections and complications, like Hemolytic Uremic Syndrome.  The majority of infections are thought to be foodborne-related, although E. coli O157:H7 accounts for less than 1% of all foodborne illness.

While the majority of foodborne illness outbreaks associated with E. coli O157:H7 have involved ground beef, such outbreaks have also involved unpasteurized apple and orange juice, unpasteurized milk, alfalfa sprouts, and water.  An outbreak can also be caused by person-to-person transmission of the bacteria in homes and in settings like daycare centers, hospitals, and nursing homes.
Related Posts

Raw Milk Cons: Review of the Peer-Reviewed Literature

A summary of the peer-reviewed literature relating to the “pros” of raw milk consumption was posted earlier this month. What about the “cons?” The overwhelming “con” of drinking raw milk according to the literature relates to food safety hazards. The following is an overview of the literature describing pathogens found in raw milk and outbreaks associated with consumption of raw milk and products made from raw milk.

Another possible “con” not well-documented in the literature is cost. First, commercial raw milk demands a premium price in the US with a gallon costing the consumer ~$12 compared with ~$7 for a gallon of organic pasteurized milk and ~$3-5 for a gallon of traditional pasteurized milk depending on the region and other factors. Second, the outbreaks, illnesses, and recalls resulting from raw milk consumption also incur costs for individuals and society:

• Medical expenses for acute care and long-term health problems
• Lost productivity and other indirect costs
• Costs to public health for investigation and control of outbreaks
• Losses to the dairy industry as a whole due to reduced consumer confidence following publicized outbreaks and recalls
Related Posts

Michigan and Ohio E. coli Illnesses Linked to Kroger Near 50 - Lawsuit on Tap for Monday in Ohio

According to Sarah Tompkins of the Detroit Free Press, the search for bad ground beef is now down to 2 Kroger suppliers. Wouldn't it be sweet justice if the source of this outbreak winds up being Nebraska Beef - recently famous for suing a church in upstate Minnesota.  You must read the New York Times piece - "Out of a Church Kitchen and Into the Courts."  My favorite quotes:
Denis W. Stearns, a Seattle lawyer who represents Mr. Hawkinson and Ms. Wheeler, said it was unusual but not unprecedented for a meat company to sue the victims. His colleague, Bill Marler, is less diplomatic, calling Nebraska Beef’s lawsuit “one of the boldest, yet boneheaded, moves I have ever seen.”

As for suing the church, Mr. Gordon argued that the smorgasbord wasn’t a casual family dinner, but a money-making project for the church that was open to anyone willing to pay the freight.

“When you are running it as a money-making venture, why should you be any different from McDonald’s?” Mr. Gordon said. “Nobody is suing the old ladies, to use your term. In the same way that when McDonald’s gets sued, no one sues the nice teenage kid behind the counter.”

At least not yet.

According to Ms. Tompkins, as of Friday evening, health officials in Michigan and Ohio reported 47 confirmed and suspected cases of E. coli O157:H7.  Eleven Michiganders were hospitalized, including one treated for kidney failure (HUS).

It is concerning as of this date, Kroger and the FSIS are unable to say which of two suppliers are the source of the E. coli contamination.  Frankly, there are only a couple of reasons for that:  1) Kroger's record keeping of its meat purchase and grinding records make it unclear which producer supplied meat on what day to which store, and 2) that contamination occurred at Kroger's itself (not likely, but possible.  Perhaps our lawsuit on Monday will shake loose the answer.
Related Posts

Michigan and Ohio E. coli Cases Hit at Least 39

As of 4 pm on June 27, the Michigan Department of Community Health has confirmed 17 E. coli O157:H7 cases that are genetically linked and over half of those cases have either prepared or consumed hamburger meat from Kroger. 11 of these cases required hospitalization. The 17 genetically linked cases, E. coli O157:H7, are present in seven Michigan counties including Eaton (1), Macomb (3), Washtenaw (4), Saginaw (1), Genesee (1), Wayne (3) and Oakland (4).  In addition there are 8 other cases under investigation.

The Ohio Department of Health is reporting 22 confirmed and probable cases of E. coli O157:H7, 18 of which are confirmed and linked to the outbreak in Michigan and Ohio. The cases are in Franklin (10 confirmed, 1probable); Delaware (1 confirmed); Fairfield (4 confirmed); Lucas (1 confirmed, 3 probable); Seneca (1 confirmed); and Union (1).

We have been contacted by over a dozen individuals and families who believe they are linked to this outbreak.  We are completing our investigation on 5 that are genetically linked to Kroger meat.  Late Friday afternoon we filed the first case against Kroger and "John Doe Suppliers" as, despite repeated requests, Kroger refused to identify the supplier who provided it E. coli-contaminated product.
Related Posts

Salmonella Saintpaul hits 810 in 36 States - Was it Really Tomatoes?

From a CDC/FDA Press Conference today:

As salmonella cases continue to climb, the government is checking if tainted tomatoes really are to blame for the record outbreak - or if the problem is with another ingredient, or a warehouse that is contaminating newly harvested tomatoes.  Federal health officials say there's no evidence clearing tomatoes.  But inspectors haven't yet found the outbreak's source even as cases continue to rise - to 810 confirmed ill.  Most worrisome, the latest victim became sick on June 15.   Patricia Griffin of the Centers for Disease Control and Prevention says the agency is looking into other ingredients, just in case tomatoes were not to blame.

CDC is collaborating with public health officials in many states, the Indian Health Service, and the U.S. Food and Drug Administration (FDA) to investigate an ongoing multi-state outbreak of human Salmonella serotype Saintpaul infections. An epidemiologic investigation comparing foods eaten by ill and well persons has identified consumption of raw tomatoes as the likely source of the illnesses. The specific type and source of tomatoes is under investigation; however, the data suggest that illnesses are linked to consumption of raw red plum, red Roma, or round red tomatoes, or any combination of these types of tomatoes, and to products containing these raw tomatoes.

Since April, 810 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 36 states and the District of Columbia. These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. Maine and Minnesota have been added to the list of states with ill persons. The number of ill persons identified in each state is as follows: Arkansas (10 persons), Arizona (39), California (10), Colorado (8), Connecticut (4), Florida (1), Georgia (18), Idaho (3), Illinois (78), Indiana (11), Kansas (14), Kentucky (1), Maine (1), Maryland (25), Massachusetts (18), Michigan (4), Minnesota (2), Missouri (12), New Hampshire (3), Nevada (4), New Jersey (4), New Mexico (85), New York (25), North Carolina (5), Ohio (6), Oklahoma (19), Oregon (7), Pennsylvania (6), Rhode Island (3), Tennessee (6), Texas (342), Utah (2), Virginia (22), Vermont (1), Washington (4), Wisconsin (6), and the District of Columbia (1).
Related Posts

As Many As 35 Ill for Kroger E. coli-tainted Hamburger in Ohio and Michigan - Supplier to be Named Soon - Why the Secrecy?

Once again, FSIS and a retailer drag their feet in naming the names of the suppliers.

Although the numbers seem to shift a bit, according to the Michigan and Ohio Health Departments and media reports, it appears that at least 18 have been sickened with E. coli O157:H7 in Ohio and Michigan my have more than 17 ill.  The last reported illness onset is June 20 (five days before the recall).  The outbreak started earlier this month and yesterday prompted Kroger to recall an unspecified amount of meat sold at its stores between May 21 and June 8.  Several have been hospitalized, one developed Hemolytic Uremic Syndrome.

Kroger finally announced Wednesday it was recalling all ground beef products with sell-by dates between May 21 and June 8.  However, Kroger declined Thursday to release the number of meat suppliers it works with to supply its more than 2,470 supermarkets and stores in 31 states.  FSIS too refused to name name – yet.  FSIS also would not release information about the number or names of suppliers undergoing investigation, citing Kroger's “proprietary business relations.”

As I said in a post in March of this year, “When is a Recall, not a Recall?”
So, here is the rub: Richard Raymond, the USDA undersecretary for food safety, said USDA regulations prevent the department from disclosing Hallmark/Westland's customers because such information is considered proprietary. Food safety groups have argued for lifting that restriction, saying it would give consumers more information during recalls, while some food industry groups have opposed it.

So, it is really time to change the rule. Recalls should be real, they should be complete and they should be transparent. The goal should be to protect consumers not a company’s customer list.

Nothing changes.  Kroger should know who supplied the meat to these Michigan and Ohio stores.  It should have grinding records so any E. coli O157:H7 contamination can be linked - quickly - back to the slaughter plant.  Its failure to do so to date may mean that its record keeping is not what it should be.  If that is the case, Krogers (which, because it regrinds meat in store, is strictly liable under the law as a "manufacturer" of E. coli-tainted hamburger) may be left holding the bag instead of pointing fingers.
Related Posts

Bar Association Annual Awards Dinner 2008


Well, just made it back from London and Louisiana for dinner in Seattle.  Should be fun if I can remember what time zone I am in.  Congratulations to all the award winners (including me):

Outstanding Lawyer: William D. Marler, Marler Clark LLP
Outstanding Judge: Hon. Charles J. Delaurenti, II, King County District Court
William L. Dwyer Outstanding Jurist: Hon. H. Joseph Coleman, Washington Court of Appeals
Friend of the Legal Profession: Dean Kellye Y. Testy, Seattle University School of Law
Helen Geisness Award: Charles S. Burdell, Jr., Judicial Dispute Resolution
Outstanding Young Lawyer: Karolyn A. Hicks, Stokes Lawrence, P.S.
Pro Bono Award - Individual: Carl Palmer, McCune, Godfrey & Emerick
Pro Bono Award – Firm: Curran Law Firm
President’s Award: Alene Moris, Social justice advocate
Related Posts

Who Supplied the E. coli Contaminated Meat to Kroger This Time?

Great to see that FSIS and Kroger recalled the meat.  The current Kroger ground beef recall is not the first experience Kroger has had with contaminated meat. Not only has Kroger been involved in E. coli outbreaks in the past, but in 2002, a resident of Gahanna, Ohio (where the first E. coli illness of the current outbreak was documented) was infected with E. coli from meat purchased at Kroger and did not survive the illness. She was also a Kroger employee.

2001: Excel Corporation of Newnan, GA recalled 190,000 pounds of fresh ground beef and pork that had been distributed to Kroger stores in Alabama, Georgia, Kentucky, South Carolina, and Tennessee.

2002: Kroger stores in 18 states recalled ConAgra ground beef products. In all, 18.6 million pounds of beef was recalled. 45 People in 23 states became ill with E. coli from the tainted meat. One woman in Ohio died.

2002 - One store in Arkansas recalled 240 pounds ground beef, no illnesses.

2003: Green Bay Dressed Beef doing business as American Foods Group recalled 106,000 pounds of fresh and frozen ground beef products distributed under the Kroger logo.

2007 - United Food Group recalled 5.7 million pounds of beef, including hamburger sold at Krogers.
Related Posts

Supplier of Salmonella Saintpaul Tomatoes to be Named Soon after Sickening 756 and Killing 1 in 34 States?

756 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 34 states and the District of Columbia. These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. The increase in reported ill persons since the last update is not thought to be due to a large number of new infections. The number of reported ill persons increased mainly because some states improved surveillance for Salmonella in response to this outbreak and because laboratory identification of many previously submitted strains was completed. No new states report ill people. The number of ill persons identified in each state is as follows: Arkansas (10 persons), Arizona (38), California (10), Colorado (6), Connecticut (4), Florida (1), Georgia (15), Idaho (3), Illinois (66), Indiana (11), Kansas (11), Kentucky (1), Maryland (25), Massachusetts (17), Michigan (4), Missouri (12), New Hampshire (3), Nevada (4), New Jersey (4), New Mexico (80), New York (18), North Carolina (5), Ohio (3), Oklahoma (17), Oregon (7), Pennsylvania (6), Rhode Island (3), Tennessee (6), Texas (330), Utah (2), Virginia (22), Vermont (1), Washington (4), Wisconsin (6), and the District of Columbia (1).

Rumors abound that the supplier is to be named shortly.  Will it be one of the many who supplied tomatoes in an earlier outbreak.  My bet is yes.
Related Posts

Kroger, Recall Your E. coli Contaminated Meat and Tell The Public Who Supplied It, Says William D. Marler, Food Safety Attorney

With the Michigan State Health Department linking Kroger ground beef to many of the illnesses in Michigan (which have also been linked to illnesses in Ohio), Kroger must recall all possibly contaminated ground beef said Seattle food safety attorney William D. Marler.

In 2007 companies voluntarily recalled ground beef products 21 times. The amount of recalled meat was more than 33 million pounds. The goal of a recall is to get the contaminated meat out of people’s homes, especially freezers. According to Marler, with nearly 50 people sickened in Ohio and Michigan E. coli outbreaks, it is irresponsible for a company like Kroger to not recall all potentially contaminated ground beef sold through their stores.

"Frankly, Kroger should recall the ground beef first and foremost for the safety of its customers, but also for self-preservation. If people become ill after Kroger could have recalled its ground beef products, it is exposing itself to a claim for punitive damages for having consciously ignored a known health risk to its customers," said Marler.

Interestingly, within a few hours of the above, this article appeared in the Toledo Blade:

Kroger recalls ground beef over E. coli fears; 32 stricken in Ohio, Michigan
Bill Marler, a Seattle attorney who specializes in E. coli litigation, said it took the USDA and Kroger too long to announce the recall. He said it’s rare for this many people to get sick before the announcement of a recall.

“They have certainly known for days, if not a week, that the epidemiological evidence was very strong that it was hamburger,” he said. “They should have done everything they could to get these products off the market.”

For full recall information visit FSIS.
Related Posts

E. coli strikes in Michigan and in Ohio - Kroger Common Link? What Happened to New Jersey Meat Producer? Why no recall?

Recall, Recall, where is the recall? We know that dozens of people are sickened in Michigan in Ohio, but FSIS/USDA has not issued a recall?  I can not imagine why there would not be, perhaps they thought since we are focused on tomatoes no one would notice?  We have also been contacted by victims in other states who may be linked to a nationwide E. coli outbreak.

According to press report late last night, 15 Michiganders affected in a recent E. coli outbreak (number may be as high as 35) reported purchasing and consuming ground beef from Kroger stores, the Michigan Department of Community Health announced Tuesday.  The same genetic strain of E. coli O157:H7 bacteria also has been confirmed in illnesses among 10 of 16.

Although Kroger has been linked as the source of the meat purchased. A question arises were the meat came from. Early press reports from the Ohio papers suggested that Dutch's Meat in New Jersey’s recall of 13,275 pounds of hamburger on June 8 after discovering that it might have been tainted with the sometimes-lethal bacteria might be linked.  However, Dutch's gets its meat from three or four suppliers.  If the strains match, it's possible that one of those companies sold him tainted meat and also distributed that meat to Ohio, Michigan and elsewhere, he said.  Granaldi would not name a meat supplier but said that one in the Midwest might be the source.  "They probably distribute all over the country," he said.

Over the years we have done several dozen food cases in Michigan: Black Forest Bakery Salmonella Case, Dole Spinach E. coli Case, ConAgra Potpie Salmonella Case and Bravo Cucina Italiana Norovirus Case.  And, in Ohio: King Garden, E. coli Case, Corky and Lenny Salmonella Case, Sam’s Club E. coli, Dole Spinach E. coli Case, KFC E. coli Case and ConAgra Beef E. coli.  We have also done just a few E. coli cases:

* AFG / Supervalu E. coli Outbreak - Minnesota
* Bauer Meat E. coli Litigation - Georgia
* BJ’s Wholesale Club E. coli Litigation - New York and New Jersey
* Cargill E. coli Outbreak - Nationwide
* Carneco / Sam’s Club E. coli Outbreak - Wisconsin & Michigan
* China Buffet E. coli Outbreak - Minnesota
* ConAgra Ground Beef E. coli Outbreak - Nationwide
* Dole Lettuce E. coli Outbreak - Minnesota, Wisconsin, and Oregon
* Dole Spinach E. coli Outbreak - Nationwide
* Emmpak E. coli Outbreak - Wisconsin
* Excel E. coli Outbreak - Georgia
* Finley Elementary School E. coli Outbreak - Washington
* Fresno Meat Market E. coli Outbreak - California
* Gold Coast Produce E. coli Outbreak - California
* Golden Corral E. coli Outbreak - Nebraska
* Habaneros E. coli Outbreak - Missouri
* Jack in the Box E. coli Outbreak - Western States
* Karl Ehmer Meats E. coli Outbreak – New Jersey
* KFC E. coli Outbreak - Ohio
* King Garden Restaurant E. coli Outbreak - Ohio
* Nebraska Beef E. coli Litigation - Minnesota
* Odwalla E. coli Outbreak - Nationwide
* Olive Garden E. coli Outbreak - Oregon
* Parsley E. coli Outbreak - Washington & Oregon
* Peninsula Village E. coli Outbreak - Tennessee
* PM Beef Holdings, Lunds & Byerly’s E. coli Outbreak
* Rochester Meat Company E. coli Outbreak - Wisconsin, California
* Sizzler E. coli Outbreak - Wisconsin
* Sodexho Spinach E. coli Outbreak - California
* Spokane Produce E. coli Outbreak - Washington, Oregon, Idaho
* Stop & Shop E. coli Case - New Hampshire
* Taco John’s E. coli Outbreak – Iowa and Minnesota
* Topps and Price Chopper E. coli Case - New York
* Topps Meats E. coli Outbreak - Nationwide
* United Food Group E. coli Outbreak - Western States
* Wendy’s E. coli Outbreak - Oregon
* Wendy’s E. coli Outbreak - Utah
Related Posts

Salmonella Saintpaul Tomatoes Sicken 613 in 33 States

I said to the AP today:
The tomato epidemic is not the first the country has seen, but is the largest since an outbreak in 2004 sickened 564 people, said William Marler, a Seattle attorney who specializes in food contamination cases.

Marler has been involved in seven of the last 12 salmonella cases involving tomatoes in the last decade. However, this is the only one that has involved the salmonella Saintpaul strain, he said.

Overall, salmonella outbreaks linked to raw tomatoes are common. The CDC estimates salmonella poisoning from raw tomatoes has sickened as many as 79,000 people in 12 multi-state outbreaks since 1990.

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

In 1990, a reported 174 salmonella javiana illnesses were linked to raw tomatoes as part of a four-state outbreak. In 1993, 84 reported cases of salmonella montevideo were part of a three-state outbreak. In January 1999, salmonella baildon was recovered from 86 infected persons in eight states. In July 2002, an outbreak of salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year. Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games. All were linked to consumption of raw tomatoes.

During August and September 2002, a salmonella newport outbreak affected the East Coast. Ultimately, over 404 confirmed cases were identified in over 22 states. Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states: Pennsylvania, Maryland, Ohio, West Virginia, and Virginia. Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores.

In 2006 two outbreaks of salmonella-tainted tomatoes where reported by the FDA. One was blamed for nearly 100 illnesses in 19 states. FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.  For more information on Salmonella visit www.about-salmonella.com and www.salmonellalitigation.com.
Related Posts

The Raw Milk Debate Continues

Andrew Schneider of the Seattle P-I wrote one of the “Fair and Balanced” stories in this mornings PI - Raw milk: Should the state ban it? Or drink it up? After E. coli outbreak and guilty plea, debate rages on. I did not add much except to but in a dose of reality to the farmers and the grocery stores who sell raw milk to kids.
Seattle food safety lawyer Bill Marler is up to his neck in many of those lawsuits. He grew up drinking raw milk on the farm "because that's what my dad wanted us to do," he said. He has tried injury suits stemming from most of Washington's raw milk outbreaks and is now handling similar cases in California and Missouri.

"The entire raw milk debate is so emotionally charged that there's no common ground at all," Marler said. "The reality is if you poison a little child by selling a product that could easily be pasteurized, you're going to have to deal with the legal issues surrounding that," he said.
Related Posts

Andy Warhol and I Have Something in Common?

We both have made too much money off of hamburgers.  In his case a "Double Hamburger" hanging at the Tate Modern Museum in London (I know, no cameras allowed).

With E. coli O157:H7 sickening over 50 people in Ohio and Michigan in the last months tied to meat recalled in New Jersey, we are seeing in 2008 the "uptick" in E. coli cases that started in 2007.  Frankly, after taking $500,000,000 for the food industry (most of that from the beef industry and restaurants serving beef since 1993, you would think that they would stop allowing me to afford original works of art.
Related Posts

So, are Tomatoes and Hamburger Safer in London than in USA?

Although a few thousands of miles away, I could not help thinking about the salmonella Saintpaul outbreak that has sickened over 500 in the US linked to tomatoes grown in Florida and perhaps Mexico (although with one genetic pattern (PFGE) to this outbreak, I am not sure two places sourced the contaminated tomatoes) and an E. coli O157:H7 outbreak that has sickened over 50 in Ohio and Michigan linked to hamburger produced in New Jersey.  I wonder how safe the tomatoes and hamburger are here in London on the Nottingham Street Markets?

Between speeches at the Royal Institute of Public Health here in London and the University of Cardiff in Wales, I have been in contact with the office.  We have had dozens of calls from people both sickened by salmonella and by E. coli - more work to come back to.
Related Posts

Salmonella Tainted Tomatoes Home Grown Not Imported Has Sickened 552 people in 32 States

UPDATE - Just got an email that said Mexico may still be in the hunt.

I can hear Lou Dobbs sobbing now, but the Cox News Service has confirmed that the salmonella-tainted tomatoes did NOT come from Mexico. They came from Florida. From the interview of Dr. David Acheson:
The epidemiological investigation has narrowed the problem to raw red plum, red Roma or red round tomatoes. And the evidence suggests the tainted fruit came from Florida, where farmers were harvesting when the earliest known victim fell ill on April 10.

Florida "fits with the time frame," and investigators have not found evidence that could rule out the state, David Acheson, the Food and Drug Administration's associate commissioner for foods, said Thursday in a conference call with reporters.

He said contrary to some earlier reports, he knows of no evidence showing tainted fruit came from Mexico.

The CDC as also recently confirmed that 552 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 32 states and the District of Columbia. These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. The marked increase in reported ill persons since the last update is not thought to be due to a large number of new infections. The number of reported ill persons increased mainly because some states improved surveillance for Salmonella in response to this outbreak and because laboratory identification of many previously submitted strains was completed. In particular, the number of ill persons reported from Texas markedly increased, and two new states, New Jersey and Rhode Island, reported ill persons. The number of ill persons identified in each state is as follows: Arkansas (3 persons), Arizona (29), California (8), Colorado (4), Connecticut (4), Florida (1), Georgia (11), Idaho (3), Illinois (34), Indiana (8), Kansas (9), Kentucky (1), Maryland (18), Michigan (4), Missouri (10), New Hampshire (1), New Jersey (1), New Mexico (73), New York (10), North Carolina (1), Ohio (3), Oklahoma (5), Oregon (5), Pennsylvania (5), Rhode Island (2), Tennessee (4), Texas (265), Utah (2), Virginia (20), Vermont (1), Washington (1), Wisconsin (5), and the District of Columbia (1). Among the 281 persons with information available, illnesses began between April 10 and June 10, 2008. Patients range in age from <1 to 88 years; 49% are female. At least 53 persons were hospitalized. No deaths have been officially attributed to this outbreak. However, a man in his sixties who died in Texas from cancer had an infection with the outbreak strain of Salmonella Saintpaul at the time of his death. The infection may have contributed to his death.
Related Posts

Here we go again. 2008 is looking like 2007 if you are the Victim of E. coli-tainted Hamburger in Ohio and Michigan

As I blogged about last year - “E. coli’s comeback: What’s with that?” - In 2007 in some 21 recalls, ground beef companies have recalled more than 33 million pounds of E. coli O157:H7 contaminated meat. 2008 has also seen recalls and we are just into the E. coli season. In 2007 hundreds have been sickened, including dozens of children who have undergone kidney dialysis as a result, some have died.

Now the Ohio E. coli outbreak is growing and has reached Michigan as well. The number of cases in Ohio are up to 16 cases, 10 are linked by genetic fingerprinting and public health investigators are working with clients to examine whether a common source of infection can be found. This genetic fingerprint also matches cases in Michigan.

• Delaware County: 1 case (confirmed)
• Fairfield County: 4 cases (three confirmed; one probable)
• Franklin County: 9 cases (four confirmed; five probable)
• Lucas County: 1 case (confirmed)
• Seneca County: 1 case (confirmed)

As I said yesterday, the Michigan Department of Community Health reported 29 E. coli cases statewide so far in June, well above the average of 10 cases for the entire month the past four years. Five people have been hospitalized.

In both the Ohio and Michigan cases, laboratory reports, including DNA analysis, suggest that ground beef is a common source of the bacteria in several of the individuals who were affected. It also appears that the DNA analysis has been linked to the ground beef recall of 13,275 pounds from New Jersey Dutch Meats on June 8.

E. coli O157:H7 bacteria are believed to mostly live in the intestines of cattle but have also been found in the intestines of chickens, deer, sheep, goats, and pigs. E. coli O157:H7 does not make the animals that carry it ill; the animals are merely the reservoir for the bacteria.

While the majority of foodborne illness outbreaks associated with E. coli O157:H7 have involved ground beef, such outbreaks have also involved unpasteurized apple and orange juice, unpasteurized milk, alfalfa sprouts, and water. An outbreak can also be caused by person-to-person transmission of the bacteria in homes and in settings like daycare centers, hospitals, and nursing homes. We are involved in representing families of children who have suffered from this bacterium. See Marler Clark E. coli Litigation for more information on past outbreaks.
Related Posts

Cardiff Castle - Marler Clark Europe?

Speech at the University of Cardiff went well.  Weather is like being home in Seattle.  I had time to visit a few castles today that date back well over 1,000 years.  I am thinking this one might well be a good base of operations for Marler Clark - especially if under siege from Corporations, Insurance Companies and their minions.
Related Posts

E. coli cases in Michigan Increase - Possibly Linked to Dutch Meat Hamburger Recall

The Michigan Department of Community Health reported 29 E. coli cases statewide so far in June, well above the average of 10 cases for the entire month the past four years.  Five people have been hospitalized. The Centers for Disease Control and Prevention has become involved in the investigation. 

Early laboratory reports, including DNA analysis, suggest that ground beef is a common source of the bacteria in several of the individuals who were affected. The ground beef recall of 13,275 pounds from New Jersey Dutch Meats on June 8 may well be related.

The Centers for Disease Control and Prevention (CDC) estimated in 1999 that 73,000 cases of E. coli O157:H7 occur each year in the United States.  Approximately 2,000 people are hospitalized, and 60 people die as a direct result of E. coli O157:H7 infections and complications.  The majority of infections are thought to be foodborne-related, although E. coli O157:H7 accounts for less than 1% of all foodborne illness.
Related Posts

Dee Creek Owners Plead Guilty in E. coli Raw Milk Case

I am still in Wales, but press reports from the USA seem to creep across the “pond.”  Reading the Seattle Times online this morning it seems that Dee Creek finally got “nicked” as they say here for selling the “magical” milk.  As it said, “two owners of a small Cowlitz County farm pleaded guilty Wednesday to distribution of adulterated food in a December 2005 E. coli outbreak involving raw milk that sickened 18 people in Washington and Oregon.”

They face a maximum penalty of a year in prison and a $100,000 fine when sentenced Sept. 5 for the misdemeanor.  In their plea agreements, the couple acknowledged that: "the milk was prepared, packed or held under insanitary conditions whereby it may have been rendered injurious to health."  The agreements added that the couple "did not intend that anyone be put at risk through consumption of the milk."

However, three adults and 15 children were sickened by raw milk traced to Dee Creek's dairy.  Three children were hospitalized with renal failure, according to the U.S. Food and Drug Administration.  We represented some of these families in an action that was resolved over a year ago.  We presently are in litigation with California’s largest raw milk producer, Organic Pastures.  Trial in 2009.  Organic Pastures has also been under a Grand Jury investigation.
Related Posts

383 Persons Now Infected by Salmonella Saintpaul Tomatoes in 30 states and the District of Columbia - Two Adobo Grill Restaurants in Chicago Linked to at Least Nine Illnesses

Now, according to the CDC, since April, 383 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 30 states and the District of Columbia: Arkansas (2 persons), Arizona (26), California (8), Colorado (2), Connecticut (2), Florida (1), Georgia (8), Idaho (3), Illinois (34), Indiana (8), Kansas (9), Kentucky (1), Maryland (10), Michigan (3), Missouri (9), New Hampshire (1), New Mexico (70), New York (9), North Carolina (1), Ohio (3), Oklahoma (5), Oregon (4), Pennsylvania (2), Tennessee (4), Texas (131), Utah (2), Virginia (17), Vermont (1), Washington (1), Wisconsin (5), and the District of Columbia (1).

These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. The marked increase in reported ill persons is not primarily due to a large number of new infections. The number of reported ill persons increased markedly mainly because some states improved surveillance for Salmonella in response to this outbreak and because laboratory identification of many previously submitted strains was completed. Among the 243 persons with information available, illnesses began between April 10 and June 5, 2008. Patients range in age from <1 to 88 years; 47% are female. At least 48 persons were hospitalized. No deaths have been officially attributed to this outbreak. However, a man in his sixties who died in Texas from cancer had an infection with the outbreak strain of Salmonella Saintpaul at the time of his death. The infection may have contributed to his death.

Salmonella is one of the most common enteric (intestinal) infections in the United States. Salmonellosis (the disease caused by Salmonella) is the second most common foodborne illness after Campylobacter infection. It is estimated that 1.4 million cases of salmonellosis occur each year in the U.S.; 95% of those cases are foodborne-related. Approximately 220 of each 1000 cases result in hospitalization and eight of every 1000 cases result in death. About 500 to 1,000 or 31% of all food-related deaths are caused by Salmonella infections each year. Salmonellosis is more common in the warmer months of the year.

According to the Chicago Tribune, federal regulators are a step closer to solving a widespread outbreak of salmonella after two Adobo Grill restaurants in Chicago were identified as the source of nine cases of the illness that has sickened at least 383 people in 30 states.
Related Posts

Greetings from Stonehenge

I finished my lecture at the Royal Institute of Public Health in London where I received a John Snow tie, coffee mug and label pin (also inducted into the John Snow Society).  On the drive to Cardiff, Wales we stopped to see some rather interesting rocks:
Related Posts

Ohio health officials: 11 cases of E. coli illness reported in Columbus, Franklin, Fairfield and Delaware Counties - Illnesses seem not related to Lettuce served in Thurston and Pierce Counties in Washington State at Pacific Lutheran University (PLU)

According to Ohio Health officials, Eleven cases of illness due to E. coli bacteria have been reported in central Ohio over the past two weeks.  Five of the reports are from Columbus, two from elsewhere in Franklin County, three from the east in Fairfield County, and one from the north in Delaware County.  So far DNA testing has linked three cases in the city and surrounding county, and that those cases likely have the same source.

It appears that the nine cases of E. coli infection that have been lab-confirmed among western Washington residents have been linked to contaminated lettuce.  A tenth case may be linked but was not tested.  The illnesses arose, in part, at Pacific Lutheran University and a local Tacoma High School cafeteria.

UPDATE - Now a dozen ill.
Related Posts

CDC - Offical Salmonella Saintpaul Tomatoes Numbers Near 300

The CDC reports that since April, 277 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 28 states and the District of Columbia: Arkansas (2 persons), Arizona (19), California (6), Colorado (1), Connecticut (2), Florida (1), Georgia (7), Idaho (3), Illinois (34), Indiana (7), Kansas (8), Kentucky (1), Maryland (1), Michigan (2), Missouri (4), New Mexico (68), New York (2), North Carolina (1), Ohio (3), Oklahoma (4), Oregon (3), Tennessee (4), Texas (68), Utah (2), Virginia (16), Vermont (1), Washington (1), Wisconsin (5), and the District of Columbia (1). These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. Among the 202 persons with information available, illnesses began between April 10 and June 5, 2008. Patients range in age from <1 to 88 years; 46% are female. At least 43 persons were hospitalized. No deaths have been officially attributed to this outbreak. However, a man in his sixties who died in Texas from cancer had an infection with the outbreak strain of Salmonella Saintpaul at the time of his death. The infection may have contributed to his death.

The news of the "killer tomatoes" is a bit bigger news here in London than George Bush's visit with the Queen and Prime Minister.  However, we did get stuck in the middle of a protest over Bush's visit as we were making our way to the Museum of Natural History.  My guess is that the reason for the small protest is because he has much the same effect on things as the Dodo does in the Museum case.
Related Posts

CDC Estimates Salmonella Saint Paul-Tainted Tomatoes Have Sickened 8,778 - Yes, I am not making this up!

According to the CDC, for every one person who is a stool-culture positive victim of salmonella in the United States, there a multiple of 38.5 who are also sick, but remain uncounted.  (See, AC Voetsch, “FoodNet estimate of the burden of illness caused by nontyphoidal Salmonella infections in the United States,”Clinical Infectious Diseases 2004;38 (Suppl 3):S127-34).  This means that in this salmonella Saintpaul tomato outbreak of 228 (this number is bound to rise), we are missing 8,550 people so far.  (By the way, I am still in London and visited Saint Paul’s Cathedral yesterday).

So, how does such a miscount actually happen?  Frankly, some people who became ill simply suffer in silence or were not sick enough to seek medical treatment.  Those that do seek medical attention are also not that likely to have a doctor order a stool culture for salmonella.  Without a stool culture they do not get counted in the “official” CDC numbers (to date 228).

On where in the world is tainted tomato?  The U.S. Food and Drug Administration added New Mexico, Indiana and one Mexican state to its list of places that are cleared of being the source of the salmonella outbreak.  The FDA has now cleared 37 states, Puerto Rico and parts of Florida as the source of the outbreak.

Thus far we have been contacted by over 50 people in the US who either are stool-culture positive salmonella Saintpaul or who believe that they became ill after eating tomatoes in April or May.  Several have identified the same restaurant chain. Because we have not see the health department documentation of the illnesses, we will not divulge that name of the chain - yet.  Interestingly, on June 13, the FDA said that nine people fell ill at two restaurants that were part of the same chain.  The agency also declined to name the chain or its locations. Hmm, wonder if I beat the FDA to the punch?

Anyway, I still hope someone answers my questions:

1. Why does it take CDC so long to figure out an outbreak is going on?*

2. Why does it take so long for FDA to figure out where the tainted tomatoes came from?*

3. What if this was a bio-terrorism act instead of a likely food handling error?

*  Note - I think this more has to do with resources than it does will or ability.
Related Posts

I found the Pub.... I mean Pump.

Related Posts

In Search of the Broad Street Pump

I am in London today (Sunday 5:00 AM - a bit jet-lagged) and am off to see if I can find the Broad Street Pump - famous because John Snow (a.k.a., father of Epidemiology) figured out that is was the water from the pump that was the vector in the 1854 Cholera outbreak.  Inside the cover of Steven Johnson’s “The Ghost Map” reads:
It is the summer of 1854. Cholera has seized London with unprecedented intensity. A metropolis of more than 2 million people, London is just emerging as a one of the first modern cities in the world. But lacking the infrastructure necessary to support its dense population - garbage removal, clean water, sewers - the city has become the perfect breeding ground for a terrifying disease no one knows how to cure.

But for John Show, my job tracking foodborne illness outbreaks would be a bit harder.  In the map above, I am staying about two blocks North of the intersection of Regent and Oxford - right across the Street from "All Souls Church" (and a Starbucks) on Langham.  I also saw press reports of the final settlement in the Sizzler case from 2000.  A great result on a very sad case.
Related Posts

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

Efoodalert blogger Phyllis Entis, blogged today that Kentucky has been added to the torrent of tainted-tomatoes. It is now 229 people infected with genetically matching strains of Salmonella Saintpaul have been identified in 24 states since mid-April. Other states include: Arizona (19 people), California (2), Colorado (1), Connecticut (1), Florida (1), Georgia (1), Idaho (3), Illinois (29), Indiana (7), Kansas (5), Kentucky (1), Michigan (2), Missouri (2), New Mexico (55), New York (1), Oklahoma (3), Oregon (3), Tennessee (3), Texas (68), Utah (2), Virginia (9), Vermont (1), Washington (1), and Wisconsin (3).

According to the CDC, salmonella infections are relatively common, generally resulting in diarrhea, fever and abdominal cramps 12–72 hours after infection. Infection is usually diagnosed by culture of a stool sample. The illness usually lasts 4-7 days. Although most people recover without treatment, severe infections may occur.

The FDA recommends consuming raw red plum, raw red Roma, or raw red round tomatoes only if grown and harvested in certain states, EXCLUDING central and south Florida and Mexico.

As I said to the LA Times:

"This happens every time," said Seattle, Washington, attorney and food safety expert William D. Marler. "We've not gotten any better at surveillance of this stuff, though we've got the technology and should be able to figure out outbreaks pretty quick, not a month-and-a-half into it. And not figuring out whether it started from Florida or Mexico - that's absurd."
Related Posts

Food Czar says - Salmonella SaintPaul Tomatoes Grown in One Place

In a press briefing today, David Acheson, M.D., the FDA's associate commissioner for foods (a.k.a., “Food Czar”), said that evidence available thus far suggests that a single geographic region (e.g., Mexico or Florida) is the source of salmonella SaintPaul that has contaminated tomatoes and resulted in 228 cases of salmonellosis in 23 states. Dr. Acheson said, tha the "unique genetic fingerprint" of the salmonella strain under investigation makes it highly unlikely that the contaminant will be found in more than one locale. However, the FDA still has not traced the pathogen back to that single source, although he said the most likely regions were central and southern Florida and Mexico.

If I were Food Czar, I would ask the following questions:

1. Why did it take the CDC so long to figure out there was a tomato outbreak?
2. Why does it take so long for FDA to figure out where the tainted-tomatoes originated?
3. What if this was a bio-terrorism case instead of a likely food-handling error?

BREAKING NEWS


FDA officials say two outlets of the chain served people sickened in the outbreak. They decline to name the chain or the restaurant locations, citing confidentiality.  Nine people sickened by a salmonella outbreak linked to fresh tomatoes ate at two restaurants from the same chain, federal officials confirmed today.  The chain's name and restaurant location are confidential, said David Acheson, the associate commissioner of foods for the Food and Drug Administration, during a conference call with reporters. A spokesman for the agency also declined to provide the time frame for the cases -- or say whether the restaurants were in the same state.  However, according to the FDA, some of the sick ate tomatoes bought at supermarkets and fixed at home.  Interestingly, we have received about 50 phone calls and emails from people who believe that they have been sickened by salmonella.  Some report speaking to local and state health departments and being told that they were sickened by salmonella SaintPaul.  Several restaurants have been named.  Perhaps by the weekend we will have figured it out.
Related Posts

Off to England in the Middle of a Tomato Salmonella Outbreak and a Lettuce E. coli Outbreak - Well, I'll be busy when I get back.

Click on the below and you should be able to download my presentation:
Related Posts

Salmonella Tainted Tomatoes Now Sicken 228 Americans in 23 States - Florida, Georgia, Missouri, New York, Tennessee and Vermont added

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

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

CDC Weighs in on the Raw Milk Debate - Escherichia coli O157:H7 Infections in Children Associated with Raw Milk and Raw Colostrum From Cows --- California, 2006

Escherichia coli O157:H7 Infections in Children Associated with Raw Milk and Raw Colostrum From Cows --- California, 2006

CDC this morning published the following findings in MMWR:
Five of six patients reported they had consumed brand A raw dairy products in the week before their illness onset; the sixth patient denied drinking brand A raw milk, although his family routinely purchased it. Among the five patients who consumed brand A dairy products, two consumed raw whole milk, two consumed raw skim milk, and one consumed raw chocolate-flavored colostrum. Four of the five patients routinely drank raw milk from dairy A. One patient was exposed to brand A dairy product only once; he was served raw chocolate colostrum as a snack when visiting a friend. No other food item was commonly consumed by all six patients. No other illness was reported among household members who consumed brand A dairy products.
Funny, there was a great article on Organic Pastures - See AP Article:
Health officials crack down on unpasteurized milk

My favorite quote:

McAfee, who was among the first in California to sell raw milk on a large scale, brushed off the investigation: "When you're a pioneer, you have to expect to take a few arrows."

Tad bit racist I would say?  My other favorite quote:

But parents like Melissa Herzog strongly disagree.

Herzog, whose 10-year-old daughter spent two months in the hospital after her kidneys failed because of E. coli poisoning, is one of the families suing Organic Pastures over the 2006 outbreak that health officials determined was probably caused by raw milk from the dairy.

"I don't have anything good to say about raw milk," she said. "It was a horrible experience."

For the complete CDC report:
Related Posts

Ohio E. coli Outbreak - Six cases in Franklin, Fairfield Counties - Is there an Ohio/Washington Connection to Lettuce?

Misti Crane of the Columbus Dispatch reported this morning that six cases of E. coli O157:H7 infections in the past week have health officials concerned and looking closely to see whether the illnesses are linked.

Three cases in Fairfield County and three in Franklin County, including two in Columbus, were reported after the death on May 27 of a 52-year-old Gahanna woman who was infected with the bacteria. In Columbus, a 19-year-old man and a 74-year-old woman were sickened. The third Franklin County case involved a 23-year-old man. The Fairfield County cases involved an 11-year-old girl, a 12-year-old boy and a 47-year-old woman, health officials said. The 52-year-old woman who died had the same strain as several Washington state residents whose illnesses were linked to lettuce grown in California.
Related Posts

Tomato CSI - Much of Florida Cleared - Mexico on the Block?

I also had a nice chat with Susan Salisbury of the Palm Beach Post Staff Writer how the “Tomato scare unlikely to alter laws.”
The salmonella outbreak that has sickened at least 167 people in 17 states isn't bad enough to generate national food-safety laws, said a leading lawyer specializing in food-borne illness cases.

"It is going to take, unfortunately, an outbreak like the Jack in the Box outbreak in 1993, where you had 600 people sick and four little kids die," said Bill Marler, a Seattle lawyer.

The current outbreak, which dates to mid-April, probably is larger than is being reported, he said.

"For every person they are counting, there are about 40 other people who got sick that they are not counting," Marler said. "This outbreak is a lot bigger than 167 people. It is 40 times that number."



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

Alabama
Arkansas
California
Colorado
Delaware
Florida (counties of: Jackson, Gadsden, Leon, Jefferson, Madison, Suwannee, Hamilton, Hillsborough, Polk, Manatee, Hardee, DeSoto, Sarasota, Highlands, Pasco, Sumter, Citrus, Hernando, Charlotte)*
Georgia
Hawaii
Louisiana
Maine
Maryland
Massachusetts
Minnesota
Mississippi
New Jersey
New York
Nebraska
North Carolina
Ohio
Pennsylvania
South Carolina
Tennessee
Texas
Utah
Virginia
Washington
West Virginia
Wisconsin
Belgium
Canada
Dominican Republic
Guatemala
Israel
Netherlands
Puerto Rico
Related Posts

A Must Read


At least pages 182-83, 188 and 196.
Related Posts

Salmonella Tomato Update - 17 States and 167 People Ill and Counting

According to the CDC, since mid-April, 167 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 17 states: Arizona (12 persons), California (2), Colorado (1), Connecticut (1), Idaho (2), Illinois (27), Indiana (7), Kansas (5), Michigan (2), New Mexico (39), Oklahoma (3), Oregon (3), Texas (56), Utah (1), Virginia (2), Washington (1), and Wisconsin (3). These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization. Among the 73 persons who have been interviewed, illnesses began between April 16 and May 27, 2008. Patients range in age from 1 to 82 years; 49% are female. At least 23 persons were hospitalized.

I spoke with Mike Stobbe for his article: “Why did food sellers treat tomatoes like hot potatoes?”

It's an expensive proposition to toss seemingly edible food, experts said. But McDonald's and others had good reason to pull the tomatoes, said Bill Marler, a Seattle attorney who for 15 years has specialized in food-contamination cases.
"The dilemma is if they don't recall the tomatoes and someone gets sick, then they're going to really look foolish," he said.
Recent news continues to point to Mexico as the likely source of the tainted-tomatoes.  Everyone is waiting for the FDA announcement.  I did make a passing mention on my hero, Perishable Pundit's. blog where he was discussing why tomatoes are being removed from shelves, even though the risk is likely long past:
“The problem now is that the buyers and even the food safety people at these buying organizations lose control once FDA issues a statement. Then it puts things into legal parlance, and all the lawyers can think about is Bill Marler, plaintiff’s food safety lawyer par excellence, stroking his chin thoughtfully as he questions the CEO of one of these big chains while on the witness stand: “So, sir, you elected to buy tomatoes from Mexico even though you knew that the FDA, the official food safety expert of the federal government of these United States, had specifically advised you not to do so?”
Related Posts

Salmonella Tomato CSI - Mexico, Virginia or Florida?

As our Local, State and National Health authorities stumble to find the source of the Salmonella tainted tomatoes, I got an email from some nice person who found the following article about research our government has been doing on Salmonella and Tomatoes - Interesting read:

Animal and Environmental Impact on the Presence and Distribution of Salmonella spp. in Hydroponic Tomato Greenhouses

Submitted to: Journal of Food Protection
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: December 19, 2007
Publication Date: April 30, 2008
Citation: Orozco, L., Iturriaga, M., Tamplin, M., Fratamico, P.M., Call, J.E., Luchansky, J.B., Escartin, E. 2008. Animal and Environmental Impact on the Presence and Distribution of Salmonella spp. in Hydroponic Tomato Greenhouses. Journal of Food Protection. Vol.71(4) pg. 676-683.

Interpretive Summary: Tomatoes contaminated with Salmonella, a pathogenic food-borne bacterium, have been identified as vehicles of human diarrheal illness known as salmonellosis. Contamination of tomatoes can occur at several points from farm to table. Therefore, an investigation examining the sources of Salmonella contamination of tomatoes grown in hydroponic greenhouses in Queretaro Mexico was conducted. The presence of Salmonella was determined on samples of tomatoes, water, soil, sponges, gloves, animal feces, and from the hands and shoes of farm workers. Salmonella was detected in all types of samples, except workers¿ gloves and hands. Methods were used to determine the characteristics of the Salmonella bacteria isolated from the various sources, and a method known as pulsed field gel electrophoresis was used to track the spread of Salmonella contamination from the different sources to the tomatoes. Several types of Salmonella bacteria that have been associated with human illness were identified. Animals, including opposums, mice, and goats and workers' shoes were identified as important sources of contamination of the tomatoes. Furthermore, there was a higher incidence of Salmonella in the greenhouses and on tomatoes during and after a flood, which resulted in water runoff entering the greenhouses. The study demonstrated that contamination of tomatoes grown in hydroponic greenhouses can occur from various sources, and critical control points from farm to table need to be identified to develop strategies to prevent contamination.

As I said before:

"Salmonella and tomatoes have an ongoing relationship," Marler said. "Sadly, it's a long list of outbreaks. We've gotten better at tracing the serotypes and finding the source of the tainted food, but we have to do more: we have to prevent contaminated food from entering the food supply in the first place."

In 1990, a reported 174 salmonella javiana illnesses were linked to raw tomatoes as part of a four-state outbreak. In 1993, 84 reported cases of salmonella montevideo were part of a three-state outbreak. In January 1999, salmonella baildon was recovered from 86 infected persons in eight states. In July 2002, an outbreak of salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year. Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games. All were linked to consumption of raw tomatoes.

During August and September 2002, a salmonella newport outbreak affected the East Coast. Ultimately, over 404 confirmed cases were identified in over 22 states. Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states: Pennsylvania, Maryland, Ohio, West Virginia, and Virginia. Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores. In 2006 two outbreaks of salmonella-tainted tomatoes where reported by the FDA. One was blamed for nearly 100 illnesses in 19 states. FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.
Related Posts

Houston Chronicle Cancer Patient, Raul Rivera, Ate Salmonella St. Paul Tainted Tomatoes Prior to Death

Texas Health officials today confirmed that a Houston cancer patient who died after being hospitalized with nausea, diarrhea and high fever had contracted Saint Paul salmonellosis, but stopped short of saying the debilitating illness caused his death. 

Salmonella Saint Paul — spread by eating some types of raw red tomatoes — has sickened 146 people in 16 states.  Confirmation that Raul Rivera, 67, also had contracted the disease brings the total of Harris County victims to 15.  Fifty-seven Texans have been sickened by the disease. 

The CDC estimates that 1.4 million cases occur annually (CDC, 2005, October 13).  Slightly more than 400 involved the Saintpaul strain.  Approximately 600 deaths are caused by Salmonella infections in the U.S. every year, accounting for 31 percent of all food-related deaths (CDC, 2005, October 13; MMWR Weekly, 2001).

As I said in the San Jose Mercury News article, “Restaurants, markets pull tomatoes in scare”
Salmonella is not as deadly as E. coli, but it can kill, said Bill Marler, a Seattle attorney who specializes in winning settlements for victims of food poisoning.

"About 1.4 million Americans get salmonella poisoning every year, and about 76,000 get E. coli poisoning," he said. Salmonella also kills more people - particularly the elderly, about 600 a year, he said.
Rumor has it that Lou Dobbs might well be wrong to blame Mexico for the tainted-tomatoes.  The location of possible growers may well be home grown in Florida or Virginia.  We shall see.



And, in the Chicago Tribune article, “Salmonella scare holds the tomato”
The FDA hasn't traced the origin of the Salmonella Saintpaul outbreak, but a New Mexico Department of Health official told the Albuquerque Journal last week that preliminary information points to Mexico as the source.

From a growing-season perspective, that would make sense, some tomato safety experts say.

"I wouldn't be surprised, because it's the right time of the year," said Bill Marler, a Seattle attorney who specializes in food contamination cases, including some involving tomatoes.
Related Posts

So, where the Hell did the Salmonella Tomatoes and E. coli Romain Lettuce come from?

The Food and Drug Administration last weekend expanded its warning about a salmonella outbreak connected to eating raw tomatoes to 16 states.  The initial warning came June 3 about tomatoes in New Mexico and Texas.  Saturday, officials expanded the warning nationwide.  By Sunday, officials put the reported illness count at 145 to 150 in 16 states.  There were 25 hospitalizations but no deaths.   There is a quote by one New Mexico Health official that the tomatoes came from Mexico (I can hear Lou Dobbs now).  And, this is the best we get from the FDA:
''We're trying to get an answer as quickly as possible as to where these tomatoes came from,'' says David Acheson, director of the FDA's Food Safety and Security Staff.
The same is true in the romaine lettuce outbreak in Washington State.  In late May, at least nine people - a possible tenth went untested - were sickened by E. coli bacteria in two counties in the Puget Sound area of Washington state.  Officials for the Washington State Department of Health are pointing to romaine lettuce served in educational institutions as the source of contamination.   And I find this quote this morning:
"While the source of the romaine is unknown, at this time of year it is likely to have come from the Salinas Valley, said Dennis Donohue, chairman of the Grower-Shipper Association of Central California and Salinas mayor."
In the days of the risk of bio-terrorism, and with the advent of computer technology to pin-point where our books from Amazon are, you would think we would be able to trace-back contaminated tomatoes and lettuce a bit quicker?
Related Posts

The Inaugural British Food Journal Annual Lecture

Off to England and Wales later this week after a stop in lovely Sacramento, California to continue the ongoing battle over the 2006 Dole Spinach E. coli cases.  Here are some of the details of the trip to the "mother land."

Dear Colleagues:

We are delighted to invite you to attend: ‘Caused Food Poisoning? : See you in Court?

What every business should know about the costs of food poisoning’ - the Inaugural British Food Journal Annual Lecture, to be held at the Royal Institute of Public Health, London, on the 17th June 2008 from 11.00 am.

The Keynote Address will be given by Bill Marler.

Bill Marler is the world’s foremost lawyer in the recovery of compensation following outbreaks of food poisoning, and to date has recovered over $0.5 billion for his clients. Bill Marler is the managing partner in the law firm of Marler Clark and has represented thousands of victims of food poisoning. He frequently speaks on food safety around the world and has helped to form Outbreak, a non profit making business dedicated to training companies on how to avoid food borne illness.

An introduction will be provided by Professor Chris Griffith, Editor of the British Food Journal and Head of the Food Research and Consultancy Unit at the University of Wales Institute, Cardiff, followed by the lecture. Refreshments will be provided during which time delegates will have the chance to network and talk to the world‘s foremost authority on the financial consequences of food poisoning. This is a unique UK opportunity for delegates to both learn and potentially save lives, money and businesses. The lecture will be of interest to anyone involved in food safety including businesses, trainers, environmental health practitioners and many others.

I will also be doing a similar lecture in Cardiff, Wales the following day - 'Hot Topics in the Agri-Food Industry."
Related Posts

More Revelations on 2007 Topps Meat E. coli Outbreak

Crack Meat Guy Jeff Gold reported on “USDA papers: Burger recall followed riskier procedures.” I would urge readers to look this over – interesting story on the real lack of USDA and FSIS oversight on these plants and why we have seen an increase in E. coli O157:H7 illnesses since 2007. I’ll just leave you with a couple of highlights:

From FSIS’s perspective:

"Clearly, something was missed at Topps" when the company became "complacent," Kenneth Petersen, head of the national Office of Field Operations for the USDA's Food Safety and Inspection Service, conceded in an interview…. In a separate interview, Petersen said Topps had decreased end-of-line testing for E. coli from monthly to three times a year. "Somewhere, I don't know if lazy is the right word, but they got complacent," he said.

Here is the really interesting part:

At least three families have sued Topps, claiming relatives became ill from its hamburgers. With the company out of business, they are seeking shares of insurance payouts that could total $22 million.

"The problem with Topps is it seems they had really low, low frequency of testing their finished hamburger product," which saved money, said William D. Marler of Seattle, a lawyer for two of the families. "Their testing protocol really was designed never to find E. coli; never to slow the process down."

Marler examined the inspection documentation at the request of the AP and said many deficiencies should have been caught…. "This report clearly shows that their safety procedures and testing procedures were definitely below par and led to this outbreak and ultimately to their bankruptcy," he said. "My point is, these things are so obvious, where was the inspector in July and August 2007?"


And, FSIS’s response:

While acknowledging that inspections could have been better, the USDA's Petersen said that after the Topps recalls, "we put in place some changes to make sure that doesn't happen again."
Related Posts

145 Salmonella St. Paul Illnesses in Arizona, California, Colorado, Connecticut, Idaho, Illinois, Indiana, Kansas, New Mexico, Oklahoma, Oregon, Texas, Utah, Virginia, Washington, and Wisconsin caused by Roma, Plum and Round Tomatoes

FDA Warns Consumers Nationwide Not to Eat Certain Types of Raw Red Tomatoes

The Food and Drug Administration is expanding its warning to consumers nationwide that a salmonellosis outbreak has been linked to consumption of certain raw red plum, raw red Roma, and raw red round tomatoes, and products containing these tomatoes.  FDA recommends that consumers not eat raw red Roma, raw red plum, raw red round tomatoes, or products that contain these types of raw red tomatoes unless the tomatoes are from the sources listed below:
Arkansas, California, Georgia, North Carolina, South Carolina, Tennessee, Texas, Belgium, Canada, Dominican Republic, Guatemala, Israel, Netherlands, and Puerto Rico.
So, where did the tainted tomatoes turn-up?  Recent reports suggest Mexico as the source of the terrible tomatoes.

The CDC also weighed in a few moments ago.  According to the CDC, 16 states: Arizona (12 persons), California (1), Colorado (1), Connecticut (1), Idaho (2), Illinois (17), Indiana (1), Kansas (3), New Mexico (39), Oklahoma (3), Oregon (2), Texas (56 persons), Utah (1), Virginia (2), Washington (1), and Wisconsin (3) have ill people. 

These were identified because clinical laboratories in all states send Salmonella strains from ill persons to their State public health laboratory for characterization.   Among the 73 persons who have been interviewed, illnesses began between April 16 and May 27, 2008.  Patients range in age from 1 to 82 years; 49% are female. At least 23 persons were hospitalized. 

So, we are having tacos (fish) for dinner tonight and we are thinking about using salsa.  So, I looked on the label and tried to figure out if this was part of the recall or not.  Damn, if I can not figure this out.  As I said in a press release yesterday:

"A Long History of Tomatoes and Salmonella"


“Salmonella and tomatoes have an ongoing relationship,” Marler said. “Sadly, it’s a long list of outbreaks. We’ve gotten better at tracing the serotypes and finding the source of the tainted food, but we have to do more: we have to prevent contaminated food from entering the food supply in the first place.”

In 1990, a reported 174 salmonella javiana illnesses were linked to raw tomatoes as part of a four-state outbreak. In 1993, 84 reported cases of salmonella montevideo were part of a three-state outbreak. In January 1999, salmonella baildon was recovered from 86 infected persons in eight states. In July 2002, an outbreak of salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year. Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games. All were linked to consumption of raw tomatoes.

During August and September 2002, a salmonella newport outbreak affected the East Coast. Ultimately, over 404 confirmed cases were identified in over 22 states. Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states: Pennsylvania, Maryland, Ohio, West Virginia, and Virginia. Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores. In 2006 two outbreaks of salmonella-tainted tomatoes where reported by the FDA. One was blamed for nearly 100 illnesses in 19 states. FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.
Related Posts

Counting the Days to this E. coli Trial

If ever there is a case to slap down “Big Beef” this is it.  This article is a must read to learn just how far a corporation will go to deny responsibility for sickening dozens and killing a woman by putting E. coli O157:H7 out into the stream of commerce and then blaming the victims.  Corporations simply have no souls.  Instead of suing a church, the Board of Directors needs to go to church.  In Sunday’s New York Times, Andrew Martin writes:

"Out of a Church Kitchen and Into the Courts"

The Outbreak:


Nebraska Beef has been accused of making people at a church social very sick; one elderly woman died. Meatballs served at a smorgasbord of the Salem Lutheran Church in Longville, Minn., were tainted with deadly E. coli bacteria, and Nebraska Beef was named as the culprit in lawsuits filed by the dead woman’s husband and by Ellie Wheeler, one of 17 other people who became ill.

The Victims:

Ellie Wheeler, one of those at a church social who became ill, is suing Nebraska Beef. The company is suing her church.

Carolyn Hawkinson died after eating meatballs at Salem Lutheran Church in Longville, Minn.


The Defense:


But Nebraska Beef, based in Omaha, is pursuing a very different tactic.

For starters, the company has denied that it is responsible for providing bad meat, and it has provided a culprit of its own. It blames the Salem Lutheran Church — contending in its own lawsuit that the volunteer church ladies who prepared the food were negligent.

Nebraska Beef’s lawyers are even preparing to depose the minister.


Our thoughts:


Denis W. Stearns, a Seattle lawyer who represents Mr. Hawkinson and Ms. Wheeler, said it was unusual but not unprecedented for a meat company to sue the victims. His colleague, Bill Marler, is less diplomatic, calling Nebraska Beef’s lawsuit “one of the boldest, yet boneheaded, moves I have ever seen."

Perhaps my best quote ever.
Related Posts

14 States and counting in the 2008 Salmonella Tomato Outbreak - Possible Link to 2006 Spinach E. coli Outbreak?

According to the CDC, since late April, at least 105 people infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in the United States.  New Mexico (36) and Texas (35) were first to report.  In addition, 34 other people with the outbreak strain of Salmonella Saintpaul have been reported since mid-April in residents of Arizona (7 persons), Colorado (1), Idaho (2), Illinois (12), Indiana (1), Kansas (3), Oklahoma (3), Utah (1), Virginia (2), and Wisconsin (2).  There are also press reports of Salmonella illnesses in several other states, including Washington, California and Oregon.  CDC needs to update its map.

In addition, I was reading the online version of the WSJ this morning and saw this line:
[The FDA] said the tomatoes may have come from one region, similar to the spinach E. coli outbreak in the fall of 2006.
I assume that the FDA and the reporters mean that, like the Dole Spinach E. coli outbreak of 2006, which was linked to the Salinas Valley, this Salmonella Tomato outbreak may also be linked to a specific region – not the Salinas Valley – I bet California hopes so anyway.
Related Posts

Update - In Washington State Thurston and Pierce Counties at Least Ten Sick by E. coli O157:H7 Contaminated Romaine Lettuce

According to the Washington State Department of Health, nine Thurston and Pierce county adults and children fell ill in May with stool culture confirmed E. coli O157:H7 infections that appear to have come from contaminated romaine lettuce served in either a school or restaurant setting.  A 10th person, who was ill but who was not tested, also consumed romaine lettuce.

Six of those who fell ill were Pierce County residents.  Two were hospitalized.  Some or all of the ill ate salads at Pacific Lutheran University.

In Thurston County, all four victims were teenagers. Three attend Olympia’s Capital High School.  The fourth goes to Marshall Middle School.

Officials have not yet discovered the source of the romaine lettuce.  So far the investigation has narrowed to three produce distributors which source from California.  In other words – “the noose tightens.”

The Salinas Californian jumped into the hunt this morning (by reading my blog)
An E. coli outbreak in Washington State linked to romaine lettuce by health authorities has Salinas Valley growers nervous.

In late May, at least nine people - a possible tenth went untested - were sickened by E. coli bacteria in two counties in the Puget Sound area of Washington State. Officials for the Washington State Department of Health are pointing to romaine lettuce served in educational institutions as the source of contamination, according to www.marlerblog.com, published by Bill Marler, the Seattle-based lawyer who represents many of those sickened in a 2006 E. coli outbreak traced back to Central Coast bagged spinach salad.

While the source of the romaine is unknown, at this time of year it is likely to have come from the Salinas Valley, said Dennis Donohue, chairman of the Grower-Shipper Association of Central California and Salinas mayor.

Related Posts

Salmonella Tomatoes Confronts California and Oregon

A San Francisco Bay Area resident has Salmonella St. Paul that has sickened over 100 people in in at least nine states and been linked to consumption of tomatoes.  The California Department of Public Health said Friday that it is working with local officials to determine if the Contra Costa County resident's illness stemmed from eating tomatoes in California or in another part of the country.  The department also said it is working with Oregon officials to determine if an Oregon resident confirmed to have the strain of the illness known as Salmonella St. Paul ate tomatoes while in Southern California.
Related Posts

Raw Milk Pros: Review of the Peer-Reviewed Literature

I thought it might be helpful to bring a bit of rationality to the "raw milk debate."  Here is a summary of the findings of a review of peer-reviewed literature on the topic of the consumption of raw milk at least the pros:

•    There is substantial epidemiological evidence from studies in Europe that consumption of raw milk products in childhood has a “protective” effect for some allergic conditions (e.g., asthma, hay fever, eczema); other factors associated with living on a farm such as contact with animals and barns showed a similar effect in these studies.  Plausible explanations for these observations exist including the “hygiene hypothesis” and modulation of the immune system early in life.  At the same time, no author recommends raw milk as a preventive measure for allergies at this time because of the potential hazards due to foodborne pathogens such as EHEC and Salmonella  known to occur in raw milk.  The body of literature suggests that further studies are needed to identify the specific factors in raw milk (and other farm exposures) that lead to a protective effect for allergic conditions.

•    No articles could be found substantiating an increased risk of autism due to pasteurized milk or a protective effect from raw milk consumption, respectively.

•    Probiotics are increasingly recognized in the literature as an effective approach for managing some gastrointestinal and allergic conditions.  Specific criteria that define “probiotics” have been published and raw milk does not fit this definition.  No articles suggested that raw milk should be used as a probiotic.

•    Raw milk and cheeses may contain microflora (“beneficial bacteria”) that produce metabolites and other antibacterial compounds that may be toxic to foodborne pathogens.   The presence and quantity of these specific compounds, the bacterial species involved, and the log reduction for different foodborne pathogens from these bacteria/compounds has not been defined in raw milk; therefore, these properties cannot be considered a substitution for a “kill step.”

•    Although studies have shown modest reductions in some vitamins and other nutrients after pasteurization of milk, these changes are insignificant according to a review by Potter et al (1984), human nutrition studies have shown no advantage of raw over pasteurized milk.  A review of more recent literature did not reveal any changes in this position.

•    No references could be found to support some benefits reported by raw milk advocates such as promotion of tooth development/reduction of dental caries; enhanced fertility; or existence of an undefined substance to protect against arthritis (“anti-stiffness” factor)

Detailed Literature Review of the “Pros” of Raw Milk Consumption:
Related Posts

Washington Salmonella cases investigated in Walla Walla, Umatilla Counties - Linked to Nation-wide Tomato Outbreak?

The Tri-City Herald reports this morning that more than a half dozen cases of salmonella in Walla Walla and Umatilla counties are being investigated.  The county health departments are waiting for results from state labs that could indicate whether these cases are related to a national salmonella outbreak, department administrators said.  As Genni Lehnert, the administrator for Umatilla County Public Health said:

“It could very well be linked to the national outbreak,” she said.  But only lab results identifying the strain will tell.

The national outbreak that is likely caused by raw tomatoes had not yet hit Washington state as of Wednesday, according to the Centers for Disease Control and Prevention.  Nearly 100 people in 11 states have been infected with salmonella since late April.  The specific type and source of tomatoes is under investigation, but large tomatoes like Roma and red round might be the source, according to the CDC.
Related Posts

E. coli Infections in Washington Traced to Restaurant Romaine Lettuce

King 5 TV just reported that the Washington State Department of Health announced that nine confirmed cases of E. coli O157:H7 infection found in north Thurston and south Pierce counties (appears to be college students - food service) have been traced to bagged, commercial romaine lettuce.  Health officials say it's not the same type of lettuce you would buy in a grocery store.  The Health Department says four cases of E. coli O157:H7 infection were identified in Thurston County, and six in Pierce County. Some of the people infected were hospitalized.  The people who got sick all had salad or lettuce at different places, which means all of those places probably got their lettuce from a single source.

E. coli O157:H7 outbreaks associated with leafy greens such as lettuce are by no means a new phenomenon.  FDA San Francisco District director, Dr. Barbara Cassens, reported that in the last 12 years, 22 E. coli O157:H7 outbreaks have been linked to consumption of contaminated leafy greens.  Consumers were first notified that a large and deadly outbreak of E. coli O157:H7 was underway on September 14, 2006 when the FDA issued a notice that 14 states were reporting 45 cases of E. coli O157:H7 and that pre-bagged spinach was the likely vehicle.  Ultimately 26 states and one province in Canada would report 205 spinach-associated cases of E. coli O157:H7 to the CDC.

Only weeks after the spinach scare in September 2006, an outbreak of E. coli O157:H7 "allegedly" occurred among customers of Taco Bell restaurants located in Delaware, Pennsylvania, New Jersey and New York.  The first cases were identified in late November. By year’s end, 78 probable and confirmed cases of E. coli O157:H7 had been reported to health officials.  At least 53 victims were hospitalized and 8 developed HUS.   Within weeks another multi-state outbreak of E. coli O157:H7 associated with iceberg lettuce, shredded by Bix, and  incorporated into meals manufactured at Taco John restaurants.  The outbreak sickened 81 people.  Illnesses were reported in Minnesota (33), Iowa (47) and Wisconsin (1).  Twenty six people were hospitalized, and two suffered from HUS.

It is clear that the risks associated with E. coli O157:H7 and leafy greens are well known to both public health and industry.  A review of pre-2006 foodborne illness outbreaks is telling. In October 2005 the Minnesota Department of Health investigated an outbreak of E. coli O157:H7 that would grow to include ill persons in Wisconsin and Oregon.  Thirty-two cases were identified as being part of the outbreak.  Case control study data showed a statistically significant association between illness and consuming Dole pre-packaged lettuce.

In October 2003, 13 residents of a California retirement center were sickened and 2 died after eating E. coli-contaminated “pre-washed” spinach.  In September 2003, nearly 40 patrons of a California restaurant chain became ill after eating salads prepared with bagged, “pre-washed” lettuce. In July 2002, over 50 young women were stricken with E. coli O157:H7 at a dance camp after eating “pre-washed” lettuce, leaving several hospitalized and 1 with life-long kidney damage.  The Center for Science in the Public Interest found that, of 225 food-poisoning outbreaks from 1990 to 1998, nearly 20 percent (55 outbreaks) were linked to fresh fruits, vegetables, or salads.  This chart provides an overview of some of the reported E. coli O157:H7 outbreaks linked to consumption of leafy greens.

For years the FDA has been aggressively trying to get the produce industry to address serious deficiencies that are creating a critical risk to consumers.  In 1998, the FDA issued guidance to industry entitled “Guide to Minimize Microbial Food Safety Hazards for Fruits and Vegetables.”  The guide was specifically designed to assist growers and packers in the implementation of safer manufacturing practices.  Since the release of this document in 1998, the FDA has undertaken a number of initiatives on produce safety and issued a series of letters to industry.

On February 5, 2004, the FDA issued a letter to the lettuce and tomato industries to “make them aware of [FDA’s] concerns regarding continuing outbreaks associated with these two commodities and to encourage the industries to review their practices.”  In November 2005, the FDA addressed its concerns to California lettuce producers in its “Letter to California Firms that Grow, Pack, Process, or Ship Fresh and Fresh-Cut Lettuce.”  The letter begins:
This letter is intended to make you aware of the Food and Drug Administration's (FDA's) serious concern with the continuing outbreaks of foodborne illness associated with the consumption of fresh and fresh-cut lettuce and other leafy greens.
In the letter the FDA counted at that time 18 outbreaks (now 22 or 23) of E. coli O157:H7 associated with fresh or fresh-cut lettuce occurring between 1995 and 2005, which resulted in 409 illnesses and two deaths.  The FDA stated that industry’s role in preventing these illnesses is crucial because “these products are commonly consumed in their raw state without processing to reduce or eliminate pathogens.”
Related Posts

At least 97 sickened by Salmonella Tomatoes in Texas, New Mexico, Arizona, Colorado, Idaho, Illinois, Indiana, Kansas, Utah, Virginia and Wisconsin

The CDC announced today, in collaboration with public health officials in several states, the Indian Health Service, and the U.S. Food and Drug Administration (FDA) an ongoing multistate outbreak of human salmonella serotype Saintpaul infections. All seem to be linked to the consumption of Tomatoes.

Since late April, 68 persons infected with salmonella Saintpaul with the same genetic fingerprint have been identified in Texas (35 persons) and New Mexico (33 persons). In addition, 29 persons with the outbreak strain of Salmonella Saintpaul have been reported since mid-April in residents of Arizona (6 persons), Colorado (1), Idaho (2), Illinois (12), Indiana (1), Kansas (3), Utah (1), Virginia (1), and Wisconsin (2).

Salmonella is one of the most common enteric (intestinal) infections in the United States.  Salmonellosis (the disease caused by salmonella) is the second most common foodborne illness after Campylobacter infection.  It is estimated that 1.4 million cases of salmonellosis occur each year in the U.S.; 95% of those cases are foodborne-related.  Approximately 220 of each 1000 cases result in hospitalization and eight of every 1000 cases result in death. About 500 to 1,000 or 31% of all food-related deaths are caused by salmonella infections each year.  Salmonellosis is more common in the warmer months of the year.

For more information on salmonella and prior salmonella-tainted tomato outbreaks visit www.marlerclark.com.

As I have posted before, salmonella and tomatoes have an ongoing relationship.  In 1990, a reported 174 Salmonella javiana illnesses, as part of a four state outbreak, were linked to raw tomatoes. In 1993, 84 reported cases of Salmonella Montevideo were part of a three state outbreak that was linked to raw tomatoes.  In January 1999, Salmonella Baildon was recovered from 86 infected persons in eight states.  In July 2002, an outbreak of Salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year.  Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games.

During August and September 2002, a Salmonella Newport outbreak affected the East Coast.  Ultimately, over 404 confirmed cases were identified, in over 22 states.  Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states, Pennsylvania, Maryland, Ohio, West Virginia, and Virginia.  Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores.

In 2006 two outbreaks of Salmonella-tainted tomatoes where reported by the FDA.   One was blamed for nearly 100 illnesses in 19 states.  FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.

Related Posts

Washington State Department of Health Investigates E. coli O157:H7 Outbreak

The Washington State Department of Health is investigating an outbreak of E. coli O157:H7 that has sickened several people in the state.  From mid to late May, there have been nine laboratory confirmed cases of E. coli O157:H7 of which eight have matching genetic patterns.  One additional suspect case also is under investigation by the state department of health.  Of the 10 cases, there are seven adolescents (age 13 through 19) and three adults (21 and older). No deaths have been reported.

According to Steve Fuller of the Washington State Department of Health, Division of Environmental Health Food Safety Program, an investigation is being conducted to try to determine the source of the illnesses.  The epidemiology points to romaine lettuce as the most likely source, though it remains one of several possibilities, and romaine lettuce has not been implicated officially in the outbreak.

Fuller added the investigation is ongoing and the U.S. Food and Drug Administration is conducting a trace-back investigation to determine if a source can be identified.  Commenting on an earlier Ohio media report that the particular strain of E. coli O157:H7 found in a stool sample from a 52-year-old woman who died matched the strain found in several people infected in Washington State, Ohio Department of Health spokesman Kristopher Weiss said that at this point the case remains under investigation and is not linked the California outbreak.

Last year my friends at Dole had some problems with romaine lettuce (well, at least the Canadians thought so):

DOLE BRAND HEARTS DELIGHT LETTUCE SALAD MAY CONTAIN E. coli O157:H7 BACTERIA
OTTAWA, September 16, 2007 - The Canadian Food Inspection Agency (CFIA) is warning the public not to consume Dole brand Hearts Delight lettuce salad (Ready to eat blend of romaine, green leaf & butter lettuce hearts) described below because this product may be contaminated with E. coli O157:H7 bacteria.

The affected product, Dole brand Hearts Delight lettuce salad (Ready to eat blend of romaine, green leaf & butter lettuce hearts), produce of USA, is sold in 227 g packages bearing UPC 0 71430 01038 9, BIUB (Best If Used By) date 07SE19 and lot code A24924B. This product may have been distributed nationally.


Related Posts

Outstanding Lawyer: William D. Marler

King County Bar Association
By: Karen Sutherland

Bill Marler, a founding partner of Marler Clark, LLP, is being recognized by the KCBA as this year’s Outstanding Lawyer for his efforts to educate health officials, the community and the food service industry on how to avoid outbreaks of food-borne illnesses and the lawsuits that result from them. Marler’s efforts are unusual in that his practice focuses on representing individuals who have suffered the effects of food-borne illnesses such as E.coli, shigella, listeria and Salmonella, which means that if he is effective in his mission, he will put himself out of business.

Marler first became well known for his legal work involving food-borne illnesses with his representation of Brianne Kiner and other plaintiffs in the Jack in the Box E. coli litigation, which started in 1993. In 1998, he represented three children who became ill after drinking Odwalla juice. Since then, he and his firm have represented many more individuals, who have suffered from a variety of food-borne illnesses, caused by an equal variety of sources, since then.

Marler’s outreach efforts are far beyond what one would expect from an attorney. He is widely quoted in the media, from publications such as The Wall Street Journal and the Puget Sound Business Journal to broadcast media such as CNN’s American Morning. In 1998, Marler and his partners formed Outbreak, which is a non-for-profit consulting company. Outbreak shares its expertise in food-borne illnesses and related legal topics with public health departments, physicians and the food service industry.

Marler speaks at conferences and seminars around the world, including such varied venues as the North Dakota Environmental Health Conference, the Australian HAACCP Conference, the American Association for Justice Annual Convention in Chicago, and Ag Forum luncheon in the Salinas Valley’s national Steinbeck Center and the Minnesota Environmental Health Association in St. Paul – and that list of speaking engagements only covers part of 2007. It’s a wonder he finds time to practice law.

The internet has also been well used by Marler in his educational efforts. He and his partners have developed several Web sites devoted to providing information about food-borne illnesses, including symptoms, detection and prevention, and information about recent outbreaks. The Marler Clark firm also sponsors numerous blogs on issues ranging from Norovirus (previously called Norwalk Virus), which is the bane of the cruise industry, to Mad Cow Disease (BSE). Marler writes on topics such as “What to do about the ‘Mad Cow’” and opinion pieces calling upon the FDA to require sprout labeling and a ban on unpasteurized juices following outbreaks of Salmonella involving both products.
Related Posts

FDA Warns Consumers in New Mexico and Texas Not to Eat Raw Red Killer Tomatoes Tainted with Salmonella

The Food and Drug Administration (FDA) is alerting consumers in New Mexico and Texas that a salmonellosis outbreak appears to be linked to consumption of certain types of raw red tomatoes and products containing raw red tomatoes. The bacteria causing the illnesses are Salmonella serotype Saintpaul, an uncommon type of Salmonella.

Preliminary data suggest that raw red plum, red Roma, or round red tomatoes are the cause. At this time, consumers in New Mexico and Texas should limit their tomato consumption to tomatoes that have not been implicated in the outbreak. These include cherry tomatoes, grape tomatoes, tomatoes sold with the vine still attached, and tomatoes grown at home.

From April 23 though June 1, 2008, there have been 57 reported cases of salmonellosis caused by Salmonella Saintpaul in New Mexico and Texas, including 17 hospitalizations. Approximately 30 reports of illness in Arizona, Colorado, Idaho, Illinois, Indiana, Kansas, and Utah are currently being investigated to determine whether they are also linked to tomatoes.
Related Posts

Attack of Salmonella Killer Tomatoes in New Mexico, Texas, Arizona, Utah, Colorado, Kansas, Idaho, Illinois and Indiana

According to the CDC, an outbreak of  food poisoning linked to uncooked tomatoes has now been reported in nine states.  Lab tests have confirmed at least 54 illnesses in Texas and New Mexico as the same type of salmonella, right down to the genetic fingerprint.  At least 17 people in Texas and New Mexico have been hospitalized.  Another 30 people have become sick with the same Salmonella Saintpaul infection in Arizona, Utah, Colorado, Kansas, Idaho, Illinois and Indiana.  In Texas (21 sick) and New Mexico (33 sick), raw large tomatoes — including Roma and red round tomatoes — were found to be a common factor in the illnesses.
Related Posts

Tomatoes Cause Salmonella Illnesses in New Mexico and Other States

The New Mexico Department of Health has announced that an outbreak of salmonella has been linked to uncooked tomatoes. The department announced that 31 people from seven New Mexico counties have contracted a strain of salmonella known as salmonella St. Paul.  I had blogged about this outbreak earlier - Salmonella St. Paul sickens 21 in New Mexico, 14 in Texas and they are still counting in Colorado, Utah and Arizona.

I have done a few thousand salmonella cases over the years, with several of them being tied to contaminated tomatoes.  I also posted a few months ago that on the same day it was announced that I settled the last of the salmonella suits against Sheetz, the Post-Bulletin of Rochester, Minnesota reported that Quizno's salmonella outbreak came from tomatoes.  Tomatoes and Salmonella have been around a long, long time.

In 1990, a reported 174 Salmonella javiana illnesses, as part of a four state outbreak, were linked to raw tomatoes. In 1993, 84 reported cases of Salmonella Montevideo were part of a three state outbreak that was linked to raw tomatoes.  In January 1999, Salmonella Baildon was recovered from 86 infected persons in eight states.  In July 2002, an outbreak of Salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year.  Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games.

During August and September 2002, a Salmonella Newport outbreak affected the East Coast.  Ultimately, over 404 confirmed cases were identified, in over 22 states.  Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states, Pennsylvania, Maryland, Ohio, West Virginia, and Virginia.  Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores.

In 2006 two outbreaks of Salmonella-tainted tomatoes where reported by the FDA.   One was blamed for nearly 100 illnesses in 19 states.  FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.
Related Posts

Watch How Safe is your Burger?: KCTS 9 Connects on PBS. See more from KCTS 9 Lead Story.

Request Free Information

Bill Marler Twitter Feed

    See More