West Missouri Beef Recalls Fresh Boneless Beef Products Due to Possible E. coli O157:H7 Contamination

West Missouri Beef, LLC, a Rockville, Mo., establishment, is recalling approximately 14,000 pounds of fresh boneless beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced.

The following products are subject to recall:

* One combo bin containing approximately 2,000 pounds of fresh boneless beef identified as "75 1-M," produced on October 26, 2009.
* One combo bin containing approximately 2,000 pounds of fresh boneless beef identified as "90 3-D," produced on November 25, 2009.
* One combo bin containing approximately 2,000 pounds of fresh boneless beef identified as "90 5-D," produced on November 27, 2009.
* Combo bins containing approximately 2,000 pounds of fresh boneless beef identified as "90 2-P," "90 2-R" or "90 2-V," produced on December 8, 2009.
* One combo bin containing approximately 2,000 pounds of fresh boneless beef identified as "90 3-E," produced on January 13, 2010.

Each container is marked with the establishment number "EST. 5821" inside the USDA mark of inspection. The fresh boneless beef products were distributed to wholesalers in the Chicago, Ill., area.

Consumer Reports: Bad News, Packaged Salad Can Contain High Levels of Bacteria - Good News, (in these tests) not E. coli O157:H7, Listeria or Salmonella

According to a press release this morning, Consumer Reports' latest tests of packaged leafy greens found bacteria that are common indicators of poor sanitation and fecal contamination, in some cases, at rather high levels.

The tests, which were conducted with financial support from the Pew Health Group, assessed for several types of bacteria, including total coliforms and Enterocccous -- "indicator organisms" found in the human digestive tract and in the ambient environment that can signal inadequate sanitation and the potential for the presence of disease-causing organisms. While there are no existing federal standards for indicator bacteria in salad greens, there are standards for these bacteria in milk, beef, and drinking water. Several industry consultants suggest that an unacceptable level in leafy greens would be 10,000 or more colony forming units per gram (CFU/g).

Consumer Reports found that 39 percent of samples exceeded this level for total coliform, and 23 percent for Enterococcus. The tests did not find E. coli O157:H7, Listeria monocytogenes or Salmonella -- sometimes deadly pathogens which can be found in greens, although it was not expected given the small sample size. The goal was to investigate other markers of poor sanitation that should be used in the food safety management of produce.

For its latest analysis, Consumer Reports had an outside lab test 208 containers of 16 brands of salad greens, sold in plastic clamshells or bags, bought last summer from stores in Connecticut, New Jersey, and New York. Among the findings:

  • 39 percent of samples exceeded 10,000 CFUs (or another similar measure) per gram for total coliforms and 23 percent for Enteroccocus, the levels industry consultants deemed unacceptable.
  • 2 percent of samples exceeded French and 5 percent Brazilian standards for fecal coliform bacteria.
  • Many packages containing spinach, and packages which were one to five days from their use-by date, had higher bacterial levels. Packages six to eight days from their use-by date generally fared better.
  • Whether the greens came in a clamshell or bag, included "baby" greens, or were organic made no difference in bacteria levels.

Brands for which there were more than four samples, including national brands Dole, Earthbound Farm Organic, and Fresh Express, plus regional and store brands, had at least one package with relatively high levels of total coliforms or Enteroccocus.

Until packaged salad becomes cleaner, consumers' best line of defense involves following these procedures in stores and kitchens:

  • Buy packages far from their use-by date.
  • Wash the greens even if the packages say "prewashed" or "triplewashed." Rinsing won't remove all bacteria but may remove residual soil.
  • Prevent cross contamination of greens by keeping them away from raw meat and poultry.

For more information, go to www.ConsumersUnion.org or www.ConsumerReports.org.

Will this be one of the first things that Dr. Hagen at FSIS has on her plate?

Click on image below:

Presence and Characterization of Shiga Toxin-Producing Escherichia coli and Other Potentially Diarrheagenic E. coli in Retail Meats

Appl Environ Microbiol. 2010 Jan 15.

Xia X, Meng J, McDermott PF, Ayers S, Blickenstaff K, Tran TT, Abbott J, Zheng J, Zhao S. Department of Nutrition and Food Science, and Joint Institute for Food Safety and Applied Nutrition, University of Maryland, College Park, Maryland 20742; Center for Veterinary Medicine, Food and Drug Administration, Laurel, MD 20708; Center for Food Safety and Applied Nutrition, Food and Drug Administration, College Park, MD 20740.

To determine the presence of Shiga toxin-producing Escherichia coli (STEC) and other potentially diarrheagenic E. coli in retail meats, 7,258 E. coli isolates collected by the U. S. National Antimicrobial Resistance Monitoring System (NARMS) retail meat program from 2002 to 2007 were screened for Shiga toxin genes. In addition, 1,275 of the E. coli isolates recovered in 2006 were examined for virulence genes specific for other diarrheagenic E. coli. Seventeen isolates (16 from ground beef and 1 from pork chop) were positive for stx genes, including five for both stx1 and stx2, two for stx1 and 10 for stx2. The 17 STEC belonged to 10 serotypes: O83:H8, O8:H16, O15:H16, O15:H17, O88:H38, ONT:H51, ONT:H2, ONT:H10, ONT:H7 and ONT:H46. None of the STEC isolates contained eae, whereas seven carried EHEC-hlyA. All except one STEC isolate exhibited toxic effects on Vero cells. DNA sequence analysis showed that stx2 from five STEC isolates encoded mucus-activatable Stx2d. Subtyping of the 17 STEC isolates by PFGE yielded 14 distinct restriction patterns. Among the 1, 275 isolates from 2006, 11 atypical enteropathogenic E. coli (EPEC) isolates in addition to three STEC were identified. This study demonstrated that retail meats, mainly ground beef, were contaminated with diverse STEC strains. The presence of atypical EPEC strains in retail meat is also of concern due to their potential to cause human infections.

Interestingly, we found somewhat similar results in testing we conducted in 2008 and presented at the VTEC Conference in 2009 - also provided the same to USDA/FSIS.  Again, these results underscore why FSIS should be paying attention to our petition to deem illness causing E. coli's adulterants.

187 Ill in 39 States Due to Multistate Outbreak of Salmonella Montevideo Infections - Other Salmonella Strains Likely

According to the CDC, a total of 187 individuals infected with a matching strain of Salmonella Montevideo have been reported from 39 states since July 1, 2009. The number of ill persons identified in each state with this strain is as follows:

AL (2), AZ (5), CA (30), CO (3), CT (4), DE (2), FL (2), GA (3), IA (1), IL (11), IN (3), KS (3), LA (1), MA (12), MD (1), ME (1), MI (1), MN (4), MO (1), NC (9), ND (1), NE (1), NH (1), NJ (7), NY (15), OH (9), OK (1), OR (8), PA (3), RI (2), SC (1), SD (3), TN (4), TX (7), UT (7), VA (1), WA (14), WV (1), and WY (2). Because this is a commonly occurring strain, public health investigators may determine that some of the illnesses are not part of this outbreak.

Among the persons with reported dates available, illnesses began between July 2, 2009 and January 7, 2010. Infected individuals range in age from <1 year old to 88 years old and the median age is 36 years. Fifty-two percent of patients are male. Among the 133 patients with available information, 37 (28%) were hospitalized. No deaths have been reported.

During January 16-21, 2010, CDC and public health officials in multiple states conducted an epidemiologic study by comparing foods eaten by 39 ill and 39 well persons. Preliminary analysis of this study has suggested salami as a possible source of illness. Ill persons (51 percent) were significantly more likely than well persons (15 percent) to report eating salami. Additionally, 11 ill persons have been identified who purchased the same type of sliced salami variety pack at different grocery store locations before becoming ill. These data suggest this product may be the source of some of these illnesses. This sliced salami variety pack was recently recalled by Daniele International Inc. On January 23, 2010, FSIS issued a notice that Daniele International Inc. is recalling approximately 1,240,000 pounds of ready-to-eat varieties of Italian sausage products (including salame/salami) in commerce and potentially available to customers in retail locations because they may be contaminated with Salmonella.

This recall followed isolation of Salmonella in a private laboratory from a retail sample of a salami product produced by Daniele International. FSIS reviewed and affirmed these private laboratory results. This Salmonella strain is different from the strains causing the outbreak. In addition, this product was different than the sliced salami variety pack purchased at different grocery store locations by the 11 ill persons. CDC and its public health partners are continuing the epidemiological investigation to verify that the outbreak is controlled, and to identify the specific products or ingredients that became contaminated and how the contamination occurred, and to identify any other food vehicles that may be involved. It is possible that more than one food product may be causing illnesses. The investigation is on-going.

Should I be worried about the black pepper in my shaker?

Honestly, I have no idea, but then I suppose neither does the CDC, FSIS, FDA or Daniele.

With the CDC telling us that the Salmonella Montevideo outbreak was caused by “a widely distributed contaminated food product,” and with the FSIS citing Daniele’s belief that black pepper is a possible source of the contamination, I looked at the salt and pepper sitting on the table in a Sport’s Bar as I watched part of the Jets/Colts game, with some trepidation – especially given some recent pepper history.

In August 2008 the Canadian Food Inspection Agency (CFIA) and Pak National Foods Limited warned the public not to consume the National Black Pepper Powder because the product may be contaminated with Salmonella. The product had been distributed in Alberta and British Columbia. The importer, Pak National Foods Limited, Richmond, British Columbia, voluntarily recalled the affected product from the marketplace.

In March 2009 a Northern California company recalled two product lines: "Uncle Chen" white and black peppers and "Lian How" dry spices, after health officials identified Lian How-brand white pepper as the culprit in a recent Salmonella outbreak. At least 42 people had fallen sick in the ongoing, four-month outbreak. Three other states besides Washington have also been also affected: California, Nevada and Oregon.

In August 2009 Adams Extract and Spice announced a voluntary recall of products because they had the potential to be contaminated with Salmonella. The products contained a specific lot of ground red pepper supplied by Van de Vries Spice Corporation. This lot of ground red pepper initially tested negative for Salmonella. Subsequently, Adams Extract and Spice was informed that another sample drawn from the same lot was confirmed positive for Salmonella.

I am sure the CDC, FSIS, FDA and Daniele will work this out this week.

Dr. William Keene, Oregon Epidemiologist, the Salami Salmonella Sleuth

Not much new to report this morning on the now 1.25 million pound salami recall by Daniele from Costco, Walmart, Sam's Club, Kroger and on Amazon.com. Most were sold under the Daniele brand, but several items with the Boar's Head, Black Bear and Dietz & Watson labels are included. All of the recalled products have a USDA mark that says "EST. 54" or "EST 9992."

Thankfully, the CDC has not raised the number of sickened by Salmonella Montevideo above 184 from 38 states, with some 35 hospitalized. However, the company seems oddly to continue to dispute its involvement at all, despite the epidemiological evidence, and a Seattle lab finding a strain of Salmonella in Daniele Deli Selection’s Sweet Sopressata purchased at Costco on Friday:

… Daniele spokesman says there's "no evidence" that points to his company as the source. He says two of the company's three plants have been tested and found free of bacteria. The spokesman says the recall is being issued in case more evidence implicates the salami. …

[However,] Daniele plans to start irradiating its pepper next week, which would kill salmonella and any other harmful bacteria.

Calling Oregon State’s senior epidemiologist, Dr. William (Bill) Keene wrong is bad scientifically, legally, as well as being bad PR. In 17 years handling food cases, there is a truth in foodborne illness outbreaks in the United States. If you want to figure one out hope that ill people are in Minnesota or Oregon, or best both. Minnesota’s “Team Diarrhea’s” exploits are legendary, Dr. Keene’s, Sherlock Holmes's impressions have been no less noteworthy, but without the cool team name. So, it was with small surprise that Dr. Keene was extensively quoted concerning the latest food recalled to roil the country.  Dr. Keene’s wit and straightforwardness is evident in his quotes (his emails are legendary too) in both the Oregonian and the Washington Post via the AP:

The first cases related to the outbreak popped up in Oregon in July [2009], Keene said.

“This is a weird outbreak in a lot of ways because it’s been such a long investigation,” Keene said. "We've gone down a lot of dead ends until the puzzle pieces started to fit together."

Many of those questioned did not point to salami, Keene said. “They were questioned left and right and they were asked about salami and very few of them said yes,” he said.

Keene said, investigators re-interviewed people who were thought to be part of the outbreak, such as members of a hunting party from the South who had been to the Great Plains and responded to new questions with answers such as, "Now that you mention it, we did stop at a Wal-Mart in South Dakota and buy some salami."

Keene said Saturday that the cause of the sickness was difficult to track and some questions remain, such as whether it was the meat or the pepper that was contaminated. Some scientists suspect that the pepper on the salami, which is known to pose a risk for salmonella, is at the heart of the outbreak.

“The company doesn’t test or process the pepper that they buy,” Keene said. “That doesn’t mean that they’re bad people, but it may have slipped through their quality assurance program.”

My bet is by early next week Daniele (or is that "Denial") and their PR machine will see that Dr. Keene has it right, "doesn’t mean that they’re bad people."

Compliments Brand Italian Blend Salad Mix may contain Listeria monocytogenes - Where is the FDA on this one?

I got several emails today from irate salami eaters and apologists of the FSIS’s and CDC’s slow recall action. One emailer said I had “sour grapes” for not getting appointed USDA Undersecretary for FSIS – well, perhaps.

So, just to be fair, I thought I would turn my attention to an FDA inspected product – like Salad Mix – grown in the US and shipped to our friends up north. Here is the scoop:

The Canadian Food Inspection Agency recalls Compliments brand Italian Blend sold in 284 g packages because of Listeria monocytogenes

The public was warned January 16 to not to eat a specific brand of salad mix sold at grocery stores in six provinces due to fears it may be contaminated with Listeria monocytogenes.

The Canadian Food Inspection Agency said the recall affects Compliments brand Italian Blend sold in 284 g packages with a best-before date of Jan. 18, 2010. The salads have a bar code of 68820 10093 and were sold Alberta, Manitoba, Quebec, New Brunswick, Nova Scotia, and Newfoundland and Labrador.

The importer, Mississauga, Ont.-based Sobeys Inc., is monitoring the voluntary recall.

So, who exported it?  Who made the salad FDA? California? Salinas Valley? Arizona?  Tune in.

PR heavyweight, Levick Strategic Communication, Tapped by Daniele International to help in the recall of 1.2M lbs of possibly Salmonella Montevideo tainted Black Pepper Salami or Salame - I have some ideas

Rumors have swirled over the last several weeks in the food poisoning/food safety/meat industry/public health alleys that I lurk in, that a Salmonella Montevideo outbreak was about to break.

Frankly, it was an open secret between industry, government, retail and the media for a month. It was just the public that was left in the dark alley.

Finally, it was the CDC that first announced the outbreak late last night that 184 people were sickened in 38 states with Salmonella Montevideo caused by “A widely distributed contaminated food product.” No really, I am not kidding that was the message. Just how helpful is that?

However, within hours a well-crafted press release from Daniele (that did not mention the CDC release) hit the Internet:

… a voluntary recall of its Pepper-Coated Salame products because of possible concerns about salmonella. Preliminary results indicate that eleven ill individuals had consumed salame products from "Daniele Italian Brand Gourmet Pack." State and federal health officials have been unable to confirm a direct link between the illnesses and any Daniele product.

… These products are carried at a wide variety of delicatessens and grocers.

(Thanks to efoodalert we know that at least some of the retail outlets are: Costco, Kroger (including Fry's, QFC, Ralphs, Fred Meyer, and Smith's Food & Drug), Walmart, Sam’s Club, Stop & Shop, Amazon, ShopRite and Giant/Martin's).

Then the FSIS weighed in the morning announcing that Daniele was recalling approximately 1,240,000 pounds of ready-to-eat (RTE) varieties of Italian sausage products, including salami/salame, because they may be contaminated with Salmonella.

The FSIS also announced that a sample of found in commerce was tested on behalf of a state department of health and found to contain Salmonella (FSIS has a zero tolerance for in RTE products). Interestingly, however, the product tested was similar to products bought by customers who later became sick in the Salmonella investigation, but the Salmonella strain in the tested product did not appear to be the Montevideo strain.

The FSIS noted too that Daniele took the additional action to voluntarily recall all products associated with black pepper, which, according to the FSIS, the company believes is a possible source of contamination.

So, back to some PR ideas for Levick (not that they asked):

1. Daniele products are carried at a wide variety of delicatessens and grocers – That is not sufficient, tell the public where the product actually went.
2. The company believes that black pepper is a possible source of contamination – What facts? Who is the black pepper supplier?
3. Daniele should offer to pay the medical bills and lost wages of those sickened individuals that are linked to Daniele’s products.

Seems like a reasonable PR (and public health) approach?

It is good after a several month CDC and FSIS investigation, 184 sick in 38 states that Daniele International Inc Recalls 1.2 Million Pounds of Salmonella Black Pepper Salami/Salame

And it is good to see the product list recalled - See post below.  Now comes the question - "what stores sold this stuff, and why are they not being named?"

As I posted before, on August 18, 2008 after years of hand wringing, the FSIS finally put public health before “proprietary” business interests when it made the following rule:

9 C.F.R. § 390.10 Availability of Lists of Retail Consignees during Meat or Poultry Product Recalls

The Administrator of the Food Safety and Inspection Service will make publicly available the names and locations of retail consignees of recalled meat or poultry products that the Agency compiles in connection with a recall where there is a reasonable probability that the use of the product could cause serious adverse health consequences or death.

The full rule can be reviewed at: http://www.fsis.usda.gov/OPPDE/rdad/FRPubs/2005-0028F.pdf

The Bottom Line:  The FSIS is now supposed to make available to the public names and locations of retail consignees (grocery stores, etc.) of meat and poultry products recalled by a federally-inspected meat or poultry establishment if the recalled product has been distributed to the retail level.

The rule will only apply to Class I recalls (like this one). The information is supposed to be posted on the FSIS website, generally within three (3) to ten (10) working days, following the announcement of the recall. Tic Toc.

Another question is why it took local, state and federal health authorities from July 2009 to yesterday to announce that a total of 184 individuals infected with a matching strain of Salmonella Montevideo have been reported from 38 states since July 1, 2009. The number of ill persons identified in each state with this strain is as follows: AL (2), AZ (5), CA (30), CO (2), CT (4), DE (2), FL (2), GA (3), IA (1), IL (11), IN (3), KS (3), LA (1), MA (12), MD (1), ME (1), MI (1), MN (4), NC (9), ND (1), NE (1), NH (1), NJ (7), NY (15), OH (9), OK (1), OR (8), PA (3), RI (2), SC (1), SD (3), TN (3), TX (7), UT (7), VA (1), WA (14), WV (1), and WY (2).

More on that later.

FSIS weighs in - Daniele International Inc Recalls 1.2 Million Pounds of possibly Salmonella tainted Black Pepper Salami/Salame

From an FSIS recall notice posted on its website this morning

Recall Release CLASS I RECALL
FSIS-RC-006-2010 HEALTH RISK: HIGH

Daniele International Inc., an establishment with operations in Pascoag and Mapleville, R.I., is recalling approximately 1,240,000 pounds of ready-to-eat (RTE) varieties of Italian sausage products, including salami/salame, in commerce and potentially available to customers in retail locations because they may be contaminated with Salmonella, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

FSIS became aware of the problem during the course of an ongoing investigation of a multi-state outbreak of Salmonella serotype Montevideo illnesses. The Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), FSIS, state health and agriculture departments, and Daniele International are cooperating in this investigation. The CDC has posted information about the multi-state outbreak on its website (http://www.cdc.gov/salmonella) but the investigation is ongoing, and has not yet definitively identified a food vehicle(s).

According to the CDC, as of January 22, 2010, a total of 184 individuals infected with a matching strain of Salmonella Montevideo have been reported from 38 states since July 1, 2009. The number of ill persons identified in each state with this strain is as follows: AL (2), AZ (5), CA (30), CO (2), CT (4), DE (2), FL (2), GA (3), IA (1), IL (11), IN (3), KS (3), LA (1), MA (12), MD (1), ME (1), MI (1), MN (4), NC (9), ND (1), NE (1), NH (1), NJ (7), NY (15), OH (9), OK (1), OR (8), PA (3), RI (2), SC (1), SD (3), TN (3), TX (7), UT (7), VA (1), WA (14), WV (1), and WY (2). Because this is a commonly occurring strain, public health investigators may determine that some of the illnesses are not part of this outbreak.

During the course of that investigation, a sample of product found in commerce was tested on behalf of a participating state department of health and found to contain Salmonella, which FSIS has a zero tolerance for in RTE products. The product tested was similar to products bought by customers who later became sick in the Montevideo investigation, but currently there is not a direct link. The Salmonella strain in the tested product does not appear to be the Montevideo strain of interest and further testing of the sample is ongoing at a state health partner laboratory. FSIS is continuing to work with the CDC, affected state public health partners, and the company on the investigation and will update the public on the progress of this investigation as information becomes available.

In addition, the company presented information to FSIS and took the additional action to voluntarily recall all products in commerce associated with black pepper, which the company believes is a possible source of contamination.

The products subject to recall include:

- 10-ounce packages of "DANIELE NATURALE SALAME COATED WITH COARSE BLACK PEPPER."
- Catch weight packages of "DANIELE PEPPER SALAME."
- 9-ounce packages of "BLACK BEAR OF THE BLACK FOREST BABY GENOA PEPPER SALAME."
- 20-ounce packages of "DANIELE DELI SELECTION, GENOA SALAME, SMOKED SALAME, PEPPERED SALAME, RUSTIC SALAME."
- 340- and 454-gram packages of "DANIELE SURTIDO FINO ITALIANO, SALAMI GENOA CON PIMIENTA, LOMO CAPOCOLLO, SALAMI CALABRESE."
- 16-ounce packages of "DANIELE ITALIAN BRAND GOURMET PACK, HOT CALABRESE, PEPPER SALAME, HOT CAPOCOLLO."
- 8-ounce packages of "DIETZ & WATSON ARTISAN COLLECTION PARTY PLATTER PACK, HOT CALABRESE, PEPPER SALAME, HOT CAPOCOLLO."
- 8-ounce packages of "DANIELE ITALIAN BRAND GOURMET PACK, HOT CALABRESE, PEPPER SALAME, HOT CAPOCOLLO."
- 16-ounce packages of "DANIELE GOURMET COMBO PACK, PEPPER SALAME, CAPOCOLLO, CALABRESE."
- 500-gram packages of "DANIELE ITALIAN BRAND GOURMET PACK EMBALLAGE ASSORTI GOURMET ITALIEN, HOT CALABRESE, PEPPER SALAME, CALABRESE PIQUANT, SALAMI AU POIVRE, HOT CAPOCOLLO, CAPOCOLLO PIQUANT."
- 8-ounce packages of "BOAR'S HEAD BRAND ALL NATURAL SALAME COATED WITH COARSE BLACK PEPPER."
- Catch weight packages of "DIETZ & WATSON ARTISAN COLLECTION, BABY GENOA PEPPER SALAME, MADE WITH 100% PORK COATED WITH BLACK PEPPER AND PORK FAT."
- 20-ounce variety packages of "DANIELE DELI SELECTION, GENOA SALAME, SWEET SOPRESSATA, PEPPERED GENOA, MILANO SALAME."
- 21-ounce variety packages of "DANIELE GOURMET ITALIAN DELI SELECTION, SWEET SOPRESSATA SALAMI, PEPPERED GENOA SALAMI, HOT SOPRESSATA SALAMI, MILANO SALAMI, SALAMI SOPRESSATA DOUX, SALAMI GENOA POIVRÉ, SALAMI SOPRESSATA PIQUANT, SALAMI MILANO."
- 7-ounce packages of "DANIELE SALAME BITES PEPPER SALAME."
- 14-ounce packages of "DANIELE GOURMET ITALIAN DELI SELECTION ASSORTMENT DE FINES CHARCUTERIE ITALIENNE, SWEET SOPRESSATA SALAMI, MILANO SALAMI, SALAMI SOPRESSATA DOUX, SALAMI MILANO."
- Catch weight packages of "DANIELE NATURALE SALAME COATED WITH COARSE BLACK PEPPER."
- 32-ounce variety packages of "DANIELE DELI SELECTION, GENOA SALAME, SWEET SOPRESSATA, PEPPERED GENOA, MILANO SALAME."

Each package bears a label with establishment number "EST. 9992" or "EST. 54" inside the USDA mark of inspection. The establishment is recalling all the products listed above which are currently in commerce. These products were distributed to retail establishments nationwide, as well as internationally.

Daniele, Inc. Voluntarily Recalls Pepper-Coated Salame Products

From a company press release:

Daniele, Inc. announced today it is initiating a voluntary recall of its Pepper-Coated Salame products because of possible concerns about salmonella. Preliminary results indicate that eleven ill individuals had consumed salame products from "Daniele Italian Brand Gourmet Pack." State and federal health officials have been unable to confirm a direct link between the illnesses and any Daniele product.

As recently as yesterday, Daniele's Rhode Island facilities were inspected by the state's Department of Health and the company was found to be meeting all regulatory and food safety standards. According to the Rhode Island Department of Health, Daniele Inc. has been working diligently with the department and U.S. Department of Agriculture to help identify the source of the contamination.

CDC Announces 38 State Salmonella Montevideo Outbreak

From a CDC post of a few moments ago:

CDC is collaborating with public health officials in many states, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS), and the U.S. Food and Drug Administration (FDA) to investigate a multistate outbreak of Salmonella serotype Montevideo infections. Investigators are using DNA analysis of Salmonella bacteria obtained through diagnostic testing to identify cases of illness that may be part of this outbreak.

As of January 22, 2010, a total of 184 individuals infected with a matching strain of Salmonella Montevideo have been reported from 38 states since July 1, 2009. The number of ill persons identified in each state with this strain is as follows: AL (2), AZ (5), CA (30), CO (2), CT (4), DE (2), FL (2), GA (3), IA (1), IL (11), IN (3), KS (3), LA (1), MA (12), MD (1), ME (1), MI (1), MN (4), NC (9), ND (1), NE (1), NH (1), NJ (7), NY (15), OH (9), OK (1), OR (8), PA (3), RI (2), SC (1), SD (3), TN (3), TX (7), UT (7), VA (1), WA (14), WV (1), and WY (2). Because this is a commonly occurring strain, public health investigators may determine that some of the illnesses are not part of this outbreak.

Among the persons with reported dates available, illnesses began between July 2, 2009 and January 1, 2010. Infected individuals range in age from <1 year old to 88 years old and the median age is 37 years. Fifty-two percent of patients are male. Among the 125 patients with available information, 35 (28%) were hospitalized. No deaths have been reported.

Although I blogged earlier:

Since it is Friday, expect a recall tonight (or over the weekend) from FSIS on a meat-like product (Daniele Salami) contaminated with Salmonella Montevideo that has sickened over 200, with some 30 hospitalized in several states. The outbreak has been ongoing for months.

It appears the FSIS went home early tonight and decided not to tell us which salami is contaminated or not.  Here is what the CDC says:

A widely distributed contaminated food product might cause illnesses across the United States. The identity of the contaminated product often is not readily apparent. In outbreaks like this one, identification of the contaminated product requires conducting detailed standardized interviews with persons who were ill. It may also require conducting interviews with non-ill members of the public ("controls") to get information about foods recently eaten and other exposures to compare with information from the ill persons. The investigation is often supplemented by laboratory testing of suspected products. In addition, investigators sometimes use purchase information provided by ill persons to trace suspect products back to the point of production. This process is labor intensive and typically takes weeks. It is not always successful. As soon as a source of the outbreak is identified, if there is evidence of ongoing risk, public health officials advise the public to avoid the implicated product and recalls are conducted when appropriate. CDC and its public health partners are vigorously working to identify the specific contaminated product or products that are causing illnesses and will update the public on the progress of this investigation as information becomes available.

Boy, how helpful is that?  Our government is telling us perhaps not to consume Salmonella-tainted food that is a "widely distributed contaminated food product [that] might cause illnesses across the United States," but seems incapable of telling us what that "widely distributed contaminated food product [that] might cause illnesses across the United States" is?  WTF!

Salmonella Montevideo Outbreak in the Offing - Daniele Salami

Salmonella Montevideo

Since it is Friday, expect a recall tonight (or over the weekend) from FSIS on a meat-like product (Daniele Salami) contaminated with Salmonella Montevideo that has sickened over 200, with some 30 hospitalized in several states.  The outbreak has been ongoing for months.

The term Salmonella refers to a group or family of bacteria that has been known to cause illness in humans for over 100 years. Salmonella bacteria are usually transmitted to humans by eating foods contaminated with animal feces or foods that have been handled by infected food workers. Thoroughly cooking contaminated foods kills Salmonella. People infected with Salmonella have diarrhea, fever, and abdominal cramps occurring 12-72 hours after exposure. Illness usually lasts 4-7 days. Most people recover without treatment but serious illness can occur requiring hospitalization and even resulting in death.

The family of Salmonella bacteria is distinguishable by antigenic response. Scientists have identified more than 2500 serotypes of Salmonella. Salmonella serotype typhimurium is the most common serotype in the United States. Salmonella serotype Montevideo is one of the ten most common serotypes, with 19,928 case patients reported to the CDC in the thirty-year period, 1968 to 1998. Outbreaks of Salmonella Montevideo are not uncommon. Outbreaks have occurred in food served by an unlicensed caterer in Virginia (2009), pistachio nuts (2009), barbequed pork (2007 and in fast food roast beef sandwiches (2006).

Here is a sample platter of recent Salmonella Montevideo outbreaks:

June 09 Aggie Jennings' Unlicensed Catering 2009

• Organism: Salmonella Montevideo
• Vehicle: Egg Dishes, Potato Salad Beef, Ground beef Beef, Shredded beef Grains, Pasta Dishes, Noodle salad

Aggie Jennings of rural McLean County catered three events (2 weddings, 1 reunion) in mid-June that led to three separate outbreaks of Salmonella Montevideo. Ms. Jennings' catering operation was not licensed. Salmonella Montevideo is a strain that is associated with baby chickens, and Ms. Jennings raised chickens. The Salmonella strain matched a strain associated with a chicken hatchery in Iowa. At one catered event, consumption of the potato salad was associated with illness, however no food samples tested positive for salmonella. At another event, ground beef that had been served as taco meat was associated with illness and tested positive for the presence of Salmonella Montevideo. At the third event, shredded beef and noodle salad tested positive for Salmonella.

April 09 Setton Pistachio of Terra Bella, Inc., 2009

• Organism: Salmonella Montevideo
• Vehicle: Nuts, Pistachios

Multiple strains of Salmonella bacteria were detected in pistachios (roasted shelled, roasted in-shell, raw) that were sold and subsequently distributed widely throughout the United States. The pistachios were repackaged and sold under many names. The Food and Drug Administration provided the Centers for Disease Control with the genetic fingerprints of the Salmonella strains that had been found in the pistachios. Some of the genetic fingerprints matched Salmonella strains from recently ill persons, but these illness could not be proven to be due to consumption of pistachios. One patient in Connecticut who had been infected with a Salmonella strain with a matching genetic fingerprint reported eating a pistachio-containing product.

January 07 Georgia BBQ Smoked Pork 2007

• Organism: Salmonella Montevideo
• Vehicle: Pork, Smoked

The Statesboro area health department in March identified an outbreak of Salmonella Montevideo. The first cases dated back to January, but only when genetic tests showed all the cases were infected with the same strain of S. Montevideo did an investigation begin in earnest. Investigators performed a case-control study using neighborhood controls. This study showed that those who ate at a local restaurant were 52 times more likely to have been infected. This finding led to an environmental investigation of the restaurant where multiple violations of health codes were noted. The restaurant voluntarily closed to remodel and reassess its policies. It reopened and had no more cases of salmonellosis associated with it.

January 07 Live Poultry Contact 2007

• Organism: Salmonella Montevideo
• Vehicle: Animal Contact

In June, two persons from Minnesota developed Salmonella Montevideo after being in contact with baby chicks that had originated from the same Iowa hatchery. In September, seven additional people became ill in North Dakota with the same strain of Salmonella Montevideo. A subsequent nationwide investigation identified a total of 65 matching Salmonella Montevideo isolates; there was a likely association with exposure to live poultry originating from the same Iowa hatchery. A separate outbreak of a different strain of Salmonella Montevideo occurred throughout 2007. A total of 64 cases were identified. These illnesses were linked to contact with live poultry that originated from hatcheries in New Mexico and Ohio.

August 06 Arby's Roast Beef Sandwich 2006

• Organism: Salmonella Montevideo
• Vehicle: Sandwiches, Roast Beef

An Arby's Restaurant in Valdosta, Georgia, was implicated in an outbreak of Salmonella in August. Five cases were reported to the health department, prompting an investigation. A food history questionnaire showed a common exposure to the roast beef sandwich. The restaurant was inspected and found to be using a new meat slicer, which tested positive for the outbreak strain of Salmonella Montevideo.

January 95 Carne Seca or Beef Jerky 1995

• Organism: Salmonella Montevideo
• Vehicle: Beef, Beef Jerky

A locally produced beef jerky, or carne seca, was implicated in an outbreak of Salmonella. Three different serotypes of Salmonella were isolated from the stools of ill persons and from the beef jerky. The processor never measured drying temperatures during production to prevent bacterial growth. In addition, jerky was placed in uncovered plastic tubs for direct sale to the public. Salmonella was not found in the production facility.

Salmonella Complications

While a vast majority of Salmonella infections are self-resolving, there are some unlucky individuals who will continue to suffer long-term complications. However, these complications can include bacteremia, irritable bowel syndrome (IBS) and Reiter’s syndrome.

A.  Bacteremia

Bacteremia is characterized by infection of tissues surrounding the brain and spinal cord (meningitis) and infection within the bloodstream (sepsis). This condition occurs when Salmonella enter and circulate within an infected individual’s bloodstream, and is accompanied by few symptoms (Mayo Clinic, 2007, April 12).

B.  Irritable Bowel Syndrome

The normal response to infection, such as vomiting and diarrhea, is protective and beneficial. However, in about 10% of patients these protective changes persist and may contribute to the development of post-infective irritable bowel syndrome, which may persist for many years. New insights into the pathogenesis of this condition suggest novel, effective ways of treatment. (Hosp Med. 2003 May; 64(5): 270-4.)

C.  Reiter’s Syndrome

Reiter’s syndrome, which includes and is sometimes, referred to as “reactive arthritis” is an uncommon, but debilitating, result of a Salmonella infection. Reiter’s syndrome is a disorder that causes at least two of three seemingly unrelated symptoms: reactive arthritis, eye irritation, and urinary tract infection (Hill Gaston & Lillicrap, 2003). The reactive arthritis associated with Reiter’s develops when a person eats food that has been tainted with bacteria. Reactive arthritis is characterized by the inflammation of one or more joints following an infection localized in another portion of the body, commonly the gastrointestinal tract. The symptoms of Reiter’s Syndrome usually occur between one and three weeks after the infection.

The three most common symptoms of Reiter’s syndrome are arthritis, eye irritation, and urinary tract symptoms. The arthritis associated with Reiter’s syndrome typically affects the knees, ankles, and feet, causing pain and swelling. Wrists, fingers and other joints can be affected, though with less frequency. Patients with Reiter’s syndrome commonly develop inflammation where the tendon attaches to the bone, a condition called enthesopathy. Some patients with Reiter’s syndrome also develop heel spurs, bony growths in the heel that cause chronic or long-lasting foot pain. Arthritis from Reiter’s syndrome can also affect the joints of the back and cause spondylitis, inflammation of the vertebrae in the spinal column. The duration of reactive arthritis symptoms can vary greatly. Most of the literature suggests that the majority of patients recover within a year. The condition, can, however, be permanent. One study found nearly 50 percent of patients with post dysenteric reactive arthritis continued to have symptoms roughly one year after onset (Inman, et al., 1998).

The involvement of the eye in Reiter’s syndrome is most commonly manifested as conjunctivitis, inflammation of the mucous membrane that covers the eyeball, or uveitis, an inflammation of the inner eye. Conjunctivitis and uveitis can cause redness of the eyes, eye pain and irritation, and blurred vision.

The third site for Reiter’s syndrome symptoms is the urogenital tract. This includes the prostate, urethra, and penis in men and the fallopian tubes, uterus, and vagina in women. Men may notice an increased need to urinate, a burning sensation when urinating, and a discharge from the penis. Some men also develop prostatitis. Symptoms of prostatitis include fever, chills, increased need to urinate, and a burning sensation when urinating.

Beef Products Inc., sues Iowa State University over the disclosure of Ammonia Beef documents

Shortly before the New York Times article, “Safety of Beef Processing Method Is Questioned,” was published, we sent a request to the Iowa State University and Dr. James S. Dickson PhD, asking for all documents related to research on the ammonia beef products sold by Beef Products Inc., (BPI).  The University informed us that they had compiled 1650 pages of documents and that it would cost $2,175.44.  We sent them the check. 

Apparently, BPI does not what us or the public to have those documents so it sued Iowa State. As you may recall from the Times article:

The company, Beef Products Inc., had been looking to expand into the hamburger business with a product made from beef that included fatty trimmings the industry once relegated to pet food and cooking oil. The trimmings were particularly susceptible to contamination, but a study commissioned by the company showed that the ammonia process would kill E. coli as well as salmonella.

The treated beef landed in Washington in 2001, when federal officials were searching for ways to eliminate E. coli. Beef Products already had one study showing its treatment would do that; another company-sponsored study by an Iowa State University professor that was published in a professional journal seconded that finding.

Frankly, I thought the public should know what BPI, the USDA/FSIS and the beef industry were relying on to serve us the ammonia “fatty trimmings the industry once relegated to pet food and cooking oil.” I would have assumed BPI, the USDA/FSIS and the beef industry would feel the same way?  Well, BPI did not.  See letter from Iowa State Counsel and Injunction from BPI Counsel.  This is going to be interesting.

Children Seriously Sick with E. coli in Belgium Wisconsin

According to Fox 6 News in Milwuakee, an investigation is underway in the Village of Belgium in Ozaukee County. They're trying to find out what's making children in one area seriously sick. FOX 6 Reporter Myra Sanchick brings you the latest on an E. coli scare in Ozaukee County:

Another Holiday - Another FSIS E. coli O157:H7 Meat Recall - 432 Tons Today

I need to hand it to the FSIS, I am beginning to loose track how often its recall notices go out on either a Friday night or on a holiday.  They sure have learned to get bad news out when no one is watching.  Kudos to press manipulation 101.  I used to know the FSIS press officer, my guess is that she does not work at FSIS anymore.  So, here is the latest:

According to an FSIS/Company Press Release that is still not yet posted on the FSIS website (got it from a secret source), Huntington Meat Packing Inc., a Montebello, Calif. establishment, is recalling approximately 864,000 pounds of beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The problem was discovered during a Food Safety Assessment (FSA) by FSIS personnel. The FSA led to the determination that a further investigation of establishment records was warranted. The investigation is ongoing and the following products are subject to recall.

The following products, consisting of all ground beef products produced by the plant from January 5, 2010 to January 15, 2010, are subject to recall:

40 lb. boxes of “Huntington Meats Ground Beef”
40 lb. boxes of “ HUNTINGTON MEAT PKG. INC. BEEF GROUND FOR FURTHER PROCESSING”
40 lb. boxes of “BEEF BURRITO FILLING MIX”
10 lb. boxes of “IMPERIAL MEAT CO. GROUND BEEF PATTY”
20 lb. boxes of “IMPERIAL MEAT CO. GROUND BEEF PATTY”
10 lb. boxes of “El Rancho MEAT & PROVISION ALL BEEF PATTIES”

Each box bears the establishment number "EST. 17967" inside the USDA mark of inspection on a label. The products were produced between January 5, 2010, and January 15, 2010, and were shipped to distribution centers, restaurants, and hotels within the State of California. FSIS has received no reports of illnesses associated with consumption of these products. Individuals concerned about an illness should contact a physician.

During a subsequent review of the establishment’s records, FSIS also determined additional products produced and shipped in 2008 to be adulterated because they may have been contaminated with E. coli O157:H7.

As a result, the following products produced from February 19, 2008 to May 15, 2008, are subject to recall:

40 lb. boxes of “Huntington Meats Ground Beef”
40 lb. boxes of “ HUNTINGTON MEAT PKG. INC. BEEF GROUND FOR FURTHER PROCESSING”
40 lb. boxes of “BEEF BURRITO FILLING MIX”
10 lb. boxes of “IMPERIAL MEAT CO. GROUND BEEF PATTY”
20 lb. boxes of “IMPERIAL MEAT CO. GROUND BEEF PATTY”
10 lb. boxes of “El Rancho MEAT & PROVISION ALL BEEF PATTIES”

Each box bears the establishment number "EST. 17967" inside the USDA mark of inspection on a label. The products were produced between February 19, 2008, and May 15, 2008, and were shipped to distribution centers, restaurants, and hotels within the State of California.

Michael R. Taylor, Named Deputy Commissioner for Foods at FDA

Michael R. Taylor, J.D., was named Deputy Commissioner for Foods at the U.S. Food and Drug Administration, on Jan. 13, 2010. He is the first individual to hold the position, which was created along with a new Office of Foods in August 2009 to elevate the leadership and management of the Foods Program. Mr. Taylor is a nationally recognized food safety expert, having served in numerous high-level positions at FDA and USDA, as a research professor in academia, and on several National Academy of Sciences expert committees. Mr. Taylor returned to FDA in July 2009 as Senior Advisor to the Commissioner.

As Deputy Commissioner for Foods, Taylor will help FDA to develop and implement a prevention based strategy for food safety, plan implementation of new food safety legislation, and ensure that food labels contain clear and accurate information on nutrition.

Continue Reading...

CLASS I RECALL Massachusetts - Adams Farm Slaughterhouse hamburger linked to an E. coli O157:H7 Illness

According to and FSIS press release this evening, Adams Farm Slaughterhouse, LLC., an Athol, Mass., establishment, is recalling approximately 2,574 pounds of beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

This recall was initiated after the Massachusetts Department of Public Health (MDPH) confirmed a positive ground beef sample for E. coli O157:H7, which it collected during an epidemiological investigation. Working in conjunction with the Massachusetts Department of Public Health (MDPH), FSIS determined that there is an association between the ground beef products and an illness in the state of Massachusetts. FSIS is continuing to work with the MDPH on the investigation. Anyone with signs or symptoms of foodborne illness should consult a physician.

The following products are subject to recall:

1,025-pounds of "Beef Cuts and Ground" packed for Mazzarese.
697-pounds of "Beef Cuts and Ground" packed for Side Hill Farm.
852-pounds of "Beef Cuts and Ground" packed for Sweet Water Farm.

Each package bears a label with the establishment number "EST. 5497" inside the USDA mark of inspection as well as the packaging date of "11/11/2009." The beef products were distributed to private owners on three separate farms in the state of Massachusetts.

Food Safety News IPhone App Coming Very Soon

This is going to be great - and Free:

"All the Food that's not Fit to Eat" - Pasta Salad Downs 15 at New York Times

Stephanie Gaskell of the New York Daily News reported last week that the “New York Times cafeteria food may be past its deadline.”  According to the Daily News, “[t]he Health Dept. is investigating cases of possible food poisoning at the New York Times cafeteria. …The dining room at the paper's headquarters on Eighth Ave. and 40th St. was shut down Thursday after several employees fell ill with digestive problems. …The kitchen and dining areas are being sanitized and all prepared foods have been tossed. …Health inspectors are on the case but said Thursday night they still haven't found the cause.”

Interesting, I have not eaten there, but did have a cup of coffee a few months ago when I stopped in after giving a speech to some insurance executives in downtown. My suspicion is that the food industry might well feel that the Times is getting its “just deserts” (sorry) after Michael Moss’s coverage of the underbelly of what we eat in his recent two articles, “E. coli Path Shows Flaws in Beef Inspection,” where he profiled the plight of my client, Stephanie Smith, and “Safety of Beef Processing Method Is Questioned,” where is profiled what is served to us allegedly as hamburger.

Rumor has it that Moss has been out ill - hope it was not the pasta salad and I hope he returns soon. Clearly, he needs to turn is pen on the folks running the cafeteria.

Newark Iberia Peninsula Restaurant Sickens Several with Salmonella

According to Newark health officials, Salmonella contamination caused many people to suffer food poisoning at Iberia Peninsula restaurant in the Ironbound section of the city.  Dozens of patrons got sick and a few were even hospitalized after attending parties there around Christmas.  Health inspectors are in the process of testing food sources and employees.  Some news video:

E. coli Outbreak in California, Colorado, Florida, Hawaii, Iowa, Indiana, Kansas, Michigan, Minnesota, Nevada, Ohio, Oklahoma, South Dakota, Tennessee, Utah, and Washington linked to Steaks

Where are the Sick People?

According to the CDC (well, actually the Washington Post last week), we know that 21 persons were infected with E. coli O157:H7 in 16 states caused by National Steak and Poultry "mechanically tenderized" steaks.

Also, according to the CDC (well, actually efoodalert), the ill persons reside in California (1), Colorado (1), Florida (1), Hawaii (1), Iowa (1), Indiana (1), Kansas (1), Michigan (1), Minnesota (3), Nevada (1), Ohio (2), Oklahoma (1), South Dakota (2), Tennessee (1), Utah (2), and Washington (1).

Also, according to the CDC, (well, actually efoodalert, again), known illness onset dates ranged from October 3, 2009 through December 14, 2009, and most patients became ill between mid-October and late November.  Nine were hospitalized and one developed Hemolytic Uremic Syndrome.

What this means is that on Christmas Eve when the FSIS announced that National Steak and Poultry was recalling approximately 248,000 pounds of beef products that "MAY" be contaminated with E. coli O157:H7, the outbreak had been ongoing for nearly three months, and had been likely over for at least two weeks.

By the way, thank you Lyndsey Layton from the WaPo and Phyllis Entis from efoodalert for doing the CDC's job of informing the public of a nation-wide E. coli outbreak.  As of a few moments ago, the CDC still has not updated its website.

Where is the Beef?

We now know which states the ill people reside (BTW, thanks to Food Safety News for reporting that the Washington resident actually ate the steak and became ill in Nebraska), however, we still do not know where the people who became ill consumed the "mechanically tenderized" steaks.

Here is perhaps a very large clue - According to the FSIS (well actually Nation's Restaurant News and the Tulsa World Herald), when the FSIS and National Steak and Poultry recalled over 25 different products, the products were apparantly sent to Olive Garden, Applebees, Moe’s Southwest Grill, Carino’s Italian and 54th Street Grill & Bar.  However, were there others?  Thus far the FSIS and National Steak an Poultry websites remain silent.

By the way, thank you Alan Liddle of Nation’s Restaurant News and Kim Archer of the Tulsa World Herald for doing the FSIS's job of informing the public of where some, most or all (you pick) of the meat products went.

Does anyone see a pattern here?  Good night or good morning.

New Years Day CNN - Status of Food Safety in America

I was having a leisurely New Years Day when food safety, like is seems to do every day, again becomes the focus:

FDA sues Listeria Cheese Maker over insanitary conditions - Do you think they will go after Stewart Parnell and Peanut Corporation of America next?

From an FDA Press Release:

FDA Takes Action Against New Jersey Cheese Manufacturer - Company failed to correct violations despite federal, state warnings

The U.S. Food and Drug Administration today announced intentions to ask a federal court to shut down a New Jersey cheese manufacturer with an alleged history of operating under insanitary conditions and producing cheese contaminated with Listeria monocytogenes.

The U.S. Department of Justice filed a complaint for permanent injunction against Quesos Mi Pueblito and two of its officers, Felix Sanchez and Jesus Galvez. The complaint alleges that recent inspections by the FDA and the New Jersey Department of Health and Senior Services found Listeria-contaminated cheese and insanitary conditions at the Passaic company.

If entered by the court, the injunction would stop the company and its officers from manufacturing and distributing food until they can bring their operations into full compliance with FDA food safety regulations and produce cheese that does not test positive for the presence of Listeria. The complaint for permanent injunction was filed in the U.S. District Court - District of New Jersey.

"FDA’s work with federal and state partners to root out or remedy food manufacturers not compliant with food safety laws ensures safer foods get to our dinner tables," said Michael Chappell, the FDA’s acting associate commissioner for regulatory affairs.

Quesos Mi Pueblito currently manufactures and distributes a variety of soft, semi-soft, and hard Mexican cheeses in grocery stores and supermarkets in Connecticut, Massachusetts, New York, North Carolina, Florida, Virginia and the District of Columbia. Among Quesos Mi Pueblito’s products are queso oaxaca, queso fresco, queso requeson and queso cotija molido.

I always find it good to see when the Government steps in and does its job before people become sick or die.  So, when will the Government bring Stewart Parnell to justice?  His Salmonella-tainted peanuts sickened over 700 and killed at least 9.  Where is the justice in that?

Will consumers continue to buy Beef Products Inc.'s Ammonia Meat Product?

AP’s Christopher Leonard and Mae Anderson in their story, “Restaurants, food makers defend products after report that treated beef may still harbor germs,” asked the obvious question that the New York Times did not ask – “Would customers of Beef Product Inc.’ ammonia treated meat product, continue to buy it after the front page New York Times expose?”

Apparently the answer is, “keep that low-cost meat product coming.” According to the AP:

… Restaurant chains and beef processors defended their products' safety Thursday after a report that an ammonia treatment thought to kill harmful germs in meat isn't as effective as the industry and regulators believed. …

... McDonald's said it doesn't plan to change its relationship with the company. …

… Cargill spokesman Mark Klein said the company plans to continue to work with Beef Products, whose meat it uses in hamburger patties. …

… Burger King uses a "small percentage" of Beef Products Inc.'s beef trimmings in its U.S. hamburgers and does not plan to change that, spokeswoman Denise Wilson said.

Other restaurants and the federal school lunch program, which buy millions of pounds of the ammonia meat product yearly, have not yet weighed in on future purchasing plans.

It will also be interesting to see what consumers (those who actually eat the ammonia beef product) do. The meat product industry is betting that consumers simply do not care what they put in their mouths.

Does your favorite store sell; restaurant serve, or your kid's school feed this?

Michael Moss does it again in tomorrow’s New York Times, “Company’s Record on Beef Treatment Questioned.” He once again starkly shows what the beef industry will do to make a buck and how, not only does our government turn a blind eye, but actively hides information from us. This story is so disturbing in so many ways that I urge you to read it in its entirety. It will make you look at hamburger differently. It will also make you ashamed of corporate America and our own government.

Ammonia Beef – Really? Is saving a few pennies really worth this?

Here is a scene at the maker of this "meat product," Beef Product Inc., from Food Inc.:

This is really pathetic if you think about it.

I just received this email:

I'd like to subscribe to your email list so that I can get
the latest updates on all food illness recalls & outbreaks. This is so
that I can check my cuboards/fridge/freezer & know what not to buy or
eat in order to keep myself & my family safer. Thanks for keeping up
on this & emailing this info. as it comes available.

Although, I appreciate the email and have signed her up for updates (see to the right), it is a bit nuts that people look here for information that in not existing at the CDC or FSIS. 

FSIS figures out where 312 pounds of ham went - What about the National Steak and Poultry Recall?

Today the FSIS published the RETAIL CONSIGNEES FOR FSIS RECALL 068-2009. This was the recall of 312 pounds of Canadian Ham by Associated Grocers of Maine. The recall consisted of 16-ounce packages of "SUPER TRIM, Shurfine, IMPORTED, COOKED HAM, WATER ADDED, 98% FAT FREE." Each package bears the establishment number "141" inside the Canadian seal of inspection and a Sell by date of "10JA24."

The ham products were produced on November 25, 2009, and distributed to retail establishments in Maine, New Hampshire and Massachusetts.

19 Ill in 16 States due to Mechanically Tenderized Steaks Tainted with E. coli O157:H7

According to State Health Department officials in six States, as of Monday there were reports of 1 illness each in Washington, Michigan, Iowa, Kansas and Colorado and 2 in South Dakota linked to the National State and Poultry E. coli O157:H7 beef recall linked to “mechanically-tenderized” steaks. The 1 ill person in Washington ate the steak in Nebraska.

However, according to the Michigan Department of Health and the CDC, and reported by the Tulsa World Herald this morning, there are a total of 19 ill nationwide, and, according also to a CDC spokesperson this morning, the number of States reporting illnesses is 16, not 6 as previously reported. 

Those 10 States are yet unnamed as are the restaurants that actually served the steaks that sickened the 19 people.

Nineteen Sickened - National Steak and Poultry Meat Tested Positive for E. coli O157:H7

Thankfully Kim Archer of the Tulsa World Herald is adding to the slow roll of information on this outbreak and recall – “Owasso beef linked to E. coli.” Here is some clarified and newer information:

Nineteen sickened, so says the CDC

The E. coli outbreak — considered a Class 1 recall because the health risk is high — has sickened at least 19 people, said Arleen Porcell-Pharr, a spokeswoman for the federal Centers for Disease Control and Prevention in Atlanta. She could not provide further information about the severity of the illnesses.

Only three restaurant chains received the steak

The recall did not include products shipped to retailers but is limited to products sold to Moe's, Carino's Italian Grill and KRM restaurants in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington State, National Steak and Poultry said. KRM Restaurant Group is the parent company of 54th Street Grill & Bar, which operates 15 locations in Missouri, Kansas and Illinois.

Bombshell - National Steak and Poultry product tested positive for E. coli O157:H7

The USDA verified those dates, adding that source material for the company's chopped steak product produced Oct. 12 that had tested positive for E. coli O157:H7 had mingled with products produced on the other dates.

Federal officials began investigation December 11

Federal officials began investigating the E. coli outbreak Dec. 11, according to the USDA's Food Safety and Inspection Service. The Owasso plant's beef recall was issued Christmas Eve.

And, as I said:

Bill Marler, a Seattle-based food safety advocate and attorney, said that "when it involves E. coli O157:H7, just issuing a recall isn't remotely enough action to protect consumers." "The recall was issued on a holiday, with illnesses across the country and only a vague reference to meat being shipped to restaurants nationwide," he said. Federal agencies and the company "must know which restaurants it went to, and the public deserves to know, too."

Nebraska, Colorado, Kansas, South Dakota, Iowa and Michigan Linked to National Steak and Poultry, but what Restaurants - Really?

Today, National Steak and Poultry has confirmed that the recall is for beef products "sold primarily" to Moe's, Carino's Italian Grill, and KRM Restaurants (KRM Restaurant Group operates Jeremiah Johnson's and nine locations of the 54th Street Grill). I have confirmation from state health departments of 1 illness each in Iowa, Kansas and Colorado and 2 in South Dakota. The 1 ill in Washington ate in Nebraska. Michigan has not yet responded. The CDC, that frankly by now should have all of this at its fingertips, remains silent as well.

So, what restaurant chain or restaurants did the ill folks consume the “mechanically tenderized” steaks that, according to National Steak and Poultry and the FSIS, consist of "Boneless Beef Sirloin Steak," "Boneless Beef Tips," "Savory Sirloin Tips," "Bacon Wrapped Beef Fillet," "Beef Shoulder Marinated Tender Medallions," "75 percent Boneless Beef Trimmings," "Beef Trimmings,” "Beef Sirloin Philly Steak," "EGN Boneless Beef Sirloin Steak," "EGN Boneless Beef Sirloin Tri Tip Steak," "KRM Boneless Beef Sirloin Steak," "Carino's Boneless Beef Outside Skirt Steak," "Carino's Boneless Beef Outside Skirt Steak Pieces" and "Moe's Beef Steak.”

I have the above map in my office by artist Scott Hanson that comes in handy during nationwide outbreaks (see red dots on states that report illnesses related to the consumption of National Steak and Poultry products – remember, Washington does not count - and, that is a peach on Georgia). Clearly, it is a Midwest outbreak.  However, what still is a mystery is why we do not know which restaurants that the ill people ate at.

Why the mystery over the meat? Why do we know that National Steak and Poultry “SOLD PRIMARILY” (are there others?) to Moe’s, Carino’s Italian Grill and KRM Restaurants, but really have no idea which of the named restaurants are actually linked to ill people? I guess one way is to see which of those restaurants have places in those six states? Or, the restaurants themselves could come clean? Or, the state health departments or the CDC could step up? Or, a reporter could ask the tough questions?

So, really, why the mystery over where the meat went? And, why the silence on where people became ill?

National Steak and Poultry E. coli Outbreak in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington Linked to Moe's, Carino's Italian Grill, and KRM Restaurants.

According to recent press reports, a statement from National Steak and Poultry and discussions with various state health officials, Colorado has confirmed that at least one person in that state was sickened there in November but wasn't hospitalized. Iowa and Kansas each confirmed one illness. A Washington State resident, a woman in her 60s, was infected while visiting Nebraska. She was hospitalized, but since released and is at home now. There were two cases of illnesses at, as yet unnamed, restaurants in South Dakota. One in Minnehaha County, the other in Brookings County. The State Epidemiologist says two people in South Dakota ordered steaks from restaurants and got sick with E. coli. It happened in November and both have both recovered. We are now waiting only on Michigan and the CDC.

According to National Steak and Poultry and the FSIS, the products now being recalled include various sizes of the company's "Boneless Beef Sirloin Steak," "Boneless Beef Tips," "Savory Sirloin Tips," "Bacon Wrapped Beef Fillet," "Beef Shoulder Marinated Tender Medallions," "75 percent Boneless Beef Trimmings," "Beef Trimmings,” "Beef Sirloin Philly Steak," "EGN Boneless Beef Sirloin Steak," "EGN Boneless Beef Sirloin Tri Tip Steak," "KRM Boneless Beef Sirloin Steak," "Carino's Boneless Beef Outside Skirt Steak," "Carino's Boneless Beef Outside Skirt Steak Pieces" and "Moe's Beef Steak."

National Steak and Poultry has confirmed that the recall is limited to beef products sold primarily to the Moe's, Carino's Italian Grill, and KRM restaurants (KRM Restaurant Group operates Jeremiah Johnson's and nine locations of the 54th Street Grill) in the six states.

USDA had been Warned of E. coli Risk of Mechanically Tenderized Steak

On Christmas Eve the United States Department of Agriculture’s (USDA’s) Food Safety and Inspection Service (FSIS) Recall 248,000 “beef products” from Oklahoma-based National Steak and Poultry. The recall was issued because the mechanically tenderized, non-intact steaks, were contaminated with E. coli O157:H7 and therefore, like hamburger contaminated with the same pathogen, considered adulterated by FSIS. The recall also came with this warning:

FSIS became aware of the problem during the course of an investigation of a cluster of E. coli O157:H7 illnesses. Working with the Centers for Disease Control and Prevention (CDC) and state health and agriculture departments, FSIS determined that there is an association between non-intact steaks (mechanically tenderized prior to further processing) and illnesses in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington

However, over the weekend I learned that USDA Secretary Vilsack was warned in June 2009 (FSIS was well aware of the risk before as well) of the exact risk of “non-intact steaks (mechanically tenderized prior to further processing),” by a coalition of Food Safety Advocates. In a letter dated June 12, The Center for Foodborne Illness Research & Prevention, The Center for Science in the Public Interest, The Consumer Federation of America, and Food & Water Watch warned Secretary Vilsack:

In recent years, several outbreaks and illnesses have been associated with mechanically tenderized meat products. These products, such as steaks and roasts, have been tenderized through a process that repeatedly inserts small needles or blades into the product. These needles or blades pierce the surface of the product increasing the risk that any pathogens located on the surface of the product can be transferred to the interior of the product.

The Coalition also cited Journal articles and FSIS’s own documents (see backgrounder) outlining the scope of the use of mechanically tenderized product:

According to the 2008 FSIS Checklist Report, over 50 million pounds of mechanically tenderized beef products are produced each month. Most of these products have been mechanically tenderized through a process that repeatedly inserts small needles or blades into the product, generally with product being exposed to 2-3 passes. A 2008 Journal of Food Protection article by Luchansky et al., reported that a 2003 National Cattlemen’s Beef Association survey found that 188 of 200 processors (94%) use mechanical tenderization to improve product quality.

Several studies [as recently as 2009] have been undertaken to determine if the mechanical tenderization process transfers pathogens from the surface to the interior of beef products. A study by Luchansky et al., found that, depending on the level of surface contamination, mechanical tenderization of beef products transferred E. coli O157:H7 into the topmost 1 cm of product in 90% to 100% of samples and into the topmost 2 cm of product in 55% to 98% of samples.

The Coalition warned that presently the FSIS does not require mechanically tenderized (non-intact) meat products to be identified. Therefore, consumers and retail outlets, such as restaurants, do not know whether the products they have purchased are intact or mechanically tenderized or not.

In addition, FSIS’ current advice to consumers and retail outlets about cooking temperatures for products, such as steaks and roasts, does not differentiate between intact products and non-intact products. As a result, consumers and retail outlets do not have sufficient information to assure that these products are cooked to an appropriate and safe temperature.

The Safe Food Coalition outlined these recommendations (among others) to the FSIS:

• Issue a press release as soon as possible indicating that the current cooking guidelines and temperatures for intact beef products are not safe for all beef products that look intact. [Specifically, that mechanically tenderized steaks should be cooked to an internal temperature of 160 degrees, just like hamburger.]

• Take immediate steps to develop regulation that will require labeling to clearly identify mechanically tenderized, non-intact beef and pork products for all processing facilities, retail purchasers and consumers.

• Initiate a FSIS program to assess the effectiveness of public health messaging, so that effective food safety messages can be delivered to all food safety stakeholders.

I bet Secretary Vilsack wished he had responded to the letter with action, or had at least told his undersecretary at FSIS (wait, he does not have one) to get on the problem pronto.  See also these posts:

People in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington got "E. coli" in their Stockings for Christmas - Why does the FSIS, CDC and National Steak and Poultry not tell us which Restaurants received the Needle Tenderized Products?

There is a long, too long, history of E. coli O157:H7-tainted needle tenderized steaks

My Steak has been needle or blade penetrated or hammered - Really? What about E. coli?

Will E. coli Lightning Strike Twice for Applebee's Steaks?

In September 2004, Quantum Foods, a beef processor based in Illinois, voluntarily recalled 406,000 pounds of hamburger patties and steak after public health officials linked the meat to four E. coil illnesses among customers of Applebee's Neighborhood Grill & Bar locations in Colorado. The recalled products were produced June 23 and 24 and distributed nationwide to restaurants, military institutions and retail stores (where it went will sound similar soon)

According to the U.S. Department of Agriculture's Food Safety and Inspection Service, Applebee's purchased about 80,000 pounds of the suspect meat from Quantum Foods. Overland Park, Kansas-based Applebee's International Inc. said investigations by the company and federal officials and the Colorado Department of Public Health had found no more E. coli cases linked to the 1,629-unit chain.

Also in 2004 we sued Applebee's on behalf of Sloan Ross, a 19-year-old Lakewood, Colorado resident who contracted an E. coli infection after eating a tri-tip steak at an Applebee's restaurant in Lakewood. The lawsuit was filed in Jefferson County District Court.

On Christmas Eve (two days ago) the Food Safety and Inspection Service (FSIS) issued a recall of 248,000 pounds of “beef products” from Oklahoma-base National Steak and Poultry. The recall also came with this warning:

FSIS became aware of the problem during the course of an investigation of a cluster of E. coli O157:H7 illnesses. Working with the Centers for Disease Control and Prevention (CDC) and state health and agriculture departments, FSIS determined that there is an association between non-intact steaks (blade tenderized prior to further processing) and illnesses in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington.... Each package bears a label with the establishment number “EST. 6010T” inside the USDA mark of inspection, respective case codes cited above, and packaging dates of “10/12/2009,” “10/13/2009,” “10/14/2009,” or “10/21/2009.” These products were shipped to restaurants nationwide.

Thus far, FSIS, CDC, State Health and Agriculture Departments and the locations where the steaks were sold have been silent as to where the recalled product was sold – grocery stores or restaurants, and if so, which ones? Interestingly, in a 2004 Tulsa World News article, the following were listed as customers of National Steak and Poultry:

Applebee's International Inc., Tulsa-based Camille's Sidewalk Cafe, Don Pablo's Mexican Kitchen, Taco Bueno Restaurants, Ihop Corp. and Wal-Mart Stores Inc. NSP's steady growth during the past few years came partially from diversification into new industries, [David] Albright said, particularly retail grocery stores such as Wal-Mart and contracts with branches of the military.

Since no one is officially talking, the 2004 customer list might look a bit different today, but we simply do not know - But, we should.  As I said earlier:

… consumers have no information as to what states the tainted steaks were shipped or what retail outlets or restaurants received it. National Steak and Poultry has this information at its fingertips, FSIS should have access to it as well, and it is unconscionable that they have not made it available to the public, …

This recall is the tenth so far in 2009. The FSIS policy of identifying retailers that received recalled products continues to appear to be getting a hit-or-miss application. At times, retailers and restaurants are identified on the same day as a recall, and on others, not at all.

We know where we shop or where we had a steak. If we or restaurants are told where the contaminated steaks that has been recalled were sold, someone could go right to the freezer to see if there is any of the product, …

Someone should step up. Perhaps lightening does not strike twice, but it would be nice to let your customers know if it did or did not.  Last time, Applebee's was a bit pissed about being sued:

Applebee's said it had not contacted the four customers who fell ill. "Not surprisingly in today's litigious society an out-of-state trial lawyer has already filed a lawsuit. We don't believe a complicated legal process is the best way to resolve any guest concern," the company said.

One way to "resolve any guest concerns" would be to offer to pay for the medical bills of the customer BEFORE you get sued (Applebee's did not do it last time).  Let's see what the restaurants do this time.

UPDATED - People in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington got "E. coli" in their Stockings for Christmas - Why does the FSIS, CDC and National Steak and Poultry not tell us which Restaurants received the Needle Tenderized Products?

How many of you had a steak in a restaurant since September of this year? Did anyone who ate that steak know that the steak came from National Steak and Poultry? Did anyone see that on the box the steak came in that it was labeled ““EST. 6010T?” Did anyone realize that the steak might have been a “non-intact steak … (blade tenderized prior to further processing)?” My guess is that you could not answer any of those questions unless you worked in the kitchen that served the steak, and maybe not even then. And, no one is talking – yet. Well, perhaps just in whispers.

A couple of other questions: Does anyone know where to “restaurants nationwide” the steaks were shipped and served? In what restaurants people became ill and people did not? Well, those who know, FSIS, CDC, State and Local Health Departments and National Steak and Poultry, are not telling – yet. Sure, there are rumors as to what restaurants received the product, but as of yet, none have stepped forward – yet.  According to National Steak and Poultry's website:

As beef and poultry marination innovators since 1980, NSP has proved the popularity and profitability of our marinated, pre-portioned beef and poultry - both fully cooked and fresh frozen - at some of America's best known chains.

So, they clearly are not a slaughter facility.  Here are some broader issues:

What we know: The FSIS in yet another late night, Friday night or night before Christmas announcement, releases a press release (likely in part drafted by National Steak and Poultry) that there is “a recall of approximately 248,000 pounds of beef products that may be contaminated with E. coli O157:H7.” This is a CLASS I RECALL - which means - “This type of recall involves a health hazard where a reasonable probability exists that eating the food would cause serious, adverse health consequences or death.

What we know: Restaurants in “Colorado, Iowa, Kansas, Michigan, South Dakota and Washington” received these “blade tenderized” steaks because the FSIS tells us the CDC told them that people became ill after eating steaks contaminated with E. coli O157:H7.

What we know: "Blade tenderized" steaks with E. coli O157:H7 are considered adulterated - just like E. coli O157:H7 hamburger.

What we know: Each package of steaks bear a label with the establishment number “EST. 6010T” inside the USDA mark of inspection and packaging dates of “10/12/2009,” “10/13/2009,” “10/14/2009,” or “10/21/2009.” These products were shipped to restaurants nationwide.

So, why the secrecy during a CLASS I, adulterated product recall? Of course that assumes that National Steak and Poultry and the FSIS know where the mystery meat went. But my educated guess is that they know, and have known for at least a week or more. So, why not tell the public – especially those who became ill – which restaurants received the tainted meat? So, why not tell all restaurants that received the product to make sure those steaks are pulled? How about a bit of transparency? How about the restaurants that served the product that sickened the people stepping up? You know who you are too.

UPDATE:  Although, right now, we do not know if any of the below restaurants are implicated, but since no one is talking - yet:

From 2004, Tulsa Daily World story:

The company processes and packages its specially marinated meat products for national, regional and local restaurant chains and retail outlets, including the grocery store sector.  Some well-known customers are Applebee's International Inc., Tulsa-based Camille's Sidewalk Cafe, Don Pablo's Mexican Kitchen, Taco Bueno Restaurants, Ihop Corp. and Wal-Mart Stores Inc.  NSP's steady growth during the past few years came partially from diversification into new industries, [David] Albright said, particularly retail grocery stores such as Wal-Mart and contracts with branches of the military.  Selling steaks for soldiers stationed oversees, which began last year, netted NSP $3 million in sales in 2003.

I guess we all get “E. coal ii” in our stockings.  Well, except:

In 2004 National Steak and Poultry received a $100,000 grant to continue improvements at its plant, according to a news release Monday from the state of Oklahoma Commerce Department's Office of Community Development. The grant, combined with funds from the city of Owasso and a $30,000 contribution by the company, will be used to improve parking and drainage. In addition, National Steak and Poultry received over $500,000 from the Small Business Administration.

Here is the best we know at this point, and it is not much.  According to the FSIS, here is a complete list of he products subject to recall - so far:

Continue Reading...

There is a long, too long, history of E. coli O157:H7-tainted needle tenderized steaks

The Christmas Eve Recall of E. coli-tainted steaks by National Steak and Poultry, that have sickened people in several states in yet as unnamed restaurants, made me think a bit more about the problems the meat industry and the FSIS has had over the last sixteen years (post JITB) in dealing with E. coli O157:H7 on and in whole muscle meat - specifically, needle-tenderized steaks.  It does have a bit of history as these slides from Minnesota show:

Since then there have been several additional E. coli outbreaks linked to needle-tenderized steaks.  Here was a recall of over 400,000 pounds.  It is likely to have sickened dozens at restaurants in at least one state.  Here was a recall in 2007.  And, another recall, with illnesses, from 2008.  Please, do not forget the outbreak and recall linked to Sizzler in 2000.

So, what is FSIS's official position?  You will like this from 2006 from the FSIS website:

Q. Does FSIS test the mechanically tenderized products for E. coli O157:H7?

A. FSIS does not test the mechanically tenderized beef for E. coli O157:H7 at this time. Such raw products are non-intact beef products, however, and thus would be adulterated if contaminated with E. coli O157:H7. In Q&A #1 in attachment 1 to Directive 10,101.1, states that FSIS intends to sample non-intact beef products other than ground beef in the future.

In FSIS Notice 51.09, issued in July 31, 2009, the USDA announced its intent to start testing bench trim, i.e., the trim generated post-slaughter in cutting the carcasses into primals and subprimals. Before then, testing of trimmings was focused on trimmings generated from cutting the carcass prior to the final rail. This change was prompted by the Nebraska Beef and other recalls involving intact cuts from which trimmings had been generated and that ended up in ground beef, thus adulterating. FSIS Notice is here: http://www.fsis.usda.gov/OPPDE/rdad/FSISNotices/51-09.pdf

Here is the specific mention in the Notice at p. 2:

NOTE: If an establishment produces bench trim from steaks or roasts that are non-intact or are to be made non-intact (e.g., they have been or will be needle tenderized), a finding that the bench trim is positive for E. coli O157:H7 would evidence that the steaks or roasts are also positive and thus adulterated. However, the establishment may have a supportable basis for distinguishing the steak or roast from the bench trim. For example, if the establishment applies an antimicrobial treatment to the steaks or roasts before tenderization, but not to the bench trim, the establishment may be able to support that the positive applies only to the bench trim.

To its credit, this was the first time that the agency ever started to connect (duh!) that if trimmings tested positive, the “intact” cuts from which the trimmings came might be positive too.

As for the policy statement that first distinguished between intact and non-intact, and identified needle-tenderized meat as NON-intact (and thus subject to zero-tolerance), that can be found here: http://haccpalliance.org/alliance/ecolibeef.pdf

Our friends in the meat industry lobbied to have needle-tenderized steaks excluded from the E. coli O157:H7 policy, based on this research.  Here is interesting and ongoing research on the issue of heat-inactivation of O157 in needle-tenderized steaks, and the risk that such steaks are perceived as being intact and thus won’t be cooked to 165 degrees.

A blog post my law partner, Denis Stearns did about the JBS recall discusses the intact vs. non-intact issue pretty thoroughly, with citation and quote from the Model Food Code that first made the distinction.

So, the solution?  Here is a portion of a speech I gave in Washington DC a few years ago:

This leads me to the final, and likely most controversial issue facing this room today: Should primal cuts and boxed beef contaminated with E. coli O157:H7 (or for that matter any pathogen) be considered adulterated?

This is both a complicated and simple issue. One that we all have had first-hand experience from the now infamous Kreifall v. Sizzler and Excel case. In part that case was fought over the desire of the meat industry to hide from liability on behalf of the victims of their contaminated product. But more to the point, an appellate court decided that an intact cut of meat is in fact adulterated, if it is contaminated with E. coli O157:H7 and the seller knew it was to be further processed, in that instance "needle tenderized" in the restaurant.

A little more history. The intact/non-intact distinction was first announced in a July 19, 1999 FSIS policy statement that the meat industry had long pushed as a way of deeming O157 an "adulterant" only in ground beef and other non-intact meat not "further processed" in a federally-inspected facility. This was only a "policy statement" but has since been treated as if it was a rule. This was further elaborated on by FSIS in an October 7, 2002 policy statement issued in response to the ConAgra outbreak and recall. Notably, what was never clarified was whether this "rule" was really meant to apply to meat that was intact when it left a meat plant, or instead, meat that only reached a consumer as intact. As such, the meaning of "further processing" was never explicitly said to apply to processing that happened at retail. Meanwhile, the meat industry has consistently operated under the assumption that O157 can be on anything that is intact when it leaves a meat plant. Indeed, in the last several years, meat processors have started using disclaimer statements to introduce meat that is known to be possibly contaminated with O157 into commerce.

There should either be a zero tolerance policy or not. But as it currently exists, the non-intact meat rule is the exception that swallowed the rule; it is a loophole you could drive a caravan of trucks through. This issue needs to be resolved. Producers, retailers and consumers need to know the score.

So, zero tolerance or not?  Merry Christmas.

Check Your Grocery List Twice for Listeria Ham if you live in Maine or New Hampshire

Associated Grocers of Maine, importing firm, a Gardiner, Maine, establishment, is recalling approximately 312 pounds of ham products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

The following products are subject to recall:

16-ounce packages of “SUPER TRIM, Shurfine, IMPORTED, COOKED HAM, WATER ADDED, 98% FAT FREE.”

Each package bears the establishment number “141” inside the Canadian seal of inspection and a Sell by date of “10JA24.”  The ham products were produced on November 25, 2009, and distributed to retail establishments in Maine and New Hampshire.  FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers of the recall and that steps are taken to make certain that the product is no longer available to consumers.  The problem was discovered by the Canadian Food Inspection Agency (CFIA) who notified FSIS. The CFIA notified FSIS that some of the recalled ham products had been exported to the United States. FSIS has received no reports of illnesses associated with consumption of this product.

"Twas the Night Before Christmas," when no one is watchin', National Steak and Poultry Recalls 248,000 Pounds of Steak After Sickening People in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington

According to an FSIS Press Release, National Steak and Poultry, an Owasso, Okla., establishment, is recalling approximately 248,000 pounds of beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.

FSIS became aware of the problem during the course of an investigation of a cluster of E. coli O157:H7 illnesses. Working with the Centers for Disease Control and Prevention (CDC) and state health and agriculture departments, FSIS determined that there is an association between non-intact steaks (blade tenderized prior to further processing) and illnesses in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington. FSIS is continuing to work with the CDC and affected state public health partners on the investigation. Anyone with signs or symptoms of foodborne illness should consult a physician.

The products subject to recall include:

* 4-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68408.”
* 6-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SP680608.”
* 8-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68808”
* 9-ounce “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “SC68908.”
* “NATIONAL STEAK AND POULTRY BONELESS BEEF TIPS,” with an identifying case code of “69108.”
* “NATIONAL STEAK AND POULTRY BONELESS BEEF SIRLOIN STEAK” with an identifying case code of “XXSP68008.”
* “NATIONAL STEAK AND POULTRY SAVORY SIRLOIN TIPS” with an identifying case code of “XX69008.”
* 5-ounce “NATIONAL STEAK AND POULTRY BACON WRAPPED BEEF FILLET,” with an identifying case code of “23508.”
* “NATIONAL STEAK AND POULTRY USDA SELECT BEEF SHOULDER MARINATED TENDER MEDALLIONS” with an identifying case code of “23289.”
* “NATIONAL STEAK AND POULTRY 75% BONELESS BEEF TRIMMINGS,” with an identifying case code of “33575.”
* “NATIONAL STEAK AND POULTRY BEEF TRIMMINGS,” with an identifying case code of “36545.”
* “NATIONAL STEAK AND POULTRY BEEF SIRLOIN PHILLY STEAK,” with an identifying case code of “88008.”
* 4-ounce “EGN BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680425.”
* 7-ounce “EGN BONELESS BEEF SIRLOIN TRI TIP STEAK,” with an identifying case code of “69725.”
* 9-ounce “EGN BONELESS BEEF SIRLOIN TRI TIP STEAK,” with an identifying case code of “680925.”
* 7-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680715.”
* 9-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680915.”
* 12-ounce “KRM BONELESS BEEF SIRLOIN STEAK,” with an identifying case code of “680215.”
* 8-ounce “CARINO’S BONELESS BEEF OUTSIDE SKIRT STEAK,” with an identifying case code of “130874.”
* “CARINO’S BONELESS BEEF OUTSIDE SKIRT STEAK PIECES,” with an identifying case code of “13074.”
* “MOE’S BEEF STEAK,” with an identifying case code of “78027.”

Each package bears a label with the establishment number “EST. 6010T” inside the USDA mark of inspection, respective case codes cited above, and packaging dates of “10/12/2009,” “10/13/2009,” “10/14/2009,” or “10/21/2009.” These products were shipped to restaurants nationwide.

OK, I have to ask the obvious question - which restaurants?

Science and Eggnog, Raw Eggs and Alcohol - can a favorite Holiday drink be made safe?

A follower over on Twitter sent me this video.  Perhaps science can make Eggnog safe? Or, at least the alcohol will.  I wonder what would have happened if the milk used in the recipe was raw?

Harrington and Sons Recalls E. coli O157:H7 Hamburger

According to an FSIS release, Harrington and Sons, a Williston, Vt., establishment, is recalling approximately 68 pounds of fresh ground beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The products subject to recall include: [View Label]

* 10-pound cryovaced packages of "LaPLATTE RIVER ANGUS FARM, LLC NATURALGROUND BEEF."

* 1.5-pound cryovaced packages of "LaPLATTE RIVER ANGUS FARM, LLC NATURALGROUND BEEF."

Each package label bears the establishment number "EST. 8751" inside the USDA mark of inspection as well as the identifying case code "093491."

The products were produced on December 15, 2009, and were distributed to restaurants and a retail establishment in Chittenden County, Vt.  This recall is a consequence of the establishment not properly defining the production lot.  FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers (including restaurants) of the recall and that steps are taken to make certain that the product is no longer available to consumers.  The problem was discovered through FSIS microbiological sampling. FSIS has received no reports of illnesses associated with consumption of these products. Individuals concerned about an illness should contact a physician.

USDA/FSIS - I am not going away - Time to respond

Several weeks ago I served on the USDA/FSIS Petition Number 09-03: Petition for an Interpretive Rule Declaring all enterohemorrhagic Shiga Toxin-producing Serotypes of Escherichia coli (E. coli), including Non-O157 Serotypes, to be Adulterants Within the Meaning of 21 U.S.C. § 601(m)(1).  To date, there has only been a response that the Petition was received.  USDA/FSIS, it is time to act.

Food Safety in the United States - We have a long, long way to go

More than 50% of food manufacturers don't know that they are supposed to provide the FDA with updated contact information in the case of emergencies, such as Salmonella or other forms of food contamination,  See it here in the federal report to be released yesterday by the Health and Human Services Inspector General's office. The auditors conducting the report also found that 48% of the manufacturers they surveyed had not provided the FDA with accurate contact information, and about 25% provided no emergency contact information at all.

Bacillus cereus - Unilever Conducts Nationwide Voluntary Recall of Slim-Fast® Ready-to-Drink Products in Cans Due to Possible Health Risk

Unilever United States, Inc., in cooperation with the U.S. Food and Drug Administration (FDA), is conducting a nationwide voluntary recall of all Slim-Fast® ready-to-drink (RTD) products in cans, due to the possibility of contamination with Bacillus cereus, a micro-organism, which may cause diarrhea and possibly nausea and/or vomiting. The probability of serious adverse health consequences is remote.  The products were sold in stores nationwide.

Product Description:

The products are packaged in paperboard cartons and contain four, six or 12 steel cans that are 11 FL OZ (325 mL) each. Individual cans are also sold in certain retail outlets. The recall involves all Slim-Fast® RTD products in cans, regardless of flavor, Best-By date, lot code or UPC number. A listing of all RTD recalled products is attached to this press release.

No other Slim-Fast® products are affected by this recall. No Slim-Fast® powdered shakes, meal bars, or snack bars are affected by this recall.

The recall was initiated after the company conducted quality testing on Slim-Fast® RTD products in cans. Out of an abundance of caution, the company is recalling all RTD products in cans that are currently in distribution centers, on-shelf or in back rooms in retail outlets or in consumers’ homes. The company is in the process of identifying and correcting the production issue, and will resume production and shipment of the product when the issue has been addressed and corrected.

List of Recalled Slim-Fast® Ready-to-Drink Products in Cans

CDC Warning - Princess, do not Kiss the Salmonella Frog

The CDC is investigating a multistate outbreak of human Salmonella serotype Typhimurium infections due to contact with water frogs including African Dwarf Frogs. Water frogs commonly live in aquariums or fish tanks. Amphibians such as frogs and reptiles such as turtles, are recognized as a source of human Salmonella infections. In the course of routine assessment, a number of cases with the same strain have been identified over many months.

As of December 7, 2009, 48 individuals infected with the outbreak strain of Salmonella Typhimurium have been reported from 25 states. The number of ill persons identified in each state is as follows: Arizona (1), California (2), Colorado (2), Florida (1), Georgia (1), Idaho (1), Illinois (5), Kentucky (1), Louisiana (1), Massachusetts (2), Maryland (2), Michigan (3), Minnesota (1), Missouri (2), Mississippi (1), New Jersey (2), New Mexico (1), New York (1), Ohio (2), Pennsylvania (3), Tennessee (2), Texas (3), Utah (6), Virginia (1), and Washington (1).

Among the persons with reported dates available, illnesses began between June 24, 2009 and November 14, 2009. Infected individuals range in age from <1 year old to 54 years old. Seventy-seven percent (77%) of patients are younger than 10 years old and the median age is 4 years. Fifty-five percent (55%) of patients are female. No deaths have been reported.

UPDATE - Safeway and Beef Packers, Inc.'s (Cargill) Recall Ground Beef (AGAIN) in Arizona and New Mexico Linked to Salmonella Outbreak

Retail List - Safeway in cooperation with Beef Packers, Inc.’s (Cargill) recall of 22,000 pounds of fresh ground beef that may be linked to an outbreak of Salmonella, Safeway Inc. is recalling fresh ground beef products with "Sell By” dates of September 28 through October 11, 2009. The recall affects all stores in Arizona and one store in New Mexico in the city of Gallup.  Didn't this just happen a few months ago?

The beef recall was triggered by a report by the Arizona Department of Health Services to FSIS that illnesses from Salmonella Newport may be associated with ground beef products. The state agency and the ADHS determined that the association between the fresh ground beef products and two cases of salmonella illnesses reported in Arizona.

While the recalled product is no longer in stores, Safeway is asking its customers to check all ground beef in their freezers. The recall includes fresh ground beef products sold during the dates listed above at the full-service counter in brown butcher paper and at the self-service area wrapped on black Styrofoam trays. These products include fresh ground beef, fresh ground beef patties, fresh meat balls, fresh meat loaf and fresh bell peppers stuffed with beef and pork.

Consumption of food contaminated with Salmonella Newport can cause salmonellosis. Salmonella Newport infections can be life-threatening, especially to those with weak immune systems, infants, the elderly, and persons undergoing chemotherapy. This particular strain of Salmonella Newport is resistant to many commonly prescribed drugs, which can increase the risk of hospitalization or possible treatment failure in infected individuals. The most common symptoms of salmonellosis are diarrhea, abdominal cramps, and fever within eight to 72 hours. Additional symptoms may include chills, headache, nausea and vomiting that can last up to seven days.  Read about Salmonella Newport and the Dairy Industry's "Dirty Little Secret."

Questions - Why only 22,000 pounds of ground beef recalled?  My strong suspicion is that 22,000 pounds of ground beef is about one hour of production on one line (likely have 5 or 6 lines) in a facility as large as Beef Packers/Cargill that will produce 500,000 or more pounds of ground beef in a day.  Yet, the recall is only of ground beef products with "Sell By” dates between September 28 through October 11, 2009?  Were all other tests on those lines negative for Salmonella Newport?

Dungeness Valley Creamery and Whole Foods linked to Raw Milk E. coli Outbreak in Sequim, Washington

Washington State Department of Agriculture News Release: Dec. 2, 2009

Three recent E. coli infections in Washington have been linked to drinking raw, unpasteurized milk. As a result, the Washington state departments of Health and Agriculture are reminding consumers of the potential health hazards of these products.

The patients all report drinking raw milk produced by the Dungeness Valley Creamery in Sequim. No E. coli has been found in samples from the dairy's current batch of milk, but during an investigation at the dairy, WSDA found the same bacteria that caused one of the illnesses.

While most strains of the bacteria Escherichia coli (abbreviated as E. coli) are harmless, others, including E. coli O157, produce a toxin. Toxin-producing E. coli infections may cause severe diarrhea, stomach cramps and bloody stool. Symptoms generally appear three to four days after exposure, but can take as long as nine days to appear. Anyone experiencing these symptoms should contact a health care provider.

Each year, the E. coli strain found in this investigation causes about 100,000 illnesses, 3,000 hospitalizations and 90 deaths in the United States. The infection sometimes causes hemolytic uremic syndrome, a serious disease in which red blood cells are destroyed and the kidneys fail. Infants, children, pregnant women, the elderly and those with compromised immune systems are especially at risk.

Raw milk is riskier than pasteurized milk because it hasn't been heated to kill harmful bacteria. Pasteurization kills the bacteria in raw milk that can cause illness. Besides E. coli, raw milk can also contain other potentially serious or life-threatening bacteria that have caused illness outbreaks in the past. These include Salmonella, Campylobacter and Listeria.

Retail raw milk is legal to sell and buy in Washington, but there are serious potential health risks. Consumers should read the warning label on the retail raw milk container carefully and ask their retailer to verify the milk was produced and processed by a WSDA-licensed operation.

Consumer Reports Calls Fowl - US Chickens Tainted with Salmonella and Campylobacter

Consumer Reports published - How safe is that chicken?

Among the findings:

Campylobacter was in 62 percent of the chickens, salmonella was in 14 percent, and both bacteria were in 9 percent. Only 34 percent of the birds were clear of both pathogens. That's double the percentage of clean birds we found in our 2007 report but far less than the 51 percent in our 2003 report.

• Among the cleanest overall were air-chilled broilers. About 40 percent harbored one or both pathogens. Eight Bell & Evans organic broilers, which are air chilled, were free of both, but our sample was too small to determine that all Bell & Evans broilers would be.

• Store-brand organic chickens had no salmonella at all, showing that it's possible for chicken to arrive in stores without that bacterium riding along. But as our tests showed, banishing one bug doesn't mean banishing both: 57 percent of those birds harbored campylobacter.

• The cleanest name-brand chickens were Perdue's: 56 percent were free of both pathogens. This is the first time since we began testing chicken that one major brand has fared significantly better than others across the board.

• Most contaminated were Tyson and Foster Farms chickens. More than 80 percent tested positive for one or both pathogens.

Among all brands and types of broilers tested, 68 percent of the salmonella and 60 percent of the campylobacter organisms we analyzed showed resistance to one or more antibiotics.

Not too surprisingly the National Chicken Council took exception to the Consumer Reports article:

"Chicken is safe. Like all fresh foods, raw chicken may have some microorganisms present, but these are destroyed by the heat of normal cooking. Consumers are encouraged to follow the safe handling and cooking instructions printed on every package of fresh meat and poultry sold in this country.

"A much more comprehensive survey by the U.S. Department of Agriculture found Salmonella and Campylobacter on fewer raw chickens than Consumer Reports. More important is the fact that USDA found that the levels of microorganisms present are usually very low. Consumer Reports failed to perform this analysis. The USDA survey also showed that poultry processing greatly improves the microbiological profile of raw chickens. In fact, the industry does an excellent job in providing safe, wholesome food to American consumers."

The Chicken Council's defense - chicken is not as bacteria-contaminated as Consumer Reports says and its the consumers fault anyway.  Really, is there any wonder why we do not make more progress on food safety?

Civil Lawsuit in Melamine Milk Scandal Sees the Inside of a Chinese Courtroom, Well at Least a Judge

The New York Times reporter, Edward Wong, reported a few hours ago that a hearing began Friday (our Thursday) in the first civil suit to be heard in a Chinese court involving parents suing a dairy company and a supermarket over selling tainted milk.

In 2008 at least six children died and 300,000 were sickened from drinking melamine-tainted milk products. The melamine had been added by middlemen to make the dairy products falsely appear to meet nutritional protein standards.

Ma Xuexin, who said his 20-month-old son got a kidney stone from drinking tainted milk, filed a lawsuit seeking the equivalent of $8,080 (US) in compensation from the dairy company, the Sanlu Group, and Longhua, a supermarket chain based in Beijing.

Can you imagine what that number would be before a jury in a United State’s courtroom?

Perhaps the demand to the court was low by US standards, but the arguments of the defense lawyers sounded a bit familiar.  Sanlu and Longhua lawyers argued that a government fund (low compensation) was the family’s only recourse, and they also argued that there were no medical records linking the boy’s kidney problems to drinking tainted milk.  Arguing no damages and no causation, a US defense lawyer's stock in trade. Who said that the Chinese court system is not paying attention to what is happening across the Pacific and a day behind?

WHO - a Global Approach to Food Safety

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Vermont Veal Slaughter Plant Shut after USDA Views Video

The Beef Industry and the USDA really need to get their shit together.  This it truly stupid.  It is beyond words.

According to a recent press release:

“The United States Department of Agriculture (USDA) and the Vermont Agency of Agriculture today suspended their respective licenses and thereby ceased operations at the Bushways Slaughterhouse facility in Grand Isle, Vermont.

“The Vermont Agency of Agriculture was notified by the Humane Society of the United States (HSUS) late Wednesday afternoon of alleged animal welfare violations at the facility. The agency immediately referred the matter to the USDA as the facility is operated and monitored under the inspection of USDA.

“USDA and the state have suspended the operation of the facility and are conducting an investigation. These allegations of inhumane handling and treatment of animals if verified, warrant prompt corrective actions to ensure they do not happen again.

“In addition, in accordance with agency animal health statutes, the Attorney General has been notified of possible criminal actions in regards to animal health and welfare.

“The agency finds the alleged animal welfare practices disturbing and states that there is no excuse for the inhumane treatment of animals. These practices are not representative of the industry as a whole in Vermont and such actions will not be tolerated in our state. The agency is taking every action within its power to address the situation.”

41,411,465 Pounds of E. coli Tainted Beef Recalled Since 2007 - That is 165,645,860 Quarter Pounders

Although recalls of beef have fallen off a bit in 2009 (only 571,922 pounds) from 2008 (7,083,399 pounds) and 2007 (33,756,142 pounds) (PDF), 2006 was the best year we had seen awhile - 181,900 pounds. 

Of course this does not account for the over 143,000,000 pounds of beef product recalled due to the Hallmark fiasco.  Illnesses?  Well, we have not yet seen a downturn as we had hoped.  Let's hope the rest of 2009 has no more recalls and no more illnesses.

Camp Bournedale E. coli O157:H7 Hamburger Outbreak Linked to 15 Illnesses

Rhode Island health officials said 15 students from Lincoln Middle School suffered diarrhea after a trip to Camp Bournedale in Cedarville Massachusetts last week. Two of the students tested positive for E. coli O157:H7. Two students were hospitalized for treatment.

Rhode Island health officials said the sixth-grade students from Lincoln attended a three-day session at the camp from Oct. 13-16. Health officials were notified that several students had become sick on Monday, Oct. 19. The Rhode Island Department of Health reported that Massachusetts health officials are investigating foods at the camp as the likely source of the illness. The Center for Disease Control and Prevention is said to be assisting in the investigation.

Arnie Gerson, owner and director of the camp, said state and federal health officials traced the outbreak to tainted raw hamburger. Gerson said the camp will no longer cook raw hamburger. As a precaution, the camp will serve pre-cooked burgers to campers, if it serves hamburger at all.

Opening Statement of U.S. Senator Michael B. Enzi, Ranking Member Senate Committee on Health, Education, Labor and Pensions

“Keeping America’s Families Safe: Reforming the Food Safety System”

Good morning. Food safety is not a partisan issue – we all want the safest food supply possible. The United States has one of the best food safety systems in the world. But even in the best of systems, there is always room for improvement.

The volume of food imports and the number of foreign producers and manufacturers are growing. At the same time, the supply chain is becoming more complex, due to innovations such as repackaging of fresh produce that mixes output from dozens of farms, or the potentially hundreds of ingredients in a ready-to-eat processed food.

FDA is the gold standard worldwide among public health agencies. After many years of inadequate resources, Congress has provided significant funding increases to FDA for food safety and related activities such as information technology. While it is important to sustain these increases, FDA also needs a modernization of its authorities.

The powers the agency was given 100 years ago were appropriate for a world in which most of our food was grown and processed domestically. That is no longer the case, and FDA’s tools need to keep pace with the challenges.

These outdated authorities coupled with a lack of resources have been made clear by recent outbreaks. For example, in the Peanut Corporation of America case last year, FDA did not know the facility was even making peanut butter, since the facility was initially registered as just roasting peanuts. There is currently no statutory requirement to update registration status when information changes. Last summer, during the Salmonella in tomato/peppers outbreak, FDA was not able to put enough “boots on the ground” to trace shipments back to the source of the contamination quickly.

Clearly, the complex nature of our food safety system requires all of the global partners – regulators, importers, manufacturers, academia – and other stakeholders to come together to propose meaningful, collaborative solutions.

I believe some of those solutions are contained in S. 510, the FDA Food Safety Modernization Act, which a number of members of this committee have cosponsored. I have a few concerns about the bill, particularly the provisions regarding FDA’s relationship with farms as well as with state officials. While this bill is a good start, it is important that we go through regular order and do the hard work of making the bill even better. There is a lot of expertise on the HELP Committee about these issues, and we should bring that to bear on the legislation.

Camp Bournedale in Massachusetts Likely Linked to E. coli O157:H7 Outbreak

According to news reports, the Rhode Island Department of Health was notified Monday of several sixth grade students from Lincoln Middle School with diarrheal illness.

The students just returned from Camp Bournedale in nearby Plymouth, Massachusetts which they attended from October 13th through 16th.  As of today (October 21), there have been 15 cases of diarrheal illness. There have been two students who tested positive for E. coli O157:H7. Two students are hospitalized. It is unclear if those two have developed Hemolytic Uremic Syndrome.

“We want to assure parents and students that we are not seeing this diarrheal illness spread person to person,” said Chief of HEALTH’s Center for Infectious Diseases Robert S. Crausman, MD, MMS. “However, any student or chaperone who was on the field trip and has diarrhea should call their doctor for medical evaluation and treatment. HEALTH is working closely with our colleagues at the Massachusetts Department of Public Health in the investigation of this incident.”

Students or chaperones who were on the field trip who do not have diarrhea do not need to take any special precautions. Massachusetts Department of Public Health and the USDA are investigating foods at the camp as the likely source of this illness. The Center for Disease Control and Prevention (CDC) will be assisting with this investigation.

“Our first concern is the health and safety of our students and staff,” said Lincoln School Superintendent Georgia Fortunado. “We are working collaboratively with the Department of Health on this response.”

Food Safety on Senate's To Do List?

Andrew Zajac of the Los Angeles Times penned what I hope to be correct – “Bill giving FDA new powers to oversee food supply has wide support.” He says, “Industry and public backing -- a recent poll showed 90% of voters favor measures similar to those in the legislation -- adds up to a "quick win for both parties."

According to those inside the beltway, that seems to be the case:

  • "There's broad public support. It would be a quick win for both parties," said Erik Olson, director of chemical and food safety programs, in Pew's Health & Human Services Policy program. "This is a rare situation where the industry is shoulder to shoulder with consumers."
  • The legislation, sponsored by Sen. Richard J. Durbin (D-Ill.), would require the FDA to step up inspections of food facilities and to issue new rules to improve the quality of imported food and to combat contaminants in fresh produce. The measure also would give the agency authority to recall products on its own, instead of relying on industry cooperation.
  • "Hardly a week goes by that there isn't a report of an outbreak of food-borne illness or death in America," Durbin said. "The current system really just reacts to food illness. We have to have a system that is protective of consumers" by preventing outbreaks or nipping them in the bud.
  • An indication of the breadth of support for reform is the list of co-sponsors on Durbin's bill. It includes five Republicans, including Sens. Saxby Chambliss and Johnny Isakson, both senators from Georgia, a state hard hit by the peanut recall.
  • "This legislation affords regulators the authority they need to better identify vulnerabilities in our food supply while maintaining the high level of food safety most Americans enjoy and take for granted," Chambliss said in a statement.

Even someone in the "other Washington got a word in:

Bill Marler, a Seattle attorney who specializes in representing victims of food-borne illness. One little-noticed provision of both versions of the food safety bill requires the FDA to bolster the capabilities of local and state officials to spot illness outbreaks more promptly, Marler said.

"Assuming proper funding -- and that's a big assumption -- the focus on money flowing to state and local health departments would allow you to do more rapid surveillance," Marler said. "They would have more information sooner and illness and business disruption would be reduced."

Food Safety News widget now available

Everyone will want one - a Food Safety News widget.  Next is video on FSN and perhaps an Iphone App?

E. coli O157:H7 is Murder - So Says Miami CSI

Several weeks ago I got a call from a producer of CSI to get background on an episode that they were thinking of running.  I just finished watching the episode (click on photo below).  Frankly, most of the science was inaccurate, but the point that E. coli O157:H7 is a poison and that producers whose food is tainted could be held criminally liable should worry some of my readers.  Yes, E. coli O157:H7 is murder.

Senate "HELP" Committee Hearing - Keeping America's Families Safe: Reforming the Food Safety System

Thursday, October 22, 2009 – 10:00 a.m.
430 Dirksen Senate Office Building

Panel I

Dr. Margaret Hamburg, Commissioner, U.S. Food and Drug Administration, White Oak, MD

Panel II

Caroline Smith DeWaal, Director of Food Policy, Center for Science in the Public Interest, Washington, DC - Testimony

Michael Roberson, Food Marketing Institute, Arlington, VA - Testimony

Daniel L. Ragan, Director, North Carolina Department of Agriculture & Consumer Services, Food & Drug Protection Division, Raleigh, NC - Testimony

Thomas Stenzel, President and CEO, United Fresh Produce Association, Washington, DC - Testimony

FDA to combat vibrio vulnificus in oysters by requiring further processing

Elizabeth Weise of USA Today reported on a speech by “FDA's Michael Taylor [where he] outlined the agency's plans to combat the deadly bacteria vibrio vulnificus by requiring Gulf-raised oysters to undergo post-production processing to kill the bacteria. Taylor told the assembled state health department and shellfish industry officials that as of 2011, the agency would no longer allow fresh, live oysters from Texas, Louisiana and Florida to be sold during the warm-weather months unless they were processed.”

Of course, oysters are grown and eaten raw in other parts of the country – and have been linked to vibrio vulnificus illnesses as well – at least twice – 2006 and 2009 – from the State of Washingon.  Curious why the requirement is not on all oysters?  Of course, I always thought it was a bit unwise to eat raw oysters anyway.  Frankly, over the years we have been asked to look at several vibrio cases and we have declined to represent the ill persons.

According to Ms. Weise, “FDA would require that Gulf coast oyster undergo one of four processes to kill potential bacteria:

• Quick freezing
• High pressure treatment
• Mild heat
• Low dose gamma radiation”

According to an online textbook on bacteriology:

V. vulnificus causes disease in individuals who eat contaminated seafood (usually raw or undercooked oysters) or have an open wound that is exposed to seawater. Among healthy people, ingestion of V. vulnificus can cause vomiting, diarrhea, and abdominal pain. Most V. vulnificus infections are acute and have no long-term consequences.

In immunocompromised persons, particularly those with chronic liver disease, V. vulnificus can invade the bloodstream from either a wound or from the GI tract, causing a severe and life-threatening illness called primary septicemia, characterized by fever, chills, septic shock and death. Blistering skin lesions accompany the disease in about 70% of the cases. V. vulnificus bloodstream infections are fatal about 50% of the time.

Although V. vulnificus is a rare cause of disease, it is likely that it is unrecognized and underreported (one estimate of the total number of cases annually in the U.S. is as high as 45,000). Between 1988 and 1995, CDC received reports of over 300 V. vulnificus infections from the Gulf Coast states, where the majority of cases occur.

Persons who are immunocompromised, especially those with chronic liver disease, are at risk for V. vulnificus when they eat raw seafood, particularly oysters. These individuals are 80-200 times more likely to develop V. vulnificus primary septicemia than are healthy people. For this particular risk group, the infection carries one of the highest mortality rates of all bacterial infections.

California Department of Public Health warns consumers not to eat Del Monte canteloupe

Dr. Mark Horton, director of the California Department of Public Health (CDPH), today warned consumers not to eat Del Monte whole cantaloupe sold at Northern California and Nevada Raley’s, Bel Air, Nob Hill Foods and Food Source stores between October 5 and October 16, 2009 because the cantaloupe may be contaminated with Salmonella. Raley’s, which owns Bel Air, Nob Hill Foods and Food Source stores, is voluntarily recalling 1,120 cartons of Del Monte whole cantaloupe after routine testing detected Salmonella. No illnesses have been reported from these products.

CDPH is issuing this alert in case consumers may still have some of the affected cantaloupe in their possession.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. Consumers who may eaten this product and are experiencing the above symptoms should consult their health care provider.

There have been several Salmonella cantaloupe outbreaks over the last few years - some involving serious injury and death.  Here are three:

Viva Cantaloupe

Susie Cantaloupe

Cantaloupe Litchfield

Cow Tonsils can carry Bovine Spongiform Encephalopathy (BSE)? What will I now eat with a beer?

Nebraska Firm Recalls Beef Tongues That Contain Prohibited Materials

J.F. O'Neill Packing Company, an Omaha, Neb., establishment is recalling approximately 33,000 pounds of beef tongues that may not have had the tonsils completely removed, which is not compliant with regulations that require the removal of tonsils from cattle of all ages, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

Tonsils are considered a specified risk material (SRM) and must be removed from cattle of all ages in accordance with FSIS regulations. SRMs are tissues that are known to contain the infective agent in cattle infected with Bovine Spongiform Encephalopathy (BSE), as well as materials that are closely associated with these potentially infective tissues. Therefore, FSIS prohibits SRMs from use as human food to minimize potential human exposure to the BSE agent.

The following product is subject to recall:

" Various weight cases of "BEEF TONGUES." Each case bears the establishment number "EST. 889A" inside the USDA mark of inspection and were sold under the following brand names:

"J.F. O'NEILL PACKING CO.," "WHOLE FOODS NATURAL," "WHOLE FOODS ORGANIC," "PREMIER PROTEIN PARTNERS," "MONTANA RANCH BRAND," "GRASSLAND BEEF," "AUSTIN MEATS," "MORGAN RANCH," "KOBE BEEF AMERICA," "IMPERIAL WAGYU BEEF," "BRAND ADVANTAGE WAGYU," "BRAND ADVANTAGE PARTNERS," "YAMAYA U.S.A.," and "A.D. ROSENBLATT."

The company is recalling all products packed between July 1, 2009, and October 8, 2009. These products were shipped primarily to distribution centers in Nebraska and California for further sale to restaurants, hotels and institutions.

The problem was discovered through a food safety assessment FSIS conducted at the establishment.

FSIS routinely conducts recall effectiveness checks to verify recalling firms notify their customers (including restaurants) of the recall and that steps are taken to make certain that the product is no longer available to consumers.

www.foodsafetynews.com is being read worldwide - well, almost

We are now into the fourth week of the publication of www.foodsafetynews.com.  Our offices in Seattle, Denver and Washington DC have been busy gathering the most up to date news on food safety - there has been a lot.  In analyzing visitors to the site today, the USA, including Alaska (is that you Sarah?), leads on readership.  However, we seem to be getting hits from all over.

Michigan Reports 12 Salmonella Cases Linked to Sprouts

The Michigan Department of Community Health and Department of Agriculture said 12 cases of Salmonella Typhimurium infections caused by eating raw alfalfa sprouts have been reported in Kent, Bay, Genesee, Macomb, Oakland, Washtenaw and Wayne Counties. One of the 12 cases was found in Kent County, said Health Department Spokesman James McCurtis Jr.

"Eating raw sprouts is a known risk for exposure to Salmonella or E. coli bacteria," said Dr. Gregory Holzman, chief medical executive for state health department. "We want to educate people about this known risk in order for them to make informed decisions concerning their health."

State officials said everyone -- especially young children, frail, elderly and those with weakened immune systems -- should avoid eating raw alfalfa sprouts until the origin of the contamination is determined. Other types of sprouts are not involved, they said.

About MRSA (Methicillin-Resistant Staphylococcus Aureus) - Yet another Food Pathogen?

Staphylococcus aureus (S. aureus), often referred to as "staph," is a bacterium commonly carried on the skin or in the nose of healthy people. S. aureus typically causes a skin infection, but can cause infections in the bloodstream and major organs. Methicillin-resistant S. aureus (MRSA) occurs when the bacteria become resistant to the antibiotic, methicillin and other more common antibiotics such as oxacillin, penicillin and amoxicillin, making it more difficult to treat. The rate of invasive MRSA (infections in typically sterile sites like the bloodstream) is estimated to be 32 per 100,000 persons in the United States; the mortality (death) rate is thought to be about 6 per 100,000 persons. The risk of invasive MRSA infections is highest among older individuals, Blacks/African Americans, and men.

MRSA infections were initially limited to hospitals and nursing homes, especially among patients with weakened immune systems. Since the 1980s, community-acquired cases and outbreaks also have been reported. Community acquired cases are those not related to past year hospitalization or medical procedures like dialysis, surgery, or catheterization. These infections typically occur among otherwise healthy individuals and are more likely to be limited to skin infections. An increase in the virulence of MRSA bacteria in the past decade, however, has been responsible for more severe and sometimes fatal community acquired infections. More recently, MRSA has been identified in food animals and a few outbreaks have been ‘food-initiated’ or foodborne. In one such outbreak, those affected developed typical foodborne illness symptoms, such as vomiting and stomach cramps.

Clostridium difficile (C. difficile) - Another Foodborne Pathogen?

Clostridium difficile (C. difficile) is a spore-forming, gram-positive anaerobic bacillus that produces two toxins: toxin A and toxin B. These toxins typically cause gastrointestinal disease, often with severe complications. In rare cases, C. difficile-associated disease can be fatal. Although C. difficile bacteria can be present in human intestinal tracts and cause no clinical symptoms (a condition called colonization), some individuals with C. difficile colonization are at increased risk of becoming ill. The most common risk factor for C. difficile-associated disease is exposure to antibiotics, especially those with broad-spectrum activity. Although less common, exposure to agents that suppress the immune system may also increase the risk of illness. Advanced age, severe underlying illness, gastrointestinal surgery, use of nasogastric tubes, and gastrointestinal medications (such as gastrointestinal stimulants or antacids) have also been associated with an increased risk of colonization. Most cases are acquired in hospitals or nursing homes, but an increased incidence of community–acquired C. difficile has been reported as well. Recent studies indicate that C. difficile can also be found in food products.  So, is it another bug to worry about in our food?  Visit C. difficile blog.

Public Health Importance of Non-O157 Shiga Toxin- Producing Escherichia coli (non-O157 STEC) in the US Food Supply

Click above to download report.

Food Safety and recalls of your kids' food - What the GAO has to say

From the GAO:

Over the past few years, several food recalls, such as for beef and peanut products, have affected schools. It is especially important that recalls affecting schools be carried out efficiently and effectively because young children have a higher risk of complications from food-borne illnesses. GAO was asked to determine how federal agencies (1) notified states and schools about food recalls, (2) advised states and schools about disposal and reimbursement of recalled food, and (3) ensured that recalls were being carried out effectively. To do this, GAO reviewed and analyzed relevant documents and interviewed federal and state officials, as well as officials from 23 school districts that had experience with at least one of four recent cases involving the safety of food in the school lunch program.

Despite its efforts, the U.S. Department of Agriculture's (USDA) Food and Nutrition Service (FNS), which oversees federal school meals programs, did not always ensure that states and schools received timely and complete notification about suspect food products provided to schools through the federal commodity program. The federal commodity program provides food to schools at no cost to the schools, and accounts for 15 to 20 percent of food served in school meals. During 3 recent recalls, FNS notified states, but in only one case did it inform schools to hold and not serve suspect foods prior to an official recall of commodity products. When a videotape aired by the media showed inhumane treatment of cattle at a plant that provided beef to the commodity program, FNS told states to have schools stop serving the company's beef weeks before the official recall of commodity beef was announced. However, when the U.S. Department of Health and Human Services' (HHS) Food and Drug Administration (FDA) recalled suspect peanut products and canned vegetables in two other cases, FNS did not inform states and schools to hold and not serve the companies' commodity products until the recalls were expanded to include the companies' commodity products--weeks later. FNS's initial notification to states regarding recalls did not provide complete information on the full range of products affected. Instead, states and schools continued to receive information on multiple other recalled products over time. It sometimes took states and schools a week or more to determine what additional products were subject to a recall, during which time they unknowingly served affected products. FNS provided instructions for disposal and reimbursement of recalled products to states who, in turn, provided instructions to schools but, nonetheless, some schools experienced problems. Some schools reported to GAO problems in finding landfills that would accept large quantities of recalled products. Some schools also reported that reimbursement instructions were not clear, reimbursement was delayed for months, and that all of their expenses related to the recalls were not reimbursed. Although both USDA's Food Safety Inspection Service (FSIS) and the FDA procedures direct them to conduct recall quality checks, neither included thousands of schools that had received recalled USDA-commodities products for the beef and peanut recalls because they thought FNS conducted these checks. As a result, they were unable to ensure that the recalls were being carried out effectively by schools. FNS officials said that they did not conduct any kind of systematic quality checks of schools receiving recalled commodities, because they relied on FSIS and FDA to conduct such checks. FDA did include schools in its canned vegetable recall audit checks, and some may have received recalled-commodity canned vegetables. However, because FDA does not systematically sample for schools or analyze results of the quality checks for the group, the agency cannot be assured that the recall was carried out effectively in schools.

Queen Victoria and Tubby Salmonella Spinach Recalled

The California Department of Public Health warned consumers not to eat “Queen Victoria” and “Tubby” bunched spinach because they may be contaminated with salmonella, which can cause serious illness.  The 12-count and 24-count spinach bunches were bound with a twist tie which says “PLU 4090 UPC 33383-65200.” The twist tie associated with the “Queen Victoria” label has the Queen Victoria logo on it. The twist tie for the Tubby label has a generic spinach band on it.

Of the 1,715 cartons of recalled bunched spinach, a total of 1,515 cartons were packed under the “Queen Victoria” label and distributed to California, Alabama, Arizona, Florida, Georgia, Illinois, Indiana, Kentucky, Michigan, Minnesota, New Jersey, New York, and to British Columbia, Ontario, and Manitoba in Canada.  The remaining 200 cartons were packed under the “Tubby” label and distributed in California and New York. The recalled spinach was harvested September 1 through September 3, and distributed to retail, food service and wholesale buyers.

The recalled bunched spinach was packed in 12-count and 24-count spinach bunches in cardboard boxes with “Spinach” printed on the side panel, in wire bound crates or reusable plastic containers.

Thirteen People Sickened with E. coli at the Pacific National Exhibition in Vancouver British Columbia

According to press reports, eleven children and two adults came down with E. coli days after visiting the petting zoo at the Pacific National Exhibition this summer.  A spokesman for B.C. Children's Hospital in Vancouver confirmed Tuesday three of the 13 cases were serious enough to warrant hospital care. One child remained in hospital Tuesday in fair condition and two children have been sent home. The ages of the victims ranged from 21 months to 69 years.

Reports of E. coli linked to the PNE surfaced on the same days as reports of Great Britain's biggest ever outbreak of E. coli spread from farm animals. A London newspaper reported 36 children had E coli after visiting a petting farm in Surrey, England; three of the children were reported to be seriously ill.

Here are some amazing quotes straight from the - excuse me - "the horses mouth:"

Petting zoos will always be a potential risk because they mix animals, little kids and poop, Dr. John Carsley, a medical health officer with Vancouver Coastal Health Authority, said yesterday in an interview....

“The innate difficulty is the clientele of petting zoos tends to be families with small children. So no matter how fastidious you want to be, and try to be, you cannot reduce the risk to zero,” Dr. Carsley said....

Officials did not announce the outbreak of E. coli. An announcement would have been pointless, Dr. Carsley said. No one was at risk to be infected after the PNE closed and, if someone was exposed to the germ but has not yet fallen ill, there is nothing that could be done to prevent an outbreak of the illness, he said. “If you have nothing to offer people, what are you going to tell them?” he said.

The majority of people who went into the barn and were exposed to the germs were at no risk, he also said. “So you are basically scaring an enormous amount of people and telling them, you might have been exposed to a potentially fatal illness about which you can do nothing,” Dr. Carsley said.

Laura Ballance, a spokesperson for the PNE, said the fair has undertaken extensive precautions to prevent the spread of disease from animals to humans. The procedures “have been successful for several decades, and for hundreds of thousands of kids who have been passing through,” she said.

When leaving the barn, children must walk through an alleyway that has washing stations with hot and cold water, and staff is there at all times telling everyone to wash their hands. Eighteen hand sanitizers are in the vicinity. Also staff receive training on E. coli, on ways to prevent the spreading of the germs, Ms. Ballance said.

“This is the most extensive [effort] you can do to prevent it, short of [staff] washing people's hands,” she said.

And, yet it still happened.

Muranaka Farm Inc. parsley recalled because of possible salmonella

Muranaka Farm Inc. is recalling 1,005 cases of parsley distributed in 10 states, including Illinois, because it may be contaminated with salmonella.

The Moorpark, Calif., company says it's voluntarily recalling cases of 60-count fresh bunched parsley, lot code 0023909, after sampling conducted in cooperation with the Food and Drug Administration showed bacteria.

Thirty cases of the parsley were distributed in Arizona; 574 were distributed in California; 35 in Colorado; 60 in Florida; three in Iowa; one in Illinois; seven in Missouri; five in Tennessee; 278 in Texas; and 12 in Wisconsin.

Windsor Foods Recalls Beef and Bean Burritos for Possible Listeria Contamination

Windsor Foods, a Riverside, California, establishment, is recalling approximately 2,268 pounds of beef and bean burrito products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced.

The following products are subject to recall:

* 18-pound bulk cases containing individually wrapped "BUTCHER BOY RED CHILE BEEF & BEAN BURRITOS."

Each case of Butcher Boy brand burritos, subject to recall, contains a total of 72 burritos and bears the establishment number "EST. 1905" within the USDA mark of inspection; the package code "1219215;" the case code "2080001;" and advises "KEEP FROZEN."

The products were produced on August 3, 2009 and distributed to a storage center in Minnesota for further retail sales. The products available for direct consumer purchase will not bear the establishment number and package code. Customers with concerns should contact their point of purchase.

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis. However, listeriosis can cause high fever, severe headache, neck stiffness and nausea. Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy. Individuals concerned about an illness should contact a physician.

Food Safety Widget from our Government

Food Alerts Widget. Flash Player 9 is required.
Food Safety Widget.
Flash Player 9 is required.

Steinbeck Country Produce and Ocean Mist Farms Recall Salmonella-tainted, Mexico-grown Green Onions

Two California produce shippers have recalled thousands of cases of green onions supplied by an onion farm in Mexicali, Mexico, over fears the onions could be contaminated with salmonella.

U.S. Department of Agriculture inspectors found salmonella in a routine test taken in New York last month. No illnesses have been reported.

Officials notified the shipper, Salinas-based Steinbeck Country Produce. The company issued a voluntary recall Aug. 28 for 3,360 cartons.  Steinbeck's produce was distributed in California, Massachusetts, Texas, Indiana, New York, Michigan, Missouri, Kansas and Arizona.  Castroville-based shipper Ocean Mist Farms recalled 1,746 cases as well, after realizing they came from the same lot. Ocean Mist wouldn't say where it's onions were distributed.

Glass Microbiology - E. coli - Deadly in a Beautiful Package

Someone emailed me this link to some very interesting glass art by Luke Jerram.  I guess I know what I will be asking Santa for:

Big Boy Food Group Recalls Ready-To-Eat Meal Kits For Possible Listeria Contamination

Recall Release CLASS I RECALL
FSIS-RC-046-2009 HEALTH RISK: HIGH

Big Boy Food Group, a Warren, Mich., establishment, is recalling approximately 39,514 pounds of ready-to-eat meal kits that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.  The following product is subject to recall:

Dinolunch Brand:

* 3.6 oz “DINOLUNCH CARNIVORE HAM & CHEESE” meal kits. Each tray includes ham, cheese, and crackers; a juice drink and Dino cookies. The front of each package bears the establishment number “EST. 4205” inside the USDA mark of inspection as well as the Use by/Sell by date of “10/24/2009.”
* 3.6 oz “DINOLUNCH T-REX TURKEY & CHEESE” meal kits. Each tray includes turkey, cheese, and crackers; a juice drink and Dino cookies. The front of each package bears the establishment number “P- 4205” inside the USDA mark of inspection as well as the Use by/Sell by date of “10/24/2009.”

Each case of the Dinolunch brand meal kits, subject to recall, can be identified by the case code “9237” and contains approximately twelve (12) trays. The products were produced on August 25, 2009 and distributed to wholesale and retail establishments in Texas.

Lunch Buddies Brand:

* 3.6 oz “Lunch Buddies Ham & Cheese” meal kits. Each tray includes ham, cheese, and crackers; a juice drink and a sweet treat. The front of each package bears the establishment number “EST. 4205” inside the USDA mark of inspection as well as the Use by/Sell by date of “10/24/2009.”
* 3.6 oz “Lunch Buddies Turkey & Cheese” meal kits. Each tray includes turkey, cheese, and crackers; a juice drink and a sweet treat. The front of each package bears the establishment number “P- 4205” inside the USDA mark of inspection as well as the Use by/Sell by date of “10/24/2009.”

Each case of the Lunch Buddies brand meal kits, subject to recall, can be identified by the case code “9237” and contains approximately sixteen (16) trays. The products were produced on August 25, 2009 and distributed to wholesale establishments in Ill., Ind., Ohio, and Wisc. FSIS has no reason to believe that these products are available for consumer purchase as recalled products were distributed only at the wholesale level; so, none of these meal kits would have reached consumers.

"Let go of my Listeria Eggo" - Kellogg's Eggo Waffles Made In Atlanta Recalled

A laboratory test by the Georgia Department of Agriculture (GDA) found Listeria monocytogenes in a sample of Kellogg’s Buttermilk Eggo Waffles manufactured at an Atlanta plant. The sample was taken as part of a routine inspection by GDA of the Kellogg’s plant at 5601 Bucknell Dr. SW, Atlanta. While no illnesses have been reported, out of an abundance of caution, Kellogg is voluntarily recalling a limited number of the following products produced in the same facility:

Kellogg’s® Eggo® Cinnamon Toast waffles, 10-count package, UPC code 3800040440 with “Best If Used Before” dates beginning with: NOV22 10 EA, NOV23 10 EA and NOV24 10 EA.

Kellogg’s® Eggo® Toaster Swirlz™ Cinnamon Roll Minis eight-count package, UPC code 3800023370 with a “Best If Used Before” date beginning with beginning with NOV15 10 EA.

Kellogg voluntarily ceased production at the plant, began an investigation to determine a possible cause of contamination and began a regimen of cleaning and sanitizing. Kellogg will execute its hygienic restoration plan under GDA before it resumes production at the plant.

E. coli O157:H7, O157:NM, and non-O157 serotypes O26:H11, O111:NM, O103:H2, and O145:NM can cause Human Illness - The German Experience.

In my ongoing effort to understand the risk to humans of non E. coli O157:H7, this weekend I read the manuscript “Molecular Analysis of Virulence Profiles and Shiga Toxin Genes in Food-Borne Shiga Toxin-Producing Escherichia coli” by Slanec, T., Fruth, A., Creuzburg, K., and H. Schmidt from the Department of Food Microbiology, Institute of Food Science and Biotechnology, University of Hohenheim, Stuttgart, Germany. Click below to download full manuscript:

In general, the manuscript noted that Shiga toxin (Stx)-producing Escherichia coli (STEC) can cause a spectrum of human disease ranging from watery diarrhea to bloody diarrhea (hemorrhagic colitis), which can be followed by serious sequelae such as the hemolytic-uremic syndrome (HUS). STEC are genetically heterogeneous and although more than 200 STEC serotypes have been described, only a limited number of serotypes has been isolated from human cases. The most important serotypes, which can cause severe human disease, are O157:H7, O157:NM, and the non-O157 serotypes O26:H11, O111:NM, O103:H2, and O145:NM. STEC infections are mainly food-borne infections, although direct transmission from animals or from person-to-person has been described. Foods of high risk for transmission are minced meat, other meat products, produce, and dairy products.

Non-E. coli O157:H7 Serotypes linked to Hemolytic Uremic Syndrome (HUS)

I was reading recently an article in the European Journal of Clinical Microbiology & Infectious Diseases by R. J. Pomajz, M. Varman, A. Holst and A. Chen entitled, Hemolytic uremic syndrome (HUS) incidence and etiologies at a regional Children’s Hospital in 2001–2006. Here is the abstract:

Hemolytic uremic syndrome (HUS) is a serious health concern in children. HUS has primarily been linked to Escherichia coli O157:H7 infections, but non-O157 strains are gaining attention. Hemolytic anemia, thrombocytopenia, and acute renal failure are the characteristics of the syndrome. This study investigated the incidence of HUS at a regional Children’s Hospital between 2001 and 2006 by retrospective review. Cases of HUS were investigated for outcomes based on stool culture and an association of acute pancreatitis. A total of 44 cases were identified, of which 57% were female and 43% were male, with an age distribution of 13 months to 17 years and a median age of 3.44 years. Data revealed 13 cases in 2006 compared to two cases in 2001, with 84% of all illnesses occurring in the summer and fall seasons. The median duration of thrombocytopenia was eight days and 50% of all cases required dialysis. E. coli O157:H7 was the predominant pathogen; however, 53% of the cases had unknown etiology. This data may suggest a growing number of cases from 2001 to 2006 and a role for agents other than E. coli O157:H7. E. coli O157:H7 caused longer intensive care unit (ICU) stay. No association between HUS and acute pancreatitis was found.

In addition, the article itself noted: “An increasing number of reports show E. coli of the non-O157 serotypes as the causative agent in developing HUS. Some non-O157 serotypes that have been associated with HUS include O26, O103, O111” and others.

OK, I made a mistake - FSIS did publish Retail Recall List For Fresno Beef (Cargill) and I missed it - AND Sterling Pacific Meat Co., recalls E. coli O157:H7 Meat

I blew it. I look at the FSIS site daily and I missed that they had posted the below list of retail outlets that received the Salmonella Newport Beef:

I am sorry.

The Sterling Pacific Meat products subject to recall include:

Fatburger Brand:

* 20-pound packages of "8 oz. PUCK (80/20) GROUND BEEF PATTIES."
* 10-pound "2.5 oz. BABY GROUND BEEF PATTIES."

Stock Yards Brand:

* 12-pound packages of "6 oz ROUND 80 % LEAN PURE GROUND BEEF PATTIES." Each package bears the identifying case code "13627."
* 12-pound packages of "(3/1) ROUND 80% LEAN PURE GROUND BEEF PATTY." Each package bears the identifying case code "13582."
* 12-pound packages of "(3/1) ROUND 80% LEAN GROUND BEEF PATTIES." Each package bears the identifying case code "10457" and the pack date "05/18/2009."
* 12-pound packages of "GROUND BEEF PATTY (8/1) SLIDER 80% LEAN." Each package bears the identifying case code "13657" and the pack date "05/18/2009."
* 12-pound packages of "(4/1) ROUND 85% LEAN PURE GROUND BEEF PATTY." Each package bears the identifying case code "13575" and the pack date "05/18/2009."
* 12-pound packages of "PURE GROUND BEEF PATTY 7oz WIDE PATTY 80% LEAN." Each package bears the identifying case code "13520" and the pack date "05/18/2009."
* 12-pound packages of "PURE GROUND BEEF PATTY (7/1) ROUND PATTY 80% LEAN." Each package bears the identifying case code "13577" and the pack date "05/18/2009."
* 11.80-pound packages of "PURE GROUND BEEF PATTIES 7 oz ROUND 80% LEAN." Each package bears the identifying case code "13520" or "13561" and the pack date "05/18/2009."

The packages also bear the establishment number "EST. 550" within the USDA Mark of Inspection and advise "KEEP REFRIGERATED" and/or "KEEP FROZEN." The ground beef products were produced on May 18, 2009, and were distributed at the wholesale level to food service companies, who further distributed the product to restaurants in Calif. and Ariz.

A week after FSIS announces a Class I Recall of Salmonella Newport beef from Beef Packers (Cargill) and still no list of where the beef went?

On August 6, 2009 Beef Packers, Inc., of Fresno, California recalled approximately 825,769 pounds of ground beef products linked to an outbreak of salmonellosis (disease that can be caused by antibiotic-resistant Salmonella Newport). This was announced on the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) website.

Today is August 13 – seven (7) days into a Class 1 Recall. The FSIS is supposed to make available to the public the names and locations of retail consignees (grocery stores, etc.) of meat products recalled by a federally-inspected meat establishment (like this one) if the recalled product has been distributed to the retail level. The rule applies to Class I recalls (like this one). The information is supposed to be posted on the FSIS website, generally within three (3) to ten (10) working days, following the announcement of the recall.

So, FSIS, Day seven (7) of ten (10), what gives? California has already produced what is thought to be a complete list of retail consignees. Why cannot the FSIS? More to the point, why cannot Beef Packers, Inc., (a.k.a. Cargill)?

So far at least 28 people in California, Colorado and Wyoming have reported salmonella-related illnesses since last week. You have to wonder why the "foot-dragging?" Wouldn't it be better to tell the public where contaminated beef might have been sold? Wouldn't it make it much easier for people to check there freezers if they knew they may have purchased contamianted meat?

Safeway Recalls Ground Beef in Arizona, California, Colorado, Hawaii, Nebraska, Nevada, New Mexico, South Dakota and Wyoming

In cooperation with Beef Packers, Inc.’s (Cargill's) recall of 825,769 pounds of ground beef linked to an outbreak of salmonellosis, Pleseanton, California Safeway, Inc. is recalling fresh ground beef products sold between June 6 through July 14, 2009, at stores in Arizona, California, Colorado, Hawaii, Nebraska, Nevada, New Mexico, South Dakota and Wyoming.

While the recalled product is no longer in stores, Safeway is asking its customers to check all ground beef in their freezers. Fresh ground beef products sold at both the full-service counter and in the self-service area on the dates listed above, should be discarded or returned for a full refund. These products include fresh ground beef, fresh ground beef patties and fresh meat loaf.

Obama Administration fails Salmonella test - At least 27 people in Colorado, California and Wyoming sickened with Salmonella Newport linked to Cargill Hamburger

California, Colorado and Wyoming health officials said this afternoon that at least 27 people have reported illnesses tied to recalled ground beef tainted with antibiotic resistant Salmonella Newport.  On Thursday, Fresno-based Beef Packers Inc. (Cargill) recalled 825,769 pounds of ground beef produced June 5-23.

The U.S. Department of Agriculture's Food Safety and Inspection Service says the beef was sent to retail distribution centers in Arizona, California, Colorado and Utah.  The beef was repackaged and sold under different retail brand names, so customers are being urged to check with their local store to determine if they bought any of the beef.

So far only Safeway, Vons and Sam's Club have been named.  So, Obama Administration, where is the beef?  Why are we still counting bodies when we should be recalling product by actually telling consumers what meat is likely contaminated and where they might have purchased it.  Grade - A for "Cash for Clunkers."  Grade - F for food safety.

Quote of the Day from the LA Times:

Salmonella prefers warm, damp environments with little oxygen, which is why it is so prevalent in manure and other forms of excrement. But it can live in almost any climate. If conditions aren't suitable for growth, it can lie dormant for a year or longer, waiting for the right opportunity.

"It's like the sea monkeys you had as a kid -- you add water and it comes to life," said Bill Marler, a Seattle lawyer who specializes in food-borne illness cases and updates his Salmonella Blog several times a day.

Safeway and Other Stores in Colorado Linked to 21 Hamburger Salmonella Newport Illnesses

Colorado State health officials, the U.S. Department of Agriculture and several other state health departments have been investigating an outbreak of infections that are resistant to several commonly used antibiotics. To date, cases of illness have been identified in 11 states. The majority of cases, 21 illnesses, have been reported in Colorado in the following counties: Arapahoe (3), Broomfield (3), Denver (3), Douglas (1), Elbert (1), Garfield (1), Jefferson (5), Mesa (1), Pueblo (1) and Weld (2). Four people have been hospitalized.

Most people became ill during late June and early July, with the most recent illness occurring July 13. Because it can take at least two weeks for cases of illness to be reported to the state health department, it is possible additional cases may be reported. This is the second large outbreak of Salmonella the department has investigated since July 1. Both outbreaks have been linked to ground beef.

The ground beef products associated with the known cases were produced on various dates ranging from June 5, 2009, through June 23, 2009, and bear the establishment number "EST. 31913" printed on the case code labels.  The ground beef products were distributed to retail distribution centers in Arizona, California, Colorado and Utah. Of Colorado’s confirmed cases, the state has epidemiologic data showing that 15 of 16 confirmed illnesses (out of a total of 21 confirmed cases) purchased their ground beef product at Safeway Stores. Point of purchase information is not available on the other Colorado cases. At this time, it is not known whether the product was distributed to other stores.

Because these products were repackaged into consumer-sized packages and sold under different retail brand names, consumers should check with their local retailer to determine whether they may have purchased any of the products subject to recall.

As part of its investigation into an outbreak of Salmonella Newport associated with ground beef products, the Colorado Department of Public Health and Environment notified the USDA’s Food Safety and Inspection Service of the situation. Epidemiologic and traceback investigations determined there is an association between the fresh ground beef products and illnesses reported in Colorado.

The illnesses also were linked through the epidemiologic investigation by their uncommon pulsed-field gel electrophoresis (PFGE) pattern found in PulseNet, a national network of public health and food regulatory agency laboratories coordinated by the Centers for Disease Control and Prevention.

Safeway and Vons Stores in California Linked to Five Hamburger Salmonella Newport Illnesses

According to the San Francisco Chronicle, the U.S. Department of Agriculture's Food and Safety Inspection Service is investigating 40 illnesses in nine states - including five people in the California counties of Orange and Tulare – who have been sickened. At least four people have been hospitalized.

The state public health department released a list of affected retailers, mostly Safeway stores in Northern California and Vons stores in Southern California. The meat was produced June 5-23 and would have been sold sometime last month. A Safeway spokeswoman said Thursday that ground beef purchased from June 6 to July 14 should be discarded or returned to the store for a refund. List of California stores impacted:

The strain of bacteria associated with the outbreak is Salmonella Newport, which is resistant to many drugs typically used to treat infections, according to the Food and Safety Inspection Service. Salmonella can be life-threatening, especially in people with weak immune systems such as babies, the elderly and people with HIV infection or undergoing chemotherapy.

Where is the Salmonella Newport Beef?

I am showing my age that I remember the famous TV ad from the 1980's - "Where is the Beef?"  So, Cargill, where is the million pounds of Salmonella Newport?  We know it is in 11 States - which ones?  We know that Safeway and King Soopers is doing a recall - what others?  It would be nice to know where the beef really is.

Beef Packer, Inc. (aka Cargill) Recalling Ground Beef Sold to Retail Markets Due to Salmonella Newport - Illnesses in 11 States

The Colorado Department of Public Health and Environment today announced that Beef Packers, Inc., a Fresno, Calif., establishment, is recalling approximately 826,000 pounds of ground beef products that may be linked to an outbreak of illness from Salmonella Newport.

State health officials, the U.S. Department of Agriculture and several other state health departments have been investigating an outbreak of infections that are resistant to several commonly used antibiotics. To date, cases of illness have been identified in 11 states. The majority of cases, 21 illnesses, have been reported in Colorado in the following counties: Arapahoe (3), Broomfield (3), Denver (3), Douglas (1), Elbert (1), Garfield (1), Jefferson (5), Mesa (1), Pueblo (1) and Weld (2). Four people have been hospitalized, and all are recovering.

Most people became ill during late June and early July, with the most recent illness occurring July 13. Because it can take at least two weeks for cases of illness to be reported to the state health department, it is possible additional cases may be reported. This is the second large outbreak of Salmonella the department has investigated since July 1. Both outbreaks have been linked to ground beef.

The ground beef products associated with the known cases were produced on various dates ranging from June 5, 2009, through June 23, 2009, and bear the establishment number "EST. 31913" printed on the case code labels.

The ground beef products were distributed to retail distribution centers in Arizona, California, Colorado and Utah. Of Colorado’s confirmed cases, the state has epidemiologic data showing that 15 of 16 confirmed illnesses (out of a total of 21 confirmed cases) purchased their ground beef product at Safeway Stores. Point of purchase information is not available on the other Colorado cases. At this time, it is not known whether the product was distributed to other stores.

Because these products were repackaged into consumer-sized packages and sold under different retail brand names, consumers should check with their local retailer to determine whether they may have purchased any of the products subject to recall.

As part of its investigation into an outbreak of Salmonella Newport associated with ground beef products, the Colorado Department of Public Health and Environment notified the USDA’s Food Safety and Inspection Service of the situation. Epidemiologic and traceback investigations determined there is an association between the fresh ground beef products and illnesses reported in Colorado.

Antibiotic Resistant Salmonella Linked to Illnesses - Fresno Beef Packer Meat Recalled in California, Arizona, Colorado and Utah - My Quote of the Day

I had a nice chat this morning with Jerry Hirsch from the LA Times on the resent recall of some 800,000 pounds of hamburger. As I said to Jerry:

Regulators probably jumped on the beef case out of concern for antibiotic resistant strains of salmonella, said William Marler, a Seattle attorney and food safety expert who specializes in food-borne illness litigation.

Unlike the often lethal food-borne bacterium E. coli O157:H7, salmonella is not considered an “adulterant” in federal food regulations and does not trigger an automatic recall, Marler said.

“I commend the company for recalling the beef because legally, they would be on strong ground not to do so,” he said.

The pathogens are treated differently because it takes only a small about of E. coli – just 50 organisms to infect a person – where it typically takes millions of salmonella bacteria to trigger an illness, Marler said.

Nonetheless, Marler would like to see regulation expanded to include salmonella and other pathogens that cause serious illness.

My quote of the day:

“I think that anything that can poison or kill a person should be listed as an adulterant,” he said.

We have been following the problem of Salmonella in hamburger for awhile.  Here is a recent article:

Prevalence and Characterization of Salmonellae in Commercial Ground Beef in the United States
Joseph M. Bosilevac,* Michael N. Guerini, Norasak Kalchayanand, and Mohammad Koohmaraie
U.S. Department of Agriculture, Agricultural Research Service, Roman L. Hruska U.S. Meat Animal Research Center, Clay Center, Nebraska 68933-0166

Received 5 November 2008/ Accepted 2 February 2009

Commercially produced ground beef samples (n = 4,136) were collected from seven regions of the United States over a 24-month period (July 2005 to June 2007) and analyzed for the presence of Salmonella enterica by using methods that concurrently provided total prevalence and enumerable levels. The overall prevalence of Salmonella strains was 4.2%. Enumeration showed that 94.2% were present at levels below 2 CFU/g. Regional monthly prevalences of Salmonella strains varied from 1.8% to 6.5% but were not statistically different (P > 0.05). All Salmonella isolates were serotyped and their antibiotic susceptibilities determined and analyzed by pulsed-field gel electrophoresis (PFGE). The most common serotypes identified were Salmonella enterica serotypes Montevideo, Anatum, Muenster, and Mbandaka, with these accounting for one-half of the isolates obtained. The prevalence of multidrug-resistant (MDR) Salmonella was determined to be 0.6%. The most common MDR serotypes were Salmonella enterica serotypes Dublin, Reading, and Typhimurium. MDR strains had resistance to between 2 and 10 antibiotics. There were no regional differences in prevalence of MDR Salmonella. PFGE analysis revealed that indistinguishable XbaI and AvrII restriction digest patterns (RDPs) could be observed in isolates of the same serotype found in different regions and months of sampling. The RDPs of 19 Salmonella strains were compared to RDPs in the PulseNet USA database. Thirteen were indistinguishable from existing patterns, and the number of records for each ranged from 1 to 478. These data show that Salmonella prevalence in commercial ground beef is low and suggest that attempts to identify sources contributing to Salmonella in ground beef by serotype, antibiogram, and PFGE cannot be made without additional documented evidence.

Bench Trim to be Tested (a few times) for E. coli O157:H7

Agriculture Secretary Tom Vilsack today announced that USDA's Food Safety Inspection Service (FSIS) is issuing guidance for inspectors to begin conducting routine sampling of bench trim for E. coli O157:H7. Bench trim is the fat and meat trimmed from cuts like steaks and roasts as they are prepared in processing plants. Bench trim is normally added to other meat used in ground beef. FSIS inspectors generally perform tests for E. coli O157:H7 in the slaughterhouse on most meat used in ground beef, however, bench trim had not previously been tested by the inspectors, creating a potentially dangerous hole in the government’s food-safety regimen.

According to the New York Times today, Jerold R. Mande, deputy under secretary for food safety at the Agriculture Department, said the government tests of bench trim were to begin in about a month. They are intended to verify testing for E. coli O157:H7 in hamburger that is already being done by plant operators, and many of the operators already test bench trim for the bacterium, he said. According to Mande, on average, the bench trim at an individual plant will be tested two or three times a year, for a total of 1,500 samplings nationwide over 12 months.

Hmm, only 1,500 total samples per year? Is that really sufficient to assure that our hamburger supply is safer? Had I known that the sampling would be that skimpy, I may not have said the below:

Bill Marler, a lawyer in Seattle who specializes in food poisoning cases, said that bench trim was suspected as a source of E. coli O157:H7 in many ground beef recalls. He said the new testing represented an important change. “You’re adding an additional layer of assurance that the ultimate product, the hamburger, is less likely to be contaminated,” he said.

If you are going to test for E. coli O157:H7 and actually be interested in finding it, scientifically based testing should be preformed at several points in the slaughter/manufacturing/grinding production operation. This should include testing for E. coli O157:H7 in finished product and holding it (not shipping it) at the grinding operation until the test results are returned. The testing should be done frequently enough to assure that the production operation is excluding E. coli O157:H7 from finished product.

At 159 Pages, H.R. 2749 - The Food Safety Enhancement Act of 2009 is quite the read

Here is the bill that (I think) is to be voted on in about an hour:

Click above to download.

Congressman John D. Dingell - Superman of Food Safety

Congressman John D. Dingell gave an impassioned speech today on behalf of HR 2749 - The food Safety Enhancement Act of 2009.  I think it should be renamed the Dingell Bell, errr, Bill.  Anyway, the guy is a stud.

The vote on the Bill should happen soon.  Check out www.foodpoisonjournal.com for the latest.

Congressman John D. Dingell represents Michigan’s 15th Congressional District and is the Chairman Emeritus of the Committee on Energy and Commerce, one of five ‘exclusive’ committees in the U.S. House. During the 111th Congress, he has the lead role in crafting national health insurance legislation that goes before this Committee and the House. On the Committee, he also works on energy and climate change issues, telecommunications and consumer protection policy, and conducts oversight and investigations. Dingell serves the people of Monroe County and parts of Wayne and Washtenaw Counties. His work includes fighting for the working families that keep America's economy going, including making health care more affordable and accessible to all families and protecting our nation's natural heritage. On February 11, 2009, Congressman Dingell became the longest serving Member in the history of the U.S. House of Representatives.

King Soopers of Denver Colorado Recalls Ground Beef Products Due To Salmonella Contamination - 14 Ill - US Public is the "Canary in the Coal Mine"

Once again contaminated food products are shipped to US grocery stores and consumers become ill.  The US pubic continues to be the "canary in the coal mine."  As FSIS reports:

As a result of an ongoing investigation into an outbreak of Salmonella Typhimurium DT104 associated with ground beef products, the Colorado Department of Public Health and Environment (CDPHE) notified FSIS of the problem. Epidemiological investigations and a case control study conducted by CDPHE and the Centers for Disease Control and Prevention (CDC) determined that there is an association between the fresh ground beef products and 14 illnesses reported in Colorado.

Recall Release CLASS I RECALL
FSIS-RC-039-2009 HEALTH RISK: HIGH

King Soopers, Inc., a Denver, Colo., establishment, is recalling approximately 466,236 pounds of ground beef products that may be linked to an outbreak of salmonellosis, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today. The products subject to recall include:

* 1-pound chubs of (93/7) ground beef. Each package bears the identifying case code "69558."
* 1 - 1.25-lb. tray packs of (96/4) ground beef. Each package bears the identifying case code "67164."
* 1 - 1.25-lb. tray packs of (96/4) ground beef. Each package bears the identifying case code "67664."
* 1 - 1.25-lb. tray packs of (93/7) ground beef. Each package bears the identifying case code "67663."
* 1 - 1.25-lb. tray packs of (93/7) ground beef. Each package bears the identifying case code "67163."
* 2.5 - 3-lb. tray packs of (93/7) ground beef. Each package bears the identifying case code "67654."
* 6-pack trays of (93/7) ground beef patties. Each package bears the identifying case code "67106."
* 4-pack trays of (93/7) ground beef patties. Each package bears the identifying case code "67115."

The ground beef chub products bear a use-by/sell-by date between "05/31/09" and "06/21/09;" the tray packs of ground beef bear a use-by/sell-by date between "06.02.09" and "06.23.09;" and the ground beef patty products bear a use-by/sell-by date between "06.01.09" and "06.22.09."

The ground beef products were produced on various dates ranging from May 23, 2009 through June 13, 2009 and bear the establishment number "EST. 6250" within the USDA Mark of Inspection, which is printed on the front of the packages. The ground beef products were distributed to retail establishments in Colo., Kan., Mo., Neb., N.M., Utah and Wyom.

Tanimura & Antle Voluntarily Recalls One Lot of Romaine Lettuce Because of Possible Salmonella Health Risk

From a Company Press Release:

FOR IMMEDIATE RELEASE
July 21, 2009

Tanimura & Antle, Inc. of Salinas, Calif. is voluntarily recalling one lot of romaine lettuce because it has the potential to be contaminated with Salmonella. No illnesses have been reported to date, and the company is working with FDA to inform consumers of this recall.

Salmonella is an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis. The recall comes after a random test conducted by the Wisconsin Department of Agriculture tested positive.

Within hours of being notified yesterday, Tanimura & Antle, Inc. traced back the entire lot of romaine and advised all customers who received the recalled product of the test result. Tanimura & Antle, Inc. has instructed these customers to destroy the product. Although the recalled product is past its shelf life, the company is issuing this voluntary recall out of an abundance of caution to ensure that any product purchased by consumers will also be destroyed. Consumers who have purchased the recalled romaine as described above should not consume it, and should destroy the product.

The cartons of bulk or wrapped romaine being recalled are marked with the lot code 531380 and were harvested June 25 - July 2. This recall includes only this single lot of romaine; no other products are involved.

The recalled romaine was sold to retail, wholesale and food service outlets in Canada, Puerto Rico and the following 29 states: Alabama, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Texas, Massachusetts, Louisiana, Pennsylvania, Tennessee, North Carolina, Michigan, Missouri, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oregon, Utah, Virginia, Wisconsin, Wyoming.

Why I love the internet

I am so glad Al Gore (or whomever) invented the internet.  I can not tell you how many emails I get from former employees or whistle-blowers.  Here is one I received a few days ago:

“Mr. Marler:  I was an employee at the ________________ plant and was told that they had a power outage and uncooked product sat out too long, this was after I got fired. Also of note many employees were drunk on the job. Thank god that place is shut down for good.”

I took the name of the plant out - for now.

At least 10,000 should receive IG shots to prevent Hepatitis A from Milan McDonalds - At least 20 confirmed ill thus far

Thousands of people are lining up in southern Illinois to receive Immunoglobulin (IG or Immune Globulin or Gamma Globulin) shots. IG is pooled/plasma-containing antibodies against a number of diseases like measles, rubella, varicella, and Hepatitis A. For protection against Hepatitis A after exposure, it must be given within two weeks of exposure and should be given concurrently with Hepatitis A to develop active immunity. A second dose of Hepatitis A is required six months later.

Side effects after receiving IG may include: muscle stiffness, redness, warmth, pain and tenderness at injection site. Fever, chills, headache, weakness and nausea may occur. If these symptoms continue beyond 48 hours or become bothersome, contact your physician. If skin rash, swelling of hands/feet or face, or trouble breathing develop, contact your doctor immediately. IG may interfere with the immune response to live vaccines, so discuss this with your physician before taking it. If you take IG, you will not be able to donate blood for several months.

In the last several years, the need to get IG shots because of infected restaurant employees or food has happened at a far too frequent rate. Here are some examples of cases we have been involved in where we filed Class Actions on behalf of those that were required to get IG shots:

Carl’s Jr. Hepatitis A Outbreak – Washington – 1,300 IG shots given

Chi-Chi’s Hepatitis A Outbreak – Pennsylvania – 9,000 IG shots given (we also represented the state of Pennsylvania in securing reimbursement for the cost of giving free shots)

D’Angelo’s Deli Hepatitis A Outbreak – Massachusetts – 1,600 IG shots given

Friendly’s Hepatitis A Exposure – Massachusetts – 3,800 IG shots given

Houlihan’s Hepatitis A Exposure – Illinois – 3,000 IG shots given

Quizno’s Hepatitis A Exposure – Massachusetts – 850 IG shots given

Hepatitis A Ground Zero - McDonalds in Rock Island County Illinois

The number of ill has risen to 20 and more can be expected.  Questions are still being raised as to when McDonalds and Rock Island County Department of Health knew when McDonalds had its first Hepatitis A ill employee.  I have been flooded with emails from local residents worried about their kids.  See below:

Customer 1:

I had to take my daughter to get a hepititis A shot last Thursday. I didn't get the shot because I don't have health insurance. McDonalds is my daughter's favorite place to eat. I'm outraged that they didn't take safety precautions, especially when the resturant is aimed towards little kids with an inside playground etc.

Customer 2:

We ate from the McDonalds in "Quad-City" Milan IL that has the Hepatitis A outbreak. about 8 times. before the health Dept had closed it down. today we will be going to the health dept for the free shots for this.  Myself and my wife have been stressed out over this whole matter. we called the health dept on friday july 17th they would not provide any info to us. we hav eonly learned about the shots today from the local news kwqc.

Salmonella Testing of Product Works - Sweet Superior Fruit LTD Recalls Cilantro (Coriander) Because Of Possible Health Risk

Sweet Superior Fruit LTD. Co. of McAllen, Texas, is recalling 104 crates of fresh cilantro (coriander) because the product has the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonellaoften experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

The recalled fresh cilantro (coriander) was sold July 13-16, 2009 in 15 pound, black plastic crates to individuals and companies through cash sales at Sweet Superior Fruit LTD. Co., 2501 W. Military Hwy., Suite #A-5 and A-6, McAllen, Texas. The product may have been further sold through direct retail sales in McAllen, Texas and surrounding areas or used as an ingredient to manufacture additional products.

No illnesses have been reported to date in connection with this problem.

The potential for contamination was revealed through testing by the U.S. Food and Drug Administration which found the presence of Salmonella in the product.

Individuals and companies who purchased fresh cilantro (coriander) from Sweet Superior Fruit LTD. Co., July 13-16, 2009, should immediately discontinue use of the product. Companies should make efforts to recall the product from customers and consumers who may have purchased the product and ask them to return or throw it away.

Consumers who have purchased fresh cilantro (coriander) in McAllen, Texas and surrounding areas since July 13, 2009 should determine from the store they purchased the product whether or not the fresh cilantro (coriander) they purchased is involved in this recall.

If it was not for Thomas Geyer of Quad-City Times and an unnamed reporter at KWQC, the customers of a Milan, Illinois McDonalds might never know where they got Hepatitis A

Thank goodness for what is left of a free press. If not for the Quad-City Times and KWQC, the folks of Rock Island County would not know the following:

From KWQC - Hepatitis A Outbreak Latest

  • Rock Island County now has 14 with Hepatitis A. That brings the total number to 20 cases, with 11 people being hospitalized.
  • Two workers at the Milan McDonald's tested positive for Hepatitis A but those tests came back a month ago.
  • Even though the first case was confirmed back in mid-June, the Rock Island County Health Department didn't close the McDonald's until this past Wednesday.
  • The health department now says it didn't respond back then because it didn't know back then. The health department says it didn't find out about the case on June 9th until July 10th, a month later because the provider who diagnosed a Milan McDonald's employee with Hepatitis A back on June 9th did not report that case as required. As a result, another month went by before steps could be taken.
  • The Health Department says in addition to the two confirmed cases at the Milan McDonalds, there are also confirmed Hepatitis A cases involving other local businesses.

From the Quad-City Times - Rock Island County to set up hepatitis A vaccination clinic Monday, Tuesday

  • The Rock Island County Health Department will offer vaccination clinics Monday and Tuesday at Rock Island High School for those people who dined at a Milan, Ill., McDonald's restaurant connected to a recent hepatitis A outbreak. The clinics will be from 10 a.m. to 6 p.m. Hepatitis A vaccine will be given to people ages 1-40, while immune globulin will be administered to people under 1 year of age or over 40 years of age. Eligible recipients of the vaccines are those who consumed food or beverages at the Milan McDonald's from July 6-10 and July 13-14.
  • If a person receives the vaccine or immune globulin more than 14 days after they have eaten at the Milan McDonald's, it might not provide protection.
  • The county has procured enough Hepatitis A vaccine and immune globulin to vaccinate between 5,000 and 10,000 people who may have dined at the restaurant during the specified time periods.

So, there has been Hepatitis A at McDonalds since at least late May (ill worker diagnosed July 9 would have been infectious weeks earlier).  And, that worker likely infected the other worker and customers over weeks.

One wonders why the physician who diagnosed the worker in June did not alert authorities? 

One wonders if management at the Milan McDonalds knew the worker to be sick?

One wonders why it took Rock Island County Health Department so long to get IG shot prepared?

So, what did McDonald's and the Rock Island Health Department know (about Hepatitis A ill workers) and when did they know it?

Media reports, press releases and comments from the Rock Island County Health Department, Illinois Department of Health and the McDonald’s in Milan at 400 W. 1st St. on U.S. 67 franchise owner are a bit light, but we know that at least 19 patrons of the restaurant are ill with Hepatitis A - 11 have been hospitalized.

First reports of illnesses were on July 15, 2009 - although oddly, Illinois Department of Health published a press release on the 13th urging families in the State to vaccinate against Hepatitis A. There are rumors that there are at least 2 ill employees.

The restaurant is on U.S. 67, near Highway. 280, and near the Quad-City Airport. You must wonder how many customers may have been exposed to Hepatitis A and where they are now.

From our site www.about-hepatitis.com:

Hepatitis A is a communicable (or contagious) disease that spreads from person to person. It is transmitted by the “fecal – oral route,” generally from person-to-person, or via contaminated food or water.

Food contaminated with the virus is a common vehicle transmitting hepatitis A. The food preparer or cook is the individual most often contaminating the food. He or she is generally not ill: the peak time of infectivity (i.e., when the most virus is present in the stool of an infectious individual) is during the 2 weeks before illness begins.

Symptoms typically begin about 28 days after contracting the hepatitis A virus, but can begin as early as 15 days or as late as 50 days after exposure (Koff, 1998), and include muscle aches, headache, anorexia (loss of appetite), abdominal discomfort, fever, and malaise. After a few days of the aforementioned symptoms, jaundice (also termed “icterus”) sets in.

Hepatitis A is TOTALLY PREVENTABLE. Although outbreaks continue to occur in the United States, outbreaks NEED NOT OCCUR if responsible preventive measures are taken. Responsible restaurant managers will exclude ill food-handlers from work, with pay. Food-handlers must also be taught to always wash their hands with soap and water after using the bathroom, changing a diaper, and certainly before preparing food.

After a known exposure to the hepatitis A virus, administration of a shot of Immune Globulin (IG) should be considered. IG is 80%-90% effective in preventing hepatitis A infection if it is administered within 2 weeks of the exposure.

It appears that the Rock Island Health Department is going to begin IG shots for the public on Monday – seems a bit odd it would not start sooner? Did they have adequate supplies of the IG shots?

Some other questions that need to be answered:

1. When was the first reported case of Hepatitis A linked to this McDonalds reported to the Rock Island Health Department?
2. When did McDonalds have notice if an employee was in fact ill?
3. What are McDonalds hand-washing and glove policies and were they being used?
4. Assuming that the illness originated with an ill employee, how many customers were served during the period of time the employee worked – and where are the customers now?
5. Did the ill employees and customers become so at the same time? If so, this may well point to a food product as the source.

More questions than answers at this point.

McDonald's Hepatitis A Problem - How Many Times Does Lightening Need to Strike Before You Wake the Hell Up?

I was “struck” how easy it is to spend a few moments on Google to see what a problem McDonalds seems to have with Hepatitis A infected employees. I really do not get it? Why risk it? The Hepatitis A vaccine is a 2 dose series with the 2 doses given at least 6 months apart for lasting protection against infection by the Hepatitis A virus. The CDC site has good information about the disease and the vaccine: www.cdc.gov/hepatitis. Why not give all employees the $50 for the shot series? Seems cheaper than poisoning a bunch of customers? But, like Ford and the Ford Pinto, perhaps poisoning a few customers with a potential deadly liver disease is worth it? What do you think?

2009 - 19 Hepatitis A cases linked to a Milan, Illinois McDonalds - 13 are in Rock Island County, and 6 more are being reported in Henry, Mercer, Warren and Woodford Counties.

As of Thursday afternoon, there are 19 confirmed Hepatitis A cases. 13 are in Rock Island County, and six more are being reported in Henry, Mercer, Warren and Woodford Counties.

2008 - Scott County Iowa Reports Hepatitis A Case.

A worker at a Davenport McDonalds has been diagnosed with the infectious Hepatitis A, but health department officials do not believe customers are at risk. A news release from the Scott County Health Department indicates that the food handler and the restaurant were investigated, and the Iowa Department of Public Health was consulted. The case at the McDonalds on Northwest Boulevard is the third report of Hepatitis A in Scott County this year, health department officials said.

2007 - Hepatitis A Case at Calgary McDonald's Prompts Public Health Alert.

Public health authorities are asking customers who ate at a Calgary McDonald's restaurant to contact them after a food handler at the location was confirmed to have Hepatitis A. The person assisted in meal preparation at the restaurant in the Foothills Industrial Park in the city's southeast. The Calgary Health Region said people who ate at the McDonald's between Oct. 1 and Oct. 23 may have been exposed.

2006 - McDonald’s and Hepatitis, strange bedfellows?

Apparently, on December 15th 2006, a worker tested positive for Hepatitis A, at a McDonald’s in Auckland, New Zealand was not wearing gloves. According to spokeswoman Joanna Redfern Hardisty, the workers that prepare the meals are not required to wear gloves but are required to clean their hands with anti-microbial soap. Ms. Hardisty has said that people who were eating at the restaurant during the worker’s shift would only now be experiencing the first symptoms of Hepatitis A.

2005 - Ex-McDonald's Employee Tests Positive for Hepatitis A.

Health-care providers in San Luis Obispo County are on the lookout for cases of hepatitis A after a former Paso Robles McDonald's employee caught the disease. County public health officials began notifying doctors, hospitals, urgent-care clinics and school nurses.

2002 - McDonald's Closes after 3 Hepatitis A Cases - Worker Diagnosed with Hepatitis A.

A Green Bay area McDonald's restaurant voluntarily closed after one employee, her son and another child became infected with hepatitis A. The McDonald's worker, Jessica Van Straten, 19, is hospitalized at University Hospital in Madison in critical condition, hospital spokesman Tim Lemond said Thursday. Van Straten's 18-month-old son and another employee's child, also 18 months, were diagnosed with the virus as well. The children attend the same day-care center. Their conditions were not immediately known.

2002 - Beach McDonald's Cited for "Critical Violations."

The hepatitis A threat at the McDonald's at Bonney Rd and Independence Blvd. hasn't made for a lot of happy meals lately. An investigation revealed that same McDonald's has been cited by the Virginia Beach health six times in the past five months. Inspectors call them "critical violations" -- such things as not sanitizing utensils, having leaky faucets which could pose contamination problems, an excessive number of flies and improperly storing toxic chemicals.

1998 - McDonald’s Hepatitis A Outbreak – Washington.

In March of 1998, the Skagit County Health Department (SCHD) received a number of reports that residents had been diagnosed with hepatitis A and began an investigation into what appeared to be a hepatitis A outbreak. During its investigation into the outbreak’s source, SCHD determined that the outbreak had occurred among patrons of the McDonald’s restaurant located on Riverside Drive in Mt. Vernon, Washington, who had eaten at the restaurant in mid-February, 1998. Through its investigation, SCHD learned that an assistant manager at the McDonald’s had worked while infected with hepatitis A and had contaminated food.

19 Hepatitis A cases linked to a Milan, Illinois McDonalds - 13 are in Rock Island County, and 6 more are being reported in Henry, Mercer, Warren and Woodford Counties

As of Thursday afternoon, there are 19 confirmed Hepatitis A cases. 13 are in Rock Island County, and six more are being reported in Henry, Mercer, Warren and Woodford Counties.

John David at WQAD has reported: that “Lunch customers coming to the Milan McDonalds on Thursday found the doors locked. Drive-up customers were being turned away. According to investigators, an outbreak of Hepatitis-A may be linked to employees or someone who ate there.”

I guess lightening does strike at least twice. In March of 1998, the Skagit County Health Department (SCHD ) in Washington State received a number of reports that residents had been diagnosed with hepatitis A and began an investigation into what appeared to be a hepatitis A outbreak. During its investigation into the outbreak’s source, SCHD determined that the outbreak had occurred among patrons of the McDonald’s restaurant located on Riverside Drive in Mt. Vernon, Washington, who had eaten at the restaurant in mid-February, 1998. Through its investigation, SCHD learned that an assistant manager at the McDonald’s had worked while infected with hepatitis A and had contaminated food.

Hepatitis A is one of five human hepatitis viruses (hepatitis A, B, C, D, and E) that primarily infect the liver and cause illness. An estimated 80,000 cases occur each year in the U.S., although much higher estimates have been proposed based on mathematical modeling of the past incidence of infection. Each year, an estimated 100 persons die as a result of acute liver failure in the U.S. due to hepatitis A, but the rate of infection has dramatically decreased since the hepatitis A vaccine was licensed and became available in the U.S. in 1995.

Hepatitis A is a communicable (or contagious) disease that spreads from person-to-person. It is spread almost exclusively through fecal-oral contact, generally from person-to-person, or via contaminated food or water. Food contaminated with the virus is the most common vehicle transmitting hepatitis A. The food preparer or cook is the individual most often contaminating the food, although he or she is generally not ill at the time of food preparation. The peak time of infectivity, when the most viruses are present in the stool of an infectious individual, is during the two weeks before illness begins. Although only a small percentage of hepatitis A infections are associated with foodborne transmission, foodborne outbreaks have been increasingly implicated as a significant source of hepatitis A infection.

In the last ten years we have been involved in a dozen Hepatitis A cases around the country. Most, if not all could have been prevented if restaurant or field workers had received a Hepatitis A shot BEFORE serving the customer.

Carl’s Jr. Hepatitis A Outbreak - Washington
Chi-Chi’s Hepatitis A Outbreak - Pennsylvania
Chipotle Grill Hepatitis A - San Diego, California
D’Angelo’s Deli Hepatitis A Outbreak - Massachusetts
Friendly’s Hepatitis A Exposure - Massachusetts
Houlihan’s Hepatitis A Exposure - Illinois
Maple Lawn Dairy Hepatitis A Outbreak - New York
McDonald’s Hepatitis A Outbreak - Washington
Quizno’s Hepatitis A Exposure - Massachusetts
Soleil Produce Hepatitis A Outbreak - California
Subway Hepatitis A Outbreak - Washington
Taco Bell Hepatitis A Outbreak - Florida

Hepatitis A can be severe.  In one case, in late October 2003, Beaver County ER doctors reported an alarming number of Hepatitis A cases. Investigators from the Pennsylvania Department of Health initiated an investigation immediately and discovered that many, if not all, cases had eaten at Chi Chi’s restaurant in Monaca, Pennsylvania’s Beaver Valley Mall. Along with the health department, the federal Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) conducted further studies of the outbreak. Preliminary analysis of a case-control study suggested that green onions were the probable source of the outbreak. The onions had been shipped to the restaurant in boxes and were stored and refrigerated in buckets of ice. They were eventually chopped up and served in various dishes at the restaurant, often uncooked, as in the preparation of mild salsa. “Preliminary trace-back information indicated that the green onions supplied to Chi Chi’s had been grown in Mexico.” Ultimately, over 650 people were sickened in the outbreak. The victims included at least thirteen Chi Chi’s employees and numerous residents of six other states. Four people died from their injuries, and more than 9,000 people obtained immune globulin shots as protection against the virus. This is the story of one of those cases.

Yet Another Cluster of E. coli O157:H7 Ill Kids - Salida Colorado

According to the Chaffee County Public Health Department, two children in Salida were recently diagnosed with Escherichia coli (E. coli) and at least three others have reported symptoms that could indicate the illness.

Chaffee County Public Health Department personnel are working with the Colorado Department of Public Health and Environment to investigate the cluster of E. coli illnesses.  Officials said one child was hospitalized and has recovered. At least three others have reported symptoms similar to E. coli illness and testing is in progress for those youths.

A source for the infection hasn't been determined, officials said.

Is the Cuyahoga County Ohio Board of Health investigating a cluster of Hemolytic Uremic Syndrome (HUS) cases associated with E. coli O157:H7?

On the eve of the July 4th weekend, The Cuyahoga County Board of Health (CCBH) released a press release that it was:

“currently investigating a cluster of Hemolytic Uremic Syndrome (HUS) cases associated with exposure to E. coli O157:H7 bacteria. E. Coli can cause intestinal infection resulting in severe bloody diarrhea and abdominal cramps. In some people, particularly young children and the elderly, the bacterial infection produces a toxin, which can cause a complication called HUS. HUS affects the kidneys and the blood clotting system. HUS occurs in approximately 2% - 7% of cases with E. coli O157:H7 bacteria. HUS requires hospitalization and therapy.

Currently, the cluster involves three children; two from Olmsted Falls and one from Strongsville. The children are either still hospitalized or recovering at home. Two other cases of HUS among children are still under investigation.

People become infected with E. coli O157:H7 by ingesting the bacteria in undercooked beef, especially hamburger. Spread can also occur among groups of small children because of their close contact and lack of well-developed hygiene skills. Frequent and thorough hand washing, especially after using the restroom and before eating, is important in preventing spread of this disease.

The CCBH is currently investigating the cluster of cases and staying in contact with health care providers to determine if further cases have occurred. It is currently not known if these cases are associated with any current recalls of ground beef. ‘On this holiday weekend, is very important that ground beef is thoroughly cooked until a thermometer inserted in the thickest part of the burger reads 160 degrees Fahrenheit. If you cook meat without a using a thermometer, you can decrease your risk of illness by not eating ground beef patties that are still pink in the middle, said Terry Allan, Cuyahoga County Health Commissioner. ‘Frequent hand washing while preparing food, particularly ground meat, is very important.’”

The real question is the status of the investigation and if other children are still being sickened? Also, given the timing, is there a link between either the Nestle Cookie Dough or the JBS Swift Meat national outbreaks and recalls of their products?

Plainview Milk Products Cooperative Salmonella Recall - Where is the Genetic Fingerprint?

I was watching again this morning the Vice President and Secretaries Vilsack and Sebelius talking about the Food Safety Working Group as I was responding to emails from people concerned about yet another recall of a staple food product. This time the Plainview Milk Products Cooperative Salmonella Recall.

According to the FDA, Plain is voluntarily recalling instant nonfat dried milk, whey protein, fruit stabilizers, and gums (thickening agents) that it has manufactured over the past two years, because they might be contaminated with Salmonella. Plainview has stopped production of these products and has notified its customers of the recall.  During an investigation of the Plainview facility, FDA found that some of the equipment was contaminated with Salmonella. At this time, the Centers for Disease Control and Prevention has not linked any human illnesses to potentially contaminated products from the Plainview facility. But how do they know that? Given that FDA, USDA and/or CDC presumably has the Salmonella positive milk product test result? Has a Genetic Fingerprint (PFGE) been done? Has it been compared to ill people in the United States? Have those ill people been linked to the consumption of Plainview Milk Products?

So, how does PFGE work? When a sample is taken from either a piece of meat or poultry that is contaminated with a dangerous form of bacteria, such as Salmonella, it can be cultured to obtain and identify the bacterial isolate. If a person consumes some of the contaminated product, and becomes infected as a result, a stool sample can then be cultured to obtain and identify the bacterial isolate. These bacterial isolates are then broken down into their various component parts creating a DNA "fingerprint".

The process of obtaining the DNA fingerprint is called Pulse Field Gel Electrophoresis, or PFGE. This technique is used to separate the DNA of the bacterial isolate into its component parts. It operates by causing alternating electric fields to run the DNA through a flat gel matrix of agarose, a polysaccharide obtained from agar. The pattern of bands of the DNA fragments — or “fingerprints” — in the gel after exposure to the electrical current is unique for each strain and sub-type of bacteria. By performing this procedure, scientists can identify hundreds of strains of Salmonella as well as strains of pathogenic bacteria.  The PFGE pattern of the bacteria can then be compared and matched up to the PFGE pattern of the strain of infected persons who consumed the contaminated product. When PFGE patterns match, they, along with solid epidemiological work, are proof that the contaminated product was the source of a person's illness.

So, where is the PFGE?

Plainview Milk Cooperative Ingredient Recall Product List. Information current as of noon July 06, 2009 - 
56 entries in list

Wegmans Recalls Fresh Anaheim Peppers Due to Salmonella Risk

Batch/UPC Code:  Anaheim peppers sold since June 11, 2009.

Reason for Recall:  Wegmans has removed fresh Anaheim peppers from its Produce departments due to the possibility of salmonella contamination. The FDA is currently investigating the situation.

If you still have Anaheim peppers, please throw them away. Do not return them to the store. You may go to the service desk for information on receiving a refund.

No indication of illnesses yet.

JBS Swift and FSIS Name Names - Retail Stores That Received E. coli Beef

It really is a bit hard to imagine what today was like for JBS Swift and the FSIS - checking the list of retailers that might have received the 210 Tons of E. coli O157:H7 meat.  This morning a few names trickled out - this evening a torrent, tomorrow a flood?  Here is the most recent list:

Price Chopper

Hannaford

Stop & Shop

Food 4 Less

Fry's

Smith's

Costco

Sams Club

Kroger

SAV a Lot

Knight Super Foods #4

Weldon's Meat Market

Jasper Mercantile

Keeney's Food Mart

Sweetbay

All DAY AM PM MART

Hobby's Hoagies Produce

SHRTN HTL Produce

Giant

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

Thank God for Bloggers - USDA Missing In Action - eFoodAlert Fills In Some Recall Blanks

From eFoodAlert:

Since USDA hasn't yet posted a retail consignee list for the JBS Swift Beef Company meat recalls, we've decided to pitch in.

The following is a list of live links to retail-level recall announcements that were triggered by the JBS Swift recalls. If you shop at any of these grocery stores, please follow the link to the supermarket chain's recall announcement for details.

* Bloom and Food Lion Stores in Georgia, South Carolina and Virginia – beef cuts and ground beef
* CostCo – steaks, ribs, ground beef
* Food 4 Less – ground beef, 15%
* Fry's Food and Drug Stores – ground beef
* Hannaford Bros. Co. – beef cuts and ground beef
* Kroger – ground beef
* Price Chopper – ground beef and beef loin bottom sirloin steaks
* Roundy's Supermarkets, Inc., including Pick 'n Save, Copps and Rainbow stores – beef cuts and fresh ground beef
* Smith's Food and Drug Stores – ground beef
* Smith's Food and Drug Stores in Arizona, Idaho, Montana, Nevada, New Mexico, Utah and Wyoming – beef cuts and ground beef
* Stop & Shop Supermarket Company – ground beef
* WinCo Foods, LLC Stores in Idaho and Oregon – boneless bottom round roast, steak, carne asada, ground beef

The Canadian Food Inspection Agency advises that meat recalled by JBS Swift was sold under the President's Choice brand (steaks, roasts and ground beef) in the following stores:

* Ontario: Cash & Carry,Real Canadian Wholesale Club, Dominion, Extra Foods, Fortinos, Freshmart, Loblaws, No Frills, Real Canadian Superstore, Loblaw Superstore, Valu-mart, Your Independent Grocer, Zehrs, Westfair, Sue’s Market (205 Don Head Village Blvd., Richmond Hill)
* Québec: AXEP, Intermarché, Loblaws, Entrepôt Presto, Club Entrepôt Provigo, Provigo
* Atlantic Provinces: Cash & Carry, Real Canadian Wholesale Club, Dominion, Freshmart, Red & White, Quick Mart, Save Easy, Atlantic Superstore, Valu-mart

FSIS, JBS Swift - "Where is the Beef?" Would you Mind Telling the Public Where the E. coli Beef is BEFORE the 4th of July?

The good/bad thing about hitting 50ish, and litigating food poisoning cases for 16 years, is the institutional memory that I have developed regarding bad food and bad commercials.

Coming days before the 4th of July barbeque's, JBS Swift Beef Company expanded the approximately 40,000 pounds of “assorted beef primals” recalled on June 24 to include another approximately 380,000 pounds of “assorted beef primals" due to E. coli O157:H7 contamination.  Somewhere between 18 and 24 Illnesses have been reported in what is believed to be Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin?  As reported by the Food Safety and Inspection Services (FSIS):

The beef products were produced on April 21, 2009 and were distributed both nationally and internationally.  Each box bears the establishment number "EST. 969" inside the USDA mark of inspection as well as the identifying package date of "042109" and a time stamp ranging from "0618" to "1130." However, these products were sent to establishments and retail stores nationwide for further processing and will likely not bear the establishment number "EST. 969" on products available for direct consumer purchase. Customers with concerns should contact their point of purchase.

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

So, where is the recalled beef?

On August 18, 2008 after years of hand wringing, the FSIS finally put public health before “proprietary” business interests when it made the following rule:

9 C.F.R. § 390.10 Availability of Lists of Retail Consignees during Meat or Poultry Product Recalls

The Administrator of the Food Safety and Inspection Service will make publicly available the names and locations of retail consignees of recalled meat or poultry products that the Agency compiles in connection with a recall where there is a reasonable probability that the use of the product could cause serious adverse health consequences or death.

The full rule can be reviewed at: http://www.fsis.usda.gov/OPPDE/rdad/FRPubs/2005-0028F.pdf

The Bottom Line:

The FSIS is now supposed to make available to the public names and locations of retail consignees (grocery stores, etc.) of meat and poultry products recalled by a federally-inspected meat or poultry establishment if the recalled product has been distributed to the retail level.  The rule will only apply to Class I recalls (like the JBS Swift ones). The information is supposed to be posted on the FSIS website, generally within three (3) to ten (10) working days, following the announcement of the recall. 

So, where is the recalled beef?

 

Plainview Milk Products Cooperative Recalls Two Years of Various Products Due to Potential Salmonella Contamination

Plainview Milk Products Cooperative, Plainview, Minn., is voluntarily recalling instant nonfat dried milk, whey protein, fruit stabilizers, and gums (thickening agents) that it has manufactured over the past two years, because they might be contaminated with Salmonella. The company sells these products to other industry customers, including distributors and manufacturers, who may have incorporated them into their own products. None of Plainview’s products were sold directly to the public.

Plainview has stopped production of these products and has notified its customers of the recall. Currently, the Plainview recall is limited to industry customers who received suspect product.

This is an ongoing investigation, and the FDA will update the public as new information emerges. At this time, the FDA is not aware of products being recalled at the consumer level.

"This recall is an appropriate precaution to protect public health,” said David W.K. Acheson, M.D., associate commissioner for foods in the Food and Drug Administration. “It reflects the concerted efforts of numerous partners at the local, state, and federal levels."

During an investigation of the Plainview facility, FDA found that some of the equipment was contaminated with Salmonella. At this time, the Centers for Disease Control and Prevention has not linked any human illnesses to potentially contaminated products from the Plainview facility.

The FDA became aware of this problem through the U. S. Department of Agriculture. USDA found Salmonella in Dairyshake powder, in 100-gram pouches that were not for retail sale. The FDA began an investigation as to the source of the contamination. In the course of that investigation, Plainview Milk Products was identified as a supplier of a key ingredient in the Dairyshake powder. Inspection of the firm uncovered conditions that resulted in the broader recall.

The FDA is conducting this investigation in collaboration with USDA, CDC, the Minnesota Department of Agriculture, and state and local health departments.

FDA investigators are working to track the distribution of the Plainview ingredients to identify additional products that contain the recalled ingredients. 

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

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

So, are the illnesses in Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin? More than these eleven? Are these the only States that received product? Where internationally did the meat go (are the three Canadian cases somehow linked)? Which restaurants, grocery stores, schools, hospitals did the product land?

As reported by the FSIS:

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

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

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

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

JBS Swift Beef Company Expands Recall of Beef Products Due To E. coli O157:H7 Contamination - 24 Illnesses in Multiple States Appear Linked.

Recall Release CLASS I RECALL
FSIS-RC-034-2009 HEALTH RISK: HIGH

Well, I was right to speculate a few days ago that the June 24 recall of JBS Swift meat might well be related to illnesses.  It seems like "E. coli O157:H7 Season is Nearly Upon Us - Will it be 2005 and 2006 or 2007 and 2008?"

FSIS just announced that JBS Swift Beef Company, a Greeley, Colorado is voluntarily expanding its June 24 recall to include approximately 380,000 pounds of assorted beef primal products that may be contaminated with E. coli O157:H7.

Together with traceback information and laboratory data, the recall is being expanded as a result of FSIS' cooperation with the Centers for Disease Control and Prevention (CDC) in an ongoing investigation into 24 illnesses in multiple states, of which at least 18 appear to be associated. This investigation prompted the company to re-examine the effectiveness of their food safety system for the April 21 production of beef primals, and they are conducting this recall out of an abundance of caution as the safety of the products produced on a portion of that day could not be assured.

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

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

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

The first recalled products were produced on April 21 and 22 and shipped to distributors and retailers in states including Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin.  It is unclear if the expanded recall of product includes other states.

Orca Distribution May Have Repacked Recalled Salmonella Pistachios

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

* California Prime Produce
* Orange County Orchards

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

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

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

Culver City firm recalls alfalfa sprouts because of possible salmonella risk

Alfalfa sprouts products sold in Southern California Gelson’s and Whole Foods Market grocery stores were recalled today by the California Department of Public Health because of possible salmonella contamination.

Mark Horton, director of the CDPH, warned consumers not to eat certain Kowalke Organics’ alfalfa products with sell-by dates between June 18 and June 30. Those products include:

• Kowalke Organics Alfalfa Sprouts - 4 oz, 8 oz, 1-pound and 5-pound packages

• Kowalke Organics Dinner Salad - 6 oz package

• Kowalke Organics Onion Mix - 4 oz package

The Culver City company that operates Kowalke Organics, Mike’s Produce Inc., said it was voluntarily recalling raw alfalfa sprouts products.

Mike Matthews, Kowalke’s owner, told the Associated Press that only one package -- with the sell-by date of June 21 -- tested positive for salmonella, so far. All the products with that date, Matthews said, have already been taken off store shelves.

JBS Swift Beef Company Recalls Ground Beef Products Due To Possible E. coli O157:H7 Contamination - Are There Illnesses Too?

Recall Release CLASS I RECALL
FSIS-RC-034-2009 HEALTH RISK: HIGH

JBS Swift Beef Company, a Greeley, Colo., establishment is recalling approximately 41,280 pounds of beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The products subject to recall include:

* Boxes of "USDA CHOICE OR HIGHER, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/DN S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "21852."
* Boxes of "USDA CHOICE OR HIGHER, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "21853."
* Boxes of "Swift, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/DN S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "31852."
* Boxes of "Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "31853."
* Boxes of "Swift, USDA SELECT, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/DN S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "33852."
* Boxes of "USDA SELECT, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "33853."
* Boxes of "BLACK ANGUS, Swift Premium, BEEF, USDA CHOICE OR HIGHER, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "41853."
* Boxes of "BLACK ANGUS, Swift Premium, BEEF, USDA CHOICE OR HIGHER, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "41853."
* Boxes of "Bnls Beef Bottom Sirloin, Butt Ball Tip 2/DN S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, an identifying package date of "042109" and a case code of "79852."
* Boxes of "Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, an identifying package date of "042109" and a case code of "79853."
* Boxes of "USDA CHOICE OR HIGHER, Bnls Beef Bottom Sirloin, Butt Ball Tip 2/UP S/T." Each box bears the establishment number "EST. 969" inside the USDA mark of inspection, identifying package dates of "042109" or "042209" and a case code of "90853."

These beef products were produced on April 21 and 22, 2009, and were shipped to distributors and retail establishments in Arizona, California, Colorado, Florida, Illinois, Michigan, Minnesota, Nebraska, Oregon, South Carolina, Tennessee, Utah and Wisconsin.

Here is why I wonder if there are illnesses linked to this recalled beef:

The problem was discovered through FSIS microbiological sampling and an investigation into the distribution of other products.

FSIS micro sampling is a great way to catch problems, however, the wording "investigation into the distribution of other products," makes me wonder if that "investigation" was into illnesses?

International Meat Co., Inc., Recalls Ground Beef Products Due To Possible E. coli O157:H7 Contamination

Recall Release CLASS I RECALL
FSIS-RC-033-2009 HEALTH RISK: HIGH

International Meat Co., Inc., a Chicago, Ill., establishment is recalling approximately 6,152 pounds of ground beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The products subject to recall include:

* "5-pound, plastic lined boxes of "International Meat Co., PURVEYOR OF FINE MEATS TO HOTELS AND RESTAURANTS, BEEF PATTIES." Each box bears the establishment number "EST. 22080" inside the USDA mark of inspection and identifying package codes of "061709," "061809" or "061909."

* "5- and 10-pound bags of bulk "International Meat Co., BEEF PATTIE MIX." Each bag bears the establishment number "EST. 22080" inside the USDA mark of inspection and identifying package codes of "061709," "061809" or "061909."

* "10-pound bags of "International Meat Co., GROUND BEEF." Each box bears the establishment number "EST. 22080" inside the USDA mark of inspection and identifying package codes of "061709," "061809" or "061909."

* "10-pound bags of "Packed For, Purely Gourmet & Organic, Ground Beef." Each box bears the establishment number "EST. 22080" inside the USDA mark of inspection and identifying package codes of "061709," "061809" or "061909."

These ground beef products were produced on June 17, 2009, through June 19, 2009, and were shipped to distributors and restaurants in the Chicago, Ill., metropolitan area.

CDC releases information on the Nestle Toll House Cookie Dough E. coli Outbreak

Two long days after word first surfaced about a multi-state outbreak of E. coli tied to raw cookie dough, the CDC has issued information detailing the illnesses.  The outbreak appears to have begun March 1, 2009 and is still ongoing four months later

The CDC reports:

CDC is collaborating with public health officials in many states, the United States Food and Drug Administration (FDA), and the United States Department of Agriculture Food Safety and Inspection Service (FSIS) to investigate an outbreak of E. coli O157:H7 infections.

As of Thursday, June 18, 2009, 65 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 29 states. Of these, 23 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arkansas (1), Arizona (2), California (2), Colorado (5), Delaware (1), Hawaii (1), Iowa (2), Illinois (5), Kentucky (1), Massachusetts (4), Maryland (2), Maine (3), Minnesota (5), Missouri (2), Montana (1), North Carolina (1), New Hampshire (2), New Jersey (1), Nevada (2), Ohio (4), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (2), Virginia (2), Washington (5), and Wisconsin (1).

Ill persons range in age from 2 to 57 years; however, more than 70% are less than 19 years old and none are over 60 years old; 75% are female. Twenty-five persons have been hospitalized, 7 developed hemolytic uremic syndrome (HUS); none have died. Reports of these infections increased above the expected baseline in May and continue into June.
Investigation of the Outbreak

In an epidemiologic study, ill persons answered questions about foods consumed during the days before becoming ill and investigators compared their responses to those of persons of similar age and gender previously reported to State Health Departments with other illnesses. Preliminary results of this investigation indicate a strong association with eating raw prepackaged cookie dough. Most patients reported eating refrigerated prepackaged Nestle Toll House cookie dough products raw.

E. coli O157:H7 has not been previously associated with eating raw cookie dough. CDC, the state health departments, and federal regulatory partners are working together in this ongoing investigation.
Clinical Features

Most people infected with E. coli O157:H7 develop diarrhea (often bloody) and abdominal cramps 2-8 days (average of 3-4 days) after swallowing the organism, but some illnesses last longer and are more severe. Infection is usually diagnosed by culture of a stool sample. Most people recover within a week, but some develop a severe infection. A type of kidney failure called hemolytic uremic syndrome (HUS) can begin as the diarrhea is improving; this can occur in people of any age but is most common in children under 5 years old and the elderly.
Advice to Consumers

The Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7. If consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home they should throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces. The recall does not include Nestle Toll House morsels, which are used as an ingredient in many home-made baked goods, or other already baked cookie products.

Individuals who have recently eaten prepackaged, refrigerated Toll House cookie dough and have experienced any of these symptoms should contact their doctor or health care provider immediately. Any such illnesses should be reported to state or local health authorities.

Consumers should be reminded they should not eat raw food products that are intended for cooking or baking before consumption. Consumers should use safe food-handling practices when preparing such products, including following package directions for cooking at proper temperatures; washing hands, surfaces, and utensils after contact with these types of products; avoiding cross contamination; and refrigerating products properly.

Nestle Toll House Prepackaged, Refrigerated Cookie Dough Linked to E. coli O157:H7 Illnesses - 25 Hospitalized, 7 with Hemolytic Uremic Syndrome (HUS)

The U.S. Food and Drug Administration and the Centers for Disease Control and Prevention are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7.

The FDA advises that if consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home that they throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces.

Retailers, restaurateurs, and personnel at other food-service operations should not sell or serve any Nestle Toll House prepackaged, refrigerated cookie dough products subject to the recall.

Nestle USA, which manufactures and markets the Toll House cookie dough, is fully cooperating with the ongoing investigation by the FDA and CDC. The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 66 reports of illness across 28 states. Twenty-five persons were hospitalized; 7 with a severe complication called Hemolytic Uremic Syndrome (HUS). No one has died.

List of Nestle Toll House Cookie Dough Recalled Products

Click on below image to download complete list of recalled items due to E. coli O157:H7 contamination:

Nestlé USA's Baking Division Initiates Voluntary Recall of Toll House Cookie Dough Contaminated with E. coli O157:H7

Tip 'o the hat to Nestlé USA’s Baking Division for Initiating Voluntary Recall.  From a Press Release:

(SOLON, Ohio) – June 19th, 2009 – Nestlé USA’s Baking Division is initiating a voluntary recall of Nestlé® TOLL HOUSE® refrigerated cookie dough products. Nestlé is taking this action out of an abundance of caution after being notified that the Food and Drug Administration, together with the Centers for Disease Control, are conducting an investigation into reported E. coli 0157:H7 illnesses that may be related to consumption of raw cookie dough.

A number of consumers reporting illness reported consuming raw Nestlé TOLL HOUSE refrigerated cookie dough. While the E. coli strain implicated in this investigation has not been detected in our product, the health and safety of our consumers is paramount so we are initiating this voluntary recall. We have been and will continue to cooperate fully with the Food and Drug Administration and the Centers for Disease Control in this investigation. Providing safe, high quality products to our consumers is our number one priority.

No other Nestlé TOLL HOUSE products are impacted, including already baked TOLL HOUSE cookies purchased outside the home, all varieties of Nestlé TOLL HOUSE morsels, chocolate baking bars, or cocoa, and Dreyer’s and Edy’s ice cream products with Nestlé TOLL HOUSE cookie dough ingredients.

We want to strongly advise consumers that raw cookie dough should not be eaten. This message also appears prominently on our packaging. Nestlé TOLL HOUSE cookies made from refrigerated dough are safe to consume when baked as directed on the package.

Consumers who have purchased these products should not consume them. Instead, we are asking that consumers return these products to their local grocer for a full refund. We invite consumers with questions to contact Nestlé Consumer Services at 1-800-559-5025 and visit our web site at www.verybestbaking.com.

The products involved in the voluntary recall include all varieties of Nestlé TOLL HOUSE refrigerated Cookie Bar Dough, Cookie Dough Tub; Cookie Dough Tube; Limited Edition Cookie Dough items; Seasonal Cookie Dough and Ultimates Cookie Bar Dough. Variety information is included in the list attached.

Colorado State Health Officials Urge Coloradans to Avoid Eating Raw Nestle Toll House Cookie Dough Products because of Possible Contamination with E. coli O157:H7

DENVER--The Colorado Department of Public Health and Environment is urging Coloradans not to eat raw Nestle Toll House cookie dough because of possible contamination with E. coli O157:H7.

Colorado state health officials, the CDC and several other state health departments are investigating an outbreak of E. coli O157:H7 infections. To date, 66 cases from 28 states have been identified. Preliminary evidence from the multi-state investigation suggests that Nestle Toll House cookie dough may be the source of the outbreak, although further investigation is ongoing.

Five cases have been reported in Colorado in the following counties: Denver, Douglas (2), Jefferson and Weld. Two of the people have been hospitalized, and one has developed a severe complication called hemolytic uremic syndrome. Of the four people interviewed so far by the state health department, all had consumed the raw cookie dough during the week before they became ill.

Alicia Cronquist, the foodborne disease epidemiologist at the state health department, said, “We can’t be certain that raw cookie dough is the source of these infections, but we are concerned enough that it might be and want consumers to be aware.”

Daniel Rifkin, Wholesale Food Program manager for the Department of Public Health and Environment’s Consumer Protection Division, said, “Nestle is currently evaluating what actions they will take regarding their product. In the meantime, it is important that consumers do not eat or use raw Nestle Toll House cookie dough for now. If you decide to use the product, ensure that the cookies are cooked thoroughly and wash your hands well after handling the raw dough. More information will be forthcoming.”

63 E. coli O157:H7 Illnesses in 26 States Linked to Nestle's Toll House Cookies?

Over the last few weeks we have been investigating E. coli O157:H7 illnesses in several states.  All seemed unconnected.  However, common food items were uncooked Nestles Toll House Cookie Dough, Strawberries, Fruit Roll-ups and Ground Beef.  The vast majority reported eating Toll House Cookies.

We now have reports that federal, state and local health officials are investigating a cluster of at least 63 cases of E. coli O157:H7 in 26 states. Reports indicate the ill people's E. coli O157:H7 isolates share a common genetic pattern and likely a common source.

Hopefully, a link will be made and consumers will be told.

Marler Clark Is Updating www.fsis-pfge.org - Food Safety Inspection Services (FSIS) Pulse Field Gel Electrophoresis (PFGE) Patterns Online Since 2000

Marler Clark is in the process of updating www.fsis-pfge.org through 2009.  We have taken the initiative to publish this information in the hopes that it will provide assistance to government agencies - Federal, State and Local – as well as individuals, in ascertaining the source of E. coli O157:H7 infections.  More broadly, Marler Clark hopes to spur greater communication amongst government agencies to better protect the public from serious health threats associated with contaminated meat.

The website contains Pulse Field Gel Electrophoresis (PFGE) patterns of particular strains of E. coli O157:H7 associated with recalls of ground beef since 2000.  Comparison of PFGE patterns sampled from individual persons infected with E. coli O157:H7 may allow the identification of the source of an individual's illness.  It is for this reason that Marler Clark has created this website, hoping to advance the cause of food safety, and to assist health departments in determining the source of outbreaks.

What is PFGE?

When a sample is taken from either a piece of meat or poultry that is contaminated with a dangerous form of bacteria, such as E. coli O157:H7, Salmonella, Shigella, Listeria, or Campylobacter, it can be cultured to obtain and identify the bacterial isolate.  If a person consumes some of the contaminated meat or poultry, and becomes infected as a result, a stool sample can then be cultured to obtain and identify the bacterial isolate.  These bacterial isolates are then broken down into their various component parts creating a DNA "fingerprint".

The process of obtaining the DNA fingerprint is called PFGE. This technique is used to separate the DNA of the bacterial isolate into its component parts.  It operates by causing alternating electric fields to run the DNA through a flat gel matrix of agarose, a polysaccharide obtained from agar.  The pattern of bands of the DNA fragments — or “fingerprints” — in the gel after exposure to the electrical current is unique for each strain and sub-type of bacteria.  By performing this procedure, scientists can identify hundreds of strains of E. coli O157:H7 as well as strains of listeria and campylobacter, and other pathogenic bacteria.

The PFGE pattern of the bacteria can then be compared and matched up to the PFGE pattern of the strain of infected persons who consumed the contaminated product.  When PFGE patterns match, they, along with solid epidemiological work, are proof that the contaminated product was the source of a person's illness.

Snow Creek Recalls Fresh Beef Trim Products Due to Possible E. coli O157:H7 Contamination - 75 Pounds - Really?

Snow Creek Meat Processing, a Seneca, S.C., establishment is recalling approximately 75 pounds of fresh beef trim products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

Various sizes of Cryovac bags of "BEEF TRIMMINGS, BEEF ITEM" packed in boxes. Each box bears the establishment number "EST. 20478" inside the USDA mark of inspection and a "Sell By" date of "06/02/09."

These fresh beef trim products were produced on June 2, 2009, and were distributed to retail establishments for further processing in North Carolina and South Carolina.

Clostridium difficile (C. diff) blog launched

MRSA - methicillin-resistant Staphylococcus aureus blog launched

Snow Creek Meat Processing Recalling Beef Trim Products For Listeria

Snow Creek Meat Processing, a Seneca, SC, establishment is recalling approximately 75 pounds of fresh beef trim products that may be contaminated with E. coli, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced Monday.

The products subject to recall include:

Various sizes of Cryovac bags of "BEEF TRIMMINGS, BEEF ITEM" packed in boxes. Each box bears the establishment number "EST. 20478" inside the USDA mark of inspection and a "Sell By" date of "06/02/09."

These fresh beef trim products were produced on June 2, 2009, and were distributed to retail establishments for further processing in North Carolina and South Carolina.

Listeria Contamination in Raw Milk at Breese Hollow Dairy

From A New York State Agriculture Press Release:

New York State Agriculture Commissioner Patrick Hooker today warned consumers in the Hoosick Falls, New York area not to consume “unpasteurized” raw farm milk from Breese Hollow Dairy due to possible Listeria contamination.

Breese Hollow Dairy, located at 454 Breese Hollow Road, Hoosick Falls, New York 12090 holds a Department permit to legally sell raw milk at the farm. Samples are taken monthly and tested by the Department to determine if the raw milk is free of pathogenic bacteria.

A routine sample of the milk, taken by an inspector from the Division of Milk Control and Dairy Services on May 26, 2009, was subsequently tested by the Department’s Food Laboratory and discovered to be contaminated with Listeria monocytogenes. On May 29, 2009, the producer was notified of a preliminary positive test result and volunteered to suspend raw milk sales until the sample results were confirmed. Test results were confirmed on June 3, 2009 and the producer is prohibited from selling raw milk until subsequent sampling indicates that the product is free of pathogens.

Maine E. coli O157:H7 Illnesses Linked to National Cluster of Illnesses

Maine CDC is investigating a cluster of 7 shiga toxin positive E. coli O157:H7 (STEC) cases in Cumberland and York counties that occurred among residents over the past month (case onset dates of April 17 to May 17). This is double the usual number of STEC cases reported this time of year (n=3). The median age of cases was 26 years (age range 14 years to 65 years). As of May 28, 6 of the 7 cases have been confirmed shiga positive E. coli O157:H7 by the Health and Environmental Testing Laboratory (HETL). Of these, 4 cases match by Pulse-Field Gel Electrophoresis (PFGE) and are considered part of a national cluster. At this time, the investigation is ongoing although we have not identified any common venues, events or foods based on case interviews.

What is PFGE?

When a sample is taken from either a person, piece of meat or poultry that is contaminated with a dangerous form of bacteria, such as E. coli O157:H7, listeria, or campylobacter, it can be cultured to obtain and identify the bacterial isolate. If a person consumes some of the contaminated meat or poultry, and becomes infected as a result, a stool sample can then be cultured to obtain and identify the bacterial isolate. These bacterial isolates are then broken down into their various component parts creating a DNA "fingerprint".

The process of obtaining the DNA fingerprint is called Pulse Field Gel Electrophoresis, or PFGE. This technique is used to separate the DNA of the bacterial isolate into its component parts. It operates by causing alternating electric fields to run the DNA through a flat gel matrix of agarose, a polysaccharide obtained from agar. The pattern of bands of the DNA fragments — or “fingerprints” — in the gel after exposure to the electrical current is unique for each strain and sub-type of bacteria. By performing this procedure, scientists can identify hundreds of strains of E. coli O157:H7 as well as strains of listeria and campylobacter, and other pathogenic bacteria.

The PFGE pattern of the bacteria can then be compared and matched up to the PFGE pattern of the strain of infected persons who consumed the contaminated product. When PFGE patterns match, they, along with solid epidemiological work, are proof that the contaminated product was the source of a person's illness.

It will be interesting to see if Maine, the CDC and other States' Health Departments will be able to link the illnesses in Maine to other states and to a possible source.

New York and Oregon Firms Recall Ground Beef Products Sent to Oregon, Washington and New York Due to E. coli O157:H7

It is not 5:00 AM and I am on my way to the airport in Seattle (again) heading to New York for a speech to Excess Insurance Executives. FSIS just released another recall of meat. It appears this time it is BEFORE people were sickened. So much for test and hold. Here are the details:

SP Provisions, a Portland, Ore., establishment is recalling approximately 39,973 pounds of ground beef products that may be contaminated with E. coli O157:H7.  The products subject to recall include:

Cascade Natural Beef Brand:

* 5-pound and 10-pound bags of ground beef. Each package bears the identifying case code "13-016G."
* 5-pound and 10-pound bags of chili grind. Each package bears the identifying case code "13-016C."
* 15-pound boxes of ground beef patties. Each package bears the identifying case code "13-016GP."

SP Provisions Brand:

* 5-pound and 10-pound bags of ground beef. Each package bears the identifying case code "01-136."
* 5-pound and 10-pound bags of chili grind. Each package bears the identifying case code "01-136C."
* 15-pound boxes of ground beef patties. Each package bears the identifying case code "01-136P."

Each identifying case code is preceded by the date code "040809" through "052809," signifying the production date in "month/date/year" format, i.e. April 8, 2009 through May 28, 2009. Additionally, each product bears the establishment number "EST. 2866" inside the USDA mark of inspection.

Alex & George Wholesale, Inc., a Rochester, New York firm, is recalling approximately 4,663 pounds of ground beef products because they may be contaminated with E. coli O157:H7.  The following products are subject to recall:

* 10-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 10-pound poly bag of "A & G Brand 'HOT SAUCE' SPECIAL BLEND"
* 25-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 30-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 10-pound case of (3-1) "A & G Brand GROUND BEEF PATTIES"
* 10-pound case of (5-1) "A & G Brand GROUND BEEF PATTIES"
* 10-pound case of "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* 10-pound case of (6-1) "A & G Brand GROUND BEEF PATTIES"
* Cases containing 48, 4.25-ounce"A & G Brand GROUND BEEF PATTIES 'PUCKS'"
* Cases containing 48, 5-ounce "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* Cases containing 48, 5-ounce (4-1) "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* Cases containing 48, 5-ounce "A & G Brand GROUND BEEF PATTIES 'PUCKS.'"

These packages of ground beef were packed in 10, 15, 25, and 30-pound shipping cases which bear the establishment number "EST. 4553" inside the USDA mark of inspection. The (3-1), (4-1), (5-1) and (6-1) refers to the number of portions per one pound.

Is There an E. coli O157:H7 Outbreak Linked to Michigan and Minnesota Linked to Lettuce from the Salinas Valley - Again?

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

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

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

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

Here are a few more examples:

August 1993 - E. coli O157:H7 outbreak linked to a salad bar; 53 reported cases in Washington State

July 1995 - Lettuce (leafy green; red; romaine) E. coli O157:H7; 70 reported cases in Montana

September 1995 - Lettuce (romaine) E. coli O157:H7; 20 reported cases in Idaho

September 1995 - Lettuce (iceberg) E. coli O157:H7; 30 reported cases in Maine

October 1995 - Lettuce (iceberg; unconfirmed) E. coli O157:H7; 11 reported cases in Ohio

May-June 1996 - Lettuce (mesclun; red leaf) E. coli O157:H7; 61 reported cases in Connecticut, Illinois, and New York

May 1998 - Salad E. coli O157:H7; two reported cases in California

February.-March 1999 - Lettuce (iceberg) E. coli O157:H7; 72 reported cases in Nebraska

July-August 2002 - Lettuce (romaine) E. coli O157:H7; 29 reported cases in Washington and Idaho

October 2003-May 2004 - Lettuce (mixed salad) E. coli O157:H7; 57 reported cases in California

April 2004 - Spinach E. coli O157:H7; 16 reported cases in California

September 2005 - Lettuce (romaine) E. coli O157:H7; 32 reported cases in Minnesota, Wisconsin, and Oregon

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

So, what's going on?

Fundraiser for Ohio Child who Died from E. coli Complications - Abigail Fenstermaker Memorial Fundraiser

Abigail Fenstermaker's family is asking for help, after their 7-year-old died from E. coli complications last week. 

A fundraiser is being held on Abby's behalf on Friday, May 29th from 7 - 11 p.m. It will take place at The Clevelander, 834 Huron Rd. Cleveland, by Jacobs Field.  For more information on the fundraiser, see this link.

My daughter, Sydney, turned 10 in April.

I wonder if the manufacturers of hamburger in this county take the time to look at this picture?

Ohio E. coli O157:H7 Illnesses and Death Appears Linked to Cleveland Restaurant and VFW Hall

Harlan Spector of the Cleveland Plain Dealer reported this morning that:

Last week, his [Cleveland Department of Health] department inspected Deekers Side Tracks in Mentor after an illness was reported. In all, four cases have surfaced in the Cleveland area.

Two of the infections led investigators to the North Olmsted VFW Post 7647, said the Cuyahoga County Board of Health. In addition, a 7-year-old Cleveland girl died [from HUS] Sunday from an E. coli infection that also may be linked to meat served at the VFW.

According to the article, the restaurant and VFW Hall appear to have served hamburger that has been linked to the nearly 100,000 pounds of E. coli O157:H7 product produced at Illinois Valley Meats LLC.

As I said yesterday, Valley Meats is located at 2302 1st St., Coal Valley, IL 61240.  One of the products recalled in this recent recall are a variety of J & B Brand Products.

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

One would think that with the numbers Americans poisoned by E. coli O157:H7 increasing in the last two years, our President, Congress and the USDA would be asking one simple question – “What is going on?” Perhaps as a start it is would be better to be honest with the public as FDA's Dr David Acheson was after an E. coli outbreak tied to spinach when he was quoted as saying: "The spinach that is going to come on to the market next week or whenever is going to be as safe as it was before this outbreak.”

Clearly this administration and Congress cannot yet critically analyze itself. Congress needs to act now. It is time for Congress to accept a leadership role and call hearings on “How safe is our meat supply?” not only to explore the reasons for this recent outbreak, but also to help prevent the next one. Congress must reach out to all facets of the meat industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators to find reasonable, workable solutions to prevent meat-related illnesses. More regulation may not help. Testing all products may not be feasible. More funding for the CDC and USDA may not work. And, more funding for university research may also not be the answer. But, getting all to the same table is a start.

FDA Found Numerous Violations at Setton Pistachio Plant Linked to Salmonella

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

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

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

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

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

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

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

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

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

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

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

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

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

I guess some folks never learn.  The reality is that the 2009 E. coli season seems be underway, with an outbreak in Ohio, Illinois, and Pennsylvania that has already claimed a young life.  Outbreaks spike up as temperatures climb, and so do the recalls.  There are lots of theories why, but regardless of how it comes about, come about it does.  2006 was a banner year in my book.  From 2002-2005, 28 million pounds of contaminated meat was recalled in step-down amounts year to year, but in 2006, the amount dropped to an impressive low of just 181,000 pounds.  The numbers of E. coli cases in my office reached exactly the point I am always striving for – zero.  Then E. coli came roaring back.   Since 2007, 41 million pounds of contaminated meat has been recalled – 100,000 of those pounds just last week in Ohio, Illinois, and Pennsylvania. E. coli is here, and it’s clearly deadly.

Girl Dies From E. coli O157:H7 in Cleveland - Likely Linked to Other E. coli O157:H7 illnesses in Ohio, Pennsylvania, and Illinois Linked to Hamburger Produced by Valley Meats

The Cleveland Ohio Health Department said moments ago that a 6 or 7-year-old girl died from E. coli O157:H7 last weekend and that the death (likely due to Hemolytic Uremic Syndrome) appears linked to E. coli O157:H7 illnesses in Ohio, Pennsylvania, and Illinois that have led FSIS and CDC health investigators to ground beef produced by Valley Meats, LLC of Coal Valley, Illinois.

According to Misti Crane of THE COLUMBUS DISPATCH:

The Ohio Department of Health contacted the U.S. Department of Agriculture with a report of three genetically linked cases of E. coli O157:H7 in the Cleveland area earlier this month.  All three were sickened in mid-April, but do not have any connection to one another, said ODH spokesman Kristopher Weiss.  They were classified as a cluster when the genetic fingerprints of the bacteria that had infected each person matched, he said. The illnesses were then linked to products containing meat from Valley Meats.  The people who were sickened were a 3-year-old girl, a 24-year-old man and a 71-year-old man. Two of the three were hospitalized and all have since recovered, Weiss said.

Leila Atassi and Harlan Spector of the CLEVELAND PLAIN DEALER are also covering the story:

Health officials did not identify the girl or provide details of the circumstances that led to her death. But Cleveland Health Director Matthew Carroll said the case might be the latest in a cluster of E. coli infections traced to Valley Meats LLC, of Coal Valley, Ill.

The company pulled nearly 100,000 pounds of hamburger patties after a U.S. Department of Agriculture investigation confirmed that three Cleveland-area residents were infected by eating the same tainted ground beef. Carroll said two local restaurants, one of them in Cuyahoga County, might also be involved and will be investigated.

The three who grew ill - a 3-year-old girl, a 24-year-old man and a 71-year-old man - have recovered, said Kristopher Weiss, spokesman for the Ohio Department of Health. Health officials determined the cases originated from a common source when they found matches among the genetic fingerprints of the bacteria that infected each person, Weiss said. The state reported its findings to the USDA on May 13. The brands included in the recall are 3-S, Grillmaster, J and B, Klub, Thick 'n Savory, Ultimate, and more than a dozen generic brands.

A few weeks ago I wrote "E. coli O157:H7 Season is Nearly Upon Us - Will it be 2005 and 2006 or 2007 and 2008?"

From 1993 - 2003 we represented over 1,000 people sickened and families who suffered losses due to E. coli O157:H7-tainted hamburger.  From 2003 - spring of 2007, the number of ill and the number of recalls dropped significantly.  In fact, in 2006, less that 200,000 pounds of E. coli-tainted hamburger was recalled.  However, since the Spring of 2007 nearly 42,000,000 pounds of hamburger has been recalled.  Clearly, there is a problem.  Earlier this year I wrote "Open Letter to a New Under Secretary for Food Safety - FSIS - The End of E. coli Conservatism," in part to start a discussion about why we are again seeing E. coli illnesses and deaths and in part to encourage the new administration to act.  The new administration is taking new steps, but much more needs to be done.

For an explaination of the movie clip above:

Continue Reading...

Outbreak of E. coli O157:H7 Linked to Valley Meats in Ohio, Pennsylvania, and Illinois Spurs Ground Beef Recall

E. coli O157:H7 illnesses in Ohio, Pennsylvania, and Illinois have led health investigators to ground beef produced by Valley Meats, LLC of Coal Valley, IL. The company has initiated a recall of 95,898 pounds of ground beef product that is possibly contaminated with E. coli O157:H7.

“E. coli in ground beef has been so prevalent in the last two years that it’s estimated that the consumer has a one in 400 chance of buying a product that might make them very sick,” said food safety advocate and attorney William Marler. “In 2006, it seemed that the meat industry had gotten a handle on recalls, but with 41 million pounds recalled since then, that is clearly not the case.”

Many benign strains of E. coli (Escherichia coli) live in the intestinal tracts of humans and other mammals. Infection with one of the toxic strains, most notably E. coli O157:H7, can cause serious illness, organ failure, and even death. E. coli is often contracted by consuming food or beverage that has been contaminated by animal (especially cattle) manure. The majority of foodborne E. coli outbreaks has been traced to ground beef; however leafy vegetables, sprouts, unpasteurized dairy or juice products or even water can become tainted with the pathogen.

The first symptom of E. coli infection is the onset of abdominal pain and severe cramps, followed within 24 hours by diarrhea, often bloody. This is hemorrhagic colitis, and it typically occurs within 2 to 5 days of ingestion of E. coli; however the incubation period—the time between the ingestion of E. coli bacteria and the onset of illness—may be as broad as 1 to 10 days.

“If you’re experiencing these symptoms, it is critical to visit your healthcare provider, because an E. coli infection can make you very, very sick,” Marler continued. “In some instances E. coli infection can lead to hemolytic uremic syndrome (HUS), a cause of acute kidney failure, so make sure you know what you’re dealing with.”

Marler Clark has represented victims of every major food borne illness outbreak since 1993. The firm’s attorneys have litigated high-profile food poisoning cases against such companies as ConAgra, Wendy’s, Chili’s, Chi-Chi’s, and Jack in the Box, securing over $500,000,000 for their clients. Marler Clark currently represents thousands of victims of outbreaks traced to ground beef, tomatoes, peppers, lettuce, peanut butter, and spinach, as well as other foods.

E. coli O157:H7 Illnesses in Ohio, Pennsylvania, and Illinois Linked to Hamburger Produced by Valley Meats

FSIS announces the first CLASS I RECALL after E. coli O157:H7 illnesses linked in Ohio, Pennsylvania, and Illinois of the season - more to follow?

ILLINOIS FIRM RECALLS GROUND BEEF PRODUCTS DUE E. COLI O157:H7 CONTAMINATION

Valley Meats LLC, a Coal Valley, Ill., establishment is recalling approximately 95,898 pounds of ground beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.  The problem was discovered through an epidemiological investigation of illnesses. On May 13, 2009, FSIS was informed by the Ohio Department of Health of a cluster of E. coli O157:H7 infections. Illnesses have been reported in Ohio, Pennsylvania, and Illinois.

For more information about E. coli O157:H7, see, www.about-ecoli.com and for complications like Hemolytic Uremic Syndrome, see, www.about-hus.com.

The products subject to recall include:

Continue Reading...

It is Spring in Paris - It must be time to recall Salmonella Cantaloupe in the United States

I just finished a day at the Louvre, walking along the Seine and trying to find the French I learned in college, as I ordered a meal with my daughter at a cafe on a busy avenue.  I then was brought back to what Spring is really all about - another Cantaloupe recall due to Salmonella

Apparently, a North Carolina company is recalling whole cantaloupes sold this week in Wal-Mart stores across North and South Carolina and in South Hill, Virginai, because they could be contaminated with Salmonella.  L&M Companies Inc. says the cantaloupes all came from the same small farm where a melon tested positive for the organism this week. No illnesses from eating the cantaloupes had been reported as of Friday.  Officials say the cantaloupes were sold at Wal-Mart stores from Sunday through Friday. Anyone who bought cantaloupes from those stores during that time should destroy them.

Over the last several years, it seems each Spring we hear of yet another recall.  Many have invloved severe illnesses and even deaths.  Let's hope this testing and recall catches it before it becomes a problem again.  There are three that I recall in the last few years:

Cantaloupe Salmonella Litchfield Outbreak, 2008 - Nationwide

In March of 2008, the Food and Drug Administration (FDA) announced that a Salmonella outbreak had been identified among residents of Arizona, California, Colorado, Georgia, Illinois, Missouri, New Jersey, New Mexico, New York, Ohio, Oklahoma, Oregon, Tennessee, Utah, Washington, and Wisconsin. In all, 50 people had been linked to the outbreak; 14 were hospitalized.

Susie Cantaloupe Salmonella Outbreak, 2002 - Nationwide

On May 13, 2002 the Food and Drug Administration (FDA) issued a press release reporting that an outbreak of Salmonella serotype Poona had been traced to the consumption of Susie Brand cantaloupes distributed in the United States and Canada by the I. Kunik Company of McAllen, Texas. FDA reported that the cantaloupe was sold in retail stores, restaurants, and possibly used in other institutions. FDA investigators determined that dozens of people had been sickened after eating the contaminated cantaloupe, and detained all cantaloupe imported by I. Kunick from Mexico.

Viva Cantaloupe Salmonella Outbreak, 2001 - Nationwide

On May 25, 2001 the FDA issued a press release warning consumers that Viva brand imported cantaloupe had been identified as the source of a Salmonella poona outbreak. FDA stated that the cantaloupe had been sold by S.P.R. De R.I. Legumbrera San Luis and S.P.R. De R.I. Los Arroyoas of Mexico and imported by Shipley Sales Service of Nogales, Arizona. Illnesses associated with the consumption of the contaminated cantaloupe had been identified in Arizona, California, Connecticut, Georgia, Hawaii, Massachusetts, Minnesota, Missouri, New Mexico, Nevada, New York, Oregon, Tennessee, and Washington State.

VTEC Conference - E. coli O157:H7 and other STEC's and VTEC's

Bruce Clark, my law partner and Patti Waller, my Epidemiologist, were in Argentina this week.  The conference topics were:

 - STEC/VTEC epidemiology from around the world

- Reservoirs. Sources and routes of transmission

- Pathogenesis. Host response to STEC/VTEC infections. Animal models of HUS

- Virulence factors. Genomics

- Clinical and diagnostic aspects of STEC/VTEC infections and HUS

- Strategies of control and prevention

I wish I could have attended, but I was in London at another E. coli Conference.  I will get Patti and Bruce to write something up on their experiences.  Here is part of what Bruce and Patti presented at teh Conference:

We have completed a portion of the first year’s tests and are in the process of compiling the data. We hope to publish the results in the next month. (See Abstract):

PREVALENCE OF NON-O157 ENTEROHAEMMORRHAGIC ESCHERICHIA COLI IN RETAIL GROUND BEEF IN THE UNITED STATES

Non-O157 STEC are capable of causing the same debilitating triad of diseases as E. coli O157:H7, including hemorrhagic colitis, hemolytic uremic syndrome, and thrombotic thrombocytopenic purpura. Infection with the non-O157 STEC can result in death in children, the elderly and the immunocompromised. According to the U.S. Centers for Disease Control and Prevention, the number of reported cases of illnesses caused by this group of pathogenic E. coli has been steadily increasing over the past several years. Despite this, Non-O157:H7 STEC is not considered an adulterant under current law in the U.S. That needs to change.

Non-O157:H7 STEC are also known to occur in imported beef from several trading partners, yet the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS) has not required that imported beef be free of these pathogens. The Agency has also failed to devise steps to measure and control the presence of these pathogens in domestic beef production and the ground beef supply, at the slaughterhouse or the grocery store.

French Food Safety News - Carrefour in Court for Labeling and Food Safety Issues

I am going to take a side trip to Paris for a couple of days after the Food Safety Conference here in London and the news that French supermarket giant Carrefour has been accused of violating a number of regulations related to the labeling and food safety of meat products caught my eye. Carrefour has been charged with providing the incorrect country of origin, putting less meat in packages than stated on the labels, storing frozen products at temperatures that were too high and selling products after their sell by date.

According to a spokesperson for the supermarket chain, “the health of its customers was not in danger at any time."

"At this time?"  The French government demands a penalty of EUR220.000 for all violations combined. A ruling in the case is expected soon.  Interesting thought, same facts, but in the USA? Violation?  Fine?

Marler, Honored, Blessed, Hard Work or Just Damn Lucky?

Poor Bill Baldwin of Forbes – his Editorial “Needed: Tort Lawyers” in this week's Forbes – has been printed and reprinted on other lawyer blogs and websites to tout their bona fides as food lawyers. Funny thing, all of them missed this part of Mr. Baldwin’s editorial:

Meet William Marler, a 52-year-old Seattle attorney whose career was launched with a $15.6 million settlement against Jack in the Box. (This victim survived but lost her large intestine.) Sixteen years later he can brag that his firm, Marler Clark, has extracted just shy of half a billion dollars in settlements from food vendors. This suggests cumulative revenues of maybe $150 million for a small firm (seven lawyers, one full-time epidemiologist). But letting lawyers get rich has a nice side effect. The settlements get the attention of food producers. Bill Marler is not shy about using the Web, press releases and Capitol Hill testimony to publicize what he's doing.

The “newbie” lawyers into food litigation believe that if they put up a few Google ads and post a few blogs, the glitter of it all will attract people poisoned by the food they and their children have eaten to their firms. They then think they can cash in on the victims injuries.

But these “newbie” lawyers are mistaken it is not about the money – victims of foodborne illness today can tell the real from the fake, from the glittery website site and dazzling smile to 21 years of 24/7 365 day advocacy. Those clients, like Heather Wybrew, Carl Ours and Mari Tardiff profiled in the New York Times this Monday in “Health experts say food supply is safer today than a decade ago, but recalls raise new concerns,” understand the differences. They get it. As I said to the New Your Times:

The paradox is that even as food has grown safer, contamination scares and recalls keep coming to light. William Marler, a Seattle lawyer who specializes in representing victims of food-borne illness, said that every time his business appeared to slow from a drop-off in cases, some new type of contamination would crop up.

"It's like the Dutch boy putting his finger in the dike," Marler said. "When you put your finger in one hole, another emerges."

The clients understand that it is not about the money, the glitz or the glitter – it is about hard work, dedication and caring. Well, time to board the plane to London. I need to put another finger in the dike.

Michelle Obama and Staff Go for Burgers - Inspection Reports Not Online

A few days after the President and Vice President ordered and ate burgers in Arlington Virginia, the First Lady and her staff ate burgers at Good Stuff Eatery, 303 Pennsylvania Ave. SE, Washington, DC 20003.

Unlike with the President’s burger binge, the First Lady’s was not caught on video nor was the “doneness” of her burger reported.   Also, I tried to find the restaurant inspection reports of the Good Stuff Eatery online, but apparently Washington DC, unlike neighboring Arlington VA, do not put inspections online.

Although FDA does not oversee Hamburger, Dr. Margaret Hamburg has been tapped to head FDA. As she noted in her testimony before the Senate this week:

Turning to food safety, Hamburg said it will require sustained effort, more money, and stronger laws to improve the situation. She wants to shift from chasing outbreaks after they have broken out to preventing them first. That would require all food companies to follow written safety plans, overseen by federal and state inspectors. Traceability and import safety — weak links in the system — would have to be strengthened.

Obama's budget, released Thursday, calls for a $260-million increase for the FDA's food safety program. Past budget cuts have hit the food inspection program hard, and part of the new funding would go to rebuild the ranks of inspectors.

New York Firm Recalls Ground Beef Products Due To Possible E. coli O157:H7 Contamination

FSIS announced this evening that Alex & George Wholesale, Inc., a Rochester, New York firm, is recalling approximately 4,663 pounds of ground beef products because they may be contaminated with E. coli O157:H7.  The following products are subject to recall:

* 10-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 10-pound poly bag of "A & G Brand 'HOT SAUCE' SPECIAL BLEND"
* 25-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 30-pound poly bag of "A & G Brand BULK GROUND BEEF"
* 10-pound case of (3-1) "A & G Brand GROUND BEEF PATTIES"
* 10-pound case of (5-1) "A & G Brand GROUND BEEF PATTIES"
* 10-pound case of "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* 10-pound case of (6-1) "A & G Brand GROUND BEEF PATTIES"
* Cases containing 48, 4.25-ounce"A & G Brand GROUND BEEF PATTIES 'PUCKS'"
* Cases containing 48, 5-ounce "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* Cases containing 48, 5-ounce (4-1) "A & G Brand 'Homestyle Press' GROUND BEEF PATTIES"
* Cases containing 48, 5-ounce "A & G Brand GROUND BEEF PATTIES 'PUCKS.'"

These packages of ground beef were packed in 10, 15, 25, and 30-pound shipping cases which bear the establishment number "EST. 4553" inside the USDA mark of inspection. The (3-1), (4-1), (5-1) and (6-1) refers to the number of portions per one pound.  These ground beef products were produced on April 29 and distributed to restaurants in western New York.

The contamination was found through routine testing - thank God.

Man Infects Pigs with Swine Flu - Errr - H1N1 Virus

The WHO reports this morning that a farm worker in Canada has infected a herd of pigs with swine flu, the first documented case of the virus being passed from humans to animals.  The herd of pigs tested positive for the H1N1 virus after the worker returned from Mexico with the disease. The herd has been quarantined (and the worker?).  Up to 200 pigs had been infected at the Alberta Farm, and that both the man and pigs are recovering, adding that the virus did not seem to have spread. 

The case adds to growing international concern about the safety of eating pork products, with Russia, China, Indonesia, Ukraine, Philippines and Serbia introducing partial or total import bans of pork from the US.  The UN and WTO said on Saturday that there is no justification for such anti-pork trade measures as a result of the swine flu epidemic.

Wisconsin Warns of Salmonella Spinach in Wisconsin and Illinois

Wisconsin officials are recommending residents throw away bags of spinach distributed by a Milwaukee food processor after some tested positive for salmonella.

The Wisconsin Department of Agriculture, Trade and Consumer Protection says consumers should discard 10-ounce bags of Kleen-Pak curly-leaf fresh spinach with use-by dates of April 29, April 30 and May 1.

It says routine food safety tests of the spinach were positive for salmonella.  The bacteria can cause diarrhea, fever and vomiting. Infections can be deadly to young children, the elderly and those with weakened immune systems.

Kleen-Pak spinach is distributed in grocery stories in Wisconsin and Illinois.

Salmonella-tainted Pudding Linked to New Hampshire Mixer

New Hampshire state health officials say a mixer used to make pudding was the source of salmonella that sickened children at a camp in Madison this month.  The Stone Environmental Camp voluntarily closed last week, and is looking forward to reopening, now that the source has been identified.

Health investigators determined that pudding served to the campers was contaminated.  Although the mixer is supposed to be sanitized after each use, a possible defect may have allowed bacteria to get to an area where it couldn't be cleaned out.

The state confirmed 15 salmonella cases among more than 120 children and adults who reported getting sick. The state said some could have had mild forms of infection also related to the mixer.

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

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

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

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

In 2003, FDA, the Centers for Disease Control and Prevention (CDC), the California Department of Health Services and others jointly developed a video to assist the industry in producing the safest possible products. The video may also be useful for retailers, regulators, and anyone working with the industry that wants to better understand the product and current recommendations for best production practices.

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

Some of the basic controls directed by FDA include:

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

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

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

Campylobacter Sickens Eleven With Raw Milk From Kinkin Corner Dairy

I talked with Katharhynn Heidelberg of the Montrose Daily Press about yet another raw milk outbreak:

Seattle attorney Bill Marler said that doesn’t mean raw milk is safe. Marler has represented several clients, or their survivors, in food-borne illness cases, even taking on Con-Agra.

“The amount of raw milk that is sold commercially is actually quite small and is unfortunately growing,” he said. “The number of illnesses and the frequency of illnesses, in my opinion, certainly indicates that it is a growing problem, not a shrinking one you can ignore.”

Colorado does not allow the commercial sale of raw milk. But a recent law allows for cow-shares, which Marler, speaking generally, said is being used to sidestep commercial-sale bans.

One of Marler’s clients, a formerly healthy 39-year-old Californian, developed a rare and progressively paralytic illness after drinking raw milk. Marler said she’s been rendered quadrupalegic and claims raw milk is to blame.

“A lot of times, raw milk groups have a tendency to say the health department is out for them, rather than that the health department is doing its job. That’s part of their marketing scheme, to feel like they’re being put upon,” Marler said.

“It’s not like I had a particular jag against raw milk, it’s just frankly another food that poisons people and the producers have to be as responsible as the corporations.”

Spice Recall Increased Because of Salmonella Contamination

FDA announced that Union International Food Co. is expanding a spice recall to include all Lian How brand and Uncle Chen brand sauces, oil and oil blends in various size packages because the products may be contaminated with salmonella, an organism that can cause serious and sometimes fatal infections, especially in young children, the elderly and those with weakened immune systems. The company had previously recalled Lian How brand and Uncle Chen brand dry spices.

California state health department officials say the salmonella outbreak has sickened 33 people throughout northern and central California, and nine others in Nevada, Oregon and Washington. No deaths have been reported. Officials say most of the people sickened appeared to have been exposed to salmonella while eating at Asian restaurants that used the company's spices.The company said salmonella was isolated from an open container of Lian How white pepper.

The Uncle Chen and Lian How brand products were distributed to retailers, wholesalers, distributors, restaurant suppliers and restaurants. Details: By phone at 510-471-6799; on the Web at http://www.ufunionfood.com.

The recall includes the following Lian How brand items:

Continue Reading...

Salmonella Pistachio Product Recall Expanded

The FDA announced additional and expanded items that are being recalled.  The following recalls have been announced because the products may be contaminated with salmonella, an organism that can cause serious and sometimes fatal infections, especially in young children, the elderly and those with weakened immune systems:

Continue Reading...

Two Dead from Sea Cucumber Food Poisoning

Two people died while four others are in critical condition in Cebu after eating a fried sea cucumber delicacy on Saturday, a report said. The sea cucumber, a herbivore, is not known for being poisonous but it secretes blue ink from its skin which is potentially lethal to any predators.

According to one official - "Something must have gone wrong when [the victims] prepared the food."

Easter Egg Hunt - Staphylococcal Food Poisoning - A Great Way to Ruin Your Easter

So, between reading my emails, I read the 1984 JAMA Article by G. A. Merrill, S. B. Werner, R. G. Bryant, D. Fredson and K. Kelly

Staphylococcal food poisoning associated with an Easter egg hunt

Staphylococcal contamination of intact, hard-boiled eggs resulted in the food poisoning of an estimated 300 children out of 850 who had participated in an Easter egg hunt. Enterotoxigenic staphylococci that were isolated from the Easter eggs matched that obtained from an infected cook who prepared the eggs three to five days before the hunt and which he left unrefrigerated. Experimental studies demonstrated that heated eggs can absorb 2 mL of contaminated cool water through intact eggshells. When water was inoculated with pathogenic staphylococci at even low contamination levels, rapid growth and enterotoxin production within cooked eggs could be easily duplicated. This is the first large outbreak of its type; safeguards can and should be employed to prevent future ones.

Damn, is nothing sacred?

Foodborne Illnesses Increase - 2008 FoodNet Data on the Incidence of Infection with Pathogens Transmitted Commonly Through Food

Surveillance Results

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

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

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

Amalgamated Produce Sprouts Recalled After Testing Positive For Listeria

Sprouts processed by Bridgeport-based Amalgamated Produce Inc. have been recalled after a sample collected from a supermarket in New York tested positive for an organism that can cause serious infections.  The sprouts also were sold at Stop & Shop, ShopRite and Price Chopper stores in Connecticut.

Consumer Protection Commissioner Jerry Farrell Jr. said Thursday that the recalled sprouts tested positive for Listeria monocytogenes, an organism that can cause serious and sometimes fatal infections in young children or in frail or elderly people.  No illnesses had been reported in Connecticut as of Thursday, but Amalgamated Produce is recalling its sprouts. Sprouts under various brand names with a "sell by" date of March 31 through April 27, weighing 4 ounces and packaged in plastic containers, have been recalled.

Sprouts Recalled in Rhode Island Shaws, Stop & Shop, Whole Foods and IGA Due to Possible Listeria Contamination

The Rhode Island Department of Health advises consumers of sprout products that may be contaminated with Listeria monocytogenes. Listeria is an organism that can cause serious or fatal infections in young children, elderly or anyone with a weak immune system. Distribution of these sprouts included Shaws, Stop & Shop, Whole Foods and IGA in Rhode Island.

All items being recalled have a sell-by date code from 03/21/09 through 04/27/09 and are in four ounce plastic containers, with the exception of the 8-ounce Nature’s Promise Organic Alfalfa and the five-pound bag of bulk alfalfa sprouts. There have been no cases of Listeria in Rhode Island in 2009. Anyone who bought an item on the recall list should throw away the product right away or return it to the place of purchase for a refund. The following items have been recalled:

Continue Reading...

Colorful Dyed Chicks Could Have Salmonella

According to News West Nine - This Easter Season it's not just about the colorful eggs, but the colorful chicks as well. The chicks are painted with dyes for nothing more but looks.

Many wonder if the chicks are safe to handle especially for young children? Dr. Medina of Midland Health Care Services says it could lead to salmonella disease through fecal and oral contact. "They put them in their mouth and they could be contaminated and get diseases from it. I would not recommend giving them as gifts," Dr. Medina said. For just $2 each you can get them in every color you can think of, but keep in mind when handling the chicks to wash your hands; it's the only way to keep you and your family safe.

Or, just don't buy them.

Despite What Seems Like an Outbreak a Week, Preliminary FoodNet Data from 2007 on the Incidence of Infection with Pathogens Transmitted Commonly Through Food, Seems to Hold Relativey Steady

The CDC reported today:

The Foodborne Diseases Active Surveillance Network (FoodNet) of CDC's Emerging Infections Program collects data from 10 U.S. states regarding diseases caused by pathogens commonly transmitted through food. FoodNet quantifies and monitors the incidence of these infections by conducting active, population-based surveillance for laboratory-confirmed infections. This report describes preliminary surveillance data for 2007 and compares them with data for previous years. In 2007, the estimated incidence of infections caused by Campylobacter, Listeria, Shiga toxin-producing Escherichia coli O157 (STEC O157), Salmonella, Shigella, Vibrio, and Yersinia did not change significantly, and Cryptosporidium infections increased compared with 2004--2006. Progress toward the targets for Healthy People 2010 national health objectives and targets regarding the incidence of foodborne infections occurred before 2004; however, none of the targets were reached in 2007. Salmonella incidence was the furthest from its national health target, suggesting that reaching this target will require new approaches.

Surveillance Methods

In 1996, FoodNet began active, population-based surveillance for laboratory-confirmed cases of infection caused by Campylobacter, Listeria, Salmonella, STEC O157, Shigella, Vibrio, and Yersinia. FoodNet added surveillance for cases of Cryptosporidium and Cyclospora infection in 1997 and STEC non-O157 infection in 2000. In 2004, FoodNet began collecting data regarding which laboratory-confirmed infections were associated with outbreaks.

Infection with STEC O157 can cause hemolytic uremic syndrome (HUS), a complication in which the kidneys fail. HUS surveillance, which began in 2000, is conducted in nine states through a network of pediatric nephrologists and infection-control practitioners and validated through review of hospital discharge data. Because of the time required for review of hospital records, this report contains preliminary HUS data for 2006.

During 1996--2007, the FoodNet surveillance population increased from 14.3 million persons (5% of the U.S. population) in five states to 45.5 million persons (15% of the U.S. population) in 10 states. The preliminary incidence for 2007 was calculated by dividing the number of laboratory-confirmed infections by population estimates for 2006. Final incidence will be reported when population estimates for 2007 are available from the U.S. Census Bureau. In previous years, final incidence has been comparable to preliminary incidence.

Surveillance Data

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

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

Comparison with Previous Years

A main-effects, log-linear Poisson regression model (negative binomial) was used to estimate statistically significant changes in incidence of infections in 2007 compared with previous years. This model accounts for the increase in the surveillance population and for variations in incidence among sites. The average annual incidence for 2004--2006 and for 1996--1998 (1997--1998 for Cryptosporidium), the first years of surveillance, were used for comparison. The estimated change in incidence (relative rate) between 2007 and the comparison periods was calculated, along with 95% confidence intervals (CIs). For HUS surveillance, 2000--2001, the first years of surveillance, was used as the comparison period. Changes over time have not been analyzed for non-O157 STEC, partly because changes in clinical laboratory practices might have affected incidence reporting.

The estimated incidence of Campylobacter, Listeria, Salmonella, Shigella, STEC O157, Vibrio, and Yersinia infections (Figure 1) did not change significantly in 2007 compared with 2004--2006, but the estimated incidence of Cryptosporidium infections increased 44% (CI = 8%--91%). Among the seven most common Salmonella serotypes, the incidence of Typhimurium and Heidelberg decreased, I 4,[5],12:i- and Newport increased, and the others did not change significantly.

In comparison with 1996--1998, relative rates of Yersinia decreased 49% (CI = 36%--59%), Listeria decreased 42% (CI = 28%--54%), Shigella decreased 36% (CI = 9%--55%), Campylobacter decreased 31% (CI = 25%--36%), STEC O157 decreased 25% (CI = 9%--38%), and Salmonella decreased 8% (CI = 1%--14%) in 2007. The estimated incidence of infection with Cryptosporidium and Vibrio did not change significantly. The incidence of postdiarrheal HUS has paralleled that of STEC O157, declining in 2003 and 2004, followed by increases the next 2 years. The estimated incidence of postdiarrheal HUS in children aged <5 years in 2006 did not change significantly compared with 2000--2001.

I Hope it is Not That Time of Year - Again - E. coli Found in Safeway Hamburger

The Canadian Food Inspection Agency is warning the public not to eat certain lean ground beef sold at Canada Safeway because it may be contaminated with E. coli O157:H7.

The lean ground beef affected was sold in packages of approximately 450 grams with the first part of the UPC being 201670 and a Canada establishment number of 573.  The meat was prepared for certain Canada Safeway stores in northwestern Ontario, Manitoba and Saskatchewan.  The affected packages bear a Best Before or a Freeze By date of March 19 and were sold from March 13 to March 19 and are no longer available for sale.  The manufacturer, Vantage Foods, Winnipeg, is voluntarily recalling the affected product from stores.

Contaminated Raw Milk Strikes Again - Campylobacter in Colorado Sickens at Least Eight

The Colorado Department of Public Health and Environment says raw milk traced to Kinikin Corner Dairy sickened at least eight people with campylobacter.  There have been 11 confirmed cases of the food-borne bacteria since March 30; the state health department says 10 of those sickened reported drinking raw milk and eight of these people reported getting the milk from Kinikin Dairy.

The dairy was issued a public health order late yesterday afternoon.

Campylobacter can be passed through cow feces and if contaminated fecal matter gets into water or milk, humans can be infected.  The infection's symptoms include diarrhea, sometimes bloody, fever, abdominal cramping, nausea and vomiting. It is only rarely fatal. 

Campylobacter infections have to be reported by healthcare providers to the state, and when several cases were reported recently, the state knew almost immediately something was wrong.

Interestingly, today we received several additional documents stemming from a 2006 E. coli O157:H7 outbreak involving Organic Pastures Dairy in California.  The below document and attached pictures (click to download) of the Organic Pastures milking facility were produced in the litigation between Organic Pastures and the State of California.

Organic Pastures too has had recalls due to Campylobacter contamination in its products – See recall in September 2008 and recall with illnesses in March 2008 - And an E. coli outbreak with illnesses in 2006 - And a Listeria recall in 2007.  Right, and then there was that criminal thing.

Salmonella Pistachios Recalled Back to 2008

The FDA and the California Department of Public Health continue to investigate the Salmonella contamination in pistachios and pistachio products. Setton Pistachio of Terra Bella Inc., Terra Bella, Calif., is voluntarily expanding its recall of roasted pistachios to include all lots of roasted in-shell pistachios and roasted shelled pistachios that were produced from nuts harvested in 2008. The firm is also recalling those raw shelled pistachios from the 2008 crop that are not subsequently roasted prior to retail sale. The pistachios may be contaminated with Salmonella.

FDA Product Recall List


FDA Salmonella Typhimurium Outbreak 2009. Flash Player 9 is required.FDA pistachio product Recall Widget. Flash Player 9 is required. Visit http://www.accessdata.fda.gov/scripts/pistachiorecall/index.cfm to search for pistachio product recalls for more information.

FDA Finds Smoking Gun Salmonella at Pistachio Plant

AP reports that Federal officials confirm they have found traces of salmonella in a central California pistachio processing plant that sparked a nationwide recall of the nut.  The Food and Drug Administration said Monday state and federal inspectors found the bacteria in "critical areas" at Setton Pistachio of Terra Bella.  FDA officials also say they found areas at the facility where raw and roasted nuts could become cross-contaminated with salmonella.  The plant temporarily shut down after recalling more than 2 million pounds of nuts last week.  The company has now expanded its recall to include all raw and roasted pistachios from its 2008 crop.

Salmonella is a bacterium that causes one of the most common enteric (intestinal) infections in the United States – Salmonellosis. In some states (e.g. Georgia, Maryland), salmonellosis is the most commonly reported cause of enteric disease, and overall it is the second most common bacterial foodborne illness reported (usually slightly less frequent than Campylobacter infection).

The reported incidence of Salmonella illnesses is about 14 cases per each 100,000 persons (MMWR Weekly, 2006), amounting to approximately 30,000 confirmed cases of salmonellosis yearly in the U.S. (CDC, 2005, October 13). In 2005, just over 36,000 cases were reported from public health laboratories across the nation, representing a 12 percent decrease compared with the previous decade, but a 1.5 percent increase over 2004 (CDC, 2007).

Rocket Fuel Chemical (Perchlorate) Found in Baby Formula

According to the AP reports of a CDC study, a chemical used in rocket fuel was found in samples of powdered baby formula, and could exceed what is considered a safe dose for adults if mixed with water also contaminated with the ingredient, a government study has found. The study by scientists looked for the chemical, perchlorate, in different brands of powdered baby formula. The chemical has turned up in several cities' drinking water supplies. It can occur naturally, but most perchlorate contamination has been tied to defense and aerospace sites.

Six Tons of EDS Wrap and Roll Foods Salmonella Egg Rolls Recalled and Union International Food Company Spice Recall Expanded

More than six tons of egg rolls stuffed with chicken are being recalled by EDS Wrap and Roll Foods LLC of Hayward. The egg rolls were sold to restaurants throughout California, the government says. Meanwhile, the company at the center of a recall of the pepper used in the egg rolls has expanded its recall of still more spices. The egg rolls contain black pepper spice products that may be linked to a multi-state outbreak of salmonellosis, the U.S. Department of Agriculture's Food Safety and Inspection Service says Saturday. The following products are subject to recall:

• 9.38 lb. packages of EDS Wrap and Roll Foods LLC "Chicken Egg Roll" which contains 100 pieces of 1.5 ounce chicken egg rolls

• 18.75 lb. packages of EDS Wrap and Roll Foods LLC "Chicken Egg Roll" which contains 100 pieces of 3.0 ounce chicken egg rolls

The frozen chicken egg rolls were produced between July 28, 2008 and March 27, 2009 and bear case codes "80210 through 80365" or "90001 through 90089."

The packages bear the establishment number "P-20350" within the USDA Mark of Inspection printed on the side of the packages.

FSIS says it learned of the problem from the California Department of Public Health as a result of an ongoing investigation into the dry spice recall announced by FDA. FSIS has received no reports of illnesses associated with the consumption of these frozen chicken egg rolls. The chicken egg roll products were distributed to restaurants and institutions in California.

Union International Food Co. of Union City is recalling 15-pound and smaller size packages of its Lian How brand dry spices, 30-pound boxes and smaller size packages of Lian How crushed chili, Uncle Chen brand black pepper (whole and ground) in 5-oz. retail containers, Uncle Chen white pepper (whole and ground) in 5-oz. retail containers and 5 pound plastic bags and the Uncle Chen brand Wasabi powder in 2.2 pound foil bags, because it has the potential to be contaminated with Salmonella.

But there’s more. Also recalled by Union as of Saturday evening are the following:

Continue Reading...

Something Else to Worry About - Salmonella Chicks at Easter

Public health officials in the Oregon Department of Human Services are reminding Oregonians that baby fowl may carry Salmonella.

Chicks, ducklings and other young fowl may not be appropriate pets for children younger than 5 years or for persons with a weakened immune system, said Emilio DeBess, D.V.M., public health veterinarian in DHS.

“They are fuzzy, cute, and irresistible to pick-up and hold," he said, "but they can also be loaded with Salmonella.”

Salmonella poisoning from baby poultry purchased as pets or for backyard flocks represents an ongoing public health concern and causes multiple hospitalizations each year.

Two cases have been identified in Oregon over the past few weeks; both had contact with young poultry. Both patients are recovering.

Though chicks, ducklings and goslings may not appear dirty, they could carry feces on their feet, feathers and beaks.

Poultry should always be housed outside because of the risk of tracking the infection into the household environment.

To reduce the risk of Salmonella infection, the Oregon Public Health Division recommends thorough hand washing with soap and warm water for anyone who enters an area that houses poultry or who handles any baby chicks, ducks or other fowl.

Children should be supervised so they do not nuzzle or kiss the animals.

Salmonella Pistachios has become "Nutgate" - "who knew what and when did they know it?" Perhaps Mr. Peanut and Mr. Setton will need to make room for Mr. Kraft in the "Big House?"

According to AP reports today, “Nutgate” has turned into a “finger-pointing” match of “he said, she said.” The spokeswoman from Setton, the pistachio maker, said today “that Kraft Foods Inc. detected salmonella in its pistachios more than six months ago but did not inform [Setton] until last week [March24]” when Kraft also informed the FDA.

The Kraft spokeswoman said today that it did “not know until recently that pistachios were the cause of salmonella contamination in a trail mix and promptly informed their nut supplier, Setton…. [The] spokeswoman said their manufacturer Georgia Nut Co. first found the bacteria in its Kraft Back to Nature Nantucket Blend trail mix in September, but it took more than six months of careful ingredient testing to determine what caused the contamination.”

Really? Six months? Something just does not smell right.

UPDATE - Will Mr. Pistachio be sharing a Prison Cell with Mr. Peanut in what is becoming another "Nutgate"

Elizabeth Weise, of USA TODAY reported this morning that “Pistachios had tested positive for salmonella for [five] months” at the Setton facility in California while at the same time New York Department of Agriculture was finding rat feces and cockroaches at Setton’s New York plant.

Salmonella in nuts from Setton Pistachio was detected by one of the company's food-manufacturing customers. When the Food and Drug Administration asked Setton officials if any of their own tests had come back positive for salmonella, the answer was yes, says David Acheson, FDA associate commissioner. "They told us, 'We've had montevideo, newport, senftenberg and larochelle,'" Acheson says, meaning the earlier discovery of four strains of salmonella.

Now for Watergate/Nutgate:

"The question is, 'Did Setton Farms have an ongoing problem, and what did they do about it?' " Acheson says. The FDA believes batches of pistachios that tested positive for salmonella were destroyed, not distributed. Setton Pistachio spokeswoman Fabia D'Arienzo could not confirm that. No illnesses tied to the contamination have been confirmed, the FDA says. The agency is currently checking four salmonella cultures provided by Setton to see if they match bacteria in people who have become ill.

So, Setton knew for months that product from its California plant was testing positive for Salmonella – four strains no less – and its New York plant had rats and cockroaches? Now, what is this difference (other than the number of people sickened) with what happened at the Peanut Corporation of America? I think Mr. Peanut (a.k.a Mr. Parnell) needs to make room for Mr. Pistachio (a.k.a. Mr. Setton). I wonder if they will fight over who gets the top bunk?

UPDATE from AP:

Plant at center of recall had salmonella last year - Nuts from the California company tested positive in 2008, says sister plant
   
FRESNO, Calif. - A firm involved in a nationwide pistachio recall this week says nuts from its sister company in California tested positive for Salmonella in September 2008.

Lee Cohen, a production manager for Setton International Foods Inc. in Commack, N.Y., said Friday that Setton Pistachio of Terra Bella Inc. first heard about the 2008 test from a customer, Kraft Foods Inc., on March 24. He says those tainted nuts were found in a snack mix.

Setton Pistachio recalled 2 million pounds of pistachios on Monday after a Kraft manufacturer found salmonella in another batch of roasted pistachios on March 20.

So, here are the questions that now need to be asked:

1.  New York Department of Agriculture - Why did you not shut down the Setton New York plant after finding feces and cockroaches?

2.  FDA - when did you first learn of potential Salmonella illnesses and/or Salmonella positive pistachio samples and from who?

3.  Kraft - when did you first learn of potential Salmonella illnesses and/or Salmonella positive pistachio samples and from who?

4.  Setton - when did you first learn of potential Salmonella illnesses and/or Salmonella positive pistachio samples and from who?

The plot thickens.  Someone is not telling the truth.

Rats and Cockroaches and Pistachios - Oh, My!

The more things change, the more things stay the same. Now FDA officials are investigating Commack, New York-based Setton International Foods Inc., which shares key staff and packages food with its sister plant in central California, Setton Pistachio of Terra Bella Inc., that earlier this week recalled 2 million pounds of nuts over fears of possible salmonella contamination. Here is the 411, the poop (sorry):

“Last month, New York agricultural authorities discovered nearly two dozen dead cockroaches, rodent droppings and one live cockroach on an ingredient rolling rack inside the Commack plant. It failed its state health inspection…. State inspectors went back for a visit Wednesday to swab the plant and take food samples to be tested for salmonella and other pathogens as part of the pistachio recall,… The test results are pending.”

Don’t manufacturers get it?  And, what were the New York Agricultural folks thinking - or not?  Rat poop and cockroaches do not mix with pistachios.

Two Million Pounds of Pistachios Recalled for Salmonella - Kraft Saves the Day and Likely Lives and FDA Does Its Job Well

I talked with Garance Burke of AP last evening for her story, “Tests nipped risk of tainted pistachios in bud.” Garance wrote: “The contamination was only detected because of voluntary testing by a manufacturer for Kraft Foods Inc. almost two weeks ago. Private auditors hired by Kraft later found problems they think caused the contamination at a supplier's processing facility in central California.”

Think about it, had Kraft not done the testing and not turned over the information to the FDA, this Salmonella-tainted pistachio product might still be in the market and on consumers’ shelves – ready to eat. Kudos to Kraft.

But the fact that we are relying on companies to voluntarily test and then voluntarily report positive results should disturb us all. As Garance also wrote: “Neither the Food and Drug Administration nor state laws require food manufacturers to test the safety of their products…. You can call it a fluke, you can call it good luck, or you can call it good judgment on the part of Kraft," said Dr. David Acheson, FDA's assistant commissioner for food safety. "They're not required to tell us. They did and we're moving on it."

The FDA is now warning “people … to avoid eating all pistachios and products containing them while they determine which products may be tainted.” I am sure that we will soon hear the attack that “the FDA has over-reacted.” I say they have acted in the public health and that is a good thing.  See FDA Recall List.

We now need a serious discussion on food safety.  Recall authority?  Voluntary or mandated?  Regulations?  Government mandates?  Industry voluntary compliance?  Inspections - who should do them?  Government or Industry?  How often?  Testing - when should they be done and by whom?  Again, Government or Industry?  Again, how often?

Much to "chew" on.

Kroger Recalls Salmonella Mayonnaise Sold in Ohio, Kentucky and Indiana

The Kroger supermarket chain says it's recalling some store brand mayonnaise sold in three states because it may be contaminated with Salmonella.

Cincinnati-based Kroger Co. says the recall involves 32-ounce plastic jars of Kroger Lite Mayo sold in Kroger stores in southwest Ohio, northern Kentucky and southeast Indiana. The suspect jars have a "Sell by" date of "SEP-25-09."

Pistachios in the US and Canada Recalled Due to Potential Salmonella Contamination - Several Illnesses Now Reported

According to the FDA Website, the FDA and the California Department of Public Health (CDPH) are investigating Salmonella contamination in pistachio products sold by Setton Pistachio of Terra Bella Inc, Calif. The company has stopped all distribution of processed pistachios and will issue a voluntary recall involving approximately 1 million pounds of its products. Because the pistachios were used as ingredients in a variety of foods, it is likely this recall will impact many products. In addition, the investigation at the company is ongoing and may lead to additional pistachio product recalls. The contamination involves multiple strains of Salmonella.

Thus far, also according to the FDA, several illnesses have been reported by consumers that may be associated with the pistachios. It is not yet known whether any of the Salmonella strains found in the pistachio products are linked to an outbreak.  Strains thus far are Montevideo, Newport, Seftenberg and Larochelle.

Here we go again - Pistachios and other Pistachio Containing Products Recall List - Information current as of 12 noon March 31, 2009 - 63 entries in list.

Avoid Lian How and Uncle Chen white pepper with Salmonella

Public health officials today warned consumers not to eat ground white pepper processed, packaged or distributed by Union International Food Company in Union City, California until further notice. Ground white pepper products from the UIFC have been linked to a multi-state outbreak of salmonella, the health officials said. The discovery of salmonella in food samples collected from restaurants and food distributors prompted these recommendations.

Thirty-three have been ill in California, four in Oregon and one in Washington. The last known date of onset of illness for this outbreak is March 13. No deaths have been reported. Eight people were hospitalized, health officials said. While only ground white pepper has been connected to illness in Northern Nevada, the UIFC immediately announced a voluntary recall of cayenne pepper; curry powder; garlic – chopped, granulated, minced and powder; ginger powder, mustard powder; onion – chopped and powder; paprika; pepper, black – ground and whole; pepper, white – ground and whole; turmeric; and wasabi powder.

Setton Pistachio of Terra Bella Expands Nationwide Recall of Pistachios Because of Contamination with Salmonella Montevideo, Newport, Seftenberg and Larochelle

According to an FDA Press Release, Setton Pistachio of Terra Bella, Inc. announced today that it is voluntarily recalling from nationwide distribution specific lots of bulk roasted shelled pistachios and 2,000 lbs., 1,700 lbs., 1,800 lbs. and 1,000 lbs. tote bags of roasted inshell pistachios sold to wholesale customers due to potential contamination with the Salmonella organism.

The Company is asking those firms who received bulk product and have further processed, repackaged, or distributed the affected products to recall those products and contact FDA.
In addition, the company is voluntarily recalling the following retail product: Setton Farms brand roasted salted shelled pistachios in 9 oz. film bags, UPC Code: 034325020252 with a "Best Before" date between 01/06/10 and 01/19/10. This product was distributed in the following states: SC, GA, FL, NC, VA, TN, KY.

Of the 2,000 known Salmonella Serotypes, the Salmonella Serotypes found in product test are as follows:

Montevideo – 9th most frequent serotype

Newport – 4th most frequent serotype

Seftenberg – 32nd most frequent serotype

Larochelle – not in the top 100

1 Million Pounds of Salmonella Pistachio Products Recalled

The FDA and the California Department of Public Health (CDPH) are investigating Salmonella contamination in pistachio products sold by Setton Pistachio of Terra Bella Inc, Calif. The company has stopped all distribution of processed pistachios and will issue a voluntary recall involving approximately 1 million pounds of its products. Because the pistachios were used as ingredients in a variety of foods, it is likely this recall will impact many products. In addition, the investigation at the company is ongoing and may lead to additional pistachio product recalls.

The contamination involves multiple strains of Salmonella. Salmonella can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Thus far, several illnesses have been reported by consumers that may be associated with the pistachios. It is not yet known whether any of the Salmonella strains found in the pistachio products are linked to an outbreak. The FDA is conducting genetic testing of the samples to pursue all links.

Multiple strains of Salmonella?  What is the list of products to be recalled?

Public health officials in Oregon, Washington, California and Nevada track multi-state outbreak of Salmonella Rissen to ground pepper imported, packaged and distributed by Union International Food Co. of Union City, California

The contaminated pepper was packaged under the “Lian How” and “Uncle Chen” labels and sold to restaurant suppliers and markets – much of it going to Chinese and Vietnamese establishments.

Since December, 42 rare Salmonella Rissen infections have been reported in Oregon, California, Washington and Nevada. Public health officials in those states pooled their resources to identify the source. People were hospitalized in eight of the 42 cases; no deaths have been reported. Oregon had four of the cases, all in metropolitan Portland, a number equal to the average annual number usually reported for the nation.

Salmonella infections cause diarrhea, fever, abdominal cramping and sometimes vomiting. Symptoms typically last less than a week, although infants, the elderly and those with immunodeficiencies are at increased risk for severe illness. Antibiotic treatment is of no value for most patients.

Details about the Lian How and Uncle Chen products are on the company’s Web site: www.ufunionfood.com.

• The Lian How products were packaged in containers of various sizes: 10- and 15-pound cardboard boxes with plastic liners that are tied closed; 4- and 5- pound clear semi-hard plastic wide-mouth jars; 5-pound plastic bags and 2.2- pound foil bags.
• Following the Lian How brand name, the words “Packaged by Union
International Foods” or only “Union International Foods” appear.
• The following products are included in the company’s recall: White pepper, black pepper, cayenne pepper, paprika, chopped onion, onion powder, garlic (chopped, minced, powder and granulated); whole white pepper, whole black pepper, curry powder, mustard powder and wasabi powder.
• Uncle Chen brand white and black pepper is sold in 5-ounce plastic jars.

33 Sickened - Union International Food Company Pulls Salmonella Spices

California public health officials are warning people not to eat a dozen spices packaged at a Union City plant under the Lian How brand name.  A salmonella outbreak that has sickened 33 people in California and nine people in three other states caused the Union International Food Company to voluntarily recall of its pepper, paprika, curry, onion powder and other products. 

The state health department said Saturday that most of the people who got sick appeared to have been exposed to salmonella white eating at Asian restaurants that used the company's white and black peppers.  Salmonella poisoning causes diarrhea and vomiting. It can be fatal in children and others with weakened immune systems.

I wondered what the FDA had to say about Salmonella and Spices -

"The Federal Food, Drug, and Cosmetic Act requires emphasis on the principle of "clean" food, not "cleaned" food. One of the most serious consequences of failure to protect herbs and spices is contamination with excreta from rats, mice, birds, or other animals. Emphasis should be placed on harvesting, storing, handling, packing, and shipping under conditions which will prevent contamination."

More Than 100 People Sickened With Shigella After Eating at Camillus, New York Applebee's

Health officials now say more than 100 people reported getting sick after eating at an Applebee's restaurant in suburban Syracuse.

The Onondaga County Health Department says it has confirmed seven cases of Shigellosis among people who ate at the Applebee's in Camillus in early March. Shigellosis is a bacterial infection associated with consuming water or food contaminated with fecal matter.

Investigators are focusing on citrus — either lemons or limes — used in food or in drinks, but they haven't identified the source of the bacteria - hint - it is a fecal bacteria.

Health officials say they've advised 52 people to get tested. It will be several days before the results are available.

China Court Accepts First Civil Milk Scandal Lawsuit

For the last two years I have had the honor of speaking in China on food safety and civil litigation - the ability for all consumers to stand up to corporations who poison them and their children.  I will be back again this year in September.

Now a Chinese court has officially accepted the first lawsuit seeking compensation for last year's tainted milk scandal, state media said Wednesday, opening up the possibility of a flood of court actions. A district court in the northern city of Shijiazhuang decided on Wednesday that it would hear the suit filed against the Sanlu Group, the dairy firm at the centre of the poisoned milk controversy.

The lawsuit was filed by an unnamed parent of a child who was sickened by the milk. At least six infants died and nearly 300,000 were made sick last year by milk powder contaminated by the industrial chemical melamine, which was added to milk supplies to give the appearance of a higher protein content.

Ciguatera Fish Poisoning Causes Painful Sex - So says CDC and FDA

Got your attention?  Food poisoning causes more problems that you thought.  The CDC actually reported this today in MMWR:

Cluster of Ciguatera Fish Poisoning --- North Carolina, 2007

Ciguatera fish poisoning (CFP) is a distinctive type of foodborne disease that results from eating predatory ocean fish contaminated with ciguatoxins. As many as 50,000 cases are reported worldwide annually, and the condition is endemic in tropical and subtropical regions of the Pacific basin, Indian Ocean, and Caribbean. In the United States, 5--70 cases per 10,000 persons are estimated to occur yearly in ciguatera-endemic states and territories (1). CFP can cause gastrointestinal symptoms (nausea, vomiting, abdominal cramps, or diarrhea) within a few hours of eating contaminated fish. Neurologic symptoms, with or without gastrointestinal disturbance, can include fatigue, muscle pain, itching, tingling, and (most characteristically) reversal of hot and cold sensation. This report describes a cluster of nine cases of CFP that occurred in North Carolina in June 2007. Among the nine patients, six experienced reversal of hot and cold sensations, five had neurologic symptoms only, and overall symptoms persisted for more than 6 months in three patients.

Among seven patients who were sexually active, six patients also complained of painful intercourse. This report highlights the potential risks of eating contaminated ocean fish. Local and state health departments can train emergency and urgent care physicians in the recognition of CFP and make them aware that symptoms can persist for months to years.

On June 28, 2007, a woman and her husband (the index couple), both aged 31 years, were treated at a hospital emergency department for illness that developed within 24 hours after eating amberjack fish purchased from a local fish market and cooked at their home. Diagnoses of CFP were based on symptoms of mild diarrhea 4--12 hours after eating fish, followed by reversal of hot and cold sensation, abnormal skin sensations, and other neurologic symptoms within 24 hours. Both patients improved after treatment with intravenous mannitol, a long-standing treatment for CFP neurologic symptoms. Upon notification, investigators from the Food and Drug Protection Division of the North Carolina Department of Agriculture and Consumer Services contacted the fish market that sold the amberjack filets and discovered that seven of eight persons at a local dinner party also had become ill after eating amberjack from the same shipment. The one person who did not become ill was a young child who did not eat any fish.

For the subsequent investigation, a case was defined as illness with gastrointestinal or neurologic symptoms within 72 hours of eating amberjack purchased at the fish market in June 2007. The nine patients whose illnesses met the case definition included three males and six females, aged 31--44 years (median: 37 years). Patients became ill 4--48 hours (median: 12 hours) after eating the fish. Abnormal skin sensations, joint pains, or weakness, shakiness, or fatigue affected seven patients (Table). For three persons, symptoms reappeared or worsened after alcohol consumption. Six of seven sexually active patients (two males and four females) also reported painful intercourse as a symptom. Both males described painful ejaculation with intercourse. One male stated that ejaculation was painful during the course of 1 week; the duration of the second male's genitourinary symptoms was not reported. All four females described having a burning sensation during intercourse and 15 minutes to 3 hours after intercourse. Two females reported that burning sensations associated with intercourse continued for 1 month. Severity of illness could not be related to the amount of amberjack consumed nor to the incubation period.

Symptoms (i.e., abnormal skin sensations, itching, fatigue, or altered heat-cold sensation) lasted at least 1 month in all nine patients, but cleared within 6 months in six of the patients (Table). Abnormal skin sensations persisted for 6--12 months in one of the nine patients; 1 year after onset of their CFP illnesses, two of the nine patients were still experiencing occasional symptoms of abnormal skin sensations, and one of those two was easily fatigued.

Samples of cooked amberjack were sent to the Food and Drug Administration (FDA) Gulf Coast Seafood Laboratory in Dauphin Island, Alabama, for ciguatoxin analysis. Acetone extracts of fish tissue were analyzed for ciguatera-related toxins using the sodium channel-specific mouse neuroblastoma assay with Caribbean ciguatoxin-1 (C-CTX-1) as a standard (2). A level of 0.6 ng C-CTX-1 equivalents per gram (0.6 ppb) of fish flesh was found in both fish samples, and C-CTX-1 was confirmed by liquid chromatography/mass spectrometry.

The first female patient had become symptomatic within 24 hours of eating the fish. She proactively collected, stored frozen, and submitted four breast milk samples for testing at the FDA laboratory because she was breastfeeding her infant and, upon researching CFP on the Internet and speaking with a Florida physician who had treated cases of CFP, had learned that breast milk might be a transmission vehicle. Against medical advice, she continued to breastfeed, but her infant, aged 8 months, exhibited no observable adverse effects. She collected one of the breast milk samples previous to eating the amberjack and the other samples at 1, 2, and 5 days after eating the fish. No activity of C-CTX-1 was reported by the FDA laboratory in any of the breast milk samples.

Traceback of the fish responsible for this cluster of CFP cases revealed that the fish was shipped to the local fish market via a seafood distributor in Atlanta, Georgia. The amberjack had been caught off the Islamorada Hump in the Florida Keys.

The Georgia Nut Company (from Illinois) Issues Voluntary Recall of Certain Snack Products Containing Shelled Pistachio Nuts Because of Salmonella Risk

The FDA announced today that the Georgia Nut Company is recalling certain bulk wholesale and retail products containing shelled pistachio nuts that have the potential to be contaminated with the Salmonella organism. The Company said it identified the potential as a result of a rigorous sampling and testing regimen it conducted with respect to shelled pistachios provided by a third-party supplier.

Salmonella can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis.

The voluntary recall includes the following products:

* Bulk Deluxe Mixed Nuts with shelled pistachios purchased at the Not Just Nuts store in Wauwatosa, WI from Dec. 5, 2008 through March 24, 2009;
* Bulk or custom packaged Deluxe Mixed Nuts with shelled pistachios purchased at Georgia Nut retail stores in Skokie and Glenview, IL, Georgia Nut’s Chocolate House location in Greenfield, WI, and through the Company’s website from Dec 11, 2008 through March 23, 2009;
* Bulk or custom packaged Dry Roasted Shelled Pistachios purchased at Georgia Nut retail stores in Skokie and Glenview, IL, Georgia Nut’s Chocolate House location in Greenfield, WI, and through the Company’s website from Dec 3, 2008 through March 23, 2009;
* Mixed Nuts Deluxe Roasted and Salted Bulk with shelled pistachios purchased from clear plastic bulk bins in the produce department at Dominick’s Finer Foods stores in the greater Chicagoland area from Dec. 10, 2008 through March 25, 2009.

Seven Shigella Cases Reported at Camillus Applebee's - 9,000 Exposed

The Onondaga County Health Department has confirmed seven cases of food-borne illness in people who recently ate at the Applebee’s in Camillus.  County Health Commissioner Dr. Cynthia Morrow says all seven people had contracted Shigellosis. The Shigella bacteria, Morrow says, is associated with consuming water or food contaminated with fecal matter.

Those who are confirmed ill ate at the restaurant on either Saturday, March 7th or Sunday, March 8th, but the overall window that the Health Department is looking at is between Sunday, March 1st and Friday, March 20th.  Up to 9,000 people may have been exposed to the bacteria.  The health department waited until Tuesday to announce the illnesses because it had sent stool samples to the lab, and had just gotten the results back.

Hartford Health Officials Investigate E. Coli Cases Among Aetna Employees

Hartford City health department officials are interviewing cafeteria workers at Aetna's downtown Hartford office, where five employees have been stricken with E. coli in the last three to four weeks.  The source of the outbreak has yet to be determined, and the cafeteria remains open, company spokesman Fred Laberge said today.  The most recent case occurred about a week ago, when an employee went to the company's wellness center complaining of feeling ill. He was taken to an emergency room and admitted to hospital but has since been released, Laberge said. The other employees did not require hospitalization.

The Perils of Ignoring History: Big Tobacco Played Dirty and Millions Died. How Similar Is Big Food?

An interesting read by Kelly D. Brownell and Kenneth E. Warner - Yale University; University of Michigan

In 1954 the tobacco industry paid to publish the “Frank Statement to Cigarette Smokers” in hundreds of U.S. newspapers. It stated that the public’s health was the industry’s concern above all others and promised a variety of good-faith changes. What followed were decades of deceit and actions that cost millions of lives. In the hope that the food history will be written differently, this article both highlights important lessons that can be learned from the tobacco experience and recommend actions for the food industry.

A review and analysis of empirical and historical evidence pertaining to tobacco and food industry practices, messages, and strategies to influence public opinion, legislation and regulation, litigation, and the conduct of science.

The tobacco industry had a playbook, a script, that emphasized personal responsibility, paying scientists who delivered research that instilled doubt, criticizing the “junk” science that found harms associated with smoking, making self-regulatory pledges, lobbying with massive resources to stifle government action, introducing “safer” products, and simultaneously manipulating and denying both the addictive nature of their products and their marketing to children. The script of the food industry is both similar to and different from the tobacco industry script.

Food is obviously different from tobacco, and the food industry differs from tobacco companies in important ways, but there also are significant similarities in the actions that these industries have taken in response to concern that their products cause harm. Because obesity is now a major global problem, the world cannot afford a repeat of the tobacco history, in which industry talks about the moral high ground but does not occupy it.

Salmonella-tainted den Dulk Poultry Farms eggs recalled from Costco, Safeway and Pack n' Save stores throughout Northern California, the Central Valley and western Nevada

The eggs were sold at Costco stores as Kirkland Organic Brown Eggs in 18-count cartons with the following expiration and plant codes: April 1 062, 35 P1776 and April 8 069, 35 P1776.

They were sold at Safeway and Pack n' Save stores as O Organic Grade A Large Brown Eggs in 12-count cartons with the following expiration and plant codes: April 1 062, 35 P1776.

Customers who bought the eggs are urged to return them to the store where they were purchased.

SunSprout Enterprises' Salmonella Sprouts Now Linked to 121 Illnesses in Nebraska, Kansas, South Dakota and Iowa

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

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

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

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

84 Salmonella Cases in Nebraska Linked to CW Sprouts

The number of salmonella cases in eastern Nebraska initially detected last week has increased, according to the Nebraska Department of Health and Human Services.  So far, there are 84 lab-confirmed cases, with 13 considered probable.  The outbreak preliminarily has been linked to a source - alfalfa sprouts from a local grower, CW Sprouts from Omaha.

Judge Rules US Almonds Must be Pasteurized

I talked to San Francisco Chronicle reporter George Raine (who has been covering food business litigation since at least the Odwalla E. coli outbreak in 1996 when I first met him), about the perceived “setback for organic almond growers and handlers in California's Central Valley, [when] a federal judge this week dismissed a lawsuit protesting the requirement that almonds sold on the domestic market be pasteurized.”

As I said:

Bill Marler, a Seattle lawyer who for 15 years has represented plaintiffs in major food safety cases, including the 2004 salmonella cases that were traced to almonds, said Thursday that pasteurization is necessary.

"I can understand from dealing with the raw juice and raw milk and raw food people that they are very adamant that their products are better than pasteurized products. But in this instance, the evidence is very clear that this is the type of product that needs to be pasteurized," he said.

Nebraska lists 45 ill, Iowa 21, South Dakota 5 and Kansas 5 - SunSprout Enterprises, Inc. Recalls Salmonella St. Paul Alfalfa Sprouts, Onion Sprouts, and Gourmet Sprouts Because of Health Risk

FDA PRESS RELEASE

SunSprout Enterprises, Inc., Omaha, Nebraska, is initiating a voluntary recall of Alfalfa Sprouts, Onion Sprouts, and Gourmet Sprouts based on communications it has had with Nebraska State officials regarding several cases of Salmonella St. Paul reported in Nebraska and Iowa.  The sprouts were distributed to food distributors located in Iowa and Nebraska who further sell the product to restaurants and retail stores. Distribution was also made directly to one retail store in Nebraska.

The sprouts are sold refrigerated under the SunSprouts label in 4-oz. clear plastic clamshell containers that have the following “Best If Sold By” dates in the upper right-hand corner on each container, which may be expressed in two different styles: 30209 or MAR 02 2009, 30409 or MAR 04 2009, 30709 or MAR 07 2009, 30909 or MAR 09 2009, 31109 or MAR 11 2009, and 31409 or MAR 14 2009. The lot numbers, which are printed only on the shipping case, include: 3102, 3202, 3302, 4102, 4202, and 4302.

The bar code for the retail packages of Alfalfa Sprouts is 815098001088; the bar code for the Onion Sprouts is 815098002054; and the bar code for the Gourmet Sprouts is 817180000153. The Alfalfa Sprouts are also packaged in bulk 2.5-lb. and 5-lb. cases for use in restaurants. The Onion Sprouts and Gourmet Sprouts are not packaged in bulk form.

Salmonella Sprouts Sicken Fifty in Iowa, Kansas, Nebraska, Missouri, and South Dakota Linked to SunSprout Enterprises, Inc, of Omaha

About 50 cases from Iowa, Kansas, Nebraska, Missouri, and South Dakota have been linked to the outbreak, according to a recent press release from the South Dakota Department of Health.  Nebraska has identified 15 ill.  South Dakota has identified five cases from five of its southeastern counties and that more cases were pending. Iowa's Department of Public Health (IDPH) said in a March 6 statement that it had confirmed 18 cases, along with two probable ones. On the same day, the Kansas Department of Health and Environment (KDHE) said it had identified five cases linked to the outbreak, along with one other pending case.

An epidemiological investigation has linked the Nebraska illnesses to sprouts. On March 3, SunSprout Enterprises, Inc, based in Omaha, voluntarily recalled its alfalfa, onion, and gourmet sprouts with "best if sold by" dates from Mar 2 to 14. The sprouts were mainly sold to food distributors who sent the products to restaurants and retail stores. The alfalfa sprouts were also packaged in 2.5- and 5-pound bulk cases for restaurants.

Where to find Salmonella-Free Peanut Butter?

Well, according to my friends in Louisiana, it is at your local Target.

2005 "Best Restaurant in the World" Poisons 400

Some 400 people have fallen ill after eating at world-renowned restaurant The Fat Duck, which was temporarily closed last month due to a food poisoning scare, officials said on Friday.  The Health Protection Agency (HPA) said the number of cases reported at top chef Heston Blumenthal's eatery had grown after media coverage of the outbreak. Some have reported having fallen ill as early as late January.  When the problem initially surfaced at the end of February, it was reported that between 30 and 40 people had complained of illness, including diarrhea and vomiting, over a two to three week period.  Likely cause - Norovirus.

"I paid £350 for a plate of his food. Well I've been on the shitter for the best half of a week and my projectile vomiting antics resemble something from Linda Blair's repertoire. I want a refund!" a furious customer said.

Sometimes, you do not get what you pay for.  When I am in England in May, I'll pop in.

Unpasteurized Raw Cheese Contaminated with Listeria Suspected in Baby Deaths in Washington

According to the Spokane Newspaper, Washington State health investigators are still attempting to solve several cases of food-borne infections that have caused several pregnant women to lose their babies since January. They suspect the women in Yakima, Klickitat and King counties ate unpasteurized cheese that was contaminated with listeria bacteria. Listeria is often found in soft cheeses such as Mexican-style queso fresco and queso Blanco, along with feta, brie, camembert, Roquefort and bleu. The Yakima Public Health Department reported last week that early laboratory results indicated that the listeria infections came from a common source.

Pregnant women and their newborns are 20 times more likely than other healthy adults to be infected. People with suppressed immune systems are also at risk of becoming seriously ill from listeria, which can result in bloodstream infections or meningitis. They should avoid foods such as raw milk and deli foods such as sandwich meats, salads and vegetables.

We represented a young couple who lost their baby due to unknowingly consuming unpasteurized cheese while in Canada a few years ago, See, "Woman who lost her baby to sue over bad cheese."  There have been other reported cases in the past - See, "Outbreak of Listeriosis among Mexican Immigrants as a Result of Consumption of Illicitly Produced Mexican-Style Cheese."  Washington State University has done some good work on trying to prevent these losses - See, "The Abuela Project: A Community Based Food Safety Intervention involving Queso Fresco, a Raw-Milk Cheese."

Salmonella Outbreak in Nebraska Source Identified - CW Sprouts from Omaha

Salmonella Outbreak in Nebraska Source Identified

Lincoln—The number of salmonella cases in eastern Nebraska initially detected last week has increased, according to the Nebraska Department of Health and Human Services.

So far, there are approximately 14 lab-confirmed cases, with 4 considered probable ones and an additional 8 to 10 suspect cases indentified on the basis of reported symptoms.

The outbreak preliminarily has been linked to a source—alfalfa sprouts from a local grower, CW Sprouts from Omaha.

Last week and over the weekend, public health workers have been interviewing individuals involved in the outbreak, as well as people in a control group that helps interviewers determine the food source. The interviews led epidemiologists to conclude that sprouts were reported in a high number of food histories of ill people, thus there was a strong association with sprouts.

CW Sprouts has been very cooperative and is acting with an abundance of caution to voluntarily recall their sprouts.

The FDA and CDC are involved. FDA is doing an investigation at the company to determine conditions that may have lead to the contamination as well as determine distribution of the product.

21 kids contract E. coli at Chicago area Day Care

According to the Southtown Star Daily, twenty-one children and one adult have contracted E. coli at a Lemont day care in an outbreak that began earlier this month. The Cook County Health Department has mandated all children and adults at the KinderCare Learning Center, 12404 Archer Ave., be tested for the bacteria. Three children associated with the outbreak - linked to a lack of handwashing - were hospitalized but have since been treated and released. KinderCare has stepped up its efforts to sanitize the center, including adding enhanced cleaning, additional staff to monitor handwashing, and hiring a certified nurse.

Day care E. coli outbreaks are sadly not new.  We represented a young child sickened at a California KinderCare, a child in Texas and several children in Missouri.

Cysticercosis - Pork Tapeworm

Cysticercosis (SIS-tuh-sir-KO-sis) is a potentially serious disease of humans caused when people ingest the eggs of a tapeworm that lives in the intestines of other humans. This tapeworm, Taenia solium, is sometimes called the “pork tapeworm” because people get this type of tapeworm from eating undercooked pork. If a pig swallows the eggs of the tapeworm (passed in human feces), the pig doesn’t develop a tapeworm in its intestines. Instead, it develops microscopic capsules (called cysts) in its muscles that contain larval tapeworms. These cysts don’t make the pig sick, but people who eat raw or undercooked pork products containing these cysts develop the tapeworm and begin passing eggs in their stools as well.

Taeniasis (TEE-nahy-uh-sis) is the presence of one or more tapeworms in the intestines. People get this tapeworm by eating cysts in undercooked pork. Most people who have the tapeworm in their intestines won’t have any symptoms, but in some cases (especially if they have many tapeworms) they may develop nausea, diarrhea, abdominal pain, fever, or constipation. A tapeworm can live in an infected person’s intestines and continue to produce eggs for 25 years! The tapeworms begin shedding eggs five to twelve weeks after the tapeworm cyst was ingested in undercooked pork. People carrying living tapeworms in their intestines will shed tapeworm eggs every day in their stool; each tapeworm can produce 250,000 eggs per day. These eggs can infect other people or pigs as soon as they are shed in the stool. The eggs they shed can survive a few weeks or months in the environment. People carrying tapeworms can be diagnosed by having their stools examined in a laboratory to look for tapeworm eggs. Infected people can be treated with medication to kill the tapeworms. The stools should be examined frequently for several months to be sure all of the tapeworms have been killed.

Continue Reading...

E. coli O157:H7 outbreak in Colorado, Tied to Stock Show

At least 20 people have been infected with E. coli O157:H7 in Colorado, and that number is expected to grow. The illnesses have been linked to the National Western Stock Show, held in Denver in January. 16 of the 20 sickened attended the show, and investigators are trying to determine the infection vehicle - food, water, or animals. Health Department officials are doing a lot of outreach to make sure that anyone who exhibits symptoms of E. coli infection - abdominal pain and cramps and diarrhea that turns bloody - seek medical attention immediately. E. coli infection can lead to severe illness in the very young, and can be passed to others in the household.

For more information E. coli and animal contact, see www.fair-safety.com.

What Did The Georgia State Department of Agriculture Do at Peanut Corporation of America from 2006 to 2008?

Interesting reading - just click to download.

Three Families Spared Another Salmonella Peanut Butter Death - Ohio Reports 1 Not 4 Deaths

There was a bit of confusion over the weekend about whether there were one or four deaths in Ohio from eating Salmonella-tainted Peanut Butter.  At this point, we will assume that it is one per the Ohio Department of Health Press Release.  Good news is that it downgrades the death count from 11 to eight.  Good news for three families.

UPDATE - Does Peanut Corporation of America supply Peanut Butter for Dog Biscuits?

Email I just received:

So this may just be coincidental, but I have had a very sick dog for the last few days and the only real difference in her diet has been the new peanut butter dog biscuits I purchased a little over a week ago. Where do the pet food industries get thier peanut butter from?

Any thoughts? 

Just got this email:

PCA did recall:

561000 35 lb Pet Food Paste
561000 475 lb Feed Grade Peanut Butter

FDA Confirms Salmonella in Previously-Recalled Kellogg Sandwich Cracker Product

As part of the “press release a minute,” Kellogg announces that FDA tests reveal that some of its cracker products are contaminated.

Products impacted by the previously-announced Kellogg Company recall were produced on or after July 1, 2008, including:

Austin(R) Quality Foods Cheese Crackers with Peanut Butter - all sizes

Austin(R) Quality Foods Cheese & Peanut Butter Sandwich Crackers - all sizes

Austin(R) Quality Foods Mega Stuffed Cheese Crackers with Peanut Butter - all sizes

Austin(R) Quality Foods PB & J Cracker Sandwiches - all sizes

Austin(R) Quality Foods Super Snack Pack Sandwich Crackers

Austin(R) Quality Foods Chocolate Peanut Butter Sandwich Crackers - all sizes

Austin(R) Quality Foods Toasty Crackers with Peanut Butter - all sizes

Austin(R) Quality Foods Reduced Fat Cheese & Peanut Butter Sandwich Crackers

Austin(R) Quality Foods Reduced Fat Toasty Crackers with Peanut Butter Sandwich Crackers

Austin(R) Quality Foods Cookie/Cracker Pack Austin(R)

Quality Foods Variety Pack Keebler(R) Cheese & Peanut Butter Sandwich Crackers - all sizes

Keebler(R) Toast & PB'n J Flavored Sandwich Crackers - all sizes

Keebler(R) Toast & Peanut Butter Sandwich Crackers - all sizes

Famous Amos(R) Peanut Butter Cookies (2- and 3-ounce)

Keebler(R) Soft Batch Homestyle Peanut Butter Cookies (2.5-ounce)

Peanut Corporation of America Expands Nationwide Recall of Peanut Butter - Again - After Salmonella Found in Blakely, Georgia Plant

As I said on King TV last night:

"This outbreak has been going on since Labor Day," said Seattle attorney Bill Marler. "We're finally figuring it out on Inauguration Day. To me, I find that appalling.”

From a Company Press Release on FDA Website:

Peanut Corporation of America (PCA) is expanding the recall of peanut butter and peanut paste made at its Blakely, Georgia facility because the products have the potential to be contaminated with Salmonella. The potential for contamination was noted after a small number of samples from unopened containers and environmental samples from the Blakely, Georgia facility tested positive for Salmonella.

The recalled peanut butter and peanut paste were distributed to institutions, food service industries, and private label food companies in 24 states, the province of Saskatchewan in Canada, Korea and Haiti for further processing. The U.S. states are the following: Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Maryland, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah and Virginia. In addition, affected product was used as an ingredient in other products that may have been distributed in other states.

The recalled peanut butter in the expanded recall is sold by PCA in bulk packaging in containers ranging in size from five to 1,700 pounds. The peanut paste is sold in sizes ranging from 35-pound containers to tanker containers. The lot numbers for all recalled products are at the end of this news release. All of the peanut butter and peanut paste in the expanded recall was made on or after July 1, 2008, and only at the Georgia facility.

A Full list of all recalled product can be found here – Link.

Recall List Expanding - The Press Releases are Flying - Are the Products Leaving the Shelves?

More products with Peanut Butter in them are being recalled.  Frankly, it is hard to keep up on the company press releases - The FDA is sure "doing a heck of a job" of keeping them in one place - see Link.  efoodalert is doing an even better job at keeping up (full time job) - see Link.

* Clif Bar & Company Announces Voluntary Nationwide Recall of CLIF® and LUNA® Branded Bars Containing Peanut Butter Due to Possible Health Risk (January 19)

* Kroger Recalls Select Ice Cream Products Due to Possible Health Risk (January 19)

* Abbott Nutrition Announces Voluntary Recall of ZonePerfect® Chocolate Peanut Butter Bars, ZonePerfect® Peanut Toffee Bars and NutriPals™ Peanut Butter Chocolate Bars in U.S., Mexico, New Zealand and Singapore (January 19)

* Meijer Announces Voluntary Recall for Some Meijer Brand Peanut Butter Crackers and Ice Cream Because of Possible Health Risk (January 19)

* Peanut Corporation of America Expands Nationwide Recall of Peanut Butter (January 18)

* Ralcorp Frozen Bakery Products, Inc. recalls Food Lion Bake Shop brand PEANUT BUTTER COOKIES (January 18)

* South Bend Chocolate Company Recalls Various Candys Containing Peanut Butter Because of Possible Salmonella Contamination (January 18)

* Ralcorp Frozen Bakery Products Recalls Food Lion Bake Shop Peanut Butter Cookies Nationwide Because of Possible Health Risk (January 18)

* McKee Foods Corporation Announces Voluntary Nationwide Recall of Little Debbie® Peanut Butter Toasty and Peanut Butter Cheese Sandwich Crackers Because of Possible Health Risk (January 18)

* Perry's Ice Cream Company Announces Voluntary Recall of Select Peanut Butter Ice Cream Products Due to Possible Health Risk (January 17)

* Hy-Vee Inc. Recalls Bakery Products With Peanut Butter Distributed in Seven States Due to Possible Health Risk (January 17)

* Peanut Corporation of America Expands Nationwide Recall of Peanut Butter (January 16)

* Kellogg Company Announces Voluntary Nationwide Recall of Austin® and Keebler® Branded Peanut Butter Sandwich Crackers and Select Snack-Size Packs of Famous Amos® And Keebler® Soft Batch Peanut Butter Cookies Because of Possible Health Risk (January 16)

* Peanut Corporation of America Announces Voluntary Nationwide Recall of Peanut Butter (January 13)

* King Nut Issues Peanut Butter Recall (January 10)

Now, let's get them off the shelves.

When is a Recall not a Recall? When you still can buy it!

On January 16 Kellogg Company Announced  the Voluntary Nationwide Recall of Austin® and Keebler® Branded Peanut Butter Sandwich Crackers and Select Snack-Size Packs of Famous Amos® And Keebler® Soft Batch Peanut Butter Cookies Because of Possible Health Risk.  Guess what I bought all of at the gas station today?

Based on available information, CDC and FDA recommendations include:

For Consumers

* Do not eat products that have been recalled and throw them away in a manner that prevents others from eating them.

* Postpone eating other peanut butter containing products (such as cookies, crackers, cereal, candy and ice cream) until information becomes available about whether that product may be affected.

* Persons who think they may have become ill from eating peanut butter are advised to consult their health care providers.

For Retailers

* Stop selling recalled products (unless Marler is buying them).

For Directors of Institutions and Food Service Establishments

* Ensure that they are not serving recalled products.

For Manufacturers

* Inform consumers about whether their products could contain peanut butter or peanut paste from Peanut Corporation of America (PCA).  If a manufacturer knows their products do not contain peanut paste from PCA, they should inform consumers of that.

To date, no association has been found with major national brand name jars of peanut butter sold in grocery stores.

Update - Again - on the Salmonella Peanut Butter Crash of 2009 - Product Not to Eat and Recalled

Yesterday, "[t]he FDA urged consumers on Saturday to avoid eating peanut butter and products that contain it until they can determine the scope of an outbreak of Salmonella food poisoning that may have contributed to six deaths."  Also, on the FDA website it lists products that have been recalled by companies:

* South Bend Chocolate Company Recalls Various Candys Containing Peanut Butter Because of Possible Salmonella Contamination (January 18)

* Ralcorp Frozen Bakery Products Recalls Food Lion Bake Shop Peanut Butter Cookies Nationwide Because of Possible Health Risk (January 18)

* McKee Foods Corporation Announces Voluntary Nationwide Recall of Little Debbie® Peanut Butter Toasty and Peanut Butter Cheese Sandwich Crackers Because of Possible Health Risk (January 18)

* Perry's Ice Cream Company Announces Voluntary Recall of Select Peanut Butter Ice Cream Products Due to Possible Health Risk (January 17)

* Hy-Vee Inc. Recalls Bakery Products With Peanut Butter Distributed in Seven States Due to Possible Health Risk (January 17)

* Peanut Corporation of America Expands Nationwide Recall of Peanut Butter (January 16)

* Kellogg Company Announces Voluntary Nationwide Recall of Austin® and Keebler® Branded Peanut Butter Sandwich Crackers and Select Snack-Size Packs of Famous Amos® And Keebler® Soft Batch Peanut Butter Cookies Because of Possible Health Risk (January 16)

* Peanut Corporation of America Announces Voluntary Nationwide Recall of Peanut Butter (January 13)

* King Nut Issues Peanut Butter Recall (January 10)

My suggestion is to not eat ANY peanut butter products or products that contain peanut butter until things become a bit clearer.

The Great Salmonella Peanut Butter Crash of 2009

I sent off a press release this morning asking for the FDA to do its job and recall peanut butter likely implicated in this recent Salmonella outbreak, and then I leave Minneapolis for the short flight to Seattle.  So, guess what happens when I am in the air - The FDA does its job.  When I landed I got this email"

"The FDA urged consumers on Saturday to avoid eating peanut butter and products that contain it until they can determine the scope of an outbreak of Salmonella food poisoning that may have contributed to six deaths."

"We urge consumers to postpone eating any products that may contain peanut butter until additional information becomes available," Dr. Stephen Sundlof of the Food and Drug Administration's Center for Food Safety said in a teleconference with reporters.

"As of now, there is no indication that "major national name brand jars of peanut butter sold in retail stores are linked" to bulk supplies of peanut butter and peanut paste recalled for fear of possible contamination, the FDA said in a follow-up statement.

On the plane I was reading "The Great Crash" (not great reading on a plane perhaps) by John Kenneth Galbraith about the stock crash of 1929, and noticed that the nuts I was about to eat where from King Nut, presumably sourced from Peanut Corporation of America.  I must admit, I ate them.  Now I wait.

An infectious dose of Salmonella is small, probably from 15 to 20 cells.  The incubation period – the time between ingestion of Salmonella bacteria and the onset of illness – varies from six to 72 hours (Mayo Clinic, 2007, April 12; MMWR Recomm Rep, 2001).

As I said to AP before I left - I am glad the FDA stepped up during the flight:

Seattle-area lawyer William Marler, who specializes in food safety cases, said the government shouldn't wait for the results of more tests to request recalls.

"At least 30 companies purchased peanut butter or paste from a facility with a documented link to a nationwide salmonella outbreak," said Marler. "The FDA has the authority actually, the mandate to request recalls if the public health is threatened. Instead, the FDA has asked the companies to test their products and consider voluntary recalls. It is just not enough."

See local ABC TV Coverge.

Kellogg's, Being Responsible, Recalls Salmonella Peanut Butter Products - It is Time for the FDA to Recall All Products that " present a risk of illness."

Kellogg is recalling 16 products including crackers and other products in light of the problems in Georgia. The recall includes Austin and Keebler branded Peanut Butter Sandwich Crackers, as well as some snack-size packs of Famous Amos Peanut Butter Cookies and Keebler Soft Batch Homestyle Peanut Butter Cookies.

The FDA, and the states of Minnesota, Georgia and Connecticut, confirmed Salmonella contamination in peanut butter manufactured at the Peanut Corporation of America (PCA) facility that ships peanut products to 85 other food companies, including Kellogg.

So, why no recall of these other products? Don’t you think it makes sense to recall all products that may have PCA product that may well have been produced during the time likely to be contributing to the illness and deaths?

FDA, it is time to step up. You have the authority to recall – use it.

TITLE 21--FOOD AND DRUGS
CHAPTER I--FOOD AND DRUG ADMINISTRATION
DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER A--GENERAL

PART 7 -- ENFORCEMENT POLICY

Subpart C--Recalls (Including Product Corrections)--Guidance on Policy, Procedures, and Industry Responsibilities

Sec. 7.45 Food and Drug Administration-requested recall.

(a) The Commissioner of food and Drugs or designee may request a firm to initiate a recall when the following determinations have been made:

(1) That a product that has been distributed presents a risk of illness or injury or gross consumer deception.

(2) That the firm has not initiated a recall of the product.

(3) That an agency action is necessary to protect the public health and welfare.

Georgia Found Salmonella in Peanut Butter and Connecticut Too - which Lab was First Smack-down.

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

“This is the first unopened tub (Georgia may disagree) of King Nut peanut butter found in the country that is definitively identified as being tainted with salmonella,” Farrell said. “My office just received the results from the Connecticut Department of Public Health Laboratory confirming the presence of Salmonella Type B in an unopened tub. This provides further evidence that some lots of King Nut brand peanut butter delivered to food service accounts are responsible for a recent outbreak of salmonella infections in consumers.”

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

Georgia Lab Test Confirm Salmonella Contamination in an "UNOPENED" Tub of Peanut Butter

Laboratory tests by the Georgia Department of Agriculture have confirmed Salmonella contamination in some peanut butter manufactured by the Peanut Corporation of America (PCA) processing facility in Blakely, Georgia.

We have confirmation for Salmonella,” said Georgia Commissioner of Agriculture Tommy Irvin. “The sample that tested positive came from an unopened five-pound tub of King Nut Creamy Peanut Butter with “Best Before 1/07/10” collected at the plant by one of our inspectors.”

Further testing will be required to determine if this is the type of Salmonella linked to illnesses across the country.

30 to 85 Companies that Bought Peanut Butter or Peanut Paste Tainted with Salmonella have been urged by FDA to Halt Sales

According to the AP, the FDA is expanding its investigation of peanut products in a Salmonella outbreak that has sickened hundreds and killed at least six.  In addition, the FDA is notifying 30 to 85 companies that bought peanut butter or peanut paste from a Georgia facility to test their products and asked to consider halting sales.  No names listed on FDA website.

Another Peanut Butter Death - The Toll Now reaches six - Idaho, Minnesota, Virginia and North Carolina

Today, the CDC reported 453 persons (454 if you count the Canadian) infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states. The number of ill persons identified in each state is as follows: Alabama (1), Arizona (9), Arkansas (4), California (60), Colorado (10), Connecticut (8), Georgia (6), Hawaii (1), Idaho (10), Illinois (5), Indiana (3), Iowa (1), Kansas (2), Kentucky (3), Maine (4), Maryland (7), Massachusetts (40), Michigan (25), Minnesota (33), Missouri (8), Mississippi (1), Nebraska (1), New Hampshire (11), New Jersey (18), New York (18), Nevada (5), North Carolina (4), North Dakota (10), Ohio (57), Oklahoma (2), Oregon (5), Pennsylvania (13), Rhode Island (4), South Dakota (2), Tennessee (8), Texas (6), Utah (4), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Among the 437 persons with dates available, illnesses began between September 08 and December 31, 2008. Patients range in age from <1 to 98 years; 47% are female. Among persons with available information, 23% reported being hospitalized. Infection may have contributed to five deaths.

Now North Carolina reports another death.  And, still there is silence from CDC, FDA, King Nut and Peanut Corporation of America on my To Do List?

1. Make sure ALL product is promptly recalled;


2. Do not destroy any documents;


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


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


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


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


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


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


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

How many more illnesses or deaths?  This reminds me of Hanlon's razor which reads:

"Never attribute to malice that which can be adequately explained by stupidity."

Lab Tests Show Salmonella Likely at Peanut Corporation of America

According to AP, as they say, the knoose tightens.

Toll Rising - 448 sickened with Peanut Butter Salmonella Typhimurium - 99 Hospitalized and 5 Deaths

The CDC just reported that the number now is 448 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states. The number of ill persons identified in each state is as follows: Alabama (1), Arizona (8), Arkansas (4), California (60), Colorado (10), Connecticut (8), Georgia (6), Hawaii (1), Idaho (10), Illinois (5), Indiana (3), Iowa (1), Kansas (2), Kentucky (3), Maine (4), Maryland (7), Massachusetts (40), Michigan (25), Minnesota (33), Missouri (8), Mississippi (1), Nebraska (1), New Hampshire (11), New Jersey (18), New York (18), Nevada (5), North Carolina (1), North Dakota (10), Ohio (57), Oklahoma (2), Oregon (5), Pennsylvania (13), Rhode Island (4), South Dakota (2), Tennessee (8), Texas (6), Utah (3), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Among the 432 persons with dates available, illnesses began between September 08 and December 31, 2008. Patients range in age from <1 to 98 years; 48% are female. Among persons with available information, 22% reported being hospitalized. Infection may have contributed to five deaths.

Still no response to my TO DO LIST:

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

The Cracks in Mass-Manufactured Products are Showing - Kellogg Pulls Peanut Butter Snacks - Kudos to Kellogg

A lot of cases of 5 to 50lb tubs of peanut butter travel a long way.  According to Reuters, Kellogg is was removing its Austin and Keebler branded peanut butter snacks from store shelves and put a hold their shipments due to the current Salmonella food poisoning outbreak.  Kellogg said it is taking precautionary measures including putting a hold on any inventory in its control, removing products from retail store shelves, and encouraging customers and consumers to hold and not eat these products until regulatory officials complete their probe.

The products are Toasted Peanut Butter Sandwich Crackers, Peanut Butter and Jelly Sandwich Crackers, Cheese and Peanut Butter Sandwich Crackers, and Peanut Butter-Chocolate Sandwich Crackers.

Kellogg did the right thing.

Five Deaths in Salmonella Peanut Butter Outbreak including Army veteran Clifford Tousignant of Brainerd, Minnesota

People should not die from eating peanut butter.  According to the Brainerd Dispatch and AP, health officials in Idaho and Minnesota are reporting two more deaths associated with a nationwide salmonella outbreak that has sickened more than 425 people in 43 states. That brings the total number of people who had salmonella when they died to five.

So, when is FDA, CDC, King Nut and Peanut Corporation of America going to respond?

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

The families of five dead people are waiting.

Peanut Corporation of American and King Nut Linked to Idaho Salmonella Death

Previously, three deaths in this outbreak had been confined to Minnesota and Virginia along with 425 people sick in 43 states.  Now another dead person is counted in Idaho along with nine other ill ranging in age from 3 to 81, and all illnesses occurred between October and mid-December.

I am pleased that King Nut and Peanut Corporation of America have announced a Recall.  However, they still have much to do on my To Do List:

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

The public is waiting.

Vilsack before the Senate Agriculture Committee - UPDATE - almost live blogging

Well, I get to follow the testimony via the Blackberry's of two folks sitting in the hearing, the live webcast and Phil Brasher's Blog - while sitting at my kitchen counter watching the Sun rise.

Have not heard much on food safety.  I know "Change is on the way."

Somewhere between the shower and the ferry terminal I missed the minute spent on food safety.  Thanks to Phil Brasher for blogging:

Two hours into the hearing, Vilsack finally got a question on food safety - from Minnesota's Amy Klobuchar. She wanted to know what he thought needed to be done to improve the exsting food-safety system, which is splintered among federal agencies.

Vilsack offered nothing concrete. He said “we need to modernize our inspection, surveillance system so it is focused on prevent and mitigation,” and he pledged to work with the federal agencies that have responsible for food safety. USDA is responsible for the safety of meat. FDA is responsible for most all other foods.

My guess is that he reads my blog at night, or the New York Times last Sunday:

Bill Marler, a personal-injury lawyer in Seattle who represents clients in food poisoning cases, says the first thing the Obama administration should do is invest in better surveillance for food-borne illness, like a system that Minnesota uses. “If you are able to figure out food-borne illnesses quicker,” Mr. Marler said, “you are able to prevent people from getting sick and save lives.”

Peanut Corporation of America Announces Voluntary Nationwide Recall of Salmonella Peanut Butter

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

From a Press Release

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

The peanut butter being recalled is sold by PCA in bulk packaging to distributors for institutional and food service industry use. It is also sold under the brand name Parnell's Pride to those same industries. Additionally, it is sold by the King Nut Company under the label King Nut. PCA customers who received the recalled product are being notified by telephone and in writing.

None of the peanut butter being recalled is sold directly to consumers through retail stores.

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

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

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

Stock Numbers Descriptions and Pack Size Affected:

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

So, let's start working on the other TO DO LIST items.

King Nut Can of Peanut Butter Positive for Salmonella Typhimurium

Salmonella Typhimurium in King Nut Peanut Butter Linked to 410 Ill in 43 States - Three Deaths

The CDC reports that 410 persons infected with the outbreak strains of Salmonella Typhimurium have been reported from 43 states. The number of ill persons identified in each state is as follows: Alabama (1), Arizona (8), Arkansas (3), California (55), Colorado (9), Connecticut (6), Georgia (5), Hawaii (1), Idaho (10), Illinois (5), Indiana (4), Iowa (1), Kansas (2), Kentucky (3), Maine (4), Maryland (7), Massachusetts (40), Michigan (20), Minnesota (30), Missouri (8), Mississippi (1), Nebraska (1), New Hampshire (10), New Jersey (13), New York (12), Nevada (6), North Carolina (1), North Dakota (10), Ohio (53), Oklahoma (2), Oregon (5), Pennsylvania (12), Rhode Island (4), South Dakota (2), Tennessee (9), Texas (5), Utah (3), Vermont (4), Virginia (17), Washington (11), West Virginia (2), Wisconsin (3), and Wyoming (2). Among the 388 persons with dates available, illnesses began between September 3 and December 31, 2008, with most illnesses beginning after October 1, 2008. Patients range in age from <1 to 98 years; 48% are female. Among persons with available information, 18% were hospitalized and the infection may have contributed to three deaths.

So, CDC, FDA, King Nut and Peanut Corporation of America, what say you?  How are you doing on my To Do List?

1.     Make sure ALL product is promptly recalled;

2.     Do not destroy any documents;

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

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

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

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

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

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

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

I'll check back in the morning.

Salmonella recovered from King Nut peanut butter by MDA lab found to be a genetic match to cases in national Salmonella outbreak

News Release

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

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

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

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

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

Hey, What is it with Georgia and Salmonella Peanut Butter?

I just noticed that this was my 1,700th blog post - I really need a life.  Also, click on the camera to see "Salmonella, The Movie."

I like rural Georgia, even more so now that Lynchburg, Virginia based Peanut Corporation of America (PCA) said that they actually made the product - 5-pound tubs of peanut butter for "King Nut" and "Parnell's Pride" in its Blakely, Georgia Plant.

According to Mr. Parnell - "I have been making peanut butter for 30 some years and I have never had any issues with salmonella, that's for sure.  I have spent over thirty years building up this business and a reputation."

The peanut butter ended up at institutions like nursing homes and schools. It was not available to the general public.

Now that it's become a very public issue, we will keep an eye on it.

Peanut Corporation of America

From a Self-serving Press Release:

 

January 10th, 2009 -- Peanut Corporation of America (PCA) today expressed its deep concern about the apparent finding of salmonella in a container of one of its products distributed in Minnesota, and its commitment to continue working with U.S. government and independent laboratories on a thorough investigation.

PCA is the manufacturer of the peanut butter distributed by King Nut to institutions in Minnesota. The salmonella was found in an open container of King Nut peanut butter at a nursing facility, which leaves open the possibility of cross contamination from another source. PCA is working with the U.S Food and Drug Administration, the Centers for Disease Control and Prevention, and other agencies to determine whether the current illness outbreak could be at all related to products made in the PCA facility. None of this product is sold at retail or available to the general public.

PCA is cooperating fully with U.S government agencies and independent laboratories in this investigation. To date, the only conclusive testing linking salmonella to PCA’s product was done on an open container of the peanut butter in a large, institutional kitchen. The history of the handling of that open container is unknown at this time.

Neither the Food and Drug Administration nor the Centers for Disease Control and Prevention is prepared at this time to state definitively that PCA’s product is the source of the salmonella incident. This investigation is still in its very earliest stage.