Marler Blog - Providing commentary on food poisoning outbreaks & litigation

Raw milk products produced by Organic Pastures of Fresno County have been released from a statewide quarantine that began May 10. CDFA imposed the quarantine in response to the detection of campylobacter bacteria, and notification from the California Department of Public Health of reported campylobacter food-borne illnesses in persons consuming Organic Pastures raw milk. CDPH also isolated Campylobacter jejuni from six samples of the dairy’s raw cream, one sample of raw butter and four samples of cow manure from the milking herd.

From January through April 30, 2012, the California Department of Public Health (CDPH) reports that at least 10 people with campylobacter infection were identified throughout California and reported consuming Organic Pastures raw milk prior to illness onset. Their median age is 11.5 years, with six under 18. The age range is nine months to 38 years. They are residents of Fresno, Los Angeles, San Diego, San Luis Obispo and Santa Clara counties. None of the patients have been hospitalized, and there have been no deaths.

It is becoming a harder for Organic Pastures to defend raw milk so vehemently after the dairy has now been linked to 4 outbreaks and 6 recalls.

In 2006, three strains of E. coli O157:H7 were cultured from Organic Pastures' heifers' feces.  That same year, the dairy was quarantined after six children became ill with E. coli infections - two with hemolytic uremic syndrome - linked to its raw milk.

In 2007, fifty strains of Campylobacter jejuni plus Campylobacter coli, Campylobacter fetus, Campylobacter hyointetinalis, and Campylobacter lari were cultured from OPDC dairy cow feces after eight people were sickened.  See the state report here. 

In 2007, Listeria monocytogenes was cultured from Organic Pastures Grade A raw cream.

In 2008, Campylobacter was cultured from Organic Pastures Grade A raw cream.

In November 2011, a cluster of five young children with Escherichia coli (E. coli) O157:H7 infection with matching pulse-field gel electrophoresis (PFGE) patterns was identified. All five children reported drinking commercially available raw (unpasteurized) milk from a single dairy (Organic Pastures) and had no other common exposures. The epidemiological findings led to a quarantine and recall of all Organic Pastures products except cheese aged more than 60 days. Environmental samples collected at Organic Pastures yielded E. coli O157:H7 isolates that had PFGE patterns indistinguishable from the patient isolates.  

Dr. Ron Chapman, state public health officer and director of California Department of Public Health (CDPH), today warned people not to eat certain bagged salads manufactured by River Ranch Fresh Foods, LLC because they may be contaminated with Listeria monocytogenes. To date, no illnesses have been reported.

River Ranch Fresh Foods, LLC, of Salinas, California, initiated the voluntary recall of bagged salads after routine sampling detected Listeria monocytogenes in two packages of shredded iceberg lettuce purchased from retail locations in California and Colorado. The recalled salad products were distributed nationwide to retail and foodservice outlets under various sizes and packaged under the brand names of River Ranch, Farm Stand, Hy-Vee, Marketside, Shurfresh, The Farmer’s Market, Cross Valley, Fresh n Easy, Promark, and Sysco.

While the bagged salads identified above are no longer being sold, CDPH is concerned that consumers may still have some of the recalled products in their homes. Consumers in possession of this recalled lettuce should discard it or return it to the store of purchase for a refund.

Symptoms of Listeria infection may include high fever, headache, and neck stiffness. Infants, the elderly, and people with weakened immune systems are at highest risk for severe illness and death. Listeria infection in pregnant women can lead to miscarriage or stillbirth, premature delivery, or infection of the newborn baby.

Last week the S.C. Department of Health and Environmental Control (DHEC) did what public health departments should do – announce to the public that an outbreak – especially an E. coli O157:H7 - is happening. However, the DHEC for whatever reason chose to announce the outbreak and then only name the type of restaurant, and hope the public was too stupid or bored to notice that there were close to a dozen Mexican restaurants in the Spartanburg area.

According to a press release today from the DHEC released (apparently worked on by the restaurant under investigation) the DHEC announced that it “finds no ongoing transmission of disease or current public health threat related to a Spartanburg-area Mexican restaurant.”

The DHEC further announced:

"While it is our policy not to release information during a pending investigation unless it affects the health of the citizens of South Carolina, the El Mexicano on East Main Street in Spartanburg has voluntarily agreed to release its name to the public." DHEC Director Catherine Templeton said. "We’ve found no conclusive link between the restaurant and those who have gotten sick during this outbreak."

Translation: Thank you El Mexicano for jumping in front of the bus. And, although the restaurant is the common denominator to the nearly dozen illnesses – including two children who have developed life threatening hemolytic uremic syndrome – no environmental or food samples tested positive for E. coli O157:H7. However, “[t]he most recent case began experiencing symptoms on May 3 and the restaurant was investigated “on May 11 where the facility scored an “A” rating.” Hmmm, I wonder if the same food was in the restaurant in April that was in the restaurant on May 11, or I wonder if the victims ate the evidence?

My strong suspicion is that DHEC Director Catherine Templeton knows nothing about public health and the good work of epidemiology. My bet is that she also cares a whit about the public’s right to know.

A total of 15 individuals infected with the outbreak strain of Salmonella Infantis have been reported from 9 states. Additionally, one ill person has been reported from Canada.

The number of ill persons identified in each state is as follows: Alabama (1), Connecticut (1), Michigan (1), Missouri (3), North Carolina (3), New Jersey (1), Ohio (2), Pennsylvania (2), and Virginia (1). One new ill person was reported from Pennsylvania.  Additionally, one ill person has been reported from Canada.

Among the 10 patients with available information, 5 (50%) were hospitalized. No deaths have been reported.

Multiple brands of dry dog food produced by Diamond Pet Foods at a single manufacturing facility in South Carolina have been linked to some of the human Salmonella infections.

The Buncombe County North Carolina Department of Health received final test results from the North Carolina Department of Public Health laboratory confirming that the unopened bag of culture that was added to the tempeh tested positive for the matching strain of Salmonella Paratyphi B linked to the current disease outbreak. Rockville Maryland Tempeh Online sold the starter culture to Smiling Hara Tempeh, which made the meat substitute in Candler, North Carolina.

The US Food and Drug Administration is already involved in tracing the origin of the ingredient to identify source of contamination as well as the potential for other Salmonella outbreaks in the US.

As of May 10 the County Department of Health reported 58 cases associated with salmonella outbreak. North Carolina Department of Public Health reports 63 cases, which includes cases in North Carolina, South Carolina, Tennessee and New York.