We are still following the St. Louis Missouri E. coli Outbreak that appears to be linked to Schnuck’s Salad Bar Connection. New numbers from the St. Louis Department of Health as of last week:
Number of Missourians confirmed to have E. coli connected to the St. Louis investigation: 35
Number of food samples, connected to the St. Louis outbreak, tested to date: 55
Number of food samples confirmed to have E. coli: 0
Last week the State of California issued a quarantine order for Organic Pastures Raw Milk Dairy products following a notification from the California Department of Public Health of a cluster of five children who were infected, from August through October, with the same strain of E. coli O157:H7. These children are residents of Contra Costa, Kings, Sacramento, and San Diego counties. Interviews with the families indicate that the only common reported food exposure is raw milk from Organic Pastures dairy.
This quarantine and outbreak is remarkably similar to the one in 2006 involving the same dairy:
Not surprisingly, here’s what the owner of Organic Pastures had to say during his press conference last week (http://www.youtube.com/watch?v=ZVRBWLVcSLs). I transcribed it just in case they take the video down at some point. Here is what I call the spin:
Reporter: Five years ago there was also another recall, right, where there was a settlement.
McAfee: There was.
Reporter: Can you talk about that?
McAfee: That was based on causation not being proved whatsoever. It was based on epidemiological evidence. It never got to court. You have to remember, insurance companies settled this. They don’t want to litigate this. It was settled by insurance companies.
There were 2 children that were sickened in 2006. They did not have matching pathogens. In other words, when they were hospitalized they checked the bacteria that made them sick. They did not match.
Whenever you accuse somebody of making someone sick, they’ve got to have matching pathogens, and they did not. They never found any bad bugs in our milk or in our cows’ manure during that period of time. This was the peak of the spinach incident, that killed 3 people and sickened 200.
So, we were vindicated but we had a settlement release where they actually paid us for the recall and actually settled, saying, “Hey, listen. We can’t find the link. Don’t sue us.”
And from the Sacramento Bee a few days ago talking about the 2006 outbreak:
But Kayleigh Lutz, a spokeswoman for the family-owned dairy, said, “This is not a factual recall. It’s based on hearsay, on what patients have told doctors over an eight-week period.”
Lutz said Organic Pastures was the subject of a similar recall in 2006. After pulling the firm’s raw milk products off store shelves, however, state investigators concluded the cause of the reported illnesses was not unpasteurized milk, but spinach.
Here is what I call the Facts: Had it been spinach – which it was not – why would I have not sued the spinach manufacturer – Dole – again? I had multiple lawsuits against it already! See this from the CDC – there was NO link to spinach:
On September 18, 2006, the California Department of Public Health (CDPH) was notified of two children hospitalized with hemolytic uremic syndrome (HUS). One of the patients had culture-confirmed Escherichia coli O157:H7 infection, and both patients had consumed raw (unpasteurized) cow milk in the week before illness onset. Four additional cases of E. coli O157:H7 infection in children who had consumed raw cow milk or raw cow colostrum produced by the same dairy were identified during the following 3 weeks. In California, intrastate sale of raw milk and raw colostrum is legal and regulated. This report summarizes the investigation of these cases by CDPH, the California Department of Food and Agriculture (CDFA), and four local health departments and subsequent actions to prevent illnesses. As a result of this and other outbreaks, California enacted legislation (AB 1735), which took effect January 1, 2008, setting a limit of 10 coliforms/mL for raw milk sold to consumers. Raw milk in several forms, including colostrum, remains a vehicle of serious enteric infections, even if the sale of raw milk is regulated.
In mid-September 2006, the parent of one of the two children hospitalized with HUS notified CDFA that both children had consumed raw skim milk from dairy A in the days before illness onset. CDFA notified CDPH and the local health departments of the reports. Dairy A, a licensed raw milk dairy, sells raw milk, raw cream, raw butter, raw cheese, raw colostrum, and kefir throughout California at retail stores and nationwide via Internet sales, all under a single brand (brand A).
On September 21, 2006, based on the reports from CDPH, CDFA issued a recall and quarantine order for all raw milk, raw cream, and raw colostrum produced by dairy A. The order was extended on September 22 to include all raw products from dairy A, except for cheeses aged at least 60 days according to California and Food and Drug Administration (FDA) standards. Dairy A also was placed under a separate restriction by CDFA during September 21–29 that prevented it from bottling fluid milk and cream because of persistent high standard plate counts.
For this investigation, a case was defined as illness with an onset date of August 1, 2006, or later in a California resident with 1) culture-confirmed E. coli O157:H7 infection with the outbreak strain or 2) HUS with or without culture confirmation, and exposure to raw milk. Case finding was conducted by notifying all California local health departments and infection-control practitioners and reviewing molecular subtyping results from the CDPH Microbial Diseases Laboratory. The 61 health jurisdictions in California were notified on September 20, 2006, to be alert for cases of E. coli O157:H7 and other Shiga toxin-producing E. coli associated with consumption of rawmilk. They were asked to report immediately to CDPH any enteric illnesses associated with raw milk or colostrum consumption.
Six cases were identified; four persons had culture-confirmed infections, one had a culture-confirmed infection and HUS, and one had HUS only. The median age of patients was 8 years (range: 6–18 years), and four of the patients (67%) were boys. The six cases identified during this investigation were geographically dispersed throughout California. All six patients reported bloody diarrhea; three (50%) were hospitalized. Illness onset occurred during September 6–24, 2006. Isolates from the five patients with culture-confirmed infections had indistinguishable pulsed-field gel electrophoresis (PFGE) patterns. The PFGE pattern was new to the PulseNet (the National Molecular Subtyping Network for Foodborne Disease) database and differed markedly from the pattern of the E. coli O157:H7 strain associated with a concurrent multistate outbreak linked to spinach consumption. Four of the five E. coli O157:H7 isolates were subtyped by multiple-locus variable-number tandem repeat analysis (MLVA) according to a protocol used by CDPH laboratory and were found to have closely related MLVA patterns.
Five of six patients reported they had consumed brand A raw dairy products in the week before their illness onset; the sixth patient denied drinking brand A raw milk, although his family routinely purchased it. Among the five patients who consumed brand A dairy products, two consumed raw whole milk, two consumed raw skim milk, and one consumed raw chocolate-flavored colostrum. Four of the five patients routinely drank raw milk from dairy A. One patient was exposed to brand A dairy product only once; he was served raw chocolate colostrum as a snack when visiting a friend. No other food item was commonly consumed by all six patients.
It will be interesting to watch the spin on the 2011 outbreak.
Read more on Organic Pastures:
(1) Current outbreak — 5 sick children
Raw milk products from a Fresno-based dairy (Organic Pastures) were quarantined Tuesday night after being linked five children who developed E.coli O157:h7 infections, including 3 children who acquired a deadly blood disease (HUS) allegedly from the dairy products:
(2) This raw dairy has been involved in recalls and outbreaks
Organic Pastures products were recalled for pathogens in 2007 and 2008. It was tied to a 2007 outbreak of Campylobacter. Most notably, it wasquarantined in 2006 after 6 children became ill with E. coli infections. This is the state report from 2006:
The state report from the 2006 E. coli outbreak shows clearly that the dairy had very high coliform counts, an indirect measure of fecal contamination. Its “colostrum” products had extremely high levels. From page 6 of the report: “Colostrum and chocolate colostrum had fecal coliform counts ranging from 320,000 to 140,000,000 MPN/g.”
2006: 3 strains of E. coli O157:H7 cultured from OPDC heifer feces
2007: 50 strains of Campylobacter jejuni plus Campylobacter coli, Campylobacter fetus, Campylobacter hyointetinalis, and Campylobacter lari cultured from OPDC dairy cow feces.
2007: Listeria monocytogenes cultured from Organic Pastures Grade A raw cream
2008: Campylobacter cultured from Organic Pastures Grade A raw cream