William D. Marler, Esquire - Speech Before the House of Lords dinner - How one Peanut Company caused $1.5 Billion in Losses

The recall of Salmonella-tainted peanuts and peanut products processed and produced by the Peanut Corporation of America has caused one of the largest food recalls in US history; almost 4000 products made by hundreds of companies have been withdrawn, and the number is still growing. The 700 culture-confirmed cases of Salmonella indicate a much higher number of unreported illnesses – the actual number is probably close to 25,000. At least nine lost their lives. Beyond this terrible human toll, the financial toll on businesses and the American food supply has been staggering.

How did it happen? How did a single peanut processor in rural Georgia cost the American economy over a billion dollars? The two factories run by PCA only processed 2.5% of the annual US peanut crop, but their actions had huge repercussions. The investigations into the actions of the Peanut Corporation of America have revealed that PCA repeatedly retested product until a clean sample was obtained, shipped product that they knew was contaminated, and did not act on recommendations from the FDA to clean up their act.

It’s too easy to point to the company as a “bad actor” - an isolated case. There was a similar widespread outbreak of Salmonella in peanut butter two years earlier, centered not 75 miles from the Georgia plant. Unbelievably, this did not appear to affect how PCA ran its business, or how they were inspected or regulated so it can - and may - happen again.

Let’s start with the human toll, which is what I know best. My firm represents over 100 people who were sickened by the Salmonella and two families who lost a family member to it. One of our clients, Clifford Tousignant, won three purple hearts in the Korean War, but lost his life to peanut butter. Another family’s three-year-old son got sicker and sicker as his pediatrician allowed him his favorite food during his illness - the peanut butter crackers that later turned out to be the source of his infection. Hundreds of families spent time and money in emergency rooms and Intensive care units as their family members struggled with their illnesses. Although no one can put a price tag on human suffering and loss, these claims will probably settle in the range of 30-35 million dollars. That’s serious money, but most of it will be covered by insurance. Those settlements will be, well, peanuts, compared to the other costs surrounding the nationwide recall.

Recalling tainted food is the right thing to do – for legal and ethical reasons as well as basic public relations. But recalls come with astounding costs. One of my good friends in the food-processing industry estimates that the peanut recall will cost well over $500 million. It’s impossible to assign precise numbers, but you can start with the costs of tracking down, retrieving and transporting millions of items, most of which have already found their way onto retail shelves and kitchen cabinets. Kellogg, just one of the companies that recalled products recently, has estimated those costs at $75 million – for just one company.

Then there are the lost sales – not just of the tainted products themselves, but also of related peanut products that may be completely safe. The tomato-Salmonella recall last year resulted in $100 million in lost tomato sales – even though the real culprit proved to be peppers. In 2006, E. coli-tainted spinach cost that industry over $175 million - even though the outbreak was linked to just one fifty-acre farm in California. Peanut sales already have plummeted by more than 25 percent. Demand is down and peanut fields are lying fallow. The peanut industry estimates the loss is over one billion dollars in lost production and sales.

Let’s not forget the costs of advertising and public relations aimed at restoring consumer confidence. We have already seen expensive newspaper ads from peanut butter-makers, reassuring readers that their product is safe. What about the cost of restoring tainted brands?

Those in the chain of distribution are feeling the effects as well. Suppliers may or may not have to reimburse retail stores for lost sales. Large retailers like Wal-Mart include such reimbursement in their contracts; small businesses probably don’t do that, but suppliers may reimburse them anyway. And, then there are the losses to stock prices. One major food processor lost $1 billion in stock value following an E. coli outbreak. Imagine what’s happening to peanut stocks these days.

The Big Guys – the Kelloggs and ConAgras and Jack-in-the-Boxes – can sustain those losses. Not so the smaller retailers. My heart goes out to mom-and-pop businesses like Betsy Sanders of Santa Clara, California whose small business supplies cookies for local Parent Teacher Association and marching band fundraisers, and who now has to reimburse her customers for recalled products that contained peanut butter from PCA.

Is anyone keeping track of the math? Let’s call it $1.5 billion - just because of the actions of one small player in the peanut industry. The likely costs of compensating their sickened customers are a tiny part of that number; virtually none of the rest of that $1.5 billion will be covered by insurance. In an economy already battered by failing banks, lost jobs and scarce credit, people will be driven out of business. And, it was preventable.

As I was preparing this speech, the Food and Drug Administration announced that President Obama’s 2010 proposed budget included an increase of almost 20% for the FDA, including almost $260 million for better food safety. That sounds like big money, but if it can prevent a single billion-dollar recall and prevent citizens from being sickened, it’s a step in the right direction. However, there are a few other things that I would suggest.

First, be honest with the American Public. With 76,000,000 foodborne illness cases yearly, 325,000 hospitalizations and 5,000 deaths, our food supply might be safer than some – but it is not safe enough.

Second, put food safety on the “front burner” and turn up the heat. It is time that we commit to the American Public to get animal feces out of our food. How to do it - Here are my “top ten” ideas to combat this recurring epidemic:

- Improve surveillance of bacterial and viral diseases. First responders - ER physicians and local doctors - need to be encouraged to test for pathogens and report findings directly to local and state health departments and the CDC promptly.
- These same governmental departments, whether local, state or federal, need to learn to “play well together.” Turf battles need to take a back seat to stopping an outbreak and tracking it to its source. That means resources need to be provided and coordination encouraged so illnesses can be promptly stopped and the offending producer - not an entire industry - are brought to heal.
- Require real training and certification of food handlers at restaurants and grocery stores. There also should be incentives for ill employees not to come to work when ill.
- Stiffen license requirements for large farm, retail and wholesale food outlets, so that nobody gets a license until they and their employees have shown they understand the hazards and how to avoid them.
- Increase food inspections. While domestic production has continued to be a problem, imports pose an increasing risk, especially if terrorists were to get into the act. Points of export and entry are a logical place to step up monitoring. We need more inspectors - domestically and abroad - and we need to require that they receive the training in how to identify and control hazards.
- We need to reform federal, state and local agencies to make them more proactive, and less reactive. This too requires financial resources and accountability. We also need to modernize food safety statutes by replacing the existing collection of often conflicting laws and regulation with one uniform food safety law of the highest standard.
- There are too few legal consequences for sickening or killing customers by selling contaminated food in the US. We don’t need to impose the death penalty, as China did recently. But, we should impose stiff fines, and even prison sentences, for violators, and even stiffer penalties for repeat violators.
- We need to use our technology to make food more traceable so that when an outbreak occurs authorities can quickly identify the source and limit the spread of the contamination and stop the disruption to the economy.
- We need to promote university research to develop better technologies to make food safe and for testing foods for contamination.
- We need to provide tax breaks for companies that push food safety research and employee training.
- And, we need to improve consumer understanding of the risks of foodborne illness.

Last year I testified before the US Congress and laid out the above 11 points. I told them the time has come to act and not continue simply to react. Consumers, Farmers, Suppliers, Manufacturers, Retailers, Regulators and Politicians need to work together to make our food supply safe, profitable and sustainable. When a quarter of our population is sickened yearly by contaminated food, when thousands die, we do not have the “safest food supply in the world.” We should, must, and can do better.

CDC Reports Outbreak of Salmonella Serotype Saintpaul Infections Associated with Eating Alfalfa Sprouts

From the MMWR Today - Since February 1, a total of 228 cases have been reported from 13 states: Nebraska (110 cases), Iowa (35), South Dakota (35), Michigan (18), Kansas (eight), Pennsylvania (seven), Minnesota (five), Ohio (three), Illinois (two), West Virginia (two), Florida (one), North Carolina (one), and Utah (one) (Figure 2). Patients range in age from <1 year to 85 years (median: 29 years); 69% are female. Among patients with available information, 4% reported being hospitalized. No deaths have been reported.

On February 24, 2009, the Nebraska Department of Health and Human Services identified six isolates of Salmonella serotype Saintpaul with collection dates from February 7--14. Salmonella Saintpaul is not a commonly detected serotype; during 2008, only three Salmonella Saintpaul isolates were identified in Nebraska. This report summarizes the preliminary results of the investigation of this outbreak, which has identified 228 cases in 13 states and implicated the source as alfalfa sprouts produced at multiple facilities using seeds that likely originated from a common grower. On April 26, the Food and Drug Administration (FDA) and CDC recommended that consumers not eat raw alfalfa sprouts, including sprout blends containing alfalfa sprouts, until further notice. On May 1, FDA alerted sprout growers and retailers that a seed supplier was withdrawing voluntarily from the market all lots of alfalfa seeds with a specific three-digit prefix.

For this investigation, a case was defined as illness in a person whose stool culture on or after February 1, 2009, yielded Salmonella Saintpaul with the outbreak strain pulsed-field gel electrophoresis (PFGE) patterns (XbaI JN6X01.0072, JN6X01.0252, JN6X01.0340, JN6X01.0709, JN6X01.0712, JN6X01.0718, or JN6X01.0719). During January 1, 2008 to January 31, 2009, only four cases of the outbreak strain of Salmonella Saintpaul were identified by PulseNet.

By March 19, a total of 186 cases had been identified in Illinois, Iowa, Kansas, Minnesota, Nebraska, and South Dakota. Of the 156 patients with completed interviews, 114 (73%) reported alfalfa sprout consumption.

In mid-April, 42 additional case-patients with onset of illness beginning after March 15 were identified from Florida, Iowa, North Carolina, Michigan, Minnesota, Nebraska, Ohio, Pennsylvania, Utah, and West Virginia. At least 20 of these case-patients reported recently eating sprouts. Alfalfa sprouts eaten by these case-patients were traced back to growing facilities in Michigan, Minnesota, and Pennsylvania that received seed lots identified with prefix 032 from Caudill Seed Company. Alfalfa sprout irrigation water collected on March 10 from a growing facility in Wisconsin grew Salmonella Saintpaul indistinguishable from the outbreak strain. These sprouts also were grown from a seed lot identified with prefix 032 received from Caudill Seed Company. No human illnesses have been linked to the Wisconsin facility. Preliminary findings indicate that the implicated seed lots were sold in many states and might account for a large proportion of the alfalfa seeds that were being used by sprout growers during this outbreak.

We presently have nearly a dozen clients from several states.  Four Lawsuits have been filed.

Salmonella Sprout Lawsuit Linked to Sprouts and Seeds

Today we amended our complaint on behalf of “Daniel Krim, 49, [who] became ill after eating alfalfa sprouts on a turkey sandwich he purchased from a La Vista restaurant in late February. His flu-like symptoms worsened, forcing him to go to the emergency room at Midlands Hospital in Papillion. Days later, his doctor confirmed he had been infected with the Salmonella St. Paul strain, according to his lawsuit, filed last week in Sarpy County District Court.”

According to Leia Baez of the Omaha World-Herald, “Krim is suing CW Sprouts, Inc., whose SunSprouts products were linked to the outbreak in Nebraska, Iowa, Kansas, Colorado and South Dakota. He also is suing Caudill Seed and Warehouse Co. of Louisville, Ky., the company that manufactured and sold alfalfa sprout seeds to CW Sprouts."

"The more things change, the more they stay the same."

A quote by French novelist Alphonse Karr seems to fit all too well when comparing the Epidemiologic Curve of both the ConAgra 2006-2007 and the Peanut Corporation of America 2008-2009 Salmonella Peanut Butter Outbreaks.

The New York Times Reports that Peanut Corporation of America was Cited for Violations in Past

(Actually, Channel 11 in Georgia reported it first).  491 (Actually 501) persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states and Canada. Eight are dead. According to the CDC, patients range in age from <1 to 98 years; 48% are female and 22% reported being hospitalized.  Now the New York Times reports:

The processing plant in Georgia that produced peanut butter tainted by salmonella has a history of sanitation lapses and was cited repeatedly in 2006 and 2007 for having dirty surfaces and walls and grease residue and dirt build-up throughout the plant, according to state health inspection reports.

Inspections of the plant in Blakely, Ga., by the state agriculture department found areas of rust that could flake into food, gaps in warehouse doors large enough for rodents to get through, unmarked spray bottles and containers, and numerous violations of other practices designed to prevent food contamination....

A typical entry from an inspection report, dated Aug. 23, 2007, noted: “The food-contact surfaces of re-work kettle in the butter room department were not properly cleaned and sanitized." Additional entries noted: "The food-contact surfaces of the bulk oil roast transfer belt in the mezzazine [sic] room were not properly cleaned and sanitized. The food-contact surfaces of pan without wheels in the blanching department were not properly cleaned and sanitized.”

Criminal Sanctions in the offing in addition to Bankruptcy – I should think so.  It will also be interesting to see any inspection reports from 2008.  We now have been retained by 36 people throughout the United States unneccesarily poisoned by Salmonella.

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.

Another Salmonella Peanut Butter Outbreak - "Those who cannot learn from history are doomed to repeat it."

Five months after the Salmonella Typhimurium outbreak began, and nearly three weeks after the Minnesota Department of Health “spilled the beans” that tainted peanut butter was the vector, the public still has little idea why nearly 500 became ill with over 125 hospitalized and eight deaths. Now, Peanut Corporation of America (PCA) has shuttered its doors and the town of Blakely, Georgia is reconsidering itself as “Peanut Capital of the World.”

Weeks ago I asked the CDC, FDA and PCA to respond to the following list, however, there still has been limited, or no, response to my “To Do List.”

1. Make sure ALL product is promptly recalled – after a fitful start, the FDA’s website now lists hundreds of products that have been recalled. Companies who do not use PCA’s peanut butter or paste have a competing website listing those products considered safe.

2. PCA should not destroy any documents – despite legal obligations to keep documents, many manufacturing companies believe that “uncomfortable” documents are better shredded.

3. PCA should pay the medical bills and all related expenses of the innocent victims and their families – other than statistics on the CDC website, these sickened people and grieving families deserve to be treated with dignity – they should not have to worry about the financial stress of medical bills and lost wages.

4. PCA should pay the cost of all related Health Department, CDC and FDA investigations – why should taxpayers throughout the United States pay for the cost of investigating one company’s error?

5. The CDC, FDA and PCA must provide all bacterial and viral testing of all PCA peanut butter products - before and after recall.

6. The FDA and PCA must release all inspection reports on the PCA plant by any governmental entity or third-party auditor.

7. PCA must release all bacterial or viral safety precautions taken - especially after the 2007 Salmonella peanut butter outbreak.

8. The CDC, State and Local Health Departments and FDA should release all data behind the Epidemiological investigation (with names redacted), so it is clear who knew what and when about the likely source of the outbreak.

9. The FDA and the Peanut Industry must show the public what is being done now to prevent the next outbreak.

My “To Do List” is in many ways what will eventually come out - months or years from now - after the Congressional Hearings and the protracted litigation - but it will come out. Getting to it now, while the public, the politicians, the regulators and the businesses are still engaged, give us the greatest opportunity to treat the innocents with dignity and to learn from mistakes. As George Santayana said, “Those who cannot learn from history are doomed to repeat it.”

Ohio appears to be the State with most Peanut Butter Salmonella Illnesses and Deaths

Sixty-seven cases of Salmonella poisoning have been reported in Ohio, the most in any state during a nationwide outbreak linked to peanut butter products.  The Ohio Department of Health announced Friday that four deaths (but that was a typo, there is "only" 1) have been reported among the 67 cases and 19 people have been hospitalized.  Across the state, Salmonella has been reported in 26 of 88 counties.  Ohioans who contracted the bacteria have ranged in age from 2 months to 89 years.

The number of ill nationwide has reached nearly 500, over 100 hospitalizations and 8 deaths.  What will this week bring?

Updated Again and Again - Salmonella Peanut Butter Deaths - Ohio Counts 4, Minnesota 3, Virginia 2, Idaho 1 and North Carolina 1

It is likely that bird or rat feces in the Peanut Corporation of America peanut butter started all of this.  There is the ever-expanding list of Salmonella free products.  The FDA list of products containing tainted peanut butter continues to grow as does the list of the deaths.  This morning Ohio reported four deaths (not confirmed by Department of Health which now says 1) linked to Salmonella-tainted peanut butter.  Yesterday, Minnesota reported three deaths.  Before that, Virginia, Idaho and North Carolina had reported a total of four deaths.  By my math that adds up to eight people killed by eating peanut butter - eating peanut butter for goodness sake.  However, the CDC reports only seven deaths - so far. 

Weeks ago I asked the CDC, FDA, King Nut and Peanut Corporation of America to respond to the following, however, there still has been limited, or 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.

Where is the Corporate and Governmental responsibility to the people?

Third Minnesota Death Linked to Salmonella Tainted Peanut Butter

Deaths have now hit seven; hospitalizations 108, with nearly 500 total sickened.  Peanut Corporation of America (PCA) has now laid off its employees; bankruptcy is in the offing because PCA only has $10,000,000 in insurance.  Nearly 200 lines of peanut products have been recalled.  Now, why is not preventative food safety a good idea?

CDC Now Reports 491 Persons Ill with Salmonella Typhimurium Peanut Butter in 43 states and Canada, 108 Hospitalized and 7 Dead

The number of ill persons identified in each state is as follows: Alabama (1), Arizona (10), Arkansas (4), California (62), Colorado (12), Connecticut (9), Georgia (6), Hawaii (3), Idaho (11), Illinois (6), Indiana (4), Iowa (2), Kansas (2), Kentucky (3), Maine (4), Maryland (8), Massachusetts (42), Michigan (25), Minnesota (35), Missouri (9), Mississippi (3), Nebraska (1), New Hampshire (11), New Jersey (19), New York (18), Nevada (5), North Carolina (6), North Dakota (10), Ohio (67), Oklahoma (2), Oregon (7), Pennsylvania (14), Rhode Island (4), South Dakota (2), Tennessee (9), Texas (6), Utah (5), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Additionally, one ill person was reported from Canada.

But I have my Obama Bobble Head on my desk to remind me that change is coming.

Salmonella in Peanut Butter - Its Impact on One Woman

On February 14, 2007 the FDA announced a nationwide outbreak of Salmonella in ConAgra peanut butter produced at the Sylvester, Georgia plant.  The CDC eventually reported that 714 people suffered culture-confirmed Salmonella Tennessee infection with a genetic pattern matching one of the three strains associated with the ConAgra outbreak.  Seventy-three percent of cases are female, and twenty percent of all cases required hospitalization as a result of their illnesses.  Onset dates ranged from August 1, 2006 to July 19, 2007, and forty-eight states reported at least one confirmed case.  This is the story of one of those cases.

31,000,000 pounds of Peanut Butter Now Recalled

From AP.  Stunning, just stunning.  I can not keep up with the FDA recall list.  Nancy Luna from the OC Register has created her own recall database.  So far, the Food and Drug Administration has listed 181 products recalled nationwide because they contain peanuts or peanut paste linked to a salmonella outbreak traced to the Peanut Corporation of America.  More than 50 new products were added to the list today.

If this does not catch President Obama's attention, I do not know what will.  Hey, Mr. President, call me, I'll work for peanuts.  From my friends at obamafoodorama - a clear perspective:

If every man, woman, and child who packed the National Mall on Obama's Inauguration Day had carried fifteen pounds of peanut butter in their prohibited backpacks, that would be about the amount of poisoned product that's currently been recalled for Salmonella Typhimurium.

New numbers from the CDC - 488 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 (10), Arkansas (4), California (62), Colorado (12), Connecticut (9), Georgia (6), Hawaii (3), Idaho (11), Illinois (5), Indiana (4), Iowa (2), Kansas (2), Kentucky (3), Maine (4), Maryland (8), Massachusetts (42), Michigan (25), Minnesota (35), Missouri (9), Mississippi (3), Nebraska (1), New Hampshire (11), New Jersey (19), New York (18), Nevada (5), North Carolina (6), North Dakota (10), Ohio (65), Oklahoma (2), Oregon (7), Pennsylvania (14), Rhode Island (4), South Dakota (2), Tennessee (9), Texas (6), Utah (5), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Additionally, one ill person was reported from Canada.  Among the persons with confirmed, reported dates available, illnesses began between September 8, 2008 and January 8, 2009. 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 six deaths.

Please note - actual ill likely as high as 18,837:  "Overall, we estimated that there were 38.6 cases of Salmonella for each culture‐confirmed case.  "FoodNet Estimate of the Burden of Illness Caused by Nontyphoidal Salmonella Infections in the United States"  Clinical Infectious Diseases, April 2004.

Salmonella Typhimurium Peanut Butter Illnesses Increase By One to 486, CDC Does A Podcast and FDA List of Recalls Grow

486 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 (10), Arkansas (4), California (62), Colorado (12), Connecticut (9), Georgia (6), Hawaii (3), Idaho (11), Illinois (5), Indiana (4), Iowa (2), Kansas (2), Kentucky (3), Maine (4), Maryland (8), Massachusetts (42), Michigan (25), Minnesota (35), Missouri (9), Mississippi (3), Nebraska (1), New Hampshire (11), New Jersey (s19), New York (18), Nevada (5), North Carolina (4), North Dakota (10), Ohio (65), Oklahoma (2), Oregon (7), Pennsylvania (14), Rhode Island (4), South Dakota (2), Tennessee (9), Texas (6), Utah (5), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2). Additionally, one ill person was reported from Canada.

FDA list of Company Recalls grows too.  And, CDC does a Podcast:

It Has Been a Busy Week with the Peanut Butter Press

UPDATE - Peanut Corporation of America Salmonella Typhimurium Outbreak Update - 485 Ill from 43 States and Canada, 112 Hospitalized and 6 Deaths - List of Recalled Products

I sometimes just have to look out the office window.

The CDC reported today that 488 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states and Canada.

The FDA is adding more company press releases as the recall expands:

* Trader Joe’s Announces Voluntary Recall of Trader Joe’s Peanut Butter Chewy Coated & Drizzled Granola Bars, Nutty Chocolate Chewy Coated & Drizzled Granola Bars and Sutter’s Formula Cookies Due to Possible Health Risk (January 22)

* Parker Products, Inc. Announces Nationwide Voluntary Recall of Certain Peanut Butter Products (January 22)

* Arbonne International Voluntarily Recalls Figure 8 Peanut Butter Chews Due To Possible Health Risk (January 22)

* Jimmy's Cookies Issues Nationwide Recall of Various Peanut Butter Cookies Due to Possible Health Risk (January 22)

*Perry's Ice Cream Company Adds Two Products to Voluntary Recall of Select Peanut Butter Ice Cream Products (January 22)

* Kroger Recalls Additional Select Ice Cream Product Due to Possible Health Risk (January 20)

*General Nutrition Centers, Inc. Announces Nationwide Voluntary Recall of Certain Lots of GNC Triflex Peanut Butter Soft Chews (January 22)

* Chef Jay’s Food Products Announces Voluntary Nationwide Recall of Products Containing Peanut Butter Due to Possible Health Risk (January 21)

* Rain Creek Baking Corporation Announces Voluntary Withdrawal of Peanut Butter Turtles, Peanut Butter Baskets and Peanut Butter Princesses Due to Possible Health Risk (January 22)

* South Bend Chocolate Company Extends Nationwide Recall of Candy Containing Peanut Butter Because of Possible Salmonella Contamination (January 22) New!

* Nash Finch Recalls Bakery Products With Peanut Butter Distributed in Seven States Due to Possible Health Risk (January 20)

* Aspen Hills, Inc. Announces Voluntary Product Recall of Certain Cookie Dough Products (January 22)

* Best Brands Corp. Announces Voluntary Recall of Peanut Butter Frozen Cookie Dough (January 21)

* Lovin Oven, LLC Announces Voluntary Nationwide Recall of Certain Health Valley Organic Peanut Crunch Chewy Granola Bars (January 21)

* Landies Candies Co. Inc Announces Voluntary Recall of Select Peanut Butter Filled Chocolates Due to Possible Health Risk (January 21)

* Weis Markets Announces Voluntary Recall of Weis Quality (WQ) Cheese Peanut Butter Sandwich Crackers and WQ Toasted Peanut Butter Sandwich Crackers Due to Possible Health Risk (January 20)

* Blanton's Candies Recalls Peanut Butter Sticks Because of Possible Health Risk (January 21)

* Dinners Ready Meridian Recalls November & December Asian Marinated Flank Steak, Indonesian Chicken and Chicken Satay Prepared Meals Because of Possible Health Risk (January 20)

*Boca Grande Foods Announces a Nationwide Recall of POCO PAC®, and GRANDE GOURMET™ Peanut Butter Products Because of Possible Health Risk (January 20)

* Premier Nutrition Announces Voluntary Nationwide Recall of selected TWISTED and TITAN Branded Bars Containing Peanut Butter Due to Possible Health Risk (January 20)

*NutriSystem Announces Nationwide Voluntary Recall of Peanut Butter Granola Bar Due to Possible Peanut Corporation of America (PCA) Contamination and Potential Health Risk (January 21)

*Ready Pac Foods, Inc Announces Voluntary Product Recall (January 20)

*PetSmart Voluntarily Recalls Grreat Choice® Dog Biscuits (January 20)

* Nature's Path Recalls Peanut Butter Optimum Energy Bars Nationwide Because of Possible Health Risk (January 20)

* Country Maid Announces Voluntary Nationwide Recall of Classic Breaks® Peanut Butter Cookie Dough Due to Possible Health Risk (January 20)

* Evening Rise Bread Co. Recalls Peanut Butter Cookies and Bars Because of Possible Health Risk (January 19)

* 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 Recalls Wal-Mart Bakery Brand Peanut Butter Cookies Because Of Possible Health Risk (January 18)

* Ralcorp Frozen Bakery Products Recalls Lofthouse Peanut Butter Cookies, Chuck's Chunky Peanut Butter Cookies And Pastries Plus Gourmet Cookies Nationwide Because Of Possible Health Risk (January 18)

* Ralcorp Frozen Bakery Products Recalls Food Lion Bake Shop Peanut Butter Cookies Nationwide Because Of Possible Health Risk (January 18)

* South Bend Chocolate Company Recalls Various Candys Containing Peanut Butter Because of Possible Salmonella Contamination (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)

The Recall of Peanut Butter Products Grows as Do The Salmonella Illnesses

As of a few moments ago, the FDA website has added at least two more recalled products.  Please check the site and your cupboards.  My advise is to simply stay away from peanut products for a few more days until things clear up a bit more.

From the CDC - Monday, January 19, 2009, 485 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 43 states and Canada. The number of ill persons identified in each state is as follows: Alabama (1), Arizona (10), Arkansas (4), California (62), Colorado (11), Connecticut (9), Georgia (6), Hawaii (3), Idaho (11), Illinois (5), Indiana (4), Iowa (1), Kansas (2), Kentucky (3), Maine (4), Maryland (8), Massachusetts (42), Michigan (25), Minnesota (35), Missouri (9), Mississippi (3), Nebraska (2), New Hampshire (11), New Jersey (19), New York (18), Nevada (5), North Carolina (4), North Dakota (10), Ohio (65), Oklahoma (2), Oregon (7), Pennsylvania (14), Rhode Island (4), South Dakota (2), Tennessee (9), Texas (6), Utah (5), Vermont (4), Virginia (20), Washington (13), West Virginia (2), Wisconsin (3), and Wyoming (2).

Among the 469 persons with dates available, illnesses began between September 8, 2008 and January 9, 2009. Patients range in age from <1 to 98 years; 48% are female. Among persons with available information, 23% reported being hospitalized. Infection may have contributed to six deaths.

More Salmonella Peanut Butter Press

Talked to the folks at USA Today between fielding phone calls of upset parents and family members of people, many kids, sickened with Salmonella-tainted Peanut Butter.  The story in part reads:

The pace of new recall announcements has been slow, some food-safety experts say....

The recall has engulfed snack foods popular with children. Salmonella is especially risky for the young, old and those with weaker immune systems. The Food and Drug Administration says peanut butter sold in stores is fine but advised consumers not to eat other products containing peanut butter or paste until they're cleared....

"Consumers are confused," says William Marler, a food-safety attorney.

He says he bought recalled product Sunday, indicating that retailers may be confused, too.

Lawsuit to be Filed in Nationwide Outbreak of Salmonella in Peanut Butter

A lawsuit stemming from the national outbreak of Salmonella Typhimurium in peanut butter will be filled Tuesday against the Peanut Corporation of America (PCA) in the US District Court, Middle District of Georgia. The complaint was filed on behalf of Vermont residents Gabrielle and Daryl Meunier, whose son was sickened in the outbreak.

The outbreak, which began in September, has sickened more that 475 people, hospitalized over 90, and contributed to six deaths. The illnesses were first linked to peanut butter on January 9, and later traced to a PCA processing plant in Blakely, GA. Many companies who purchased peanut butter or peanut paste from the plant have begun recalling products. One of the first was Kellogg’s, who recalled Keebler brand peanut butter cracker sandwiches, but it was too late for the Meunier family, whose son consumed the crackers and fell ill on November 25.

The 7-year-old’s symptoms were fever, vomiting, and frequent bouts of diarrhea, which turned bloody. When he did not improve, his family took him to the emergency room, where he was admitted to the hospital. He remained hospitalized until December 4. During that time, he tested positive for what would later be revealed as the outbreak strain of Salmonella Typhimurium. He is still recovering from his illness, experiencing recurring diarrhea, painful stomach cramps, and body aches and pains.

“Today is a tremendous day in America. We are inaugurating a President who campaigned on a platform of change, hope, and justice. I sincerely hope that Mr. Obama will be able to effect change in our food safety agencies and policies. In the mean time, hundreds of Americans are ill, and six families are mourning. All of those families have medical bills, some have lost time at work, and we all know what a strain that is. Something has to be done about it.”

“We learned a lot in the last peanut butter outbreak, and it’s sad that we have to put that knowledge to use.  But what we know is that we have to make sure all possibly contaminated product is promptly recalled, and that the responsible companies step up to pay the medical bills of the victims as well as the cost of government investigations. In addition, the public needs to know what safety precautions the Peanut Corporation of America was taking, especially after the 2007 outbreak. Finally, they need to show the public what will be done to prevent the next outbreak.”

Epi-Curve of Peanut Butter Salmonella Typhimurium Outbreak 2008 - 2009

From the CDC - showing illness beginning August 30, 2008 (just got off the phone with the nice lady) linked to Peanut Butter consumption.  Last illness shown is January 2, 2009, but it is expected that the green bars will continue to the right as more cases are counted over the coming weeks.

Hopefully, the recalls of the products will continue the downward trend of the illnesses thenselves.

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)

How did Salmonella Get into our Peanut Butter and then into Everything Else?

I got an email last night from Washington DC asking with all the news of the recalls, how did the Salmonella get into the peanut butter in the first place and how did it get “spread” into seemingly everything else?

Well the first part is easy – its likely bird or rodent shit.

Brendan Borrell of Scientific American online actually wrote about this topic last week in an interview with Dr. Mike Doyle“How does salmonella get into peanut butter? And can you kill it once it's there?”

How does salmonella get into peanut butter?

Feces from some animal is a strong possibility. A leak in the roof, for example, caused one of the early outbreaks. How salmonella got into the water that was on the roof, no one knows for sure. Maybe birds, for instance, which accumulate around peanut butter processing plants.

The roasting of peanuts is the only step that will kill the salmonella. If contamination occurs after the roasting process, the game is over and salmonella is going to survive. Studies have shown that salmonella can survive for many months in peanut butter once it's present. Fatty foods are also more protective of salmonella, so when it gets into the acid of the stomach -- which is our first line of defense -- it may not get destroyed. Peanut butter, being a highly fatty food, could survive better.

So, how can you keep salmonella out of peanut butter in the future?

The key is to have a rigid system in place that does not allow contamination by water or other vectors after the roasting process. Water in a peanut butter processing plant is like putting gasoline on a fire.

A couple of other things to think about from an historical perspective – this is not the first time we have had outbreaks – see the Australian and United States experiences. Also, this is not the first time someone has written about the problems of bacteria in jars of Salmonella - see "Survival of Salmonella in Peanut Butter and Peanut Butter Spread - 1990" and "Survival of Antibiotic Resistant Salmonella in Peanut Putter - 2008."

The second part, "how did it get “spread” into seemingly everything else?" is in large part answered by Peanut Corporation of America's own press release:

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.

With quantities of peanut butter in that amount being shipped all over the world, a mistake in production will have an exponential impact.  We are seeing that now with more and more products being recalled.

I am sure there is more to come.

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.

Mr. Almost President Obama, I know you have a lot of other things on your plate, but putting peanut butter back in your girls' lunches should be on your list.

The FDA asked us all to not eat peanut butter yesterday.  Companies with any amount of peanut butter from The Peanut Corporation of America are now battling each other to get the next Press Release out touting the next recall.  After illnesses began on Labor Day 2008, to have this warning days before Inauguration Day is embarrassing.   To have 474 confirmed illnesses, 109 hospitalizations and 6 deaths linked to Salmonella-tainted peanut butter is immoral.   And, the public still has no clear idea what products are safe or why such a staple as peanut butter could kill.

It is long past time for the President and Congress to stop talking about food safety and to actually do something about it.  Remember, according to the Center for Disease Control and Prevention (CDC), one-forth of all Americans are poisoned each year by food, 325,000 are hospitalized and 5,000 needlessly die.  It is time to fully fund the needs of State Health Departments and the CDC to help prevent and track bacterial and viral illnesses.  The FDA and FSIS need more inspectors and a rational inspection system for both foreign and domestic goods.  We can not wait for the next nationwide outbreak - whether caused by a mistake or by terrorism.  It is time to encourage Food-Corporate America and our international trading partners that it really is a bad idea to poison customers.  Encouragement needs to be both by enforceable, fair regulations and by tax credits for investments in food safety technologies.  This can be done.

This week you will not be making your child a peanut butter and jelly sandwich because our food supply is not a safe as it should be.  This is wrong.  Mr. President, I know you have a lot of other things on your plate, but putting peanut butter back in your girls’ lunches should be on your list.

Note - folks are leaving messages on my office phone (1-206-346-1890).  Feel free to call my cell (1-206-794-5043) or email me at bmarler@marlerclark.com.

Yes, and while your at it can you tell your next head of FDA and CDC or the "Food Safety Czar" to respond, or ask the companies involved to respond to my questions about this outbreak?

• Make sure ALL product is promptly recalled;

• Do not destroy any documents;

• The companies should pay the medical bills and all related expenses of the innocent victims and their families;

• The companies should pay the cost of all related Health Department, CDC and FDA investigations;

• Provide all bacterial and viral testing of all recalled product and any other tested product (before and after recall);

• Release all inspection reports on the plants by any Governmental Entity or Third-party Auditor;
• Release all Salmonella safety precautions taken by either King Nut or Peanut Corporation of America - especially after the 2007 Salmonella Peanut Butter Outbreak;

• 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
• Show the public what is being done to prevent the next outbreak.

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.

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.

Lab Tests Show Salmonella Likely at Peanut Corporation of America

According to AP, as they say, the knoose tightens.

Alfalfa sprouts sicken 13 in Washington and Oregon - Again

Washington State health officials believe alfalfa sprouts are connected to an outbreak of Salmonella that’s sickened nine people in Washington and four in Oregon. The outbreak has been tied to alfalfa sprouts from Sprouters Northwest, Inc. in Kent. The company has agreed to voluntarily recall the product and has stopped distributing it. The sprouts are sold in a variety of package sizes labeled “Alfalfa Sprouts,” or as mixed varieties that contain alfalfa sprouts as an ingredient. People should not eat any products from Sprouters Northwest that contain alfalfa sprouts. Discard them immediately or return them to the store.

The first cases of Salmonella Typhimurium were reported in early August. People have been sickened in Clark, Island, King, Pierce, Snohomish, Thurston, and Whatcom counties. At least two have required hospitalization.

Sound Familiar? It was reported on June 4, 2004 that Sprouters Northwest Inc. was recalling 2-, 3- and 5-lb. institutional trays of sprouts sent to various food institutions because they may be linked to a recent increase in salmonellosis in Oregon and Washington, the FDA said in a statement. Twelve cases of Salmonella Bovismorbificans, possibly linked to the consumption of raw alfalfa sprouts, have been reported, the FDA said.

We represented victims of two Salmonella outbreaks linked to sprouts produced by Harmony Farms, an Auburn, Washington firm, and Hydro-Harvest and Pacific Coast Sprout Farms of Oregon.

The FDA has long warned about the dangers of sprouts - see links to FDA concerns.

Agricola Zaragoza, Inc. of Texas Recalls Jalapeno Peppers - We are watching you.

The FDA has announced that Agricola Zaragoza, Inc. of McAllen, Texas is recalling Jalapeno Peppers distributed since June 30th, 2008 (see CDC Report below) because they have the potential to 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. 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 Jalapeno Peppers being recalled were shipped in 35lb. plastic crates and in 50lb. bags with no brand name or label. The recall is a result of sampling by FDA, which revealed that these Jalapeno Peppers were contaminated with the same strain of Salmonella Saintpaul responsible for the current Salmonella outbreak. It is unknown at this time, which, if any, of the more than 1,200 illnesses reported to date is related to this particular product or to the grower who supplied this product. Distribution of these products has been suspended while FDA, the Texas Department of State Health Services and the company continue their investigation as to the source of the problem.

So, they are only recalling Jalapeno Peppers "since June 30th"? 

Why, if the CDC says the Salmonella Saintpaul outbreak, which now numbers 1251 ill, whose illnesses began between April 10 and July 4, 2008, including 19 who became ill on July 1 or later, is the recall only start June 30th?  So, that means that something started sickening people BEFORE June 30th?  What?  Tomatoes still not off the hook?

To make matters even more confusing, the FDA announced that Grande Produce, LTD. is recalling Jalapeno Peppers, Serrano Peppers, and Avocados do to a possible health risk.

NOTE: "According to the Texas and North Carolina Departments of Health, the strain of Salmonella found in this company's jalapeño and serrano peppers and in its avocado is not Salmonella Saintpaul, and is not believed to be related to the current Salmonella outbreak.

Grande Produce, LTD. CO of Hidalgo, Texas (hereinafter referred to as Grande Produce) is recalling Jalepeno Peppers and Serrano Peppers distributed between May 17th and July 17th, 2008; and Avocados, all sizes, with lot #HUE08160090889 because they have the potential to be contaminated with Salmonella. The Jalapeno Peppers, Serrano Peppers and Avocados were distributed to the following states: TX, DE, NC, GA, OK, IA, MN, IL, FL, IN, MD, NY, MS, AR, KS, and KY. The avocados being recalled were shipped in boxes labeled "Frutas Finas de Tancitaro HASS Avocados, Produce of Mexico," all sizes, with lot number HUE08160090889. The Jalapeno Peppers and Serrano peppers being recalled were shipped in 35lb. plastic crates with no brand name or label.

Poultry Workers and Pig Farmers May Spread Bacteria Too

Well, the stocking are hung and the presents are all wrapped, and I am surfing the net to see what there is to blog about (my version of the “Night Before Christmas”) when I found this quote:

“Nine billion food animals are produced and slaughtered in the United States annually, and all of those animals are defecating and shedding bacteria, including drug-resistant bacteria…. We are running out of antibiotics to treat human infections.” Lance Price

Antibiotic-resistant bugs have been in the news recently. Some, like Salmonella Newport, have caused illness in consumers of Safeway ground beef.  Newsday recently reported - "Poultry Workers may spread E. coli" – No, not E. coli O157:H7, but gentamicin-resistant E. coli.

Public health investigators at Johns Hopkins University estimate that workers in poultry factories in the United States are 32 times more likely to be colonized with E. coli that repels the antibiotic gentamicin than other people. The drug is used to treat both poultry and humans.

Recently, in a new study, “MRSA prevalent in Canadian pig farms and pig farmers,” published in Veterinary Microbiology found methicillin-resistant Staphylococcus aureus (MRSA) prevalent in Canadian pig farms and pig farmers, pointing to animal agriculture as a source of the deadly bacteria.

The US Government seems concerned enough to at least study the problem of antibiotic resistant bugs in our food supply.  It created the National Antimicrobial Resistance Monitoring System (NARMS) in 1996 as a collaborative effort between the United States Department of AgricultureFood and Drug Administration's Center for Veterinary Medicine and the Centers for Disease Control and Prevention.

The NARMS program monitors changes in antimicrobial drug susceptibilities of selected enteric bacterial organisms in humans, animals, and retail meats to a panel of antimicrobial drugs important in human and animal medicine.  Animal and human isolates currently monitored in NARMS include Salmonella, Campylobacter, E. coli, Listeria and Shigella.  Some selected articles on antibiotic resistance:

Antibiotic Resistance in Listeria, Antibiotic Resistance in Shigella, Antibiotic Resistance in Escherichia coli, Antibiotic Resistance in Campylobacter, Antibiotic resistance in Salmonella

Well, looks like it will be a far too busy and profitable New Year.

Three people from Nevada contract Salmonella Newport from eating ground beef

Some people gamble in Reno, others eat hamburger.  Perhaps the odds of winning or loosing are about the same.  Steve Timko from the Reno Gazatte-Journal reported on the continuing problem of Salmonella-tainted burger (remember, Salmonella in hamburger is not considered an adulterant).  According to the Gazatte-Journal, three people in Nevada might have contracted a drug-resistant strain of Salmonella by eating ground beef from Safeway, health officials reported.  The three are among 38 nationwide who the U.S. Department of Agriculture said contracted a strain of salmonella called Newport in Nevada, California, Arizona and Idaho between Sept. 19 and Nov. 5. In Nevada, one person with Salmonella Newport lived in Washoe County, one in Douglas and a third in Clark County, said Dr. Ihsan Azzam, the Nevada state epidemiologist.
"Our findings do not show 100 percent positively that it is Safeway ground beef," Azzam said. "Our findings are suggesting a product from Safeway is a cause."  Azzam said one is a senior citizen, one an infant and the third a young person.
Safeway issued one of the most disingenuous statements Thursday noting the USDA did not issue a recall (But Safeway urges you to throw it away), and there's no test that shows the ground beef was contaminated (Although their customers became ill).  Again, why do they think the public is so stupid?

Now talk about gambling odds, according to the USDA’s Economic Research Service, in 2004, the average American consumed 60.1 pounds of cattle meat, of which about 59% was hamburger.  Also, in 2004 there were about 275,000,000 Americans.  In the last statistic I could find, a 1987 study tested for the presence of E. coli O157:H7 in supermarket meats (mostly ground meats).  The bacteria was found in 3.7 percent of beef, 1.5 percent of pork, 1.5 percent of chicken and turkey, and 2.0 percent of lamb samples tested.  While 6.4 percent of ground-beef samples tested by the USDA harbored Salmonella in 1998, only 2.8 percent did in 2001.  So, what are your odds of eating contaminated hamburger?  Well, I’ll let you do the math and place your bets.

Here is a quote of mine form CFO Magazine A Better Burger Industry - Scared Straight. This interview was in May of this year before we really began to see the “uptick” in hamburger recalls and illnesses:
"Seattle attorney William Marler earns his living suing food producers and restaurants suspected of selling contaminated food. In 1995, he won a $15.6 million settlement on behalf of Brianne Kiner, who suffered severe E. coli–related health problems after eating an undercooked hamburger from a Jack in the Box restaurant. Lately, though, he's not earning much money on the back of the burger trade, and for that he credits the meat-packing industry for embracing end-product testing of its products for pathogens, partly in response to customer demand."


"From 1993 to 2002, 95 percent of my revenues came from cases involving E. coli tied to hamburger," Marler says. "That has dried up to nearly zero since 2003. Once producers started testing and getting a lot of positives, they began looking at their procedures and processes to figure out how to eliminate the contamination. The fact that they were able to eliminate it to such a degree has put me out of the hamburger business, and I'm happy about that, candidly. I never thought I would say this, but I think the food industry across the board needs to take a really hard look at what the hamburger industry has done."
Well, I clearly was wrong.

Salmonella fear prompts recall of basil shipped to California, Texas and Illinois

AP reported that 5,500 pounds of "Green Paradise" brand basil has been recalled. The basil was shipped in sets of 12 one-pound boxes marked with lot No. 1219. The basil grown in Mexico and sold in the United States has been recalled because of fears it may be infected with Salmonella. The basil was imported from a farm in Mexico's southern Baja California region on December 5th and sold to food distributors in California, Texas and Illinois the following day by Top Line Specialty Produce in California. Top Line sold the basil to restaurants and other food service customers, but it was unknown whether the other distributors sold to food service customers or retailers.

It is clear that this in not the first time Basil has been linked to recalls and illnesses.  AP reported in May 2004 that Federal regulators are alerting consumers that raw basil and spring mix salad may be linked to food-poisoning outbreaks that reportedly sickened more than 90 people in Illinois and Texas.  In August 2005, the FDA Notified Processors of Recall of Fancy Whole Basil Due to Possible Health Risk. The FDA advised processors and repackers that Majestic International Spice Corporation of Montebello, CA, recalled its dried “Extra Fancy Basil” spice in 12.5 kilogram bags because FDA found the product contaminated with Salmonella Blockley.  Contaminated fresh basil was suspected as the most likely cause of an outbreak of the parasitic illness cyclospora that has sickened 300 Floridians in October 2005.  And in May 2007, the British Food Standards Agency advised people who bought certain batches of fresh packets of basil from ASDA, Sainsbury’s and Somerfield stores not to eat them.

All that being said, the BBC reported in June 2003 that a Basil Herb wrap wards off food poisoning.
The herb basil is the crucial ingredient in a super wrap being developed to protect food more effectively from contamination by dangerous bugs. Scientists are using anti-microbial extracts from the herb to create a plastic wrapper for meat and cheese. The chemicals slowly ooze out from the wrapper - and extend the product's shelf-life by killing off bacteria such as E. coli and listeria which can cause severe food poisoning.
Goes to show that you can find anything on the internet – thanks, Al Gore.  Interestingly, South Dakota has seen an increase in salmonella cases according to a warning from the State Health Department following a spike in salmonella cases this year.

Another ConAgra Pot Pie Lawsuit - Wisconsin

Dinesh Ramde of Minneapolis Associated Press reported in "Man sues ConAgra over pot pie tainted with salmonella," on our client Eric J. Mand of Malone of Fond du Lac County who bought a ConAgra Banquet pot pie in mid-September. A few days after eating one, he became so sick with severe gastrointestinal symptoms that he required hospital care on two separate days. Today we filed in U.S. District Court for the Eastern District of Wisconsin a lawsuit on his behalf. I am on my way to Salt Lake City to mediate Dole Spinach E. coli cases, so one of my crack associates stepped into the media void:
"Foodborne illness is sometimes passed off as a mild stomachache but I assure you, if you talk to a victim like Eric, this is certainly not something you would ever want to go through," said Drew Falkenstein of the law firm Marler Clark. "This is not a flu virus."
Mr. Ramde also reported that my firm, “Marler Clark, based in Seattle, has filed six other lawsuits against ConAgra in connection with the pot pie recall. The others were filed on behalf of residents of Michigan, Minnesota and Nebraska, as well as three in Washington.”  We have been retained by 20 others.  According to the CDC, at least 272 isolates of Salmonella I 4,[5],12:i:- with an indistinguishable genetic fingerprint have been collected from ill persons in 35 states. Ill persons whose Salmonella strain has this genetic fingerprint have been reported from Arizona (1 person), Arkansas (4), California (18), Colorado (9), Connecticut (7), Delaware (5), Florida (2), Georgia (2), Idaho (11), Illinois (7), Indiana (3), Iowa (1), Kansas (4), Kentucky (9), Massachusetts (7), Maryland (7), Maine (2), Michigan (3), Minnesota (7), Missouri (18), Montana (6), Nevada (6), New York (10), North Carolina (2), Ohio (11), Oklahoma (1), Oregon (4), Pennsylvania (18), Tennessee (6), Texas (4), Utah (12), Virginia (9), Vermont (2), Washington (27), Wisconsin (24), Wyoming (3).

Pot Pie Patrol

To date, we have filed six lawsuits against ConAgra stemming from this Salmonella outbreak.  We presently represent nearly two dozen people throughout the United States.  Today we are in the ConAgra Pot Pie Manufacturing Facility in Marshall, Missouri inspecting the plant. As my readers might recall, the CDC has published its preliminary findings on the scope of the outbreak involving ConAgra’s Banquet Pot Pies and other private label brands such as Wal-Mart’s Great Value.  The USDA's Inspection Report has yet to be released to the public.

Investigation of Outbreak of Human Infections Caused by Salmonella I 4,[5],12:i:-

Between January 1, 2007 and October 29, 2007, at least 272 isolates of Salmonella I 4,[5],12:i:- with an indistinguishable genetic fingerprint have been collected from ill persons in 35 states. Ill persons whose Salmonella strain has this genetic fingerprint have been reported from Arizona (1 person), Arkansas (4), California (18), Colorado (9), Connecticut (7), Delaware (5), Florida (2), Georgia (2), Idaho (11), Illinois (7), Indiana (3), Iowa (1), Kansas (4), Kentucky (9), Massachusetts (7), Maryland (7), Maine (2), Michigan (3), Minnesota (7), Missouri (18), Montana (6), Nevada (6), New York (10), North Carolina (2), Ohio (11), Oklahoma (1), Oregon (4), Pennsylvania (18), Tennessee (6), Texas (4), Utah (12), Virginia (9), Vermont (2), Washington (27), Wisconsin (24), Wyoming (3).

Interestingly, I got this email a few moments ago:
You may already be aware of this but just in case you aren’t I’ll pass this along. I received information yesterday that there has been another illness reported that is associated with product from the ConAgra plant in Marshall, MO. This is a lab-confirmed report of Salmonella is associated with consumption of a Banquet Turkey Meal. There was a previous similar complaint reported in October that was not lab-confirmed. Both previous and present complaints apparently involve the Banquet Turkey Meal with a sell by/use by date of January 2009. The product is a 9.25 oz “Turkey Meal”. I have not seen a label from this product but I am told it says turkey meal, mostly white meat with gravy, dressing, mashed potatoes and peas. The complainant is apparently located in North Carolina and purchased the product at a local supermarket.
More problems?

Another Salmonella-Tainted Pot Pie Lawsuit Filed

Standing in the New Orleans Airport yesterday afternoon, I had a nice chat with Mark Morey of the Yakima Herald about the status of the ConAgra Salmonella Peanut Butter litigation (CDC confirms 714 Illnesses) as well as the filing of yet another suit against ConAgra for manufacturing Salmonella Pot Pies (CDC confirms 272 Illnesses – 27 in Washington State).  His article appeared this morning in the Yakima Herald - Woman sues over tainted pies:

Bill Marler, a Seattle attorney who focuses on food safety cases, said Barnes' case is among 40 that he is handling related to the ConAgra outbreak, which federal health investigators say sickened about 270 people in the United States…. ConAgra said it has improved safety measures, but Marler said Barnes and other victims deserve compensation for their medical treatment…. Marler said the company has not  offered a settlement yet, although he is discussing that possibility as part of other litigation involving tainted ConAgra peanut butter.

Rochester Minnesota Quiznos Salmonella Outbreak Tied to Tomatoes

On the same day it was announce that I settled the last of the Salmonella suits against Sheetz, the Post-Bulletin of Rochester reported that “Quizno's outbreak came from outside source.” The common denominator was Tomatoes.
A foodborne illness outbreak at Quizno's Subs, 3499 22nd Ave. N.W. in Rochester, wasn't the restaurant's fault. Larry Edmonson, an epidemiologist with Olmsted County Public Health, said studies showed that tomatoes delivered to the store were contaminated before they even got to the restaurant. Salmonella made more than 20 Quizno's customers and employees sick in October. The store closed for one day, hired a cleaning company to sterilze equipment and reopened.
In 1990, a reported 174 Salmonella javiana illnesses, as part of a four state outbreak, were linked to raw tomatoes. In 1993, 84 reported cases of Salmonella Montevideo were part of a three state outbreak that was linked to raw tomatoes. In January 1999, Salmonella Baildon was recovered from 86 infected persons in eight states. In July 2002, an outbreak of Salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year. Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games.

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

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

In 2006 two outbreaks of Salmonella-tainted tomatoes where reported by the FDA. According to Ms. Murphy, the Food & Drug Administration is now investigating two tomato-related outbreaks, with the latest blamed for nearly 100 illnesses in 19 states. FDA was already tracing tomatoes involved in another outbreak involving 183 people in 21 states. Federal authorities said that fresh tomatoes contaminated with Salmonella typhimurium served in restaurants were the likely cause of that outbreak.

Off to New Orleans - The "Big Easy"

I am sitting at home not wanting to head to the airport for a trip to New Orleans (it is Thanksgiving weekend anyway) to meet with lawyers and insurers from ConAgra (sounds fun?).  I must admit that I am skeptical of the meeting given that to date ConAgra has resolved no claims of any significance   However, there seems to be some recent interest in resolving the thousands of legitimate customer claims.  Given that ConAgra is facing legal defense bills of seven figures each month, has incurred some $50-60 million in recall cost - and who knows how much in lost sales - and now faces more of the same in Pot Pies, perhaps it will get serious and take care of its customers.

As you know, on June 1, 2007, the CDC reported that a total of 628 persons had been infected with Salmonella Tennessee in 47 states since August 1, 2006. That number has now risen in excess of 714.  However, remember that according to AC Voetsch, “FoodNet estimate of the burden of illness caused by nontyphoidal Salmonella infections in the United States,” Clinical Infectious Diseases 2004;38 (Suppl 3):S127-34, 714 ill people is an undercount by 38.6 times - That is an actual total of 27,560 people sickened by ConAgra's Peanut Butter.

In addition, the outbreak strain of Salmonella Tennessee has been isolated from several opened and unopened jars of ConAgra produced Peter Pan and Great Value peanut butter and from two environmental samples obtained from the Sylvester, Georgia ConAgra plant. Rumor also has it that State and Federal labs have tested in excess of 100 jars of peanut butter from Salmonella Tennessee infected persons (stool culture positive) and that dozens of jars have tested positive for Salmonella Tennessee. We have tested nearly 1000 jars of peanut butter from clients (Salmonella Tennessee stool culture positive and not), and to date six have tested positive.  Several of our positive peanut butter tests, and culture positive clients, have the lid codes with 21116251 on the top (means it was produced by the Sylvester ConAgra plant on September 22, 2006).  We believe that the CDC has similar information, but it has not fully responded to our FOIA to date.  States' responses have also been slow, but are coming in.

So, wish me luck (or a bit of magic) on the flight.  More importantly, however, wish ConAgra the wisdom to understand that its future success is tied to taking care of its poisoned customers and in making a serious commitment to food safety.  ConAgra needs to remember that it is no "Big" deal, in fact it is "Easy," to do the right thing.  If taking care of customers is too hard, ConAgra also needs to remember the FDA inspection of 2005:

"....  alleging poor sanitation, poor facilities maintenance, and poor quality program management.  Specifics in that complaint include an alleged episode of positive findings of Salmonella in peanut butter in October of 2004 that was related to new equipment and that the firm didn’t react to, insects in some equipment, water leaking onto product, & inability to track some product....  reporting several issues at the firm that in summary allege poor sanitation practices, poor quality program management and poor facilities maintenance."

Egg Safety - Pasteurization

The FDA Today Reminds Consumers to Practice Egg Safety This Holiday Season

The U.S. Food and Drug Administration (FDA) reminds consumers to pay special attention to the handling of eggs and preparation of foods that contain eggs during this holiday season. Some holiday favorites, such as cookie dough, homemade eggnog, and some types of stuffing, may contain eggs that are raw or undercooked. Eggs sometimes contain a bacteria called Salmonella enteriditis (SE), which can cause illness if eggs are not handled and cooked properly. An FDA national survey of consumer food safety practices, the 2006 FDA/FSIS Food Safety Survey, found that cookie dough is one of the major sources of raw egg in the American diet, and that only three percent of respondents always use a food thermometer when they cook baked egg dishes such as stuffing.

However, just a few weeks ago it was announced that National Pasteurized Eggs' Sales are Up 46 Percent Over Last Year & Numbers Expected to Soar as Holiday Season Approaches.

National Pasteurized Eggs, Inc. (NPE), producers of Davidson's Safest Choice Pasteurized Shell Eggs, announced today that sales in the quarter ending Sept. 30, 2007, increased 46 percent over 2006, led by sales from hotels and resorts across the country.  By using pasteurized shell eggs, hoteliers eliminate the risk of Salmonella Enteritidis (SE) poisoning, either by serving individual eggs directly to guests or via cross contamination in the kitchen.  The Federal Drug Administration (FDA) estimates 2.3 million eggs contaminated with SE are sold each year, exposing a large number of people to risk of illness. According to the Centers for Disease Control and Prevention (CDC), each year more than 118,000 egg-related salmonella cases are confirmed, and many more go underreported or misdiagnosed. The FDA's Food Code recommends using pasteurized eggs in all dishes calling for raw or softly cooked eggs.

So, why are more eggs not pasteurized?

TOXIC TACOS: A microbial combination plate

When Taco Bell offered free tacos for every American during baseball’s World Series last month, all I could do was hold my head and mutter something like: "Hasta luego, Amigos!"

The very idea of doling out fast-food tacos to millions of baseball fans should ring like a casino jackpot jingle in the corridors of a personal injury law firm like mine - or all the "wannabees" that are beginning to light up the Internet with "google ads" and plagiarized blogs.  Recently tacos seem have a food-poisoning track record right up there with Chinese-manufactured pet food.  In the past few years alone, we’ve seen outbreaks of deadly E. coli O157:H7, Salmonella, Hepatitis A, Listeria, Shigella and Norovirus in at least 13 states, from Washington and California to New York and Texas – all traced to restaurant tacos.

Just this year there have been taco-related outbreaks in Alabama, Illinois and Oregon.  And those are just the outbreaks scientifically traced by public health officials.  We’ll never know how many more people have been sickened without identifying a source.  Tracing the source of disease outbreaks isn’t easy.  Health officials need to detect an outbreak early, thoroughly interview sick people and find the common denominator before memories fade and evidence disappears.

And even when tacos are suspect, the specific source of the poison varies from one outbreak to the next.  In the Alabama outbreak last summer, the culprit may have been lettuce laced with E. coli.  In Illinois, it was Salmonella in the cheese.  An outbreak at Taco Bell last year in East Coast states was blamed on tainted lettuce, or as my post below says - maybe not.  Others have been tracked back to green onions, cilantro or undercooked meat.  It seems that when restaurants layer tortillas, meat, cheese, tomatoes, onions, avocado and lettuce, there are multiple opportunities to contaminate, cross-contaminate and make people sick.

Take, for example, a major outbreak of Hepatitis A in Florida in December, 2000.  Officials at the Lake County Health Department learned that seven people were sick, and five were hospitalized with Hepatitis A, all in a two-week span.  State and local officials identified the toxin and questioned each of the patients, including family members and friends who were not so sick.  Eventually, officials identified 78 people sickened in five eastern states. In the Florida case, most of the sick people had eaten at a Taco Bell restaurant in Fruitland Park.  Further inquiry narrowed the possibilities down to six menu items and eight ingredients, and only two of those items had been eaten by a majority of the sick people. Eventually, they zeroed in on the green onions as the most likely cause.  But, given the fact that nearly every menu item in a Taco Bell has nearly the same ingredients, how do you really know what ingredient was contaminated?

My point: Tacos can be dangerous.  The ingredients – meat and lettuce and green onions – come from an array of sources, are handled by so many people and are all tossed into the same products, creating a very muddy trail of evidence.  A list of outbreaks below:

Date Location Vendor Microorganism Food type
Oct 98 WA Finley School E. coli O157:H7 Taco Meal
Aug 00 TN San Antonio Salmonella Unknown
Oct 00 CA Viva Mexico Shigella Salsa
Feb 02 IL Laredo Salmonella Employee
Aug 03 TX Cheese LIsteria Cheese
Aug 03 MO Habaneros E. coli O157:H7 Salsa
Nov 03 PA Chi-Chi's Hepatitis A Onions
Sep 05 CA La Golondrina Hepatitis A Lettuce?
Jun 06 OH La Fiesta Norovirus Employee
Nov 06 Several Taco Bell E. coli O157:H7 Lettuce?
Nov 06 Several Taco Johns E. coli O157:H7 Lettuce
Jan 07 AU Mex Express Botulism Cheese
Jan 07 OR Sergio's Dos Norovirus Unknown
Mar 07 IL El Paso Salmonella Cheese
Jul 07 AL Little Rosie's E. coli O157:H7 Lettuce


And there have been more - In October 2007, Tortilla Flat was the scene of a Norovirus outbreak and just a few days ago, Carniceria Y Taqueria served Salmonella-Tainted Tacos in North Carolina.  Buenos Noches.  Thanks to my friends at K-State (who bring you BARFBLOG) for providing a "bite" of the history of the "terrible tacos."

USDA Finds Flaws in ConAgra Banquet Pot Pie Safety Plan


Josh Funk once again reports on how our government, despite finding errors at industrial food facilities, does not feel the necessity to inform the public of its findings. This despite pot pies having been linked to at least 272 cases of salmonella (65 hospitalized) in 35 states. Mr. Funk’s story follows:

USDA inspectors found flaws in the safety plan ConAgra Foods Inc. used at the Missouri plant where it makes the Banquet and private label pot pies that were linked to a salmonella outbreak… A spokeswoman for the Department of Agriculture's Food Safety and Inspection Service said Thursday that ConAgra took action to correct the problems inspectors found after the Oct. 11 recall, so the government did not have a problem with the company's plan to resume production… USDA spokeswoman Amanda Eamich said details of the inspectors' findings at the plant would be released only through a formal Freedom Of Information Act request.

Eamich would say only that there was a record-keeping problem and an issue with ConAgra's Hazard Analysis Critical Control Point plan that spells out what the company does to ensure its products are safe.

ConAgra Foods resumes making Banquet pot pies - spends $30 million on recall


CNN Money reported this afternoon that food maker giant, ConAgra Foods (NYSE:CAG) Inc., said that it has resumed producing Banquet and private label pot pies a month after they were recalled after being linked to salmonella illnesses. The pot pies made by ConAgra have been linked to at least 272 cases of salmonella in 35 states. The federal Centers for Disease Control and Prevention said at least 65 people were hospitalized as part of the outbreak.

Conagra said shipments to retail customers are expected to begin in December and consumers can expect to see the pies in retail stores by January (I can not wait). The company belatedly recalled all pies produced at its Marshall, Missouri plant (which we have a Court Order to enter) October 11 after the products were linked to cases of salmonella. ConAgra faces several lawsuits (actually, five) related to the recall, which was the second ConAgra recall this year due to salmonella (remember Peter Pan). ConAgra said it expects the pot pie recall to cost about $30 million, or 4 cents per share.

Hmmm, I bet ConAgra wishes it would have spent that money on upgrades of the plants instead of potential settlements on behalf of injured people.  I also spoke with Joe Ruff of the Omaha World Herald about ConAgra resuming production and the lawsuit we filed against it in its home state:

ConAgra's menu again has pot pies



Full Article Below:

ConAgra Foods Inc. said Wednesday that it had enhanced its food safety procedures and resumed making frozen Banquet and private-label pot pies, which the company recalled last month after they were linked to salmonella illnesses.

The company said it would ship the pot pies to stores beginning in December, and they should be back on store shelves as soon as January.

"We apologize to any consumer who became ill from eating any of our pot pies," Chief Executive Gary Rodkin said in a statement. "I would like to assure our consumers, customers and investors that the food safety conditions and operating processes throughout our manufacturing network are strong."

Product testing indicates the salmonella contamination was isolated to Banquet turkey pot pies produced on July 13 and July 31, ConAgra officials said. No salmonella contamination was found in the Marshall, Mo., plant were the pot pies were made, the company said.

ConAgra recalled all turkey, chicken and beef pot pies on Oct. 11. The company had issued an advisory Oct. 9 warning people against eating turkey and chicken pot pies while the investigation continued.

Bill Marler, a Seattle attorney who specializes in cases of foodborne illnesses, said he did not take issue with ConAgra resuming production.

It might be too early to determine exactly which production dates were involved in any contamination, however, Marler said.

"As more health departments come in, we might get a better sense of the breadth of period of time contamination was in the plant," Marler said.

Marler's firm has filed several lawsuits against ConAgra on behalf of people who said they became ill after eating Banquet or private-label pot pies made by the company.

One lawsuit was filed in Nebraska on behalf of Amy Eberle of Minden, who said her son became ill after eating a Great Value-brand chicken pot pie that she purchased from a store in Kearney.

The national Centers for Disease Control and Prevention has said a specific strain of salmonella had sickened more than 270 people in 35 states, and interviews with people who had become ill pointed to Banquet pot pies as the likely source.

At least three Banquet pot pies taken from the homes of people had tested positive for the salmonella bacteria found in the outbreak, the federal agency said.

ConAgra said it has developed new and more stringent testing for ingredients coming into all its ready-to-cook manufacturing plants, as well as more testing of finished products. It worked with the U.S. Department of Agriculture at the Marshall plant on the new procedures before resuming production , the company said.

Cooking instructions on pot pies also have been revamped to eliminate potential confusion regarding cooking times, ConAgra officials said.

Before the recall, people may have undercooked the pot pies, particularly in microwave ovens that have varying power levels, company officials had said.

The recall could cost ConAgra about $30 million, or 4 cents per share, most of which will be recorded in the fiscal second quarter, the company said.

Stronger-than-expected earnings from trading and merchandising will help offset the recall costs for the full year, ConAgra said. Full-year guidance will be provided when the second-quarter report is issued Dec. 20, the company said.

More ConAgra Banquet Pot Pies Positive for Salmonella I 4,[5],12:i:-


Leaving ConAgra no room to deny the obvious, according to the CDC, at least 272 isolates of Salmonella I 4,[5],12:i:- with an indistinguishable genetic fingerprint have been collected from ill persons in 35 states. To date, three of these patients’ pot pies have yielded Salmonella I4,[5],12:i:- isolates with a genetic fingerprint indistinguishable from the outbreak pattern. I guess that is more than a “smoking gun,” but a smoking pot pie.

Most people infected with Salmonella develop diarrhea, fever, and abdominal cramps 12–72 hours after infection. Infection is usually diagnosed by culture of a stool sample. The illness usually lasts 4 – 7 days. Although most people recover without treatment, severe infections may occur. Infants, elderly persons, and people with impaired immune systems are more likely than others to develop severe illness. In severe infection, Salmonella spreads from the intestines to the bloodstream and then to other body sites, and death can occur if the person is not treated promptly with antibiotics.

To date we have been contacted by over 100 people who believe they have become ill as a result of eating ConAgra Banquet Pot Pies.  Of those thus far we have been able to confirm nearly 20 as suffering from a Salmonella I 4,[5],12:i:- infection.  Three lawsuits have been filed to date.

ConAgra linked to 152 Salmonella I,4,[5],12:i:- illnesses in 31 states and still it refuses to recall its Salmonella Pot Pies

CDC confirms Salmonella Pot Pie outbreak has been ongoing since January 2007 - a month before the Salmonella outbreak tied to ConAgra peanut butter was announced in February 2007.



Investigation of Outbreak of Human Infections Caused by Salmonella I,4,[5],12:i:-


CDC is collaborating with public health officials in multiple states across the United States and with the U.S. Department of Agriculture Food Safety Inspection Service to investigate an ongoing multi-state outbreak of Salmonella I,4,[5],12:i:- (pronounced “four five twelve eye minus”) infections in humans. An investigation that used interviews comparing foods eaten by ill and well persons is showing that eating Banquet brand pot pies produced by the ConAgra Foods company is the likely source of the illness.


Between January 1, 2007 and October 9, 2007, at least 152 isolates of Salmonella I,4,[5],12:i:- with an indistinguishable genetic fingerprint have been collected from ill persons in 31 states. Ill persons whose Salmonella strain has this genetic fingerprint have been reported from Arizona (1), California (6), Connecticut (3), Delaware (5), Georgia (2), Idaho (6), Illinois (3), Indiana (3), Kansas (2), Kentucky (8), Massachusetts (5), Maryland (5), Maine (1), Michigan (3), Minnesota (6), Missouri (11), Montana (4), Nevada (6), New York (6), Ohio (8), Oklahoma (1), Oregon (2), Pennsylvania (13), Tennessee (5), Texas (4), Utah (2), Virginia (6), Vermont (2), Washington (2), Wisconsin (19), Wyoming (2). Their ages range from <1 to 87 years with a median age of 20 years; 49% of ill persons are female. At least 20 people have been hospitalized. No deaths have been reported.

So, why recall peanut butter, but not pot pies?

Is there a connection between Con Agra, Chicken Pot Pies and Salmonella typhimurium?



Salmonella typhimurium is a leading cause of human gastroenteritis. The genus Salmonella contains over 2,000 sero-species and is one of the most important pathogens in the family Enterobacteriaceae. Salmonella enterica serovar Typhimurium is the among the most common Salmonella serovars causing Salmonellosis infections in the US. In humans, Salmonellosis causes diarrhea, fever, and abdominal cramps 12 to 72 hours after infection and may last for up to 7 days. Some cases result in hospitalization. Salmonella is readily transmitted through the feces of people or animals. The incidence of non-typhoid salmonellosis (which is caused by Salmonella enterica typhi) is increasing worldwide, causing millions of infections and many deaths in the human population each year.



Fox 12 of Idaho reported today:

Salmonella Scare Prompts Health Warning

Boise, Idaho -- A salmonella scare has local health officials concerned.  A number of Salmonella infections have been reported across southern Idaho since mid September.  Experts at the Idaho Health and Welfare Department believe they could be linked to undercooked chicken pot pies.  Residents are being warned to follow cooking instructions carefully -- since some frozen convenience foods are not pre-cooked.

We understand that there may be in excess of 200 culture-positive Salmonella typhimurium ill persons nationwide tied to the consumption of chicken pot pies and turkey pot pies.  As I told Law and More blogger Jane Genova this evening, we have seen a disturbing trend of contacts with our office where Salmonella and Con Agra Banquet chicken and turkey pot pies seem linked.  It will be interesting to see what health officials do in the morning - "voluntary recall" perhaps?  No recall at all?  By the way, are pot pies USDA or FDA responsibility?

Send Marler to outer space

OK, that may be on the minds of food manufacturers who poison customers and the insurance corporations who pay claims, but this Associated Press article demands closer reading:

Scientists discover germs get stronger when they go into space


It sounds like the plot for a scary B-movie: Germs go into space on a rocket and come back stronger and deadlier than ever.

Except, it really happened.

The germ: Salmonella, best known as a culprit of food poisoning.

The trip: Space Shuttle STS-115, September 2006.

The reason: Scientists wanted to see how space travel affects germs, so they took some along — carefully wrapped — for the ride.
The result: Mice fed the space germs were three times more likely to get sick and died quicker than others fed identical germs that had remained behind on Earth.


I'm still in Houston (and, this is my 900th blog post) - not far from the Johnson Space Center.  The problem with hitchhiking, nasty Salmonella, reminds me of that famous quote from the Apollo 13 flight:

"Okay, Houston, we've had a problem here." ??

"Wherever humans go, microbes go, you can't sterilize humans. Wherever we go, under the oceans or orbiting the earth, the microbes go with us, and it's important that we understand ... how they're going to change," explained Cheryl Nickerson, an associate professor at the Center for Infectious Diseases and Vaccinology at Arizona State University. Nickerson added that learning more about changes in germs has the potential to lead to novel new countermeasures for infectious disease. She reports the results of the salmonella study in today's edition of Proceedings of the National Academy of Sciences.

The researchers placed identical strains of salmonella in containers and sent one into space aboard the shuttle, while the second was kept on Earth, under similar temperature conditions to the one in space.

After the shuttle returned, mice were given varying oral doses of the salmonella and then were watched.

After 25 days, 40 percent of the mice given the Earth-bound salmonella were still alive, compared with just 10 percent of those dosed with the germs from space. And the researchers found it took about one-third as much of the space germs to kill half the mice, compared with the germs that had been on Earth.

The researchers found 167 genes had changed in the salmonella that went to space.

Why?

"That's the 64 million dollar question," Nickerson said. "We do not know with 100 percent certainty what the mechanism is of space flight that's inducing these changes."

However, they think it's a force called fluid shear.

Seattle lawyer files class action lawsuit over peanut butter illnesses

Carol M. Ostrom, Seattle Times staff reporter, spent a few hours in our office today.  Below is her report:

A Kent woman and a Bellingham man have filed a class-action lawsuit against a Nebraska-based food manufacturer on behalf of people sickened by Salmonella infections after eating peanut butter later recalled for contamination.

James Winston Daniels II of Bellingham missed several days of work after he made sandwiches using Great Value peanut butter purchased at a Wal-Mart store in Bellingham, according to the lawsuit. Linda Lee Oswald, of Kent, missed three days of work after she made peanut butter and jelly sandwiches using Peter Pan brand peanut butter.

On Feb 14, the FDA warned consumers not to eat either Peter Pan and Great Value brands of peanut butter with jars carrying the product code of 2111, manufactured at ConAgra's Georgia plant, and recalled products with that code purchased since May of 2006.

The suit, against ConAgra, Inc., was filed today in U.S. District Court for the Western District of Washington. It was filed by Seattle attorney Bill Marler, a specialist in food-safety cases who also filed suit in New York and Missouri last week against ConAgra.

Calls to ConAgra were not immediately returned.

The lawsuit estimates it may include over 3,000 potential class members. It excludes those who have been hospitalized or who died, whose cases would be handled separately, Marler said. He has been contacted by family members of four people who died after eating peanut butter, Marler added, but those cases have not been verified.

As of Thursday, the Centers for Disease Control and Prevention counted nearly 300 people in 39 states, including four in Washington, who have been sickened since August. Not all cases have been linked to the implicated peanut butter.

Marler said he expects the number to grow much larger. "From an epidemiological point of view, this has been one of the oddest outbreaks I've seen in 14 years of doing these cases," Marler said. Instead of happening all at one time, in specific areas, this outbreak has occurred over months, and has been spread out around the country.

Because people may buy peanut butter and keep it on the shelf for months, people are coming forward who have been sickened for months at a time, or have gone through cycles of being sick, then recovering, then re-infecting themselves by eating the contaminated peanut butter again, Marler said.

"There is an enormous miscount of the number of people sickened," he added, because most people who got sick were not tested, and were not suspicious of their peanut butter until last week.

Only those who tested positive to the implicated strain are counted by the CDC, he noted.

Marler said he plans to test about 1,500 jars of peanut butter for contamination. "Part of what we do is make sure that claims that are brought forward are legitimate and meritorious, because that helps the system move forward to correct itself," said Marler, who says he takes partial credit, through his lawsuits, for cleaning up the meat industry after outbreaks of E. coli, including one in Washington.

Update on Salmonella Outbreak and Peter Pan Peanut Butter

RECENT UPDATE FROM FDA:

As of February 16, the FDA advised consumers not to eat any Peter Pan peanut butter purchased since May 2006 and not to eat Great Value peanut butter with a product code beginning with "2111" purchased since May 2006 because of risk of contamination with Salmonella Tennessee. Salmonella is a bacterium that causes foodborne illness, and “Tennessee” is a type of Salmonella. All Peter Pan peanut butter purchased since May 2006 is affected; only those jars of Great Value peanut butter purchased since May 2006 with a product code beginning with "2111” are affected. Although Great Value peanut butter with the specified product code has not been linked by CDC to the cases of Salmonella Tennessee infection, the product is manufactured in the same plant as Peter Pan peanut butter and, thus, is believed to be at similar risk of contamination. Great Value peanut butter made by manufacturers other than ConAgra is not affected.

Number of Cases and State Locations:


The Centers for Disease Control and Prevention (CDC) has identified 290 people from 39 states who have gotten sick from Salmonella Tennessee, the Salmonella type associated with this outbreak. Forty six (46) patients are known to have been hospitalized and there have been no reported deaths.

The 39 states with reported illness are: Alaska, Alabama, Arkansas, Arizona, California, Colorado, Connecticut, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Minnesota, Missouri, Mississippi, Montana, Nebraska, New Jersey, North Carolina, New Mexico, New York, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia, Vermont, Washington, Wisconsin and West Virginia.

Salmonella Oranienburg probe at a standstill--asking for help.



According to the Daily Dispatch:

To date, the state health department is reporting 48 confirmed cases of Salmonella Oranienburg in the Sierra Vista (Arizona) area since Sept. 1. In addition, health officials have confirmed three new cases of salmonella, but the exact type has not been determined. If any of those three are Oranienburg, they will be added to the existing count.


I found several other Salmonella Oranienburg outbreaks cited over the last several years:
Marler Clark has brought Salmonella claims against:

Black Forrest Bakery
Brook-Lea Country Club
C.L. Swanson
Cafe Santa Fe
Chili's
Corky & Lenny's
Golden Corral
Harmony Farms
KFC
Linh's Bakery
Malt-O-Meal
Old South Restaurant
Orchid Island
Paramount Farms
Quality Inn
San Antonio Taco
Seasons at the Pond
Sheetz
Sun Orchard
Sunset House
Sushi King
Susie Cantaloupe
Viva Cantaloupe
Wal-Mart
Western Sizzlin'
Wyndham Anatole Hotel


For more information on Salmonella, see www.about-salmonella.com and for recent news and informations, see www.salmonellablog.com.  For ongoing litigation, see www.salmonellalitigation.com.

Interestingly, there is another Salmonella outbreak - this one in Kane County Illinois as reported by Tim Wagner:  Kane outbreak of salmonella still puzzling health experts
In Kane County Illinois alone, 15 laboratory-confirmed salmonella cases with the same strain of bacteria were reported to the health department last year, compared to four on average. Health department officials are working to create awareness of this specific form of salmonella. They also are attempting to identify the cause, but it has proven ultra-difficult, given that the cases have been widespread -- eight were reported in Aurora and seven more in the Elgin/Carpentersville area. Of the 15 cases, six were reported to the health department in December.

Man sues Wal-Mart over salmonella

As the Indy-Star reports, Marler Clark is representing a Greenwood man in a salmonella lawsuit against Wal-Mart Stores. The suit follows a salmonella outbreak this summer in which at least 84 people became ill. The Indiana State Department of Health traced the outbreak to the deli and bakery departments at the Wal-Mart on Emerson Avenue in Greenwood. The suit, filed on Thursday in Johnson County Superior Court, says the bacteria caused Noah Merritt, the son of Ryan Merritt of Greenwood, to become ill in August. Noah Merritt was briefly hospitalized because of the outbreak, the lawsuit claims. (See also: the full press release from the Indiana Department of Health that implicated Wal-Mart, below)
State health officials report the source of the recent salmonella outbreak is the Wal-Mart on 1133 North Emerson in Greenwood. The deli and bakery departments have been identified as the source of the recent salmonella outbreak in northern Johnson and southern Marion counties. Wal-Mart officials report that all employees from the deli and bakery areas have been moved to other parts of the store until the investigation is complete. They have also discarded all possibly contaminated foods, and cleaned and sanitized both departments. "We believe food handlers who didn't have any symptoms may have contaminated the deli and bakery products," said Lynae Granzow, enteric epidemiologist, Indiana State Department of Health.

State health officials say the salmonella contamination occurred at the store, and that the public should not be concerned with purchasing items from the deli and bakery departments in the future. Health officials do recommend that individuals who purchased ready-to-eat items at the deli and bakery areas of this Wal-Mart on or before August 25 should discard those items, or return them to the store for a refund.

"This is a rare occurrence, and we are confident that Wal-Mart has properly addressed the situation by moving the employees to another part of the store, and cleaning all the equipment and surfaces," said Granzow. The State Department of Health was contacted on July 11 by the Marion County Health Department about an increase in salmonella cases in that area. Currently, 84 cases of salmonella have been reported to be part of the outbreak, which began in May 2006.

"We have worked closely with the Johnson and Marion county health departments to conduct an extensive investigation, which included laboratory tests and phone interviews to rule out all possible locations and methods of transmission of the salmonella," Granzow said.

State health officials say additional cases may be identified for the next few weeks, as the investigation concludes, but expect them to eventually taper off, now that the source has been identified and addressed.

Salmonella is a bacterium found in the intestines of many animals. People often become infected by eating contaminated foods. Salmonella can be passed because people don't wash their hands or produce properly. People can also become infected after handling chicks, ducklings, or reptiles, such as lizards, snakes, and turtles. Symptoms include vomiting, diarrhea, fever, cramps, nausea, and gas.

"The best way to avoid spreading salmonella is to wash hands thoroughly after using the bathroom, changing diapers, or handling pets, and before they fix or eat food" Granzow said. "People should also thoroughly cook all foods from animal sources, especially chicken, beef, pork, and eggs."

W.Va. woman sues over tainted orange juice

The Associated Press has chimed in on the lawsuit we filed against Orchid Island Juice on behalf of Heather Dowdy. From the article:

Heather Dowdy of Caldwell filed the lawsuit against Orchid Island Juice Co. of Fort Pierce, Fla., late Thursday in U.S. District Court. Her lawyer, Seattle food illness specialist Bill Marler, said it may be the first of several cases.

Dowdy's lawsuit said she drank Orchid Island juice on May 30, then fell ill. She sought treatment at a Virginia hospital June 2 and again June 6, when she was admitted with dehydration. Though she was released June 8, her lawyer -- Seattle food illness specialist Bill Marler -- said his client has been too sick to return to work.

Marler contends Orchid Island was negligent under the federal Food, Drug and Cosmetics Act, which requires companies to use raw materials that are "clean, wholesome, and free from adulteration and fit for human consumption."

"If Orchid Island had only pasteurized their juice, this outbreak would not have occurred," he said.

Marler Clark files lawsuit against Orchid Island, maker of unpasteurized Salmonella-contaminated orange juice

Marler Clark has filed a Salmonella lawsuit was against Orchid Island Juice Company of Fort Pierce, Florida, in US District court for the Southern District of West Virginia Thursday (case no. 5:05-CV-0586). The lawsuit was filed on behalf of Heather Dowdy, a Caldwell, West Virginia resident who became ill with a Salmonella infection after consuming Orchid Island unpasteurized orange juice. We have filed the lawsuit along with David Delk, a respected Wheeling, West Virginia, lawyer.

As I told the local (Morgantown, West Virginia) press today:

Ms. Dowdy consumed Orchid Island orange juice on May 30, 2005, and became ill with symptoms of Salmonella infection on May 31. She went to the emergency room in Virginia Beach on June 2, and again on June 6, when she was admitted to the hospital for severe dehydration. Ms. Dowdy was discharged on June 8, but still suffers from complications of Salmonella infection, and has not yet been able to return to work.

"After the Odwalla and Sun Orchard outbreaks in 1996 and 1999, I would have thought that a juice producer would have more sense than to sell unpasteurized juice and risk facing me in a courtroom after they had poisoned their customers," said William Marler, managing partner of Marler Clark. "But I guess the lesson has not been learned by all."

In the lawsuit, which is based on the Federal Food, Drug, and Cosmetic Act, Marler alleges that "Orchid Island had a duty to use supplies and raw materials . . . free from adulteration and fit for human consumption, but failed to do so."

Marler continued, "If Orchid Island had only pasteurized their juice, this outbreak would not have occurred. Heather Dowdy went through a terrible ordeal. She and other victims did not deserve this."

On July 8, 2005, the Food and Drug Administration (FDA) warned consumers against drinking unpasteurized orange juice products distributed by Orchid Island under a variety of brand names. At that point, there were reports of 15 cases of a matching strain of Salmonella bacteria causing illness in consumers in Michigan, Ohio, and Massachusetts. At least 16 other states reported cases of Salmonella that matched the specific strain found in Orchid Island orange juice. On July 15, 2005, Orchid Island issued a nationwide recall of fresh and frozen unpasteurized orange juice (see http://www.fda.gov/oc/po/firmrecalls/orchidislandjuice07_15.html). The CDC indicated that as many as 82 cases have been confirmed nationwide.

Tainted tomato case headed for mediation

Time has come to begin trying to hammer out financial settlements for hundreds of people who were sickened by a batch of salmonella-tainted tomatoes last summer. Marler Clark represents 98 of the more than 400 people who were sickened in Pennsylvania, Ohio, West Virginia and six other states after eating Roma tomatoes served at Sheetz stores last year.

As the Associated Press reported yesterday:

Seattle attorney Bill Marler, who specializes in food-related illness, said Wednesday that if a judge approves, he will begin talks with attorneys for the Altoona, Pa.-based Sheetz convenience store chain and its former supplier, the now bankrupt Coronet Foods Inc. of Wheeling.

U.S. Bankruptcy Judge Edward Friend still must approve the mediation, but Marler said that's likely now that the framework for the talks has been laid out.

Marler said claims in the current case range from $30,000 to $800,000, depending on the severity of the victims' illness, whether they were hospitalized and whether they have continuing health problems.

"I have settled several thousand salmonella claims," Marler said. "If the insurer is being reasonable and the clients are being reasonable, these cases should settle."

Illness linked to orange juice produced in Fort Pierce

Strong evidence links orange juice produced at Orchid Island Juice Co. in Fort Pierce to an outbreak of 15 cases of illness caused by a strain of salmonella, the U.S. Food and Drug Administration said Wednesday. In addition, at least 16 other states have reported cases of salmonella that match the specific strain of the Salmonella typhimurium bacterium.

As the Palm Beach Post reported today, Orchid Island, which produces unpasteurized fresh-squeezed orange juice, issued a voluntary recall of its orange juice from stores nationwide and has asked consumers to return any juice on hand to retail stores for a full refund.

None of the illness associated with the juice has occurred in Florida, the FDA said in issuing a nationwide warning to consumers against drinking the juice distributed under the labels Nino Salvaggio's, Westborn Market and Natalie's Orchid Island Juice.

S. typhimurium is the most common among the 2,000 kinds of salmonella, said Christine Pearson, a spokeswoman for the U.S. Centers for Disease Control and Prevention in Atlanta.

The strain is the same as that involved in 14 cases of salmonella-related illness associated with Cold Stone Creamery's Cake Batter ice cream during the same time period in Minnesota, Washington, Oregon and Ohio, Pearson said.

Andrew Meadows, spokesman for the Florida Department of Citrus in Lakeland, said about 9 million gallons a year of Florida orange juice - less than 1 percent of the state's overall juice production - is of the unpasteurized variety.

George Chartier, a spokesman for the U.S. Department of Agriculture, said Wednesday that 55 processing plants in Florida are approved for pasteurized juice production and three for unpasteurized.

Marler Clark Calls on FDA to Ban Sale of Unpasteurized Juices

The United States Food and Drug Administration (FDA) announced on July 8, that Orchid Island Juice Co. of Fort Pierce, Florida was recalling unpasteurized orange juice after fifteen cases of Salmonella Typhimurium were traced to consumption of Orchid Island orange juice. In light of the FDA's recall announcement, Seattle attorney William Marler of Marler Clark has called again on the FDA to completely ban the sale of all unpasteurized juices.

In 1998, the FDA required that juice makers label unpasteurized juices with the statement, "WARNING: This product has not been pasteurized and, therefore, may contain harmful bacteria which can cause serious illness in children, the elderly, and persons with weakened immune systems." But although at least three large Salmonella outbreaks have been traced to contaminated juice products since 1999(1), the FDA does not require juice companies to pasteurize juice, and no longer requires producers of unpasteurized juice to provide warning labels on their juice products.

"It is simply outrageous that after all we've learned about the importance of pasteurizing fruit juice, especially after the Odwalla and Sun Orchard outbreaks, we still have companies selling unpasteurized juices without warnings, the government allowing it, and people getting sick because of it," said Marler. "Why the FDA would allow a company to produce an unpasteurized product and allow no warning label is beyond me."

Symptoms of Salmonella infection include diarrhea, abdominal cramps, fever, nausea, and/or vomiting, and usually begin within 6 to 72 hours after ingestion of the bacteria.

"I've represented thousands of victims of Salmonella outbreaks," Marler continued. "Infections are not pretty. These people suffer from intense abdominal cramps, bloody diarrhea, and severe nausea and vomiting. These 15 people could be perfectly healthy had the juice they were sold been pasteurized."

About-Salmonella website is resource for outbreak linked to Rock Springs Restaurant

Sweetwater County Environmental Health officials have traced a Salmonella outbreak to the Sand's restaurant located on 9th Street in Rock Springs, Wyoming. At least eight patrons have become ill with Salmonella poisoning.

Resources for victims of Salmonella outbreaks are available on the Web, with sponsored sites on Salmonella and Salmonella litigation provided by Marler Clark, the Seattle law firm nationally recognized for its successful representation of victims of foodborne illness. The firm sponsors a Web site specifically about Salmonella, its symptoms, risks of infection, treatment, and news about outbreaks (see www.about-salmonella.com), as well as www.salmonellalitigation.com and www.salmonellablog.com.

"We know that many people turn to the Web as their first source of information, and having represented hundreds of victims of Salmonella poisoning, we have heard time and again how helpful the information provided on this site is," said William Marler, managing partner of Marler Clark.

"Victims suffer from intense abdominal cramping, bloody diarrhea, and nausea. Many have to be hospitalized, and most miss work," Marler continued. "It is natural for them to want to find out more about this illness, and we are providing one of the most comprehensive resources on Salmonella that is out there on the Internet."

Foodborne Illness

The Centers for Disease Control and Prevention (CDC) estimates that each year 76 million - or one out of every four - Americans are sickened as a result of consuming contaminated foods or beverages. Some become seriously ill; 325,000 require hospitalization and 5,000 die. Older adults, young children, and those who have weakened immune systems are particularly vulnerable.

More than 250 different foodborne diseases have been identified. Most of these diseases are infections caused by a variety of bacteria, viruses, and parasites.

Foods that are contaminated with poisonous chemicals or harmful substances can also cause illness. Symptoms of foodborne illness vary by disease but the most common are nausea, vomiting, abdominal cramps, and diarrhea.

I have some of the symptoms described. Do I have a foodborne illness?

Possibly. For example, scientists estimate that 35% of diarrheal illness is caused by a foodborne pathogen. Diarrhea that is caused by food poisoning usually lasts one week or less. Symptoms that appear suddenly are a sign of foodborne illness, although the last food consumed is not necessarily the cause of illness. Different microbes have different incubation periods. The incubation period refers to the time between ingestion and onset of symptoms.

Incubation Periods of Common Foodborne Pathogens

PATHOGEN INCUBATION PERIOD
Staphylococcus aureus1 to 8 hours, typically 2 to 4 hours.
Campylobacter 2 to 7 days, typically 3 to 5 days.
E. coli O157:H7 1 to 10 days, typically 2 to 5 days.
Salmonella 6 to 72 hours, typically 18-36 hours.
Shigella 12 hours to 7 days, typically 1-3 days.
Hepatitis A 15 to 50 days, typically 25-30 days.
Listeria 3 to 20 days, typically 14 days
Norovirus 24 to 72 hours, typically 36 hours.

How can I find out if I am sick because of something I ate or drank?

Foodborne infections are usually diagnosed by laboratory tests that identify the organism. Bacteria such as E. coli O157:H7, Salmonella, Shigella, and Campylobacter are found by microbiologic testing of the ill person's stool. Parasites can be identified by examining stool specimens under the microscope. Laboratory testing to detect viruses requires stool specimens or serum derived from blood samples. Many foodborne infections are not detected through routine laboratory procedures and health care providers must order appropriate testing before the cause can be identified.

Should I see a doctor if I think I have a foodborne illness?

A person with symptoms of a foodborne illness should seek prompt medical attention if there is blood in the stools, if they are experiencing prolonged vomiting or show signs of dehydration, if diarrhea last 3 days or more or if diarrhea lasts more than 3 days. Anyone at risk for serious consequences - the very young, the very old, or those with immune impairment - should consult a health care provider if symptoms do not improve after 24 hours.

What else should I do?

If you think you have a foodborne illness contact your local health department. They will ask you questions about your symptoms, when they started, and what you have eaten for several days prior to symptom onset. Because some of the organisms that cause illness can be spread by ways other than food, they will ask you about other potential sources such as contact with others with similar symptoms or exposure to animals. This distinction is important so that public health authorities can if necessary, take steps to stop others from becoming ill.

If you know others who have similar symptoms, urge them to contact the health department. Oftentimes, information compiled from a group of individuals provides clues to the source of illness that can be missed when only one person reports to the health department.

If you suspect that your illness is food related, keep any left over food for possible testing. If laboratory tests show the food was contaminated, you will have powerful evidence that the food is the likely cause of your illness. The health department will advise you about any laboratory tests that should be conducted and how long food should be kept. Similarly, keep retail or restaurant receipts showing that you purchased the suspected food. Receipts often contain valuable pieces of information about a food product that the consumer does not know or cannot recall.

Common myths of foodborne illness

As you attempt to determine if you have a foodborne illness and what the potential source could be, avoid these common misconceptions.

The last thing I ate is what made me sick.

Not necessarily. Refer to the table that shows how long it takes for certain microbes to grow inside your body and cause illness. Write down what you ate, where you ate, and when you ate in as much detail as possible. Health department investigators will ask you for this information and accurate recall is critical.

If other people ate what I ate and did not become ill, that particular meal could not be the source of my illness.

Not necessarily. It is well documented that microbes that cause foodborne illness are not always uniformly distributed in a food item. Also, people have different immune systems. One person may consume hamburger prepared from a package of ground beef and become seriously ill with E. coli O157:H7 or Salmonella while his dining companion consumes ground beef from the same package and remains healthy.

Attorneys for Sheetz salmonella victims want to start mediation

Attorneys for more than 80 people who claim they were sickened by tomatoes served at Sheetz convenience stores in Virginia and other states last year want a bankruptcy judge to O-K a plan to mediate pending lawsuits.

Seattle food-illness attorney Bill Marler asked a federal judge in West Virginia to allow plaintiffs' attorneys to bargain with those representing Sheetz and Coronet Foods. Coronet is the now-bankrupt company from Wheeling that sold the salmonella-tained tomatoes to Sheetz.

Any settlements of less than 50-thousand dollars would be paid outright; larger settlements would need court approval.

More than 400 people were sickened in nine states -- including Virginia -- in the outbreak at the Pennsylvania-based chain of convenience stores.

The Centers for Disease Control traced the tainted tomatoes to a Florida packing house which it has not identified.

Marler Clark: Settlement Announced in Cantaloupe Death and Illness Cases

Marler Clark today announced the settlement of two salmonella cases stemming from the May, 2001 salmonella outbreak tied to contaminated cantaloupe.

The cases settled were the wrongful death case of 78-year old Florence Dodds and the personal injury case of fifteen month old Nathan Eget.

On May 25, 2001 the FDA issued a press release warning consumers about Viva Brand imported cantaloupe. The FDA advised consumers of an outbreak of salmonella poona linked to cantaloupe imported to the U.S. by Shipley Sales Service of Nogales, Arizona. The outbreak was implicated in numerous illnesses and one death in Arizona, California, Connecticut, Georgia, Hawaii, Massachusetts, Minnesota, Missouri, New Mexico, Nevada, New York, Oregon, Tennessee and Washington State. The FDA detained all cantaloupe imported by Shipley Sales Service and took steps to prevent the importation of any additional contaminated cantaloupe.

Ms. Dodds, a resident of Hemet, California, endured significant physical and mental suffering as a result of the salmonella infection prior to her death. Her family incurred nearly $10,000 in medical expenses as a result of her death. "Deaths for salmonella poisoning are quite rare, but according to the CDC, about 1,000 people die annually in the Untied States. This was an unfortunate, but completely preventable tragedy," said William Marler, attorney at Marler Clark.

Nathan Eget is the son of Liz and Rick Eget of Tarzana, California. On Wednesday, April 25, 2001, Nathan began to experience serious and unusual symptoms of illness. For three days, Nathan had severe diarrhea and vomiting. He had a constant fever, would not eat, and was extremely lethargic and listless. On Tuesday, May 1, it was discovered that Nathan had grown a Salmonella culture from one of his blood samples, and that there was a bacterial infection in his blood. Since this was a much more serious diagnosis then originally suspected. Nathan was immediately transferred to the ICU for observation, because dangerous side effects could occur after the antibiotic treatment. Nathan's temperature continued to rise, he remained completely lethargic, his stomach became extremely distended, and his diarrhea continued to the point where he needed to be changed every hour. He remained hospitalized for over a week. His family incurred over $40,000 in medical expenses.

Tomato supplier for Sheetz ceases operations, blames bad publicity

In a Pittsburgh Post-Gazette story Tomato supplier for Sheetz ceases operations, blames bad publicity, Joe Fahy and Jerome Sherman reported today that Coronet Foods, tomato distributer for sandwiches sold at Sheetz convenience stores, was ceasing operations today at its plant in Wheeling, West Virginia, leaving 220 workers without jobs. The company blames its going out of business on bad publicity from this summer's salmonella outbreak that sickened more than 400 people, about 330 Pennsylvanians and another 80 people in nearby states.

Marler's Seattle-based firm has filed three lawsuits as a result of the outbreak, all targeting Coronet. He said the company's decision to go out of business would not affect the lawsuits.
"Coronet has enough insurance to resolve all the claims," he said. "We're hopeful we can eventually get through this, either by litigation or settlement."

Chili's lawsuit settled

As Marlene Hunt of the PioneerLocal reported, a settlement has been reached between 49 victims of the salmonella outbreak traced to the former Chili's Bar and Grill in Vernon Hills and Brinker International, owner of the franchise.

My firm filed individual lawsuits and a class action lawsuit in federal court in Chicago during 2003 seeking punitive damages on behalf of all outbreak victims. The settlement was worked out before the trial was scheduled to start.

Health officials determined the source of the salmonella infection was not due to improperly cooked food, but to employees who likely failed to follow proper hand washing techniques and a management decision to keep the restaurant open for two days even though its water supply was interrupted.

The food poisoning epidemic affected more than 300 persons who dined at the Vernon Hills restaurant between June 23 and July 1 in 2003. The health department interviewed about 1,200 individuals including 305 people whose illnesses appeared related to the outbreak. Of those, 141 patrons and 28 employees tested positive for salmonella.

Cobb lawsuit filed over salmonella

As Clint Williams of the Atlanta Journal-Constitution reported yesterday, It's been a rough year for Cindy Horney. Ten days of fever, nausea and diarrhea were only the beginning. The case of salmonella food poisoning triggered a case of Reiter syndrome, an uncommon form of arthritis. Intense pain in her hips made it hard to walk and sleep. Cindy Horney is one of seven people on behalf of whom Marler Clark has filed lawsuits against Golden Corral restaurants.

The plaintiffs hope to settle the cases through mediation as early as October. "Litigation is expensive, and if you can resolve these things without going through the court system it's better for everyone involved," he said. Marler recently settled a case in which victims of a 2002 salmonella outbreak linked to a Michigan bakery collected $3,000 to $80,000 each.

Cindy Horney is one of at least 23 people stricken last year in an outbreak of salmonellosis linked to the Golden Corral buffet restaurant on Barrett Parkway in Kennesaw. The Georgia Division of Public Health a year ago today announced that from early June through late August 2003, a total of 23 people were infected with the bacteria salmonella berta. Of those 23 confirmed cases, 18 had links to the Golden Corral just west of Town Center mall.

Kennewick family sues almond producer

As the Associated Press' article Kennewick family sues almond producer reported today, a Kennewick family has sued California-based almond producer Paramount Farms, alleging the mother and two young children were sickened by salmonella-tainted almonds. Shawnna Morris and her two young children got sick in February after she purchased a package of raw almonds, produced by Paramount, at a store in Kennewick, in southeast Washington. All three were diagnosed with salmonella enteritidis.

Both Shawnna Morris and her 3-year-old daughter ate the nuts, said lawyer Bill Marler of Seattle. He alleges the family's 1-year-old son became ill from contact with his mother and sister.

Federal regulators have received reports of 25 people falling ill, most likely from raw almonds supplied by Paramount. The company has voluntarily recalled 13 million pounds of raw almonds nationwide, and the size of the recall appeared likely to grow as federal investigators continue to identify distributors and repackagers of almonds that originated from Paramount.

The recall covers millions of packages sold under a variety of brand names across the country, as well as almonds shipped to eight countries. The FDA has received reports of salmonella enteritidis in at least six states so far. No fatalities have been reported.

Young children, the elderly and people with weakened immune systems are especially vulnerable to infection from salmonella. Symptoms include fever, nausea, diarrhea, vomiting and abdominal pain.

Salmonella in almonds is rare. This is only the second reported outbreak. So far, investigators have found no trace of salmonella in any of the recalled almonds or at Paramount. Experts say it is possible the outbreak may never be traced to its source.

Tainted raw almonds made 4 ill in state Recall covers 13 million pounds sold under various brands

Warren King, Seattle Times medical reporter, reported today that tainted almonds have sicken four Washington residents, including a mother and her two children in Kennewick and a Seattle man. Health authorities said recent investigations showed they suffered acute intestinal illness stemming from the almonds. Their cases were among two dozen reports of the illness in 10 states.

Some 13 million pounds of the nuts supplied by Paramount Farms of California and packaged under a variety of brands have been recalled.

Investigators have found no trace of salmonella in any of the recalled almonds or at Paramount, investigators say, and it's possible the outbreak's source may never be found.

Scott and Shawna Morris, of Kennewick, this week filed a lawsuit in U.S. District Court in Spokane against Paramount. Their Seattle-based attorney, Bill Marler, said Shawna Morris and her 3-year-old daughter, Crew, contracted the illness from eating the nuts in February. The couple's 1-year-old son, Brek, then became ill from contact with his mother and sister. Marler said Shawna Morris was hospitalized for two days with the illness, salmonella enteritis, which can cause headache, abdominal pain, diarrhea, nausea, vomiting and dehydration.

A man in his 50s was very ill in November from eating the tainted almonds, said Matias Valenzuela, a spokesman for Public Health Seattle & King County. Officials would not reveal other details for privacy reasons.

Authorities said all of the Washington cases stemmed from eating almonds sold at Costco under the Kirkland Signature brand. Costco has mailed about 1.2 million letters to members worldwide about the recall. The recalled almonds were in packages with "best (used) by" dates from Aug. 21, 2004, through March 15, 2005.

The recall has expanded to more companies and additional "best by" dates since the initial announcement of the tainted raw almonds on May 18. Besides Kirkland Signature, other brands and stores affected in Washington state include:

Trader Joe's and Sunkist brands Aug. 24, 2004, through May 20, 2005.
Gold Shield brand 2.5-ounce bags: Lot 4049, best used by February 2005; Lot 4120, best used by April 2005; and Lot 4139, best used by May 2005. Eight-ounce bags: Lot 3294, best used by October 2004; and Lot 3321, best used by November 2004.

Almond recall grows; nut processor is sued The FDA say more outlets are likley affected by the Kern County product.

As Bee Staff Writer Mike Lee reported today, the FDA says more outlets are likely affected by the Kern County product. My firm filed suit Monday against Paramount Foods, whose raw almonds are the target of a greatly expanded product recall.

"More labels and more (brand) names will be coming out," said Jack Guzewich, director of emergency response in FDA's food-safety division. "It's not done yet."

The FDA has tentatively linked 18 cases of food poisoning to raw almonds from Paramount Farms of Lost Hills in Kern County, the state's largest almond grower. Potentially related illnesses still are being investigated.

Over the weekend, Paramount expanded its recall to 13 million pounds from 5 million pounds. It also said that it immediately would start pasteurizing all almonds before they are shipped.

"There have been prior incidences of salmonella-tainted almonds that have led to illnesses and recalls," said William Marler, attorney for the family, in a statement. "Paramount Farms should have known this and taken appropriate precautions to make sure it didn't happen again."

Marler Clark Sues Paramount Farms Over Salmonella-tainted Almonds

From today's Business Wire, Marler Clark is Suing Paramount Farms Over Salmonella-tainted Almonds. My firm filed a lawsuit against California-based almond producer, Paramount Farms on behalf of the Morris family of Kennewick, Washington, three of whom became seriously ill and required hospitalization after eating Salmonella-tainted raw California almonds produced by Paramount Farms and sold by Costco. The almonds were purchased in January 2004. At least 18 people, and likely more, have suffered Salmonella infection linked to the consumption of raw California almonds produced by Paramount Farms and sold under the Kirkland Signature, Trader Joe's, and Sunkist brands.

"There have been prior incidences of Salmonella-tainted almonds that have led to illnesses and recalls," said William Marler, attorney for the family. "Paramount Farms should have known this and taken appropriate precautions to make sure it didn't happen again."

In April 2001 the Canadian Food Inspection Agency warned the public not to consume California raw whole almonds after 140 people became ill with Salmonella infection.

"Eighteen people have become ill with Salmonella infection so far during this outbreak. I would be willing to speculate that the number of illnesses related to this outbreak will continue to rise," Marler added.

Salmonella bacteria 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, Salmonella can enter the bloodstream and can lead to arterial infections such as infected aneurysms, endocarditis, and arthritis. See also www.about-salmonella.com, www.foodborneillness.com, and www.salmonellablog.com.

Restaurant sued after salmonella outbreak;

Grandmother Bonnie Bartley is suing the Golden Corral, after she and her 4-year-old granddaughter became extremely ill from the lunch they ate there on August 17.

Allison B. Luster, 4, of Marietta, was taken to WellStar Kennestone Hospital's emergency room Aug. 23 with bloody stools, constant vomiting and severe stomach pain. She also developed a severe fever and dehydration and lost one-seventh of her body weight.

As the Atlanta Journal-Constitution reported:

"This little girl was really sick, requiring extensive antibiotic treatment and a week in the hospital," Marler said in a telephone interview. "The restaurant should step up and do the right thing, compensating victims for what they've gone through."

Bartley experienced milder symptoms the day after eating at Golden Corral, Marler said, but she did not seek immediate medical attention. The girl is still being monitored for stomach problems, he said.

The lawsuit demands that the restaurant compensate the plaintiffs for medical bills, attorney fees and any other fees the court may deem appropriate.

The establishment is one of a dozen Golden Corrals in the metro area owned by Charles Winston. He voluntarily closed the restaurant Sept. 9 while state health officials scrutinized it for a source of contamination. Equipment and surfaces were once again thoroughly scrubbed and sanitized.


18 cases of salmonella berta infections between early June and late August were linked to the Golden Corral just west of Town Center mall, the Georgia Division of Public Health said last week. One person with underlying health conditions died.

Although previous health inspections Aug. 21 and 22 turned up no trace of the bacteria, the bacteria was found in a floor drain last week.

Other patrons of the restaurant who claim they were sickened at the Golden Corral are considering litigation.