House vote
expected this week on food-safety bill (Miami Herald, FL)
By MICHAEL DOYLE
The nation's food suppliers will face new fees, inspections and penalties
under a multibillion-dollar food-safety bill set for a vote as early
as Wednesday by the House of Representatives.
From importers and growers to processors and distributors, the painstakingly
negotiated 133-page bill touches every facet of the U.S. food supply
chain. While taxpayers and businesses will pay more, consumers are supposed
to be safer.
"There is no partisan gap when it comes to keeping the food supply
safe," declared Rep. Henry Waxman, D-Calif., the chairman of the
House Energy and Commerce Committee.
Enacting the tougher food-safety measures, such as increased inspections,
will cost the federal government $3.5 billion during the next five years.
New industry inspection and registration fees will pay for nearly half
the tab.
The bill's full impact, however, can't yet be known. In part, that's
because lawmakers were still negotiating provisions as late as Monday.
Major farm organizations remained skeptical or even opposed outright
pending further changes in the bill.
"Let's proceed cautiously," Jack King, the manager of national
affairs for the California Farm Bureau Federation, said Monday. "All
of a sudden, we have a new layer of government authority in how crops
are produced. We think that's a real leap."
For instance, the bill approved by Waxman's committee requires "risk-based
standards for the safe growing, harvesting, processing, packing, sorting,
transporting and holding" of raw fruits and vegetables. The Department
of Health and Human Services has three years to write the precise standards.
The Food Safety Enhancement
Act marks the latest congressional bid to boost consumer protections
following high-profile incidents such as the 2006 distribution of E.
coli-contaminated spinach. More recently, salmonella has been traced
to pistachios.
Often, though, people fall ill without making headlines. An estimated
325,000 U.S. residents are hospitalized and some 5,000 die each year
because of food-borne disease, the Centers for Disease Control and Prevention
estimates.
The legislation is credited to Rep. John Dingell, D-Mich. Dingell has
adopted some provisions offered by his colleagues as well as lobbying
groups such as the Grocery Manufacturers Association.
"(This will) go a long way to comforting our consumers and boosting
their confidence in the safety of our nation's food supply, particularly
the stuff coming in from abroad," said Dingell, who last year was
unseated by Waxman as the panel's chairman.
House leaders set the technically complex food-safety bill for approval
by voice vote, a procedure usually reserved for noncontroversial measures.
The procedure doesn't allow for any floor amendments and requires a
two-thirds vote to pass.
The Senate still must approve its own legislation, and House and Senate
negotiators will have to resolve their differences.
House provisions include:
-Food producing and processing facilities already must register with
the FDA. The bill stiffens this requirement to mandate annual registration
renewal, as well as payment of a new $500 registration fee.
-Food facilities must prepare a "hazard analysis" and develop
food safety plans. An estimated 360,000 facilities nationwide face FDA
inspections under the bill.
-The FDA could impose a quarantine of a geographic area in order to
stop shipment of potentially contaminated food. This causes concern
among agricultural groups and their Capitol Hill allies, who are hoping
to revise the provision.
"Quarantine language that would shut down an entire region should
be unnecessary," Rep. George Radanovich, R-Calif., said during
House Energy and Commerce consideration, warning of risks to "innocent
producers, packers and distributors in the region (faced) with the stigma
of a quarantine." 7-27-09
http://www.miamiherald.com/news/politics/AP/story/1160013.html
Resistant Salmonella Linked to King Soopers Beef Recall
Source of Article: http://www.newsinferno.com/archives/10107
Date Published: Tuesday,
July 28th, 2009The Salmonella strain at the root of the recent King
Soopers, Inc. beef recall is not only resistant to a wide variety of
antibiotics, but the Salmonella involved is not always killed off by
cooking, according to The Denver Channel, citing the Colorado Department
of Public Health and Environment (CDPHE).Because this particular strain
of Salmonella, Salmonella Typhimurium DT104, is resistant to many commonly
prescribed drugs, contamination with the strain can increase the risk
of hospitalization or possible treatment failure in infected individuals.Late
last week we wrote that the U.S. Department of Agriculture¡¯s (USDA)
Food Safety and Inspection Service (FSIS) released information on King
Soopers, Inc. announcement of its recall. The recall was for approximately
466,236 pounds of ground beef products that were likely linked to an
outbreak of Salmonella Typhimurium DT104. The recall is a Class I, which
means it presents a health hazard situation in which there is a reasonable
probability that the use of the product will cause serious, adverse
health consequences or death.The beef distributed by King Soopers was
sent to stores in Colorado, Kansas, Missouri, Nebraska, New Mexico,
Utah, and Wyoming, said the Denver Channel, which noted that 14 people
in Colorado fell ill after eating the recalled meat.Consumption of food
contaminated with Salmonella can cause salmonellosis, one of the most
common bacterial foodborne illnesses. Salmonella infections can be life
threatening, especially to those with weak immune systems, such as infants,
the elderly, and persons with HIV infection or who are undergoing chemotherapy.
The most common manifestations of salmonellosis are diarrhea, abdominal
cramps, and fever within eight to 72 hours. Additional symptoms may
include chills, headache, nausea, and vomiting that can last up to seven
days.In rare circumstances, infection with Salmonella can result in
the organism getting into the bloodstream and producing more severe
illnesses such as arterial infections, e.g., infected aneurysms, endocarditis,
and arthritis.
Epidemiological investigations and a case control study conducted by
CDPHE and the Centers for Disease Control and Prevention (CDC) determined
that there is an association between the fresh ground beef products
and the14 illnesses reported in Colorado. The illnesses were linked
through the epidemiological investigation by their less common pulsed-field
gel electrophoresis (PFGE) pattern found in PulseNet, a national network
of public health and food regulatory agency laboratories coordinated
by the CDC.
While the FSIS said it has no reason to believe that the recalled beef
products are still available for sale in commerce, consumers may have
purchased these recalled, fresh ground beef products between May 23
and June 23, 2009 and stored them in the freezer. Consumers are advised
to look for and discard or destroy the recalled products.
According to PubMed (a service of the U.S. National Library of Medicine
and the National Institutes of Health), Salmonella Typhimurium DT104
strains are commonly resistant to ampicillin, chloramphenicol, streptomycin,
sulfonamides, and tetracycline.
Food Illness
Accountability Undermines Food Safety Overhaul: Food Safety Legislation
Propped up by Antiquated Estimates Rather Than CDC Data
Source of Article: http://www.prweb.com/releases/foodillnessaccountability/foodsafetylegislation/prweb2683494.htm
Foodborne illness is underreported, but 12 years of CDC FoodNet data
collection confirms a difference of tens of millions between estimated
and reported cases of food illness. The CDC, legislators and other public
officials continue to use 10-year-old, non-substantiated estimates as
the basis for recommending and funding national foodborne illness policy.
When HR 2749 - Food Safety Overhaul - comes to the House floor this
week, the Association for Food Illness Accountability asks legislators,
"Why is the United States using ten-year-old estimates rather than
documented cases to develop food safety strategies and legislation?
If we are to solve the problem of foodborne illness we must accurately
define the problem, be it the farm, the factory, or the home fridge."
Memphis, TN (PRWEB) July 28, 2009 -- Legislators are ignoring more than
a decade's worth of CDC collected data as Rep. John Dingell's Food Safety
bill HR 2749 moves to the House floor. The newly formed Association
for Food Illness Accountability is asking why policy makers are relying
on an unsubstantiated 1999 report when CDC's Foodborne Diseases Active
Surveillance Network (FoodNet) confirms a discrepancy of tens of millions
of cases of foodborne illness.
Despite the strides of FoodNet and the requirements of most states to
report foodborne illness, the CDC and many legislators continue to quote
a 1999 report, "Food-Related Illness and Death in the United States"
based on approximations of passive data. The authors estimate 76 million
cases of foodborne illness including 325,000 hospitalizations and 5,000
deaths each year.
According to the CDC's Morbidity and Mortality Weekly Report (MMWR),
CDC reports 17,883 laboratory-confirmed cases of food illness infection
in FoodNet surveillance areas for 2006. A total of 18,499 laboratory
confirmed cases of foodborne illness were reported in 2008. Based on
numerous CDC reports, this data remains relatively stable. The CDC also
reports substantial declines in leading causes of illness (Campylobacter,
Listeria, Shigella, E.coli, and Yersinia). Cases of Salmonella and Cryptosporidium
are nearly unchanged, although not nearly approaching the nation's healthy
target initiative. Only cases caused by Vibrio have increased substantially.
"Clearly no one knows how many cases of foodborne illness occur
annually. If 5,000 deaths and 325,000 hospitalizations remain unaccounted
for each year, Americans should be outraged," says Cindy Hazen,
founder. "We've had a decade to begin correlating this report with
laboratory confirmed cases and we've made no advances. If we are to
solve the problem of foodborne illness we must accurately define the
problem, be it the farm, the factory, or the home fridge."
The Association for Food Illness Accountability calls for emphasis on
foodborne illness reporting to strategize targeted solutions. "Legislators
need to know whether we're seeking cures for the common cold or pandemic
flu," says Hazen. "Forty years ago, NASA pledged to send men
into space. In 1958 NASA launched its first satellite and by 1969 Apollo
11's men were walking on the moon. Could NASA have been successful if
they were using 10-year-old mathematical speculations? In the 21st century
FDA can't eliminate food illness if CDC doesn't know the time, place
or occurrence of infection. It's not enough to say we know it's a problem
but we have to guess at the magnitude because most people don't report
it."
Vilsack names
food safety advisor
Source of Article: www.meatingplace.com
By Rita Jane Gabbett on 7/27/2009
Secretary of Agriculture Tom Vilsack announced seven new staff position
appointments, with titles such as senior advisors, confidential assistant
or special assistant in the areas of rural development, natural resources
and environment, marketing and regulatory programs and food safety.
Dr. Adela Ramos was named senior advisor for food safety. Ramos most
recently worked for Senator Tom Harkin on the Senate Committee on Agriculture,
Nutrition and Forestry, where her portfolio included food safety, agricultural
research, animal and plant health, and biotechnology issues.
From 2004 to 2005, she served on Senator Harkin's agriculture committee
staff as a congressional science fellow sponsored by the American Society
for Microbiology and the American Association for the Advancement of
Science.
A native of Florida, Ramos has a doctorate in microbiology from Cornell
University, where she studied plant-microbe interactions, and a Bachelor
of Science degree in biology from Duke University.
Other appointments included:
Joe Barbiero as confidential
assistant for natural resources and environment
Jason Weller as confidential assistant for natural resources and environment
Sara Eckhouse as confidential assistant for marketing and regulatory
programs
Yeshimebet Abebe as special assistant, rural utilities
John Padalino as special assistant, rural utilities and
Lisa Zaina as chief of staff, rural utilities.
Farms and
Antibiotics (New York Times Opinion)
The Union of Concerned Scientists estimates that 70 percent of the antibiotics
used in this country are fed to farm animals. These animals do not receive
these drugs the way humans do ? as discrete short-term doses. Agricultural
antibiotics are a regular feed supplement intended to increase growth
and lessen the chance of infection in crowded, industrial farms.
These practices are putting
both humans and animals increasingly at risk. In an environment where
antibiotics are omnipresent, as they are in industrial agriculture,
antibiotic-resistant strains of diseases quickly develop, reducing the
effectiveness of common drugs like penicillin and tetracycline.
Despite that danger, the
Food and Drug Administration had been reluctant to restrict routine
agricultural use of antibiotics. The F.D.A.¡¯s principal deputy commissioner,
Dr. Joshua Sharfstein, signaled a welcome change in direction recently,
testifying on behalf of a new bill, the Preservation of Antibiotics
for Medical Treatment Act. It would allow veterinarians to prescribe
antibiotics to treat individual animals or prevent disease, but it would
sharply restrict the routine feeding of antibiotics to farm animals
? the practice most closely associated with the development of drug-resistant
pathogens.
The legislation is drawing
strong opposition from the farm lobby since the restrictions would make
it much harder for industrial farms to crowd thousands of animals together
in confined, inhumane and unhealthy quarters. But the current practice
is dangerously self-defeating: treating more and more animals with less
and less effective drugs and in turn creating resistant strains of disease
that persist in the soil and water. Congress should stop this now before
an entire class of drugs becomes useless. 7-24-09http://www.nytimes.com/2009/07/24/opinion/24fr3.html?_r=1
Evaluating the
Dangers of Bisphenol A in Plastic Baby Bottles
Source of Article: http://www.washingtonpost.com
By Nina Shen Rastogi
Thursday, July 23, 2009 How
dangerous to babies is bisphenol A? Lately, I've been seeing a lot of
hubbub in the news over the chemical. They say it's in a lot of baby
products, like bottles and sippy cups, and in hard plastic water bottles,
too. But I can't tell if this is really a big deal or just an overblown
chemical panic.
You can be forgiven for being confused: There's a huge mountain of data
out there about bisphenol A, and every day it seems as if a study comes
along linking the chemical to a new, scary condition.
It's certainly true that we're all regularly exposed to BPA, a synthetic
chemical used primarily as an ingredient in the hard plastic called
polycarbonate and in the epoxy resins that line most food and soft-drink
cans. Small amounts of the chemical can leach from containers into our
food, which may explain why a study conducted by the Centers for Disease
Control and Prevention found that nearly 93 percent of Americans older
than 6 had detectable amounts of BPA in their urine.
Does that make BPA a danger to our health? At very high doses -- thousands
of times above what researchers estimate we're exposed to daily -- BPA
causes problems in lab animals such as delayed puberty and lower body
weight. Based on a high-dose study from the early 1980s, the current
federal exposure limit is set at 50 micrograms of BPA per day per kilogram
of body weight. To put that in perspective, one recent study worked
backward from the CDC's urine data to conclude that normal adults are
exposed to between 0.0235 and 0.2472 micrograms per kilogram per day.
The controversy over BPA comes from the hundreds of "low dose"
studies that have emerged in the past decade, which suggest that the
chemical is more of a problem than we thought. Yet there's quite a bit
of dissension in the scientific community over how to interpret all
this research. In the past few years, there have been a few attempts
to wade through the flood of new data. In 2007, 38 researchers who have
studied the chemical extensively signed a consensus statement asserting,
among other things, that they were "confident" that commonly
reported levels of BPA in humans were higher than those shown to have
adverse effects in animals. Last year, the National Toxicology Program,
a research division of the National Institutes of Health, expressed
"some concern" -- the middle ranking on a five-point scale
-- about BPA's effects, at current exposure levels, on the brains and
prostate glands of fetuses, infants and children. (The program expressed
"minimal" to "negligible" concern, however, on other
developmental and reproductive issues.)
Meanwhile, most national regulatory bodies, aware of the low-dose studies,
have determined that the research isn't conclusive enough to declare
BPA a hazardous substance that should be avoided. In 2008, Canada decided
to ban the sale of polycarbonate baby bottles but emphasized that it
was doing so as a precautionary measure and that "the current research
tells us the general public need not be concerned." The European
Food Safety Authority recently reiterated its position that BPA is safe
for regular use.
Here in the United States, the Food and Drug Administration released
a preliminary risk assessment in August, concluding that "an adequate
margin of safety" exists between the levels of BPA Americans get
through their food (which it estimated to be 0.185 micrograms per kilogram
of body weight a day for adults and 2.42 micrograms for infants) and
the level at which harmful effects could be observed in two high-dose
studies of rodents (5 milligrams per kilogram of body weight). Yet last
month the FDA announced that it would reexamine its position, following
a request from concerned congressmen and a highly critical peer review
from the agency's science advisory board.
Given all this conflicting information, the Lantern isn't quite ready
to panic but thinks it's appropriate to apply the precautionary principle
in this case. If the Lantern were pregnant or had her own little Green
Penlight, she would at least try to reduce the amount of canned food
in her and her baby's diet and choose nonpolycarbonate baby bottles.
(Finding one isn't difficult: In March, the country's six leading manufacturers
announced they're phasing out BPA bottles from the U.S. market.) There
are some trade-offs: For example, glass baby bottles (a popular replacement
for polycarbonate) can shatter, and reducing your intake of canned foods
can lead to more rotten vegetables and food waste.
Many green-minded folks have also made the move of swapping their Nalgene-style
bottles for the stainless-steel variety. A recent Harvard study found
that undergrads who spent a week drinking most of their cold beverages
out of polycarbonate bottles had 69 percent higher BPA concentrations
in their urine than before the study. Those elevated concentrations
were still a bit below mean levels found in the general population,
though, so it's not as if using a plastic bottle will send your BPA
levels skyrocketing. Remember, stainless steel can have greater manufacturing
impacts than plastic. If you make the switch, try to find an alternate
use for your old bottle, because polycarbonate isn't usually recyclable
-- a receptacle for loose change, perhaps?
McDonald¡¯s Patron
infected with Hepatitis A Files Lawsuit ? Teen Sickened after Eating
at Milan, Illinois McDonald¡¯s
Source of Article: http://www.marlerblog.com/
The first lawsuit on behalf of a customer sickened in the Milan McDonald¡¯s
outbreak was filed today in the Circuit Court of the Fourteenth Judicial
Circuit of Rock Island County. The lawsuit was filed against McDonald¡¯s
Inc., and Kevin Murphy, the owner of the McDonald¡¯s restaurant at 400
West First Street in Milan, IL, by Marler Clark, the Seattle-based foodborne
illness law firm, and the Illinois firm of Foote, Meyers, Mielke &
Flowers LLC.
The lawsuit is being brought by the family of a Rock Island County teenager
who fell ill after eating at the Milan McDonald¡¯s and was diagnosed
with hepatitis A virus (HAV). On July 12 the 16-year-old came down with
a very high fever, aches, and fatigue. His fever continued for several
days, and he became visibly jaundiced. When his symptoms continued to
worsen, he was hospitalized for four days. He has returned home, but
continues to recover from his illness.
¡°I¡¯ve been concerned by some
information surrounding this outbreak indicating that Hepatitis A is
not a serious illness,¡± said William Marler, the family¡¯s attorney.
¡°Hepatitis A can make you very sick, and in rare cases, endanger the
liver. This is not a disease to be taken lightly, and the medical costs
associated with cannot be taken lightly either. These families need
help, and our job is to get it for them.¡±
A food worker at the Milan
McDonald¡¯s had Hepatitis A, and in a cascade of mistakes and miscommunications,
as many as 10,000 were exposed to the virus before the restaurant was
closed and cleaned (it has since re-opened). At least 23 people in four
counties are confirmed ill with Hepatitis A; eleven required hospitalization
due to the severity of their illnesses.
Posted on July 23, 2009 by Hepatitis A Attorney
Ground beef contaminated
with antibiotic-resistant Salmonella recalled
Source of Article: http://www.foodpoisonjournal.com/tags/salmonella-typhimurium-dt104/
Posted on July 23, 2009 by
Suzanne Schreck
The United States Department of Agriculture's Food Safety and Inspection
Service (FSIS) announced that King Soopers, Inc. of Denver, Colorado,
was recalling 466,236 pounds of ground beef products due to potential
Salmonella Typhimurim DT104 contamination yesterday. The recall was
initiated after public health officials from the Colorado Department
of Public Health and Environment and the Centers for Disease Control
and Prevention traced a Salmonella Typhimurim DT104 outbreak among Colorado
residents to the ground beef products.
Salmonella Typhimurium DT104 is an antibiotic-resistant strain of Salmonella,
which can prove to be problematic for physicians treating patients who
have eaten the contaminated ground beef and have become ill with Salmonella
infections.
In her 1997 paper, "Emergence of a Highly Virulent Strain of Salmonella
typhimurium," M. Ellin Doyle, Ph.D. at the Food Research Institute
at the University of Wisconsin-Madison wrote:
Some evidence indicts the increased use of veterinary drugs as a factor
in the dramatic increase in drug resistance. Resistance to ciprofloxacin
in DT104 isolates has increased from 1% in 1994 to 6% in 1995, coincident
with the licensing of this drug for veterinary use in the UK in 1994
(2). Resistance to trimethoprim (present in 27% of DT104 isolates) may
have been acquired in response to the use of this drug to combat bovine
infections with DT104 resistant to other drugs. Surveys of S. typhimurium
isolates from cattle and humans in Australia (16), France (17), Hong
Kong (18), and Spain (19) all reveal an increased incidence of resistance
to multiple antibiotics in this organism.
As yet, there have been no reports of S. typhimurium DT104 in the USA,
but the rapid rise of this organism in the UK warns us in the USA to
be vigilant. Increasing resistance to so many different antibiotics
makes it very difficult to treat severe cases of human salmonellosis.
By 2000, if not before, Salmonella Typhimurium DT104 had spread to the
United States. Researchers from the Department of Veterinary Microbiology
and Pathology, Washington State University-Pullman published an article
titled, "Multiresistant Salmonella Typhimurium DT104 infections
of humans and domestic animals in the Pacific Northwest of the United
States" after investigating a Salmonella Typhimurium DT104 outbreak
among residents of the Pacific Northwest.
In his testimony on food safety before the U.S. House Committee on Energy
and Commerce last March, William K. Hubbard stated:
Those peanut butter, pepper and spinach examples are just a few of the
breakdowns that have caused our citizens to question their leaders¡¯
ability to carry out this most quintessential governmental function
? the safety of commodities that are so necessary for a healthy society.
Indeed, some argue that our food supply is becoming less safe despite
the progress that has been made in science and medicine in recent decades.
It is certainly clear that there are trends that cry out for intervention
by the Congress, namely:
New pathogens have emerged
in foodstuffs, some unknown to science in years past, that are especially
lethal when they contaminate our food. They have exotic names, such
as Enterobacter sakazakii, E Coli 0157:H7, Listeria monocytogenes, Vibrio
cholerae 0139, and Salmonella Typhimurium DT104, (emphasis added) but
they all pose a significant threat of severe illness and death when
our citizens contract them. And there is an expectation among scientists
that yet more of these threats will be discovered in the future.
That Salmonella Typhimurium DT104 had not been identified as the source
of an outbreak in the United States prior to 1997, and this "especially
lethal" pathogen has been identified as the source of several outbreaks,
including the current outbreak among Colorado residents, is alarming.
The Colorado Salmonella Typhimurium DT104 outbreak should spark more
conversation about HR 1549 - Preservation of Antibiotics for Medical
Treatment Act of 2009, which aims to preserve the use of antibiotics
in food animals strictly for therapeutic use.
CIFOR issues
guidelines for foodborne disease outbreak response
Source of Article: http://www.ift.org/news_bin/news/news_home.shtml
7/22/2009-The Council to
Improve Foodborne Outbreak Response (CIFOR) has released its ¡°Guidelines
for Foodborne Disease Outbreak Response.¡± The guidelines in this document
are targeted to local, state, and federal agencies and provide model
practices used in foodborne disease outbreaks, including planning, detection,
investigation, control, and prevention. Local and state agencies vary
in their approach to, experience with, and capacity to respond to foodborne
disease outbreaks. The guidelines are intended to give all agencies
a common foundation from which to work and to provide examples of the
key activities that should occur during the response to outbreaks of
foodborne disease. The guidelines were developed by a broad range of
contributors from local, state, and federal agencies with expertise
in epidemiology, environmental health, laboratory science, and communications.
The document has gone through a public review and comment process. ¡°It
is our hope that this document will be useful to investigators at all
levels in improving outbreak investigations and serve as a platform
for developing local and agency specific policies and additional tools
to support these critical public health activities,¡± said Tim Jones,
Tennessee State Epidemiologist and Co-chair of CIFOR. The document is
not intended to replace current procedure manuals for responding to
outbreaks. Instead, it is designed to be used as a reference document
for comparison with existing procedures? to fill in gaps and update
site-specific procedures? to provide models for new procedures where
they do not exist? and to provide training to program staff.
Slow response,
poor communication blamed for Maple Leaf listeriosis outbreak
Source of Article: www.meatingplace.com
By Ann Bagel Storck on 7/22/2009
A slow response from Canadian government officials and poor communication
with the public were among many factors identified by Sheila Weatherill,
who was appointed by the federal government to lead an independent investigation,
as causes behind Maple Leaf Foods' listeriosis outbreak last summer
that killed 22 people.
Weatherill, who formerly led the public health system in Edmonton, Alberta,
offered 57 recommendations to improve food safety in her report. Among
those suggestions were that higher-risk plants be tested more frequently
than others; that Canada's chief public health officer have a larger
role during foodborne illness outbreaks; and that meat processing equipment
be designed with an eye toward limiting the spread of pathogens.
The report was the result of six months of work and more than 100 interviews.
To read the full report, click here.
Weatherill's conclusions follow another report released earlier this
summer by a House of Commons agriculture committee. (See Food safety
overhaul recommended by Canadian ag committee, Meatingplace, June 19,
2009.)
"This report is tough and it ought to be, with strong recommendations
for further improving the Canadian food safety system," said Michael
McCain, president and CEO of Maple Leaf Foods, in a news release. "We
thought we had a good food safety program last August, but our efforts
failed with tragic consequences. Since then we have transformed every
aspect of our food safety program. We cannot and will not forget the
lessons of last August, and that means imposing the highest standard
of food safety in every product we make."
When Food Gets
Inspected And Recalled, Consumers May Not Get A Clear Picture Of The
Process
Source of Article: http://www.sciencedaily.com/releases/2009/07/090722110907.htm
ScienceDaily (July 22, 2009)
? Consumers usually find out pretty quickly if the meat they're planning
to throw on the grill has been recalled.
What consumers may not be finding out about recalls and the inspection
process, however, could make them doubt the effectiveness of what is
actually a pretty good system to keep food safe, according to Kansas
State University researchers.
Charles Dodd, K-State doctoral student in food science, Wamego, and
Doug Powell, K-State associate professor of food safety, published a
paper in the journal Foodborne Pathogens and Disease about how one government
agency communicates risk about deadly bacteria like E. coli O157 in
ground beef. Publications, Web pages and recalls are all used in this
risk communication.
Dodd said that although the Food Safety and Inspection Service generally
does a good job of keeping meat safe, it's easy for consumers to think
the opposite, particularly when a recall tells them that the food in
the fridge or pantry may be dangerous. In their study, Dodd and Powell
looked at what information consumers can take away from the Food Safety
and Inspection Service's Web site, and suggest government agencies can
more clearly communicate their role in keeping the food supply safe.
"We as Americans tend to expect more from regulatory agencies than
we should, so we set ourselves up for disappointment," Dodd said.
"Occasionally, regulatory agencies may create unrealistic expectations
by the way they communicate with the public. The message of our paper
is to say that the Food Safety and Inspection Service is doing a good
job, considering the amount of resources it has. We are trying to open
up dialogue about how its role could be communicated more effectively."
The researchers said that it might be helpful for consumers to know
a few things about the inspection process that can lead to recalls:
Not all foods are recalled because someone has gotten sick. "As
a consumer, when a recall occurs, I look to see how it was initiated
-- from an outbreak or routine testing," Dodd said. "There's
always testing involved, and if the recall is from routine testing,
I think, 'This is great. The testing works.' If it's from a foodborne
illness outbreak, I think, 'At least we caught it.'"
When a meat recall occurs, the Food Safety and Inspection Service and
industry probably are erring on the side of caution. "The amount
of meat recalled is most likely more than the amount that may be contaminated,"
Dodd said.
When food like ground beef, for instance, is tested by the beef processor
or the Food Safety and Inspection Service, not every bite of meat is
under scrutiny. Rather, a group of scientific experts have agreed on
a sampling method that appropriately represents the product. Dodd said
that it's kind of like automobile safety standards: There is a system
in place to test the safety of your car, but that doesn't mean you're
sitting behind the wheel of a car that was tested.
Testing is just one tool that the Food Safety and Inspection Service
uses. Its role is to monitor what other stakeholders are doing to keep
food safe. "As a regulatory agency, the Food Safety and Inspection
Service is monitoring food safety, not necessarily testing it themselves,"
Dodd said. "I think that's what a lot of us consumers misinterpret.
We need to remember that regulatory agencies allocate, not assume, responsibility."
Hepatitis A linked
to Milan McDonalds tops 25 and that number may likely grow ? over 5,000
people received IG or Hepatitis A vaccines
Source of Article: http://www.foodpoisonjournal.com/
Posted on July 25, 2009 by
Bill Marler
Hepatitis A is a communicable (or contagious) disease. The virus is
transmitted by the ¡°fecal ? oral route,¡± (human feces gets into your
mouth) generally from person-to-person, or via contaminated food or
water.
Outbreaks, like the one at the Milan, Illinois McDonalds, associated
with food have been increasingly implicated as a significant source
of Hepatitis A infection. Such outbreaks are usually associated with
contamination of food during preparation by a Hepatitis A-infected food
handler.
Food contaminated with the virus is a common vehicle transmitting hepatitis
A. The food preparer or cook is the individual most often contaminating
the food. He or she is generally not ill: the peak time of infectivity
(i.e., when the most virus is present in the stool of an infectious
individual) is during the 2 weeks before illness begins to be noticeable.
The incubation period (time from exposure to onset of symptoms) is 15-50
days, with an average of 30 days. Thus far at least 25 people have contracted
Hepatitis A and over 10,000 or more were exposed. 5,000 have received
IG or Hepatitis A vaccines to hopefully prevent illness onset. William
Marler, food safety attorney from Seattle, has filed suit on behalf
of those who received vaccines and one family whose 16 year old contracted
Hepatitis A.
As Marler said, "it appears the second Ill McDonald¡¯s employee
last worked on July 13 or 14. That means that the number of ill may
well rise over the next month during the height of the incubation period."
The Rock Island County Health Department will conduct walk-in clinics
at its office at 2112 25th Ave., Rock Island, from 8 a.m. to 4:30 p.m.
Monday and Tuesday. These additional dates are being made available
for those who went to the Milan, Ill., McDonald's on July 13 or 14.
If they went there previous to these dates, receiving either of these
shots may be beyond the time period to provide protection from potential
exposure.
A second dose of hepatitis A vaccine, administered six months after
the first one, will provide additional effectiveness against the disease.
Second doses will be available at the health department, but they will
not be free as the first-dose clinics have been. The cost of the second
dose will be $45 for adults and $15-$25 for pediatric patients, depending
upon income guidelines.
Hepatitis A report
¡°fell through cracks¡±
Source of Article: http://www.foodpoisonjournal.com/
Posted on July 24, 2009 by Suzanne Schreck
WQAD reported today on a Rock Island County Sheriffs Department investigation
into the hepatitis A outbreak in the Quad-Cities area. The outbreak
has thus far resulted in at least 25 confirmed hepatitis A cases since
June, most allegedly linked to the consumption of food and beverages
served at the Milan McDonald¡¯s restaurant, where ¡°patient zero¡± worked
while infectious.
By law, all hepatitis A cases diagnosed in Illinois are to be reported
to proper health authoritieswithin 24 hours of diagnosis. "Patient
zero's" case, which was diagnosed on June 16th, should have been
reported to the Rock Island County Health Department (RICHD) by June
17th, and would likely have resulted in the RICHD working with McDonald¡¯s
to prevent the spread of hepatitis A among McDonald¡¯s customers and
the exclusion of ¡°patient zero¡± ? Cheryl Scram -- from the McDonald¡¯s
workforce until she was no longer infectious.
That did not happen, however, due to a breakdown in Trinity Medical
Center¡¯s reporting process that prevented a timely response by RICHD.
According to a WQAD story:
Trinity Medical Center blames an internal oversight on their part when
it comes to not reporting a June Hepatitis A case. This outbreak had
caused the Milan McDonalds to close it's doors for a few days last week.
Vice President of Hospital Operations Kathy Cunningham said the Rock
Island County Health Department called them on Monday, [July] 13th,
about a June case. Trinity wasn't' aware of any cases and did their
own investigation. That's when the hospital realized this case, and
three other July cases, fell through the cracks.
Although the hepatitis A case was not reported to RICHD until nearly
a month after Cheryl Scram¡¯s case was diagnosed, she reportedly told
her manager that she had been treated for hepatitis A when she returned
to work on June 25th, yet she was not excluded from the McDonald¡¯s workforce
and continued to handle food items while infectious.
Lt. Bill Kauzlarich with the Rock Island County Sheriffs Department
is looking into several aspects of the outbreak. He wants to know, ¡°If
the ball was dropped, who dropped it, if things weren¡¯t reported we
want to know why they weren¡¯t reported in a timely manner.¡± More answers
regarding the outbreak are sure to come, and if by no other means then
through litigation. The Marler Clark law firm has already filed a class
action lawsuit and an individual lawsuit against the Milan McDonald¡¯s
and McDonald¡¯s Corporation.
Jul 24, 2009 8:19 am US/Mountain
6 Hospitalized In Colorado For Salmonella
Source of Article: http://cbs4denver.com/local/Colorado.salmonella.recall.2.1099623.html
DENVER (AP) ¡ª
¡¤ Colorado Department of
Public Health and Environment Ground Beef Recall Info
The Colorado health department
says six people are recovering after being hospitalized for salmonella
that might be linked to a ground beef recall.
Officials said Thursday 14 cases have been reported in the state overall.
Eight did not require hospitalization.
The Denver-based King Soopers grocery chain on Wednesday recalled 466,236
pounds of ground beef products that were distributed to stores in Colorado,
Kansas, Missouri, Nebraska, New Mexico, Utah and Wyoming.
The state Department of Public Health and Environment urged the recall
because of the number of people hospitalized and because the strain
of salmonella found is resistant to many antibiotics usually used to
treat the illness, spokeswoman Lori Maldonado said.
Brian Mabry of the USDA's Food Safety and Inspection Service said Friday
this was the first time the agency had recalled raw ground beef for
salmonella.
Mabry said salmonella has been found in raw ground beef before but no
recall was issued because the source hadn't been determined. He said
other salmonella recalls have involved cooked ground beef.
The King Soopers ground beef products were produced May 23-June 13 and
bear "EST. 6250" within the USDA Mark of Inspection, printed
on the front of the packages.
Salmonella can result in abdominal cramps, diarrhea and fever. Most
people recover without treatment, but some require hospitalization.
In rare cases, the organism can get into the blood and produce more
severe illnesses.
Was The Communicable
Disease Reporting System Broke or Just Ignored in Rock Island County
Hepatits A Outbreak?
Source of Article: http://www.foodpoisonjournal.com/
Posted on July 22, 2009 by
Dan Flynn
In the final analysis, the Milan McDonald¡¯s Hepatitis A outbreak is
not simply about who is lying or who is inept in this single instance.
It is about whether the public health system for reporting and managing
communicable diseases really works.
Like other states, Illinois requires all health care providers to notify
local health authorities whenever they come across certain ¡°reportable
diseases¡±
In Illinois, the overall reporting requirements are found in Section
690.200 of the Public Health Code. Specific provisions for Hepatitis
A are found in Section 690.450.
Interestingly, Hepatitis A cases must be reported ¡°as soon as possible,
within 24 hours.¡± Anyone with Hepatitis A ¡°shall not work as food handlers
or in sensitive occupations during the period when infection control
precautions apply.¡±
In addition to a long list of health care providers who must report,
under the Illinois code ¡°any other person having knowledge of a known
or suspected case or carrier of a reportable communicable disease or
communicable disease death¡± is also legally obliged to report it.
How might these legal requirements apply to the facts on some key dates
that are now critical to the Milan McDonald¡¯s Hepatitis A outbreak?
June 16, 2009 ? McDonald¡¯s Employee Cheryl Schram learns from Trinity
Medical Center in Rock Island, IL that she has tested positive for Hepatitis
A.
June 25, 2009 ? Cheryl Schram visits Milan McDonald¡¯s and informs a
manager known only as ¡°Michelle¡± of her Hepatitis A status. This is
confirmed by at least one witness.
July 10, 2009 ? Multiple cases of Hepatitis A reported to both county
and state health officials.
July 13, 2009 ? McDonald¡¯s franchise owner Kevin Murphy says he first
learns of the Hepatitis A outbreak from the Rock Island County Health
Department. The Illinois Department of Public Health first learns about
the Cheryl Schram case, but does not know she was a food handler for
McDonald¡¯s until the next day.
July 15, 2009 ? A second McDonald¡¯s employee tests positive for Hepatitis
A.
July 16, 2009 ? There are 19 confirmed and two suspected cases of Hepatitis
A, all involving people who ate at the Milan McDonald¡¯s.
July 18,2009 ? The Rock Island Health Department announces free Hepatitis
A vaccination and immune globulin clinics for the following Monday and
Tuesday for all those who dined at the Milan McDonalds from July 6-10
and July 13-14, 2009.
July 20-21,2009 ? Of the estimated 10,000 who might have been exposed,
about 4,000 take advantage of the vaccinations. The Milan McDonald¡¯s
is located just a couple blocks off the Interstate 280 beltway that
goes around the Iowa-Illinois Quad Cities. Thousands who were exposed
to Hepatitis A are far down the road by now.
There are obvious questions from all this that do not have answers at
this point. Did Trinity Medical Center report within 24 hours on June
16th or 17th that Cheryl Schram had testing positive for Hepatitis A?
If Trinity did so, it probably used the Illinois National Electronic
Disease Surveillance System (I-NEDSS), a web-based system.
When, if so, did the Rock Island County Health Department read the report?
It would have included information on the Hep A patient and the attending
physician. Finding out more would have required some investigation by
the county health department.
Illinois law gives local health departments a lot of power to get investigations
done. It requires businesses to cooperate and gives health officials
emergency access to records. Finding out fast if someone with Hepatitis
A is a food handler is clearly a major goal in the code.
How about the Milan McDonald¡¯s manager who learned on June 25 that one
of her employees, who she knew was recently released from the hospital,
and now learns of the Hepatitis A diagnosis?
Illinois law obligates ¡°any other person having knowledge of a known
or suspected case¡¦ to contact local health officials that license restaurants
to operate. The number is usually on the license on the wall by the
phone.
12-hour Detection
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