Two infant botulism cases in Bucks Co. PA in past month

As the somewhat paranoid dad of a 2-month-old and a 2-year-old I’m constantly overreacting to common kid ailments and moods and thinking of the worst. 18 months ago I was convinced for about 20 minutes that our eldest son, Jack, had infant botulism. He was a really fussy baby and a day of quiet and lethargy from him had me worried. I had just read a story about infant botulism and figured, irrationally, that was the cause of his mood and lack of action. It turned out just be a cold. Sometimes I’m irrational.

Infant botulism occurs when C. botulinum spores are ingested and colonize the intestines of infants under 12 months old. The spores are able to germinate and grow as the intestines are not yet well developed. Although there are lots of environmental reservoirs of C. botulinum spores,  Infant botulism is usually associated with the consumption of honey.

Today, MSNBC reports about a couple of infant botulism cases in Bucks Co. PA.

When infant Amanda Zakrzewski suddenly started acting unusually fussy and was unable to eat, her parents thought she was sick or teething.

Then in the middle of the night, Zakrzewski’s wife, Laura, made Amanda a bottle after she again refused to breastfeed. As she tried feeding Amanda, the baby looked glassy eyed and appeared to be gagging.

Laura started rubbing Amanda’s gums. That is when she knew something was definitely wrong. The baby didn’t try to suck her finger.

The couple immediately took Amanda to the emergency room thinking she might have an upper respiratory infection. But the ER found Amanda didn’t have a fever, a cough or a runny nose and her chest X-ray wasn’t suspicious.

The couple’s next stop was the Children’s Hospital of Philadelphia, which treats about a dozen infant botulism cases a year. A neurologist there confirmed botulism.

Amanda recovered fully after treatment with anti-toxin. After nine days in the hospital, she returned home just before Christmas. She will undergo a few months of physical therapy to catch up with some physical milestones, Laura said.

Early diagnosis is critical with botulism poisoning, but the first symptoms often mimic less serious illnesses.

High school dance linked outbreak in MI

I guess I thought it was cool in high school (and it seems much nerdier now) but I was a member of my school’s dance committee. Not the dancing team, but the group that organized the dances. Living in small town Ontario (that’s in Canada) there wasn’t a whole lot to do on Friday nights so the dances were pretty well attended. Once a month our student government (we were so formal) hired a DJ from the big city (usually Oshawa) and we danced the night away to Guns ‘n’ Roses, Metallica, Snoop Dogg and Boys II Men. It was awesome, and a lot like Napoleon Dynamite.

A Michigan high school’s dance has led to some post-event excitement this week as a GI outbreak has struck the attendees.

The Hudsonville-based school is closed today and tomorrow after nearly 25 percent of the student body called in sick yesterday. Ottawa County health officials say the students are suffering from an undisclosed gastrointestinal ailment that may have been spread during a school dance last week.

There was lots of barfing at/after our dances as well, but rarely was it outbreak-related; more likely peach schnapps was the causative agent.

Près de 100 personnes malades dans quatre foyers dus à des pâtisseries vendues dans l’Illinois

Translated by Albert Amgar

Les produits de pâtisseries tels que les gâteaux à la crème comme les tartes à la crème et les éclairs au chocolat sont souvent impliqués dans des intoxications alimentaires à Staphylococcus aureus.

Une analyse a révélé la présence de Staphylococcus aureus dans des produits de la pâtisserie Rolf

Une pâtisserie de Lincolnwood dans l’Illinois a été à l’origine de quatre foyers d’intoxications alimentaires à staphylocoque en novembre et décembre 2010. Ces foyers liés au travail du traiteur, ont rendu au moins 100 personnes malades. La pâtisserie Rolf, l’entreprise en cause, a fermé ses portes et a rappelé un certain nombre de produits vendus au détail pour limiter de nouvelles maladies.

Les cas ont été liés à la consommation de pâtisseries dans un restaurant ou autre. Des prélèvements d’aliments analysés par les autorités sanitaires locales ont confirmé la présence de Staphylococcus aureus. La pâtisserie a réouvert après avoir écarté tous les ingrédients alimentaires, un nettoyage et désinfection intensif de l’installation, et, une nouvelle formation des personnels aux bonnes pratiques d’hygiène.

Staphylococcus aureus peut se développer dans des aliments riches en protéines, à faible teneur acide (comme les pâtisseries fourrées à la crème) et conservés à température ambiante. Lorsque les bactéries croissent, elles créent des toxines entraînant diarrhée, nausée, vomissements et crampes abdominales lorsqu’elles sont consommées. L’apparition des symptômes peut être très rapide, près d’une heure après consommation des aliments contaminés.

Staphylococcus aureus est souvent retrouvé sur la peau humaine. Les épidémies dans les pâtisseries sont souvent liées à une mauvaise hygiène personnelle, des équipements contaminés et des températures insuffisantes.

QUE POUVEZ-VOUS FAIRE ?
• AYEZ UNE BONNE HYGIENE PERSONNELLE
• NETTOYER ET DÉSINFECTER UN EQUIPEMENT APRÈS SON UTILISATION POUR LIMITER LA CONTAMINATION DES ALIMENTS
• CONSERVER AU FROID LES PÂTISSERIES À LA CRÊME LORS DU STOCKAGE ET DU TRANSPORT
POUR PLUS D’INFORMATION, CONTACTEZ BEN CHAPMAN, BENJAMIN_CHAPMAN@NCSU.EDU OU DOUG POWELL, DPOWELL@KSU.EDU
 

UK petting farm accepts liability in E. coli outbreak

The petting farm at the center of an E.c oli O157 outbreak that sickened 93 in Aug. 2009 and left several children seriously ill will not be disputing liability in the legal case against it, lawyers have said.

Seventy-six of those taken ill after visiting Godstone Farm, near Redhill, Surrey were children under the age of 10.

Law firm Field Fisher Waterhouse, which is representing 27 children affected by the outbreak, said it had received confirmation from Godstone Farm that it would not be disputing liability in the case.

Two of those worst affected were twins Todd and Aaron Furnell (right, exactly as shown) now aged three, who became infected with the bug while on a school trip to the farm. They suffered kidney failure and spent several weeks in hospital, leaving Todd with 80% kidney function and Aaron with just 64%, the law firm said.

A report released in June last year found there were numerous failings in the way the farm handled the outbreak, the largest linked to an open farm in the UK, and in its appreciation of the risk associated with E.coli O157.

New food safety infosheet: Over 100 ill after four outbreaks linked to pastries served in Illinois

We don’t often have Staphylococus aureus examples to share with food handlers, but the below story is a good one to use.  Four separate outbreaks occurring over about a month (demonstrates that this likely was a food safety culture breakdown as much as a microbiology problem). This story also highlights why it’s not a great idea to have cream filled baked goods sit at room temperature. It’s a bit of a guess since information on the specifics of the outbreak is hard to come by, but I see three factors potentially leading to this outbreak:

– Hygiene:  Improper handwashing after touching face/eyes/nose or sneezing on the fillings (or ingredients). Staphylococcus aureus is common on skin.
– Sanitation issues: Possibly the multiple outbreaks happened as a result of one poor hygiene event and contamination became resident on some equipment (a mixer blade, bowl, etc) that wasn’t cleaned/sanitized between use.
– Temperature abuse: regardless of contamination route the biggest failure here (assuming it was cream-filled pastries) is holding the products at temperatures suitable for growth of the pathogen and toxin formation.

The newest food safety infosheet, a graphical one-page food safety-related story directed at food businesses, is now available at www.foodsafetyinfosheets.com
Food Safety Infosheet Highlights:
– Testing revealed Staphylococcus aureus in Rolf’s Patisserie products.
– Bakery products such as cream-filled pastries like cream pies and chocolate eclairs are often implicated in Staphylococcus aureus outbreaks.
– Outbreaks at bakeries are often linked to poor personal hygiene, contaminated equipment and temperature abuse.

You can download the food safety infosheet here.

Operation Flying Turtle nabs two Japanese allegedly smuggling 55 live turtles into LAX in snack food boxes

The L.A. Times reports that federal officials arrested two Japanese men for allegedly smuggling 55 live turtles into LAX in snack food boxes.

Atsushi Yamagami, 39, and Norihide Ushirozako, 49, were arrested Friday by the U.S. Fish and Wildlife Service after an undercover sting operation, according to a statement by the U.S. attorney’s office.

Authorities said they infiltrated the ring over the last few months in an investigation known as "Operation Flying Turtle."

Prosecutors said the charges carry a maximum possible federal prison sentence of 20 years.

"In August 2010, Hiroki Uetsuki, an associate of Yamagami and Ushirozako, traveled from Osaka, Japan, and arrived at Honolulu International Airport," where turtles were discovered in his suitcase, prosecutors said.

"After U.S. Fish and Wildlife agents arrested Uetsuki, he informed the agents that Yamagami paid him approximately 100,000 yen (approximately $1,200) and his travel expenses to smuggle turtles and tortoises into the United States," officials said.

Jimmy John’s food safety challenged, changing to clover sprouts

Alfalfa sprouts grown in Illinois have sickened at least 112 people in 18 states with salmonella since Nov. 2010, and many of those sick ate the sprouts on Jimmy John’s sandwiches.

On Jan. 3, 2011, in a separate outbreak, health officials reported fingering clover sprouts produced by Sprouters Northwest, Inc. of Kent, Wash. as the source of a separate salmonella outbreak that has sickened three in Oregon and four in Washington. Once again, the vehicle in at least some of the illnesses was Jimmy John’s sandwiches with sprouts.

William E. Keene, a senior epidemiologist at Oregon Public Health Division said,

“This is at least the 13th sprout-caused outbreak that has sickened Oregonians since 1995, when we first started warning consumers about the risks of eating sprouts. Anyone concerned about foodborne disease should consider this before eating sprouts. … This is a food to avoid. If you’re concerned about getting sick, I wouldn’t eat sprouts."

Yesterday, John Liautaud, the owner of the Jimmy John’s sandwich shop chain, said his restaurants will be replacing alfalfa sprouts with easier-cleaned clover sprouts, effective immediately.

Mr. ‘I-have-a-sign-on-my-head-that-says-sue-me’ Liautaud said he was making the change to clover sprouts because they are easier to clean, than alfalfa sprouts, and that to the best of his knowledge, not one case of salmonella carried by alfalfa sprouts can be traced to one of his restaurants.

Lawyers, take your places.

The original table of North American raw sprout-related outbreaks is available at http://bites.ksu.edu/sprout-associated-outbreaks-north-america-1990-2009.
 

Sydney bakery closed after salmonella sickens 120, 22 hospitalized

ABC News reports an outbreak of salmonella linked to a bakery in Sydney’s west is being investigated by the State Government’s public health unit.

Almost 120 people have sought help, suffering from gastroenteritis after eating takeaway food from a bakery at Bankstown.

Twenty-two of those have been admitted to hospital for treatment.

The bakery has now been closed until further noticed.

Why not name the bakery so previous inspections can be checked on the government’s name-and-shame website?
 

Honey laundering: sweet and sickly

Honey’s in everything. Check out any bakery product, sauce, processed food. A little dab of nectar makes anything smoother.

Toronto’s Globe and Mail ran a great feature a few days ago about the international honey cartel – so realistic it could be based in Jersey. Excerpts below:

As crime sagas go, a scheme rigged by a sophisticated cartel of global traders has all the right blockbuster elements: clandestine movements of illegal substances through a network of co-operatives in Asia, a German conglomerate, jet-setting executives, doctored laboratory reports, high-profile takedowns and fearful turncoats.

What makes this worldwide drama unusual, other than being regarded as part of the largest food fraud in U.S. history, is the fact that honey, nature’s benign golden sweetener, is the lucrative contraband.

Honey has become a staple in the North American diet. Those that do not consume it straight from bear-shaped squeeze bottles eat it regularly whether they know it or not – honey is baked into everything from breakfast cereals to cookies and mixed into sauces and cough drops. Produced by bees from the nectar of flowers and then strained for clarity, honey’s all-natural origin has garnered lofty status among health-conscious consumers who prefer products without refined sweeteners (think white sugar and processed corn syrup). About 1.2 million metric tons of honey is produced worldwide each year.

What consumers don’t know is that honey doesn’t usually come straight – or pure – from the hive. Giant steel drums of honey bound for grocery store shelves and the food processors that crank out your cereal are in constant flow through the global market. Most honey comes from China, where beekeepers are notorious for keeping their bees healthy with antibiotics banned in North America because they seep into honey and contaminate it; packers there learn to mask the acrid notes of poor quality product by mixing in sugar or corn-based syrups to fake good taste.

None of this is on the label. Rarely will a jar of honey say “Made in China.” Instead, Chinese honey sold in North America is more likely to be stamped as Indonesian, Malaysian or Taiwanese, due to a growing multimillion dollar laundering system designed to keep the endless supply of cheap and often contaminated Chinese honey moving into the U.S., where tariffs have been implemented to staunch the flow and protect its own struggling industry.

Savvy honey handlers use a network of Asian countries to “wash” Chinese-origin product – with new packaging and false documents – before shipping it to the U.S. for consumption in various forms.

Fifteen people and six companies spanning from Asia to Germany and the U.S. were recently indicted in Chicago and Seattle for their roles in an $80-million gambit still playing out in the courts. That case has been billed as the largest food fraud in U.S. history. But American beekeepers, already suffering from a bee death epidemic that is killing off a third of their colonies a year, say the flow of suspect imports has not let up.

In the honey world, there are two types of countries: producers and consumers. The United States is one of the largest of the latter, consuming about 400 million pounds of honey a year. Its beekeepers can produce only half that amount leaving exporters to fill the rest. Canada produces about 65 million pounds of honey a year and ships its surplus, 20 to 30 million pounds, south of the border.

China, the world’s largest producer of honey, would seem a natural candidate to fill the gap. But Chinese honey is notorious for containing the banned antibiotic chloramphenicol, used by farmers to keep bees from falling ill. The European Union outlawed Chinese honey imports because of it.

Dilution is another issue. According to Grace Pundyk, author of The Honey Trail, Chinese manufacturers will inject a type of honey with litres of water, heat it, pass it through an ultrafine ceramic or carbon filter, and then distill it into syrup. While it eradicates impurities such as antibiotics, it also denies honey of its essence.

Ten years ago, the U.S. Department of Commerce accused the Chinese honey industry of dumping cheap product into the American market at prices well below the cost of production. Canadians also detected surprisingly low-priced product crossing its own borders.

Australian investigators uncovered the roots of a global conspiracy when they intercepted a large consignment of “Singapore” honey bound for the U.S. in 2002.
At the time, Singapore didn’t produce honey. The shipment was traced back to China, opening the first window into a worldwide scheme in early bloom: The industry had figured out they could launder Chinese honey through neutral countries able to ship into the U.S. without paying tariffs.

 

Food destined for dump sickens 100 in S.Africa squatter camp

There’s a reason expired and recalled food is supposed to be dumped in a secure manner.

Associated Press reports cookies, candies, jams and juice destined for a dump instead went to Themba Mgodla as payment for loading a truck. Only some of the goods he planned to sell in his squatter camp turned out to be a decade old, sickening more than 100 people.

Desperate for work, Mgodla said he had gone to a factory food shop seeking employment. A driver there was supposed to take the food items to a dump, but offered to let Mgodla have the load in exchange for helping put it on a truck.

He planned to sell the food, not knowing that some of the expiration dates went as far back as 2000. Once he got to his squatter camp, some of his hungry neighbors snatched goods from him.