Dried spices aren’t without risks: FDA draft risk profile identifies contamination issues

At the 2007 IAFP annual meeting in Florida, CDC foodborne illness outbreak guru Robert Tauxe told symposium audience that the next big thing for food safety was low-moisture ingredients. Salmonella is hardy, especially when stressed through drying, so it sticks around for a while. It might not grow much without available water, many low-moisture foods are also high-fat which protects the pathogen in the gut and leads to a lower mean infectious dose. Tauxe’s comments were post- Salmonella Tennessee in Peter Pan peanut butter and pre- Salmonella Wandsworth in Veggie Booty (and other outbreaks) and he talked about dried spices and flavorings and peanut butter-type products
like hummus and tahini. indian_spices

FDA has been evaluating risks associated with dried spices and yesterday released a draft risk profile of pathogens (like Salmonella) and filth (like insect parts).

The risk profile identifies the most commonly occurring microbial hazards and filth in spices and quantifies, where possible, the prevalence and levels of these adulterants at different points along the supply chain.

The study identified 14 spice/seasoning-associated outbreaks worldwide that occurred from 1973 to 2010, resulting in less than 2,000 reported human illnesses and 128 hospitalizations worldwide.

The relatively small number of outbreaks identified may be attributable in part to the application of preventive controls by the spice and food manufacturing industries, including pathogen reduction treatments, and cooking during food preparation. People’s tendency to eat small amounts of spices with meals generally lowers the probability of illness from contaminated spices relative to similarly contaminated foods consumed in larger amounts.

According to the New York Times, the draft report frames a variety of issues facing the dried spices industry.

The agency’s findings “are a wake-up call” to spice producers, said Jane M. Van Doren, a food and spice official at the F.D.A. “It means: ‘Hey, you haven’t solved the problems.’ ”
The agency called spice contamination “a systemic challenge” and said most of the insects found in spices were the kinds that thrive in warehouses and other storage facilities, suggesting that the industry’s problems result not from poor harvesting practices but poor storage and processing.

John Hallagan, a spokesman for the American Spice Trade Association, said Wednesday that he had not seen the report, so he could not comment on it. But spice manufacturers have argued in the past that food manufacturers often treat imported spices before marketing them, so F.D.A. findings of contamination levels in its import screening program do not mean that spices sold to consumers are dangerous.

Shigellosis outbreak in North Carolina affects more than 60

My kids have been somewhat spared in the game of preschool illness roulette so far this year – we’ve only battled one case of pink eye. Parents in Cabarrus County, North Carolina have not been so lucky. According to health officials 64 individuals have reported symptoms consistent with shigellosis (with 21 cases confirmed).sickchild

According to WSOC Charlotte, shigella-linked diarrhea, fever and stomach cramps have been linked to schools and workplaces across the county.

Children at Bethel Elementary, where the first cases were reported, are still coming down with the symptoms and parents are on high alert.

“I took precautions and had her tested, but the test hasn’t come back yet,” Sonya Hinson said about her daughter.Health officials said there are 64 people in the county reporting symptoms of shigellosis. So far, 21 of those are confirmed.”There are likely more cases out there,” Clinical Services Director Suzanne Knight said.

Knight said in order for the outbreak to stop, people need to stay at home if they’re sick and not come back to work or school until 48 hours after symptoms stop. Knight said you’ll know if you have shigellosis (these things should be confirmed with a stool sample -ben).

In a 2013 article in Pediatric Infectious Disease, investigators of an outbreak of E. coli O26:H11 linked to a Colorado child care center say that it could have been worse had health authorities hadn’t pushed for cohorting. Part of the strategy was to test every staff member and child for STEC – those who were carrying the bug were separated from those who weren’t. Sixty percent of the kids and staff at the center were carrying the outbreak strain (41 ill – 4 asymptomatically) and health authorities aggressively kept sick folks away until they stopped shedding.

Earlier this year I collaborated with Clemson’s Angie Fraser on a set of USDA NIFA funded food safety and infection factsheets for childcare facilities including using exclusion of ill staff and children as an outbreak control measure. The sheets can be downloaded here and here.

New food safety infosheet: Nearly 60 ill with Clostridium perfringens at outdoor school in Oregon

Food Safety Infosheet Highlights:

– Multnomah County, Oregon, health officials, 60 students developed stomach pains, vomiting, and diarrhea after eating beef stroganoff.Screen Shot 2013-10-28 at 12.41.18 PM
– C. perfringens spores often survive cooking but are not a problem until the food is held at an improper temperature.
– These spores can germinate into cells which then can multiply to food poisoning levels if food is held between 41°F and 135°F for more than four hours.Foodsafetyinfosheet-10-28-15
– Use a tip sensitive digital thermometer to measure temperature and monitor throughout service and cooling.

Click here to download.

643 sick in separate cyclospora outbreaks

In 2005, my aunt was part of a cyclospora outbreak linked to fresh basil that struck at least 300 in Florida.

Cyclospora is miserable, until a correct diagnosis comes along and cilantro.slugs.powell.10appropriate anti-parasitics prescribed.

But cyclospora outbreaks keep popping up, year after year.

The U.S. Food and Drug Administration and Centers for Disease Control and Prevention have concluded the 2013 outbreaks were at least two different sources: fresh cilantro grown in Puebla, Mexico, felled some of those in Texas, while salad mix supplied by Taylor Farms de Mexico, S. de R.L. de C.V.,   to Olive Garden and Red Lobster restaurants, both owned by Darden Restaurants, was linked to those sick in Iowa and Nebraska.

As of September 20, 2013, CDC has been notified of 643 cases of Cyclospora infection from 25 states:  Arkansas,  California, Connecticut, Florida, Georgia, Illinois, Iowa , Kansas, Louisiana, Masssachusetts, Michigan, Minnesota, Missouri, Nebraska , New Hampshire, New Jersey, New York (including New York City), Ohio, Pennsylvania, South Dakota, Tennessee, Texas , Virginia, Wisconsin , and Wyoming. 

3 sick, more suspected; E. coli O157 at Minn. petting zoo

Three Minnesota residents have become ill with confirmed E. coli O157:H7 infections after contact with animals at Dehn’s Pumpkins in Dayton, MN, the Minnesota Department of Health reported today.

The three cases were all children, ranging in age from 15 months to 7 years and are residents of the Twin Cities metro area. One child is hospitalized with hemolytic uremic syndrome (HUS), a serious goat.petting.zoocomplication of an E. coli infection characterized by kidney failure. The others were not hospitalized and are recovering. Routine monitoring by the health department identified the E. coli O157:H7 cases, which all have bacterial isolates with the same DNA fingerprint. These cases visited the farm on October 12 or 13, and became ill on October 16 or 18.

The Minnesota Department of Health is in the process of following up with any groups that visited the farm in order to help determine if more people have become ill. At this time, two additional people have reported symptoms consistent with E. coli O157:H7 infection and are currently being tested. These people visited Dehn’s on October 18, raising concern that exposures also could have occurred after the weekend of October 12-13.

All of the cases reported having contact with cattle and/or goats at Dehn’s. The farm owners have been cooperating fully with the investigation and public access to the cattle and goat areas is being prohibited. The rest of the farm, including the pumpkin patch, remains open for business.

A table of petting zoo related outbreaks is available at http://bites.ksu.edu/petting-zoos-outbreaks.

Praise the lord and pass the (potatoes, ammunition) hepatitis A

The Fargo, North Dakota, Catholic Diocese’s new bishop may have exposed hundreds of church members here and in Jamestown to the hepatitis A virus in late September and early October.

“The risk of people getting hepatitis A in this situation is low, but the Department of Health felt it was important for people to know about 10-dogmathe possible exposure,” said Molly Howell, immunization program manager.

The diocese announced Monday that Bishop John Folda is taking some time off after being diagnosed with hepatitis A. The diocese said he contracted the infection through contaminated food while attending a conference for newly ordained bishops in Italy last month.

In New York City, a Hepatitis A  outbreak at a Westchester Square pizzeria, has its neighboring eateries dealing with the side effects.

The New York Daily News reported that several eateries near the still-shuttered New Hawaii Sea restaurant which closed last month after five patrons caught Hepatitis A, say they’re stuck dealing with the stigma of the virus.

Ljubo Kocovic, who opened his own pizzeria 28 years ago in 1985, said because of the Hepatitis scare, business has suffered.

“This is the slowest it has ever been. I’ve never seen an October like this,” Kocovic said. “One guy has a problem, and we all suffer. It’s very stressful.”

Restaurant owner, Nilesh Patel of M&R Coffee Shop agreed.

“People are afraid to come,” he said. “It’s not fair. They made a mistake, they should have to pay the price.”

100 ill from Mormon church pot luck in Nevada

Food poisoning caused more than 100 people to become sick following a potluck dinner at a Mormon church in Nevada.

A local hospital in Logandale, Nevada has seen people coming in with good spreadsymptoms of gastrointestinal flu all week long.

The outbreak in the Moapa Valley area that has sickened dozens of people.

‘We had 80 people here on Monday. Just today we had three more patients who were at the potluck come in,’ the official said.

Southern Nevada Health District officials would only confirm they are conducting an investigation of a foodborne illness outbreak resulting from a private potluck dinner held in Logandale, NV last weekend.

 

12-year-old sick with E. coli O157:H7 in Hong Kong; probably undercooked meat

A 12-year-old boy who traveled to Shenzhen on October 12 and consumed undercooked beef in a restaurant there, but described no recent consumption of unpasteurised milk or raw food, nor contact with animals or visit to farms, has been confirmed with E. coli O157:H7 according to Hong Kong’s Centre for Health Promotion

He is currently in stable condition.

FDA: pets deserve safe food too (and it’s a human risk)

Don’t ever underestimate the relationship between people and their pets.

Kids, sure. But pets? Don’t go there.

I had a humbling experience – one of dozens – during a talk I gave about pet food safety years ago in Chicago and was roundly chastised for valuing children more than pets.

The U.S. Food and Drug Administration is getting the same message and moved this week to propose preventive measures to protect all sadie.dog.powellanimal foods from disease-causing bacteria, chemicals and other contaminants.

This includes the food that pet owners give their dogs, cats and other companion animals, and the feed that farmers give their livestock.

Preventive Controls for Food for Animals is the fifth rule that FDA has proposed this year as part of the food-safety framework envisioned by the 2011 FDA Food Safety Modernization Act that focuses on preventing foodborne illnesses.

Daniel McChesney, director of the Office of Surveillance and Compliance at FDA’s Center for Veterinary Medicine (CVM), said, “Unlike safeguards already in place to protect human foods, there are currently no regulations governing the safe production of most animal foods. There is no type of hazard analysis. This rule would change all that.”

McChesney notes that human and animal health are intertwined. People can get sick when pet food is contaminated by disease-causing bacteria like Salmonella. When such food is handled by pet owners and placed on kitchen surfaces, the bacteria can spread to foods consumed by their family.

The move comes amidst an on-going mystery which has led to the death of 580 pets, nearly all dogs, since 2007, connected to chicken, duck and sweet potato jerky treats, nearly all of which were imported from China. According to the N.Y. Times, it is not clear if the new regulations could have prevented the deaths because the F.D.A. is not sure yet what the hazard is.

This proposed rule would create regulations that address the manufacturing, processing, packing and holding of animal food. Good sadie.sorenne.car.10manufacturing practices would be established for buildings, facilities and personnel, and would include cleaning and maintenance, pest control, and the personal hygiene of people who work there.

It would also require facilities to have a food safety plan, perform an analysis of potential hazards, and implement controls to minimize those risks. Those controls would have to be monitored and corrected as needed.

The proposed rule has been published in the Federal Register, with a 120-day public-comment period. The rule is filed in FDA’s official docket at www.regulations.gov and can also be accessed at www.fda.gov/fsma.

In one of the most infamous examples of pet food contamination, dogs and cats across the country were sickened and killed in 2007 when melamine, a chemical used to make plastic, was added to pet food ingredients imported from China. McChesney noted that FDA received about 18,000 calls from anxious pet owners at the time.

The requirements proposed in both the animal and import rules are designed to help prevent that from happening again, he says.

Unpasteurized apple cider sickens 11 in Johnson County

In 1923, 24 people were sickened with Salmonella in unpasteurized apple cider.

In 1993, 213 people were sickened with Cryptosporidium from unpasteurized cider in Maine.

The complete list is here.

But in the face of fawning N.Y.Times articles that promote food porn powell.kids_.ge_.sweet_.corn_.cider_.00-300x227over safety with cider, it’s expected that outbreaks will continue.

Apple cider – not the hard stuff but the northern version of pressed apples into juice — is suspected as the cause of a food-poisoning outbreak in eastern Iowa.

The Johnson County Public Health Department said Friday that it is investigating a cluster of cryptosporidium infections.

Doug Beardsley, the county’s public health director, said 11 people became ill, including one who had to be hospitalized. All reported drinking unpasteurized apple cider, he said, though it’s not clear if the cider came from a single source.

Beardsley said no new illnesses are cropping up. He said that even if authorities determine who made or sold the cider, his department wouldn’t necessarily identify the business publicly. That decision would be up to the state health department, he said. The state agency often has declined to identify businesses in such cases if outbreaks are no longer spreading.

Cryptosporidium infections have been widespread in Iowa this year, with more than 1,200 confirmed cases. Many of the infections stemmed from contaminated swimming pools over the summer, though authorities have noted that the parasite can also come from contaminated food and from contact, especially in child-care settings. The state health department said only Johnson County has recently reported cases related to apple cider.