Outbreak investigation of Salmonella infantis linked to Del Monte vegetable trays, spring 2019

The U.S. Food and Drug Administration (FDA) is inspecting the Del Monte facility that produced vegetable trays that the Wisconsin Department of Health Services linked to an outbreak of salmonellosis. The facility is in Kankakee, Illinois.

On May 21, 2019, the Wisconsin Department of Health Services announced that vegetable trays produced by Del Monte Fresh Produce Inc. and sold at Kwik Trip convenience stores in Wisconsin and Minnesota are linked to three illnesses in Wisconsin and one illness in Minnesota.

According to Wisconsin authorities, these patients reported becoming ill between April 13 and April 27, 2019, and Kwik Trip has voluntarily removed all Del Monte vegetable trays from their stores.

The FDA, CDC and state authorities from Wisconsin and Minnesota continue to investigate the cause and source of the outbreak and the distribution of products.

This outbreak is not related to the Cyclospora infections linked to Del Monte vegetable trays in 2018.

First death in German E. coli outbreak; up to 200 sick

A deadly outbreak of the E. coli bacterium has claimed its first victim in Germany, authorities confirmed Tuesday, following reports that at least 140 people had fallen ill after becoming infected over recent weeks.

Health officials said the 83-year-old from the northern state of Lower Saxony died Saturday after having suffered since May 15 with the bacteria.

The outbreak, thought to have been spread through contaminated vegetables, is unusual in that it has affected mainly adults.

Does washing fruit and veg do anything

Not much.

"You can reduce the number, but you’re not gonna get zero," said Dr. Ted Labuza, of the University of Minnesota.

Dr. Francisco Diez-Gonzalez, a University of Minnesota associate professor who has studied the impact of various washing techniques on produce said,

"At the consumer level, washing from the point of view of numbers, may reduce risk to 10 percent of the original risk. That’s been fairly consistent. But it’s definitely not solving the problem … If you happen to be lucky and the cells of the pathogen are not going to be attached to the surface, you may get lucky. If the cells have formed some structure and are strongly attached to the surface, you may not.”

Washing with water and some scrubbing motion applies friction, which has been shown to dramatically reduce the number of bacteria on a fruit or vegetable — from 100 percent risk to 10 percent risk, for example. But when the original numbers are in the trillions, that 10 percent risk can still be significant.

Running water on a fruit can reduce the risk to 15 percent. Scrubbing gets you to 10 percent, and using a mix of 3 parts water, 1 part vinegar can reduce the risk to 1 or 2 perecent.

So, it’s doing something, but it may not be enough.

Are salad bars in schools a good idea?

There’s a bunch of food safety types who say they’ll never eat from salad bars, because who knows where the stuff comes from and who knows how many people have blown their nose on the contents.

I do eat from salad bars, but not that often. I have concerns about the sanitation, but also like the convenience of getting fresh fruit and veg into the system.

I’m not sure I want to eat at a salad bar frequented by snotty 10-year-olds who may be clueless about handwashing.

Michelle Obama apparently didn’t consider the food safety aspects when she endorsed the salad bar in every school.

I’m all for fresh fruits and veggies. But because they are fresh, anything that comes in contact has the potential to contaminate. So do it safely (produce condoms?)
 

New Zealand fruit and vegetable safety – good, but we’ll make sure we do better

Every time there is a food safety outbreak with fresh fruits and vegetables, some journalist or lobby group will call up and say something like, “we want to do some sampling for E. coli or Salmonella and fresh produce.”

And every time, Chapman or I will walk the person through the limitations with testing, especially in fresh produce.

New studies by the New Zealand Food Safety Authority (NZFSA) highlight the limitations. In one, two out of 900 samples tested positive for Salmonella in lettuce, both from lettuces from the same grower.

In a related study, none of the chemical residues detected were of health concern, although NZFSA principal advisor for chemicals Dr Paul Dansted says he is disappointed with results from this year’s Food Residue Surveillance Programme (FRSP), which targets food likely to show up problems. This year’s focus was on spinach, celery, ginger and garlic.

“A significant number of samples had levels over the maximum residue limit (MRL) which is used for monitoring purposes, but it’s important to stress that dietary intake assessments on the non-compliant food showed none posed a health or food safety concern.”

Eight out of 27 celery samples and four out of 24 spinach samples had residues that were over the limit. There were none over the limit in 50 samples of garlic, but ginger had 11 samples out of 39 over the limit.

“Celery and spinach can be more vulnerable to persistence of chemical residues,” Dr Dansted says. “Because of their shape, residues that wash off in the rain can collect in the base of the plant. We expected to find some problems, but this is not good enough. We will take regulatory action to ensure better compliance in future.”

Properly structured sampling programs are essential to validate that food safety programs are working. But testing is not enough.
 

How on-farm food safety programs get developed – it’s the people, and data

There was this time, we thought we’d killed Chapman.

Ben and I went along with Uncle Denton to the Canadian Horticulture Council meeting in Montreal in Feb. 2003. I had chaired a national committee on on-farm food safety program implementation – and the advice was completely ignored – Chapman and I had done years of groundwork with Denton and the Ontario Greenhouse Vegetable Growers, and we agreed to share a room at the annual meeting to cut down on expenses.

There was a couple of receptions and I still remember Ben and I asking Uncle Denton for drink tickets. We then retired to a hotel lounge and I knew trouble was ahead when Chapman asked for a cigarette.

He then went to the bathroom.

He didn’t return.

He showed up a few hours later, seemingly intact.

Denton had forgotten that story (Denton’s on the right in that pic with my grandfather, Homer) when I called him a couple of weeks ago, to thank him for the opportunity to develop on-farm food safety stuff back in 1998 with the Ontario Greenhouse Vegetable Growers. I’ve been using those anecdotes (not the ones about Chapman) and lessons learned a lot lately – seems like too many people are in a food safety time warp.

Guess it brought up a few memories for Denton, who wrote this in Sept.’s issue of The Grower:

As you journey through life you meet the occasional person who makes a real difference.  Dr. Douglas Powell is one of those – to say the least.

Doug called me recently to talk about the early years.  He was new in the On Farm Food Safety business when I was working with the Ontario Greenhouse vegetable group.  Doug was at the University of Guelph and I would talk to him about the phone call I didn’t want to get.  This would be the imaginary call from a senior’s residence wondering why all the occupants were very sick after consuming a fresh salad, and if the cause may have been the greenhouse tomatoes. I never got that call—thank God–but I wanted to be ready.  And that readiness included a strong response indicating we had an On Farm Food Safety program and proof we were capable of tracing our greenhouse product. We’ve seen several incidences in the past few years with certain fresh veggies and berries that almost ruined the industry and certainly crippled those markets for a year or so.

From the University of Guelph and the beginning of the On Farm Food Safety program, Doug has moved to Kansas State University where he is associate professor of food safety. He is still very much in the industry – just relocated to a different university — and still writing newsletters, hence the reputation of “the guru” of On Farm Food Safety.

Doug has remained a good friend over all these years. We developed a bond as we developed an On Farm Food Safety program for greenhouse vegetables and more.  Doug’s philosophy was to keep it simple.  He could relate to growers, and had an uncanny ability to make the complicated science of bacterial contamination simple and understandable. Early on, he received a little help from Dr. Gord Surgeoner.  These were the seeds of the On Farm Food Safety program in Canada, spreading from Ontario Greenhouse to CHC and to most vegetable growers across Canada.

I can still see Doug in an old T-shirt and jeans, holes in both, and running shoes–that was his fashion statement. Of course, his description of toilet paper “slippage” resulting in fecal contamination on your finger was priceless, but his crude description helped to break down the mystery of bacterial contamination by food handlers with dirty hands. Seems to me I got a T-shirt from Doug with “Don’t Eat Poop” written on the front.  Doug continues to be a great communicator, a fair goalie, poor at politics but great at On Farm Food Safety and raising little girls.

Thanks, Doug.  I am proud to say I knew you back when.

And I knew Chapman, way back when.
 

Fit, food and fresh produce

Food is 21st century snake oil. In an era of unprecedented affluence, consumers now choose among a cacophony of low fat, enhanced nutrient staples reflecting a range of political statements and perceived lifestyle preferences, far beyond dolphin free tuna.

On May 17, 2001, Procter & Gamble announced that it was discontinuing its Fit Fruit & Vegetable Wash in the United States, Canada and Mexico effective September 28, 2001. The company said the market was too small for continued investment.

But FIT is still out there. And someone e-mailed me about it the other day.

I’m not up on the current version of Fit being marketed, but in fall 2000, I contacted P&G to ask for the data substantiating the claim that Fit would eliminate 99.9 per cent of bacteria on fresh produce,

After a bunch of calls to various PR types I got hooked up with some scientists at P&G in Cincinnati, who verbally told me that sample cucumbers, tomatoes and the like were grown on the same farm in California, sprayed with chemicals that would be used in conventional production, and then harvested immediately and washed with Fit or water. The Fit removed 99.9 per cent more, or so the company claimed, because no data was ever forthcoming.

One problem. Many of the chemicals used have harvest after dates, such as the one tomato chemical that must be applied at least 20 days before harvest. Residue data on produce in Canadian stores reveals extremely low levels, in the parts per million or billion. So that 99.9% reduction is really buying consumers an extra couple of zeros in the residue quantity, all well below health limits.

No idea what the new Fit is promoting. But pathogens and chemicals in fresh produce need to be controlled on the farm, and in transportation and distribution. 
 

Snot appeal

I’m writing this while flying to Boston and baby Sorenne just let out three sneezes and a fart. Cloth diapers make wonderful spit rags, and I usually have one in my back pocket or over my shoulder. Last week I discovered another use – to control my draining eyes and nose while sitting through a meeting.

Which raises the question: is it bad manners to blow your nose at the table, even if you’re not using your napkin?

Helena Echlin of Chow magazine responds:

According to Peter Post, director of the Emily Post Institute and an allergy sufferer, you should leave the dinner table to blow your nose if possible. … Blowing your nose in public is acceptable, if not very charming. But don’t do it at the table. When you blow your nose in other situations—on the subway, for instance—people can edge away. At the table they’re stuck next to you and your germs. Though they don’t have to see your snot, they may be able to hear it when you snuffle, and that can be almost as bad. …

According to Elizabeth Bernstein, a San Francisco writer, “If a guy blew his nose in his napkin on a date, it would be pretty much a deal-breaker.”

A nation fed on local food?

The political power of the U.S. president just sets the stage for the presidential family to influence American culture.

I think one of the most interesting galleries at the Eisenhower Museum–dedicated to our 34th president who hailed from Abilene, Kansas (about an hour from where I write)–is the gallery filled with outfits worn by his wife Mamie. Plaques near the outfits describe the impact the former First Lady had on women’s fashion during her husband’s presidency–like many First Ladies before and after her.

Purpose-minded people everywhere hope that their cause will be picked up by a member of the presidential family and instantly regarded as fashionable.

This, of course, includes proponents of local food.

As reported by the New York Times,

“The nonprofit group Kitchen Gardeners International wants to inspire people to grow their own food in home gardens. More recently, its “Eat the View!” campaign has targeted the ultimate home garden — the White House lawn.”

According to the group’s website,

Kitchen Gardeners “are self-reliant seekers of "the Good Life" who have understood the central role that home-grown and home-cooked food plays in one’s well-being.”

Across the pond, the Japan Times reports that, “public trust in food, packaging and labeling [is] crumbling across the nation,” and it’s leading consumers to “tak[e] a healthy interest in vegetables and other locally made produce.”

The article asserts,

“The vegetables and fruits are not necessarily cheap compared with supermarket prices, but people are apparently buying them because they feel safer eating products made by farmers who aren’t afraid to be identified.”

It can’t hurt to know who supplies your food. However, without microbiological evidence of the safety of products and processes, there’s really no guarantee that food produced nearby—or even in your own yard—will be safer to eat than food that’s been in transit for a while.

Sick people just get the comfort of knowing who it was that let the poop get on their food.