Friday, June 17, 2011

E. coli Outbreak in Germany, what are the implications for US?

With now over 3400 infected, 800 suffering from HUS, and 39 dead, the E.coli outbreak in Germany related to sprouts has us thinking about the implications for the US.  Penn State Department of Food Science faculty, Dr. LaBorde and Dr. Dudley, weigh in on the issue.

Deadly E. coli outbreak in Germany should be a warning, expert says
Friday, June 17, 2011
Not all strains of E.coli are harmful. However, the strain that has caused the German outbreak is very pathogenic.
University Park, Pa. -- There are important lessons to be learned in the United States from the recent eruption of foodborne illness in Germany -- which has turned out to be the deadliest E. coli outbreak ever -- according to a food-safety expert in Penn State's College of Agricultural Sciences.
More than 3,300 people have been sickened since the outbreak began, including nearly 800 with a serious complication that can lead to kidney failure and death. German health officials finally were able to trace the illness back to bean sprouts grown on a farm in northern Germany, but not before at least 39 people died.
It's a sobering example of how vital it is for health officials to be able to trace food back to its origin on the farm when an outbreak of foodborne illness occurs, said Luke LaBorde, associate professor of food science. LaBorde conducts extension programs that train farmers to use "good agricultural practices" (GAPs) aimed at preventing contamination in products such as sprouts, lettuce, tomatoes and cucumbers.
"The German officials simply were not able to trace the outbreak back quickly enough to determine where it started and what food was involved," he said. "That's why so many people got sick."
"The seeds that producers buy for growing sprouts can be contaminated without any indication that they are unsafe to use," he said. "So they are just going to continue using that seed until someone tells them, 'Hey, that is making people sick.'"
LaBorde said the new federal food-safety law recently adopted in this country contains provisions that will enable scientists and government food-safety agencies to quickly trace foods back to their origins on the farm.
Now, every package or container of produce must include information about where a food product was grown or created. And because contamination can happen in processing, transport and storage, information about those also are logged and preserved, LaBorde pointed out.
In retrospect, he's not surprised that sprouts were determined to be the cause of the German E. coli outbreak. "We've known for a long time that sprouts can be a problem," he said. "The seeds may become contaminated by bacteria in animal manure in the field or during post-harvest storage."
The process used to germinate seeds is ideal for growing pathogens, LaBorde added. "Abundant nutrients are present, along with high levels of moisture -- and the warm temperatures needed for the sprouting process help to ensure survival and growth of bacteria," he said.
"Mishandling of sprouts during production, packing or distribution has rarely been implicated as the source of sprout contamination. However, bacteria already present in the sprouting seed can continue to thrive if proper food-handling techniques are not practiced during harvest, processing and preparation."
In the United States, the seeds usually are pre-treated with concentrated bleach solutions, and wash water that flows through the sprouts is collected and tested for bacteria such as E. coli, LaBorde explained.
"Perhaps that has not been done in Germany," he said. "Increasingly in this country, we are testing irrigation water and wash water for contamination. There typically is a lot more surveillance here."
LaBorde noted that increasing government testing and regulation is controversial in some circles because it adds costs and makes food more expensive, but politics and food safety aren't compatible when people start getting sick due to foodborne illness.
"There was all sorts of hysteria before the new federal food-safety law came out about how small farmers would be unable to come up with new systems to handle the testing and reporting it required -- record keeping was a real concern," he said.
"And so there were some exceptions put into the bill that exempted growers with less than $500,000 in sales who sell direct to consumers or food stores."
But regulation is a moot point in the marketplace, LaBorde contended, because food safety has been pushed onto the buyers. Each buyer -- such as a huge supermarket chain -- has their own standards that they impose on producers, and they are getting tougher and tougher. Small farmers and huge operations alike must abide by them.
"The private companies are way ahead of the government, and many now are requiring a third-party inspection of produce," he said. "There are no politics in the private food industry -- it is the bottom line that drives things.
"The large grocery store companies have simply decided they don't want to deal with multimillion-dollar lawsuits against them involving contaminated foods. So they are requiring suppliers to put into place processes, tests and requirements -- such as produce being GAPs certified -- that guard against pathogens being present in their products."
But LaBorde advises people to be aware that sprouts are just inherently more risky. "Even the Food and Drug Administration has said you can soak sprouts in bleach and still not kill every pathogen," he said.
"You can't reverse contamination, and the way sprouts are grown, if there is even the smallest amount of contamination present, it can multiply greatly and make people sick."

Threat to United States from new European E. coli strain unclear

Monday, June 13, 2011

University Park, Pa. -- Over the centuries, many unexpected things have come to the United States from Germany and caught on -- lager beer, sauerkraut, bratwurst and the Volkswagen Beetle are a few that come to mind -- but don't necessarily expect the novel strain of E. coli that is responsible for more than 2,800 cases of illness and 27 deaths in Germany to show up immediately in this country, advises a foodborne-disease expert in Penn State's College of Agricultural Sciences.
Because the United States imports just 2 percent of its food from Europe, and because outbreak-related export bans of fresh foods are in place, it is unlikely that the current outbreak strain of bacteria will arrive here from Germany said Edward Dudley, an assistant professor of food science at Penn State who studies the biology and evolution of pathogens that contaminate food.
"But that doesn't mean we won't see something similar at some point in time," he said. "The E. coli strain that is causing the outbreak of illness in Germany has been called a 'superbug,' but I don't like that term because it is sensationalistic. This is not something that was completely unexpected, in retrospect, and it is not accurate to say that we don't understand it."
The most notable aspect of the German outbreak is that it is caused by a new strain of E. coli that possesses genetic material and traits of two well-known pathogens, making this organism extremely pathogenic, Dudley noted.
"One is EAEC -- enteroaggregative E. coli -- which has the capabilities of sticking to the intestinal lining and producing a mucoid film that protects it," explained Dudley, who has been studying E.coli for a decade. "EAEC normally results in prolonged diarrheal illness.
"The other is Shiga toxin-producing E. coli, or STEC, which causes illness characterized by severe bloody diarrhea and can result in hemolytic uremic syndrome (HUS), a life-threatening condition that may result in the loss of kidney function."
Scientists know that E. coli, like many pathogens and nonpathogens alike, has the ability through a variety of mechanisms to move pieces of DNA to other bacteria and E. coli strains, said Dudley.
"The most likely scenario is that an EAEC strain acquired the ability to produce Shiga toxin from a STEC strain. What has occurred from an evolutionary standpoint is no surprise to those of us in this field and provides yet another example of the genetic flexibility of the bacterium that is E. coli."
Dudley said what is surprising about the German outbreak is that this novel E. coli strain is causing an unusually high number of HUS cases.
"Most STEC outbreaks in the past caused HUS in approximately 5 percent of patients, and some outbreaks have seen prevalence as high as 15 percent," he said. "But this German strain is causing HUS in more than 30 percent of patients."
Though nobody knows yet why this strain has caused a greater number of cases of HUS -- more than 700 -- Dudley speculates that the strain's ability to persist in the intestinal tract longer increases the risk for HUS.
"This outbreak is the first evidence that such a strain can cause a devastating illness," he said. "This is a terrible tragedy for all those involved, and we need to understand the reason behind it."
Dudley studies enteroaggregative and Shiga toxin-producing E. coli with an eye toward developing improved methods of tracking the spread of these organisms from farm-to-fork. He has concentrated on understanding the mechanisms that cause certain bacteria to become human pathogens.
"E. coli related to the German strain undoubtedly exist elsewhere in the world, so the big question is whether this outbreak is just a random, isolated case," he said. "It's a very big world out there, and we have a huge food supply. Is this something we won't see for 20 or 30 more years, or is this something we will be seeing with increased regularity?"
Almost nothing is known about where this novel strain of E. coli exists in agricultural settings in Europe or in the United States, Dudley noted. He emphasized the importance of finding out where the German outbreak originated, and with what kind of food.
"In order to understand how to prevent possible future outbreaks, we first must know where this strain originates from, and the routes by which it might transmit to the food supply. We must find out if this is something that is prevalent in our farm environments.
"This is a significant event -- it's the third largest outbreak ever recorded by an E. coli that produces Shiga toxin," he said. "We need to know, was this a one-time event, or is some change in agricultural or other practices heightening our risk for this novel strain?"

1 comment:

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