Friday, October 17, 2014

Opinion - Ebola in Dallas Gets Off Easy Compared to Food

This past week Ebola got a running start in the US because it was not quarantined well enough, resulting in two health workers becoming ill with the life threatening infection, and now the potential for contamination on a cruise ship. Could you imagine the level of outrage there would have been if a similar situation occurred in a food facility where an infected food worker contaminated a food that resulted in two life threatening illnesses? Could you imagine the media generated public beating food executives would have taken if this company had overlooked symptoms that were presented to them?

Perhaps those of us who work with the food industry are a bit sensitive. And this is not to say there have not been issues, because here has. But I don’t see the onslaught of press releases condemning CDC or hospital officials, especially from the lawyer types who are so skilled in getting their news releases into the mass media channels regarding foodborne illness outbreaks. Where is the Bill Marler equivalent for the healthcare industry? Where are the proposals for enhanced regulations with stricter environmental control in hospital settings?

A case in point is environmental control for nosocomial infections being linked to food. In a recent PBS Frontline series on infections caused by antibiotic resistant strains of bacteria, the focus was on whether food related transfer was responsible for the increasing number of antibiotic resistant infections.  

I do not have a problem with trying to understand the risk of this link between antibiotic usage on the farm and how it is related to infections of the general public, but where is the investigation on whether those specific strains may be originating in the hospitals and health care facilities…places where those specific antibiotics are used , where there are plenty of high risk individuals, and where environmental control is not at the same level as we see in food plants.

In this Frontline report, a young epidemiologist travels to Central PA to study how MRSA (Methicillin-resistant Staphylococcus aureus) is related to pig farms. The woman put up a map showing the number of cases in relation to the location of pig farms. The match was far from perfect, but there was some overlap. However, It would have been interesting to see the overlap between MRSA cases and individuals that visited area hospitals. Or the link between wrestling teams and those cases reported. (Yeah, there is some big time wrastlin’ in Central PA….unfortunately a sport that is conducive to the spread of MRSA).

Certainly the technology exists now, especially with whole genome sequencing, to traceback these cases seem in the general population to order to discover more definitive links. But rather, there seems to be a tendency to speculate, especially where that speculation can wrangle up some big news stories. Unfortunately, the food and food related industries, they seem to be the low hanging fruit for the picking.  

Fortunately, unlike some of these antibiotic resistant bacterial pathogens, Ebola is not a very hardy environmental pathogen and thus has not been linked to food…..yet.

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