Rattlesnake Pills Source of Salmonella Infection

Rattlesnake pills have been linked to a case of salmonelloisis in Kansas.  The pills, which were purchased in Mexico, contain dehydrated / ground rattlesnake meat and are used to treat various conditions such as HIV and cancer.  I guess when you have one of these types of diseases, why not throw some rattlesnake at it.   Sounds good, but activity against disease is probably not validated and ground snake meat, if not properly treated, may contain Salmonella.

Infection Control Today
http://www.infectioncontroltoday.com/news/2017/12/investigation-of-a-salmonella-infection-linked-to-rattlesnake-pills.aspx
Investigation of a Salmonella Infection Linked to Rattlesnake Pills

Canadian Establishment Recalls RTE Meat Products Shipped to US after Positive Salmonella Tests

A Canadian establishment, is recalling approximately 1,076 pounds of ready-to-eat salami and speck products that may be adulterated with Salmonella  These items were produced in Canada and were shipped to distribution centers in California, Illinois, Michigan, New Jersey and New York. The problem was discovered when an FSIS sample of the ready-to-eat salami product was confirmed positive for Salmonella. There have been no confirmed reports of adverse reactions due to consumption of these products.

USDA FSIS Recall Notice
https://www.fsis.usda.gov/wps/portal/fsis/topics/recalls-and-public-health-alerts/recall-case-archive/archive/2017/recall-129-2017-release
Piller's Fine Foods Recalls Ready-To-Eat Salami and Speck Products due to Possible Salmonella Adulteration
Class I Recall 

129-2017
Health Risk: High 

Dec 16, 2017 

Canada - Public Health Notice Issued for Romaine Lettuce Due to E. coli Outbreak

In Canada, officials are investigating 30 E.coli O157 infections with one death and twelve hospitalizations.  They are linking this outbreak to romaine lettuce.  There is no more information at this time (chopped, whole, bagged, etc).  From the report, "Many individuals who became sick reported eating romaine lettuce before their illnesses occurred. The Canadian Food Inspection Agency is working with public health officials to determine the source of the romaine lettuce that ill individuals were exposed to."

CISION
http://www.newswire.ca/news-release
Public Health Notice - Outbreak of E. coli infections linked to romaine lettuce

Import Alert Concerning Imported Frozen Tuna Steaks With Hepatitis A

FDA issued an import alert for frozen tuna steaks from Vietnam and Indonesia.   According to the import notice - " FDA believes that Hepatitis A Virus contaminated seafood is a result of insanitary conditions in the production or packing facilities, e.g., poor worker hygiene, inadequate worker sanitation facilities, and/or contaminated water supply."

FDA Import Alert
https://www.accessdata.fda.gov/cms_ia/importalert_1157.html
Import Alert 16-137

Published Date: 12/13/2017
Type: DWPE
Import Alert Name:
DETENTION WITHOUT PHYSICAL EXAMINATION OF SEAFOOD DUE TO HEPATITIS A CONTAMINATION

Sliced Smoked Salmon Recalled after Listeria Positive Sample

A Massachusetts company is  recalling its 1lb. packages pre-sliced salmon because the product has  the potential to be contaminated with Listeria monocytogenes.  This issue was identified after FDA product sampling identified Listeria monocytogenes in the product.

Slicers can be difficult to clean and can become a repository for Listeria if not properly cleaned....but can also be another source within the facility from the point when the salmon is removed from the smoking units to the point where it is packaged.  While slicer cleaning should be evaluated, so to should other potential point sources in the facility.

https://www.fda.gov/Safety/Recalls/ucm588864.htm
Springfield Smoked Fish Recalls Smoked Salmon Because Of Possible Health Risk
For Immediate Release
December 13, 2017

Federal Agencies Release Report on Foodborne Illness Source Attribution Estimates for 2013

FDA and CDC released their inter-agency report for determining cases of foodborne illness attributed to food sources.  Please note - this data is from 2013.

Foodborne illness source attribution estimates for 2013 for Salmonella, Escherichia coli O157, Listeria monocytogenes, and Campylobacter using multi-year outbreak surveillance data, United States - The Interagency Food Safety Analytics Collaboration (IFSAC)

December 2017

Noted from the report with comment.

• Salmonella illnesses came from a wide variety of foods.  Salmonella illnesses were broadly attributed across multiple food categories. More than 75% of Salmonella illnesses were attributed to seven food categories: Seeded Vegetables (such as tomatoes), Eggs, Chicken, Other Produce (such as nuts), Pork, Beef, and Fruits.  [Many animals carry Salmonella and then this can contaminate produce and grain items through cross contamination probably originating with contamination from fecal deposits]
• E. coli O157 illnesses were most often linked to Vegetable Row Crops (such as leafy greens) and Beef. More than 75% of illnesses were linked to these two categories.
• Listeria monocytogenes illnesses were most often linked to Fruits and Dairy products. [Note that meat products are not mentioned here and much of this is due to the work of the meat industry which has conditions and products that are a lot more of a challenge.  I suspect that we will see FDA regulated facilities taking clues from the meat industry about Listeria control.]
• More than 75% of illnesses were attributed to these two categories, but the rarity of Listeria monocytogenes outbreaks makes these estimates less reliable than those for other pathogens.
• Non-Dairy Campylobacter illnesses were most often linked to Chicken [but the main source was raw milk.  Incredible to think about when you consider how few people actually drink raw milk]
• Almost 80% of non-Dairy foodborne illnesses were attributed to Chicken, Other Seafood (such as shellfish), Seeded Vegetables, Vegetable Row Crops, and Other Meat/Poultry (such as lamb or duck). An attribution percentage for Dairy is not included because, among other reasons, most foodborne Campylobacter outbreaks were associated with unpasteurized milk, which is not widely consumed, and we think these over-represent Dairy as a source of Campylobacter illness. Removing Dairy illnesses from the calculations highlights important sources of illness from widely consumed foods, such as Chicken.

LINK

Interagency Food Safety Analytics Collaboration: Release of a New Report on Foodborne Illness Source Attribution Estimates for 2013
December 15, 2017

Cruise Ship Season is Here...What about Norovirus?

Planning to go on a cruise this year?  This past week, a Royal Caribbean ship, Ovation of the Sea, had 195 cases of gastrointestinal illness.  One of the largest cruise line ships, it was carrying 5800 people, and was at sea for 14 days off the coast of Australia.

Controlling illness on cruise ships is a challenge.  Over the past 4 years, there have been 10 or so ships that meet the conditions for reporting by CDC (CDC  Outbreak Updates for International Cruise Ships).  But in order to report by CDC, there is a cutoff  - "3% or more of passengers or crew reported symptoms of diarrheal disease to the ships medical staff during the voyage."  So in the recent outbreak on the Ovation, it just made that mark at 3.3% on board ill.

This table shows the other cases in the last 6 months.

ABC News
http://www.abc.net.au/news/2017-12-05/gastro-outbreak-on-ovation-of-seas-cruise-ship/9226346
Gastro outbreak on Ovation of the Seas cruise ship, almost 200 ill
By Natalie Whiting
Updated 5 Dec 2017, 2:04amTue 5 Dec 2017, 2:04am

France - Company Conducts International Recall of Baby Milk Product after 26 Ill from Salmonella

A French owned dairy conglomerate, Lactalis, is conducting an international recall of baby milk after there have been 26 reported cases of Salmonella infection. The cases have been reported since Dec 1.
 "The company said a possible source of the outbreak has been identified in a tower used to dry out the milk at a production site in May. Disinfection and cleaning measures have been put in place at the suspected site in western France." 

So did the cases come from product produced before the clean-out / disinfection, and if so, were those conditions sufficient to warrant retrieving product produced before that clean-out /disinfection?

ABC News / Associated Press

http://abcnews.go.com/Health/wireStory/baby-milk-maker-orders-global-recall-salmonella-fears-51712320
Baby milk maker orders global recall over salmonella fears
By The Associated Press
PARIS — Dec 11, 2017

Food Bank Recalls Donated Candy Product for Potential Chemical Contamination

A Kansas food bank / food pantry is recalling a donated candy product due to that it may be contaminated with a chemical substance.  There has been one reported illness so far.  Six cases of this product were received and distributed by the food bank network to potentially  10 counties.  The group also states that this may be an isolated incidence.

This points out a challenge that food banks have with donated food - numerous and varied sources of product.  Depending on a given food banks procedures, donated food can come from retail, food service or manufacturing.  Packaged foods will generally be regarded as distressed - beyond the stated sell-by-date, or will have a cosmetic packaging issue, or will have a quality issue.  They may have been stored or handled using less-than-ideal ways. Food bank receiving and evaluation procedures and documentation is also more difficult considering the numerous entry points into the system.

https://www.fda.gov/Safety/Recalls/ucm588386.htm
Harvesters Issues Safety Alert on Bibi Frutix Candy Possible Chemical Contamination
For Immediate Release
December 8, 2017