This Week in Mislabeled Products for Week Ending May 16, 2020

Variety Pack Package Misses Allergen - Evans Food Group Ltd., an Arlington, Texas establishment, is recalling approximately 3,796 pounds of ready-to-eat (RTE) pork skin products due to the product containing soy which is not declared on the product label.  The issue, discovered during a record review, found that one product contains soy – the red hot fried pork skins – is packaged in a variety pack that does not declare soy on the outside package display panel; however, soy is declared on the individual 1-oz. product label and is listed in the individual product’s list of ingredients.

Chicken Wing Packaging Misses Allergens - Zilk’s Plus Resources, LLC of Austin, TX announces a voluntary recall for select 12 oz bottles of Pluckers World Famous Wing Sauces because they may contain undeclared allergens. The recall was initiated after it was discovered that these products were distributed in packaging that did not adequately reveal the presence of soy-, wheat- or milk- containing ingredients in the affected products.

Bread Put in the Wrong Bag - The Essential Baking Company of Seattle, Washington is recalling 84 loaves of 32 oz. Sliced Columbia Bread, expiration date May 6.20, due to undeclared egg. The actual product in the bags may be 16 oz. Challah Bread which was mis-labeled as Sliced Columbia Bread and the label does not declare egg.

Ice Cream with Added Spinach Recalled After Listeria Positive Test

Ramar Foods of Pittsburg, CA, is recalling its 14 ounce packages of Peekaboo branded Mint Chocolate Chip with Hidden Spinach Ice Cream product because of the potential contamination of Listeria monocytogenes, The potential for contamination was discovered after internal routine testing by Ramar Foods revealed the presence of Listeria monocytogenes in some packages of the ice cream.

First, it seems that "hiding" vegetables in ice cream is just wrong.

In the hazard analysis, one would need to recognize that cooked or blanched vegetables would have a Listeria monocytogenes risk. The report does not indicate whether the spinach was cooked/blanched at the establishment or by the supplier. As a post-process addition, the vegetables would need sufficient controls to prevent contamination by Listeria.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/ramar-foods-recalls-mint-chocolate-chip-hidden-spinach-ice-cream-because-possible-health-risk
Ramar Foods Recalls Mint Chocolate Chip With Hidden Spinach Ice Cream Because of Possible Health Risk
Summary
Company Announcement Date: May 14, 2020
FDA Publish Date: May 14, 2020
Product Type: Food & Beverages Ice Cream/Frozen Dairy
Reason for Announcement:  Potential to be contaminated with Listeria monocytogenes
Company Name:  Ramar Foods
Brand Name:  Peekaboo
Product Description:  Mint Chocolate Chip with Hidden Spinach Ice Cream

USDA Issues Alert for Ravioli from PA Establishment for E. coli

USDA FSIS issued "a public health alert because approximately 70 pounds of raw beef ravioli products, produced by P&S Ravioli Company, a Philadelphia, Pa. establishment, may be contaminated with E. coli O157:H7. A recall was not requested because the affected product is no longer available for purchase."  According to the report, "The problem was discovered when P&S Ravioli Company was notified by their third-party laboratory that a sample was positive for E. coli O157:H7, but the products associated with the sample had already been shipped into commerce. The establishment notified FSIS of the sampling results and subsequently controlled all product remaining for sale."

https://www.fsis.usda.gov/wps/portal/fsis/newsroom/news-releases-statements-and-transcripts/news-release-archives-by-year/archive/2020/pha-05122020-01
FSIS Issues Public Health Alert for Raw Beef Ravioli Products Due to Possible E. Coli O157:H7 Contamination
5/12/20

COVID Times - News Shorts for May 14, 2020

FDA Issues Alert on Accuracy of Allergen Test - FDA issued an alert that they have data that suggests potential inaccurate results from using the Abbott ID NOW point-of-care test to diagnose COVID-19. Specifically, the test may return false negative results. FDA has received 15 adverse event reports about the Abbott ID NOW device that suggest some users are receiving inaccurate negative results.  Of course, false negatives are worse than false positives in that someone has the infection but is told they don't.

CDC Report on High Infection Rate Following a Choir Practice - Following a 2.5-hour choir practice attended by 61 persons, including a symptomatic index patient, 32 confirmed and 20 probable secondary COVID-19 cases occurred (attack rate = 53.3% to 86.7%); three patients were hospitalized, and two died. Transmission was likely facilitated by close proximity (within 6 feet) during practice and augmented by the act of singing.

Why Bats Can Carry Bad Viruses and Not Get Sick - Super Immunity - “Instead of killing bat cells as the virus does with human cells, the MERS coronavirus enters a long-term relationship with the host, maintained by the bat’s unique ‘super’ immune system,” 

The Virus Can Also Infect Cats, Minks, and Ferrets - This article discusses the virus's protein pike structure, but states that "Cats, ferrets and minks are also susceptible: In order to infect a cell, features of the spike protein must bind with a receptor on the host cell’s surface, and cats have a receptor binding site that closely matches that of humans."

COVID Virus's Cellular Targets Are In More Than Just Respiratory System - The COVID-19 "virus's  “spike” protein binds to a receptor on human cells known as angiotensin-converting enzyme 2 (ACE2). Another human protein, an enzyme called TMPRSS2, helps to activate the coronavirus spike protein, to allow for cell entry."  Epithelium cells that line the airway have these receptors, and so this is the primary means of infection.  But these cell types are found in other parts of the body including the intestines.  This is the reason we see a wide variety of symptoms, including that "approximately one third of COVID-19 patients experience gastrointestinal symptoms such as diarrhea, and the fact that the virus often can be detected in stool samples ."  

Unfortunately for men, they have a higher concentration of ACE2 in their blood.

How Does COVID-19 Become Deadly - A lot of news articles have detailed the "cytokine storm”. that occurs after an infection starts.  "This storm is an over-activation of white blood cells, which release too-great amounts of cytokines – inflammation-stimulating molecules – into the blood."  "The rapidly increased cytokines attract an excess of immune cells such as lymphocytes and neutrophils, resulting in an infiltration of these cells into lung tissue and thus cause lung injury".

Hot Dog Sales are Up - "American households continue to turn to hot dogs as a convenient and kid-friendly solution with many more at-home meal occasions. The week ending May 3 marked the ninth week of multi-digit year-over-year sales gains for hot dogs vs. a nearly flat performance in 2019." 

Farmers' Markets Are Busy, But They Endure Higher Operating Costs  - Farmers' Markets have done an excellent job at providing a safe shopping experience during the COVID-19 pandemic, but their higher costs of operations have severely cut into profitability.

Basil Imported from Columbia Recalled Due to Cyclospora

United Natural Foods, Inc. (UNFI) is recalling their  Wild Harvest® Organic Basil because of the potential to be contaminated by Cyclospora cayetanensi.  The product was distributed out of their  MN distribution center.  The recall comes after routine sampling found the pathogen.  The product is out of Columbia.

Cyclospora cayetanensis is a parasite that causes intestinal illness when consumed.  There have been a number of outbreaks associated with fresh RTE greens such as basil and cilantro.  It gets on these items from the irrigation water used for growing the product.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/unfi-voluntarily-recalls-wild-harvestr-organic-basil-due-possible-health-risk
UNFI Voluntarily Recalls Wild Harvest® Organic Basil Due to Possible Health Risk
Summary
Company Announcement Date:  May 11, 2020
FDA Publish Date:  May 11, 2020
Product Type:  Food & Beverages  Vegetable Products
Reason for Announcement:  Contaminated by Cyclospora cayetanensis
Company Name:  United Natural Foods, Inc.
Brand Name:  Wild Harvest
Product Description:  Organic Fresh Basil

Updated Handout for Food Handlers and COVID-10

Penn State Extension updated it's handout for food employees regarding COVID-19.  This is available as a PDF handout and will be available in a one page poster.

Food Handlers and COVID-19
https://extension.psu.edu/food-handlers-and-covid-19
PDF available

The novel coronavirus responsible for the current pandemic is a specific strain from a large family of viruses that includes those that cause the common cold. This strain, SARS-CoV-2, causes a respiratory illness designated COVID-19, and symptoms include high fever, intense headache, and difficulty breathing, among others. These symptoms can be more severe in populations considered to be high risk, such as the elderly or people with underlying health conditions, where pneumonia and even death can result.
According to the Centers for Disease Control and Prevention, coronaviruses are generally thought to be spread from person to person through respiratory droplets. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly eyes, but this is not thought to be the main way the virus spreads.
Currently, there is no evidence to support that transmission of COVID-19 is associated with food. However, before preparing or handling foods, food handlers should follow these practices.

When sick, stay home from work.
Symptoms specific to COVID-19 include:

Preparing Food Service Establishments to Reopen During the COVID-19 Pandemic

This Penn State Extension fact sheet is intended to help food service establishments prepare to reopen and remain safely operational; tips for employees are also provided.

https://extension.psu.edu/preparing-food-service-establishments-to-reopen-during-the-covid-19-pandemic  (a PDF is provided as well).
Preparing Food Service Establishments to Reopen During the COVID-19 Pandemic

As local and state municipalities allow restaurants to resume dine-in services, these establishments need to think about how they can open while still providing a healthy environment that incorporates social distancing and other disease preventive controls. Based on the recently published COVID-19 Reopening Guidance: A Guide for the Restaurant Industry by the National Restaurant Association, Penn State Extension has developed this fact sheet for small and local operations in Pennsylvania. It is important to note that these establishments

Before Reopening:

• Deep clean the entire facility. Remember to use approved sanitizers on food-contact surfaces. Disinfectants can be used on non-food-contact surfaces. Deep cleaning should not only be completed before opening but also on a set schedule for regular detailed cleaning (weekly or more depending on use).

CDC Issues 2019 FoodNet Report

CDC issued their FoodNet Report for 2019 which looks at data from 10 sites in the US over time.
"The report summarizes preliminary 2019 data and describes changes in incidence compared with that during 2016–2018. The incidence of enteric infections caused by these eight pathogens reported by FoodNet sites in 2019 continued to increase or remained unchanged, indicating progress in controlling major foodborne pathogens in the United States has stalled. "
 But they also state, "Recent increases in foodborne illness might be due, in part, to increased testing and improved technologies. Quick and easy culture-independent diagnostic tests continue to reveal infections that might not have been diagnosed in the past because of limited testing. At the same time, whole genome sequencing and other new laboratory technologies have enhanced our ability to identify outbreaks, emerging strains, and sources of infection."

So comparing year to year may not be valid because more tests are being completed and the tests are more accurate.    Table 1 from that document gives number of infections which shows Campylobacter and Salmonella as the two most prevalent types of foodborne pathogens.

FDA Issues Warning Letters to Companies Selling COVID-19 Remedies - The New Era of Snake Oil Salespeople

FDA has been issuing a number of Warning Letters to companies which are marketing and selling products with claims that it can prevent or treat the novel Coronavirus.  Here is a few of the Warning Letters which were issued over the past few days.

• Dr. Dhole's Sushanti Homeopathy Clinic -  claims homeopathy medicine which is selected as Genus Epidemicus is given to healthy people to prevent Coronavirus
• Honey Colony LLC - sell a chealated silver product with claims as a prevention from coronavirus.
• Antroids.com and Foxroids.com - offers lopinavir + ritonavir, marketed as “Lopimune 200mg/50mg,” under the heading “Coronavirus Treatment.” While there are FDA-approved versions of lopinavir + ritonavir on the market in the U.S., there are no approved drug applications offered by either company  In addition, no drug has yet been approved by the FDA for use in the prevention, diagnosis, treatment, mitigation, or cure of COVID-19
• Hopewell Essential Oils - Claims that using essential oils to make breathing easier with Coronavirus related pneumonia.
• Santiste Labs LLC - Created a transdermal patch with that claims to boost your immune system and provide antiviral support all day,
• Prefense LLC - marketing and online sales for hand sanitizers with claims that it works against COVID-19 and that the sanitizer lasts all day.

Claims and FDA Issues for Each with Links