Thursday, August 15, 2024

Are Food Safety Issues Getting Worse? No, Not Really.

This week, I was asked by a reporter why food safety issues are getting worse...whether that be recalls or outbreaks.  The conversation was in light of the Boar's Head deli meat recall after being linked to a large Listeria outbreak.  Why this outbreak is awful, it is one of the first Listeria outbreaks that have been linked to meat products in the last two years.  

A few things to consider when addressing this question.
  • After looking at food-related outbreaks posted on CDC and FDA's website, there is no real increase in the number when looking at cases for the past several years, but there does seem to be a higher percentage of outbreaks where the causative agent has been identified.  Our regulatory agencies are doing a admirable job in improving the determination of the source of outbreaks.  At the same time, I have seen companies doing a better job to be in compliance with the HACCP-based regulations or 3rd party audit standards..
  • Technology has improved identification and tracking of outbreaks.  Twenty years or more ago, many of these outbreaks would not have been identified as outbreaks.  CDC working with State partners utilize improved technology for identification of pathogens and communication to link related cases.
  • Most recalls are not linked to outbreaks, but that is not always clear when announcements get published in the news..  There are normally a number of recalls each week, but they are most often related to things such as undeclared allergens which are most often discovered in the supply chain through observation, and not injury.
  • Risk is not adequately addressed in news releases, and in many cases, overblown. For example,  many people will not be allergic to the undeclared allergen in a product, but one would not know that in the headline.  For example, Salad Recall Update as FDA Sets Highest Risk Level, ad the article states, "On August 7, the recall was classified by the FDA as Class I, which is the highest risk level.  These are issued when there is a "reasonable probability" that the use of, or exposure to, a product could "cause serious adverse health consequences or death.""  However, the issue is that the product contains undeclared almond and soy, certainly an issue for those who are allergic to these items, but not for others.
  • Headlines used by the news media, including social media, present these outbreaks and recalls with a certain shock value.  Take this headline for example  - "FDA reclassifies nut recall to highest risk warning after testing positive for listeria" (article below) that was published on August 13th.   The recall was posted on the FDA website on 7/22/24.  There were no illnesses, but it seems that FDA reclassified this to Class I, which it should have been to start.  In this case, the product was walnuts, not a product that will not support the growth of Listeria and so poses.
  • Recalls are often limited in scope in terms of distribution but receive national attention.  The walnut recall mentioned was limited to two states but receive national attention.
  • We see recalls are posted and then reposted for weeks.  Many times, it is an online news source that posts recalls weeks after the initial posting.  This can make it seem like it is a new recall.  Without investigation by the reader, one may assume it is a new recall.  
  • The regulatory agencies will often provide updates to an outbreak listing additional cases or announcing that the outbreak is now over, and this information may get picked up as news providers and posted as if this is a new issue.
In general, we are bombarded with notices on food safety, and without careful investigation by the reader, one may think that food safety issues are out of control.

There are over 330 million people in the US, and if we consider that people are hopefully eating 2 to 3 meals each day, the reported number of cases of foodborne illness are pretty small.  This is not to say it is unimportant, because all food should be safe.  However, to worry that our food supply is not safe...well, there are many other, more things to worry more about.


https://www.foxbusiness.com/lifestyle/fda-reclassifies-nut-recall-highest-risk-warning-after-testing-positive-listeria
FDA reclassifies nut recall to highest risk warning after testing positive for listeria
Shelled walnuts voluntarily recalled last month tested positive for listeria, FDA says

More Cinnamon Powder Recalled After State Lab Testing Finds Lead

El Chilar HF, LLC on 03/06/2024 issued a recall of 2 lots of El Chilar “Cinnamon Ground” (1.25 oz bag), because it may contain traces of lead. Further investigation indicates that the issue could be caused by a potentially adulterated raw material from the supplier.  The Maryland Department of Health (MDH) collected samples in February 2024 from Lot: E-054, EX 0225 and D-181, EX 0624 El Chilar Ground Cinnamon, which tested high in lead. These additional lots of El Chilar Ground Cinnamon have been added to the original recall.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/el-chilar-hf-llc-expands-recall-el-chilar-ground-cinnamon-due-elevated-levels-lead
El Chilar HF, LLC. Expands Recall of El Chilar Ground Cinnamon Due to Elevated Levels of Lead
Summary
Company Announcement Date:  August 13, 2024
FDA Publish Date:  August 13, 2024
Product Type:  Food & Beverages  Spices, Flavors & Salts
Reason for Announcement:  Due to Elevated Levels of Lead
Company Name:  El Chilar HF, LLC.
Brand Name:  El Chilar
Product Description:  “Canela Molida” Ground Cinnamon

Canada - Recall of Plant-based Milk Products Due to Listeria

Canada - Silk and Great Value brands of Almond, Coconut, and Oat milks are being recalled after being linked to 20 cases of listeriosis with 15 hospitalizations and 3 deaths.  According to one report, "The Canadian Food Inspection Agency said Danone Canada and its Pickering-based third-party manufacturer, Joriki Inc., “immediately halted production and distribution of all implicated products” after becoming aware of the bacteria being found in various Silk and Great Value brand plant-based refrigerated beverages."

CFIA - Recalls and Safety Alerts
https://recalls-rappels.canada.ca/en/alert-recall/various-silk-and-great-value-brand-plant-based-refrigerated-beverages-recalled-due
Food recall warning
Various Silk and Great Value brand plant based refrigerated beverages recalled due to Listeria monocytogenes

Wednesday, August 14, 2024

Update on Salmonella Outbreak Linked to Cucumbers

FDA provided an update on the Salmonella outbreak linked to cucumbers. To this point in time, there have been 449 reported cases with 125 hospitalized. The date of onset of the last illness was June 4, 2024.

CDC and FDA combined two outbreak investigations because of similarities, "including when and where illnesses occurred, the demographics of ill people, and the foods they reported eating before they became sick. Laboratory, epidemiological, and traceback data have determined that cucumbers from Bedner Growers, Inc., of Boynton Beach, Florida, and Thomas Produce Company, of Boca Raton, Florida, are likely sources of illnesses in this outbreak; however, these growers do not account for all the illnesses in this outbreak."

"Based on traceback information collected, Thomas Produce Company supplied cucumbers to multiple points of service where ill people reported eating cucumbers. As part of the investigation, FDA conducted an onsite inspection at Thomas Produce Company and collected samples. Salmonella Braenderup was detected in samples of canal water used by Thomas Produce Company. Whole Genome Sequencing analysis determined that the water used by Thomas Produce Company contained the Salmonella that is a match to a strain of Salmonella Braenderup that is causing some of the illnesses in this outbreak."

"Additional types of Salmonella were detected in both soil and water samples collected at both Bedner Growers, Inc. and Thomas Produce Company. Multiple other strains of Salmonella, unrelated to this outbreak investigation, found at Bedner Growers, Inc. matched clinical isolates from illnesses in the National Center for Biotechnology Information’s (NCBI) database that occurred in previous years."

Case Counts
Total Illnesses: 449
Hospitalizations: 125
Deaths: 0
Last Illness Onset: June 4, 2024
States with Cases: AL, AR, CT, DE, DC, FL, GA, IL, IN, IA, KY, ME, MD, MA, MI, MN, MO, NV, NJ, NY, NC, OH, OK, PA, RI, SC, TN, TX, VA, VT, WA, WI

https://www.fda.gov/food/outbreaks-foodborne-illness/outbreak-investigation-salmonella-cucumbers-june-2024
Outbreak Investigation of Salmonella: Cucumbers (June 2024)
Cucumbers linked to illnesses of Salmonella Africana and Salmonella Braenderup.

Current Update
August 14, 2024

Monday, August 12, 2024

Additional Cases in CDC Update on Listeria Outbreak Linked to Deli Meat

CDC issued an update of the Listeria outbreak linked to Boar's Head deli meat products.  As of August 8, a total of 43 people infected with the outbreak strain of Listeria have been reported from 13 states, which is 9 more than the July 26th report. All 43 people have been hospitalized. Three deaths have been reported, including one in Illinois, one in New Jersey, and, as of this update, one in Virginia.

CDC Food Safety Alert
https://www.cdc.gov/listeria/outbreaks/delimeats-7-24/index.html
Listeria Outbreak Linked to Meats Sliced at Delis
Posted August 8, 2024

Fast Facts
Illnesses: 43 (9 new)
Hospitalizations: 43 (10 new)
Deaths: 3 (1 new)
States: 13 (0 new)
Recall: Yes
Investigation status: Active (First posted on July 19, 2024)

CA Firm Recalls Cookie Product Due to Label Design Error That Missed Milk Allergen

Too Good Gourmet of San Lorenzo, CA is announcing a recall of Meijer Dunking Cookies Chocolate Chip because they contain undeclared milk.  The product contains a milk allergen that was mistakenly not listed in the ingredient declaration and Contains statement. Meijer was not notified of the label inaccuracy.


https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/too-good-gourmet-issues-allergy-alert-undeclared-milk-meijer-dunking-cookies-chocolate-chip-10oz
Too Good Gourmet Issues Allergy Alert on Undeclared Milk in Meijer Dunking Cookies Chocolate Chip 10oz
Summary
Company Announcement Date:  August 09, 2024
FDA Publish Date:  August 09, 2024
Product Type:  Food & Beverages
Reason for Announcement:  Undeclared milk
Company Name:  Too Good Gourmet
Brand Name:  Meijer
Product Description:  Dunking Cookies Chocolate Chip

NY Firm Recalls Steam Buns for Undeclared Sesame

Prime Foods Processing LLC of Brooklyn, NY is recalling 477 cases of 2 varieties of Egg Custard Steamed Buns because they may contain undeclared Sesame.  The mislabeling was identified internally. No customer complaints or illnesses have been reported to date. The recall was initiated after it was discovered that 6 cases of Sesame Steamed Buns may have been packaged in Egg Custard Steam Bun packaging. Subsequent investigation indicates the problem was caused by a temporary breakdown in the company's packaging processes, which has been corrected.

https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/prime-food-processing-llc-issues-allergy-alert-undeclared-sesame-steam-buns-egg-custard-added-and
Prime Food Processing LLC Issues Allergy Alert on Undeclared Sesame in Steam Buns with Egg Custard Added and Steam Buns with Egg Custard and Coconut Added
Summary
Company Announcement Date:  August 09, 2024
FDA Publish Date:  August 09, 2024
Product Type:  Food & Beverages
Reason for Announcement:  Undeclared sesame
Company Name:  Prime Foods Processing LLC
Brand Name:  Prime Foods
Product Description:  Steam Buns with Egg Custard Added & Steam Buns with Egg Custard and Coconut Added

Michigan Firm Recalls Infant Formula with Elevated Vitamin D Levels

Perrigo Company plc is issuing a voluntary recall at the retailer and warehouse level of three lots within one batch, or 16,500 cans, of store brand Premium Infant Formula with Iron Milk-Based Powder due to levels of Vitamin D above the maximum level permitted. The recalled product was shipped to H-E-B Grocery Company, LP in TX ; and CVS in the following states: TX, FL, CA, SC, VA, IN, TN, NJ, MI, PA, RI, MO. No other products or retailers are impacted by this recall.


https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/perrigo-issues-voluntary-recall-one-batch-premium-infant-formula-iron-milk-based-powder-due-elevated
Perrigo Issues Voluntary Recall of One Batch of Premium Infant Formula with Iron Milk-Based Powder Due to Elevated Levels of Vitamin D
Summary
Company Announcement Date:  August 08, 2024
FDA Publish Date:  August 08, 2024
Product Type:  Food & Beverages  Infant Formula & Foods
Reason for Announcement:  Product contains levels of Vitamin D above the maximum level permitted
Company Name:  Perrigo Company plc
Brand Name:  CVS Health, H-E-B Baby
Product Description:  Premium Infant Formula with Iron Milk-Based Powder

Florida Firm Recalls Cold Smoked Fish with C. botulinum Concern

North Fish USA Inc of Hallandale, FL is recalling the imported 9-ounce packages of "Cold Smoked Capelin," because the product was found to be over 5” in length and uneviscerated, as such having potential to be contaminated with Clostridium botulinum.  The notice states "the sale of uneviscerated fish over 5” in length may contain Clostridium botulinum spores as they are more likely to be concentrated in the viscera than any other portion of the fish."





https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/north-fish-usa-inc-recalls-cold-smoked-capelin-because-possible-health-risk
North Fish USA Inc. Recalls “Cold Smoked Capelin” Because of Possible Health Risk
Summary
Company Announcement Date:  August 05, 2024
FDA Publish Date:  August 08, 2024
Product Type:  Food & Beverages
Reason for Announcement:  Potential to be contaminated with Clostridium botulinum
Company Name:  North Fish USA INC
Brand Name:  North Fish Inc.
Product Description:  Cold Smoked Capelin