Berry Mix Containing Pomegranate and Hepatitis A

Update - 6/7/13
There are now 79 cases of Hepatitis A linked to the organic frozen berrry and pomegranante mix.

From CDC

As of June 7, 2013, 79 people with acute hepatitis A infections that may be linked with consumption of a contaminated product have been reported by eight states: Arizona, California Colorado, Hawaii, Nevada, New Mexico, Utah, and Washington. These numbers are expected to change as the investigation continues. 

 

Based on epidemiologic investigation of 55 cases:

• 35 (64%) ill people are women
• Ages range from 2 – 84 years
• Illness onset dates range from 3/16/2013 – 6/1/2013
• 30 (55%) ill people have been hospitalized, and no deaths have been reported
• 40 (73%) of 55 ill people interviewed reported eating “Townsend Farms Organic Antioxidant Blend” frozen berry and pomegranate mix
• 40 persons reported purchasing this product from Costco markets; however,the product was also sold at Harris Teeter stores. No cases have been identified that bought the product at Harris Teeter at this time.

6/3/13
There have been approximately 30 people show have contracted Hepatitis A from an organic frozen berry mix sold by an Oregon company through Costco. 

The blend is produced from fresh fruit and is often used fresh by customers to make smoothies and other fruit drinks. Therefore, if Hepatitis A is present on the incoming ingredients, it will not be eliminated by processing (viruses will easily survive freezing), and then end up in product the consumer eats. It can take as long as 60 days before someone sees the symptoms.

The strain of Hepatitis A is found primarily in North Africa and the Middle East, and one of the ingredients, pomegranate seeds, is said to come from Turkey.

On the company’s website for Townsend Farms (http://www.townsendfarms.com/farms), this is what they have to say about their sourcing:

In addition to our beautiful acreage in the Columbia Gorge, Townsend Farms works with other family farms up and down the I-5 corridor, across the United States, and around the world. The Townsend family personally selects the farms we work with based on shared vision and goals, high standards of quality, a commitment to Good Agricultural Practices (G.A.P.) and sustainable farming methods.

 

Our globally-situated source farms are utilized to provide the freshest produce available no matter the growing season in the Pacific NW, enabling us to provide the best product possible year-round. Under the Townsend Farms umbrella, you can expect the same quality as the produce from our original farm. We confidently provide each source farm on every package of berries, frozen or fresh, private label or our own.

 Food safety is important for ingredients used in products that will be used in RTE (ready-to-eat) applications, This is especially difficult when those ingredients are purchased in international markets. If this company lives up to the promise posted on their website, they should have no problems working back to the source of the issue. Unfortunately, this is not the first time berries have been involved in outbreaks. Earlier this year, there was an outbreak in Europe (71) and another in Canada (8). The Canadian product contained pomegranate. So at this point, if a company is using pomegranate, it may be good to stop using it until the safety can be verified. As a consumer, I would forgo my pomegranate-containing smoothie.




Hepatitis A Outbreak Linked To Oregon Berry Farm

By MARY CLARE JALONICK 05/31/13 09:36 PM ET EDT  AP


http://www.huffingtonpost.com/2013/06/01/hepatitis-a-outbreak_n_3373103.html


WASHINGTON -- The Food and Drug Administration is investigating an outbreak of hepatitis A linked to a frozen organic berry mix sold by an Oregon company.

The FDA and the federal Centers for Disease Control and Prevention said Friday that 30 illnesses are linked to Townsend Farms Organic Anti-Oxidant Blend, which contains pomegranate seed mix. Illnesses were reported in Colorado, New Mexico, Nevada, Arizona and California.
 
Several of those who fell ill reported buying the berry mix at Costco, according to CDC. A Costco spokesman said Friday that the company has removed the product from stores and is attempting to contact members who purchased the product in recent months.

Hepatitis A is a contagious liver disease that can last from a few weeks to a several months. People often contract it when an infected food handler prepares food without appropriate hand hygiene. Food already contaminated with the virus can also cause outbreaks.

Warehouse supevisor faces 5 yrs in prison for falsifying food safety records

A warehouse supervisor may face up to 5 years in prison and a 250,000 fine for falsifying temperature records on an exported frozen chicken. That is a huge price to pay for a guy who probably did not benefit greatly from pushing the shipment before it was ready…..probably too much in a hurry or just didn’t care. Was it the lack of training, or did his managers put expectation in the wrong place – speed instead of safety? Clearly a lack of understanding on the impact of food safety deviations and the severity of punishment on falsifying documentation as related to international agreements.

Can you imagine having to tell your kids you won’t be coming home for 5 years because you will be spending time in the big house with a cell mate named Butch….all for failing to do the job correctly.



Man admits conspiracy in poultry exports to Russia from PascagoulaPublished: May 22, 2013
http://www.sunherald.com/2013/05/22/4683370/man-admits-conspiracy-in-poultry.html
2 other Jackson County men face trial

By ROBIN FITZGERALD — rfitzgerald@sunherald.com

GULFPORT -- An Ocean Springs man has admitted conspiring to violate a trade agreement with Russia by authorizing the export of poultry at higher temperatures than required.

Terry White, 38, was a warehouse supervisor for Gulf Coast Cold Storage in 2009 when he directed others to falsify blast-freezer records and restack loads of poultry to disguise portions considered too "hot" to load onto ships.

The business is a tenant at the Port of Pascagoula.

White accepted a plea agreement Tuesday to conspiracy to commit offenses against the United States. The maximum penalty is five years in prison and a $250,000 fine.

He avoided trial on four other charges with additional penalties of up to 18 years in prison and fines of $760,000.

Peanut butter facility reopens 8 months after Salmonella outreak

After being closed for 8 months due to a Salmonella outbreak in their peanut butter, the Sunland plant plans to reopen. The NM plant issued an extensive recall in September of 2012 ( http://pennstatefoodsafety.blogspot.com/2012/10/peanut-butter-recall-continues-to-expand.html) after 42 people in 20 states become ill (http://www.cdc.gov/salmonella/bredeney-09-12/index.html). The FDA prevented the plant from restarting after their investigation resulted in number of findings including 28 Salmonella-positive environmental samples (http://pennstatefoodsafety.blogspot.com/2012/11/fda-investigation-report-on-sunland.html). FDA kept the facility closed (http://pennstatefoodsafety.blogspot.com/2012/11/fda-prevents-sunland-foods-from.html) under new power granted by FSMA. In December, the facility and FDA reached a deal that provided conditions for the plant to reopen (http://news.yahoo.com/deal-reached-reopen-nm-peanut-butter-plant-214723148--finance.html) if the facility met the requirements of the consent decree with approval by the FDA.

So now 8 months later, the facility will begin making peanut butter for sale. I will stick with my brand that was not involved in an outbreak.



New Mexico plant shuttered for 8 months amid salmonella outbreak is making peanut butter againBy Associated Press,
http://www.washingtonpost.com/national/health-science/new-mexico-plant-shuttered-by-salmonella-outbreak-is-making-peanut-butter-again/2013/05/23/719863cc-c3c8-11e2-9642-a56177f1cdf7_story.html 

May 23, 2013 06:16 PM EDT

ALBUQUERQUE, N.M. — The eastern New Mexico peanut butter plant shuttered eight months ago after a salmonella outbreak is back in production, and company officials say their coveted natural and organic butters could be back on store shelves within a month.
Sunland Inc. Vice President Katalin Coburn says the company last week got the go-ahead from the Food and Drug Administration to restart peanut butter operations at its factory in Portales. It is currently in a test phase of production, she said.

“The restart of the plant is not as simple as turning on a switch,” Coburn said Thursday. “Hopefully we will be back in full production in the next few days.”

The Food and Drug Administration shut the plant in late September after its products were linked to 41 cases in 20 states. Most of those were linked to natural peanut butter the company made for Trader Joe’s.

Food safety violations found during inspection of food delivery trucks

In a recent sting operation, State Police working with PA Department of Ag inspectors stopped and inspected approximately 400 food trucks. Of these 10 were found to have food safety violations – 3 had unsafe temperatures and 7 had unsanitary cargo. 

Transporters of food are an important link in the food supply chain. Unfortunately, this is a link that can be more difficult to control, especially for smaller establishments. This is not the first time that food haulers have been found using poor food handling practices. The State of Indiana found similar issues with haulers in 2011.

 

This inspection demonstrates some of the unsafe practices that can be used by food transporters.

• Temperature control – with fuel prices high, there is a financial incentive for truckers to shut off their refrigeration units, turning them back on right before the delivery is made. In warm weather, this unacceptable practice can be especially troublesome.
• Hauling potentially hazardous chemicals in the same trailer as food – this can be an issue when those chemicals get onto the food packaging and/or on the food.
• Residual chemicals left in the trailer that may contaminate food. As trucks crisscross the country side, they may carry a number of items. It is important for trucks to be well cleaned before carrying food, and when hauling certain chemicals, those trucks should not be carrying food at all.
• Food left uncovered during transport. Foods must be wrapped to prevent contamination during loading, unloading, and transport. This also creates a situation where there is the possibility of intentional contamination.

FDA has written guidance for the sanitary transport of food. These as well as other safe food transporting practices can be found here. http://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/SanitationTransportation/ucm208199.htm

 

  

 

Pennsylvania State Police

News for Immediate Release

May 13, 2013

  

PA State Police Announce Operation Code R.E.D. Enforcement Results

  

Harrisburg – The Pennsylvania State Police today announced the results of Operation Code R.E.D. (Refrigerated Enforcement Detail) refrigerator food truck inspection enforcement effort held on April 23.  

  

Operation Code R.E.D. targeted commercial vehicles and large trucks transporting potentially hazardous foods.

 

“During Operation Code R.E.D., the Pennsylvania State Police and the Department of Agriculture worked together targeting food trucks to make certain that these trucks and our food are both safe,” said State Police Commissioner Frank Noonan.

 

Public pools and E. coli - an MMWR report

With summer fast approaching, it is great when we come upon a report on microbiological safety as it related to a fun summer-related activity. There is this gem in May 16th’s MMWR: Microbiologic Contamination of Filter Concentrates from Public Pools. Basically, they looked at pool filters from public pools and found that in more than half the samples tested, E. coli was present. Now while this was unlikely the pathogenic type of E. coli, it was certainly the type that screams – “of fecal origin”. Now I guess we all sort-of-figured this poop-particle-in-shorts thing happens, but to see it in writing… The authors go on to suggest that people consider taking pre-swimming showers, but I guess that is not going to happen, especially considering that people look at the pool as a place to bath. But certainly, if someone has diarrhea, they need to stay out of the pool. And this might not be as easy with children who may be willing to forget their stomach is rolling in order to get into the pool on a hot summer day. So then secondly, if your public pool water is looking a little murky, it may be a good sign to keep your head above the water. Go chlorine, and as Cathy Cutter points out, pray for that dilution effect.

Microbiologic Contamination of Filter Concentrates from Public Pools as Evidence of the Need for Improved Swimmer Hygiene — Atlanta, Georgia, 2012
http://www.cdc.gov/media/mmwrnews/2013/0516.html
CDC
Division of News & Electronic Media
404-639-3286

A study of public pools found that feces are frequently introduced into pool water by swimmers. Water samples from pool filters were tested for Escherichia coli, a fecal indicator, which was detected in 93 (58 percent) of 161 samples. The tests cannot determine whether the E. coli represents risk to swimmers, but they do indicate that swimmers frequently introduced fecal material into pool water, which could lead to spreading germs to other swimmers. Swimmers can minimize fecal contamination and help keep germs out water by taking a pre-swim shower and not swimming when ill with diarrhea. Aquatics staff can kill germs in pools by maintaining disinfectant level and pH according to state and local public health standards, which are enforced by environmental health specialists (pool inspectors).

 

 

Risk Assessment of Listeria in Retail Delicantessens

FDA released the Draft Interagency Risk Assessment – Listeria monocytogenes in Retail Delicatessens Technical Report. (http://www.fda.gov/downloads/Food/FoodScienceResearch/RiskSafetyAssessment/UCM351328.pdf). The goal of this report is to further the understanding of the risk of Listeria monocytogenes that is associated with the retail deli case. Listeria monocytogenes can grow on meat and cheese items that are sold in retail deli establishments. As we know, Listeria can grow at refrigeration temperatures and deli meat products have been involved in past outbreak. Therefore it is important for retail establishments to understand how to best limit the risk of Listeria in their retail cases where there are products with exposure during handling and storage, such as cut luncheon meats.

FDA and USDA evaluated various practices in retail deli operations and came up with some best practices to mitigate the risk of Listeria.

While this is a beast of a report at 179 pages, there are some good takeaways. Here some of the highlights, in more common language. Below this, the conclusion from the report and the USDA news release are also included.

1. Start with products that have minimal Listeria risk. While selling products that have anti-Listeria agents helps, this is not always possible. But procuring items that have been produced in establishments with good Listeria control programs is important. It is also important to properly handle those products are handled from the time they are made through the time they are brought into the retail deli establishment. Even small amounts of Listeria introduced can have a huge impact over time.
2. Keep deli retail case temperatures low, certainly below 41 degree F. While Listeria can grow at refrigeration temperatures, it does grow slowly. So the lower below the temperature of 41F, the better.
3. Clean and sanitize the retail deli units regularly, especially the niches within the cooler….like the drain.
4. Prevent cross contamination from other sources. Clean the slicers and the utensils regularly. Ensure that employees are washing hands and wearing gloves.
5. Remember that items that do not allow the growth of Listeria can be sources of contamination. For example, most fresh produce items which does not support the growth of Listeria can still be the source of contamination for meat items that will support growth. So put controls in place for handling and storage of those types of items.
6. If pre-slicing, pre-slice on a clean slicer. ( I am not a fan of pre-slice meat, I prefer sliced to order).

 

Conclusions from the report.

 

This QRA represents the first large-scale effort to model L. monocytogenes cross contamination at retail. The risk assessment model contributes to our understanding of L. monocytogenes transmission, survival, and growth in the retail environment and was used to evaluate how retail practices may impact the predicted risk of listeriosis. The approach used was to evaluate the public health effect of various mitigations under six different baseline conditions that may characterize a retail deli and the RTE food its serves.

Salmonella Typhi Infected Food Employee Potentially Exposes Restaurant Patrons

This past week, a San Francisco foodservice worker diagnosed with Salmonella Typhi, had potentially exposed restaurant patrons to infection (news report below). Salmonella Typhi is the causative agent of typhoid fever (CDC Report below).

As required by the US Food Code, (http://www.fda.gov/Food/GuidanceRegulation/RetailFoodProtection/FoodCode/ucm181242.htm#part2-2), employees must contact their manager before coming to work when they have the symptoms of diarrhea, vomiting or jaundice, or have been diagnosed with, or have been exposed to, one of following reportable agents:
    a) Norovirus,
    b) Hepatitis A virus,
    c) Shigella spp.,
    d) Enterohemorrhagic or Shiga toxin-producing Escherichia coli, or
     e) Salmonella Typhi

 A question that often arises is why Salmonella Typhi is singled out from the other strains of Salmonella for reporting, especially since other strains of Salmonella are more likely to be involved in foodborne illness cases.

Salmonella Typhi, the causative agent for typhoid fever, is a strain that is only carried by humans and is spread through direct contact or through food handled by an infected person. Basically, the organism passes through the intestinal tract and then invades the bloodstream leading to multisystem infection. If not treated, it invades the liver, spleen, bone marrow, gall bladder and lymph nodes.  

The symptoms are related to the systematic infection that results. The primary symptoms of Typhoid fever are typified by high sustained fever of 103 to 104 degree F, which is related to the intensive infection. Symptoms also include stomach pains, headache, and a rash or rose color spots. Untreated, the disease can progress to delirium, intestinal hemorrhaging, and potentially death (approximately 20% mortality rate). 

In some cases, people can become carriers and will shed the organism. This was the case of Typhoid Mary, a Salmonella typhi- infected house cook who contaminated approximately 50 of the people served with illness (in the years from 1900 to about 1915).  

Salmonella Typhi infection is seldom seen in the United States, in fact, most infections occur when people travel overseas. However, health officials must pay special attention in order to prevent large scale outbreaks.

 

Intentional Contamination Attempt in a Retail Store

Fortunately, we rarely see cases of intentional contamination. But when they occur, we like to point them out as a learning opportunity.

In this case, a woman contaminated orange juice bottles with rubbing alcohol, snuck them into a Starbucks store by hiding those bottles in her purse, and then placed the two contaminated bottles into a store's refrigerated display case. Lukily, another customer saw this and alerted store employees who promptly removed the contaminated bottles.

The motive of the woman is not known at this time.

Police: Woman charged over poisoned juice at California Starbucks store

By Chelsea J. Carter, CNN
updated 9:12 PM EDT, Tue April 30, 2013http://www.cnn.com/2013/04/30/justice/california-starbucks-tainted-juice/

 CNN) -- A California woman who police say planted two bottles of tainted orange juice at a San Jose Starbucks has been charged with attempted murder, a police spokesman said Tuesday. 

Ramineh Behbehanian, 50, is accused of adding rubbing alcohol to the contents of the bottles and then placing them into a refrigerated display case, Police Sgt. Jason Dwyer told reporters.

Cucumbers linked to 73 becoming ill from Salmonella

UPDATE 5/8/13  CDC  - 81 people  infected from 18 states with 29% hospitalized.
http://www.cdc.gov/salmonella/saintpaul-04-13/index.html

CDC is reporting that 73 people have become ill from eating cucumbers contaminated with Salmonella. The cucumbers are from one Mexican producer, and that producer has been put on an import alert by FDA.

According to the CDC report (below): A total of 73 persons infected with the outbreak strain of Salmonella Saintpaul have been reported from 18 states. The number of ill persons identified in each state is as follows: Arizona (9), California (28), Colorado (1), Idaho (2), Illinois (3), Louisiana (1), Massachusetts (1), Maryland (1), Minnesota (8), Nevada (1), New Mexic0 (2), North Carolina (1), Ohio (1), Oregon (2), South Dakota (2), Texas (6), Virginia (2), and Wisconsin (2).

Multistate Outbreak of Salmonella Saintpaul Infections Linked to Imported Cucumbers

Posted April 25, 2013 12:30 PM ET http://www.cdc.gov/salmonella/saintpaul-04-13/index.html

Highlights
· Read the Advice to Consumers »
· A total of 73 persons infected with the outbreak strain of Salmonella Saintpaul have been reported from 18 states.
o 27% of ill persons have been hospitalized, and no deaths have been reported.
· State public health officials are interviewing ill persons to obtain information regarding foods they might have eaten and other exposures in the week before illness.
o Preliminary information indicates that consumption of imported cucumbers is the likely source of infection for the ill persons.
· On April 24, 2013, the U.S. Food and Drug Administration placed Daniel Cardenas Izabal and Miracle Greenhouse of Culiacán, Mexico on Import Alert .
o Cucumbers from these two firms will be denied admission into the United States unless the suppliers show that they are not contaminated with Salmonella.
· Currently, there is no evidence that contaminated cucumbers supplied by Daniel Cardenas Izabal and Miracle Greenhouse are still on the market.
o Due to the time it takes between when a person becomes ill and when the illness is reported, additional ill persons may be identified.
o Consumers and retailers should always follow safe produce handling recommendations . 
· CDC and state and local public health partners are continuing laboratory surveillance through PulseNet to identify additional ill persons and to interview ill persons about foods eaten with before becoming ill. 

Reporting the Risks of Foodborne Illness

This past week, two reports relating to the topic of food risk were issued resulting in a media frenzy. 

One of those reports was CDC’s annual Trends in Foodborne Illness in the United States 2012 (below). CDC analyzes data from FoodNet, a system that tracks foodborne illness in roughly 10 states, and then projects these numbers for the entire country. News stories that were issued, including this Time article (http://healthland.time.com/2013/04/22/cdc-food-safety-report-card/), point out that the rates of foodborne illness have largely remained unchanged.   

Salmonella still remains one of the most common causes of foodborne illness and the number of cases remained roughly the same.

The report indicated that there was an increase in the rate of Campylobacter infection I think it can be argued however, that this may be the result of increased testing for Campylobacter and that the methodology for testing has improved. Campylobacter has traditionally not been an easy organism to culture, so as methodologies have improved, one would guess that labs will find it more often. http://wwwnc.cdc.gov/eid/article/18/3/11-1266_article.htm.  

Raw poultry is a main source of Campylobacter, and while the industry is working to reduce levels on poultry, at this time there is no magic bullet for eliminating it from poultry at the processing level. So it comes down to the consumer controlling it through proper preparation (cooking it to the right temperature), as well as proper handling (preventing cross contamination of food items with the raw product).

Vibrio is another pathogenic organism that has seen an increase. The primary vehicle for Vibrio is raw oysters. There are not many cases reported, probably because there are not many people who eat raw oysters. If consumers ate raw oysters as much as they ate bagged leafy greens, the numbers for Vibrio infections would dwarf all others.

So have the numbers of foodborne illness changed? We know that there are foods that are risky (raw oysters), and that practices for handling and preparing food need to improve throughout the food chain from the farm to the table, but perhaps we can look for a sign from the businesses that aid victims of foodborne illness - the food illness lawyers. According to a posting by one of the preeminent firms from that group….business is down. http://www.marlerblog.com/legal-cases/foodborne-illness-rates-continue-to-fall-and-that-is-a-good-thing/

The other report that garnered media attention, Risky Meat: A CSPI Field Guide to Meat & Poultry Safety (http://cspinet.org/foodsafety/riskymeat.html), was issued by Center for Science in the Public Interest. I think the title of this should have been title….Meats that Pose a Risk for Those Who Fail to Properly Cook and Clean. The strength of the CSPI report is that it reminds us that raw meat has the potential to carry pathogenic bacteria. But the sound bite heard over and over in the media was that chicken and hamburger are high risk meats. Well, these meats are only risky if they are not properly handled and prepared.

While the meat and poultry industry works to reduce the levels of pathogenic microorganisms on raw meat products, those items still have the potential to carry pathogenic microorganisms. But the risk is for people who mishandle or improperly prepare them. CSPI did provide guidance on proper handling and preparation.

 

Winn Dixie Recalls Apple Juice Because of Patulin

Winn-Dixie, a southern supermarket chain is recalling organic apple juice because of patulin, a mycotoxin (toxic fungal metabolite). Patulin is produced by certain mold species, including Penicillium, Aspergillus and Byccochlamus and can be found in fruit, most often apples. FDA has a limit of 50 ug/L in apple juice. 

At high does, it can be acutely toxic, but at lower levels, there is concern it may be a carcinogen, although studies are inconclusive. It is controlled through the prevention of using rotten apples from being processed into products like apple juice. This is accomplished through good pre and post-harvest practices, and the removal of any moldy or rotten fruit prior to processing.


Winn-Dixie Issues Voluntary Recall On Winn-Dixie Organic 100% Apple Juice

http://www.fda.gov/Safety/Recalls/ucm347979.htm?source=govdelivery
FOR IMMEDIATE RELEASE -April 12, 2013 - Winn-Dixie today announced an immediate voluntary recall of 64 FL OZ Winn-Dixie Organic 100% Apple Juice. The product is being recalled as a precaution because it could have levels of “patulin” that exceeds FDA limits. Winn-Dixie has received no reports of any issues associated with Winn-Dixie Organic 100% Apple Juice consumption.

Patulin is a mycotoxin, a by-product of some molds that can grow in fruits and vegetables. The possibility of adverse health consequences resulting from this product is very remote. However, the FDA has determined that products made from concentrate with a patulin level of over 50 parts per billion are subject to a voluntary recall.

Out of an abundance of caution for customers, Winn-Dixie is immediately recalling “64 FL OZ Winn-Dixie Organic 100% Apple Juice from Concentrate with Added Ingredient.” The recall is companywide for Winn-Dixie stores in the states of Florida, Georgia, Alabama, Mississippi, and Louisiana.

Frozen Meals Recalled Due to Link to E.coli Outbreak

UPDATE May 31, 2013

CDC issused the final update on this outbreak.

http://www.cdc.gov/ecoli/2013/O121-03-13/

A total of 35 persons infected with the outbreak strain of Shiga toxin-producing Escherichia coli O121 (STEC O121) were reported from 19 states.

• 82% of ill persons were 21 years of age or younger.
• 31% of ill persons were hospitalized. Two ill persons developed hemolytic uremic syndrome (HUS), a type of kidney failure, and no deaths were reported.

UPDATE April 4, 2013

Rich Foods expanded the recall of various heat treated, not fully cooked frozen food items.  The recall will encompass what appears to be 10 months of production.
http://www.fsis.usda.gov/News_&_Events/Recall_025_2013_Expanded/index.asp

Rich Foods is recalling close to 200,000 lbs of frozen chicken quesadilla and other frozen products due to a potential link to an outbreak of E.coli O121. In this outbreak, at least 24 people in 15 states have become ill. Product did test positive for the strain, per NY Department of Health.  According to CDC, 78% of those ill are 21 years old or less.  33% are hospitalized, and 1 has HUS (hemolytic uremic syndrome).

This product does have validated cooking instructions (bottom of page), so this product would not be considered a fully cooked product. However the company is recalling product.

The responsible E. coli strain, O121, produces a shiga toxin like the O157:H7 strain that is associated with ground meat, so infection with this organism can result in bloody diarrhea as well as kidney damage.

USDA Recall Notice
http://www.fsis.usda.gov/News_&_Events/Recall_025_2013_Release/index.asp

New York Firm Recalls Frozen Mini Quesadilla, Pizza, Cheese Steak and Other Snack Products Due To Possible E. Coli O121 Contamination 
Recall Release

CLASS I RECALL


FSIS-RC-025-2013

HEALTH RISK: HIGH


WASHINGTON, March 28, 2013 – Rich Products Corporation, a Buffalo, NY firm, is recalling approximately 196,222 pounds of frozen chicken quesadilla and various other heat treated, not fully cooked frozen mini meals and snack items because they may be contaminated with E. coli O121, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The following products are subject to FSIS recall: [View Labels (PDF Only)]

Food Fraud - Horse Meat, Seafood, Honey, etc

With the recent discovery of horse meat in beef sold in Europe, there is an increased awareness of food fraud, the illegal substitution of one food item for another for economic gain. In some cases, it is a straight substation, while in others, it is addition of a filler. In some cases, it may be removal. (Removal would be used when there is chemical that would otherwise render the product unusable such as the removing of antibiotics from honey).

 

While there are been minimal food safety risks to this point, it does raise concerns about traceability and even food defense. Certainly an exception to this was the melamine contamination of wheat gluten that was used in pet foods. In this case, the industrial chemical melamine was added to wheat gluten to increase the level of ‘detectable protein’.  

 

Last month an advocacy group reported that up to 1/3 of seafood sold in restaurants may be mislabeled. One interesting example was that the fish species Escolar was being labeled as white tuna. Problem is that Escolar is the Ex-lax of the seafood world and can result in explosive diarrhea when eaten in large quantities. 

 

Other products that are subject to food fraud include 

• Honey – one of the largest items to be subject to fraud. There is a worldwide network that supplies honey. Cheaper honey from China is often mixed in other countries to escape being labeled “From China”. Problems with Chineese honey – one is that it has been found to contain antibiotics. In other cases, it was diluted. http://www.theglobeandmail.com/technology/science/honey-laundering-the-sour-side-of-natures-golden-sweetener/article562759/  
• Juice Concentrate (Orange and apple)
• Olive Oil
• Milk
• Coffee
• Saffron

 

USP has a Food Fraud Database that links to numerous studies.

 

  

 

Food Fraud: Are Your Ingredients At Risk?

 Wed, 03/06/2013 - 2:17pm

 Lindsey Jahn, Associate Editor, Food Manufacturing

 

 Food fraud is on the rise across the globe, and it is impacting all forms of products — from milk and olive oil to seafood and beef. While some cases of food fraud are due to the efforts of unscrupulous processors, some honest food companies are unknowingly producing items containing fraudulent ingredients.

 

Europe’s meat industry has been in crisis mode since Ireland announced that at least one-third of frozen “beef” burgers produced in the country contained traces — or sometimes much more than traces — of horsemeat. Since then, horsemeat has been detected in many European meat products, from Ikea’s signature Swedish meatballs to prepared meals produced by Nestle.

  

So far, no horsemeat has been detected in the U.S. food supply. But the U.S. food industry is no stranger to other types of food fraud. The U.S. Pharmacopeial Convention (USP) maintains a Food Fraud Database which identifies cases of food fraud occurring in the U.S. The USP in January released its most recent update to the database, which added almost 800 new records of food fraud, increasing the total number of records published in the database by 60 percent.

  

Can Seal Issue Results in Recall

Bumble Bee Tuna is recalling 5 oz cans of tuna due to loose seals . While there have been no illnesses, a loose seal can lead to product contamination, especially if the can is jostled sufficiently to provide a micro leak through the seal area. The products were distributed for retail sale nationwide between Jan. 17 and March 6 of this year. They have 'best by' codes ranging from Jan. 14, 2016 to March 6, 2016.

We do not normally see recalls for loose seals. In general, the double seam inspection is one of the most important food safety checks in a canning facility. To close a can, a lid is placed on top of the can and a series of rollers press the lid and can together to form a double seam.

There is a sealing compound on the lid that gets squeezed, and the final double seam will ensure the can seal is ‘hermetically sealed’, so that no air, or microorganisms can pass. Measurements are taken, often hourly, to ensure that the measurements of the seal are correct (the overlap, the length, the width, etc). For those that do it, they know what a tedious task it is. Each product line may have multiple seamers, each with multiple heads, all which must be checked.

A seal that is evaluated as loose is a food safety hazard . If multiple days of production are implicated for having loose seals, that result in an extremely costly recall, especially considering canning lines run in the range of 1000 cans/minute or higher.  2 months of product is a lot of cans of tuna.



FDA Recall Notice

Bumble Bee Foods Expands Voluntary Recall on Specific Codes of 5-Ounce Chunk White Albacore and Chunk Light Tuna Products Due to Loose Seals

http://www.fda.gov/Safety/Recalls/ucm342851.htm?source=govdelivery

FOR IMMEDIATE RELEASE - SAN DIEGO - March 7, 2013 -- Bumble Bee Foods, LLC, is expanding a voluntary recall on specific codes of 5-ounce Chunk White Albacore and Chunk Light Tuna products. The recall has been issued because the products do not meet the company's standards for seal tightness.
Loose seals or seams could result in product contamination by spoilage organisms or pathogens and lead to illness if consumed. There have been no reports to date of any illness associated with these products.

No Horse Meat in US Beef Supply

Some people seem to worry too much about US food supply, but unlike Europe, there has been no horse meat detected in our beef supply. A few interesting notes:

• Horse meat does not pose a food safety risk, but is more of a perception issue by consumers.
• From a food safety perspective, the EU horse meat scandal is more of a ‘traceability’ issue for those companies involved.  
• In Europe, there were many suppliers and many middleman involved as meat was sourced from various countries in Europe. The testing of meat continues. A table of test results - http://www.bbc.co.uk/news/world-21412590 
• It is once again legal to slaughter horses in the US, but currently, no US facilities are doing so. And FSIS does not allow imported horse meat. 
• In 2010, some 137,000 horses were sent from the US to Mexico and Canada to be slaughtered.
• Meat testing is done primarily by DNA testing using PCR methodology. ELISA technology (using antibodies) is also used, but is not as effective for processed meat products.

 

 

U.S. officials: No horse meat in our beef

 The U.S. has not become embroiled in the horse meat scandal in Europe

Elizabeth Weise7:42p.m. EST March 1, 2013 USA Today

 http://www.usatoday.com/story/news/2013/03/01/horse-meat-united-states/1957893/

 

The horse meat scandal in Europe keeps getting bigger but U.S. officials say it's unlikely there's any horse meat hidden in U.S. meat products.

 

Genetic tests have found ground horse meat in beef in Ireland, Britain, Germany, Italy, Poland and the Czech Republic. On Friday Taco Bell outlets in Britain found traces of the meat in what was supposed to be 100% beef. The company has removed all beef products from its menu in the United Kingdom.

 

There is no link between Taco Bell suppliers in Europe and the United States, the company said.

 

How the horse meat entered the European food supply is unknown.

 

New Allergy Advice for Children

A recent paper in the Journal of Allergy and Clinical Immunology suggests that introducing allergenic food to babies may help to prevent food allergies from developing. The WSJ article below states that while more research is needed, observational studies show that kids with early exposure have lower allergy rates. If true, parents who shield thier children from 'germs' or certain types of foods, may actually be doing thier children a diservice.
Food Allergy Advice for Kids: Don't Delay Peanuts, Eggs
WSJ On-Line YOUR HEALTH Updated March 4, 2013, 8:00 p.m by Sumathi Reddy

http://online.wsj.com/article/SB10001424127887324662404578334423524696016.html?mod=dist_smartbrief

Parents trying to navigate the confusing world of children's food allergies now have more specific advice to consider. Highly allergenic foods such as peanut butter, fish and eggs can be introduced to babies between 4 and 6 months and may even play a role in preventing food allergies from developing.

These recommendations regarding children and food allergies—a rising phenomenon that researchers don't fully understand—come from the American Academy of Allergy, Asthma & Immunology in a January article in the Journal of Allergy & Clinical Immunology: In Practice. The AAAAI's Adverse Reactions to Foods Committee outlined how and when to introduce highly allergenic foods, which include wheat, soy, milk, tree nuts, and shellfish.

The recommendations are a U-turn from 2000, when the American Academy of Pediatrics issued guidelines that children should put off having milk until age 1, eggs until 2 and peanuts, shellfish, tree nuts and fish until 3. In 2008, the AAP revised its guidelines, citing little evidence that such delays prevent the development of food allergies, but it didn't say when and how to introduce such foods.

Food allergies affect an estimated 5% of children under the age of 5 in the U.S., according to the National Institute of Allergy and Infectious Diseases, part of the National Institutes of Health. The prevalence of a food allergy for children under 18 increased by 18% from 1997 to 2007.

"There's been more studies that find that if you introduce them early it may actually prevent food allergy," said David Fleischer, co-author of the article and a pediatric allergist at National Jewish Health in Denver. "We need to get the message out now to pediatricians, primary-care physicians and specialists that these allergenic foods can be introduced early."

PCA Owner and employess face prison time for shipping tainted product

Federal prosecutors have filed charges against the owner of PCA as well as several employees for their role in knowingly shipping Salmonella contaminated peanut butter in 2009. This contaminated product resulted in an outbreak of more than 700 illnesses and 9 deaths. It also resulted in one of the largest recalls in US history. The owner now faces 76 charges “with criminal fraud and conspiracy, for his role in what they said was a scheme to ship peanut products known to be contaminated to customers in states across the country” , which can land him in prison for up to 20 years.
The indictment can be viewed here http://www.justice.gov/iso/opa/resources/61201322111426350488.pdf. One of the more colorful emails captured in the indictment is this.

Also facing charges are the Operations Manager and the QA Manager. While we do not know to what extent they were following orders versus actively participating, we certainly can guess that they were not making large sums of money off the transactions compared to the owner and his brother. We can also guess that they did not have the level of knowledge required with regard to the actions they were taking. From the indictment:

So here is an office person that was promoted to the QA manager. Was this promotion based upon her food safety knowledge, or the fact she could execute orders from her superiors. Unfortunately, this person may now face prison time. For what…following orders of an owner who put his own greed above the safety of the people who consumed his product.

While the vast majority of food companies here in the US produce safe food, there are still too many companies who do not put a premium on hiring and developing a well-trained technical support staff, or giving them a voice in making risk-based decisions. And there are still too many companies where the decision makers are inadequately versed in the technical aspects of the products they make, including food safety. Hopefully the outcome of this case will become a shot-across-the-bow for these companies. 

  

Charges Filed in Peanut Salmonella Case
By SABRINA TAVERNISE

Published: February 21, 2013 NY Timeshttp://www.nytimes.com/2013/02/22/business/us-charges-former-owner-and-employees-in-peanut-salmonella-case.html?_r=0

Federal prosecutors have filed criminal charges against the former owner and several employees of a now-defunct peanut company that was the source of a salmonella outbreak in 2009 that killed nine people and sickened more than 700. In a 76-count indictment unsealed on Wednesday, investigators charged Stewart Parnell, 58, the former owner of the Peanut Corporation of America, or P.C.A., with criminal fraud and conspiracy, for his role in what they said was a scheme to ship peanut products known to be contaminated to customers in states across the country.

The salmonella outbreak was one of the deadliest in United States history, resulting in recalls of thousands of products made by more than 300 companies, according to Food Safety News.

FDA Issues Warning Letter for Inadequate Response To Violations

This article published in the Packer (below) is a cautionary tale on the need for follow-up documentation on ‘actions taken’ in response to violations identified in a regulatory inspection. In summary, after the company had a Listeria contamination recall, they were inspected by FDA. The FDA inspection found Listeria contamination on finished product as well as on food contact surfaces. FDA issued a report to the company. The company responded in a letter about actions that they would take, but did not follow up again that those actions were actually taken and implemented. Because of this, FDA issued a Warning Letter (below) to the company (and we the public get to read about it).



UPDATED: FDA hasn’t closed books on Missa Bay listeria incident
The Packer - 02/06/2013 10:47:10 AM
Coral Beachhttp://www.thepacker.com/fruit-vegetable-news/FDA-hasnt-closed-books-on-Missa-Bay-listeria-incident-190030841.html?utm_source=dlvr.it&utm_medium=twitter

UPDATED COVERAGE, Feb. 7) A warning letter from the Food and Drug Administration, made public Feb. 5, indicates the agency is still concerned about listeria contamination found in July at a fresh-cut facility that supplied apple slices to McDonald’s and Burger King restaurants.
The warning letter to Missa Bay LLC — dated Dec. 10 — gave company officials 15 days to respond.

Tamara Ward, FDA press officer, said Feb. 7 the company responded to the December letter but that she could not release details because the investigation is ongoing.

Recalls for Lox, Sprouts and Crab Spread Due to Positive Listeria Tests

In the Northwest U.S. there is a recall for Lox (smoked salmon and cream cheese on a bagel) due the potential for Listeria contamination. http://www.fda.gov/Safety/Recalls/ucm337723.htm

This is related to the smoked salmon recall last week - http://www.fda.gov/Safety/Recalls/ucm337382.htm. Smoked salmon is a fully cooked, ready-to-eat food items that has a history of recalls due to Listeria. Listeria contamination becomes a risk in the post-process environment (after smoking) when there is exposure of the product during slicing and packing. 

Also in the northwest, a company is recalling its sprout products, wheatgrass, and pea shoots due to the potential for Listeria contamination. http://www.fda.gov/Safety/Recalls/ucm337785.htm

In the mid-Atlantic, Giant and Martin Supermarkets are recalling Gold Coast crab spread due to Listeria. http://www.yorkdispatch.com/ci_22506421/giant-recalls-crab-spread-fearing-listeria

In each of these cases, there have been no reported illnesses. The recalls were triggered due to finished product testing that yielded positive Listeria results.

Norovirus 2013 - Sydney Strain

Jeff Mullhollem, Penn State Live 2/1/13
http://live.psu.edu/story/64019
UNIVERSITY PARK, Pa. -- A new strain of norovirus, known as GII.4 Sydney 2012, is making the rounds this winter, causing a significant number of acute outbreaks. According to the U.S. Centers for Disease Control and Prevention, it has become the dominant strain, causing more than 140 reported outbreaks in the United States so far this year.

People should try to limit their exposure to norovirus and try to minimize its spread, advised an expert in Penn State's College of Agricultural Sciences.
"There are some important reasons that lead to so many people becoming ill from norovirus," said Martin Bucknavage, extension food safety specialist.

"One is this virus's low infectious dose. It is estimated that it may take less than 20 viral particles to make someone ill. Then, there is the ability of the virus to survive on dry surfaces for two weeks or more and in water for months."

The virus can be spread in contaminated food or water, from contaminated surfaces, directly from a sick person or from the intake of aerosolized droplets of vomitus. Norovirus is not related to the flu (or influenza), which is a respiratory illness caused by a different virus, and flu shots do not protect against it.

The main symptom of norovirus infection is another factor in its spread -- acute-onset vomiting.

"This prevents people from becoming sick in a secure location," Bucknavage said. "Rather, rapid onset can occur at a dinner table, in a meeting or on the bus. People usually become ill within 12 to 24 hours of exposure, although longer incubation periods do occur."

Once someone is sick, they can experience symptoms for 24 to 72 hours and can remain contagious for up to three days, Bucknavage noted.

"Because of this short incubation time, low infectious dose and ease of spread, one can see why it spreads through a school or a cruise ship so quickly," he said. "While rarely fatal, people who become ill need to be sure to consume liquids so they don't become dehydrated."

The key to preventing infection is frequent, but correct, hand washing -- scrubbing hands with soap and warm water. In addition, it is important for people to stay home when ill, especially when they may have been exposed to someone who has had the illness.

"They also should stay home for at least 48 hours after symptoms have subsided," Bucknavage said. "Contaminated surfaces must be cleaned using a strong chlorine bleach solution, one cup of bleach to one gallon of water. Cooking also will destroy the organism."

To learn more about norovirus, visit the Centers for Disease Control and Prevention website at http://www.cdc.gov/ncidod/dvrd/revb/gastro/norovirus.htm.

 

Salmonella from Hedgehogs and Other Pets

The poor hedgehog took a beating from the media as the poor critter was linked to 20 cases of Salmonellosis.
Hedgehog - http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6204a3.htm?s_cid=mm6204a3_w

 Hedgehogs are not the only pets that have been responsible for outbreaks. Many reptiles and amphibians have had past history of being a source of salmonella outbreaks.
Reptiles and amphibians - http://www.cdc.gov/Features/SalmonellaFrogTurtle/

 Turtles have caused a number of Salmonella outbreaks over time including last year.
Turtles - http://www.cdc.gov/salmonella/small-turtles-03-12/

Along with turtles, we have frogs, lizards, and snakes.
Frogs - http://www.cdc.gov/salmonella/water-frogs-0411/
Lizards - http://www.cdc.gov/mmwr/preview/mmwrhtml/00017445.htm
Snakes - http://wwwnc.cdc.gov/eid/article/12/2/pdfs/05-0692.pdf

Birds are another group of animals that also get flagged for causing Salmonella outbreaks. Both chicks and ducklings that are given as pets top the list.
Chicks - http://www.cdc.gov/mmwr/preview/mmwrhtml/00046940.htm
Ducklings - http://www.cdc.gov/mmwr/preview/mmwrhtml/00016299.htm

But there is also a link with the exotic birds, such as parrots and macaws. (My Dad had a macaw and that was one messy bird with regard to its watery poop).
Exotic birds - http://vdi.sagepub.com/content/7/2/270.full.pdf

Even feeding birds has its risk. Bird seed has been recalled because of Salmonella contamination.
Bird seed - http://www.fda.gov/Safety/Recalls/ucm325609.htm

And of course, wild birds can carry Salmonella. This is why it is important to maintain clean bird feeders.
Wild birds (including songbirds) - http://vetmed.tamu.edu/common/docs/public/schubot/SalmonellosisinWildBirds.pdf.
http://www.wildcarebayarea.org/site/PageServer?pagename=TakeAction_Salmonella_Outbreak

Pet rodents have been a issue, but in most cases, the animal will be ill from the Salmonella infection. That is, they are not as good as carriers when compared to reptiles.
Rodent pets such as guinea pigs - http://www.webmd.com/news/20050505/cdc-pet-rodents-can-carry-salmonella

Dogs and cats are generally not an issue unless it comes via their food.
Pet food - http://www.cdc.gov/salmonella/dog-food-05-12/vet-info.html
http://www.nwhc.usgs.gov/disease_information/other_diseases/salmonellosis.jsp
Regular pets - http://www.cdc.gov/salmonella/typhimurium/salmonella_pets.html

Petting zoos have a history of causing illness via cross contamination of Salmonella and STEC E. coli.
Petting zoos - http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5450a1.htm

Handwashing is among one of the many control steps for petting zoos.
Preventing disease in animal settings - http://www.cdc.gov/mmwr/pdf/rr/rr6004.pdf

Finally, we have this from CDC on reducing risk of Salmonella from animals.
Pets - http://www.cdc.gov/healthypets/diseases/salmonellosis.htm

CDC Report on Ciguatera Fish Poisoning in NY - 2010 to 2011

Wen discussing chemicals hazards in food, we often mention ciquatoxin, a natural toxin found in tropical predator fish such as grouper and barracuda. CDC’s MMWR (Feb 1, 2013), Ciguatera Fish Poisoning - New York, 2010-2011, is a case study that looks at 28 cases of ciguatera fish poisoning (CFP) in 28 individuals that occurred in a one year period, from August, 2010 to July 2011. 13 people became ill after eating barracuda, and 15 after eating grouper.

 

The toxin originates as a precursor in dinoflagellates (microalgae) which live in coral reef areas. These algae are eaten by smaller fish and the precursor toxin is converted to the toxic form. Predator fish such as barracuda, grouper, snapper, amberjack and surgeonfish eat these small fish, and over time, this toxin accumulates in the larger fish’s body. People eat these larger fish and then suffer the symptoms of CFP. “CFP is characterized by various gastrointestinal, cardiovascular, and neurologic symptoms. A prolonged period of acute illness can result, and the neurologic symptoms can last months, with variable asymptomatic and symptomatic periods.” Typical symptoms include diarrhea, abdominal cramps, dizziness, headache, faintness, nausea, vomiting and tingling in the extremities (fingers and toes).

Two interesting points made in this report:

• “CFP is considered a highly underreported illness, with only an estimated 10% of cases reported to health authorities (7). Increasing awareness among health-care providers might improve reporting and investigation. However, CFP prevention is complicated by difficulty in identifying high-risk fishing grounds and inadequate industry knowledge and compliance with the FDA seafood Hazard Analysis and Critical Control Point (HACCP) regulations.† Premarket testing of fish for CTX is not feasible because of the lack of rapid field methods and the sporadic distribution of toxic fish, even in endemic areas. Coordinated tracebacks of implicated fish by federal and state agencies to specific fishing grounds remains the primary strategy for managing CFP.”

• “This investigation demonstrates the value of CFP-implicated fish traceback along with updated information on emerging CFP risks, including new harvest areas and species. Prevention through education alone might be limited by seafood mislabeling.”

 

Ciguatera Fish Poisoning — New York City, 2010–2011

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6204a1.htm?s_cid=mm6204a1_x

Weekly

February 1, 2013 / 62(04);61-65

During August 2010–July 2011, the New York City Department of Health and Mental Hygiene (DOHMH) received reports of six outbreaks and one single case of ciguatera fish poisoning (CFP), involving a total of 28 persons. CFP results from consumption of certain large, predatory, tropical reef fish that have bioaccumulated ciguatoxins (CTX). CFP is characterized by various gastrointestinal, cardiovascular, and neurologic symptoms. A prolonged period of acute illness can result, and the neurologic symptoms can last months, with variable asymptomatic and symptomatic periods. The first two outbreaks and the single case, involving 13 persons, were reported during August 6–September 13, 2010. DOHMH distributed a health alert in November 2010 requesting health-care providers be alert for CFP signs and symptoms. The health alert resulted in identification of 11 more cases that month and an additional two outbreaks involving four persons in July 2011. In comparison, only four CFP outbreaks, involving 21 persons total, had been reported in New York City (NYC) during the preceding 10 years (2000–2009). DOHMH's investigation revealed that 13 persons became ill after eating barracuda, and 15 became ill after eating grouper. Although specific and highly sensitive laboratory analyses can detect and confirm CTX in fish, no practical field tests are available for fish monitoring programs. CFP prevention depends on educating the public, seafood suppliers, and distributors about known CFP endemic areas and high-risk fish species. Traceback investigations of fish associated with outbreaks provide valuable information regarding fishing areas associated with CFP. Not all fish from CFP endemic areas are ciguatoxic, but persons who eat fish from endemic regions are at higher risk for CFP. If an illness is suspected to be CFP, public health authorities should be notified and informed of the case history for possible investigation and intervention measures.

Ground Beef Recalled after Salmonella Infects Those Who Ate Meat Raw

Ground meat from Michigan is being recalled after 16 individuals became infected with Salmonella Typhimurium. It is important to point out that at least 7 of those people ate the meat raw as part of an middle eastern dish. (Perhaps there were a few others who ate it raw, but have not admitted it.)

There has been a growing trend of eating raw meat. There are even raw meat diets. On Livestrong.com (the Lance Armstrong related group), they suggest using organic as a way to supply your raw meat needs....right, like that will work.(http://www.livestrong.com/article/541420-is-it-bad-to-eat-raw-meat/).

So if a small processor sells some meat to a person, and this person makes a raw meat dish for his/her band of raw-meat-diet groupies, and all 12 of them come down with a Salmonella infection, will that processor be forced to recall that lot of meat, even though the rest of the customers who bought that same meat were smart enough to cook it?

And do you think the people who ate the raw meat will file a lawsuit? You bet they will. http://www.marlerblog.com/legal-cases/marler-clark-retained-in-raw-ground-beef-salmonella-kibbeh-cases-in-michigan/

Multistate Outbreak of Salmonella Typhimurium Infections Linked to Ground Beef
CDC Release - Posted January 25, 2013 05:30 PM ET

http://www.cdc.gov/salmonella/typhimurium-01-13/index.html

Highlights
· A total of 16 persons infected with the outbreak strain of Salmonella Typhimurium have been reported from 5 states.
The number of ill persons identified in each state is as follows: Arizona (1), Illinois (2), Iowa (1), Michigan (9), and Wisconsin (3).
53% of ill persons have been hospitalized, and no deaths have been reported.

· Collaborative investigative efforts of state, local, and federal public health and regulatory agencies indicated that ground beef produced by Jouni Meats, Inc. and Gab Halal Foods are likely sources of this outbreak.
Seven of the ill persons reported eating a raw ground beef dish at the same restaurant before becoming ill. The restaurant served raw beef to customers and had acquired the raw beef from two retailers.
On January 24, 2013, JouniMeats, Inc. recalled approximately 500 pounds of ground beef products .
On January 25, 2013, Gab Halal Foods recalled approximately 550 pounds of ground beef products.

CDC Releases Report on Commodities Responsible for Foodborne Illness

The CDC released a study that attributes foodborne illness to food commodities. "CDC developed a comprehensive set of estimates using data from more than a decade of foodborne disease outbreaks and previously published estimates on how many illnesses can be attributed to each food category." Of course, every news outlet has issued a relase listing a highlight or two from this CDC report.
With any report of this nature, there is a lot of extrapolation. One of the biggest is the fact that many foods involved in outbreaks were classified as complex foods - foods with more than one commodity involved. And the number of reported illnesses is small considering it is over a ten year period (270,000 illnesses compared to an estimated 460,000,000 cases that would have estimated to occur 46 million X 10 years OR less than 1%).
And it cannot be overlooked that the data is now 5 years old.
There is some information we can glean from the report. Produce and meat/poultry are important commodities when it comes to foodborne illness. Norovirus is the leading cause of illness, Some excerpts are listed below. Beyond that, it makes for press releases keeping food safety in the news.

For full report: http://wwwnc.cdc.gov/eid/article/19/3/11-1866_article.htm

 

Attribution of Foodborne Illnesses, Hospitalizations, and Deaths to Food Commodities by using Outbreak Data, United States, 1998–2008

Painter JA, Hoekstra RM, Ayers T, Tauxe RV, Braden CR, Angulo FJ, et al. Attribution of foodborne illnesses, hospitalizations, and deaths to food commodities by using outbreak data, United States, 1998–2008. Emerg Infect Dis [Internet]. 2013 Mar [date cited]. http://dx.doi.org/10.3201/eid1903.111866

• During 1998–2008, a total of 13,352 foodborne disease outbreaks, causing 271,974 illnesses, were reported in the United States (Technical Appendix 1 Table 1 [PDF - 723 KB - 8 pages]). Of those outbreaks, 4,887 (37%), causing 128,269 (47%) illnesses, had an implicated food vehicle and a single etiology; 300 of those outbreaks were excluded because information about the vehicle was insufficient to categorize the ingredients. We also did not include the 3% of outbreaks that had multiple etiologies reported.
• Norovirus caused the most outbreaks (1,419) and outbreak-associated illnesses (41,257), far above the median for all agents (29 outbreaks, 1,208 illnesses).
• Produce commodities (fruits-nuts and the 5 vegetable commodities) accounted for 46% of illnesses; meat-poultry commodities (beef, game, pork, and poultry) accounted for 22%. Among the 17 commodities, more illnesses were associated with leafy vegetables (2.1 million [23%]) than any other commodity. The high estimate for illnesses attributable to leafy vegetables was many times higher than the low estimate (Figure 2, panel A), which indicates that leafy vegetables were frequently found in complex foods. After leafy vegetables, the commodities linked to the most illnesses were dairy (1.3 million [14%]), fruits-nuts (1.2 million [12%]), and poultry (900,000 [10%]). Norovirus comprised 57% of all illnesses.
• Most bacterial illnesses were attributed to dairy (18%), poultry (18%), and beef (13%) commodities (Table 1). Most chemical illnesses were attributed to fish (60%, most caused by the marine biotoxin ciguatoxin).
• Most viral illnesses were attributed to leafy vegetables (35%), fruits-nuts (15%), and dairy (12%). Of the 20 outbreaks associated with simple foods and caused by norovirus transmitted by dairy, 14 (70%) were transmitted by cheese products.

Two recalls the result of metal fragment contamination

There were two recalls announced today that were both related to metal fragment contamination. One recall was packaged bagels and it was discovered due to the presence of metal fragments found in two different packages. The other was frozen pizza product. Here, small metal fragments were found in the flour. It was an ingredient issue in that the flour used to make the product had been contaminated – the third party flour mill had a faulty metal mesh screen. The fragments were reported to be too small to be detected by conventional metal detectors that were being used.

For many products, metal control is important. Too often, poorly operating metal detectors are all that stand in line for protection. Unfortunately companies may not be willing to allocate sufficient resources to buy well-built detectors or to provide proper maintenance including yearly equipment-supplier calibration. It is important that metal detectors must are properly spec’d for the type of product and process. Another important part of metal control is preventive maintenance, with a regular inspection and scheduled replacement of parts subject to operational fatigue. The cost of these recalls goes a long way against the cost of properly operating equipment.


Voluntary Regional Recall Of Thomas', Sara Lee, Publix, And Weight Watchers Bagels
http://www.fda.gov/Safety/Recalls/ucm336565.htm?source=govdelivery

FOR IMMEDIATE RELEASE - January 16, 2013 - BBU, Inc., the parent of the Bimbo Bakeries companies, has initiated a voluntary recall due to possible presence of fragments of metal caused by a faulty manufacturing part. Recalled products are the following fresh bagels with "Best Buy" dates (month and day) "JAN 18" to and including "JAN 27"found on the lock tab bag closures in the following states:

Thomas' Everything Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Blueberry Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Onion Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Plain Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Cinnamon Raisin Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Hearty Grains 100% Whole Wheat Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Cinnamon Swirl Bagels 1 lb 4 oz AL, FL, GA, TN
Thomas' Honey Wheat Bagels 1 lb 4 oz AL, FL, GA, TN
Sara Lee Deluxe Bagels Honey Wheat 20 oz AL, FL, GA, LA, MS, NC, SC, TN
Sara Lee Deluxe Bagels Plain 20 oz AL, FL, GA, LA, MS, NC, SC, TN
Sara Lee Deluxe Bagels Blueberry 20 oz AL, FL, GA, LA, MS, NC, SC, TN
Sara Lee Deluxe Bagels Cinnamon Raisin 20 oz AL, FL, GA, LA, MS, NC, SC, TN
Publix Premium Original Bagels 20 oz AL, FL, GA., SC, TN
Publix Premium Multi-Grain Bagels 20 oz AL, FL, GA., SC, TN
Publix Premium Cinnamon Raisin Swirl Bagels 20 oz AL, FL, GA., SC, TN
Weight Watchers 6 Original Bagels 15 oz AL, FL, GA, NC, SC, TN 

The company announced the recall after discovering metal fragments in two packages. No consumer reports have been received. There are no reports of injury.
All recalled products are being removed from store shelves. No other THOMAS', SARA LEE, PUBLIX or WEIGHT WATCHERS products are affected.

 Consumers who have purchased the product can return the product to its place of purchase for a full refund. Consumers with questions may contact the company at 1-800-984-0989 at any time 24 hours a day.



California Firm Recalls Frozen Pizzas Due To Possible Foreign Matter Contamination
http://www.fsis.usda.gov/News_&_Events/Recall_006_2013_Release/index.asp


CLASS II RECALL
HEALTH RISK: LOW

FSIS-RC-006-2013
January 23, 2013

Congressional and Public Affairs
(202) 720-9113
Richard J. McIntire

WASHINGTON, Jan. 23, 2013 – - Annie's Homegrown Inc., a Berkeley, Calif. establishment, is recalling an undetermined amount of frozen pizzas that may be contaminated with extraneous materials and are the subject of a Food and Drug Administration (FDA) recall, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

All varieties of "Annie's Homegrown RISING CRUST FROZEN PIZZA" with a "Best By" date including and between "09Jan13" and "14Sep13" are affected.

The following products are subject to USDA recall: [View Label]

23.6-oz. Organic Pepperoni Pizza, UPC code 0 13562 20000 9

25.4-oz. Organic Supreme Pizza, UPC code 0 13562 20002 3

22.6-oz. Pepperoni Pizza, UPC code 0 13562 20006 1

23.1-oz. BBQ Recipe Chicken Pizza, UPC code 0 13562 20009 2

Each product package above has an establishment number of "EST. 5699", "EST. 15815B", "P-5699" or "P-15815B" ink jetted on the upper flap of carton's side panel.
In addition, the following products are subject to FDA recall: 
23.5-oz. Organic Four Cheese Pizza, UPC code 0 13562 20001 6 
22.5-oz. Four Cheese Pizza, UPC code 0 13562 20007 8 
25-oz. Organic Spinach and Mushroom Pizza, UPC code 0 13562 20005 4

The products were manufactured at two facilities from May 9, 2012 to Jan. 17, 2013, and shipped to retail establishments across the United States.

The problem was discovered when metal fragments were visually detected in the flour and pizza dough at a third-party crust production facility. The problem was traced back to a defective metal mesh screen at a third party flour mill. Some wire fragments are too small to be detected by standard industry metal detectors, so it may be possible for fragments to become lodged in a finished pizza. FSIS, FDA and the company have received no reports of injury associated with consumption of these products.

FSIS routinely conducts recall effectiveness checks to verify that recalling firms notify their customers of the recall and that steps are taken to make certain that the product is no longer available to consumers.

Consumers with questions about the recall should contact the Annie's Homegrown Pizza hotline at (888) 825-6720. Media with questions about the recall should contact Donald C. Cutler, of Kekst & Company acting on behalf of Annie's, at (415) 852-3903.

Consumers with food safety questions can "Ask Karen," the FSIS virtual representative available 24 hours a day at AskKaren.gov or via smartphone at m.askkaren.gov. “Ask Karen” live chat services are available Monday through Friday from 10 a.m. to 4 p.m. ET. The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from l0 a.m. to 4 p.m. (Eastern Time) Monday through Friday. Recorded food safety messages are available 24 hours a day. The online Electronic Consumer Complaint Monitoring System can be accessed 24 hours a day at: www.fsis.usda.gov

Listeria Recalls - Could This Be the Story of Jason?

Within the week, there were two recalls, both involving Listeria contamination of cooked meat products that were discovered through testing. So luckily, no illnesses were reported. One is an FDA recall involving chicken salad sandwiches sold at retail. The other is a USDA recall involving meat strips that were sold in bulk to be used as ingredients.  

The process for both products would have entail post -process handling, so both would be at risk for Listeria contamination. The difference is that the sandwiches would be shipped refrigerated, allowing some time for growth to occur, although there is a limited shelf-life on the product. The other is a frozen product, so during the time that product is frozen, Listeria would not grow. The risk associated with this product would be impacted on how the further manufacturer used that product. Of course, if they further cook the product, perhaps as part of a BBQ meat product, it would eliminate the Listeria risk. However, if they made it into chicken salad and shipped it in a refrigerated state to retail stores, it would be similar to the FDA recalled product.

Once an operation has found they have a Listeria contamination issue, it is important that those companies do extensive cleaning and sanitizing that is verified by heavy monitoring. Too often, companies jump back into production without eliminating the true source of contamination. In some cases, they don’t find it in testing completed on non-production swabs and think they are good to go. However, once product starts to roll through the process, Listeria reemerges. The source of Listeria was hidden well within the bowls of the equipment, and only once product is flowing through for hours or even days, does the Listeria make its way back out onto the food contact surfaces and ultimately the product.  

Listeria is sort of like Jason, the scary dude in the hockey mask featured in in those horror movies. In this movie, after the screaming girl shoots him a zillion times and he falls off the two-story roof, the distraught girl, laying there for what seems to be an eternity, finally gets the nerve to look. However, looking down, she realizes Jason is not there on the ground. Slowly turning around, she screeches as she sees that Jason was standing right behind her with a machete in his hand. As you are watching the flick, you wonder, why did she not verify that he was dead sooner.  So yeah, Jason is like Listeria, you are just never able to kill it and he continues to scare the heck out of you. So don’t be the screaming girl, use a rocket-launcher instead of a handgun and check well and often that he is not standing behind you. And never assume he is really dead.

KNOTT'S FINE FOODS RECALLS CHICKEN SALAD SANDWICHES BECAUSE OF POSSIBLE HEALTH RISK
http://www.fda.gov/Safety/Recalls/ucm336282.htm?source=govdelivery

FOR IMMEDIATE RELEASE - January 21, 2013 - Knott's Fine Foods, Inc. of Paris, TN, is voluntarily recalling its 3 ounce Chicken Salad Sandwiches with an expiration date of 1/29/13 and earlier because they have the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headache, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

New Food Safety Regulations Proposed for Fresh Produce Growers

Dr. LaBorde produced a very nice write-up on FSMA's proposed rule for produce safety.

 

New Food Safety Regulations Proposed for Fresh Produce Growers

 

Dr. Luke LaBorde, Department of Food Science, Penn State University 1/16/13

 

On January 4, 2013, the U.S. Food and Drug Administration (FDA) released a draft Produce Safety Rule as required under the Food Safety Modernization Act (FSMA) of 2011. This proposed regulation would establish mandatory practices that farmers must take to prevent microbial contamination of fresh produce. Below are highlights of requirements FDA would issue in the final regulation:

 

Worker Health and Hygiene - Farm and packing house workers who harvest or handle fresh produce, and their supervisors, must receive training on personnel hygiene and health conditions that can increase the risk for food contamination. Growers are required to show proof of training by keeping written records. Toilet facilities have to be readily accessible, kept reasonably clean, and supplied with toilet paper. Hand-washing stations must be close to toilet facilities and supplied with potable running water, hand soap, and clean single use towels.

 

Agricultural Water - Growers must be able to demonstrate that the water they use for irrigation, pesticide preparation, cooling and washing, etc. is safe for its intended use. Maximum average E. coli levels of 126 cells per 100 milliliters have been proposed for irrigation water that can contact the edible part of the crop. Water used for post harvest operations face more stringent standards; no detectable levels of E. coli are allowed.

 

FSMA Preventive Control Proposed Rule – Key Points for Food Processors

Official Title - Current Good Manufacturing Practice and Hazard Analysis and Risk-Based Preventive Controls for Human Food
http://www.fda.gov/Food/GuidanceRegulation/FSMA/ucm334115.htm

 There has been a lot of press regarding the FDA’s proposed rule on preventive controls. It has been hailed by many as a needed step for a safer food supply. If anything, it certainly helps to bring most every processor up to the same level in terms of HACCP based preventive measures.

The rule requires that FDA registered firms have a written food safety plan which is based upon HACCP principles.

For the food processor who has a HACCP plan in place and has undergone third party audits, there is nothing overwhelming within this rule. The challenge will be for those companies that do not have a HACCP system in place yet, (or a good plan in place). All companies who have registered their facility with the FDA, including those that do not ship out of state, may be subject to the FSMA preventive control rule. However, there are exemptions from the requirements for a Food Safety Plan for firms based upon size and whether they can be considered ‘on-farm’.

For firms with an active, functioning HACCP plan, the biggest thing to revise will be in the hazard analysis and the need to identify preventive controls. Preventive controls, as defined, can be CCPs or certain prerequisite programs that are needed to control potential hazards. Also, in addition to biological, chemical and physical hazards, we now include radiological hazards.

In current HACCP, the focus is on hazards controlled within the process by CCPs. In this, we acknowledge that prerequisite programs as making certain ‘hazards not likely to occur’. In the FSMA rule, all potential hazards must be addressed, and then for any considered reasonably likely to occur, the preventive control must be identified that renders the product safe (non-adulterated), whether that be a CCP or other program. In doing the hazard analysis, it will be important to include an assessment the severity of the illness or injury associated with the hazards.

Similar to what is done with CCPs, all preventive controls must have documented procedures. There must be monitoring, verification, and record keeping. However, unlike a CCP, there may not be a measurable parameter (critical limit). Validation for the preventive controls may not be needed (for sanitation and allergen control).

For example, one would need to identify sanitation as a preventive control for Listeria with a RTE food item when there is exposure of that product to the environment before packaging. They would need procedures for cleaning, verification that cleaning was done, and documentation to show this.

Facilities are required to have a written Recall Plan. At this time, there are no requirements for an environmental monitoring program, finished product testing, or supplier verification, although there is this with regard to process control (Proposed § 117.80(a)(5) would require that chemical, microbial, or extraneous-material testing procedures be used where necessary to identify sanitation failures or possible cross-contact and food contamination). FDA does ask for comments regarding the need of these being addressed. 

Food defense / intentional contamination will not be addressed in this rule.

Overall, FDA takes a less prescriptive approach with regard to the preventive control rule. While this gives processors opportunity to use a number of different methods to meet standard, it can be an issue when being inspected when that inspector doesn’t agree with that method. (We see that now with USDA inspectors with regard to validation…..’how do you know that process works’).

It is important to remember that this is just the proposed rule. This is the comment period and this closes on May 16th. At that time FDA will review and then reissue the rule, which then becomes implemented 60 days after being issued. Large firms will have one year to implement, small firms will have 2 years, and very small firms will have 3 years.

For more detailed summaries (prepared by lawyers) see http://www.fda.gov/Food/GuidanceRegulation/FSMA/ucm334115.htm or http://leavittpartners.com/wp-content/uploads/2013/01/Proposed-Rule-On-Preventive-Controls-Key-Provisions.pdf

Other points to note – (Items I found interesting):

FDA Proposed Rules for Food Safety Plans and Produce Food Safety

On Friday, Januray 4, 2013, the FDA rolled out two proposed rules.

 

1) Current Good Manufacturing Practice and Hazard Analysis and Risk-Based Preventive Controls for Human Food 

• Preventive Controls – applies to facility that manufacture, process, pack or hold food that fall under FDA jurisdiction. This rule requires that facilities have food safety plans in place for the preventive control of potential hazards, both within the process (HACCP) and those associated with the prerequisite programs. The document is 680 pages.
• http://www.ofr.gov/OFRUpload/OFRData/2013-00125_PI.pdf

 

2) Standards for the Growing, Harvesting, Packing, and Holding of Produce for Human Consumption

• Proposed Standards for Produce Safety – covers those fruits and vegetables that are likely to be consumed raw (spinach not potatoes). This document is 547 pages.
• http://www.ofr.gov/OFRUpload/OFRData/2013-00123_PI.pdf

 

Being proposed rules, there is a comment period before a final rule is issued. Then there will be a period of time from when the final rule is published until it is enacted