Monthly Archives: October 2015

China has Zero Tolerance for Listeria monocytogenes

Did you know that China has a zero pathogen standard that needs to be met for meat imports? Whether raw or cooked, meat and poultry from Canada shipped to China must contain no amounts of Listeria monocytogenes. How would this affect China’s food market and food availability?

Listeria monocytogenes is a facultative anaerobe, meaning that this bacterium is able to survive in environments absent of oxygen. It also has the capability of growing in temperatures ranging from 0 to 40 degrees Celsius. This allows Listeria monocytogenes to grow and to survive on refrigerated and frozen foods respectively. In Canada, presence of the bacteria on food is permitted as long as the detected amount is below 125 CFU/g for category 1 RTE foods and less than 100 CFU/g for categories 2A and 2B. These values were established because foods with less than these detected amounts of L. monocytogenes have low risk of causing illness. In fact, most foods consumed in Canada are usually tainted with L. monocytogenes. According to Health Canada, there is a 0-10% frequency of L. monocytogenes found in RTE foods.

Food from Canada that is exported must comply with the regulations of the country receiving the food, in this case, China. According to the China National Standards (GB 29921-2013), meat products cannot contain any amount of Listeria monocytogenes for every 5 samples tested. If meat and ready-to-eat (RTE) food producers want to export their products to China, they need to apply procedures that would completely eliminate L. monocytogenes from the food. To ensure that cross contamination does not occur, exporters need to follow proper equipment maintenance, sanitation, and handling procedures; however, this may be difficult for Canadian producers to achieve if we export our meat to countries with such requirements because meat can be contaminated through packaging and shipment processes. In addition, there is difficulty in eliminating the bacteria from foods due to the resistant qualities of L. monocytogenes such as sanitizer, acid, and desiccation tolerance, as well as its ability to attach and remain on surfaces.

China’s zero tolerance policy for the presence of L. monocytogenes in meat poses as an issue for other countries wanting to import their meat into China. If China buys meat from Canada and the meat gets tainted during exportation, China destroys the meat. This waste and reduction in food imports is not only harmful to both economies, but also to the food supply in China. Moreover, implementation and regulation of stricter laws is costly.

Compared to previous years, the presence of L. monocytogenes in foods has been increasing. The number of incidences of foodborne infection due to L. monocytogenes reported in China is similar to the numbers from different countries. Since China’s food market is rapidly developing, along with an increase in the population, there is a demand for pre-made, RTE foods. This increased consumption may also mean that there is more risk of infection, but there may also be a lack of supply due to the restrictions on imports. According to the WHO, the likelihood of developing listeriosis depends on multiple factors including how the food is stored, how many times contaminated food is consumed, and the amount of pathogen on the food. Rather than having the zero tolerance policy, perhaps China can consider educating consumers on basic food safety principles.

Considering the risk of infection and the loss of trade, do you think the zero tolerance policy is necessary?

Works Cited

China National Standards (26 Dec 2013). Food Safety National Standard Limit of Pathogens in Food Products. Retrieved from http://cexgan.magrama.es/MODULOS05/Documentos/GB29921-2013-PatogenosEnAlimentos.pdf

Feng, Y., Wu, S., Varma, J. K., Klena, J. D., Angulo, F. J., & Ran, L. (2013). Systematic review of human listeriosis in china, 1964–2010. Tropical Medicine & International Health, 18(10), 1248-1256. doi:10.1111/tmi.12173

Health Canada (1 Apr 2011). Policy on Listeria monocytogenes in Ready-to-Eat Foods. Retrieved from http://www.hc-sc.gc.ca/fn-an/alt_formats/pdf/legislation/pol/policy_listeria_monocytogenes_2011-eng.pdf

Wu, S., Wu, Q., Zhang, J., Chen, M., Yan, Z. A., & Hu, H. (2015). Listeria monocytogenes prevalence and characteristics in retail raw foods in china. PloS One, 10(8), e0136682. doi:10.1371/journal.pone.0136682

Listeria Monocytogenes in Adolf’s Deli Meats and Whole Foods Curry Chicken

American Thanksgiving is coming up, which is a prime time for meat producers as they will be selling a lot of turkey, ham, chicken, and many other meats that most families traditionally consume on Thanksgiving. If families are tight for time to prepare food, or have a lot of people to prepare food for, some will resort to getting Ready-to-Eat meats from the deli, such as ordering deli turkey breasts or deli ham.
With the purchase of ready-to-eat (RTE) meats comes the risk of Listeriosis, as RTE meats are one of the favourite breeding grounds for L. monocytogenes.

On October 29th, 2015, and still currently, American consumers have been warned about meat that could be potentially contaminated with Listeria monocytogenes. This particular outbreak was attributed to smoked kielbasa, hams, Canadian Bacon, bone-in pork loins, and liverwurst that were produced on October 20th, 2015 that was produced by Adolf’s Meat Products in Connecticut. About 224 pounds of meat have been recalled.

In another incident, a Whole Foods supplier in Massachusetts is recalling curry chicken products, such as their salad, salad wraps, and salad roll-ups that could also possibly have been infected with L. monocytogenes. Customers who have purchased these items are told not to consume them and to return the products straight to the store.
This problem was confirmed during FSIS sample testing, although there have not been any cases or adverse reactions reported due to consumption of these meat products.

L. monocytogenes favours growth in refrigerated to room temperature (4 to 37 degrees C), which is the reason why they are so prevalent in these meats that are eaten on their own without cooking. It is also present in many raw foods such as milk, ice cream, and produce. Despite this, most of the big outbreaks in Central/Eastern North America have been attributed to RTE meats. To put statistics into the prevalence of L. monocytogenes in the USA, 1600 illnesses and 260 deaths happen annually due to the contamination of food. Per 100,000 people, 0.26 cases are estimated. Despite these statistics, listeriosis has declined by 42% in 2013 compared to 1996-1998. An example of a major outbreak was the big Listeria outbreak at a Maple Leaf foods branch in Toronto in 2008, which resulted in 57 cases of illness and 23 deaths. This outbreak cost the company $20 million dollars, and 23 of their products were recalled. L. monocytogenes proved to be a forced to be reckoned with as the company had lost not only the money, but their image as well.

In North America, Listeria is considered to be an increasing threat to human health due to antimicrobial resistance, its ability to grow in refrigerated temperatures, and its large prevalence in the environment. Listeriosis can be fatal in those who are elderly and those that are still young children. Luckily this was found before the outbreak actually had caused illness in a consumer, however, it is still early to tell as the outbreak was very recent.

It is important that consumers understand that they must be vigilant when consuming RTE meats. Although hot dogs, luncheon meat (SPAM), and deli meats are convenient because they are already pre-cooked, the risk of contracting listeriosis is very real.
Hopefully this thanksgiving, those who choose to purchase RTE meats to serve at dinner cook it very thoroughly past 40 degrees C. It is advised that they use thermometers and put it into the deepest part of the meat to ensure that this temperature is meat. If there are any leftovers (which is definitely bound to happen) they should divide them into shallow containers to promote rapid cooling.

What do you think about this outbreak? Do you think that the government and companies generally do a good job in recalling products and preventing illnesses? How do you consume your RTE meats?

SOURCES:

Whole Foods Recalls Listeria Curry Chicken Salad

http://www.globalmeatnews.com/Industry-Markets/Listeria-recalls-hit-US

http://www.foodsafetywatch.org/factsheets/listeria/

http://www.fsis.usda.gov/wps/portal/fsis/topics/recalls-and-public-health-alerts/recall-case-archive/archive/2015/recall-132-2015-release

Everything You Never Wanted to Know About Listeria, But Need To

Another Visit by Listeria in Denmark

In May 2015, Statens Serum Institut (SSI) detected another five cases of Listeria in Denmark. The five cases showed up in one week, which makes it unusual if there was only one source. The source of the cases is still undetermined; with deli meats being the most suspected, as it is the cause of last year’s outbreak. All five people had the underlying illnesses and two have died since.

Joern-A.-Rullepoelser-closed-as-Denmark-investigates-Listeria-outbreak_strict_xxl

Listeria is one of the low-key food pathogen in Denmark, but it is considered to be one of the deadliest. The European Food Safety Authority (EFSA) declared that Listeriosis cases have increased by 8.6% between 2012 and 2013, and have been increasing for the past five years. Overall, the number of cases reported in Europe is low but the main concern would be the fact that each infection that occurred is the most severe and has the highest death rate.

It seems that Listeria has been coming back to Denmark for the past 3 years. In September 2013, 5 people were diagnosed with Listeriosis and the case continued on until August 2014 where approximately 38 people were sickened and 15 deaths. This particular outbreak was considered to be the deadliest food pathogen outbreak in Denmark. The main cause of this outbreak was the contaminated deli meat used to prepare Rullepoelse (picture above). The company that distributed the deli meat was shut down after the source traced back to them last year, but has reopen again this year. However, the Danish Veterinary and Food Administration (DVFA) have ruled out that company as the source of this year’s outbreak.

SSI stated that two out of the five people infected with Listeriosis this year are infected by the same strain that caused last year’s outbreak. As of now, the SSI is still trying to trace back the source for the cases they’ve found and is trying to sample the possible food source that they could think of. They have not found any more new cases and are hoping to not have another outbreak just like last year. However, with the current number of cases, it is very difficult for them to figure out the source of Listeria.

In order for the health agency to trace back the source of the contamination, they need an adequate amount of cases to easily determine the source. This is kind of an issue for Denmark where in one year they would only detect a small amount of cases, which they can’t use to find the source easily, and the case would continue the following year with a greater number of cases.

It might be possible that in the near future, the department responsible for food safety can create a better sampling and detection technologies that could help them to trace the source of contamination with a small amount of cases available. With your knowledge about Listeria, what solutions would you suggest them? Would you think that better detecting and sampling technologies would make a big difference to the country? Comment below!

References:
Denny, J., McLauchlin, J. (2008). HUMAN LISTERIA MONOCYTOGENES INFECTIONS IN EUROPE – AN OPPORTUNITY FOR IMPROVED EUROPEAN SURVEILLANCE. Retrieved from: http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=8082

EFSA. (2015). Campylobacteriosis cases stable, listeriosis cases continue to rise, say EFSA and ECDC. Retrieved from: http://www.efsa.europa.eu/en/press/news/150128

SSI. (2014). Listeria outbreak – suspected source: deli meats. Retrieved from: http://www.ssi.dk/English/News/News/2014/2014_08_listeria.aspx

Whitworth, J. (2015). Denmark investigating new Listeria outbreak. Retrieved from: http://www.foodqualitynews.com/Food-Outbreaks/Listeria-sickens-five-and-a-factor-in-two-deaths

Whitworth, J. (2014). Listeria from deli meat kills 12 in Denmark. Retrieved from: http://www.foodqualitynews.com/Food-Outbreaks/Joern-A.-Rullepoelser-closed-as-Denmark-investigates-Listeria-outbreak

Multistate Listeria Outbreak from Contaminated Caramel Apples

Pumpkin

It’s that time of the year when children (and children at heart) go out in their best costumes, knocking on neighbors’ doors with baskets full of candy in hand. It’s that time of the year when candy shops are full of consumers wanting to get their hands on sweet treats. A well-known treat for the fall and Halloween season is the candy apple: whole apples (usually Granny Smith apples) in sticks smothered with chewy caramel and colorful toppings. Never did it occur in any of our minds that such treats would be a source of illness: until now.

In January 6, 2015, Bidart Bros., an apple producer from Bakersfield, California, recalled Granny Smith and Gala apples they produced from their facility. The firm did so after an inspection and testing of their facility showed contamination of Listeria monocytogenes. Three clients of Bidart Bros. who are caramel apple manufacturers (Happy Apples, California Snack Foods, & Merb’s Candies) also announced the recall of their products due to L. monocytogenes contamination. The Centers for Disease Control and Prevention worked with the U.S. Food and Drug Association in the investigation of the outbreak. Listeria was isolated from infected individuals, and analysis was conducted through pulsed field gel electrophoresis (PFGE) and whole genome sequencing. These laboratory methods confirmed the presence of the pathogenic L. monocytogenes in the infected individuals.

Map of persons infected with the outbreak strains of Listeria monocytogenes, by state of residence, as of December 29, 2014 (n=32)

Source: CDC

The Listeria contamination caused a multistate outbreak, reaching 12 states across the United States. A total of 35 cases has been reported, with 34 cases causing hospitalization. Based on the report of the Centers for Disease Control and Prevention, 11 illnesses were pregnancy-related, while 3 cases involved meningitis in children (aged 5-15 years old) who consumed the contaminated caramel apples. A total of 7 deaths were reported, with Listeriosis contributing to 3 of those deaths.

So how did L. monocytogenes survive and grow in caramel apples, a food in which the pathogen is not expected to grow? At the outset of the Listeria outbreak, many assumed that the cause of growth was the caramel coating on the apples, or the coating process itself. Although testing of the Bidart Bros. apple packing facility revealed the presence of L. monocytogenes on surfaces that directly contacted the apples, further investigation by experts was conducted to understand the mechanisms through which Listeria was able to grow on the caramel apples.

Dr. Kathleen Glass, Associate Director of the Food Research Institute in the University of Wisconsin, conducted a study to replicate the process and conditions undergone by the caramel apples during production.Dr. Glass hypothesized that inserting sticks into the apples released juice on the otherwise dry surface of the fruit, and subsequent coating with caramel trapped the pathogenic bacteria inside the finished product. This, in turn, created a favorable environment for L. monocytogenes to grow in the caramel apples. In the experiment, apple samples were inoculated with L. monocytogenes before dipping in caramel. One group contained sticks inserted into the apples while the other group did not have sticks inserted. Experimental results revealed that both groups of stick-punctured caramel apples (refrigerated and non-refrigerated) showed significantly greater L. monocytogenes growth than non-punctured caramel apples. This study indicates that extra precautions need to be taken in processing of such foods, since the interface between different components of the product may provide favorable conditions for growth of pathogenic bacteria. Even though foods are considered to be unfavorable for pathogen survival and growth, food safety measures still need to be taken to prevent future outbreaks.

Listeria monocytogenes has an infectious dose of 105 to 107 CFU in high risk individuals (eg. children, pregnant women, older populations, and immuno-compromised individuals). The pathogen is known to have adaptations to survive in the environment. L. monocytogenes is able to grow at refrigeration temperatures, and has the ability to form biofilms, thereby enhancing the pathogen’s survival in the environment. Listeriosis is the bacterial infection caused by the pathogen L. monocytogenes. Symptoms of the disease include diarrhea, fever, muscle aches, confusion, and loss of balance. Severe “invasive” cases of listeriosis may result in bacteremia, septicemia, and meningitis in high risk individuals.

How do you think this incident affects the apple industry in Canada? Should we now be extra careful in eating caramel apples? Comment below and share your thoughts!

Click on the “Cinnamon Caramel Apple Pumpkin” photo (from Darla of Bakingdom.com) to grab the recipe and have a great Halloween!

Interested in knowing how caramel apples are commercially made? Watch the video below:

Sources:

Andrews, J. (2015). IAFP 2015: Experts May Have Determined How Caramel Apples Caused That Listeria Outbreak.

IAFP 2015: Experts May Have Determined How Caramel Apples Caused That Listeria Outbreak

Centers for Disease Control and Prevention. (2015). Multistate Outbreak of Listeriosis Linked to Commercially Produced, Prepackaged Caramel Apples Made from Bidart Bros. Apples.
http://www.cdc.gov/listeria/outbreaks/caramel-apples-12-14/

Glass, K.A., Golden, M.C., Wanless, B.J., Bedale, W., & Czuprynski, C. (2015). mBio: Growth of Listeria monocytogenes Within a Caramel-Coated Apple Microenvironment. American Society for Microbiology.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4620460/pdf/mBio.01232-15.pdf

Ryser, E.T. & Marth, E.H. (eds.). (2007). Listeria, Listeriosis, and Food Safety (3rd Edition). Boca Raton, Florida: Taylor & Francis. pp 85-110.

Football team and friends at Durand High School effected by Campylobacter Jejuni

September 24, 2014: At least 22 members of the football team were reported sick, some hospitalized, after the team potluck at the Durand High School in Wisconsin. Lab tests have confirmed suspicions of the pathogen to be Campylobacter Jejuni. Wisconsin Department of Health said that unpasteurized milk served at the dinner was the cause of the outbreak. More than 50 Durand High school students were forced to stay home due symptoms that included Diarrhea, cramps, fever, and stomach pain.

Read more about the news break here: http://www.weau.com/home/headlines/NEW-INFORMATION-Campylobacter-infection-found-in-one-Durand-patient-276958321.html

The potluck is a yearly tradition at the high school usually held at the nearby school. Dinner included Chicken Alfredo, Kool-Aid, water, and raw milk with chocolate syrup added.

The Wisconsin Department of Health (DHS) interviewed all players and coaches of the football team (ill and unwell) in order to assess symptoms, as well as find the root of the problem. Consumption of raw milk appeared to be the isolated as the only food item associated with the illness. Symptoms lasted for about a week and ranged from mild to severe. Other complications include meningitis, urnary tract infection, arthritis, and sometimes, Guillian –Barre syndrome.

One of the students, Brianna, reported unusual pain in her hips and knees, limb weakness, as well as numbness for which she was hospitalized.

Reportedly, other students were hit hard by the symptoms as well, many suffered from bloody diarrhea and noticeable weight loss.

More about the investigation:
http://www.jsonline.com/business/raw-milk-blamed-as-38-at-durand-high-football-potluck-are-sickened-b99390272z1-282848161.html

According to the Health Canada website, people infected with C.jejuni can experience an array of symptoms. Some may not get sick at all, but still be able to spread the disease. Others may experience a severe flu, while some may be hospitalized.

The outbreak affected the football team so much so that the high school cancelled the Sept 27th football game against Amery High School.

Campylobacter Jejuni, the pathogen identified as the cause of this outbreak, is found in digestive systems of cattle, poultry, and animal feces. The DHS collected samples of manure from the farm where the raw milk was produced, and the bacteria strain was found positively correlating the bacteria to the illeness. People with weakened immune systems are at a greater risk of complication including arthiritis, meningitis etc.

Public Health Canada website:
http://www.phac-aspc.gc.ca/fs-sa/fs-fi/campylo-eng.php

The state-law prohibits sale of unpasteurized milk products to the public to contain bacteria that may promote food borne illnesses. Moving forward, the school recommends fewer dinners like potlucks, as the food quality is difficult to control. The effects of this have been particularly eminent to the student population.

campyl

Listeria Monocytogenes Recall in Australian Fried Rice: No Ending

In Australia, there was a recall on September 3, 2015 due to pre-packaged fried rice from the company JL King & Co due to Listeria monocytogenes. Both packagings of 1kg and 450g were on the recall. As of now, there is still no information about the source of contamination, how many or if there were any consumers who got sick. The best before date for this product was September 15, 2015, which was only 12 days from the date the recall was announced. (Australian Competition Consumer Commission, 2015)

Similar to most other ready to eat foods that Listeria monocytogenes like to grow in, the shelf life is quite short and some consumers consume the ready to eat products right after purchasing. Other products such as canned foods that Clostridium botulinum can grow in, the shelf life can be up to 2 years which gives plenty of time for recalls as those consumers may not consume them immediately after purchase. The recalls for ready to eat foods such as the pre-packaged fried rice can serve the purpose of taking the food off store shelves to prevent future consumers from getting sick. However for the consumers who have consumed contaminated products before any recall notification, some of them may not even get sick due to the natural microflora present on their intestinal surfaces.

The ones who are most susceptible to falling ill from Listeria monocytogenes are pregnant women and their unborn or newborn children, seniors and the immunocompromised. For pregnant women in the first three months of pregnancy, being sick with Listeria monocytogenes can cause a miscarriage. If the bacteria is contracted later on in the pregnancy, premature birth, stillbirth or the birth of a severely ill child may happen. The immunocompromised are much more likely to get sick but according to the Public Health Agency of Canada, people suffering from AIDS are 300 times more susceptible to being infected by Listeria monocytogenes compared to healthy individuals. (Public Health Agency of Canada, 2012)

Listeria Monocytogenes luckily cannot grow in all ready to eat food products as long as the food product falls under one of the following three criteria according to Australia’s Food Standards (Food Standards, 2014):
1. pH less than 4.4, no matter the water activity value
2. Water activity less than 0.92, no matter the pH value
3. pH less than 5.0 and water activity less than 0.94

However, if Listeria monocytogenes is present it can survive in acid conditions and in products with low water activity for a long period of time, especially for refrigerated products. Even if the product has gone through a drying process, Listeria monocytogenes may survive. (Lawley, 2013)

If the ready to eat food product is frozen and is consumed frozen, thawed but still eaten cold or heated before consumption then it is most likely safe from Listeria Monocytogenes. (Food Standards, 2014) If the ready to eat food product does not fit with the above criteria, then heating to an internal temperature of 74°C before eating can help in minimizing the chance of Listeria monocytogenes surviving in the food. (Public Health Agency of Canada, 2012)

With all the conditions Listeria monocytogenes can grow or survive in ready to eat products, I feel that one of the better ways to minimize the risks of getting ill from Listeria monocytogenes is to heat ready to eat products except for frozen products before consuming. Although this might be difficult for ready to eat foods that are generally eaten at room temperature such as sandwiches.

Are there any other methods that you think are sufficient in eliminating Listeria monocytogenes?

References:

Andersen, L. (2015) Listeria and Bacteriocin-Producing Starter Culture. Retrieved from http://www.foodsafetynews.com/2015/08/listeria-and-bacteriocin-producing-starter-cultures/#.Vi3XUmSrToB

Australian Competition Consumer Commission. (2015). Product Safety Recalls Australia. Retrieved from http://www.recalls.gov.au/content/index.phtml/itemId/1076441

Food Standards. (2014). Supporting document 1 – Guidance On the Application of Microbiological Criteria for Listeria Monocytogenes. Retrieved from
http://www.foodstandards.gov.au/code/proposals/Documents/P1017-MicroAppR-SD1.pdf

Lawley, R. (2013). Food Safety Watch. Retrieved from http://www.foodsafetywatch.org/factsheets/listeria/

Public Health Agency of Canada. (2012). Listeria. Retrieved from
http://www.phac-aspc.gc.ca/fs-sa/fs-fi/listerios-eng.php

Listeria Outbreak Associated with Blue Bell Ice Cream

Blue Bell Creameries recently did product recall for the first time in their 108 years of company’s history caused by an outbreak of Listeria monocytogenes. There were in total 10 cases in 4 states & 3 deaths affected by the outbreak. They have 3 production facilities and all of them were contaminated with Lm: one in Texas (which is the headquarters), and two auxiliary production lines in Oklahoma and Alabama. In this post, I’m focusing on what happened in the Oklahoma facility.

The first 5 Listeriosis cases that were reported in Kansas early March 2015. They were all hospital inpatients and immunocompromised, and 3 of them actually died, which made up the total deaths for this outbreak. In late March 2015, using PFGE and Whole Genome Sequencing, Kansas Department of Health and Environment found out that the same strains of Lm found in the patients were traced back to unopened Blue Bell Creameries’ 3 oz. Institutional/Food Service Chocolate Ice Cream cups served in the hospital, which were manufactured in the Oklahoma production facility. Interestingly, this product was distributed to 23 states and only sold in schools, nursing homes, and hospitals, which mainly accomodate individuals at risk. This suggests that there were probably unreported cases of listeriosis linked to the Blue Bell Creameries’ products.

 

In May 7, 2015, the FDA released findings from Blue Bell Creameries’ production facility in Oklahoma. In this report, there are 12 observations being made but I’m only going to outline several points.

 

This report mentions that the Oklahoma Department of Agriculture, Food, and Forestry established a requirement of 20 CFU/mL of Lm or less in finished products of frozen dairy desserts. In March 2015, 275 CFU/mL Lm was found in the finished product half-gallon Dutch Chocolate Ice Cream, more than thirteen times the recommended levels. Now, if we assume that there is 275 CFU/mL of Lm in a 3 oz. (88mL) Institutional/Food Service Chocolate Ice Cream cup, then there is in total 24,200 CFU of Lm in one cup. However, several hospital patients fell ill after consuming the particular product, which means that the amount of Lm in that product is at least at an infectious dose of 0.1 to 10 million CFU for at risk individuals. Based on these assumptions, Lm might continue to grow under freezing temperatures, but more research needs to be done on this subject. Another possibility is that some finished products of the chocolate ice cream already had enough Lm in it to infect at risk individuals, therefore any more Lm growth would not make any impact.

 

This report also mentions that the plant’s production line is not designed to prevent cross-contamination from drippings and condensate from pipes and tank lids. The lids on top of the tanks containing post-pasteurized Dutch Chocolate Ice Cream were not closed tightly, hence condensate from another product line installed horizontally right above it drips into the tanks, which makes a potential source of Lm contamination. Additionally, a worker was observed spraying the top of the lids and switching lids between other post-pasteurized Dutch Chocolate Ice Cream tanks, which may contribute to Lm cross-contamination in the tanks. The rest of the report states that lack of employee hygiene and inadequate facilities for cleaning and sanitizing equipments might be some contributing factors to the growth of Lm in their products.

 

Now, if you were to be part of Blue Bell Creameries’ quality control team at the Oklahoma production facility, what would you do? What recommendations would you offer to make the production line safer?

Europe: Salmonella Stanley Strikes Again! Find out why S. Stanley keeps refusing to back down.

SalmonellaTurkeys Stanley, as friendly as this particular strain of salmonella may sound, is no friend to the European member states at all. S.Stanley may as well be a multi-national celebrity as it has been making headlines across Europe for various food-borne outbreaks since 2011.

After a string of salmonella outbreaks that affected 7 European states and more than 400 patients, the European Centre for Disease Prevention and Control (ECDC) and other authorities finally initiated investigations on the source of the culprit strain in 2012. Evidence from the investigations led to a suggested source of turkey meat and without slowing down, the notorious S.Stanley continued to make various headlines up until 2014. Now, S.Stanley has re-emerged in clusters throughout 2015 and is taking over a new wave of Austrian turkey supply.

Between 1 January and 8 October 2015, 141 cases of non-travel related infection with S. Stanley were identified in eight of the nine Austrian provinces. At least 36 of these cases have been traced back to turkey kebabs made with turkey meat supplied by a single retailer located in Slovakia. More trace back by National authorities indicate that the Slovakian retailer sources its turkey meat from a facility in Hungary. This same facility was linked to a S.Stanley cluster back in 2014. Furthermore, recent investigations using pulsed-field gel electrophoresis (PFGE) molecular typing indicate that the 2015 salmonella isolates have the same unique pattern as S.Stanley from the 2011 to 2014 outbreaks.

So what is the secret to S.Stanley’s everlasting presence?

Antimicrobial Resistance.

Since the early 1990s, antimicrobial resistant salmonella strains have emerged and become serious public health concerns. Antimicrobial resistance occurs when pathogenic cases are routinely treated with antimicrobial therapy but result in not eliminating the more resistant bacteria strains. The subsequent result is resistant bacteria strains reproducing, and the antimicrobial treatment becoming ineffective.

The same strain of Salmonella Stanley has consistently been recognized from 2011-2014 due to its pattern of resistance to nalidixic acid antibiotics. That was up until now, where the 2015 strain of S.Stanley has been identified as having low-level resistance to ciprofloxacin in addition to nalidixic acid antibiotics.

To prevent further cases of antimicrobial resistance cases, the single most important action is to change the way antibiotics are used. Mostly, the use of antibiotics in people and animals are unnecessary especially in mild cases of infection. Treatment guidelines should be reviewed regularly while considering bacterial resistance patterns.

Here are some simple tips to prevent Salmonella from spreading in your home:

  • Clean surfaces regularly and wash your hands often especially after coming into contact with animals and animal products.
  • Separate raw and cooked, ready-to-eat foods to prevent cross contamination.
  • Cook food to the right temperature. Checking the colour and texture of meat is not enough to ensure it is safe. Instead, use a food thermometer to check internal food temperatures.
  • Refrigerate foods below 4°C. Germs can grow in many foods within 2 hours and even quicker during the summer.

 

Works Cited

CDC. (2014). Antibiotic Resistance and Food Safety. Available at: http://www.cdc.gov/foodsafety/antibiotic-resistance.html

CDC. (2015). About Antimicrobial Resistance. Available at: http://www.cdc.gov/drugresistance/about.html

ECDC. (2015). CDTR Week 41, 4-10 October 2015. . COMMUNICABLE DISEASE THREATS REPORT. Available at: http://ecdc.europa.eu/en/publications/Publications/communicable-disease-threats-report-10-oct-2015.pdf

Whitworth, J. (13 October 2015). New Cases reported in multi-year, multi-country Salmonella outbreak. Food Quality News. Available at: http://www.foodqualitynews.com/Food-Outbreaks/Turkey-production-chain-at-centre-of-Salmonella-concerns

WHO. (2013). Salmonella (non-typhoidal). Available at: http://www.who.int/mediacentre/factsheets/fs139/en/

WHO. (2015). Antimicrobial resistance. Available at: http://www.who.int/mediacentre/factsheets/fs194/en/

“Banh mi” in Vietnam

 

web

Recently, on Oct. 20th 2015, there was a Salmonella outbreak in the Quang Binh province, which located in the north- central coast of Vietnam. The outbreak affected 224 local people, who showed symptoms such as stomach ache, vomiting, fever and diarrhea. The Salmonella bacteria were found in “Banh mi” supplied by the “Vuong Tien Thanh Bakery”. “Banh mi” is a Vietnamese snack introduce by the French during the Colonial Period. It consisted of a baguette, usually filled with variety of meats, pickled vegetables and chili peppers.

 

According to the Quang Binh province Hygiene and Food Safety department, samples taken from the bakery and the contents of the victims’ stomach both tested positive for the bacteria Salmonella. Most of the consumer infected with Salmonella developed symptoms within 72 hours and rushed to the local hospital. This was the biggest case of food poisoning seen in the province.

 

About a week prior to the detection of Salmonella bacteria in “Banh mi”, the bakery had supplied bread to “Tan Phat Sport Company”. 20 of the worker. who consumed the bread suffered from vomiting and diarrhea.  “Vuong Tien Thanh Bakery” had five branches, which 3 were suspended after the incident.

 

A little background in Vietnamese food culture and the snack food item “Banh mi”. “Banh mi” from the journal article “An Outbreak of Foodborne Salmonellosis Linked to Bread Takeaway Shop in Ben Tre City, Vietnam” was referred as stuff bread. In the article it was mention that in 2013 media reported multiple incidents where people had been hospitalized with acute gastroenteritis due to consumption of stuffed bread. They found that “Banh mi” usually included the ingredients pork bologna, pork pate, salted and dried pork and raw egg mayonnaise. Many of these items were found to have Salmonella species as well as E. coli growing.  Most of the stuff breads were brought from street food stalls and vendors. At these vendors poor hygiene was found: some had cooked food and raw food place very close together, some had cooked food kept at room temperature for long period of time.

 

Vietnam is a lower middle income country, where development and industrialization are still taken place. The food culture there is still very traditional, which comprised of traditional foods with traditional methods of making the food. Traditional practices of preparing the food are not necessary food safe or hygienic. Vietnam is also one of the Asian countries known for its delicious and inexpensive street food. To regulate and improve food safety laws for street food vendors in Vietnam, in 2011 laws were passed providing guidelines on operating street food stalls.

 

The guidelines are:street-food-vendor

  1. Stall must be away from polluted place.
  2. Clean water must be used to cook and clean kitchen utensils
  3. Origin of the produce used to make food must be clear
  4. Vendors must have a waste collection system in place
  5. Vendors can only make use of a specific list of additives

 

Many other Asian countries are also known for the inexpensive and impressive variety street foods. What would be your opinion on regulation on street food? How can we blend traditional practices with modern implications?

 

Thank you so much for your time.

Emily L. 

 

Reference links:

http://www.vietnambreakingnews.com/2015/10/224-banh-my-eaters-stricken-with-salmonella-poisoning/

http://www.who.int/features/2015/food-safety-interview/en/

http://www.vietnambreakingnews.com/2015/10/suspected-food-poisoning-affects-48-workers/

http://www.sciencedirect.com.ezproxy.library.ubc.ca/science/article/pii/S1201971214015513

 

An Outbreak of Salmonella Poona Infections: Think Twice Before Eating That Cucumber

The Centers for Disease Control and Prevention (CDC) and US Food and Drug Administration (FDA) are investigating a very serious strain of salmonella called Salmonella Poona, which has affected 767 people as reported until October 14, 2015 by consuming contaminated cucumbers. Among 36 states, 205 cases reported from California, which has the highest number of infected people in this salmonella outbreak. Four deaths have been reported from California, Arizona, Texas, and Oklahoma. More than gettyimages-175696368half of the infected people are children younger than 18 years old. FDA investigations have identified that the contaminated cucumbers were imported from state of Baja California in Mexico and distributed by Andrew & Williamson Fresh Produce. The company has issued a recall of all cucumbers sold under its Limited Edition label, which are those Slicer cucumbers imported from Mexico, during the period from August 1, 2015 to September 3, 2015. However, the shelf life of this type of cucumber is 14 days and some customers may store the cucumbers and do not notice the recall of these contaminated cucumbers. Moreover, it usually takes 2 to 4 weeks for the case actually reported as part of the outbreak since the person is exposed to salmonella, which means there will be more illnesses reported later on. CRbPX0_VAAA47iN

Children, elderlies, and people with suppressed immune systems are more likely to get salmonella
infections and the infection can be fatal. Salmonellosis causes abdominal cramping, vomiting, nausea, and diarrhea. According to CDC, 8% of reported infections had long-term impact, such as chronic gastroenteritis, osteomyelitis, and septic arthritis.

People mostly hear about salmonella when it comes to poultry, egg and beef, not vegetables, but any type of food might be contaminated by salmonella bacteria. Research shows that 13% of the source attribution of salmonellosis is vine vegetables, fruits, and nuts. Cucumber, as a delicious and refreshing vegetable, is usually eaten raw, which increases the risk of getting infected by salmonella. Salmonella grows optimally at 37 °C and pH of 6.5 to 7.5. However, most salmonella serotypes can grow in the range of 7 to 48 °C and are able to survive under freezing for a relatively long period of time. They can also survive under very acidic and dry condition. An efficient way to eliminate salmonella in the food is heating to an internal temperature of 72 °C for at least ten minutes.

Nevertheless, going back to the salmonella outbreak linked to cucumbers in US since September 2015, fresh cucumbers are usually not cooked before consumption, which means it would not go through the heating process, so it is very difficult to eliminate the pathogens during the preparation. The question is: how to safely prepare your produce? According to FDA, there are some precautions to take each time before eating the produce:

  1. Clean your hands by washing them for at least 20 seconds with soap and warm water before and after preparation.

  2. Wash your produce thoroughly under running water before eating, cutting or cooking — home-grown veggies included.

  3. Scrub firm produce like cucumbers with a clean produce brush.

  4. Dry produce with a clean towel to further reduce bacteria from spreading.

Furthermore, avoiding cross-contamination is also very critical. Raw meat, poultry, and produce need to be separated in the grocery shopping cart and the refrigerator. For the preparation, different cutting boards can be used for different types of food, especially for separating cooked and raw food.

Eating raw food always links to high risk of getting infected by the foodborne pathogens. Personally, I always eat cucumbers raw, since produce is not a very big concern for salmonella infection. As I heard this outbreak, I started to re-consider if I should cook them before eating. I feel like cooking is the safest way to prevent from getting infected.

Suggestions by FDA – “how to safely handle raw produce and fresh-squeezed fruit and vegetable juices”

 

What do you think? How would you prevent yourself from being harmed by eating raw produce?