Category Archives: Hepatitis E

Research – Norovirus Killed by Electron Beam

Food Poisoning Bulletin300px-Crassostrea_gigas_p1040848

Researchers at Texas A&M University have developed a way to pasteurize oysters without chemicals or heat using an electron beam. A study measuring the method’s efficacy on norovirus and hepatitis A appears in the June issue of the scientific journal Applied and Environmental Microbiology.

Although the CDC recommends that all shellfish be cooked to an internal temperature of 140˚, many people enjoy raw eating oysters raw. Pasteurization is one way to address the health risk of raw foods. And it’s one of the electron beam or E beam applications being explored at the National Center for Electron Beam Research at Texas A&M University.

The U.S. Food and Drug Administration (FDA) has already approved E beam technology as a way to control Vibrio vulnificus, a naturally occurring bacteria in shellfish that can cause life- threatening illness or death. In this study, researchers measured E beam’s efficacy on different levels of viral concentration. They found that at high levels of contamination the E beam was able to reduce norovirus levels by 12 percent and hepatitis A levels by 16 percent and at more moderate levels of contamination the method was able to reduce norovirus by 26 percent and hepatitis A by 90 percent

Research Norovirus Spread by Kitchen Untensils

Sprenger LinkNorovirus

Abstract

Human noroviruses and hepatitis A virus (HAV) are commonly associated with outbreaks occurring in restaurant establishments and catered events. Food handlers are major contributing factors to foodborne illnesses initiated in the kitchen setting. In this study, transfer of HAV and murine norovirus (MNV-1), a human norovirus surrogate, between produce (cucumbers, strawberries, tomatoes, cantaloupes, carrots, and honeydew melons) and common kitchen utensils (graters and knives) was investigated. The extent of virus transfer to produce during utensil application, in the presence and the absence of food residue, and the impact of knife surface properties (sharp, dull, serrated) was also investigated. Transfer of MNV-1 and HAV from produce items, initially contaminated with ~5.5 log PFU, to knives and graters during application ranged from 0.9 to 5.1 log PFU. MNV-1 transfer to knives was the greatest for cucumbers, strawberries, and tomatoes, and the least for honeydew melons, while transfer of HAV to knives was greater for tomatoes and honeydew melons than strawberries, cantaloupes, and cucumbers. After preparation of a contaminated produce item, knife cross-contamination easily occurred as viruses were detected on almost all of the seven produce items successively prepared. Produce residues on utensils often resulted in less virus transfer when compared to utensils without residue accumulation. Knife surface properties did not impact virus transfer. The ease of virus transfer between produce and utensils demonstrated by the current study highlights the importance of efforts aimed toward preventing cross-contamination in the kitchen environment

 

CDC Letter – UK Shellfish Market and Viruses – Hepatitis E

CDC (full letter)

Bivalve mollusks (shellfish), such as mussels and oysters, are filter feeders; they concentrate microorganisms of human and animal origin (up to 100×) from the surrounding environment. Several recent reports have linked the incidence of human infection with hepatitis E virus (HEV) to consumption of undercooked pork, game products, and shellfish (1,2). Infectious HEV has been found in swine manure and wastewater (3); therefore, application of manure to land and subsequent runoff could contaminate coastal water, leading to contamination of shellfish and, subsequently, possible human infection. Because they are filter feeders, bivalve mollusks are biologically relevant sentinels and can indicate potential pathogens that are contaminating the environment. It is essential to ensure that this sustainable resource of coastal areas, where mussels and oysters are farmed or collected wild, is not subjected to environmental contamination that could lead to public health risks.

Risk management for bivalve mollusks, aimed at control of fecal pollution, relies heavily on the use of Escherichia coli as an indicator of fecal (sewage) contamination and is enacted under European food regulations (Regulation 854/2004, www.cefas.co.uk/media/455777/extract_reg_no_854_2004.pdf Adobe PDF file). However, although these regulations probably reduce the number of infections, especially bacterial infections, they are not viewed as adequately controlling the risk for viral infections. Specific risks are posed by the robustness of viruses in the environment and the different behavior of viruses within bivalve mollusks compared with behavior within bacterial fecal indicators.

German Foodborne Virus Outbreak 6,500 Cases

Reuters

More than 6,500 German children and teenagers have fallen ill with diarrhea and vomiting that health authorities say has likely been caused by a food-borne virus in meals delivered to schools and day care centers.

Regional health ministries and a top health research institute said youngsters from five of Germany’s 16 states had been affected by the acute gastroenteritis, with the first cases registered on Tuesday. So far, those affected had not suffered any complications.

“All the institutions which have registered cases of the illness so far are probably being provided by the same caterer,” wrote the Robert Koch Institute, which researches and advises the German health ministry on infectious diseases. “This suggests that it is an outbreak caused by food.”

The German government and affected states have established a task force charged with looking for the reason for the illness in order to prevent it spreading any further.

(Reporting By Thorsten Severin, Writing by Sarah Marsh; Editing by Myra MacDonald)

Research Hepatitis E – Pork Food Chain UK

CDC

Abstract

We investigated contamination by hepatitis E virus (HEV) in the pork production chain in the United Kingdom. We detected HEV in pig liver samples in a slaughterhouse, in surface samples from a processing plant, and in pork sausages and surface samples at point of sale. Our findings provide evidence for possible foodborne transmission of HEV during pork production.

India – Hepatitis Outbreak – Kills 12 – Contaminated Water

BBC

An outbreak of Hepatitis E has killed at least 12 people and left 4,089 others unwell, officials in the western Indian state of Maharashtra said.

The outbreak happened in Ichalkaranji, a city of 300,000 people.

“The cause of the outbreak is contaminated water from the Panchganga river,” Dr LS Patil, a senior government doctor in the region, said.