Category Archives: Uncategorized

Research – These Volunteers Drank E. Coli-Laced Water and Got Diarrhea, for Science

Live Science

In a new study, that was the stomach-churning task given to volunteers, who bravely downed a cup of E. coli, for science.

Their fortitude paid off. Scientists were able to study an important question: whether a person’s blood type affects the severity of an “Enterotoxigenic E. coli” infection, the leading cause of traveler’s diarrhea.

USA – Recall – Pasteurised Chocolate Milk – Not properlyy Pasteurised

Food Safety News

Routine testing by The New York State Department of Agriculture and Markets has revealed some milk from an Orange County dairy farmer was not properly pasteurized, prompting a recall of “Pasteurized Creamline Chocolate Milk” that was distributed in Pine Bush, NY.

The recalled improperly pasteurized milk was sold at the Stap Dairy Farm Store at 426 Drexel Drive in Pine Bush.

The milk was sold under the name Stap Dairy and packaged in half-gallon plastic containers, bearing the container code of: “6 18 8,” according to a food safety alert posted Thursday by the State Department of Agriculture and Markets.

Research – Morbidity, mortality, and long-term consequences associated with diarrhoea from Cryptosporidium infection in children younger than 5 years: a meta-analyses study

The Lancet 

 

The protozoan Cryptosporidium is a leading cause of diarrhoea morbidity and mortality in children younger than 5 years. However, the true global burden of Cryptosporidium infection in children younger than 5 years might have been underestimated in previous quantifications because it only took account of the acute effects of diarrhoea. We aimed to demonstrate whether there is a causal relation between Cryptosporidium and childhood growth and, if so, to quantify the associated additional burden.

In 2016, Cryptosporidium infection was the fifth leading diarrhoeal aetiology in children younger than 5 years, and acute infection caused more than 48 000 deaths (95% uncertainty interval [UI] 24 600–81 900) and more than 4·2 million disability-adjusted life-years lost (95% UI 2·2 million–7·2 million). We identified seven data sources from the scientific literature and six individual-level data sources describing the relation between Cryptosporidium and childhood growth. Each episode of diarrhoea caused by Cryptosporidium infection was associated with a decrease in height-for-age Z score (0·049, 95% CI 0·014–0·080), weight-for-age Z score (0·095, 0·055–0·134), and weight-for-height Z score (0·126, 0·057–0·194). We estimated that diarrhoea from Cryptosporidium infection caused an additional 7·85 million disability-adjusted life-years (95% UI 5·42 million–10·11 million) after we accounted for its effect on growth faltering—153% more than that estimated from acute effects alone.

Interpretation

Our findings show that the substantial short-term burden of diarrhoea from Cryptosporidium infection on childhood growth and wellbeing is an underestimate of the true burden. Interventions designed to prevent and effectively treat infection in children younger than 5 years will have enormous public health and social development impacts.

USA – Bacillus cereus or Clostridium perfringens sickens 17 in Seattle

Food Poison Journal 

Since June 11, 2018, Public Health has learned of 17 people from a single meal party who became ill after consuming food and beverage from a buffet at Lahori Kabab-n-Grill in Kent on June 10, 2018. Symptoms and timing of their illness onset are suggestive of a bacterial toxin, such as Bacillus cereus or Clostridium perfringens.

The exact food or drink item that caused the illness has not been identified, though this is not uncommon for outbreaks associated with a bacterial toxin

 

Holland – Research on pathogens in dairy goat and dairy sheep farms

RIVM 

Synopsis

Animals can carry pathogens that can cause disease in humans (zoonoses). In 2016, the RIVM and the NVWA investigated whether dairy goats and dairy sheep carry such pathogens; sometimes this is also done for livestock farmers, their family members and employees. These pathogens usually cause diarrhoea but sometimes the infections are more severe.

Research shows that a few pathogens occur often on dairy goat and dairy sheep farms. These bacteria reside in the intestines of the animals, and are excreted in manure. A small amount of manure is enough to contaminate raw milk or unpasteurised cheese. Visitors to these farms can also become infected if they come into contact with the animals or their environment. Contamination can be prevented by consuming or processing all milk pasteurized. Visitors can reduce the risk of disease by washing their hands if they have been in contact with the animals or their environment.

STEC and Campylobacter bacteria, in particular, were frequently found. STEC was detected at virtually all the farms that were investigated. Campylobacter was detected at 33 percent of the goat farms and 95.8 percent of the sheep farms. These bacteria were found much less often among the farmers and their family members. Listeria was detected less often: at 8.8 percent of the goat farms and 16.7 percent of the sheep farms, and not among people. However, it is a relevant pathogen since unpasteurised soft cheese is the most important source of Listeria infection in humans.

Salmonella was not found at dairy goat farms but was found at 12.5 percent of the dairy sheep farms. On most farms, only a type of Salmonella that is not transmitted to humans was found. ESBL-producing bacteria, which are insensitive to many antibiotics, were detected at 1.7 percent of the goat farms and 4.2 percent of the sheep farms. They were also found in 6.8 percent of the people. This percentage is not higher than for the general population.

France – France E. coli O26 outbreak update

Outbreak News Today

In a follow-up on the Escherichia coli O26 outbreak in France, between February and May 2018, several children with Hemolytic Uremic Syndrome (HUS), some of whom were infected with Escherichia coli (E. coli) O26 bacteria with the same characteristics, were identified by the National Center for reference E. coli and its associated laboratory (Institut Pasteur, Paris, and Microbiology Laboratory of Robert Debré Hospital, Paris).

The investigations carried out by Santé Publique France have confirmed an epidemiological link between these cases and the consumption of raw milk reblochons produced at the Cruseilles (Haute-Savoie) site of Chabert.

These investigations led to the withdrawal of the sale and the recall of all raw milk reblochons manufactured on the Cruseilles site.

As of June 15, 2018, 15 children aged one to five years are included in the investigation of this outbreak. The fifteen children consumed Reblochon as part of the suspect lots. Among them :

  • Twelve were affected by the same strain of E. coli O26;
  • Of these 12 children, one had diarrhea and 11 had an HUS, one of whom died;
  • Of the other three children, two are infected with an E. coli strain O26 different from that of the other 12 children, and for one child no strain could be isolated.

USA – Health officials investigating increase in Cyclospora infections in state

MDH State

The Minnesota Department of Health (MDH) is investigating an increase in Cyclospora infections within the last month. To date, state health officials have identified two outbreaks together involving at least three dozen Minnesotans.

One outbreak has been identified among people who ate at Sonora Grill in Minneapolis in mid-May. To date, 17 patrons have reported illness. The restaurant is fully cooperating with the investigation, and investigators say they do not have any indication that there is an ongoing risk to patrons.

To better identify the source of infection, MDH investigators want to speak with people who ate at Sonora Grill over the weekend of May 18-May 20, regardless of whether they became ill.

“Even if you have not been sick, your information can help us identify what may have caused these illnesses and prevent future illnesses,” said Trisha Robinson, an epidemiologist supervisor with MDH. “If you ate at Sonora Grill during that weekend of May 18-20, please contact the Minnesota Department of Health Waterborne Diseases Unit at 651-201-4891.”

Infection with Cyclospora, known as cyclosporiasis, is caused by the parasite Cyclospora and is spread through consumption of imported fresh produce; it is not spread person-to-person. Washing of imported produce, or routine chemical disinfection or sanitizing methods, are unlikely to kill Cyclospora. Symptoms typically include watery diarrhea, stomach cramps, nausea, loss of appetite and weight loss. People typically become ill about a week after exposure, but this period can range from 2-14 days. Diarrhea can last several weeks or longer if not treated.

A second outbreak has been linked to Del Monte vegetable trays purchased at Kwik Trip locations. To date, 20 cases have been identified among Minnesotans in this outbreak. Cases report purchasing the vegetable trays at various Kwik Trip locations around the state. Kwik Trip is cooperating with the investigation and voluntarily removed the vegetable trays from their shelves. Consumers should not eat the following products:

  • Del Monte Vegetable Tray, containing broccoli, cauliflower, carrots and dill dip, 6 oz.
  • Del Monte Vegetable Tray, containing broccoli, cauliflower, carrots and dill dip, 12 oz.

MDH investigators are working with the Minneapolis Health Department and the Minnesota Department of Agriculture (MDA) on the Sonora Grill outbreak and with MDA and other states on the Kwik Trip outbreak.

“We do not have any indication at this time that the two outbreaks are related,” Robinson said. “Besides these outbreak cases, there are other cases of cyclosporiasis that do not appear to be related to either of these outbreaks, which is not unexpected for this time of year. We typically see increases in Cyclospora infections from May through August.”

Health officials encourage anyone experiencing the symptoms of cyclosporiasis, particularly if they consumed a vegetable tray purchased at Kwik Trip or dined at Sonora Grill, to contact their health care provider.

-MDH-

Sweden – Sweden investigating two Salmonella outbreaks with source unknown

Food Navigator

Sweden is investigating two Salmonella outbreaks that have infected almost 50 people.

India – 200 suffer food poisoning

The Hindu

Over 200 people suffered food poisoning allegedly after a meal at the engagement ceremony of a couple, in Appannanahalli in Gubbi taluk of Tumakuru district on Friday.The engagement ceremony was held at the house of Umesh. Around 200 friends and relatives of the bride’s family, and 20 of the bridegroom’s family from Arasikere taluk of Hassan district, complained of stomach ache and vomiting after the meal.

They were immediately admitted to Gubbi taluk hospital for treatment.

Bindumadhava, medical officer, Gubbi taluk hospital, said all of them are out of danger.

UK – Scotland – Campylobacter levels remain steady across the UK

Food Standards Scotland 

 

The top 9 UK retailers have published their latest campylobacter testing results showing that the levels of contamination remain low. The figures covering sampling from January to March 2018 show that 3.8% of chickens tested positive for the highest level of campylobacter contamination, demonstrating that the action being taken by retailers to reduce campylobacter contamination on fresh chicken continues to make a positive impact.

The average overall percentage levels of campylobacter in the retailers’ data can be found in the table below:

Months Contamination levels (cfu/g)*
Less than 10 10-99 100-1000 Over 1000
July – September 2017 48.7% 28.3% 18.4% 4.6%
October – December 2017 57.7% 22.0% 16.7% 3.6%
January – March 2018 59.1% 23.9% 13.2% 3.8%

We would like to remind people in Scotland that the risk of getting ill from handling and eating chickens is low providing you follow our good hygiene and cooking tips.