Elderly

  • Posted: May 4th, 2011 - 10:50am by Doug Powell

    The risk may be small, but the failures are tragic.

    Governments routinely warn that immunocompromised people, including expectant mothers and the elderly, should refrain from certain ready-to-eat refrigerated foods like deli meats and smoked salmon because of the risk of listeriosis.

    Elizabeth Weise writes in today’s USA Today that the U.S. Centers for Disease Control and Prevention has been saying for at least 11 years now that people over 50 and especially those over 65 should avoid hot dogs, lunch meats, cold cuts and other deli meats unless they are reheated to 165 degrees — "steaming hot" in CDC's words.

    The government also says you shouldn't keep an open package of sliced deli meat more than five days, all to reduce the risk of infection from a bacteria called listeria. But some question whether the country's been paying attention.

    Barbara Resnick, incoming president of the American Geriatrics Society and a professor of nursing at the University of Maryland, knows of no one over that age who heats deli meats to that level and says she's never seen a case of listeriosis in a patient.

    Neil Gaffney, spokesman for the U.S. Department of Agriculture's Food Safety Inspection Service said, "When it comes to food safety, we're serious: People at risk for listeriosis should not eat hot dogs, luncheon meats or deli meats unless they are reheated until steaming hot. Thoroughly reheating food can help kill any bacteria that might be present. If you cannot reheat these foods, do not eat them."

    Mike Doyle, a professor of food microbiology at the University of Georgia said about 85% of listeriosis cases are linked to cold cuts or deli meats, and that today almost all packaged lunch meats contain either added sodium lactate, an acid formed by fermentation, or potassium lactate, fermented from sugar, as antimicrobials. That's what he looks for when he buys cold cuts.

    And based on FSIS risk-assessment data, meats sliced at the store pose a greater risk than meats pre-sliced at federally inspected establishments

    Listeria and cold cuts were ranked just last week as the third worst combination of a food and a pathogen in terms of the burden they place on public health, costing $1.1 billion a year in medical costs and lost work days, according to a study by the University of Florida's Emerging Pathogen Institute.

    Douglas Powell a professor of food safety at Kansas State University, said, "And you can't see, taste or smell that it's there.”

    CDC also says don't keep opened packages of lunch meat, or meat sliced at the local deli, for longer than three to five days. That's another one no one pays attention to, says Kansas' Powell.

    "Anecdotally, lots of people keep cold cuts in their refrigerator far longer than they should. People keep them for one to two weeks. That's the key message. If you get it from the deli counter, four days max."

    What wasn’t included in the story is evidence of listeria-related tragedies in other countries – countries that may not have approved those listeria-restraining additives.

    Twenty-three elderly people died in Canada in 2008 after eating listeria-laden cold-cuts from Maple Leaf Foods. Later that year, listeria in soft cheese in Quebec led to 38 hospitalizations, of which 13 were pregnant and gave birth prematurely. Two adults died and there were 13 perinatal deaths.

    The New South Wales Food Authority said last month the Authority provides information on listeria to pregnant women to allow them to make an informed food choice regarding the risk and how to minimize it. It is not to say that every piece of deli meat has Listeria on it, but some foods have a higher potential rate of contamination than others, and it is better to avoid them.

    The risk of acquiring listeriosis is low. However the consequences for a pregnant woman contracting listeriosis are dire.

    While the Authority may be accused of ‘being over the top’, we may also be accused of neglecting pregnant women if we did not provide this information so pregnant women could make informed choices in what they eat.

    Over the last 5 years in Australia there have been between 4 and 14 cases of listeriosis diagnosed in pregnant women or their babies each year. These infections have resulted in the deaths of 8 fetuses or newborn babies.

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  • Posted: November 24th, 2010 - 6:46am by Doug Powell

    Salmonella sickened eight people at Homewood at Crumland Farms nursing home in Frederick, Maryland over the past four months.

    The News-Post reports one person died after being hospitalized for salmonella, although Homewood's executive director, Eric Nichols, said the death was from other complications.

    Darlene Armacost, communicable disease program manager for the Frederick County Health Department said,

    "The last onset of a case was in early November. We are still monitoring the situation."

    Health department officials have inspected Homewood repeatedly, Armacost said. The entire Environmental Health Services branch of the department, the section that inspects restaurants, has visited the kitchen many times, she said.

    Nichols said the kitchen was found to be very clean in all inspections.
     

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  • Posted: October 22nd, 2010 - 1:15pm by Doug Powell

    A kosher food supplier has been ordered to pay £27,000 by the courts for selling a pot of chopped liver containing a potentially deadly bacteria.

    Bosses of Kosher Deli UK Ltd., based on the Claremont Industrial Estate, in Claremont Way, Cricklewood, admitted supplying 1kg of meat contaminated with Listeria to a residential care home in May 2008.

    An investigation into the company, lead by Barnet Council's environmental health team, was launched after an 89-year-old care home resident was diagnosed with listeriosis.

    A judge at Wood Green Crown Court on Monday said serious issues at Kosher Deli had been set out in an audit report by the Meat Hygiene Service, but accepted the offence represented a lapse over a short period of time in a business which had been operating for 74 years.

    Albert Bendahan, managing director of Kosher Deli, said it was “exasperating” that the case was brought based on one allegation from a care home resident, and insisted the family run company took every precaution to ensure food safety was maintained, adding,

    “We continuously test and monitor our products, instruct and train our staff and live up to the requirements and beyond of the Food Standards Agency Guidelines.”

    Try harder.

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    Elderly, Kosher Deli, liver, Pot, Uk
  • Posted: May 13th, 2010 - 7:55am by Doug Powell

    An on-going cluster of low-level Listeria has sickened seven people in three Texas counties this year, killing two of them.

    The Express-News reports the patients — five from Bexar County and one each from Travis and Hidalgo counties — developed listeriosis.

    Roger Sanchez, senior epidemiologist with the Metropolitan Health District, said genetic analysis found the identical strain of bacteria in all the patients, suggesting they were infected by the same food item. But because of the small numbers and the dispersal of cases — two of the patients lived 300 miles apart — it might be difficult to pinpoint the cause, adding,

    “This is not a large outbreak. What made it bad is that it has infected people who are fragile, elderly people.”

    Sanchez said the infected patients ranged from ages 66 to 93. Most had serious underlying health problems, and all but one were hospitalized either before or during their infection.

    The first case was reported in January, the most recent May 6.

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    Death, Elderly, Illness, Listeria, Texas
  • Posted: March 22nd, 2010 - 4:19pm by Doug Powell

    Almost two years after 22 elderly Canadians died from eating Maple Leaf deli meats, the Canadian government has decided to remind Canadians of the importance of food safety for older adults.

    Health Canada and the Canadian Food Inspection Agency tell older Canadians they should separate, clean, chill and cook, and make sure to cook hot dogs and deli meats until they are steaming hot before eating them.

    The best the 6-figure bureaucrats who came up with this – and there were many – could do was borrow piping hot from the U.K.?

    So is that standard advice now for aged-care facilities across Canada, where the staff dieticians were completely clueless about the potential for deli-meats to be contaminated with listeria? Is this Maple Leaf-sanctioned advice? Will it appear on warning labels for vulnerable populations, including pregnant women?

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  • Posted: October 9th, 2009 - 1:40pm by Doug Powell

    An elderly woman who was admitted to Sunderland Royal Hospital after eight cases of Samonella were confirmed at Millum House Care Home in Roker, Sunderland, has died.

    A post-mortem examination to establish the cause of her death is to be carried out.

    The news follows the death of great-grandmother Myra Robinson, 72, who died in hospital last Saturday following the outbreak.

    The remaining patients, who include three members of staff at the three-storey home, have recovered.

    Health chiefs are investigating, but the cause of the outbreak still remains unclear.

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  • Posted: June 16th, 2009 - 6:26am by Doug Powell

    I got an e-mail from the vice-president of communications for Maple Leaf Foods on Saturday afternoon.

    She was sending me a blog that her boss, Michael McCain wrote, about his new knowledge of listeria and the role of food safety inspectors.

    I figure she’s making at least $150,000 to do her vp communicating, so, even though I was a dick, I felt OK responding,

    “Thanks for forwarding this in a timely manner. I blogged about it yesterday.”

    It was about 24 hours earlier.

    And while McCain and Maple Leaf go about enhancing their communications reputations, even the mother country, land of the cook-your-turkey-till-it’s-piping-hot advice, has decided listeria is a problem, maybe we can’t rely on manufacturers, maybe listeria is everywhere like Michael McCain says, so maybe we better tell old people they could be at risk.

    The U.K. Food Standards Agency commissioned a bunch of research and figured out that people over the age of 60 are more likely to take risks with 'use by' dates than younger people and that eating food like cold-cuts beyond its 'use by' date increases the risk of food poisoning from listeria.

    A recent sharp rise in the number of people taken ill with listeria has seen more older people affected. The number of cases rose by 20% in 2007 and has doubled since 2000, this increase occurring predominantly among people over 60.

    The number of cases of listeria in people over 60 years of age has doubled in the past nine years. And one in three of the people who get food poisoning caused by listeria die as a result.

    Listeria is a type of food poisoning bacteria that can live and grow in a wide range of food – chilled ready-to-eat food in particular – for example pâté, cooked sliced meats, certain soft cheeses and smoked fish.


    Dr Andrew Wadge, Chief Scientist at the FSA, said,

    The rise in listeria food poisoning among older people is worrying. Listeria can make people very ill, and 95% of cases end up needing treatment in hospital.

    'There are some really simple steps people can take to prevent getting ill in the first place: be aware that 'use by' dates indicate how long food will remain safe, and then make sure you stick to them; always follow the storage instructions on the label; and make sure your fridge is cold enough – between 0°C and 5°C is ideal.

    'These are the three messages that our
    new campaign is focusing on and Food Safety Week is a good time to be raising awareness of them."

    VP communications thingy: stop sending me e-mails that you or any of your underlings – and I know how many people at Maple Leaf subscribe to bites.ksu.edu and barfblog.com – know was repetition and maybe work on an information strategy so that the genius dieticians in Canadian old-folks homes stop serving unheated cold-cuts to their patients. That’s how 22 people died last year.

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  • Posted: September 1st, 2008 - 8:19pm by Doug Powell

    After four kids, I was familiar with the look.

    “How long have you been pregnant,” I asked the thirty-something as we filled our plates during the catered lunch at a meeting in 2000 in Ottawa.

    “About six weeks.”

    The American media had been filled with coverage of listeria after the 1998-1999 Sara Lee Bil Mar hot dog outbreak in which 80 were sickened, 15 killed and  at least 6 pregnant women had miscarriages. Risk assessments had been conducted, people were talking about warning labels, and especially, the risks to pregnant women.

    There was no such public discussion in Canada.

    So as I watched the pregnant PhD load up on smoked salmon, cold cuts and soft cheese for lunch, I wondered, do I say something?

    One of the biggest risks in pregnancy is protein deficiency. What if smoked salmon, cold cuts and soft cheeses were this woman’s biggest source of protein? (Turns out they were.)

    Another big risk factor is stress. I didn’t want to freak her out. Besides, who the hell am I to say anything?

    We sat together during lunch and chatted about babies, her aspirations and how she was feeling. Eventually I introduced the subject of listeria by talking about a risk assessment that had recently been published by the U.S. Food and Drug Administration, and that maybe she would be interested in looking at the results. I felt sorta goofy.

    Eight years later, I don’t feel so goofy. Instead I’m frustrated at the lack of awareness, not only amongst pregnant women but amongst the elderly, other immunocompromised individuals, and the institutions and professionals that are supposed to look out for others.

    Most of the now 12 confirmed and 6 suspected deaths related to Maple Leaf deli meats were consumed in places like nursing homes.

    The Ontario Association of Non-Profit Homes and Services for Seniors, an umbrella group, was unaware of the recommendation that immunocompromised avoid deli meats to reduce the risk of listeria, unless they are thoroughly heated.

    Association executive director Donna Rubin said,

    "We've contacted dietitians that have long-standing experience in our homes and they've never been warned about listeriosis or deli meats being a huge issue or that they should be avoided.”

    An Ontario Health Ministry spokesman said it has no specific policy against serving sliced meats in nursing homes, and Health Canada officials said banning certain foods from seniors homes is not in its jurisdiction. Health Canada has never recommended health facilities stop serving deli meats, noting that hospitals are a provincial responsibility.

    In Calgary, two nursing home operators, Carewest and Bethany Care Society, confirmed some of their facilities serve cold meats.

    Janice Kennedy, a Bethany spokeswoman, said,

    "If public health says not to serve cold cuts to seniors, then we wouldn't. We're still meeting requirements."

    It all sounds bureaucratic to me, as the death toll increases.

    And the pregnant woman? When I saw her at another meeting a couple of months later, she thanked me for providing her with information about listeria and risky foods for pregnant mothers.
     

     

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