Seattle

  • Posted: March 31st, 2012 - 8:17am by Doug Powell

    Oysters from Australian waters are a delight on the grill, although I’ve graduated to scallops on the half-shell, also grilled.

    But whenever I go see Paul the fish monger, he’s offering me a sample of his wares – raw – and I politely decline.

    Or, as Dr. Ken Buckle, professor emeritus at the University of New South Wales commented when our hosts took us to a seafood buffet in Abu Dhabi, I spent too much time researching pathogens in raw fish.

    He chose the cooked kind.

    The U.S. Centers for Disease Control recently described a norovirus outbreak in frozen raw oysters in Seattle imported from South Korea.

    On October 19, 2011, Public Health – Seattle & King County was contacted regarding a woman who had experienced acute gastroenteritis after dining at a local restaurant with friends. Staff members interviewed the diners and confirmed that three of the seven in the party had consumed a raw oyster dish.

    Within 18–36 hours after consumption, the three had onsets of aches, nausea, and nonbloody diarrhea lasting 24–48 hours. One ill diner also reported vomiting. The four diners who had not eaten the raw oysters did not become ill.

    An inspection of a walk-in freezer at the restaurant revealed eight 3-pound bags of frozen raw oysters, which the restaurant indicated had been an ingredient of the dish consumed by the ill diners. The oysters had been imported from South Korea by company A and shipped to a local vendor, which sold them to the restaurant. All eight bags were sent to the Food and Drug Administration's Gulf Coast Seafood Laboratory for norovirus testing and characterization by real-time reverse transcription–polymerase chain reaction (rRT-PCR).

    A stool specimen from one of two ill diners collected 17 days after symptom onset tested positive for norovirus; sequence analysis identified GI.1 and GII.17 strains. Sequence analysis of the oysters identified a GII.3 strain. Because oysters can harbor multiple norovirus strains that are unequally amplified by rRT-PCR, discordance between stool specimens and food samples in shellfish-associated norovirus outbreaks is common and does not rule out an association. On November 4, 2011, company A recalled its frozen raw oysters.

    The frozen oysters implicated in this outbreak were distributed internationally and had a 2-year shelf-life. Contamination of similar products has been implicated previously in international norovirus transmissions. Such contamination has potential for exposing persons widely dispersed in space and time, making cases difficult to identify or link through traditional complaint-based surveillance.

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  • Posted: September 9th, 2011 - 10:16pm by Doug Powell

     Heading out to the farmer’s market Saturday morning for some tasty wares?

    King County health officials (that’s the Seattle area) have found so many hazardous food practices at farmers markets this year, ranging from poor hand-washing to unsafe food temperatures, that they're proposing a five-fold increase in permitting fees.

    Vanessa Ho of Seattlepi.com reports that in 265 routine inspections of farmers markets this year, health officials found 252 violations, of which 189 were considered "red critical." The inspections covered an eight-month period of roughly 40 markets.

    To deal with the number and severity of risks, Public Health - Seattle & King County has proposed hiking a market's annual permitting fee from $100 to $502.

    "On the one hand, it's a big jump in cost," Chris Curtis, director of the Neighborhood Farmers Market Alliance in Seattle, said Friday.

    "But on the other hand, I think we're coming up with better compliance."

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  • Posted: March 22nd, 2011 - 1:53pm by Doug Powell

    Amy has written before about a student barfing in class, and the policy at Kansas State University is students and faculty are advised to notify the custodial department immediately and to avoid coming into contact with vomit.

    Should custodial staff get double pay for cleaning up vomit?

    According to KOMO News in Seattle, ferry workers get double pay for cleaning up messy situations in what some call, "the vomit clause."

    State Sen. Mary Margaret Haugen, D-Camano Island says the clause makes her want to barf (not really).

    But Haugen did tell the Everett Daily Herald other state workers aren't paid extra for such work, adding, "That's one that really stuck in my craw. We certainly don't give overtime to some prison guard who cleans up after an inmate or even someone who worked caring for a person in their home and had to do an unpleasant task."

    Who says ‘craw.’

    The ferry workers' union say the clause actually covers broader clean up of hazardous materials and sewage systems, and workers rarely get paid more for vomit situations.

    Terri Mast of Inland Boatmen's Union said, "It could be vomit. It could be blood. It could be feces.”
     

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    Wacky and Weird  |  1 Comment
    Barf, Cleanup, fery, Seattle, Vomit
  • Posted: January 7th, 2009 - 9:02am by Doug Powell

    Food safety lawyer Bill Marler got verbally beaten up a bit by daring to say that local food needs to be safe food.

    Devra Gartenstein, the owner of Seattle’s Patty Pan Grill and the author of two cookbooks, Local Bounty: Vegan Seasonal Produce and The Accidental Vegan, wrote on something called The Green Fork yesterday that,

    “It’s certainly true that food purveyors at every level should be scrupulously clean and conscientious about how they handle their food. But it’s patently untrue that farmers’ market prepared foods are unsupervised, at least here in Seattle, where both Mr. Marler and I live. Prepared food vendors are permitted and inspected by the health department. When health inspectors aren’t personally on site, the market managers act as their proxies, checking temperatures and handwashing stations. We’re also required to take classes in proper food handling procedures.”


    That’s great. But what about local food that isn’t prepared or processed? The author seems to be playing semantics, jumping from prepared foods – which are clearly under local health folks supervision – to other local foods, like produce that isn’t processed.

    The author recites the usual food porn about how she knows the grower so it’s safer, but I’m looking for data: water quality results, data on soil amendments, evidence of compliance with handwashing and safe handling.

    It isn’t about local, small or big. It’s about what will make folks barf. And that requires control of dangerous microorganisms, regardless of politics.

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  • Posted: August 19th, 2008 - 9:29pm by

    Oh, the news stories that catch the eye of one immersed in public health.  

    While we spend most of our time on this blog discussing issues that have to do with what comes after toilet use (handwashing, hopefully),  the toilet facilities themselves occasionally come into the spotlight ….

    The Seattle Times recently reported that  Seattle has officially “washed its hands” of their self-cleaning public toilets.  Which leaves visitors to that city without a convenient place to, uh, relieve themselves – as well as leaving them without a convenient place to wash their hands. 

    Too bad Seattle did not work toward finding a way to deal with any problems these public toilets may have caused.     Finland found they could reduce/eliminate illicit behavior in their roadside toilets by allowing one to unlock the door by text messaging with a mobile phone.   The toilets have been secured, and a sign outside explains that the user just sends the word "open" (in Finish) to a short code and the door will be unlocked remotely. The company managing the service will keep a short-term record of all users’ phone numbers, simply so that if the toilet is then damaged by criminals, they can be traced by the police.   

    And across the globe, even now, more than 600 cities have automatic public toilets -- Singapore alone has 750, London 678, and Athens 500.    And there are traditional facilities across the globe as well. 

    So what’s a tourist in Seattle – or elsewhere -- to do? Do you ask a stranger for directions?  Advocate for conveniently located facilities?   Or map out toilet and handsink locations before you ever leave the comfort of home?   How about all three:

    •    Visiting England?  The Public Toilets-Gut Trust recently began a campaign,  Can’t Wait, Won’t Wait: Public Toilet provision in the UK to educate stakeholders on need to retain or provide adequate public toilets:  

    •    How about those travels down under?  Australia’s National Continence Management Strategy Project readily publishes locations of rest rooms on their searchable public toilet map:   www.toiletmap.gov.au

    •    Traveling wherever the world will take you?  The Bathroom Diaries www.thebathroomdiaries.com lists, describes and rates toilet facilities in cities throughout the world. Whether you stay close to home or are planning a trip, say, to China, Turkey or Florida, you can print out a list of public facilities in the cities you plan to visit.  One can also enter search terms such as “soap” “changing table” or “don’t eat poop.”

    •    Do you ever find yourself desperately looking for a clean toilet in the city? MizPee purports to find the closest, cleanest toilets in your area and sends the information to your cell phone. One can add and review rest rooms, and check their toilet paper ratings. 

    •    Then there’s Diaroggle which helps one locate public toilets from a mobile phone. In addition to location, the website includes user ratings for cleanliness, the rules of gaining entrance, and occasionally even pictures snapped by users to show how good or bad the porcelain sanctuary is.  According to the site, this is  “ for the discerning, on-the-go defecator who is brave enough to use a public bathroom, but still demands a hygienic and private bathroom experience.”

    In Seattle or elsewhere, we all can map our comfort breaks along with our travel itineraries.  What a wonderful resource for a discerning on-the-go handwasher.

    --

    Michéle Samarya-Timm is a Health Educator for the Franklin Township Health Department in New Jersey. 


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  • Posted: July 17th, 2008 - 9:35am by Doug Powell

    The N.Y. Times reports that after spending $5 million on its five automated public toilets, Seattle put the units up for sale Wednesday afternoon on eBay, with a starting bid set by the city at $89,000 apiece.

    In the end, the restrooms, installed in early 2004, had become so filthy, so overrun with drug abusers and prostitutes, that although use was free of charge, even some of the city’s most destitute people refused to step inside them.

    The dismal outcome coincides with plans by New York, Los Angeles and Boston, among other cities, to spend hundreds of thousands of dollars for expansion this fall in their installation of automated toilets — stand-alone structures with metal doors that open at the press of a button and stay closed for up to 20 minutes. The units clean themselves after each use, disinfecting the seats and power-washing the floors.

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