France

  • Posted: January 26th, 2012 - 8:46pm by Doug Powell

    I look forward to Thursdays because a new issue of Eurosurveillance appears and they always have outbreak summaries of interest.

    French health-types report eight cases of diarrhea, including two cases of hemolytic uremic syndrome (HUS), identified among 22 French tourists who travelled to Turkey in September 2011. A strain of Escherichia coli O104:H4 stx2-positive,eae-negative, hlyA-negative, aggR-positive, ESBL-negative was isolated from one HUS case. Molecular analyses show this strain to be genetically similar but not indistinguishable from the E. coli O104:H4 2011 outbreak strain of France and Germany.

    Although the source of infection was not identified, the authors concluded the HUS cases had probably been infected in Turkey but there was no evidence to link this STEC O104:H4 outbreak to the consumption of fenugreek sprouts, as was the case for the German and French outbreaks in May to June 2011. None of the 22 travel group members reported the consumption of sprouts before and during their trip to Turkey.

    Except that over there, sprouts are added to everything, more so than a Jimmy John’s sandwich.

    Turkey is among several destinations where European tourists had previously travelled before developing STEC O104 infection between 2004 and 2009 (n=4), along with Afghanistan, Egypt and Tunisia. This outbreak supports data suggesting that the STEC serogroup O104 circulates in these areas. Further evidence is provided by the three additional cases that were subsequently identified in Germany and Denmark among persons also returning from Turkey within the same approximate time frame. Public health authorities and clinicians should be vigilant for possible STEC O104 infection in individuals returning from these areas who present with post-diarrheal HUS.

    The complete paper is available at http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20065.


    Outbreak of haemolytic uraemic syndrome due to Shiga toxin-producing Escherichia coli O104:H4 among tourists returning from Turkey, September 2011
    26.jan.12
    Eurosurveillance, Volume 17, Issue 4
    N Jourdan-da Silva, M Watrin, F X Weill, L A King , M Gouali, A Mailles, D van Cauteren, M Bataille, S Guettier, C Castrale, P Henry, P Mariani, V Vaillant, H de Valk

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    e. coli O104, food safety, France, Hus, Illness, Turkey
  • Posted: January 4th, 2012 - 2:05pm by Doug Powell

    In May 2009, diarrhea and fever developed in 8 persons living in southwestern France one day after they ate a homemade tiramisu prepared with raw eggs. Fecal analysis was performed on samples from 5 of the 8 persons. French investigators also cultured a sample from the tiramisu. In medical laboratories, the isolation was performed by using standard procedures (i.e., use of conventional selective media). Isolation from the food sample was performed as required by the current International Organization for Standardization ISO 6579:2002 (i.e., by 2 selective enrichment media). All cultures yielded S. enterica subsp. enterica 4,5,12:–:–.

    An investigation at the suspected layer farm was conducted and showed the presence of 11 nonmotile Salmonella spp. isolates (with the same antigenic formula) in dust and feces collected from laying-hen houses. The layer farm, located in northwestern France, is a major farm that produces >32,000,000 eggs per year. All 17 isolates (5 from humans, 1 from the tiramisu, and 11 from the laying hens) were pan-susceptible to all antimicrobial drugs tested.

    The authors conclude in Emerging Infectious Diseases that the nonmotile S. enterica 4,5,12:–:– strain involved in this outbreak has been present in laying hens in France for the past decade. Despite continuous advances in food safety and disease surveillance, control, and prevention, atypical pathogenic Salmonella spp. strains that bypass existing procedures do emerge. Foodborne bacterial infections remain a major public health concern.

    This food poisoning outbreak also highlighted the need for a second selective enrichment media for Salmonella spp. detection not based on the motility in complement to the modified semisolid Rappaport-Vassiladis medium recommended as a single medium by the European Directive.

    Complete paper available at http://wwwnc.cdc.gov/eid/article/18/1/11-0450_article.htm.

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  • Posted: January 3rd, 2012 - 11:28pm by Doug Powell

     

    Christian Vest and his wife Éliane, of Ponts-de-Cé, France, sat down for a New Year’s Eve lunch of canned William-Saurin brand beef bourguignon.

    “After a few minutes, I felt like I had a bone in my mouth,” the 70-year-old Christian recounted. “And then, a drop of blood like I had cut myself. I spit it out: it was a box cutter blade that was 6 by 1.5 centimeters.”

    With his upper lip cut, Christian called the emergency line who advised him to go to the nearest clinic. “The doctor thought it best to get me immediately vaccinated in case the blade was infected. It was a real mess: in Angers there was only one pharmacy that had the vaccination I needed.”

    Next the couple notified Consumer Services for William-Saurin. “They wanted us to return the blade, but that was out of the question. The evidence could disappear…”

    The couple’s lawyer, Emmanuel Ludot, a specialist in food cases, said, “In legal matters for consumer rights, the burden of proof is opposite. It is up to the company to prove that the blade could not have been in the canned food.”

    In April 2011, Mr. Ludot won a case against the manufacturer Jean-Caby for 24,000 euros for a stone found in a sausage. “In this type of case, testimony from witnesses is of capital importance. In this case, his wife saw everything. It is up to the company to decide if they want to go to trial…”

    The cans from the affected batch have been taken off the shelves in the Intermarché store in Ponts-de-Cé where the product was purchased.

    Gilles Montrichard, director of communications for William-Saurin, said the production process in the Lagny-sur-Marne plant has no flaws. “The products go through a scanner at different steps in the chain. This is the first time in hundreds of millions of cans produced that someone has found a box cutter blade.”

     

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  • Posted: October 13th, 2011 - 3:40am by Doug Powell

    lidl_steaks_country.jpg

    (Translated by the students in FREN3310 Introduction to French to English translation at the University of Queensland)

    This is something not seen in the U.S.

    Following an E. coli O157:H7 outbreak which sickened up to 10 children in Northern France in June, 2011, three directors, including the president of the French frozen beef patty manufacturer SEB, were detained and questioned, according to information released by the Douai prosecutor’s office on Wednesday.

    SEB’s CEO Guy Lamorlette, the director of quality control, and the quality technician were taken into custody on Tuesday morning by Lille Police investigators and the Public Health Department. According to the Prosecutor Eric Vaillant in Douai, the police then began searching the business.

    The three directors were released Tuesday at 10 p.m., added the prosecutor, who will decide whether to open a judicial inquiry in the coming days. The three men could be given three years in prison and fined 45,000 euros for involuntary injuries.

    At least two other members of SEB’s management will be interviewed on Wednesday, announced the prosecution.

    The discount chain Lidl, who represented 60% of SEB’s orders, terminated their contract with the manufacturer in August. Headquartered in Saint-Dizier (Haunte-Marne), SEB has 140 employees and is in receivership.

    A preliminary inquiry into involuntary injuries is in the hands of the Douai prosecutor’s office, and nine families have filed complaints.

    Since June, around 10 cases of E. coli O157 have been confirmed among children in the North of France, according to the regional health authority (ARS). Several of the children had consumed frozen beef patties manufactured by SEB.

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  • Posted: October 3rd, 2011 - 3:38pm by Doug Powell

     In Oct. 2010, a massive outbreak of Salmonella enterica serotype 4, 5, 12: i- sickened about 600 students in schools in Poitiers, France. For that many students to get sick, there was a massive contamination, probably coupled with massive failures in storage and preparation. At the time, there was extensive criticism regarding the failure to communicate the severity of the outbreak (in a Cool hand Luke sorta way, see clip).

    These issues are not discussed in a new report by the Institut de Veille Sanitaire, but the epidemiological investigation is presented.

    In October 2010, a salmonella outbreak occurred in schools in Poitiers. Salmonella enterica serotype 4, 5, 12: i- was isolated from stool samples of the first cases. Environmental investigations identified frozen beef burger meat from a single brand served in schools as the cause of the outbreak and food trace-back investigation led to identification and recall of beef burger. We conducted an investigation to assess the extent of the outbreak in the schools of Poitiers.

    We conducted a retrospective cohort study. A self-administered questionnaire was filled by students and personnel attending the four exposed schools with cases. Clinical cases were defined as anyone reporting diarrheal or fever with at least one digestive sign within 5 days after school meal. We computed relative risks (RR) with their 95% confidence intervals (95%CI) and used the proportion test.

    We identified a total of 554 cases (544 adolescents and 10 adults) of the 1559 responders (response rate 86%) who ate at school on the day the burger meat was served. The overall attack rate was 36,5%. Attack rate was significantly lower for one school (17%, p <0,01) compared to the three others. Adolescents (<20 years) were at greater risk than adults to develop signs (RR= 2,3; 95%CI 1,3-4,2). A total of 286 cases (53%) sought medical care, of which 31(6%) were hospitalized >24 hours. Concentration of salmonella in burger meat varied between 270 and 18,000 CFU/g³.

    The serotype 4,5,12:I was associated with a severe outbreak, the largest salmonella food borne outbreak ever documented in a school setting in France. Quick identification and recall of incriminated batch is crucial to limit extension of outbreak.

    Thanks to Albert Amgar for passing along the report.

     

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  • Posted: October 1st, 2011 - 8:35pm by Doug Powell

    Pig’s ears are apparently used in meals around the world, such as Oreja de Cerdo in Spain (right); in North America, pig’s ears are most often used as dog treats.

    Thousands of packages of cooked pigs ears produced in Spain and distributed in southern France have been recalled after testing positive for Listeria monocytogenes.

    Our French friend Albert Amgar provided the link to the AFP story, and Amy translated on the way home from New Zealand this morning.

    The Roussillon Salaisons company which makes pork products and prepared meals in Perpignan initiated their own recall of the products in question from the concerned stores. In cases where the product had already been sold, it is requesting that people who still have the product not eat it and either destroy it or return it for a refund.

    Those who might have eaten the incriminated product and who have symptoms such as fever, with or without headache, are encouraged to consult their doctor and indicate what they have eaten.

    Pregnant women must be especially attentive to these symptoms, as should be immune-depressed and elderly people.

    The implicated products are 3200 vacuum-packed bags of plain cooked pigs ears and Galician style cooked pigs ears, both from the Régal Catalan brand. They were sold from July 4 in a few dozen Leader Price stores in Aquitaine, Midi-Pyrénées, Languedoc-Roussillon and Provence-Alpes-Côte-d’Azur, the company explained.

    They come from two imported lots from Spain with the numbers 07072011and a best by date of 5 October 2011, and 27062011, best by date 25 September 2011. Roussillon Salaisons insisted that the products were made by the Spanish firm Carnes Esman and not by Roussillon Salaisons itself. Roussillon Salaison emphasized that it does make certain pork products but in this case it only sold the pigs ears.

    Listeria was discovered during a routine test undertaken by a Leader Price store.
    Roussillon Salaisons was alerted to the problem Friday and said that they immediately asked all the stores to pull the product from their shelves and to put up a poster to notify consumers. But the health authorities asked that the company additionally alert consumers through the media, the company explained.

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  • Posted: September 6th, 2011 - 10:27pm by Doug Powell

    tapenade-olives-vertes.jpg

    Those stricken with botulism in France has climbed to eight as investigators determined the company that produced the suspect tapenade was never registered and had never undergone inspection.

    In Avignon, five people who had shared a family meal on Thursday evening were admitted over the weekend to intensive care, where they are still on life support. "Two are close to sixty and three octogenarians," said the prefecture.

    At Amiens (Somme), three young women, two sisters, aged 23 to 29, were placed for "at least three weeks" and a respirator under general anesthesia. The first symptoms manifested themselves in the aftermath of Sunday dinner.

    Cans of green olive tapenade with almonds produced by the establishment "hive" of Cavaillon (Vaucluse) and sold under the brand " The delights of Marie Claire" have been fingered in the outbreak.

    "The material used is unsuitable for sterilization was done with a washing machine type," said the secretary general of the prefecture, Martine Clavel.

    The factory, installed in 2000, had never been subject to control. The owners did not make any inspection themselves and they had not asked for technical assistance.

    According to the information provided, the suspect consignment contains about 60 jars of tapenade sold in grocery stores in the Bouches-du-Rhône, Drôme, Var and Vaucluse.

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  • Posted: September 4th, 2011 - 5:09pm by Doug Powell

     French friend Albert Amgar passes along the unfortunate story of five people in Avignon who were hospitalized this weekend including two in serious condition after being stricken with botulism toxin during a family dinner.

    "The evolution of clinical signs may suggest that this is a botulinum toxin infection," the prefecture said in a statement. Although several of the suspected foods were prepared at home, two products that were part of the meals of these people are the subject of analysis, including a green almond tapenade (180 g pot-lot No. 112005) and a sun-dried tomato spread (jar of 180g - Lot No. 112607) for optimal use by date 16/12/12. "Pending the results and as a precaution it is advisable to suspend use of the products from these two lots," according to the prefecture.

    "In 2009 , 13 outbreaks of botulism totaling 29 patients were identified. All occurred in the home and the number of patients per household varies from one to six."

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  • Posted: August 11th, 2011 - 9:34pm by Doug Powell

    Kroger, you may want to revisit Cargill as a supplier of ground turkey after the Salmonella Heidelberg outbreak which has now sickened 107 including one death.

    German-owned French retailer Lidl has just terminated a 20-year relationship with its primary hamburger supplier, SEB, after those burgers were implicated in an E. coli O157:H7 outbreak in the Lille region of France earlier this year.
     

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  • Posted: August 11th, 2011 - 9:15pm by Doug Powell

    A human tooth was found in a burger made by Bigard in Quimperlé, sold by a supermarket in Angers, France.

    Nathalie Dayiot discovered the tooth crown was in a burger prepared by a friend at his home in Angers. He bought it in trays guaranteed "100% muscle" in the Grand Carrefour Maine Angers. "I felt something hard, says the young woman. I spit. It was a tooth on a pivot."

    Romuald Gross, who made the purchase, has every intention to complain to the Directorate General for Competition, Consumption and Fraud.

    The hamburgers were manufactured at Bigard in Quimperlé. The consumer advocate, Mr. Julien Roulleau, said two of the four who had attended the lunch were victims of food poisoning recorded this morning by their doctor, following the consumption of hamburgers. "The remaining burgers were seized by the DGCCRF. Beyond the problem of the tooth, it is important to know if the lot was consumed," said Me Roulleau.

    Carrefour's management promised an internal investigation and states that "the traceability of the product was traced back to the supplier concerned and to the manufacturing site."
     

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