Café Rotavirus - a barf poem by John Estes

There’s an upside to getting written up in Slate magazine, as barfblog.com did last week, and it’s that a new audience can be reached.

Like the barf poetry crowd.

John Estes, who teaches at the University of Missouri, wrote me this morning to say he discovered barfblog.com through the Slate article, and that,

“Since you have no barf poetry (it's a niche genre) I wanted to offer my poem, 'Cafe Rotavirus.'"

So here it is (and that's John's son, Jonah, with their dog, Sophie, right)..

Cafe Rotavirus

Last time we all
ate here, a Sunday, after
the baby played with
—chewed on—
their toys: six
days and nights
of puke and diarrhea.
This stuff kills
starving kids in Africa,
underdeveloped as
electrolyte industries
are there.

But I cannot stop
returning and returning.
What pathogenesis
makes me weak
for, so consoled by,
this biscuits and gravy—
though I cannot
stop imagining
trillions of rotifer-driven
microbes racing
around this apparent
locus amoenus
like, but not like,
animated soap
bubbles scrubbing up
bathtub scum?

To believe in history,
now that fixed
stars are not so fixed,
might be to believe
each instant struggles—
fatally, hopefully—
to loose itself from
some unoriginate whole.
But, and this makes
instinctual sense
so long as instinct is
nothing but undigested
experience, it may also,
or maybe instead,
be the collective orgy
clearing its gorge,
suffusing each instant
with the particles
of every other
but in tastier order,
because nothing is real
until it means
and nothing means
until it returns,
returns like a dog returns,
as it will with verve,
to a baby’s vomit.

 

 

John Estes teaches at the University of Missouri and lives in Columbia. Recent poems have appeared (or will) in West Branch, Southern Review, New Orleans Review, Tin House, and other places. He is author of Kingdom Come (C&R Press, forthcoming) and two chapbooks: Breakfast with Blake at the Laocoön (Finishing Line Press, 2007) and Swerve (Poetry Society of America, 2009) which won a National Chapbook Fellowship.  See his website for more poems and prose.

If you barf, so help me, I'll barf too - The Office version

The Jim and Pam wedding episode of The Office began last night with either a homage to the campfire story barf scene in Stand By Me, or Ben’s last car trip to Canada.

Either way, quite funny, and certainly worthy of something called, barfblog.com.
 

You barf, you pay; $50 vomit tax for Chicago cabs?

Chicago cab drivers are demanding that riders who throw up in their cabs get slapped with a $50 fee.

The cabbies said Thursday they want to the city impose the penalty because of the work -- and hours lost -- that comes with cleaning a passenger's vomit.

Mayor Richard Daley said his administration will listen to the drivers' request and review their recommendations.


 

A barf story for barfblog

Last Friday the family and I embarked on a journey from Raleigh, NC to Port Hope, ON (Canada) to visit with our folks and celebrate our son Jack's 1st birthday. Dani and I had a strategy to limit the potential baby-craziness aspect of the 14-hour trip: leave mid-day and drive late into the night to perhaps let Jack's internal schedule take over and allow him to sleep for the majority of the ride.

Surprisingly, that plan worked perfectly.

Jack fell asleep around 7pm and did not wake until Dani abruptly woke him up with some spectacular barfing somewhere around Scranton, PA. She had been feeling car sick since about 30 minutes after we left and had fought it for a few hours, in her words, it "just came up". It surprised her enough that she felt she didn't have time to roll down the window, or even open the door. Sitting in the passenger seat, she turned to her left and decided to try to catch the barf in an empty cup she had sitting in the console. Bad idea. She filled the cup, and then both cup holders on the console. And then all over my leg and shoes.

Reminiscent of Lardass Hogan (see Stand By Me clip, below) I had a sympathy puke.

This ranks pretty high in my all-time vomit memories. It's up there with puking in Doug's flower bed; trying to catch vomit in my hands while sitting in a car and throwing it out the window (didn't work); deep-sea fishing induced illness and another Dani car story where she opened the window but decided to puke on the inside of the door instead. The most recent has made the top-5.

Jack fell back asleep soon after we stopped to clean up. But the car still smells like barf.

 

Celebrity chef dumbass: Fat Duck felled by norovirus in raw oysters; 'weaknesses in procedures - delayed response to incident'

Chapman occasionally comes up with a good line. Usually, I do all the work on a piece (at least in my mind), and he’ll put in one sentence, but it will be the one that is remembered.

Why didn’t I think of that?

Chapman described celebrity chef and molecular gastrologest Heston Blumenthal (below, right) as the love child of Alton Brown and longtime Toronto Maple Leaf hockey player Mats Sundin (right).

Why didn’t I think of that.

Blumenthal’s Fat Duck restaurant – which is consistently rated as the best in the U.K. – was the source of over 500 illnesses in early 2009. At the time, Blumenthal said, “tests for viral infections and food poisoning have proved negative and there is speculation that the winter outbreak of norovirus could be the real reason why they became sick.”

Way to blame the consumer, those paying hundreds of pounds for the privilege of barfing.

The U.K. Health Protection Agency published a report on the outbreak today that concluded:

*       There was a large outbreak of food poisoning among diners at the Fat Duck Restaurant in January and February 2009, with more than 500 reporting illness - over 15% of those dining there during this period

*       The organism responsible was norovirus which was probably introduced via shellfish (more diners who ate shellfish dishes reported illness). Oysters were served raw; razor clams may not have been appropriately handled or cooked; tracing of shellfish to source showed evidence of contamination and there have been reports of illness in other establishments associated with oysters from the same source

*       The outbreak continued for at least six weeks (between January 6 and February 22) because of ongoing transmission at the restaurant - which may have occurred through continuous contamination of foods prepared in the restaurant or by person-to-person spread between staff and diners or a mixture of both

*       Several weaknesses in procedures at the restaurant may have contributed to ongoing transmission including: delayed response to the incident; staff working when they should have been off sick and using the wrong environmental cleaning products

*       Delays in notification of illness may have affected the ability of the investigation to identify the exact reason for the norovirus contamination


It’s the chef’s responsibility to source food from safe sources. And if the chef thinks raw shellfish is a smart thing to serve, and to have sick workers working, then, customers get what they pay for.

 

New Zealand cricketers felled by food poisoning

I don’t understand cricket -- other than it may be as boring as baseball --  but I do understand barf.

Tillakaratne Dilshan achieved the milestone he narrowly missed in Sri Lanka's first innings to post an unbeaten 123
as New Zealand became increasingly dependent on rain to stave off defeat in the first cricket test in Galle last night.

New Zealand had little to enthuse about once it became apparent morning rain would not stall the start of play for the first time since a delayed toss.

Their mood darkened further when Brendon McCullum and Jesse Ryder called in sick at breakfast, the worst affected of eight players struck down by food poisoning.

Only Ross Taylor, Martin Guptill and Iain O'Brien were immune from the bug that provided Auckland wicketkeeper Reece Young with his first experience of test cricket.



 

Barth and the Health Inspector featuring Alanis Morissette

Canadian actor Les Lye passed away in July at the age of 84, but Don Scaffner just sent me his classic bit, Barth and the Health Inspector featuring Alanis Morissette, from the Ottawa kids TV show, You Can’t Do That On Television.

For those unfamiliar, the premise of every Barth sketch is as follows: Barth is the proprietor of a burger joint, Barth’s Burgers, frequented by the show’s cast presumably by government mandate as Canada, of course, is widely known for its socialized burger program. The burgers are of such vile quality that the kids are compelled to speculate as to the source of the eponymous meat, to which the ill-sanitized restauranteur responds “D’Iyyyyyyye heard that!” then betrays his recipe as being primarily human-based. Then everyone vomits theatrically and with exaggerated gesticulations.
 

Norovirus sends UK campers packing

"At night all you could hear was vomiting from every corner. I've never experienced anything like it. People were simply zipping up their tents and leaving — they just wanted to get out of there.”

That’s the dream lede for a barfblog.com post, although probably not pleasant for some 150 campers stricken at a North Devon campsite.

"Almost every tent on the site was affected. There were so many sick children — it was an awful sight to witness.”

North Devon Council said the owners took the decision to close the campsite.

The site has a private water supply which has been closed off due to possible contamination.
 

Children and barf bags

The most awesome thing I ever did as a parent – according to Amy – is when we were flying back from Florida last year with daughter Courtlynn (right, with Sorenne).

As the plane touched down in Kansas City, Courtlynn had that 13-year-old look of nausea that I recognized far too well.

I knew she was going to spew.

I deftly retrieved the barf bag from the seat pocket in front of me, Courtlynn filled it, and I nonchalantly deboarded the plane, barf bag in one hand, daughter’s hand in the other, and deposited it in the first available garbage receptacle.

Amy was awestruck.

Marlene, otherwise known as Momma, is apparently awestruck by people who edit blogs containing the word barf. She sent me an e-mail a couple of weeks ago flogging her oversized, fully disposable barf bags that come complete with sanitizing wipes for quick clean-up. And in three logos -- one for pregnancy, one for travel, and one with a college-style logo -- puke university.

Thanks for the swag, Momma. The three types of barf bags were at the homestead when we returned on Sunday. Who doesn’t need an appropriately adorned barf bag?

Looks good on the outside, not so much inside

 

And no I am not talking about Johnny Depp. Time and time again food safety communicators promote the use of digital tip sensitive thermometers to determine doneness of food. But how often is this practice being done in restaurants? If so, is it being done correctly? From my experience, it seems that restaurant operators depend on color far too often and the operators that use thermometers do not use them correctly. This simply boils down to a need of properly train staff. It is imperative that front line food service staff are physically shown how to correctly use thermometers rather than just explaining the concept and theory behind it. Health inspectors, in particular, must take the time during routine inspections to demonstrate the proper usage of thermometers and compel restaurant managers to train their staff accordingly.

There have been too many cases of raw chicken burgers being served to the public and ultimately making people barf.  At times, food service staff are stressed and end up getting food orders wrong and are therefore rushed to correct the problem. In doing so, corners are cut resulting in burgers not being cooked long enough. Take the time to properly cook chicken burgers and remember stick it in.

 

 

Blowing (food) chunks on vacation

Amy, Sorenne and I are hanging out in Venice, Florida, and I do most of the cooking. Lots of fresh fruits and veggies from the neighborly Publix supermarket, and I even bought a digital, tip-sensitive meat thermometer from Target because I just feel naked cooking without one.

Others aren’t so fortunate, I guess.

A group called HolidayTravelWatch, somewhere in the European Union, has just published its top-20 appalling holiday complaints and problems. Included in this year’s list:

1. Family holiday to Egypt where a child was struck down by severe food poisoning, hospitalization and subsequent scalding in the hotel restaurant.

2. Family holiday to Turkey found that most of their group were ill, they were diagnosed as suffering with Salmonella and Cryptosporidium.

12. One family reported that they had returned from Turkey and their daughter had been diagnosed with Salmonella - they report that many people were ill at the hotel.

15. Holidaymakers to one hotel in Egypt reported sewage smells on the complex, gardens irrigated by stagnant water, food lukewarm, drinks served through a hatch and not via sealed bottles - they suffered severe gastric illness which still continues.

17. One family to Egypt suffered with food undercooked, poor chef hygiene practices (one chef was seen to handle bloody meat then touch other food), flies on the food in the pool bar, sewage smells in bathroom, cracks on the balcony and they are suspected as suffering with Cryptosporidium.

20, One couple’s trip to Egypt was marred by building work, diarrhoea on the public toilet walls, diarrhoea in the restaurant. They both suffered severe illness and weight loss - they are still ill.

Don't kill your neighbor with undercooked hamburger

It seems everyone in the media is bent on cross-contaminating and undercooking their food this summer. On Monday night’s “Great American Road Trip” (a poor replacement for the Amazing Race), the first challenge was for the men to cook hamburgers on a charcoal grill in 30 minutes for all the families to judge. The challenge took place in Sedan, Kansas at the Red Buffalo Ranch.

 

First, host Reno Collier made a cooking demonstration. No handwashing stations are present anywhere in sight (see right). After Collier explained how he likes to talk to his meat as he formed a raw patty, he threw it on the grill and wiped his hands on a towel. The condiment station was well stocked, but there were no meat thermometers and no safety instructions. The DiSalvatore dad said he’d never cooked anything in his life. Silvio quickly asked for tips from his wife Amy who said, “Just don’t overcook it.”

 

Silvio: “How do I know when it’s cooked?”

Amy: “A little bit of pink inside. Good luck.”

 

The father of the Rico family made the decision to cook his entire 5 lbs of meat and he commented, “I really misjudged how long it would take to cook those things.” Ricardo’s giant burgers were far from being done when it was time to serve. Host Collier yelled out, “Feel free to check these things out before you go sticking them in your mouth.” [Katie, that was for you.] One of the kids commented, “I was more nervous about barfing than about winning the challenge.”

 

It’s mindboggling how much cross-contamination took place in this highly edited clip (see approximately minutes 11 to 20). I think I threw up a little bit in my mouth while watching. In the end, the Ricos went home, but surprisingly they did not receive the lowest score for their burger.

 

Raw burger is not safe to eat. Hamburger is done when it reaches an internal temperature of 160F as measured by a tip sensitive meat thermometer. (See Doug’s videos on youtube.) Color is an unsafe indicator of doneness. Wash your hands after touching raw meat and before touching ready to eat products like buns. I personally find it challenging to grill and avoid cross-contamination … so why does everyone keep saying how simple it is to make a burger?

 

If you want to risk your own stomach or life, that’s your business; but please do not try to kill your neighbors or your children with undercooked meat or cross-contaminated condiments. 

UK caterer closed after making 44 cops barf

Birmingham City Council said Monday the Meal Machine was closed under Food Hygiene regulations amid concerns over cleanliness and cross contamination of foods.

Earlier this month it was reported that at least 44 police officers suffered the effects of what appeared to be food poisoning, including severe diarrhoea and vomiting, as a result of packed lunches issued to the officers by … Meal Machine.

It is known a number of officers ate a chicken and stuffing sandwich supplied to them as part of a packed lunch prepared by an outside contractor.

A spokesman for Birmingham City Council’s environmental health department said the decision followed checks into processes and procedures, including “food handling, cross contamination, temperature control and general cleanliness”.


Safest food in the world: American cattlemen's edition

It’s been awhile, but Dr. Sam Ives, director of veterinary services and associate director of research at Cactus Feeders, Ltd., testified today on behalf of the National Cattlemen’s Beef Association (NCBA) at a U.S. House Agriculture Committee Hearing on food safety that the U.S. has the safest food in the world.

“There is no question that the United States has the safest food supply in the world and other countries consider the U.S. the 'gold standard.'  Cattle producers support the establishment of realistic food safety objectives designed to protect public health to the maximum extent possible.

“…The U.S. has the safest food supply in the world, which is an achievement worth noting.  Science is a critical component of the beef industry and through science-based improvements in animal genetics, management practices, nutrition and health, beef production per cow has increased from 400 pounds of beef in the mid 1960s to 585 pounds of beef in 2005. … The beef industry will continue to dedicate time and resources to ensure the safety of beef.”


But that doesn’t mean the U.S. has the safest food supply in the world. For a group so dedicated to science, perhaps they could provide some science to substantiate the claim?
 

18 sick with E. coli O157:H7 linked to Swift Beef

Sigh. Another E. coli O157:H7 outbreak, with at least 18 suspected cases in the U.S. linked to beef produced by JBS Swift Beef Company, a Greeley, Colo., establishment that is voluntarily expanding its June 24 recall to include approximately 380,000 pounds of assorted beef primal products.

The beef products were produced on April 21, 2009 and were distributed both nationally and internationally.

Each box bears the establishment number "EST. 969" inside the USDA mark of inspection as well as the identifying package date of "042109" and a time stamp ranging from "0618" to "1130." However, these products were sent to establishments and retail stores nationwide for further processing and will likely not bear the establishment number "EST. 969" on products available for direct consumer purchase. Customers with concerns should contact their point of purchase.

The recalled products include intact cuts of beef, such as primals, sub-primals, or boxed beef typically used for steaks and roasts rather than ground beef. FSIS is aware that some of these products may have been further processed into ground products by other companies. The highest risk products for consumers are raw ground product, trim or other non-intact product made from the products subject to the recall.

 

Gordon Ramsey says he got food poisoning from a virus; penicillin fixed him

Food buffoon Gordon Ramsey has once again demonstrated why celebrity chefs may be entertaining but really know nothing about biology – especially food and food safety.

The Daily Telegraph reports that celebrity chef Gordon Ramsay, the face of Melbourne's Good Food and Wine Show this weekend, was forced to spend his first night in Melbourne after the 16-hour flight barfing in his hotel room because of food poisoning.

"I have had a severe food virus and I was constantly vomiting. But I had a jab in the butt and had some penicillin and I felt a lot better at three this morning."

Penicillin is an antibiotic, and completely useless against a food virus or whatever Ramsey thinks made him barf.

Thanks to the food safety dude in Dubai who forwarded the story, one of the tens of thousands of inspectors around the world who actually do know what they’re talking about.
 

This is why we got married at city hall: 29 ill with campylobacter after UK reception

A brewery has been fined £5,100 after guests at a wedding reception were struck down with a serious outbreak of food poising.

Young & Co's Brewery plc, who operate the Bull's Head in Chislehurst, admitted to three food hygiene offences that caused 29 guests at a wedding to be ill.

The officers found that the wedding reception menu contained homemade chicken liver pate and a soft-centred chocolate pudding made from un-pasteurised eggs.

The paté had been cooked the previous day using a new cooker and was probably undercooked as cooking times and temperatures had not been reassessed for the new cooker.

A faulty fridge was also found to be in use in the kitchen.

Grocers claim audits reduce foodborne illness; no evidence provided

Two weeks ago, the U.S. Grocery Manufacturers Association came out with a whopper that no one seems to have noticed.

In a press release intended to highlight private sector initiatives to bolster food safety – which I’m all for, they make the profit, they should shoulder the burden when they make their customers barf – GMA said,

“Ultimately, wider use of third party certification/audits will reduce the risk of food-borne illnesses.”

There is absolutely no evidence to support that statement.

In case there is some confusion, here is the statement in full:

Third party audits are an important part of America’s food safety net.  To ensure rigor and integrity in third party certification, policymakers and industry leaders should encourage the engagement of auditors employed by certification bodies accredited to international standards by recognized organizations such as the American National Standards Institute (ANSI). … By increasing the number of well-qualified auditors and developing universal food safety auditing criteria, industry leaders and policymakers will ensure that auditors are competent to review a particular facility, discourage duplicative audits, reduce auditing costs, and encourage wider use of third party certification/audits throughout the food industry. Ultimately, wider use of third party certification/audits will reduce the risk of food-borne illnesses.

I’ve been hearing such statements for 15 years, and while it sounds good, I’ve seen little evidence to back such proclamations. As I’ve written before,

The third-party food safety audit scheme that processors and retailers insisted upon is no better than a financial Ponzi scheme. The vast number of facilities and suppliers means audits are required, but people have been replaced by paper. Audits, inspections, training and systems are no substitute for developing a strong food safety culture, farm-to-fork, and marketing food safety directly to consumers.

If someone barfs, they’re going to go after the biggest name they can find, whether it’s a retailer or a processor. So protect that brand. Have your own people and some institutional expertise to assess food safety risks. And avoid unsubstantiated statements.
 

What's in your fridge? Smell from leftover food in unplugged fridge sends 7 to hospital, sickens 28

Ever had leftover food loitering in your fridge for so long it made you yack?

Anyone who has worked or lived in an area with a communal fridge has a tale of grossness. Amy’s mom recalled yesterday about a fridge in one of their rental units that had been left full of food and unplugged – apparently for some time. The chicken was particularly interesting.

Amy and I found some grossness when we moved into our current house which previously was a fraternity drinking house – although the turkey carcass in the driveway was the grossest.

In San Jose, California, an enterprising office worker discovered an unplugged fridge full of rotting food, so decided to move the food into a conference room while using two cleaning chemicals to scrub down the mess.

The mixture of old lunches and disinfectant caused 28 people to need treatment for vomiting and nausea.

Firefighters had to evacuate the AT&T building in downtown San Jose on Tuesday after the fumes led someone to call emergency services. A hazardous materials team was called in.

Authorities say the worker who cleaned the fridge didn't need treatment — she can't smell because of allergies.

 

FDA issues warning after 31 sick with Salmonella linked to sprouts

Maybe the folks at the U.S. Food and Drug Administration are busy with swine flu, but the timing of the latest raw sprouts advisory is a bit wonky.

Oh, and I’m to stress that it is only alfalfa sprouts making people barf, or at least that’s what industry told the FDA during a conference call yesterday afternoon. Not sure why it took FDA over 24 additional hours to warn consumers but …

The U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) today recommended that consumers not eat raw alfalfa sprouts, including sprout blends containing alfalfa sprouts, until further notice because the product has been linked to Salmonella serotype Saintpaul contamination.

Other types of sprouts have not been implicated at this time.
  
The investigation indicates that the problem may be linked to contamination of seeds for alfalfa sprouts. Because suspect lots of seeds may be sold around the country and may account for a large proportion of the alfalfa seeds currently being used by sprout growers, and cases of illness are spread across multiple states, FDA and CDC are issuing this general advisory.



FDA will work with the alfalfa sprout industry to help identify which seeds and alfalfa sprouts are not connected with this contamination, so that this advisory can be changed as quickly as possible.

CDC, FDA and six State and local authorities have associated this outbreak with eating raw alfalfa sprouts. Michigan, Minnesota, Pennsylvania, South Dakota, Utah, and West Virginia have reported 31 cases of illness with the outbreak strain of Salmonella Saintpaul to CDC. Most of those who became ill reported eating raw alfalfa sprouts.  Some reported eating raw sprouts at restaurants; others reported purchasing the raw sprouts at the retail level.

The CDC and FDA recommend at all times that persons at high risk for complications, such as the elderly, young children, and those with compromised immune systems, not eat raw sprouts because of the risk of contamination with Salmonella or other bacteria.


Chapman updated our chart of sprout-related outbreaks. It’s available at http://www.foodsafety.ksu.edu/en/article-details.php?a=2&c=6&sc=36&id=865
 

Jay Leno cancels 'Tonight Show' taping over possible foodborne illness

Jay Leno had to cancel today’s taping of “The Tonight Show With Jay Leno” because of illness, Access Hollywood has learned.

Rumors have surfaced the (un)funnyman may be suffering from food poisoning, however that has not been confirmed.

Michigan salmonella outbreak tied to alfalfa sprouts

This is Amy making a face in Guelph in 2005 after being served raw pea sprouts when she specifically said, no sprouts. At a local Manhattan (Kansas) restaurant, we’re known as the ‘no sprouts’ people.

And now, sprouts are in the news again for making people barf.

The Michigan Department of Community Health is telling people to avoid alfalfa sprouts after an outbreak of salmonella sent two people to the hospital and sickened 14 others in southeast Michigan.

For the most part, people got infected from sprouts in sandwiches, but the origin of the sprouts is not yet known, MDCH officials said in a statement. The illnesses mostly occurred between March 23 and April 6.

This same salmonella caused a recall of alfalfa (sprouts) in the Midwest earlier this year.
 

Whole Foods bites

I could devote an entire blog to debunking the nonsense that is Whole Foods.

Every day they have a post that contains the most outlandish, fantastical claims about food – and they expect customers to pay twice as much.

Unbeknownst to me, Amy came across part II of the Whole Foods fairy tale about what it means to be natural. And she asked a question:

In light of recent major recalls including natural peanut paste, I’d be more interested in knowing what kind of research you put into the safety behind your ingredients.

That comment has yet to be posted; it never will. The good demagogue that speak for Whole Foods know to never lose control of the microphone. Especially at those prices.
 

Metal man taken down by bad oyster

Metal Underground – it’s my favorite source for news of all things Metal -- reports Metallica frontman James Hetfield was recently taken to hospital after suffering from a stomach bug.

"James here, alive, at about 80% but getting better. I want to say sorry for missing the second Stockholm gig on Sunday due to illness. The cause/diagnosis at the hospital was narrowed down to either a 24 hr virus or a bad oyster...yes, hate to admit, an oyster could have taken me down.

"I acknowledge and apologize for any inconvenience this has caused fans who had travelled near and far for the show. I had done everything possible to make it, and was at the point of falling if I stood up. On a lighter note since my illness, the support band 'Swedish Oyster Cult' will be thrown off the tour. More Cowbell?...More barf bagz!!”

What's it worth to barf? Not much in Canada

Chapman and I have thrown around the idea that one of the reasons Canadians seem complacent about foodborne illness – despite several high-profile devastating outbreaks – is the availability of public health care. If someone loses a kidney because of E. coli O157:H7 or a liver because of hepatitis A, the cost is borne by the system. In the U.S. those without health care coverage would be out $100,000 – at a minimum. So Canadian lawsuits are kept to a minimum, media coverage remains stagnant, and everyone goes back to sleep.

As Jim Romahn wrote in Dec. after a $27 million settlement for victims in the Maple Leaf listeria outbreak that killed 20 and sickened hundreds was announced, CEO Michael H. McCain is a wily strategist.

For $27 million, tops, he has bought freedom from a court case that could have proven highly embarrassing to Maple Leaf. The ongoing coverage could well have become the final nail in consumer confidence in Maple Leaf products. The lawyers were sure to ask who knew what and when. They were sure to ask about the degree of plant contamination as the company continued to ship products, failing to first hold them for testing and clearance.

What does that $27 million buy?

• Someone who was ill for up to 48 hours would receive $750

• Up to a week receives $3,000

•Up to two weeks receives $5,500

• Up to a month receives $8,000

• If listeriosis led to a secondary infection that didn't cause ongoing symptoms, such as meningitis or pneumonia, the settlement is $35,000

• If listeriosis caused sustained or permanent symptoms, the settlement is $75,000 plus $750 for each day of hospitalization

• If secondary complications affected the nervous system and caused “serious and permanent impairment of physical and/or mental function,” payment is $125,000 plus $750 for each day of hospitalization. A family member who was affected psychologically could receive $10,000.

• A death would lead to a $120,000 payment to the victim's estate. A spouse would be eligible for an additional $35,000, while children could receive $30,000, parents could receive $20,000 and siblings or grandchildren could receive $5,000. Funeral expenses up to $13,500 would also be covered.

• Anyone who “sustained psychological injuries or trauma for up to 60 days” after eating tainted meat, without any injuries, could receive up to $4,000.

• Anyone who was at particular risk, such as pregnant women and the elderly, but did not become ill could receive up to $6,000 for psychological trauma that lasted up to 60 days.

• If psychological symptoms lasted more than 60 days, compensation is set at $13,500.

• Those in the vulnerable group who experienced psychological symptoms for more than 60 days could receive $17,500.
 

Students at UC Santa Cruz have got the spews

Last year I had a pretty crappy birthday – literally. I spent a few days on the toilet, and a few hours in the hospital, after contracting what was likely Norovirus. Today santacruz.com reports that several students at University California Santa Cruz (UCSC) are suffering from the same symptoms. 58 students and staff members are ill with flu-like symptoms, two of which have been hospitalized. One of the students, Zach Mialonis, who was ill less than 24 hours after eating at one of the campus cafeterias, said,

“I woke up around 4:30am throwing up and having horrible diarrhea. A bunch of other kids on my floor got sick too. I had a big quiz the next day that I had to miss.”

According to the report, epidemiologists believe the outbreak is linked to improper hygiene. Jessica Oltmanns, an epidemiologist with the Santa Cruz County Health Department, said,

“Our tests concluded that this was not a point source outbreak. The people affected by the virus were spread throughout campus, and in the end we couldn’t pinpoint where the outbreak occurred. This virus is most often spread by fecal mater and vomitus. It was not food poisoning.”

This isn’t the first outbreak of Norovirus on a campus. Last October Norovirus outbreaks affected Georgetown, USC and UVM; in November, the University of Wisconsin.  Norovirus is common in confined living spaces, like dorms and cruise ships, as it is easily transmitted by exposure to poop, vomit or blood. Symptoms usually persist for 48 to 72 hours, and in extreme cases can lead to hospitalization from dehydration.

The best way to prevent the spread of Norovirus is through proper handwashing, especially after using the washroom. If your roommate is sick, make sure the vomit is properly cleaned up.
 

Vomit forces teenage tennis star out of Australian Open

I always have something on the television as background while working on my laptop.  And at this time of year, the Australian Open brings a reminder of the warmth that may some day return to the Northern Hemisphere.

When the announcer said, “This is painful to watch,” I immediately looked at the television. There was teenage tennis sensation Victoria Azarenka, of Belarus, wobbling, though leading in her match against Serena Williams.

Azarenka had been vomiting all morning, because of a virus, and she did not feel much better when she got to the court. ... She ended up retiring through illness and shuffled off the Rod Laver Arena with an assistant supporting her on either arm (right, photo by EPA). ...

At one stage, it seemed as though she was going to be sick into her cupped hands, and she repeatedly sought out the shaded areas in the stadium between points. She also looked off-balance and almost unable to grip the handle of her racket. She had little choice but to quit against the American.


No word on the type or source of what was thought to be a viral infection.
 

Is Salmonella-laced peanut stuff making dogs barf?

When the U.S. Food and Drug Administration warned on Saturday that Americans should "postpone" eating cookies, crackers, candy and ice cream that contain peanut butter or peanut paste, they didn’t mention anything about America’s pets.

They should have.

Yesterday, PetSmart Inc, the largest U.S. pet-products and services retailer, recalled seven of its Grreat Choice Dog Biscuit products as a precaution against possible salmonella contamination because the peanut paste was produced by the Peanut Corp of America (PCA).

I told Georgia’s Gainesville Times this morning that the latest outbreak shows that food companies need to look closer at the operations of their suppliers.

"It’s where you get your food from. Whether you get it from around the corner or around the globe, you’ve got to know your suppliers. And it seems they supplied to a lot."


As of Jan. 20, 2009, 485 people were sick with Salmonella Typhimurium in 43 states.
 

67 sick from raw milk cheese in Kansas

For all the fawning media coverage and energy expended, I figured there would be millions of Americans drinking raw milk.

A story in the Dayton Daily News pegs the number at 500,000.

That’s nothing when it comes to food dollars. And there are reasons why the numbers are so low. As the U.S. Centers for Disease Control reported in its Morbidity and Mortality Weekly Report today,

“On October 26, 2007, a family health clinic nurse informed the Kansas Department of Health and Environment (KDHE) that Campylobacter jejuni had been isolated from two ill persons from different families who were members of a closed community in a rural Kansas county. By October 29, 17 additional members of the community had reported gastrointestinal illness and visited the clinic within a week. All 19 persons reported consuming fresh cheese on October 20 that was made the same day at a community fair from unpasteurized milk obtained from a local dairy.

"This report summarizes the findings of an investigation by KDHE and the local health department to determine the source and extent of the outbreak. Eating fresh cheese at the fair was the only exposure associated with illness (relative risk [RR] = 13.9). Of 101 persons who ate the cheese, 67 (66%) became ill. C. jejuni isolates from two ill persons had indistinguishable pulsed-field gel electrophoresis (PFGE) patterns, and the isolate from a third ill person was nearly identical to the other two. Although all samples of cheese tested negative for Campylobacter, results of the epidemiologic investigation found an association between illness and consumption of fresh cheese made from unpasteurized milk. To minimize the risk for illness associated with milkborne pathogens, unpasteurized milk and milk products should not be consumed."

 

'Yuletide yobs' barfing out of control

The folks in Geelong, Australia, southwest of Melbourne, are tired of “yuletide yobs” barfing on their shop windows and store fronts.

The Geelong Advertiser
quotes a Faulls Shoes spokeswoman as saying her employees were forced to clean up urine, vomit and even blood up to twice a week.

“Our doorway is set back from the street and they do it in there and it goes under the door.”

Banjos Bakehouse manager Joanne Etheridge said the streets of Geelong were in a disgusting state on weekend mornings.

"It would be nice if they could just hold it in until they got home or do it in a bin. The mess from nightclubbers is disgusting. Who is going to want to sit amongst that?”

 

Do you know where that finger's been? The risks of potlucks

Yesterday was the departmental Xmas potluck.

I didn’t go.

Not cause of the newborn, I just, on those rare occasions I get invited, avoid potlucks. There’s the ‘Hey, Food Safety Man, would you eat this,’ to which I politely smile and say sure, the biggest risk is not eating at all, cause I’m trying to be publicly polite, and meanwhile I’m not touching the sprout salad, the unpasteurized juices, the raw oysters (a big hit in Kansas) and the beef that’s been sitting at room temperature for 14 hours.

Besides, once I start pontificating, I can’t shut up. Maybe I just like to hear myself talk.

Some middle school students in Birmingham, Alabama, found out the hard way – meaning they barfed a lot – the risks of potlucks.

The Birmingham News reports that nearly half of the students in a Smith Middle School language arts class became ill Friday after tasting meals that students had prepared as part of an assignment.

Birmingham schools spokeswoman Michaelle Chapman said the students were to write about their favorite dish and how it was prepared. The teacher allowed them to make and bring the dish to class if they wished.

Of the 18 students, 16 of them brought in dishes and eight students got sick after tasting them.


After seeing this story, one colleague wrote his daughter’s principal, asking if there was a policy about bringing food into schools to share with others. I did the same years ago after my daughter was almost exposed to unpasteurized cider as part of a class trip to the farm.
 

iPhones to help clean up barf in the UK

My iPhone is a Blackberry with an iPod nano duct-taped to the back. Amy has an iPod Touch duct-taped to her Blackberry. iPhones are only available through AT&T, and we’re happy with T-Mobile.

The Brits have a problem with vomit: people do it too often and in public, often outside the pub.

So, as reported by The Register,

Digital democracy charity MySociety has launched an iPhone app version of its successful FixMyStreet website. FixMyStreet encourages users to upload pictures of graffiti, fly tipping, dog fouling and other eyesores and hazards. It passes the information on to authorities, and claims about half the reports result in action.

On iPhone, the process has been simplified by combining the picture with GPS data to instantly report problems over the air, rather than having to visit the FixMyStreet website and pinpoint the location on a map. The relevant council will be alerted automatically.


I want an iPhone app for food safety violations so the authorities could be quickly alerted to food safety problems in restaurants, grocery stores, farms and my mom’s kitchen.


 

What to do if someone spews

Kansas State student Mayra Rivarola writes in this exclusive for barfblog that hospital rooms and doctors became scarce, when 97 students sickened with gastroenteritis crowded the emergency room in Georgetown University Hospital last week. Students who weren’t receiving medical attention began vomiting in the waiting room, according to the Georgetown Voice.

“I know that some people in the waiting room had been there for three hours. There was a boy yelling ‘help me, help me!’ but there were no doctors,” said Kathrin Verestoun, who went with her roommate to the hospital. “They ran out of rooms and set up stretchers in the hall. Some people were so dehydrated that they couldn’t find their veins for IVs. They were just bleeding. [My roommate] bled all over her stretcher.”

The Georgetown students got sick after dining at Leo O’Donovan Cafeteria, which led to a temporary closure of the dining center. They were diagnosed with norovirus and the number of sick people has since risen to more than 200.

The U.S. Centers for Disease Control website states that people can become infected with norovirus by eating food or drinking liquid that is contaminated, by touching contaminated surfaces and subsequently their mouth, or through direct contact with a sick person. The virus is found in vomit or in the stool of an infected person and it is quite contagious.

In establishments where a large number of people are in close contact, like cruises, nursing homes and universities, infectious diseases are common.

At the University of Southern California, it took five days for 300 students to contract norovirus last week. Students were advised to wash their hands often and those who were feeling ill were told to avoid socializing.

Norovirus is not the only disease infecting the classrooms. In Michigan, 34 people got sick with E. coli in September, including 9 students from Michigan State University. Just a month before that, E. coli sickened at least 5 students at Guelph University, with 15 more unconfirmed cases.

Outbreaks happen. So how prepared is Kansas State University?

“I don’t know that anybody is prepared for an outbreak,” said Ron Bridges, campus sanitarian. Food service establishments on campus are inspected monthly by campus staff, and are also inspected annually by the county health department. If there are reports of students getting sick the university may take action depending on the case; officially, the university is not involved.

“Any reported incident of suspected foodborne illness of people who are not related is handled by the Department of Agriculture in the state of Kansas,” Bridges said. The Department of Agriculture then carries on with the investigations.

Bridges said he believes food safety personnel on campus are quite knowledgeable and is confident that they know what they are doing. But some things are just out of their control and outbreaks are hard to prevent.

About 15 years ago, around 80 students were sick after attending a potluck sponsored by a student organization, Bridges recalled. “If the student organization had wanted to hold the event on campus, the food would’ve had to be regulated,” he said. For this reason, K-State does not approve of any organizations serving food on campus.

How to handle vomit and stop the spread
Vomit and other body fluids are potentially contaminated and can easily spread diseases like norovirus if not properly handled. Spills should be immediately cleaned and the area within 25-foot radius properly disinfected.

At Kansas State University, students and faculty are advised to notify the custodial department immediately and to avoid coming into contact with vomit, according to John Woods, director of Facilities Services.

“Custodians are supposed to be trained to go in and handle vomit,” Woods said. “We will be limiting the number of staff authorized to handle vomit.”

Woods explained that custodians are required to wear gloves, goggles, and a mask. They are supposed to spray the area, wait a few minutes, and scoop the vomit in a plastic bag with paper towels. They turn in the plastic bag to public safety.

'Razors in my stomach' The human face of Harvey's E. coli outbreak

Steve Carleton dubbed himself "Number 6" because when he was overcome with fierce stomach cramps last week and admitted to a northern Ontario hospital, health-care workers started numbering the beds.

While he jokes now that he "beat the rush," the 22-year-old North Bay police constable turns serious when recalling his bout with E. coli during an outbreak that, as of Sunday, may have sickened upwards of 159 people, mostly in his home town.

"It was like I had razor blades rolling around in my stomach, it was so excruciating," Carleton said.

"The pains were enough (that) you couldn't stay in bed or sit down, because you'd sit down and it'd hit you again and you'd be up and it'd give you that urge and you'd have to run to the washroom again."

Carleton spent four, IV-drip-fuelled days recovering in hospital. He said he had earlier eaten a bacon cheeseburger at one of the busiest Harvey's restaurants in the area.

"I consider myself pretty fit, and a healthy all around person," said Carleton, who exercises several times a week. "I couldn't imagine an elderly person, or even a young child, being able to fight their way through it."

Baby barfs on Ben - Wiggles handwashing song to blame

PhD student Ben Chapman excitedly sent me this picture last night of baby barf. First-time parents get excited about things like that, along with the color, frequency and aroma of baby poop.

First-time parent-to-be Amy got excited last night as I got to display my story-telling skills at the last pre-natal class of parents-to-be. The instructor asked for a volunteer, and someone volunteered me as the “most experienced” which meant, “the old guy.”

The book was Robert Munsch’s 1986, Love You Forever, one of the most popular children’s books ever, with some 8 million copies sold (my kids preferred The Paper Bag Princess, while I preferred Good Families Don’t, because it’s about farts).

I gave an animated telling of the story, complete with bad singing, based on years of practice, and because I’d seen Guelph-resident Munsch tell the story a few times. That was 20 years ago, and I was wearing the same hoodie (left)

Seeing as it’s Global Handwashing Day and in keeping with the kiddie theme, I note United Nations Children’s Fund (UNICEF) Goodwill Ambassadors, The Wiggles, have created a catchy tune to help motivate millions of children worldwide to transform the mundane act of handwashing into an enjoyable habit, thereby improving hygiene and reducing the risk of disease.”

Here’s my parenting approach: kid, wash your damn hands.

 

Barfing 101 - How to handle vomit in the classroom

Amy brought up the question of how to handle barfing in class, when one of her students vomited during an exam. She said the student cleaned most of it, but she participated in the cleaning too.

At Kansas State University, students and faculty are advised to notify the custodial department immediately and to avoid coming into contact with vomit, according to John Woods, director of Facilities Services.

“Custodians are supposed to be trained to go in and handle vomit,” Woods said. “We will be limiting the number of staff authorized to handle vomit.”

Woods explained that custodians are required to wear gloves, goggles, and a mask. They are supposed to spray the area, wait a few minutes, and scoop the vomit in a plastic bag with paper towels. They turn in the plastic bag to public safety.
 

Quebec cheese linked to two deaths, one miscarriage, 120 illnesses -- gets government bailout

I was a fan of Quebec agriculture minister Laurent Lessard.

After two separate outbreaks  -- one listeria, one salmonella – in Quebec-made cheese that killed two, caused one miscarriage, sickened six other pregnant women and their newborn babies, and sickened a total of about 120 people, Lessard ordered a crackdown.

When asked about compensation for cheese retailers who had to discard potentially contaminated product, Lessard said on Sept. 17,

"The province is not there to compensate. We aren't an insurance company."

Retailers have a responsibility to market safe products, and if there's a risk associated to what they're selling they have to absorb the losses, he said.

But being astute about Quebec politics and the role of dairy producers, Lessard didn't rule out possible compensation for cheese producers, even though provincial food inspectors found traces listeria in 16 different establishments, either on cheese or processing equipment.

Three weeks later, and it appears that politics has caught up with the public health overtures of Monsieur Lessard as he announced Friday that Quebec's small cheese producers and retailers will receive a three-year, $8.4-million provincial aid package, along with $11.3-million in interest-free loans.

"I want to reassure Quebec consumers. All of Quebec's cheese producers are presently offering safe and secure products.”

Approximately half of the aid package will be spent on improving quality control. Government inspections will be conducted monthly, the minister said, and retailers will receive guidelines on improving the handling of cheeses.


Producers and retailers reported a significant drop in sales of Quebec cheeses, which last year alone totaled $2.6-billion.

Where’s the compensation for the sick people? Where’s the effort to accurately present the risks of soft cheeses (oh, and deli meats) to certain populations, like pregnant women and the elderly.

I’m not such a fan anymore.

Don't eat poop (like those kids at Georgetown); proper handwashing and proper tools

I used to steal toilet paper.

As an undergraduate 25 years ago, and once my girlfriend showed me how to get at the theft-proof rolls in the university centre, the supplies of toilet paper in our household became one less student expense.

My hockey bag is still filled with those little soaps and shampoos from hotel rooms around the globe.

I was the kind of student -- and apparently I'm not alone -- University of Guelph administrators in Canada were worried about when they said that residence students should provide their own handwashing soap.

In 2005, the university switched to sanitizers instead of soap and paper towels in the residence washrooms because soap dispensers, paper towels and garbage cans went missing.

That was before a 2006 norovirus outbreak sickened over 150 students, primarily in one university residence.

The university subsequently returned soap and paper towels to all residences to help control the outbreak.

Students at Georgetown University are now being implored to wash their hands after a norovoirus outbreak linked to the school’s dining hall caused 175 students to vomit their way to the hospital. Said one university official, “Handwashing is going to be our mantra for a very long time around here.”

That’s great. A little late, but better than before. The U.S. Centers for Disease Control and Prevention estimates that up to 25 per cent of the 76 million annual cases of foodborne illness in the U.S. could be eliminated with proper handwashing.

That's a lot fewer sick people.

But, as Jon Stewart quipped in 2002, “If you think the 10 commandments being posted in a school is going to change behavior of children, then you think ‘Employees Must Wash Hands’ is keeping the piss out of your happy meals. It's not.”

So why don't more people wash their hands?

While some practice a Howard Hughes-like paranoia, study after study shows that many are lazy when it comes to handwashing. The proclamations to practice proper handwashing, on restroom posters, in daycare facilities, in media scare stories, will always fail to register with those who are impervious to risk -- that bad things happen to someone else, not me.

But as the Guelph example demonstrates, anything that can even slightly encourage proper handwashing and hygiene in general needs to be encouraged -- and that means ready availability of soap, water and paper towels.

Once available, the facilities have to actually be used, whether in the workplace, the home, the university residence, or, the farm.

The steps in proper handwashing, as concluded from the preponderance of available evidence, are:

• wet hands with water;
• use enough soap to build a good lather;
• scrub hands vigorously, creating friction and reaching all areas of the fingers and hands for at least 10 seconds to loosen pathogens on the fingers and hands;
• rinse hands with thorough amounts of water while continuing to rub hands; and,
• dry hands with paper towel.

Water temperature is not a critical factor -- water hot enough to kill dangerous bacteria and viruses would scald hands -- so use whatever is comfortable.

The friction from rubbing hands with paper towels helps remove additional bacteria and viruses.
The next time you visit a bathroom that is missing soap, water or paper towels, let someone in charge know. And next time you see someone skip out on the suds in the bathroom, look at them and say, “Dude, wash your hands!”

Don’t eat poop.
 

175 sick with norovirus at Georgetown - but they're getting Powerade

Todd A. Olson

, vice president for student affairs at Georgetown University issued a statement this afternoon identifying norovirus as the cause of the recent gastrointestinal illnesses affecting Georgetown students and outlining a bunch of preventative measures. It was boring, and of course, didn’t say sorry for all the barfing.

However, the reporters at the Georgetown Voice offered a more entertaining presentation of the same information:

“Georgetown just sent out a message saying that the food poisoning is caused by the Norovirus, a contagious virus spread through oral and fecal contact. Georgetown is going to start a big cleaning regimen:

“Immediately, student residence halls are being cleaned with a specific focus on common areas and high contact surfaces such as bathrooms, doorknobs, and handrails. Common gathering areas including Yates Field House, McDonough Arena, the Leavey Center will also be cleaned, as well as bathrooms and high contact surfaces in academic and administrative buildings.

“It’s also spread by hand-to-hand contact. In June, a health inspection found that Leo’s had inadequate handwashing facilities for employees. According to the report, that problem was resolved. Georgetown says it’s going to continue normal operation, with a focus on cleaning. The message also encourages everyone to frequently wash their hands.

UPDATES: Todd Olson says the new number is 175 students. Only 3 in emergency room, 2 in student health center.
    Leo’s is open tonight.
    Any student who has missed class or assignment from being sick will be excused. Get in touch with your dean.
    Georgetown’s setting up a call center for parents. 1-800-208-5167. I guess it’s for calling to complain that your student is sick or could’ve been. For families with sick students: 202-444-3895
    Dr. Timpone is up saying everyone should wash their hands. Norovirus causes all kinds of miserable nausea, abdominal pain, diarrhea.
    People whose roommates have the virus and got splashed with vomit can easily get sick. Clean up! Use bleach.
    Degioia’s here! Timpone says don’t be upset if you get sick, the disease will pass in a few days. Just stay hydrated.
    I’m kind of surprised DeGioia’s here, considering how awful students were treated last night at that Grill.
    Question and answer time! Olson says he’s not familiar with the possible Leo’s handwashing connection. No word on whether you get to skip midterms, talk to your dean.
    Someone from Solidarity is asking about employees getting sick, good point. Todd says he doesn’t think any workers got sick.
    Todd says we’re getting lot of Powerade and hand sanitizers!
    Students who have vomit damage in their room  should call work management at 202-687-3432. I guess they’ll help now, unlike yesterday.
    People who have already been infected won’t catch it again.


Telling people to wash their hands is standard. Georgetown students, are there adequate supplies in the bathrooms – soap, water and paper towels – and were there adequate supplies before the outbreak?

Ever notice someone sick and working at Leo’s? That’s how norovirus often spreads, especially through a bunch of foods from one spot.

There are some tips on the infosheet below. Norovirus outbreaks like this are far too common.

Georgetown outbreak: Emergency so backed up there was 'vomiting in the waiting room'

Molly Redden of the Georgetown Voice in Washington, D.C. does an excellent job going beyond the soundbites of talking health-heads to capture the impact of foodborne illness, in the case on a bunch of university students who dined at Leo O’Donovan Cafeteria or Leo’s.

At least 96 students were treated by the Georgetown University Hospital or the Student Health Center for gastroenteritis from Tuesday night and Wednesday. …

Neil McGroarty (NHS `12), arrived at the emergency room at around 10:30 p.m., only hours after eating a roast beef sandwich from Grab N’ Go. He said within hours of arriving at the Hospital, the emergency room was backed up to the point that students who weren’t receiving medical attention began vomiting in the waiting room.

“I know that some people in the waiting room had been there for three hours. There was a boy yelling ‘help me, help me!’ but there were no doctors,” Kathrin Verestoun (SFS `11), who accompanied her roommate to the emergency room, said. “They ran out of rooms and set up stretchers in the hall. Some people were so dehydrated that they couldn’t find their veins for IVs. They were just bleeding. [My roommate] bled all over her stretcher.” …

A Food Establishment Inspection Report obtained by the Voice through a Freedom of Information Act request reveals that in June, the D.C. Bureau of Community Hygiene determined that Leo’s’ handwashing facilities were not up to code, although this was “corrected on-site.” According to the report, sinks used for handwashing in the service area lacked handsoap. …

The actual number of students who have fallen ill may be far higher than reported. Interviews have revealed that many students who fell ill did not get medical help, like Katie O’Niell (COL `11), who began to vomit about three hours after eating a burrito at Leo’s.

“I didn’t feel like I could make it any further than from my bed to the bathroom,” she said.

Campus runs: Colorado latest to be hit with E. coli O157:H7

Guelph, Michigan State, Georgetown, that kid in Amy’s class yesterday.

There’s a lot of barf on campus.

The University of Colorado at Boulder has just announced an E. coli O157:H7 outbreak amongst seven CU students going back to Sept. 23, 2008.

Initial investigations indicate that the source is off campus and on-campus dining is not related to the source. Boulder County Public Health staff is working closely with CU and the Colorado Department of Public Health and Environment (CDPHE) to identify the source of the outbreak and any additional cases among students and the public.

 

Every student's nightmare? Puking in class

As I was beginning the listening section of an introductory French exam today, several students suddenly jumped up. Desks were screeching and I thought there must have been a cockroach or mouse in the room (both things have happened to me in the past at other universities). But no. A student in the front row was only vomiting on the floor and some of his neighbors happened to get hit. The students were all very cool and helpful – getting water and paper towels for the sick classmate. I sent the sick one home but he cleaned up most of his mess. I notified administration, sprayed the floor with some chemical spray, wiped up, and directed the students to another classroom. I went and washed my hands and facilities came within the next 15 minutes to mop the floors.


But what’s the protocol for handling other people’s puke? When I told Doug what happened he reminded me that if the student was sick with a virus like Noro, the germs could be aerosolized and make the rest of us ill. This particular student believed it was a problem with medicine, but to be safe … Washoe County Nevada Health Department suggests:


•    Staff should wear disposable gloves and aprons when cleaning up after ill guests, especially when handling vomit, diarrhea, or other bodily wastes. It is recommended that persons who clean areas substantially contaminated by feces and/or vomitus wear masks because spattering or aerosols of infectious material might result in disease transmission. Use of cleaning cloths and other items used to clean toilets should only be used for that purpose and should not be used from room to room. Do not use these items to clean other surfaces. Effective virucides should be used in bathrooms and high hand-contact areas in guest rooms such as taps, faucets, door and drawer handles, door latches, toilet or bath rails, telephones, rails on balconies, light and lamp switches, thermostats, remote controls, curtain pulls and wands, covers on guest information books, alarm clock buttons, hair dryers, irons, and pens.
•    Staff should promptly bag and clean soiled linens or dispose of them as infectious waste. Linens soiled with vomit or feces should be washed in a hot wash and dried at high temperature (drier temperature >170º F).
•    When responding to a Public Vomiting Incident (PVI), the area within at least a 25-foot radius should be cleaned and disinfected using the above procedures.
•    Staff should wash hands thoroughly using soap and water and then dry them thoroughly after completing the clean-up procedure and again after completing the disposal procedure.


A teacher named “Koko” blogged that when this happened in her classroom in China, she used dirt to cover the vomit, made sure it was dry, then swept, threw out the waste, and mopped afterwards. She made her students participate in the cleaning.

 

Barfblog: fart and vomit edition

A West Virginia man who police said passed gas and fanned it toward a patrolman has been charged with battery on a police officer.

Jose A. Cruz, 34, of Clarksburg, was pulled over early Tuesday for driving without headlights, police said. According to the criminal complaint, Cruz smelled of alcohol, had slurred speech and failed three field sobriety tests before he was handcuffed and taken to a police station for a breathalyzer test.

As Patrolman T.E. Parsons prepared the machine, Cruz scooted his chair toward Parsons, lifted his leg and "passed gas loudly," the complaint said.

"The gas was very odorous and created contact of an insulting or provoking nature with Patrolman Parsons," the complaint alleged.

 



Meanwhile in Tempe, eight to 10 members of an Arizona State University fraternity are believed to have caused a car accident by vomiting milk onto traffic below an ASU footbridge on University Drive Tuesday night.

The prank caused a woman to rear-end another vehicle at about 6 p.m. after that vehicle stopped to avoid the vomit.

It is unknown why the men were drinking and vomiting the milk.
 

Tennis star Federer forced to withdraw

The BBC reports today that defending Australian Open champion Roger Federer has been forced to withdraw from the Kooyong Classic in Melbourne after coming down with a stomach illness.  Maybe Federer has been fraternizing with one of the estimated hundreds of thousands of Brits who have Norovirus.

I think I had noro back in November.

Puking Myths: How to tell the difference between foodborne illness and the flu



During the holidays I heard a couple of barf stories that were attributed to uncertain causes. At the same time, Doug and I were laid up with the flu for about two weeks, neither of us really puking but feeling exhausted, nauseated with chills and muscle aches. One woman said she had the flu, too … that it came on really fast, was coming out both ends, and then she felt better the next day. I asked her, “Are you sure it wasn’t foodborne illness?” “Might’ve been…” she replied thoughtfully, probably going over the list of things she had eaten. Another friend just got back from Chicago – a trip that she said was ruined by her husband puking his guts out. They thought it was the Polish buffet because while he chose some foods, she had others, and she assumed something he ate was off. Might’ve been. But how do you know when it’s food poisoning and when it’s the flu?

The following list of flu symptoms, which I looked up while I was laid up on the couch over break, comes from the CDC :
Influenza usually starts suddenly and may include the following symptoms:

    * Fever (usually high)
    * Headache
    * Tiredness (can be extreme)
    * Cough
    * Sore throat
    * Runny or stuffy nose
    * Body aches
    * Diarrhea and vomiting (more common among children than adults)
Flufacts.com suggests you know the FACTS (Fever, Aches, Chills, Tiredness,
Sudden symptoms)

If you have foodborne illness, the FDA’s Bad Bug Book gives a comprehensive list of suspects by symptom and time of onset. It can be a little more complicated to diagnose as some toxins, such as shellfish toxin, can have an onset of diarrhea and vomiting in under an hour whereas salmonella takes on average 2-4 days to produce possible symptoms of abdominal cramps, diarrhea, vomiting, fever, chills, malaise, nausea, and/or headache.

Foodborne illness is not usually (although sometimes can be) caused by the last thing you ate, and the flu does not usually (but sometimes can) produce vomiting and diarrhea in adults. Next time you’re puking your guts out, if you can manage to concentrate, you might have to make a longer grocery list of items in your diet. Was it what you had three days ago? Might’ve been.

Raw milk and sprouts sicken Santa

Or at least they did in this 2005 animation a couple of my former students, Christian and Heather, made up for a lab party.

Expect more video in the new year. Hope everyone enjoyed their day. Amy and I certainly did.

Kickboxing ace barfs and takes bronze

16-year-old Toby Freeman picked up bronze at the recent WAKO European Junior Championships, despite suffering from food poisoning.

Toby said,

"The entire GB (Great Britain?) squad was going down with food poisoning after a Chinese (dodgy Chinese food) - one girl actually threw up on the mats. I'm over the moon with how I fought, though, as I was obviously feeling ill and, to be honest, hadn't trained that much. I felt like I was fighting really well."

Safe Food Café - Petting zoos and their risk

The International Food Safety Network’s Safe Food Café campaign has returned with a new video aimed at petting zoos. E. coli outbreaks have been linked to petting zoos in recent years that have resulted in hundreds ill. This has resulted in safety measures being stepped up around the animals. Make sure to stay tuned to The Safe Food Café on YouTube for more reports.





Food Safety on film

The International Food Safety Network can now be found on YouTube! We’ve posted our first video, which covers the recent E. coli O157:H7 outbreak associated with pepperoni on frozen pizzas. More videos should show up soon, so make sure to subscribe to us on the right side of the video.

Video Link

iFSN's YouTube profile



Ben's barf for barfblog

Well I don't actually have a picture of it, but for the past 21 hours or so I've been stricken with something nasty.  Maybe it is norovirus, sure seems like it might be.

Here's what's been happening to me:

  • Trips to the bathroom for vomiting = 2
  • Trips to the bathroom for diarrhea = 6
  • Stomach cramps = lots

Every time I drink something (which I have limited to water) I get some wicked cramps.  Haven't eaten anything since lunch yesterday.

I really was hoping to get a picture to make the blog authentic, but a camera was the last thing I was thinking of.  I promised Doug I'd snap a pic of my next trip to the bathroom.

Ironically this week's infosheet is all about norovirus, you can find it here.

Bad seafood fells Fergie of the Black Eyed Peas

The Black Eyes Peas need new caterers, or food poisoning works as an excuse for celebrities just like mere mortals.

First, Peas rapper, Taboo, was sent to hospital with food poisoning Sept. 13, 2007 in Stockholm.

Perez Hilton reports that last night, lead singer Fergie was noticeably absent from the group's show in El Salvador.

The group’s singer did come out briefly in sweats, a cap and dark sunglasses (left, exactly as shown) and told the crowd that she ate some bad seafood and was not well. She sang one song and back to the vomitorium.

The band has already said they will make it up to the Salvadorian people with another concert real soon.

Shot of Pine-O-Cleen "a joke" makes man barf

The Melbourne Magistrates Court was told that barmaid Emily Craig, 22,  served a drunk customer a shot of Pine-o-Cleen as a joke at a Melbourne nightclub causing him to become violently ill.

The story says that the customer vomited in the street outside the Evolution nightclub in inner city Prahran before an ambulance was called.

Ms Craig's defence counsel George Balot was cited as telling Magistrate Bill O'Day that the incident happened at 6.15am, on March 4, adding, "I will be putting to you this was a misguided joke at an ungodly hour. It is not a malicious act."