Food Poisoning, Foodborne Illness Information and Research : International Food Safety Network : BarfBlog

Daughter Courtlynn – the 14-year-old – arrived from Canada last night for a last-minute weekend bonding session with Sorenne. And Amy. And me?

While waiting for Courtlynn’s plane to arrive in Kansas City – it’s not her plane, it’s Air Canada’s plane, but she was on it – we killed some time at the Zona Rosa outdoor mall near the airport. We found the restroom with the diaper-changing facilities and saw the biggest, eco-BS hand drying sign I’ve ever seen.

The friction from rubbing with paper towel is far more effective at reducing microbial populations than dispersing the bugs everywhere with a blow dryer that doesn’t really dry hands. The County health inspectors may want to check this out.
 

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Sorenne eating breakfast with mom, Oct. 10, 2009, 7:30 a.m.

Steel-cut Irish oats, simmered in boiled water for 30 minutes. Serve with soy milk or buttermilk, along with frozen berries (which Amy didn’t have).

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Sorenne eating dinner with mom and dad, Oct. 8, 2009.

Oven-roasted salmon fillets (the farm-raised kind – more sustainable) with olive oil, lime juice, garlic and fresh thyme, corn-on-the-cob (Sorenne’s favorite, but getting starchy as the cold weather moves in), baked Russett potatoes and asparagus spears, the frozen kind, which were surprisingly good.
 

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Sorenne eating dinner with dad, Oct. 3, 2009.

Take whole chicken, stuff with 30 cloves garlic, sage and bread crumbs (I use whole wheat leftovers in the freezer).

Serve the roasted garlic with brie cheese on French bread.

Make stock and soup with the bones and leftovers.

A weekly ritual.
 

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Sorenne eating (second) breakfast with dad, Oct. 1, 2009, about 7:15 a.m. (first one was about 4:45 a.m.).

Boiled eggs in a piggy, with whole grain toast and cantaloupe.

They’re called eggs in a piggy because the egg holders are ceramic pigs.

Bring salted water to a boil, carefully add eggs so they don’t crack, leave at slow boil for 5 minutes.

Remove and place in piggy. Let sit for 1 minute. At this point the egg yolk will just be transitioning from runny to solid. Dip the toast.

The dog is still there. Always.
 

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When I was pregnant with Sorenne in the summer of 2008, we spent a month in Canada while the Maple Leaf Listeria outbreak was, in retrospect, percolating in cold-cuts that were being consumed across the country.

If I hadn’t been informed by my food safety guru husband, I could have very easily consumed ready-to-eat deli meat on our car trip north, potentially putting my baby at risk. Sorenne turned out healthy, huge and wonderful. And we are thankful every day.

Several of my former students, friends, and family members are pregnant right now, and somehow I’ve become the expert on food safety during pregnancy. These women have expressed frustration and confusion about the conflicting information they read and receive from their doctors regarding what they can and cannot eat during pregnancy. While I generally think moderation and eliminating stress are priorities, there are a few food safety concerns that are definitely worth considering. I’ve already written on “What you can and cannot eat during pregnancy,” but in light of major outbreaks (and this is barfblog, of the 4 Rs), the information bears repeating.

Pregnant women should avoid:

-       ready to eat refrigerated foods such as deli meats, smoked fish, hot dogs, sausages, pâté, and the like. If the food is shelf-stable (canned), it should be ok. Unfortunately, it was impossible to find canned pâté in Manhattan, KS during my pregnancy – but now it’s available at Hyvee.

-       soft-serve ice-cream which has been suspected as a listeria risk

-       soft cheeses (brie, camembert – pasteurized or not) and we are uncertain about blue-veined cheeses (I toasted or melted my cheese to alleviate my fears. Now this seems laughable since I’m not eating any dairy while I breastfeed.)

-       and sprouts because they have been identified as a source of listeria and other pathogens.

Listeria is one of the main food safety concerns during pregnancy because it causes a high rate of miscarriage and stillbirths.

For further reading, consult the Bad bug book, http://www.foodsafety.gov/~mow/chap6.html and the CDC’s excellent site http://www.cdc.gov/ncbddd/pregnancy_gateway/infection_list.htm#protect

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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.

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Last night while Doug was cooking dinner and we were feeding Sorenne some rice cereal and squash, I noticed we still had a tube of Pillsbury Cookie Dough in the refrigerator leftover from last week’s cookie experiment. We decided to make some cookies and free up more space in the fridge.

Doug reminded me, as I got ready for the extremely complicated process of slicing the dough to put on a cookie sheet, that I needed to treat the product as though it were contaminated. I said, “But this isn’t the recalled dough.” To which Doug responded, “Just because it wasn’t recalled doesn’t mean that it isn’t contaminated.” True that. So we were careful not to cross-contaminate. We put the tube on a cutting board. I used a pair of scissors to open it up and immediately put them in the dishwasher. I sliced up the dough, put it on the cookie sheet, washed my hands thoroughly, and Doug took care of the actual baking.

The cookies were not nearly as delicious as the ones Katie and I used to make during her 5 month stay in Manhattan, and I’m sure they contained some dairy, but we ate all of the cookies anyway.

This week Tom sent us a book advertisement from Amazon.com, “Cooking with Pooh: Yummy Yummy Cookie Cutter Treats.” If you’re potentially cooking with poo, be careful not to cross-contaminate and do not eat uncooked dough.

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Baby Sorenne is coming up on seven months, and her poop is changing. As more solids are introduced into her diet, her poop has gone from runny brown to sticky to fully formed turds.

Yesterday, she started screaming as loud as she could for about 20 seconds. Sure enough, out popped a poop. That was about the fourth consecutive time it’s happened. Really, who hasn’t wanted to scream during a plugged up poop.

If you’re one of those people, Eat Me Daily reports today on The Un-Constipated Gourmet: Secrets for a Movable Feast, a collection of recipes designed to make you poop by first-time author Danielle Svetcov.

Svetcov's hope is that the book — which promises recipes you can serve to your "uncorked" friends without them realizing that they're specially engineered for your own digestive needs — will deliver "superfoods with an agenda" so that the "potty-challenged" and those with "bathroom envy" will find themselves "called to duty."
 

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After the warm-up gig in Raleigh, three days of golf with some of the Guelph mafia in North Carolina, a night at Hilton Head, S.C. and hanging on the beach in Ponte Vedra, Florida, the tour goes into rock mode tomorrow.

I may suck at golf, but I am entertaining. Unfortunately, golf is not why I got invited to the Sawgrass Marriott at the Tournament Player’s Club in Ponte Vedra. Apparently it has something to do with food safety, so I’ll try to at least be entertaining.
 

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Daughter Courtlynn spent her spring break with daughter Sorenne in Manhattan (Kansas).

Which is the only lede I got into foodborne illness, conspiracies and shameless exploitation of children.

The conclusion is this: Michelle Obama should use the White House garden to endorse microbiologically safe food, from around the corner or around the globe.

Phillip Brasher wrote in The Des Moines Register yesterday,

“In recent years, the federal government and the food industry have taken some significant steps to improve the safety of fresh produce. Those measures include stringent inspection standards for farms that supply schools and supermarket chains. The standards sometime restrict the use of compost and manure to fertilize crops and restrict how close cattle can be to fields.”

Stringent standards is not the descriptor to be used in the wake of the Peanut Corporation of America-AIB auditing fiasco. Worse, associations representing small-scale farmers have taken to the Intertubes to whine and conspiratorize about the end of family farming; that somehow standards for producing safe produce shouldn’t apply to small farms, or my garden.

The group that keeps getting cited for its threatening analysis of proposed food safety legislation is the ponderous Farm-to-Consumer Legal Defense Fund, which is run by the folks pushing raw milk. And some of those folks have, uh, interpretations of food safety that are not only wrong but dangerous to public health. Epidemiology does work, but not everyone likes the results.

Back to my kids. Or Mason Jones, the five-year-old who died in the 2005 E. coli O157 outbreak in Wales. Or Barack’s kids, since he cited them in a food safety chat. The food safety goal, for me, is to have fewer people barfing and dying. There is some microbiology and food science available to help achieve that goal. There is a lot of speculation, fairytales and unknowns about the providence of nature and immunology which can get in the way of that goal.

Michelle Obama, you are embracing local and fresh and natural foods and whatever that means. As I asked March 11, 2009, use the White House bully garden to embrace microbiologically safe food.

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I try and take baby Sorenne and the dogs out every day for a three-mile walk. The dogs get to run off-leash on the trail, and I get to work on burning off that baby weight.

Sorenne usually conks out after 15 minutes of walking, and then I catch up on phone calls. It’s my kind of multi-tasking.

A reporter called a few days ago while out on one of these walks. She asked me about raw milk, I said I don’t care, it gets far too much attention and that public health folks have better things to do.

I also told her I had baby brain and was having trouble articulating. There’s a reason people have kids when they’re young -- like I did with the other four – and not when they’re 46. Ah but it’s fun (see the video clip below – and I do compost).

The Canwest News Service story reporting that interview showed up tonight, and has the usual raw milk stuff, with me saying it is difficult to change the minds of people who hold "hocus-pocus scientific theories about the nutrient benefits of raw milk."

Amy laughed at that.

"From a public health point of view, it's a no brainer, don't drink it," Powell said. "From a consumer point of view, why not make raw sprouts illegal because there is the risk of Salmonella or E. coli?"

Powell said he doesn't take issue with adults choosing to drinking raw milk, but it's usually children who get sick because of their parents dietary choices.

What I would have added is that with sprouts and other foods, there’s no simple control like there is with raw milk – pasteurization.

A table of raw dairy outbreaks is available at http://www.foodsafety.ksu.edu/articles/1138/Raw_Milk_Outbreak_Table.pdf

And here’s an op-ed Brae and I wrote a couple of years ago that predated barfblog.com. But the video at the end is far more interesting.

About Choice

Michael Schmidt, Ontario’s raw milk lord along with his evangelical disciples, maintain that their crusade is about choice.

Choice is a Good Thing.

But the 19th century English utilitarian philosopher, John Stuart Mill, noted that absolute choice has limits, stating, "if it [in this case the consumption of raw unpasteurized milk] only directly affects the person undertaking the action, then society has no right to intervene, even if it feels the actor is harming himself."

Excused from Mill’s libertarian principle are those people who are incapable of self-government – children.

In September, two children who drank raw milk from a Whatcom County dairy in Washington State became ill with E. coli O157:H7. At the same time, four children, including two eight-year-olds in San Diego County, Calif., were hospitalized with E. coli infection after consuming raw milk products.

In December 2005, 18 people in Washington and Oregon, including six children, were infected with E. coli O157:H7 after drinking an unlicensed dairy's raw milk.

Two of the kids almost died.

In April 2005, four cases of E. coli linked to unpasteurized milk were reported to Ontario health officials -- in this case, from an individual who routinely sold raw milk from the back of a vehicle parked in the city of Barrie. Dozens of other outbreaks are listed at: http://www.foodsafety.ksu.edu/articles/384/RawMilkOutbreakTable.pdf

Ontario finance minister Greg Sorbara can obliviously insist that "raw milk is safely distributed in parts of the United States and Europe" but politicians are expected to spin facts.

So are lobbyists. Thus it was that the Toronto contact for an organization strongly advocating raw milk successfully passed himself off in the National Post this morning as a food safety researcher.

Schmidt, celebrity chefs and the wannabe fashionable can devoutly state that grass fed cattle is safer than grain-fed by spinning select scientific data, except cattle raised on diets of grass, hay and other fibrous forage do contain E. coli O157:H7 bacteria in their feces as well as salmonella, campylobacter and others.

Poop happens, especially in a barn, and when it does people, usually kids, will get sick. That's why drinking water is chlorinated and milk is pasteurized.

From Kansas, this looks like an awfully familiar clash of science and faith. But it's not so simple as natural is good, and science -- in this case pasteurization -- is bad. Science can be used to enhance what nature provided; further, society has a responsibility to the many -- philosopher Mill also articulated how the needs of the many outweighed the needs of the one -- to use knowledge to minimize harm.

There are lots of other foods that make people sick. On the one-year anniversary of the Ontario salmonella-in-sprouts outbreak that sickened 650 people, raw sprouts are widely available and no one seems to notice. After being banned for three weeks, raw mung bean sprouts were back on grocery store shelves and being placed ever so gingerly on gourmet, supposedly healthy sandwiches.

This fall, it was spinach, lettuce and tomatoes sickening hundreds across North America. So why aren't Ontario government-types, who treat an outwardly eco-friendly and holistic health product like raw milk as a major biohazard, setting their sights on fresh produce?

Part of the answer is that the risks associated with fresh produce have only been recognized in the past decade; the risks associated with raw milk have been recognized for over a century. Further, unlike fresh produce, there is a relatively simple and benign solution for producing safe milk: pasteurization.

And perhaps that is why health officials are adamant that a ban stay in place: there simply isn't the resources to manage all the microbial food safety outbreaks that strike down 11-13 million Canadians each year, let alone someone proselytizing the virtues of raw milk while flaunting the law.

The only things lacking in pasteurized milk are the bacteria that make people - especially kids - seriously ill. Adults, do whatever you think works to ensure a natural and healthy lifestyle, but please don't impose your dietary regimes on those incapable of protecting themselves … your kids.
 

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Amy’s first meal after returning home with baby Sorenne? A snack spread of soft goat cheese with bite-sized pate and beet sandwiches, something I picked up from my Danish mentor, John Kierkegaard, back when I worked as a carpenter’s helper.

Smoked salmon or turkey breast, with tomato slices and fresh basil was on the menu for breakfast. That should cover many of the potentially listeria-laden foods that pregnant women shouldn’t eat for nine months. But you won’t hear that from listeria expert Michael McCain of Maple Leaf Foods, who is still strangely silent on the tough questions.

Amy’s mom was here for the birth and that turned out to be awesomely cool. But she did have to fly home through the Phoenix Sky Harbor Airport, which according to KNXV-TV, contains numerous restaurants with “major health violations.  In some cases, repeatedly failing to follow health code requirements. …

“Famous Familigia in Terminal 4 received 17 major violations including ‘deli slicer soiled with food debris’ and 12 of 15 employees ‘without food service worker cards. …’

“In October 2008, the Kokopelli Deli in Terminal 3 was cited after an employee ‘washed his hands then brushed his teeth with his fingers then went to work with food.’  In Terminal 4 at Flo’s Shanghai Cafe, employees were caught ‘cutting chicken with bare hand,’ ‘portioning peanuts onto chicken bare handed.’”

If you’re waiting on an e-mail reply from me on anything in particular, you may be waiting awhile longer. And while my usual e-mail style is terse, typing one-handed means the responses will be terserer. It’s nothing personal, just a baby thing. Really. It’s not you, it’s me. Really.

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