Cargill Hamburger and BJ's Linked to E. coli O26 Illnesses in Maine and New York

Cargill Meat Solutions Corp., a Wyalusing, Pa. establishment, is recalling approximately 8,500 pounds of ground beef products that may be contaminated with E. coli O26, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

* 42-pound cases of "GROUND BEEF FINE 90/10," containing three (3) - approximately 14 pound chubs each. These products have a "use/freeze by" date of "07/01/10," and an identifying product code of "W69032."

The products subject to recall bears the establishment number "EST. 9400" inside the USDA mark of inspection. These products were produced on June 11, 2010, and were shipped to distribution centers in Connecticut and Maryland for further distribution. It is important to note that the above listed products were repackaged into consumer-size packages and sold under different retail brand names. When available, the retail distribution list(s) will be posted on FSIS' website at www.fsis.usda.gov/FSIS_Recalls/Open_Federal_Cases/index.asp.

FSIS became aware of the problem on August 5, 2010 when the agency was notified by the Maine Department of Agriculture, Food and Rural Resources of an E. coli O26 cluster of illnesses. In conjunction with the Maine Department of Health and Human Services, Maine Department of Agriculture, Food and Rural Resources, the New York State Department of Health, and New York State Department of Agriculture & Markets, two (2) case-patients have been identified in Maine, as well as one (1) case-patient in New York with a rare, indistinguishable PFGE pattern as determined by PFGE subtyping in PulseNet. PulseNet is a national network of public health and food regulatory agency laboratories coordinated by the Centers for Disease Control and Prevention (CDC). Illness onset dates range from June 24, 2010, through July 16, 2010.

Cargill E. coli O26 Contaminated Hamburger Linked to Illnesses in Maine and New York

FSIS announced that Cargill Meat Solutions Corp., a Wyalusing, Pa. establishment, is recalling approximately 8,500 pounds of ground beef products that may be contaminated with E. coli O26.

FSIS became aware of the problem on August 5, 2010 when the agency was notified by the Maine Department of Agriculture, Food and Rural Resources of an E. coli O26 cluster of illnesses. In conjunction with the Maine Department of Health and Human Services, Maine Department of Agriculture, Food and Rural Resources, the New York State Department of Health, and New York State Department of Agriculture & Markets, two (2) case-patients have been identified in Maine, as well as one (1) case-patient in New York with a rare, indistinguishable PFGE pattern as determined by PFGE subtyping in PulseNet. PulseNet is a national network of public health and food regulatory agency laboratories coordinated by the Centers for Disease Control and Prevention (CDC). Illness onset dates range from June 24, 2010, through July 16, 2010.

* 42-pound cases of "GROUND BEEF FINE 90/10," containing three (3) - approximately 14 pound chubs each. These products have a "use/freeze by" date of "07/01/10," and an identifying product code of "W69032."

The products subject to recall bears the establishment number "EST. 9400" inside the USDA mark of inspection. These products were produced on June 11, 2010, and were shipped to distribution centers in Connecticut and Maryland for further distribution. It is important to note that the above listed products were repackaged into consumer-size packages and sold under different retail brand names.

Michigan E. coli Cases Linked to Fair

Three local children are believed to have been exposed to Shigatoxin-producing E. coli at the Northwestern Michigan Fair.

Grand Traverse County Health Department officials said the onset of symptoms, including bloody diarrhea, happened between Aug. 15 and 17, about two to four days after the fair wrapped south of Chum’s Corners in Blair Township. All three children attended the fair.

Dr. Michael Collins, medical director, said it seems likely the children contracted their infections from animals at the fair, though it likely will never be known exactly which animal or animals were sources.

A Million Pounds of E. coli Tainted Meat Recalled

Valley Meat Company, a Modesto, Calif. establishment, is recalling approximately one million pounds of frozen ground beef patties and bulk ground beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced this morning.

The products subject to recall bear the establishment number "EST. 8268" inside the USDA mark of inspection as well as a production code of 25709 through 01210. These products were produced between the dates of Oct. 2, 2009 through Jan. 12, 2010 and were distributed to retail outlets and institutional foodservice providers in California, Texas, Oregon, Arizona and internationally.

FSIS became aware of the problem on July 15 when the agency was notified by the California Department of Public Health (CDPH) of a small E. coli O157:H7 cluster of illnesses with a rare strain as determined by PFGE subtyping. A total of six patients with illness onset dates between April 8 and June 18, 2010 were reported at that time. After further review, CDPH added another patient from February to the case count, bringing the count to seven. FSIS is continuing to work with the CDPH and the company on the investigation. Anyone with signs or symptoms of foodborne illness should contact a health care provider.

Indiana Rush County Fair possibly linked to Kathleen Ragan HUS E. coli case

According to WISH news, at least two children from Rush County are critically ill after getting E. coli poisoning.

Kathleen Ragan, 4, is at the Peyton Manning Children's Hospital suffering from Hemolytic Uremic Syndrome. It's possible she contracted E. coli bacteria from animals at the Rush County Fair in late June. Kathleen's mother says she did use hand sanitizer as she petted animals there, but her symptoms of fatigue, diarrhea and bloody stools started the day after the fair ended.

However, the parent of at least one other Rush County child said that her boy is also suffering from HUS, but he wasn't at the fair.

For more information the risks of bacterial infections from petting zoos, see Fair Safety Dot Com.



 

Rocky Mountain Natural Meats Buffalo Tainted with E. coli O157:H7 promts FSIS Recall

Rocky Mountain Natural Meats, a Henderson, Colo. establishment, is recalling approximately 66,000 pounds of ground and tenderized steak bison products.

FSIS became aware of the problem during the course of an on-going investigation into a cluster of E. coli O157:H7 illnesses in Colorado with illness onset dates between June 4, 2010 and June 9, 2010. Working in conjunction with the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration, the Colorado Department of Public Health and Environment and the New York Department of Health, 5 case-patients have been identified in Colorado as well as 1 case-patient in New York with an indistinguishable PFGE pattern. FSIS determined that there is an association between the ground bison products and the cluster of illnesses in the state of Colorado. FSIS is continuing to work with the CDC, affected state public health partners, and the company on the investigation. Pack/Codes:

The following products are subject to recall:

· 16-ounce packages of “GREAT RANGE BRAND ALL NATURAL GROUND BISON.” These products have a “sell or freeze by” date of June 21, June 22 or June 24, 2010.

· 16-ounce packages of “NATURE’S RANCHER GROUND BUFFALO.” These products have a “sell or freeze by” date of June 22, 2010.

· 16-ounce packages of “THE BUFFALO GUYS ALL NATURAL GROUND BUFFALO 90% LEAN.” These products have a lot number of 0147.

· 12-ounce packages of “GREAT RANGE BRAND ALL NATURAL BISON STEAK MEDALLIONS.” These products have a “sell or freeze by” date of June 23 and June 24, 2010

· 12-ounce packages of “GREAT RANGE BRAND ALL NATURAL BISON SIRLOIN STEAKS.” These products have a “sell or freeze by” date of June 20, June 23 and June 24, 2010

· 15-pound boxes of “ROCKY MOUNTAIN NATURAL MEATS, INC. BISON 10 OZ SIRLOIN STEAK.” These products went to restaurants and bear a Julian Code of 0141.

The products subject to recall bear the establishment number “EST. 20247” inside the USDA mark of inspection. These products were produced between the dates of May 21, 2010 through May 27, 2010.

These products were distributed to retail establishments nationwide and food service distributors in Utah and Arizona. While the sell-by dates for these products have passed, FSIS and the establishment are aware that consumers may also freeze the product before use and there is concern that some product may still be frozen and in consumers’ freezers.

Sixteen People Likely Sickened from Raw Milk from Local Dairy

Wednesday, June 30, 2010 - Boulder County - Since June 10, 16 people who reported drinking raw milk from Billy Goat Dairy in Longmont have become ill. Boulder County Public Health (BCPH) ordered the dairy to stop distribution of its raw milk products yesterday, June 29, 2010. Two children have been hospitalized, one has been released.

The Billy Goat Dairy operates a goat share program in which individuals buy a share of a goat and in return receive raw, unpasteurized milk. BCPH staff is contacting every household who participates in the goat share operation to determine if they became sick and to collect samples. Billy Goat Dairy is fully cooperating with the investigation.

“We strongly advise residents to avoid consuming any raw milk or milk products,” said Murielle Romine. “It can be extremely dangerous, particularly for young children and people with weakened immune systems.”

The Centers for Disease Control (CDC) identified 45 outbreaks of foodborne illness that implicated raw milk or cheese made from raw milk between 1998 and May 2005. These outbreaks accounted for 1,007 illnesses, 104 hospitalizations and two deaths.

During pasteurization, the temperature of milk is raised to at least 161 degrees Fahrenheit for more than 15 seconds, and then rapidly cooled. In addition to helping extend milk’s shelf-life, many harmful bacteria are destroyed, including E.coli, Salmonella, Campylobacter and Listeria. Because of pasteurization, less than 1.5 percent of annual foodborne illness outbreaks in the United States involve dairy foods.

Of the people who reported becoming ill from consuming the milk products, lab tests have confirmed the presence of campylobacter and E. coli 0157. Both types of bacteria are found in the intestines of animals and can be passed in their feces to food, water, and milk products that haven't been pasteurized.

Symptoms of Campylobacter include fever, diarrhea (sometimes bloody), abdominal cramps, nausea, and vomiting. Serious cases can lead to Guillain–Barré syndrome, permanent paralysis, and possibly death. Symptoms of E. coli include severe diarrhea (frequently bloody), abdominal cramping, and sometimes vomiting. Serious cases of E. coli can lead to Hemolytic Uremic Syndrome (HUS) causing kidney failure and possibly death.

Health officials urge anyone who has become ill after consuming raw milk or milk products from Billy Goat Dairy to call the BCPH Communicable Disease Control program at 303.441.1460. If illness continues, residents should contact their healthcare provider.

E. coli O157 implicated in Two The Dalles Oregon Deaths

E. coli O157 has been implicated in the deaths of two The Dalles residents this past week.  The deaths appear to be confined to one household and are not linked to any known outbreak, according to a press release issued Friday by Teri Thalhofer, director of the North Central Public Health District.

“We extend our deepest sympathies to the family,” Thalhofer said.

Five Victims Linked to Minnesota Raw Milk Dairy

A fifth victim has been linked to an E. coli outbreak at a southern Minnesota dairy farm.  Four cases were reported last week, and all of those involved have been discharged from the hospital. The fifth case is a young child who was not hospitalized.  The other people sickened by E. coli in dairy products from the farm ranged in age from toddlers to a 70-year-old adult.  Three of the five victims of the E. coli outbreak were hospitalized. All have since been released.

The investigators say test results prove the E. coli came from the Michael Hartmann dairy near Gibbon. The farm sells raw, unpasteurized milk and cheese.  The state Agriculture Department's Nicole Neeser says the E. coli found at the farm and in the victims has the same DNA fingerprint.

"Samples collected from multiple animals and from multiple environmental sites on the Hartmann farm are indistinguishable from samples collected from the humans that were ill," said Neeser. "It's very important to note that this is a rare strain of E. coli, and it hasn't been seen in Minnesota before."

Jackie's Jersey Milk Linked to Two E. coli O157:H7 Outbreaks

Two recent infections with toxin-producing E. coli (E. coli O157) have been identified in Washington residents who drank raw, unpasteurized milk. The two cases confirmed this month bring the count of infections this year associated with one Bellingham dairy to eight.

Although it’s legal to buy and sell raw milk in Washington, the state departments of Health and Agriculture (WSDA) remind consumers that raw milk can be dangerous.

The two new patients say they drank raw milk produced by Jackie’s Jersey Milk in Whatcom County. WSDA has conducted additional testing of the firm’s product, but has not found E. coli in the milk. WSDA continues to work with the farm to review the dairy's production and product handling practices.

The firm issued a product recall notice in February after WSDA found E. coli during routine sampling of the farm’s raw milk. Soon after the February recall, six patients with E. coli infections reported drinking the dairy’s product. People who were sick said they got the milk at retail stores in King, Snohomish, and Skagit counties.

Many strains of the bacteria Escherichia coli (abbreviated as E. coli) are harmless. Some, including E. coli O157, produce a toxin that can cause infections. Those infections may lead to severe diarrhea, stomach cramps and bloody stool. Symptoms can take up to nine days to appear, but typically begin within three or four days. People with symptoms should get medical care.

Each year, toxin-producing E. coli causes about 100,000 illnesses, 3,000 hospitalizations and 90 deaths in the United States. The infection can cause hemolytic uremic syndrome. It destroys red blood cells and leads to kidney failure. Most at risk are infants, children, pregnant women, the elderly and people with compromised immune systems.

Raw milk isn’t heated to kill harmful bacteria, making it riskier than pasteurized milk. Pasteurization kills illness-causing bacteria. Raw milk can also contain other bacteria that can cause illness or threaten lives, including Salmonella, Campylobacter, and Listeria.

Consumers who buy raw milk should read the container’s warning label carefully, and should verify the milk was produced and processed by a Washington State Department of Agriculture-licensed operation. Consumers should be aware that while licensure to sell raw milk represents a basic level of sanitation, it doesn’t assure that raw milk is free of illness-producing bacteria.

Minnesota Department of Health warns about E. coli in Hartmann Dairy Raw Milk

The Minnesota Department of Health is warning people who bought milk from Hartmann Dairy Farm, otherwise known as M.O.M.'s, to not drink it and throw it away. The MDH said the milk may have been labeled as organic.  In addition, cheese, ice cream or other dairy products from the farm should be thrown away because it may have also been made from raw, or unpasteurized, milk.

Raw milk sales are against the law Minnesota, except for occasional purchases directly at the farm where the milk is produced.  The MDH is also investigating a fourth case of E. coli to see if it is linked to the other cases.

Symptoms of E. coli include stomach cramps and diarrhea, usually two to five days after eating the contaminated food.  The MDH asks anyone who may have gotten sick after eating products for the dairy farm to call the agency at 651-201-5414.

E. coli and Spinach and Lettuce - this time E. coli O145 - same problems, same outcomes

E. coli O157:H7 outbreaks associated with lettuce or spinach, specifically the "pre-washed" and "ready-to-eat" varieties sold under various brand and trade names, are clearly by no means a new phenomenon. The FDA efforts to lead the lettuce industry to safer practices were nothing new. In 1998, the FDA issued guidance to the industry entitled "Guide to Minimize Microbial Food Safety Hazards for Fruits and Vegetables." The guide is specifically designed to assist growers and packers in the implementation of safer manufacturing practices. On February 5, 2004, the FDA wrote a letter to the lettuce and tomato industries to voice its concern about the frequent outbreaks linked to those products. In the letter, the FDA counted 14 such outbreaks since 1996 that it had investigated. Among other things, the letter stated:

In view of continuing outbreaks associated with fresh lettuce and fresh tomatoes, we strongly encourage firms in your industries to review their current operations in light of the agency’s guidance for minimizing microbial food safety hazards in fresh lettuce and fresh tomatoes, as well as other available information regarding pathogen reduction or elimination on fresh produce. We further encourage these firms to consider modifying their operations accordingly, to ensure that they are taking the appropriate measures to provide a safe product to the consumer. Since the available information concerning some of the recent outbreaks does not definitively identify the point of origin of the contamination, we recommend that firms from the farm level through the distribution level undertake these steps.

After an outbreak involving Dole lettuce, in November 2005, the FDA elucidated its past efforts and present concerns in its "Letter to California (should have added Arizona) Firms that Grow, Pack, Process, or Ship Fresh and Fresh-Cut Lettuce." The letter began:

This letter is intended to make you aware of the Food and Drug Administration's (FDA's) serious concern with the continuing outbreaks of food borne illness associated with the consumption of fresh and fresh-cut lettuce and other leafy greens.

The FDA went on to identify 18 outbreaks of E. coli O157:H7 associated with fresh or fresh-cut lettuce, resulting in 409 illnesses and two deaths since 1995. According to the FDA, completed trace back investigations in eight of the outbreaks “the 2005 Dole outbreak included” were traced to Salinas, California. The FDA further states that the industry's role in preventing these illnesses is crucial because "these products are commonly consumed in their raw state without processing to reduce or eliminate pathogens."

The 2005 Dole outbreak prompted even more industry-admonition by the FDA: "In light of continuing outbreaks associated with fresh and fresh-cut lettuce and other leafy greens, particularly from California, we are issuing this second letter to reiterate our concerns and to strongly encourage firms in your industry to review their current operations." This November 2005 FDA letter explicitly rejected industry excuses for not having taken prior action. Further, the FDA cited to research linking some or all of the outbreaks to sewage exposure, animal waste, and other contaminated water sources. The research further indicated that industry practices, including irrigation and field drainage methods, might have led directly to the contamination of the lettuce with E. coli O157:H7. As a result the FDA stated that it considers "adulterated" any ready to eat crops that have come in contact with flood waters. The FDA closed by warning industry members that food produced under unsanitary conditions is adulterated under ß402 (a)(4) of the Food, Drug, and Cosmetic Act, and that enforcement actions would be considered.

And, then we had the massive Dole spinach E. coli case that sickened 205 and killed five in 2006. So, how far have we actually come? Since Dole 2006 there has been Taco Bell, Taco Johns, Aunt Mids and many others that never saw the light of an investigation (primarily due to a lack of funding by FDA and California).

Freshway Foods Lettuce is "missing link" in E. coli O145 cases in Michigan, Ohio and New York

Over the last few weeks as Ohio, Michigan and New York health officials (along with the CDC) have tracked the source of the ongoing E. coli O145 outbreak to lettuce that has sickened over 50 people near college campuses at The Ohio State in Columbus, University of Michigan in Ann Arbor and Daemen College in Buffalo to Freshway Foods an Ohio distributor of produce.  No announcement has been made as to where the lettuce was grown.

Leafy Green outbreaks are not unusual.  Here is a sample platter:

Here is a list of lettuce and other leafy green outbreaks since 1993:

1. August 1993 - E. coli O157:H7 outbreak linked to a salad bar; 53 reported cases in Washington State

2. July 1995 - Lettuce (leafy green; red; romaine) E. coli O157:H7; 70 reported cases in Montana

3. September 1995 - Lettuce (romaine) E. coli O157:H7; 20 reported cases in Idaho

4. September 1995 - Lettuce (iceberg) E. coli O157:H7; 30 reported cases in Maine

5. October 1995 - Lettuce (iceberg; unconfirmed) E. coli O157:H7; 11 reported cases in Ohio

6. May-June 1996 - Lettuce (mesclun; red leaf) E. coli O157:H7; 61 reported cases in Connecticut, Illinois, and New York

7. May 1998 - Salad E. coli O157:H7; two reported cases in California

8. February.-March 1999 - Lettuce (iceberg) E. coli O157:H7; 72 reported cases in Nebraska

9. July-August 2002 - Lettuce (romaine) E. coli O157:H7; 29 reported cases in Washington and Idaho

10. October 2003-May 2004 - Lettuce (mixed salad) E. coli O157:H7; 57 reported cases in California

11. April 2004 - Spinach E. coli O157:H7; 16 reported cases in California

12. September 2005 - Lettuce (romaine) E. coli O157:H7; 32 reported cases in Minnesota, Wisconsin, and Oregon

13. September 2006 - Spinach E. coli O157:H7; 205 case (five deaths) nationwide

14. November 2006 - Lettuce E. coli O157:H7; New York, New Jersey, Pennsylvania; 71 sickened

15. December 2006 - Lettuce E. coli O157:H7; Iowa, Minnesota, Wisconsin; 81 ill

16. May 2008 - Lettuce E. coli O157:H7; Washington; 9 ill

E. coli O145 Outbreak Linked to The Ohio State, University of Michigan and Daemen College in New York

E. coli O145As many as 50 people are now sickened by E. coli O145 in an outbreak linked to Ohio, Michigan and New York. There are 18 lab-confirmed cases of E. coli O145 in the three states, and 32 people whose illnesses are thought to be related to the outbreak, but whose stool tests are still pending.

The Michigan E. coli O145 cases have occurred in Washtenaw County, which includes Ann Arbor and the University of Michigan, and the Ohio part of the outbreak has been confined to Columbus at The Ohio State. New York cases are linked to the E. coli O145 outbreak in Michigan and Ohio.  The New York cases appear to be college students attending Daemen College in Buffalo, New York. It is thought that as many as 11 people at Daemen College, or in the general area, have been sickened with E. coli O145 in the outbreak.

Never hear of E. coli O145 before? – click our Petition to the FSIS to see why not. And, we have found E. coli O145 in hamburger - "PREVALENCE OF NON-O157 ENTEROHAEMMORRHAGIC ESCHERICHIA COLI IN RETAIL GROUND BEEF IN THE UNITED STATES," but it is still to early to say if this outbreak is hamburger or some leafy green - like lettuce.  Time will tell.

E. coli O145 hits 47 in New York, Ohio and Michigan

Health officials in New York have linked a person's illness there to an E. coli outbreak in Columbus, Ohio and Ann Arbor, Michigan, and are looking into at least 12 more possible cases.

All five confirmed Columbus cases have now been genetically linked to the outbreak in Michigan where seven cases have been confirmed with 14 probable. Eight other probable cases in Ohio are under evaluation. The Ohio Department of Agriculture is testing four food samples as is Michigan. Students at Ohio State University and the University of Michigan are among those sickened in the outbreak.

How many red skull and crossbones do you expect by the week's end:

E. coli O157:H7 Strikes Ten in Washtenaw County

The Washtenaw County Public Health Department is investigating the cause of 10 recent reports of food-related illnesses.  The department said E. coli O157:H7 is the main suspect, but that nothing has been conclusive yet.

"We are in the early stages of our investigation," said Dr. Diana Torres-Burgos, medical director for Washtenaw County Public Health. "We are doing everything we can to identify probable cases and to prevent any additional illness."

Symptoms of E. coli include abdominal cramping, followed by diarrhea that progressively worsens and is often bloody.  Anyone with similar symptoms should seek medical attention.  Individuals are also asked to report suspected E. coli illness to Washtenaw County Public Health at 734-544-6700.

Peppa's II Korean BBQ Linked to Seven Hawaii E. coli Illnesses

The Hawaii Health Department closed Peppa's on last Thursday after seven people were diagnosed with E. coli infections between March 2 and 23. Four of them had eaten at Peppa's. Four of the seven were hospitalized, with one still in the hospital yesterday, said Larry Lau, deputy director for environmental health.

Most E. coli illnesses are the result of eating contaminated food or undercooked ground beef and can be accompanied by diarrhea, fever and vomiting. Most people recover without treatment, but those with existing health issues can develop a more severe illness.

Lau said state inspectors suspected Peppa's because those who had fallen ill ate there. Food-handling violations also were cited in January and during the investigation.

Bellingham's Jackie's Jersey Milk recalling raw milk

The Bellingham company said Tuesday that routine sampling by the Washington State Agriculture Department showed contamination with E. coli. Jackie's Jersey says no known human illness has been associated with the product.

All Jackie's Jersey Raw Jersey Cow Milk with a "use by" date through March 4 has been recalled. The half-gallon containers are sold in retail grocery stores in Whatcom, Skagit, Snohomish and King counties.

Why the "Silence of the Steaks?" When will the public be told the extent of the recent E. coli O157:H7 Outbreak?

On December 24, 2009, FSIS issued a notice about a recall of 248,000 pounds of beef products from National Steak and Poultry that “may be contaminated with E. coli O157:H7.” The recall was issued after FSIS determined there was an association between non-intact steaks (blade-tenderized prior to further processing) and illnesses in Colorado, Iowa, Kansas, Michigan, South Dakota and Washington. The CDC has said that at least “some” of the illnesses appear to be associated with products subject to the FSIS recall. Rumor has it that a state (Minnesota, perhaps?) has ill people who ate hamburger, not blade-tenderized steaks.

The Outbreak linked (apparently, in part) to blade-tenderized steaks from National Steak and Poultry has sickened 21 people from 16 states. Most victims became ill between mid-October and late November 2009. They ranged in age from 14 to 87 years. There have been 9 reported hospitalizations and 1 case of hemolytic uremic syndrome (HUS).

That begs the question, why the silence of the steaks? Where did the National Steak and Poultry get the steaks? Where did the Minnesota hamburger (or trim) come from? Rumors are that it is from a Colorado facility (JBS Swift, perhaps?) that has seen its share of E. coli O157:H7 problems in the past. So, again why the silence of the steaks?

Nestle Cookie Dough Linked to E. coli, Again

Nestle USA's Baking Division announced last week that it will begin using heat-treated flour in the manufacture of its Nestle Toll House refrigerated cookie dough. On January 11, 2010 Nestle informed the FDA that two samples of Nestle Toll House refrigerated cookie dough manufactured at its Danville, Virginia facility did not pass this rigorous protocol, and had tested positive for E. coli O157:H7. Consistent with our quality assurance protocol, the finished product involved never left our factory or entered the supply chain, and none was shipped to customers.

Nearly seven months earlier,on June 18, 2009, the CDC announced that 65 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 29 states. Of these, 23 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arkansas (1), Arizona (2), California (2), Colorado (5), Delaware (1), Hawaii (1), Iowa (2), Illinois (5), Kentucky (1), Massachusetts (4), Maryland (2), Maine (3), Minnesota (5), Missouri (2), Montana (1), North Carolina (1), New Hampshire (2), New Jersey (1), Nevada (2), Ohio (4), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (2), Virginia (2), Washington (5), and Wisconsin (1).

Ill persons range in age from 2 to 57 years; however, more than 70% are less than 19 years old and none are over 60 years old; 75% are female. Twenty-five persons have been hospitalized, 7 developed hemolytic uremic syndrome (HUS).

First Class One Recall for 2010 - Massachusetts Firm Recalls Beef Products Due to E. coli O157:H7

Recall Release CLASS I RECALL  FSIS-RC-002-2010 HEALTH RISK: HIGH

Adams Farm Slaughterhouse, LLC., an Athol, Mass., establishment, is recalling approximately 2,574 pounds of beef products that may be contaminated with E. coli O157:H7, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

This recall was initiated after the Massachusetts Department of Public Health (MDPH) confirmed a positive ground beef sample for E. coli O157:H7, which it collected during an epidemiological investigation. Working in conjunction with the Massachusetts Department of Public Health (MDPH), FSIS determined that there is an association between the ground beef products and an illness in the state of Massachusetts. FSIS is continuing to work with the MDPH on the investigation. Anyone with signs or symptoms of foodborne illness should consult a physician.

The following products are subject to recall:

• 1,025-pounds of "Beef Cuts and Ground" packed for Mazzarese.
• 697-pounds of "Beef Cuts and Ground" packed for Side Hill Farm.
• 852-pounds of "Beef Cuts and Ground" packed for Sweet Water Farm.

Each package bears a label with the establishment number "EST. 5497" inside the USDA mark of inspection as well as the packaging date of "11/11/2009." The beef products were distributed to private owners on three separate farms in the state of Massachusetts.

CDC Confirms Multistate Outbreak of E. coli O157:H7 Infections Associated with Mechanically Tenderized Steaks from National Steak and Poultry

According to the CDC website, CDC is collaborating with public health officials in several states and the United States Department of Agriculture’s Food Safety and Inspection Service (FSIS) to investigate a multistate outbreak of human infections due to Escherichia coli O157:H7 (E. coli O157:H7).

As of 5:00 PM EDT, Monday, January 4, 2010, 21 persons infected with the outbreak strain of E. coli O157:H7 had been reported from 16 states. The number of ill persons who were identified resides in each state as follows: CA (1), CO (1), FL (1), HI (1), IA (1), IN (1), KS (1), MI (1), MN (3), NV (1), OH (2), OK (1), SD (2), TN (1), UT (2), and WA (1).

Known illness onset dates range from October 3, 2009 through December 14, 2009. Most patients became ill between mid-October and late November. Patients range in age from 14 to 87 years and the median age of patients is 34 years, which means half are younger than 34 years. Forty-three percent of patients are females. There have been 9 reported hospitalizations, 1 case of hemolytic uremic syndrome (HUS), and no deaths.

Outbreak of E. coli O157:H7 Infections Associated with Beef from Fairbank Farms

Several state health departments, CDC, and the United States Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multi-state outbreak of Escherichia coli O157:H7 infections. On October 31, 2009, FSIS issued a notice about a recall of approximately 545,699 pounds of ground beef products from Fairbank Farms that may be contaminated with E. coli O157:H7. Health officials in several states who were investigating a cluster of E. coli O157:H7 illnesses, with isolates that match by “DNA fingerprinting” analyses, found that most ill persons had consumed ground beef, with several purchasing the same or similar product from a common retail chain. A number of the illnesses appear to be associated with products subject to these recalls. Two samples from opened packages of ground beef recovered from a patient's homes were tested by the Massachusetts and Connecticut Departments of Health and yielded an E. coli O157:H7 isolates that matched the patient isolates by DNA analysis.

The cluster includes 26 persons from 8 states infected with matching strains of E. coli O157:H7. The number of ill persons identified in each state is as follows: California (1), Connecticut (6), Massachusetts (8), Maryland (1), Maine (4), New Hampshire (4), New York (1), and Vermont (1). Of these, the genetic associations of 24 human isolates and both of the product isolates have been confirmed by an advanced secondary DNA test; secondary tests are pending on others. Depending on the results of continuing laboratory testing and ongoing case finding, the number of persons determined to be in this cluster may increase or decrease.

The first reported illness began on September 17, 2009, and the last began on November 6, 2009. Nineteen patients are reported to have been hospitalized and 5 developed a type of kidney failure called hemolytic uremic syndrome (HUS). Two deaths have been reported. Fifty percent of patients are male and 38% are less than 18 years old (range 1 to 88 years).

Most of the beef packages in the recall bear the establishment number "Est. 492" inside the USDA mark of inspection and have identifying package dates of "091409", "091509" or "091609". Consumers are urged to check their refrigerators and freezers for beef products produced by this firm and purchased on or after September 15, 2009 and discard or return the recalled beef products to the place of purchase for a refund. Customers with questions about the source of a package of beef should contact the place where they purchased it (e.g., grocery store, club store, or meat market).

Fairbank Farms Sickens at Least Four in Maine

According to AP, Maine officials are reminding consumers to check their freezers for recalled ground beef after four people were hospitalized for E. coli poisoning.

Last month, Fairbank Farms of Ashville, N.Y., recalled almost 546,000 pounds of fresh ground beef that had been distributed in September to stores from North Carolina to Maine. Federal officials have said 28 people may have become ill, and two may have died, from the possible E. coli outbreak.

The ground beef was sold at Shaw's and BJ's stores in Maine.

Officials says four people in Maine were found to have a matching strain of E. coli. They were all hospitalized and one remains in the hospital.

Officials say two people had purchased the recalled ground beef.

New York Times - Fairbanks Farms did not test trim for E. coli?

Michael Moss breaks yet another concerning E. coli story - "E. Coli Outbreak Traced to Company That Halted Testing of Ground Beef."  Apparently, Fairbank Farms purchased incoming trim to add to its hamburger and failed to test it for E. coli - Why?

A deadly outbreak of E. coli has been traced to a large producer of ground beef that stopped testing its ingredients years ago under pressure from beef suppliers.

AFA Foods has defended its testing protocols, saying they meet the beef industry’s “best practices” guidelines. Company officials said that their plants, including the one in New York, a subsidiary known as Fairbank Farms, require slaughterhouses to test their trim and that the company then tests samples of its finished ground beef as frequently as every 10 minutes.

“During the relevant production period, all such tests were negative,” Fairbank Farms said in written answers to questions from The Times.

However, the company added on Thursday that it was re-evaluating its testing procedures. “In addition to those controls, Fairbank is evaluating the addition of another firewall such as additional testing of incoming product,” the company said.

Well, better late than never.

CDC reports outbreak of E. coli O157:H7 Infections Associated with Beef from Fairbank Farms

California, Connecticut, Massachusetts, Maryland, Maine, New Hampshire, New Jersey, New York, Pennsylvania and Vermont health departments, CDC, and the United States Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multi-state outbreak of Escherichia coli O157:H7 infections. On October 31, 2009, FSIS issued a notice about a recall of approximately 545,699 pounds of ground beef products from Fairbank Farms that may be contaminated with E. coli O157:H7. Health officials in several states who were investigating a cluster of E. coli O157:H7 illnesses, with isolates that match by “DNA fingerprinting” analyses, found that most ill persons had consumed ground beef, with several purchasing the same or similar product from a common retail chain. At least some of the illnesses appear to be associated with products subject to these recalls. A sample from an opened package of ground beef recovered from a patient's home was tested by the Massachusetts Department of Health and yielded an E. coli O157:H7 isolate that matched the patient isolates by DNA analysis.

The cluster includes 25 persons from 10 states infected with matching strains of E. coli O157:H7. The number of ill persons identified in each state is as follows: California (1), Connecticut (4), Massachusetts (8), Maryland (1), Maine (2), New Hampshire (4), New Jersey (1), New York (1), Pennsylvania (2), and Vermont (1). Of these, the genetic associations of 22 human isolates and the product isolate have been confirmed by an advanced secondary DNA test; secondary tests are pending on others. Depending on the results of continuing laboratory testing and ongoing case finding, the number of persons determined to be in this cluster may increase or decrease.

The first reported illness began on August 18, 2009, and the last began on October 10, 2009; however all but 2 patients reported becoming ill between September 17 and October 10, 2009. Sixteen patients have been reported to be hospitalized and 3 developed a type of kidney failure called hemolytic uremic syndrome (HUS). Two deaths have been reported. Sixty-four percent of patients are male and 44% are less than 18 years old (range 1 to 84 years).

Most of the beef packages in the recall bear the establishment number "Est. 492" inside the USDA mark of inspection and have identifying package dates of "091409", "091509" or "091609". Consumers are urged to check their refrigerators and freezers for beef products produced by this firm and purchased on or after September 15, 2009 and discard or return the recalled beef products to the place of purchase for a refund. Customers with questions about the source of a package of beef should contact the place where they purchased it (e.g., grocery store, club store, or meat market).

E. coli O157:H7 Hamburger Outbreak Expands to New Hampshire and Ten other States - What the Hell is up?

New Hampshire with two ill and one death, joins Maine, Massachusetts (at least three ill), Connecticut, Maryland, North Carolina, New Jersey, New York, Pennsylvania, Virginia and likely Rhode Island (at least twenty ill) in a growing E. coli O157:H7 outbreak linked to over 546,000 pounds of hamburger produced by Fairbank Farms of New York and distributed via retail outlets including Trader Joe's, Price Chopper, Lancaster, Wild Harvest, Shaw's, BJ's, Ford Brothers, and Giant.

With the recent recall of 1,039 pounds of hamburger contaminated with E. coli O157:H7 in Massachusetts, and the additional 546,000 pounds of hamburger recalled in New York, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today, hamburger recalls since 2007 have now reached 41,958,504 pounds (from about 150,000 in 2006). And, this is not counting another recall from 2008. Then, Hallmark/Westland Meat Packing Co., a Chino, California establishment, voluntarily recalled approximately 143,383,823 pounds of raw and frozen beef products that FSIS had determined to be unfit for human food because the cattle did not receive complete and proper inspection.

Fairbank Farms Issues Recall of E. coli O157:H7 Tainted Ground Beef from Connecticut, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania and Virginia

From a Company Press Release:

Fairbank Farms (USDA Establishment 492), a New York manufacturer of ground beef, has issued a voluntary recall for a specified line of fresh ground beef products sold in eight states. Approximately 545,699 pounds of fresh ground beef product produced between September 14 through September 16, 2009, may possibly be linked to E.coli O157:H7.

An important point of fact, the recalled products are very specifically defined and are past their expiration date by 23 to 32 days. This means they are no longer being sold as fresh product in supermarkets. The products were sold in the following states: Connecticut, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania and Virginia.

To identify recalled products, consumers should check the package label and look for the product name, package weight and sell-by date. All labels will show an establishment number of EST 492 inside the USDA mark of inspection. Recalled products include:

ACME

Packaged products (Sell-by dates ranging from 09/19/09 through 09/28/09)

§ Wild Harvest Natural Angus Ground Beef 85/15, 1#

§ Lancaster Brand Extra Lean Ground Beef 96/04, 1#

§ Lancaster Brand Ground Beef 90/10, 1# & 2#

BJ’s Wholesale Club/Burris

Packaged products (Sell-by dates ranging from 09/19/09 through 09/28/09)

§ Fresh Ground Beef Patties 85/15, 5#

§ Lean Ground Beef 93/07, 3# & 5#

§ Meatloaf and Meatball Mix, 2.5#

Ford Brothers

Packaged products (Sell-by dates ranging from 09/19/09 to 09/28/09)

§ Fresh Ground Beef Patty 80/20, 3#

Giant Food Stores

Packaged products (Sell-by dates ranging from 09/19/09 to 09/28/09)

§ Giant Meatloaf & Meatball Mix, 1#

§ Giant Nature’s Promise Ground Beef, 1#

§ Giant Nature’s Promise Ground Beef Patties

§ Giant Extra Lean Ground Beef 96/04, 1#

Price Chopper

Packaged products (Sell-by dates ranging from 09/19/09 to 09/28/09)

§ Price Chopper Meatloaf & Meatball Mix, 1# & 2.5#

§ Price Chopper Extra Lean Ground Beef 96/4, 1#

§ Price Chopper Fresh Ground Beef Chuck for Chili 80/20, 1#

Shaw’s Supermarkets, Inc.

Packaged products (Sell-by dates ranging from 09/19/09 to 09/28/09)

§ Shaw’s Fresh Ground Beef 93/7, 1# and 2#

§ Shaw’s Fresh Ground Beef 80/20, 1#, 2#, 3#

§ Shaw’s Fresh Ground Beef 75/25, 1# and 3#

§ Shaw’s Fresh Ground Sirloin Beef Patties 90/10, 1.3#

§ Shaw’s Fresh Ground Round Beef Patties 85/15, 1.3#

§ Shaw’s Fresh Ground Beef Patties 80/20, 1.3#

§ Shaw’s Fresh Ground Beef Patties Family Pack 80/20, 3#

§ Shaw’s Angus Ground Beef 85/15, 1#

§ Shaw’s Fresh Ground Round Beef 85/15, 1#, 2#, 3#

§ Shaw’s Natural Ground Beef 90/10, 1#

§ Shaw’s Natural Ground Beef 85/15, 1#

§ Shaw’s Fresh Ground Sirloin 90/10, 1#, 2#, 3#

§ Meatloaf & Meatball Mix, 1#

Trader Joe’s

Brick packs (Sell-by dates 10/06/09 or10/07/09)

§ Trader Joe’s Butcher Shop Fine Quality Meats Ground Beef 85/15, 1#

§ Trader Joe’s Butcher Shop Fine Quality Meats Ground Beef 80/20, 1#

Packaged Products (Sell-by dates ranging from 09/19/09 to 09/28/09)

§ Trader Joe’s Butcher Shop Fine Quality Meats Beef Patty 85/15, 1#

§ Trader Joe’s Butcher Shop Fine Quality Meats Ground Beef 96/4 Extra Lean, 1#

Other products

§ Cases of 10-lb. Fairbank Farms fresh ground beef chubs (for store grind). These products had a sell date of 10/3/09, 10/4/09 or 10/5/09, but will likely not bear those sell-by dates on their package labels. These products were distributed to retail establishments in Maryland, Massachusetts, North Carolina, New Jersey, New York, Pennsylvania, and Virginia for further processing. Consumers with concerns should contact their point of purchase.

E. coli O157:H7 outbreak linked to hamburger reported at Camp Bournedale in Plymouth Massachusetts

Rich Harbert of Gate House News Service reported that Rhode Island health officials said 15 students from Lincoln Middle School suffered diarrhea after a trip to Camp Bournedale in Cedarville last week.  Two of the students tested positive for E. coli bacterial contamination. Two students were hospitalized for treatment.

Rhode Island health officials said the sixth-grade students from Lincoln attended a three-day session at the camp from Oct. 13-16. Health officials were notified that several students had become sick on Monday, Oct. 19.  The Rhode Island Department of Health reported that Massachusetts health officials are investigating foods at the camp as the likely source of the illness. The Center for Disease Control and Prevention is said to be assisting in the investigation.

Arnie Gerson, owner and director of the camp, said state and federal health officials traced the outbreak to tainted raw hamburger.  Gerson said the camp will no longer cook raw hamburger. As a precaution, the camp will serve pre-cooked burgers to campers, if it serves hamburger at all.

Lincoln, RI to Plymouth, MA To Pick Up Some E. coli

The Rhode Island Department of Health (HEALTH) was notified Monday of several sixth grade students from Lincoln Middle School with diarrheal illness. The students just returned from Camp Bournedale in nearby Plymouth, MA which they attended from  October 13th through 16th.

As of today (October 21), there have been 15 cases of diarrheal illness. There have been two students who tested positive for E. coli O157:H7. Two students are hospitalized.  It is unclear if those two have developed Hemolytic Uremic Syndrome.

“We want to assure parents and students that we are not seeing this diarrheal illness spread person to person,” said Chief of HEALTH’s Center for Infectious Diseases Robert S. Crausman, MD, MMS. “However, any student or chaperone who was on the field trip and has diarrhea should call their doctor for medical evaluation and treatment. HEALTH is working closely with our colleagues at the Massachusetts Department of Public Health in the investigation of this incident.”

Students or chaperones who were on the field trip who do not have diarrhea do not need to take any special precautions. Massachusetts Department of Public Health and the USDA are investigating foods at the camp as the likely source of this illness. The Center for Disease Control and Prevention (CDC) will be assisting with this investigation.

“Our first concern is the health and safety of our students and staff,” said Lincoln School Superintendent Georgia Fortunado. “We are working collaboratively with the Department of Health on this response.”

Number of people affected by the outbreak of E. coli at a Surrey farm has risen to 88

Officials said another case had been confirmed since Wednesday and three children remained in hospital in a stable condition on Friday evening.  All those affected had visited Godstone Farm, near Redhill.  The farm closed on 12 September after the outbreak emerged. The first link to infection was dated back to 8 August.  Tests carried out confirmed that the E.coli bug was in animal droppings.

Four other farms have since closed, or partially closed, including Godstone's sister farm, Horton Park in Epsom, Surrey.  The others are White Post Farm in Nottinghamshire, the World of Country Life farm, in Exmouth, Devon, and Big Sheep And Little Cow Farm in Bedale, North Yorkshire.

An independent investigation into the outbreak, and the response to it, has been started by the HPA.  The HPA said on Wednesday the inquiry would be led by George Griffin, professor of infectious diseases at St George's, University of London.

In 2004 I gave a speech on the risks of petting zoos and E. coli - seems like the information did not make it to England.  I also put up a website - www.fair-safety.com as a place to showcase outbreaks and how to prevent them.  I now need to update it.


Victims of Oklahoma E. coli Outbreak File Suit Against Country Cottage Restaurant - Lawsuit Seeks to Cover Millions In Medical Expenses

Victims of an August, 2008 outbreak of E. coli O111 have joined together to file suit against the Country Cottage restaurant, where they were sickened. The lawsuit was filed today in the District Court in the State of Oklahoma, in and for the County of Mayes, on behalf of twelve families.

“Many of us regularly entrust restaurants with our health and safety,” said the families’ attorney, William Marler. “There are stringent rules and regulations that restaurants must follow, because any deviation from those rules can cause illnesses. Sadly, this outbreak shows how very wrong things can go, and how much suffering can result.”

The outbreak at the Country Cottage Restaurant in Locust Grove, Oklahoma sickened 341 people, hospitalized 70, and caused the death of one man. Investigators quickly pinpointed the restaurant as the source of infection, but were unable to determine the specific vehicle. E. coli is often contracted by consuming food or beverage that has been contaminated by animal (especially cattle) manure. E. coli outbreaks have been tied to meat, produce, unpasteurized milk, cheese, and cider, sprouts, juice, and even water. The lawsuit cites the restaurant’s use of water from an unpermitted, on-site well just before the outbreak—in violation of Department of Environmental Quality (DEQ) regulations – as a basis for punitive damages.

“These fourteen people collectively spent 250 days in the hospital, 84 of them on dialysis for kidney failure,” continued Marler. “Their medical bills are almost two million dollars, not to mention ongoing medical care that many will continue to need. Our job is to make sure that they don’t struggle to carry that immense burden by themselves.”

Lot's of E. coli Found Down on the Godstone Farm Near Surrey

The UK's Veterinary Laboratories Agency (VLA) has tested feces from lambs, pigs, goats, cattle, ponies and rabbits at Godstone Farm near Surrey and found the dangerous E. coli O157:H7 strain in 33 of 102 samples. The Health Protection Agency (HPA) called in VLA.

"Joint HPA and VLA investigations have confirmed the presence of E. coli O157:H7 bacteria in feces from a wide range of animals on a premise in Surrey," said Nigel Gibbens, chief veterinary officer.

The number of children infected with E. coli O157:H7 while visiting Godstone Farm has increased to 67. According to BBC News, eight children remain in hospitals across Southeast England "in stable or improving conditions."

The injured are now coming forward to take legal action. Claims will be filed totaling hundreds of thousands of pounds, according to lawyers for the various families. "It is not simply about financial compensation, although that is a part of it," said Solicitor Jill Greenfield, who represents an unnamed young girl. "Some of these children could have long term medical conditions for which they will need financial compensation."

"But it's far too early to tell with any of them because E. coli is a bit of a slow burner," Solicitor Greenfield continued. "So at the moment it's about establishing what happened, establishing the facts and finding out why so many children ended up in the hospital with E. coli."

After controversy erupted over how long it took to close Godstone Farm to the public, three other farms with petting zoos have closed. Horton Park Children's Farm in Epsom, which is under the same ownership as Godstone Farm; White Post Farm in Nottinghamshire; and World Country Life Farm in Exmouth, Devon are now all shut down.

HPA, the leading investigator in the UK, believes the outbreak began on Aug. 8 at Godstone Farm. Godstone Farm closed Sept. 12th. Critics say the HPA allowed the petting zoo to remain open far too long.

All 67 cases in the outbreak are linked to Godstone Farm. Horton Park, its sister zoo, was closed down for "unsatisfactory" hygiene facilities. No illnesses are yet associated with Horton Park.

A Petting Farm Sends Children To Hospitals Across South East England

South East England hospitals are caring for a dozen children with infections from the dangerous E. coli O157:H7 bacteria that they picked up at a popular petting farm near Surrey. All are under age 10.

All totaled health officials in the United Kingdom (UK) say 36 people were exposed to the bacteria, which was traced to the Godstone Farm & Playbarn, which allows children to touch animals.

Four of the E. coli victims are reported to be in serious condition.

Professor Hugh Pennington, who has led investigations of past E. coli outbreaks in the UK, said this is “a very large outbreak” and E. coli O157:H7 can be “quite dangerous” for young children because some will suffer complications to the brain, heart, and kidneys.”

UK health officials got the farm to close on Sept. 12th after measures to stem infections failed to halt the outbreak. Godstone Farm, which has up to 2,000 visitors a day, issued this statement on its website:

“Due to an E-coli outbreak, we have closed the farm until we can make sure it is quite safe for you all to visit us. “

“This is large outbreak of this infection,” said Dr. Angela Iverson, director of the local Health Protection Unit. She said the farm owners were cooperating with the investigation.

E. coli O157:H7 is an infection that people can pick up when handling or stroking animals, unless hands are thoroughly washing afterwards to minimize the risk,” Iverson said. “It can also spread easily from person-to-person.”

Children infected with E. coli O157:H7 will suffer from bloody diarrhea, severe abdominal pain and tenderness with no fever. Hospital laboratories confirm the diagnosis from stool samples.
More serious infections, however, can develop into a kidney disease known as Hemolytic Uremic Syndrome (HUS). It is a severe, life-threatening complication that occurs in about 10 -15 percent of those infected with E. coli O157:H7.

"The kidney complications can be quite severe, resulting in long-term damage in some instances," Professor Pennington said.

Surrey and Sussex Health Protection Units are working with local environmental health officers and the Veterinary Laboratory Agency in the outbreak investigation. The initial onset of illnesses apparently occurred Aug. 8th.

Appalachian Fair Possible Source of Eastern Tennessee E. Coli Illnesses

Eastern Tennessee's Appalachian Fair is the suspected source of the E. coli O157:H7 infections in two children.

The Johnson City Medical Center is reporting that two children are being treated in the hospital with infections of the deadly bacteria.

A week ago, doctors found four-year-old Gage Peterson has E. coli. Three week prior to Peterson’s admission, another child came into the hospital with E. coli. That child is now in the pediatric ICU.

The Tennessee Health Department has yet to identify the source of Peterson’s infection, but family members say he may have contracted it while looking at cows at the Appalachian Fair.

The E. coli bacteria thrives in the intestinal tracts of cattle, pigs and goats and released through bowl movements.

The Washington Post Tells The Linda Rivera Story--Giving Context to Issue of Food Safety

"People just don't really understand how horrible food-borne illness is," said William Marler, a prominent Seattle-based food-safety lawyer who is representing the Rivera family and 23 other victims in the cookie dough outbreak. "They think food-borne illness is a tummy ache and diarrhea."

That quote from Mr. Marler is found today in a story that is all too rare--one from the perspective of the most seriously injured by food-borne illness.
It is the story of Linda Rivera, who ate Nestle cookie dough contaminated with E. coli O157:H7 and developed the life-threatening Hemolytic Uremic Syndrome (HUS). She has spent about 120 in hospitals since eating the cookie dough last May, more than any of the Nestle victims.

Read the entire story by clicking on the headline below.
 

– “This Woman Might Die From Eating Cookie Dough - Severe Case Gives Context to Issue of Food Safety” 

 

Richard cares for wife Linda Rivera.

The August 2008 Locust Grove, OK Outbreak of E. coli 0111--One Year Later

 

Kim Archer of the Tulsa World has done a great job of recalling the horrors of the United States’ largest E. coli O111 outbreak. 

• 341 were sickened

• 70 people were hospitalized, including 22 children

• 17 people received kidney dialysis, including eight children

• 1 man died

Excerpts from the Article about just one of the victims:

His entire life, Kenneth Birkes has worked seven days a week from dawn to dark. Then he ate a meal in honor of his father's 85th birthday at Country Cottage in Locust Grove. It was Sunday, Aug. 17, 2008. Five days later, Birkes fell ill. The 61-year-old Grove man hasn't worked since.

"I was up in Kansas to get a drilling rig out in the country," he said. "It hit me so quick."  He had just put the rig on a trailer and driven to the town of Edna, all the while calling his wife to tell her he needed help.

"That's really the last thing I remember," Birkes said. His wife initially took him to a hospital in Coffeyville, Kan., but he continued to get worse. He didn't wake up until six weeks later at St. Francis Hospital. 

Birkes said he went from making $12,000 a month to nothing.

"This pretty well wiped us out," he said. After three months in the hospital, he had to learn to walk again. Now, he has migraines four days a week and is only able to go three hours at a time before needing to rest.

"I'm still alive, and that's all that matters," Birkes said.

Birkes is among a group of clients of Seattle attorney Bill Marler asking for a settlement from the restaurant's insurance company.

"If they turn us down, we have no choice but to sue the restaurant and the owners for the policy and all personal assets," Marler said.

Professor Pennington Comments on Llay Fish Bar Outbreak: E. coli 0157:H7 Confirmed

Infection from E. coli 0157:H7 has now been confirmed in four people from three families in Wrexham, England who made the mistake of dining at the Llay Fish Bar.

E. coli 0157:H7 put 32-year old Karen Morrisroe-Clutton on life support and meant renal failure for three-year old Abigail Hennessey.

The two others who became ill did not require hospitalization. Both Karen, in hospital,  and Abigail, just released, are said to be recovering.

Professor Hugh Pennington, who authored reports following outbreaks of E.coli, in Scotland, in 1996, and in South Wales in 2005, told the Western Mail newspaper: “It’s almost ‘Here we go again’.”

Professor Pennington said he hoped his last report on the outbreak in South Wales that killed five-year-old Mason Jones would reduce the incidence of E.coli.

The Llay Fish Bar was closed after the latest outbreak.  In August 2008, it got the lowest score possible in a health inspection, but did just enough to remain in business. 

The entire Western Mail interview with Professor Pennington is in Wales Online.

Epidemiological Data On Nestle Toll House Cookie Dough Overwhelming Linked to E. coli O157:H7 Illnesses

I am starting to get Epidemiological outbreak responses from states. I found the below page in the Arizona State Health Department records. It is a CDC generated document that was sent to participating states in an outbreak conference call.

The page above shows data obtained from the case-control study conducted as part of the outbreak investigation. The ONLY food item that was statistically associated with illness was Nestle Toll House cookie dough. These data show that: Raw cookie dough was the ONLY food item that sick persons were more likely to eat than no sick persons. This holds true for the matched analysis result (42.8) and the unmatched analysis result (55.6).

Ill cases were 50 times more likely to eat raw cookie dough than non-cases. Furthermore, with a p-value of <0.0001, these results are extremely significant and can be interpreted that there is less than a 1 in 10,000 chance that the association between eating raw cookie dough and illness is not a true association. These are exceptional odds ratios and p-values in a foodborne illness outbreak.

Furthermore, sick people were no more likely to eat ground beef than non-sick people. 

Given both FDA's and CDC's work on this outbreak, Nestle needs to deal with the reality that its product poisoned over 70 people, sending dozens to the hospital - many with Hemolytic Uremic Syndrome.

Latest Inspection Report For Danville, VA Nestle Cookie Dough Plant Released To Public

After inspecting the Danville Plant on 06/18/2009, 06/19/2009, 06/22/2009, 06/23/2009, 06/24/2009, 06/25/2009, 06/26/2009, 07/07/2009, 07/08/2009, and 07/09/2009, the FDA posted the following observations.  The full report can be found by clicking on image to left.

 

OBSERVATION 1

The workmanship of equipment does not allow proper cleaning. Specifically, inside the "Toll House" brand cookie dough preparation room, dry ingredients are placed inside hoppers. The dry ingredients are gravity fed to blending mixers through gate valves that are installed on the hoppers. As a result of this investigation, the firm disassembled all gate valves from all hoppers on production lines 8, 10, 11, and 12. The gate valves appear to have food contact surfaces that are not easily cleanable as evidenced by rough, pitted and discolored cast metal alloy.

 

OBSERVATION 2

Lack of appropriate design to enable manufacturing systems to be maintained in an appropriate sanitary condition. Specifically, as "Toll House" brand cookie dough was mixed on 6-18-09, ice build-up surrounded pipes that transport a processing aid to mixers on production lines 8, 10, 11, and 12. On line 8, condensate from the ice dripped onto a metal rake that personnel then used to scrape cookie dough from the mixer into a dough trough for transport to the filling line.

"I understand that hundreds if not a thousand samples were taken - and presume that they were negative.  Certainly, the above observations are some cause for concern, but I have seen far worse "483's" from other plants in 16 years of foodborne illness litigation," said food safety attorney William Marler.

New E. Coli Cluster Reported In Colorado; Is FDA Giving Up On Nestle Investigation? Who Are We Going To Call?

The Mountain Mail in Salida, CO reported on a cluster of E coli victims in the small Rocky Mountain community.   Two cases are confirmed and three others have symptoms that are consistent with E. coli 0157:H7 infections.

Both the Colorado Department of Public Health and Environment and the Chaffee County Public Health District are investigating, but neither has connected the Salida illnesses with a specific source.

Connections could be made to either one of two national E. coli outbreaks-- the one linked to beef from the JBS Swift Co. in Greeley, CO, which has made at least 23 people infections with E. coli 0157:H7 in nine states or the nationwide Nestle refrigerated raw cookie dough outbreak. Or maybe there is another source.

Or who knows? David Acheson, the nearest thing the federal government has to a utility in-fielder for food safety, was pushed out to say we should not expect much from Uncle Sam’s investigation of the poison Nestle cookie dough.

“This will be one of those situations where we won’t definitely know what went wrong,” Acheson said.

That  “situation,” according to a late Friday update from the Centers for Disease Control and Prevention (CDC) now involves 74 confirmed cases in 32 states, all matched from PFGE testing with onset ranges from March 16 to June 11. Thirty-four have required hospital stays and ten developed Hemolytic Uremic Syndrome (HUS).

Acheson, who started with the feds as senior food scientist for the U.S. Department of Agriculture and now is FDA’s assistant commissioner for food safety, sounds like a man giving up.

Cookie dough samples have tested positive for different strains of E. coli, but not yet the exact PFGE match to those who are ill. And how any E. coli is getting in the cookie dough is a mystery.

FDA is good at what its done. Testing equipment and ingredients, including the flour that might have been contaminated in the field. But what it’s done is not good enough. If FDA wants to give up, fine. 

Maybe another agency would be better suited to finishing this investigation.   If equipment and ingredients are all clean, let’s not remove the yellow tape around this crime scene too quickly. Not until everyone who had access to this plant is also investigated, employees, management, visitors.

Let’s turn it over to the FBI.

Nestle Restarts Cookie Dough Production After E. coli Outbreak

Fresh on the heels of revelations by ABC news that three different E. coli strains have been linked to the nationwide outbreak of E. coli in cookie dough, the Wall Street Journal reports that Nestle is restarting production.  The Danville, Virginia plant was closed on June 19, when E. coli illnesses across the country were tied to the raw cookie dough produced there.  The FDA investigation of the plant found E. coli in an unopened package of the cookie dough and E. coli was also found in in a package of Nestle refrigerated cookie dough in the home of a victim.   Both of those strains, or serotypes, are different from that found in the stool of the 72 people who were infected by eating the cookie dough, meaning that three strains have now been associated with the product. 

Interestingly, Nestle continued processing other food products at the Danville factory while the cookie dough production was shut down. 

Questions continue to swirl around the outbreak, as no source has yet been identified in the E. coli contamination of the Nestle Cookie Dough product.  Now the multiple strains of E. coli connected to the outbreak add another layer of mystery - and yet, production resumes.

Science Writer Carl Zimmer Speculates About "Cow to Cookie" Mystery

The “cow to cookie” mystery has yet to be solved. We speak of course about how E. coli O157:H7, which usually originates in the hindgut of cows, made its way into raw refrigerated cookie dough made at the Nestle plant in Danville, VA.

While you are waiting for the answer, you might want to read the paperback edition of  Microcosm: E. Coli and the New Science of Life  by science writer Carl Zimmer which is being published this month.

In his Discovery Magazine blog, Zimmer makes this prediction: “There’s no official word for how the bacteria got from a cow to a cookie (or at least, a cookie in the making). But chances are good that the story is going to be complicated, in a way that’s both disturbing and fascinating.”

It’s well worth checking out, even if the thought that cookie E. coli might has “evolved its own peculiar set of genes” is a whole lot more scary than any cookie monster.

As of the last report, which is now a week and day old, 72 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 30 states.

Retail Outlets named in E. coli O157:H7 Outbreak Linked to JBS Swift

The Following outlets were identified today by JBS Swift and FSIS:

Price Chopper

Hannaford

Stop & Shop

Food 4 Less

Fry's

Smith's

Costco

Sams Club

Kroger

SAV a Lot

Knight Super Foods #4

Weldon's Meat Market

Jasper Mercantile

Keeney's Food Mart

Sweetbay

All DAY AM PM MART

Hobby's Hoagies Produce

SHRTN HTL Produce

Giant

Full List.

Multistate Outbreak of E. coli O157:H7 Infections Associated with Beef from JBS Swift Beef Company

Several state health departments, CDC, and the United States Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multi-state outbreak of Escherichia coli O157:H7 infections. On June 24, FSIS issued a notice about a recall of 41,280 pounds of beef products from JBS Swift Beef Company that may be contaminated with E. coli O157:H7. On June 28, the recall was expanded to include 380,000 pounds of assorted pieces of beef (beef primal products) from the same company. Health officials in several states who were investigating reports of E. coli O157:H7 illnesses found that most ill persons had consumed ground beef, and many reported that it was undercooked. At least some of the illnesses appear to be associated with products subject to these recalls. Samples from unopened packages of ground beef recovered from a patient's home were tested by the Michigan Public Health Laboratory yielded an E. coli O157:H7 isolate that matched the "DNA fingerprint" of the outbreak strain.

Twenty three persons infected with a strain of E. coli O157:H7 with a particular "DNA fingerprint" have been reported from 9 states. Of these, 17 have been confirmed by an advanced DNA test as having the outbreak strain; confirmatory tests are pending on others. The number of ill persons identified in each state is as follows: California (4), Maine (1), Michigan (6), Minnesota (1), New Hampshire (1), New Jersey (2), New Mexico (1), New York (1) and Wisconsin (6).

Most ill persons reported consumption of ground beef, and many reported that it was undercooked. Ground beef with the outbreak strain was obtained from the home of one person infected with that strain. The first reported illness began on April 2, 2009, and the last began on June 13, 2009. Among 17 ill persons for whom hospitalization status is known, 12 (70%) were hospitalized. Two patients developed a type of kidney failure called hemolytic uremic syndrome (HUS). No deaths have been reported. Of patients with available information, 14 (64%) were male and 59% are less than 19 years old (range 2 to 74 years).

Most of the beef packages in the first recall bear the establishment number "Est. 969" inside the USDA mark of inspection and have identifying package dates of "042109" or "042209." Consumers are urged to check their refrigerators and freezers for beef products produced by this firm and purchased on or after April 21, 2009 and discard or return the recalled beef products to the place of purchase for a refund. The pieces of beef (primal beef products) in the expanded recall were produced on April 21, 2009, and were distributed nationally and internationally. Boxes of these pieces of beef bear the establishment number "EST. 969" inside the USDA mark of inspection, the identifying package date of "042109," and a time stamp ranging from "0618" to "1130." These pieces of beef were sold to retail stores nationwide after April 21, 2009, and some was probably cut again or made into ground beef, then re-packaged, so packages purchased by consumers may not have identifying information. Customers with questions about the source of a package of beef should contact the place where they purchased it (e.g., grocery store, club store, or meat market).

Nestle's Danville, VA Plant Gets Visits From Federal Food Safety Officials

Federal food safety officials are on the ground at the Danville, VA plant (see picture on right)  that made the recalled Nestle's cookie dough, the Washington Post reported this morning.

The U.S. Food and Drug Administration is trying to solve the mystery of why and how a bacteria found in the gut of a cow found its way into raw cookie dough, causing a national E. coli 0157:H7 outbreak.  From the WP:

Health officials and food producers puzzled yesterday over how E. coli 0157, a bacterium that lives in the intestines of cattle, could have ended up in a product that seems so unlikely to contain it. "It's a fascinating outbreak," said Craig Hedberg, an expert on food-borne diseases at the University of Minnesota. "By just looking at package labeling, there is no reason you would expect an event like this to occur."

The outbreak, which has sickened at least 65 people in 29 states, is the latest worry for consumers in the Washington area and across the country unnerved by a wave of food-borne illnesses, including botulism associated with canned chili and infections from salmonella linked to peanut products. With cookie dough, like peanut butter, being a favorite of children, the latest outbreak is particularly alarming because the young and the elderly are more likely to develop severe complications if infected with E. coli 0157. More than two-thirds of the 65 victims are younger than 19, according to the federal Centers for Disease Control and Prevention. None has died.

The same article raises Nestle's warning not to eat raw cookie dough. But then reports:  William Marler, a prominent food safety lawyer in Seattle who is representing six of the E. coli 0157 victims, said Nestlé's warning label is not a defense. "It doesn't absolve them of liability," he said.

Read more in the Washington Post.

 

FDA Joins States In Warning Against Eating Nestle Toll House Cookie Products; CDC Issues Outbreak Map

It's rare that an "FDA Medwatch" is about food. Usually, such alerts are for medical professionals and address something having to do with drugs or medical devices. The national E. coli 0157:H7 outbreak associated with Nestle's cookie dough, however, is very unusual and this FDA Medwatch has been issued for both consumers and all healthcare professionals:

FDA and the CDC are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7 (a bacterium that causes food borne illness). The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 66 reports of illness across 28 states. Twenty-five persons were hospitalized; 7 with a severe complication called Hemolytic Uremic Syndrome (HUS). No one has died.E. coli O157:H7 causes abdominal cramping, vomiting and a diarrheal illness, often with bloody stools. Most healthy adults can recover completely within a week. Young children and the elderly are at highest risk for developing HUS, which can lead to serious kidney damage and even death.

FDA advises that if consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home that they throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces. Individuals who have recently eaten prepackaged, refrigerated Toll House cookie dough and have experienced any of these symptoms should contact their doctor or health care provider immediately. Any such illnesses should be reported to state or local health authorities.

Please continue reading for the outbreak map, including a case-breakdown by state, from the Centers for Disease Control and Prevention (CDC).

Continue Reading...

Local Newspaper Reports Nestle Is Shutting Down Production At Its Danville Cookie Dough Plant

The Danville News just put this report on its website:

Nestle USA has stopped production in half of its Danville, VA  plant following a Centers for Disease Control and Food and Drug Administration investigation that the company’s cookie dough may be connected to a recent E. coli outbreak.

“The Danville facility makes the majority of our Nestle Toll House refrigerated cookie dough,” said Roz O’Hearn, spokeswoman for the company.

The Danville plant also makes refrigerated pasta, which has not been connected to the E. coli outbreak. Workers will still produce the pasta, but the company is anticipating temporary layoffs for the workers who make the cookie dough in Danville, O’Hearn said.

No other Toll House products are affected by the recall. Officials are asking those with the Toll House refrigerated cookie dough to throw it out or take it back to the store for a refund.

Your Federal Government Weighs In On Toll House Cookie/E. coli 0157:H7 Outbreak

 Following Bill Marler's exclusive last night on his personal blog, the State of Colorado, and Toll House Cookies, the federal government just issued this release on the Toll House Cookie crisis:

 The U.S. Food and Drug Administration and the Centers for Disease Control and Prevention are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7 (a bacterium that causes food borne illness).

The FDA advises that if consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home that they throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces.

Retailers, restaurateurs, and personnel at other food-service operations should not sell or serve any Nestle Toll House prepackaged, refrigerated cookie dough products subject to the recall.

Nestle USA, which manufactures and markets the Toll House cookie dough, is fully cooperating with the ongoing investigation by the FDA and CDC. The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 66 reports of illness across 28 states. Twenty-five persons were hospitalized; 7 with a severe complication called Hemolytic Uremic Syndrome (HUS). No one has died.

E. coli O157:H7 causes abdominal cramping, vomiting and a diarrheal illness, often with bloody stools. Most healthy adults can recover completely within a week. Young children and the elderly are at highest risk for developing HUS, which can lead to serious kidney damage and even death.

Individuals who have recently eaten prepackaged, refrigerated Toll House cookie dough and have experienced any of these symptoms should contact their doctor or health care provider immediately. Any such illnesses should be reported to state or local health authorities.

The FDA reminds consumers they should not eat raw food products that are intended for cooking or baking before consumption. Consumers should use safe food-handling practices when preparing such products, including following package directions for cooking at proper temperatures; washing hands, surfaces, and utensils after contact with these types of products; avoiding cross contamination; and refrigerating products properly. 

 

Nestle Is Out With A Recall Of Its Toll House Cookies --E coli 0157:H7 Contamination Feared

 On the heels of the warning Colorado issued about Nestle Toll House cookies, the company issued the following press release:

(SOLON, Ohio) – June 19th, 2009 – Nestlé USA’s Baking Division is initiating a voluntary recall of Nestlé® TOLL HOUSE® refrigerated cookie dough products.

Nestlé is taking this action out of an abundance of caution after being notified that the Food and Drug Administration, together with the Centers for Disease Control, are conducting an investigation into reported E. coli 0157:H7 illnesses that may be related to consumption of raw cookie dough.

A number of consumers reporting illness reported consuming raw Nestlé TOLL HOUSE refrigerated cookie dough. While the E. coli strain implicated in this investigation has not been detected in our product, the health and safety of our consumers is paramount so we are initiating this voluntary recall.

We have been and will continue to cooperate fully with the Food and Drug Administration and the Centers for Disease Control in this investigation. Providing safe, high quality products to our consumers is our number one priority.
No other Nestlé TOLL HOUSE products are impacted, including already baked TOLL HOUSE cookies purchased outside the home, all varieties of Nestlé TOLL HOUSE morsels, chocolate baking bars, or cocoa, and Dreyer’s and Edy’s ice cream products with Nestlé TOLL HOUSE cookie dough ingredients.
We want to strongly advise consumers that raw cookie dough should not be eaten. This message also appears prominently on our packaging. Nestlé TOLL HOUSE cookies made from refrigerated dough are safe to consume when baked as directed on the package.
Consumers who have purchased these products should not consume them. Instead, we are asking that consumers return these products to their local grocer for a full refund. We invite consumers with questions to contact Nestlé Consumer Services at 1-800-559-5025 and visit our web site at www.verybestbaking.com.
The products involved in the voluntary recall include all varieties of Nestlé TOLL HOUSE refrigerated Cookie Bar Dough, Cookie Dough Tub; Cookie Dough Tube; Limited Edition Cookie Dough items; Seasonal Cookie Dough and Ultimates Cookie Bar Dough. Variety information is included in the list attached.

 

Coloradans Urged Not To Eat Raw Nestle Toll House Cookies

 

DENVER--The Colorado Department of Public Health and Environment is urging Coloradans not to eat raw Nestle Toll House cookie dough because of possible contamination with E. coli O157:H7.

Colorado state health officials, the CDC and several other state health departments are investigating an outbreak of E. coli O157:H7 infections. To date, 66 cases from 28 states have been identified. Preliminary evidence from the multi-state investigation suggests that Nestle Toll House cookie dough may be the source of the outbreak, although further investigation is ongoing.

Five cases have been reported in Colorado in the following counties: Denver, Douglas (2), Jefferson and Weld. Two of the people have been hospitalized, and one has developed a severe complication called hemolytic uremic syndrome (HUS). Of the four people interviewed so far by the state health department, all had consumed the raw cookie dough during the week before they became ill.

Alicia Cronquist, the foodborne disease epidemiologist at the state health department, said, “We can’t be certain that raw cookie dough is the source of these infections, but we are concerned enough that it might be and want consumers to be aware.”

Daniel Rifkin, Wholesale Food Program manager for the Department of Public Health and Environment’s Consumer Protection Division, said, “Nestle is currently evaluating what actions they will take regarding their product. In the meantime, it is important that consumers do not eat or use raw Nestle Toll House cookie dough for now. If you decide to use the product, ensure that the cookies are cooked thoroughly and wash your hands well after handling the raw dough. More information will be forthcoming.”

66 E. coli O157:H7 Illnesses in 28 States Linked to Nestle's Toll House Cookie

Over the last few weeks we have been investigating E. coli O157:H7 illnesses in several states. All seemed unconnected. However, common food items were uncooked Nestles Toll House Cookie Dough, Strawberries, Fruit Roll-ups and Ground Beef. The vast majority reported eating Toll House Cookies.

We now have reports that federal, state and local health officials are investigating a cluster of at least 66 cases of E. coli O157:H7 in 28 states. Reports indicate the ill people's E. coli O157:H7 isolates share a common genetic pattern and likely a common source.

The link appears to have been made to Nestles Toll House Cookies.

Maine's Cumberland And York Counties Have E Coli Cases Connected To National Cluster, According To PFGE Match

 

Maine CDC is investigating a cluster of 7 shiga toxin positive E. coli O157:H7 (STEC) cases in Cumberland and York counties that occurred among residents over the past month (case onset dates of April 17 to May 17). This is double the usual number of STEC cases reported this time of year (n=3). The median age of cases was 26 years (age range 14 years to 65 years). As of May 28, 6 of the 7 cases have been confirmed shiga positive E. coli O157:H7 by the Health and Environmental Testing Laboratory (HETL). Of these, 4 cases match by Pulse-Field Gel Electrophoresis (PFGE) and are considered part of a national cluster. At this time, the investigation is ongoing although we have not identified any common venues, events or foods based on case interviews.

What is PFGE?

When a sample is taken from either a person, piece of meat or poultry that is contaminated with a dangerous form of bacteria, such as E. coli O157:H7, listeria, or campylobacter, it can be cultured to obtain and identify the bacterial isolate. If a person consumes some of the contaminated meat or poultry, and becomes infected as a result, a stool sample can then be cultured to obtain and identify the bacterial isolate. These bacterial isolates are then broken down into their various component parts creating a DNA "fingerprint".

The process of obtaining the DNA fingerprint is called Pulse Field Gel Electrophoresis, or PFGE. This technique is used to separate the DNA of the bacterial isolate into its component parts. It operates by causing alternating electric fields to run the DNA through a flat gel matrix of agarose, a polysaccharide obtained from agar. The pattern of bands of the DNA fragments — or “fingerprints” — in the gel after exposure to the electrical current is unique for each strain and sub-type of bacteria. By performing this procedure, scientists can identify hundreds of strains of E. coli O157:H7 as well as strains of listeria and campylobacter, and other pathogenic bacteria.

The PFGE pattern of the bacteria can then be compared and matched up to the PFGE pattern of the strain of infected persons who consumed the contaminated product. When PFGE patterns match, they, along with solid epidemiological work, are proof that the contaminated product was the source of a person's illness.

It will be interesting to see if Maine, the CDC and other States' Health Departments will be able to link the illnesses in Maine to other states and to a possible source.

A Quick Swim In The E Coli Contaminated Oklahoma River Seemed Like A Good Idea At The Time

It seemed like such a good idea at the time.  Everyone would meet at Regatta Park in downtown Oklahoma City at the corner of Reno and Lincoln.  The race would begin off the docks of the Chesapeake Boathouse with a one lap, 1.5 kilometer swim across the Oklahoma River.  The Boathouse International Triathlon would finish up with a 40k bike race and 10k  foot race with $30,000 in prize money for the winners.

That was two weekends ago. Now, however, the Oklahoma Department of Health has reason to believe at least 20 of the 376 triathlon participants are sick with "gastrointestinal illness"

Race officials went ahead with the triathlon on May 16-17th even though water tests conducted on May 15th showed an E. coli count of 573 per 100 milliliters of water. The state standard for "primary body contact recreation," where ingesting water is possible, is a count no higher than 126 for E. coli.

State health officials are now asking every triathlon participant to fill out an online health survey.

Oklahoma's water woes are becoming all too common.  Private well water was suspected in last year's outbreak of E. coli 0111 in Locust Grove, OK.   The state's final report on that can be found here.  Contamination from "poultry litter" has been a subject for litigation involving both the Oklahoma and Illinois rivers.

E. coli Lawyer - E. coli Outbreak, Illnesses and Death in Ohio, Pennsylvania and Illinois Linked to Valley Meats - Is this the beginning of E. coli Season?

I did not serve hamburger to my kids at our Memorial Day Barbecue – again. Perhaps after 16 years of Litigating E. coli cases make me more wary than most, or perhaps it is the facts that on family of a seven year old is mourning the loss of their child – because she ate a hamburger. When is the Meat Industry going to get it?

The presence of E. coli O157:H7 in hamburger was defined as an adulterant under the Federal Meat Inspection Act in 1994. However, recalls of E. coli O157:H7 contaminated meat and related illnesses continued over the next decade to grow, as did my law firm. Oddly too, and with near regularity, E. coli O157:H7 recalls and illnesses seemed to begin in the Spring and peak in late Summer and Fall from 1993 through 2002.

After 24 million pounds of contaminated beef were recalled in 34 separate incidents in 2002, recalls dropped off to just over a million pounds a year for the next three years, and then to just 181,900 pounds in 2006. The Centers of Disease Control and Prevention saw E. coli O157:H7 – related illnesses drop 48% between 2000 and 2006.

The reality is that from 1993 through 2002, children sickened with E. coli O157:H7 tainted hamburger made up the bulk of my law practice. However, as E. coli O157:H7 hamburger recalls fell from 2003 through the end of 2006, I wondered if the law firm would survive. Springs just simply were not the same.

But then came Spring 2007. E. coli O157:H7, which begins its life in the hindgut of a cow, mounted a surge on its home court. And, it came back with a vengeance. Since the Spring of 2007, forty-four million pounds of beef have been recalled in 25 incidents due to E. coli O157:H7. And, I am now back in the meat business, and look to Spring not just for the beginning of hay fever season.

Coal Valley Meat Processing Plant Has A History Of E. coli 0157:H7 Contamination

Ohio health officials have confirmed the death of a 7-year old Cleveland girl due to an E. coli infection related to what is now a multi-state outbreak traced back to a troubled Illinois meatpacker.

Yesterday's recall of 96,000 pounds of ground beef from Valley Meats LLC was not a first time offense for the Coal Valley, IL business that is known to the United States Department of Agriculture (USDA) as "Establishment 5712."

J&B Meats, listed on USDA records as the processor for Valley Meats, previously:

  • Recalled 63,000 pounds of ground beef on 6/26/02.
  • Recalled 76,000 pounds of ground beef on 8/23/03, and
  • Recalled 173,554 pounds of ground beef on 10/13/07.

Like the current recall, all the previous recalls from "Establishment 5712" were for E. coli contamination. Last time, consumer complaints led to the E. coli discovery. Before that it was the Wisconsin Health Department, and the first time, USDA didn't say.

Both Valley Meats and J&B Meats operate out of 2302 First Street in Coal Valley, IL, sharing the same establishment number and same address and phone number in USDA's files.  J&B also is one of the brand names listed in the Valley Meats recall.

So far three other Ohio illnesses have been linked to the E. coli strain: A three-year-old girl, a 24-year-old man and a 71-year-old man.  People are also believed to be sick in Pennsylvania and Illinois.  MSNBC has a story here.

The Oklahoma State Department of Health (OSDH) Issues Final Report on E. coli 0111 Outbreak Linked to Food Served at Country Cottage Restaurant in Locust Grove

Outbreak Statistics At a Glance

Source of Outbreak: Country Cottage Restaurant, Locust Grove, OK
Outbreak Organism: E. coli O111:NM
Vehicle of Contamination: Unknown
Method of Spread: Foodborne transmission
Confirmed Outbreak Period: Aug. 15-24, 2008
Cases: 341
Hospitalizations: 70
Deaths: 1

The Oklahoma State Department of Health (OSDH) released its final report today on the investigation of the largest E. coli O111 outbreak ever documented in the United States. The outbreak, which occurred in late August 2008 in northeastern Oklahoma, sickened 341 people and resulted in one death.

The report detailed the agency’s extensive epidemiological investigation into the outbreak that included laboratory testing, personal interviews, and an in-depth environmental investigation. While the source of the outbreak – the Country Cottage restaurant in Locust Grove, OK, – was quickly identified, the vehicle for contamination was never found.

Laboratory analyses of specimens provided by those who became sick allowed the OSDH and the federal Centers for Disease Control and Prevention (CDC) to pinpoint E. coli 0111 as the bacterial organism responsible for persons’ illnesses. However, microbiological testing of food products and food preparation and serving surfaces in the restaurant, as well as testing symptomatic restaurant employees, samples from a private water well located on the property, water filters, and the Locust Grove municipal water supply, found no E. coli 0111. The OSDH released multiple situational updates during the investigation that reported no E. coli 0111 had been identified in its extensive testing process. Because the disease-causing organism was not found, the OSDH was unable to eliminate from consideration any of the potential vehicles for transmission of the bacteria into the restaurant, including well water. Even so, analysis of data collected during the investigation suggests there was ongoing foodborne transmission of E. coli O111 to restaurant customers from Aug. 15-24, 2008.

“What is important to remember is that when responding to an infectious disease outbreak, our primary objective is to rapidly identify the source of the infection to contain the outbreak and prevent any further spread,” said State Epidemiologist Dr. Kristy Bradley. “Within 48 hours of being notified of increased cases of persons with bloody diarrhea being admitted to Tulsa area hospitals, we identified the Country Cottagerestaurant as the common source of transmission. The restaurant closed voluntarily and the outbreak was contained.”

According to the CDC, only 10 outbreaks involving E. coli 0111 had been reported nationally prior to Oklahoma’s outbreak. The bacteria are from the family of Shiga toxin-producing E. coli bacteria, or STEC. Persons who ingest STEC may have a diarrheal illness ranging from very mild and non-bloody to severe with very bloody stools. The infectious dose is very small and STEC are often spread by ingesting food items contaminated with fecal matter that are not subsequently cooked. Person-to-person transmission, direct animal contact, and waterborne transmission, either from contaminated drinking water or recreational water, are other exposure routes.

State health officials said as of March 16, 2009, OSDH personnel have reported 6,481 hours of total accrued time and effort dedicated to the E. coli O111 outbreak investigation. This does not take into account the time and effort provided by Tulsa Health Department personnel, student volunteers, or medical staff at various hospitals and clinics who provided surveillance information.

National Western Stock Show Is Focus Of Colorado Report On Front Range E. Coli Outbreak Due Out Soon

 Colorado's state government, from the Legislature on down, was closed Friday due to a spring snowstorm that dumped up to a couple of feet of snow on parts of metro Denver.   Most state workers were sent home around 1 p.m. Thursday and won't be returning until Monday morning.

So had it not been for the storm maybe we'd know by now the results of the Colorado Department of Public Health and Environment investigation into the outbreak of E. coli 0157:H7 that sickened up to 30 children on the Front Range after they attended last January's National Western Stock Show in Denver.

"Thirty people became ill, and we strongly suspect it originated at the stock show," Alicia Cronquist, an epidemiologist for the Colorado Department of Public Health and Environment, told the Denver Post on March 18th.

"We are trying to find out what they did at the stock show that made them sick," said Cronquist.

This includes which exhibits they visited, which shows they went to and which animals they touched, she said.

Of the 30 cases, 29 have been confirmed through laboratory testing as E. coli with the "same fingerprint," Cronquist said. The 30th person sickened, she added, is a "probable case."

A report on the investigation is now due out at any moment---once everyone is back to work.

About 600,000 people annually attend the Stock Show.

Chicken lawyers Want To Depose Oklahoma's Attorney General

Now let's get this straight.  

The State of Oklahoma has sued the poultry industry led by Tyson Foods in federal court to stop the application of poultry litter as fertilizer in the Illinois River watershed.

Then when Oklahoma Attorney General Drew Edmondson suggests poultry litter pollution could be the cause of last summer's  unsolved E coli 0111 outbreak in Locust Grove, which is well outside the IR watershed, Tyson's pr operation charges the AG with trying to influence potential jurors in the IR case.

And now after a bunch of private water wells in the Locust Grove area have been found to be free of the E. coli 0111 strain responsible for the outbreak that killed a local man and sickened 313. but are  contaminated with other forms of the E coli bacteria, Tyson attorneys have asked a federal magistrate to let them depose the AG about the outbreak. 

The AG does not plan on cooperating with the chicken lawyers. "They are talking about a half day or a full day out of my schedule for a fishing expedition," Edmondson told the Arkansas Democrat Gazette.  "I don't intend to be a witness. It's gamesmanship, and I don't intend to play."

Chicken manure in the water is not a new story in Oklahoma.  Tyson's and five other poultry companies agreed to pay a $7.3 million settlement fee to the City of Tulsa, to settle charges that the use of chicken waste as fertilizer had created phosphorus pollution in city's water.

For more on the latest moves in the Illinois River case, go here.

 

 

UK Issues Report of Official Inquiry On 2005 E Coli Outbreak In Wales

The United Kingdom has  finished the inquiry into the island nation's second worst E. coil outbreak in its history. In the 2005 outbreak,  there were 157 cases of E.coli at 44 schools, with 31 children needing hospital treatment. And five-year old Mason Jones, of the Deri Primary School, near Bargoed, South Wales, died.  (The boy and the butcher are both pictured here.)

Now the official inquiry has found William Tudor, the butcher, was responsible. Nothing unexpected about that finding as Tudor, 55, already plead guilty to six counts of placing unsafe food on the market and was sentenced to 12 months in prison.

The official inquiry was extensive. It reviewed more than 45,000 pages of evidence; took 258 statements from 191 witnesses (excluding statements taken by South Wales Police); and heard from 63 witnesses called during six-weeks of public hearings.

While putting the blame squarely on Tudor, the report made extensive recommendations including:

 

  • All food businesses must ensure that their systems and procedures are capable of preventing contamination or cross-contamination of food with E.coli O157.
  • Additional resources should be made available to ensure that all food businesses in Wales put in place an effective food safety management system;
  • Regulatory and enforcement bodies should employ more robust checks;
  • All inspections - primary and secondary - must be unannounced unless, exceptionally, there are specific and justifiable circumstances or reasons why a pre-arranged visit is necessary;
  • Business contracting for the supply of high-risk foods, such as raw and cooked meats, to public sector organisations, must be subject to independent food hygiene audits;
  • All councils in Wales should review their policies, procedure and systems against issues raised in the report.

For more on the report, go here.

 

 

CDC Finds No E. coli 0111 In Oklahoma Well Tests

The Centers For Disease Control and Prevention (CDC)  found plenty of E. coli bacteria in the test samples from private wells in the Locust Grove, OK area.   CDC found E coli  0141, E coli 0179 and E coli 0113.   All are types of bacteria that can cause illness in humans

But CDC found no E coli 0111, the rare strain that killed a man and made 313 others sick last year after they dined at the Country Cottage restaurant in Locust Grove.

The fact that no E. coli 0111 was found in any of the 20 wells that were found to be contaminated does not mean that the rare strain was NOT present in well water  last year.

Prior to the outbreak last year, the Country Cottage for a time used its private well water because low public water pressure.   The Oklahoma State Health Department found the bacteria was introduced into the Country Cottage restaurant, as all those sickened or who died had eaten there and contracted the bacteria at the restaurant. 

But where the E coli 0111 actually originated remains a mystery.  Tests of food items and water last year also came up negative for 011

Tests of at least 70 private wells in the area of the Country Cottage were ordered after the possibility was raised by Oklahoma Attorney General Drew Edmondson that the area’s ground water could be fouled by poultry litter on the surface.  At least 20 wells were contaminated.

The state's investigation into the O111 outbreak appeared to have hit a dead-end before the Attorney General pushed for the well testing. Edmondson Monday charged that state epidemiologist Dr. Kristy Bradley had "botched" the investigation. He says Bradley in private says the Country Cottage well was the source of the 0111 outbreak.

The final Health Department report on the outbreak has yet to be written.

Edmondson was in Denver Wednesday, appearing before the 10th Circuit Court of Appeals and seeking to have the state's injunction against the poultry industry in the Illinois River Watershed from disposing of poultry litter as fertilizer upheld.  It was knocked down by a lower court.

More E. Coli Found In Locust Grove, OK Water Wells

The testing of private water wells in and around Locust Grove, OK continues with the number testing positive for E. coli has increasing to 20.

Three additional drinking water wells were found positive for E. coli. The well testing has also found total coliform bacteria contamination in some wells.

Last year's outbreak of the a rare strain of E. coli, known as 0111, was responsible for one death and 313 illnesses. The Country Cottage restaurant in Locust Grove, which had briefly used well water, was the common factor in the outbreak, but the precise source of the E coli 0111 has remained a mystery.

Oklahoma Attorney General Drew Edmondson, who suspects "poultry litter" from chicken farms in the area could be responsible for the E. coli contamination, turned state investigators on to the well water studies.

Water Tests Positive For E coli; Locust Grove Is Contaminated

With this report out of the Oklahoma Department of Environmental Quality, there are two questions that need answers. First, can DEQ be specific about the strain of E. coli? And, second, can DEQ provide a map of the locations with positive results. We will explain more below. Here's the news:
DEQ says 59 of 74 private water wells tested in Locust Grove are positive for E coli bacteria. A rare strain of E. coli, known as 0111, killed one man and made hundreds sick after eating at the Country Cottage restaurant in Locust Grove last summer.
So, if DEQ has found the rare E. coli 0111 strain, it would amount to a "smoking gun." Further, if the locations that have tested positive are linked to the same underground water source the Country Cottage's own private well, then things really have gotten interesting.
Memo to poultry producers: you may want to back off on the comments about these tests being politically motivated by an ambitious Attorney General. For more about today's findings, go here.

E. coli Outbreak Hits Day Care In Cook County

E. coli at a Lemont, IL day care is responsible for making 21 children and one adult ill in an outbreak that began in early February.
The Cook County Health Department has ordered tests for all children and adults at the KinderCare Learning Center, 12404 Archer Ave.
Officials allowed the day care center to remain open so the children have a place to go and not possibly carry the bacteria to other centers.
Three children associated with the outbreak - linked to a lack of handwashing - were hospitalized but have since been treated and released.
The remaining children carrying the bacteria are all under the age of 5. They, along with the adult, have been sent home along with anyone experiencing diarrhea until tests for the bacteria turn up negative twice within 24 hours.
A person who has no symptoms could still test positive for the bacteria, the department warned.
KinderCare has stepped up its efforts to sanitize the center, including adding enhanced cleaning, additional staff to monitor handwashing, and hiring a certified nurse.

We Call It Political Courage--Kudos To Oklahoma Attorney General Drew Edmondson

 For a company with a corporate rap sheet that's longer than most, you have to admire the brash spokesman for Tyson Foods.  We are talking about the one who wrote an email to the media stating that: "There has never been a single, documented instance of a water-borne bacteriological disease being caused by the use of poultry litter."

Tyson knows a thing or two about clean water, as few have as many convictions for violating the federal Clean Water Act as the nation's largest poultry processor.  So when one of their flacks comes out using the words "never" and "documented" in the same sentence--well color us less than impressed.  

What does impress us is when a state elected official steps up and refuses to take "good enough" for an answer.   Locust Grove, OK, the Country Cottage restaurant, and 341 customers including 72 who required hospitalization and the man who died from E. coli 0111 are part of a mystery that deserves to be solved.

Oklahoma Attorney General  Drew Edmondson has refused to accept state agencies reaching a dead-end in their investigation of the E. coli outbreak.   Since he sued eight Arkansas poultry companies in 2005 for polluting the Illinois River Basin, his office has become expert in the damages that may be caused by "poultry litter.

So when Edmondson put his investigators on the E. coli 0111 outbreak, they couldn't help but notice that within a five mile radius of the Country Cottage were 49 poultry farms raising chickens for the likes of Tyson and Simmons Foods.  Estimates are the operations involve something like 10,000 tons of poultry litter a year.  So much that if it did not impact the ground water it would be a miracle.

To test the Attorney General office's theory, the water from nearly 70 private wells have been tested this week by the Oklahoma Department of Environmental Quality.  Lab results will be available late next week.

In neighboring Cherokee County, however, E coli has been found in the well water of a mobile home park and the property has been put on a "boil water" order.  Until the Locust Grove area results are in, poultry litter will remain a "possible source" of the bacteria that killed one and injured many.

Poultry litter is more than just chicken manure. It is a material used as bedding in poultry operations to render the floor more manageable. Common litter materials are wood shavings, sawdust, peanut hulls, shredded sugar cane, straw, and other dry, absorbant, low-cost organic materials. After use, the litter consists primarily of poultry manure, but also contains the original litter material, feathers, and spilled feed.  (Or we might just call it a potential bacteriological cocktail.)

Shortly before the outbreak, the Country Cottage did use its private well water for a time when city water was not available.

Edmondson by insisting that ODEQ and the Health Department aggressively pursue these lines of inquiry has greatly upset the Arkansas-based chicken industry and even some in Oklahoma agriculture.   But we say that's what political courage is all about.  

Oklahoma's AG Says Poultry Litter May Be Responsible For Country Cottage Outbreak

Last summer a man was killed and 300 people became ill with an unusual strain of E coli  0111.  All were connected to people who were customers of the Country Cottage restaurant in Locust Grove, OK.

But no definite water or food source was found for the E. coli 0111 and what brought the deadly pathogen into the little town located 50 miles east of Tulsa has remained a mystery. Although there was much investigating late last year, the state's Attorney General has come forward with an unusual theory of his own for the outbreak --poultry litter.

The AG office is investigating a possible link between the E. coli outbreak at the Country Cottage restaurant in Locust Grove and poultry litter contamination in the well water.

And the AG is getting his theory a full-blown investigation.

The Oklahoma Department of Environmental Quality (DEQ) will inspect and sample the water in private wells within a five mile area of Locust Grove. The tests are scheduled for Wednesday and Thursday, Feb. 18-19.

“The goal is to protect the public,” said Attorney General Drew Edmondson. He said homeowners who use well water within five miles of Locust Grove can call to have their wells tested. He said the testing is to give homeowners information about what is in their wells so they can make informed decisions.

A report by the AG shows 39 active poultry houses in a 5-mile area of the Country Cottage which produce between 5,000 to 7,000 tons of waste each year. 

Oklahoma's AG is no stranger to fighting poultry litter.   He took the State of Arkansas  to federal court over charges that poultry litter from 13 companies located there are contaminating the Illinois River basin that is shared by the two states.  That case is now in the 10th District US Court of Appeals in Denver.

For more on the E. coli 0111 investigation, check out this edition of The Daily Times
 

Front Range Children Down With E. coli After Visiting National Western Stock Show

Twenty people, including 17 children, from up and down Colorado's Front Range are suffering from confirmed cases of E. coli, Denver Public Health officials said today. The common thread -- all attended the National Western Stock Show held in late January in the Mile High City.

A lab has confirmed 20 E. coli cases but the number is expected to grow, said Chris Urbina with Denver Public Health.

The strain E. coli O157 primarily affected children on the Front Range, from Boulder to El Paso County.

"While the investigation is ongoing, we suspect that these infections are linked to attending the National Western Stock Show, which was held in Denver from Jan. 10 to Jan. 25," the Colorado Department of Public Health and Environment said in a news release.


Although health officials haven't pinpointed the exact cause of the E. coli, the common denominator in all the cases is the stock show, Urbina said.  For 12th year in a row, the National Western Stock Show attendance topped 600,000--making it one of the largest events of its kind in the nation.

No one from the Stock Show has yet addressed the e. coli outbreak.  Many schools take students to the Stock Show.   For more, go here.

Ontario E Coli Outbreak Over; Source Was NOT Confirmed

The E. coli outbreak up in Ontario that dates back to October has officially been declared over.  It impacted the hammer-head southeast area of Ontario that is closest to the United States.

Health officials tied the outbreak to romaine lettuce, but could not nail down the precise source.

The Ontario Ministry of Health and Long Term Care issued this summary: 

"E. coli outbreaks in five health units have been declared over since the risk of ongoing transmission appears to have ended. The last date of onset for a confirmed case was November 6, 2008.

 

"Listed below is the updated number of cases for each of the five public health units, as of Friday, December 5, 2008 :

 

Total Cases

Confirmed Cases

Probable Cases (*)

Niagara

26

13

13

Guelph

26

7

19

Halton

12

6

6

Waterloo

2

2

0

Hamilton

1

1

0

(*) – Probable cases will never be reclassified as confirmed cases, as confirmed cases require laboratory confirmation and a PFGE pattern (DNA fingerprint) that matches the outbreak pattern. Laboratory confirmation or PFGE patterns were not obtained for these cases for reasons such as recovery from illness before samples were taken.

QUICK FACTS
  • The source (or sources) of E. coli was not confirmed.
  • It’s important to wash fresh fruits and vegetables with clean running water to remove any surface dirt, sand and harmful organisms. Soaking in a big bowl of water is not recommended.
  • Products that have been labelled as pre-washed should be washed again at home.
  • There are about 350 cases of E. coli O157:H7 each year in Ontario.

For more from the Ministry, go here.

 

Site of Largest E Coli 0111 Outbreak in History Re-Opens In Oklahoma

 Just a couple days short of three months of being closed after being cited  as the source of the largest E. coli 0111 outbreak in modern history, the Country Cottage In Locus Grove, OK re-opened this weekend.

The restaurant located 50 miles east of Tulsa off the Cherokee Turnpike was allowed to re-open after reaching an agreement with state health officials.   The Country Cottage had to disconnect a private well on the property, allow for environmental testing in the restaurant anytime upon demand by state health officials and implement a monitoring system for employee hand-washing.

The August outbreak became the largest in the nation's history for the rare E. coli strain O111, killing one man and sickening more than 300 adults and children in the rural community of 1,500.

Those sickened range in age from a few months to 88 years.

The outbreak has been blamed for the death of 26-year-old Chad Ingle of Pryor, who died Aug. 24, a week after eating at the restaurant.

Several young children required dialysis after being sickened.  For more on the re-opening go here.

 

Yep, You Can Get E. coli 0157:H7 From Getting Too Friendly With Wild Elk

 

Unless you reside in the Rocky Mountains where wild Elk come every winter looking for food and warmth, you probably do not have to worry about this one.

However, if you or your kids go to someplace like Evergreen High School southwest of Denver, chances are Elk many times have rested on your football field or golf course.

So when, Jefferson County, west of Denver, found it was looking at a cluster of E. coli 0157:H7 cases, Elk and their droppings were suspect. Today's Rocky Mountain News reports:

"We track every case of E. coli 0157:H7," said Dr. Gayle Miller, senior epidemiologist with Jefferson County Health and Environment. Usually, the outbreaks are so sporadic that no useful links can be made.

This time, though, she found eight cases of the same strain. All eight kids were between 4 and 12 years old - six from Jefferson County and one each from Park and Clear Creek counties.

"We knew we had a cluster," she said.

"Next, she and her staff used a relatively new test, Pulse Field Gel Electrophoresis, and found that not only was the strain the same, but each child's E. coli had almost identical genetic markers.

She and her staff interviewed the kids to see if they could find a pattern.

"All did say they spent some time in the Evergreen area," Miller said.

They all were close to elk country, either through sports teams or spending time in parks.

This is first time that E coli contamination in humans has been directly linked to deer or elk. The rest of the story is here.

Two E. Coli 0157:H7 Cases Confirmed in Fayetteville, TN

Tennessee has two laboratory-confirmed cases of E.coli 0157 from the Fayetteville-Lincoln County area with an ongoing investigation into what made as many as 180 people sick. At this point, the Tennessee Department of Health is clueless about the source of the contamination.

The Elk Valley Times, based in Fayetteville, reports:

"The Department of Health has two laboratory-confirmed cases of E.coli 0157 from the Lincoln County area," Shelley Walker, communication coordinator for the Tennessee Department of Health in Nashville, said late Monday afternoon.

"After an extensive investigation, so far no source for these cases of illness has been identified," she said.

"We have interviewed more than 180 people as part of this ongoing investigation."

The Health Department did not have specific information about the patients involved in the case, Walker said, however, the investigation into the source of the illnesses and any other suspected cases continues.

The rest can be found here.

 

 

 

 

U.S.-Canadian Outbreaks May Be Linked

 

E. coli outbreaks in Halton, Niagara and Waterloo that have sickened hundreds have been linked by DNA tests showing they share the same rare genetic makeup. Public health officials are also investigating whether E. coli cases at the University of Guelph have the same DNA fingerprint. Of the cases linked in Ontario, 13 have been confirmed in the Niagara Region, three in Halton and two in Waterloo. Another 106 cases in Niagara and Halton are being investigated. In the United States, the genetic code recently showed up in five cases of the food-borne pathogen in Southern California, South Dakota and New Jersey

Apple Cider Suspected in Tri State E coli Outbreak

Apple cider is suspected as a the cause of E coli poisonings in Iowa and Illinois.   There are now a half dozen E coli cases in the area.  According to WKOW-TV in Madison,Wisconsin:

There are now six confirmed cases of E coli in the Tri-States, and a source might have been discovered among the ones in Southeast Iowa.

According to the Burlington Hawkeye, late last week, the Des Moines County and Lee County Health Departments each confirmed another infection.

That puts the E coli case count at three in Lee County, two in Des Moines County, and one in Hancock County.

Yesterday, the Hancock County Health Department released a statement saying their case was unrelated to the recent Iowa infections. The Hawkeye reports that sources close to the Iowa cases believe that unpasteurized apple cider caused children to become sick.

However, no businesses or facilities have been asked to shut down in connection to the cases.

It is not uncommon for ground apples to be used for making cider, but people often forget that cows often visit such areas first.  Also the Iowa Department of Public Health put out a press release Tuesday warning people to take caution when drinking unpastuerized apple cider.

The story of one of the victims, 7-year-old TiAhnna Bryant, can be found here.

 

Third Restaurant Closes Due to E Coli Outbreak in Ontario

There are fewer restaurants open in Ontario due to E coli outbreaks.   Add M.T. Bellies in Welland to the list that already includes the Little Red Rooster restaurant in Niagara-on-the-Lake and Harvey's in North Bay--all closed because they are associated with ongoing E coli outbreaks.

The Canwest News Service reports that:

Health officials in the Niagara region are investigating eight new cases of E. coli infection, bringing to 31 the number of people suspected of having been sickened by the food-borne bacterium.

Eighteen of the currently suspected cases have been linked to the Little Red Rooster restaurant in Niagara-on-the-Lake, Ont., and nine cases are connected to M.T. Bellies in Welland, Ont., Niagara Region Public Health officials said Thursday.

The remaining four have not yet been tied to a particular locale.

Medical officials have not yet been able to identify a specific source for the O157: H7 strain of E. coli at the centre of the outbreak.

Four hundred miles north, North Bay Parry Sound District Health Unit officials were investigating 235 cases in the central Ontario city, 45 of which have been confirmed as caused by the particular strain of E. coli.  Harvey's restaurant in North Bay closed on Oct. 12th.

 

Second Ontario Restaurant Making Its Customers Sick With E Coli

There are almost 400 miles between the Harvey's restaurant in North Bay and the Little Red Rooster restaurant in Niagara-on-the-Lake, but the two Ontario restaurants may be sharing a E. coli outbreak.

In North Bay, the number of confirmed E. Coli cases was up to 229.   In Niagara,  the count stood at 18.

Bjorn Christensen, the Niagara's director of environmental health, said they have not yet been able to determine the specific source of the E. coli, but it is commonly found in undercooked beef.

Investigators are looking at other possible sources, including other restaurants and food distributors in the area.

Christensen said that given the restaurant's popularity with tourists and proximity to the U.S. border, it is possible new cases might be found outside of the region.

Meanwhile, in the central Ontario city of North Bay, health officials said 12 more cases of E. coli are being investigated for a total of 229 cases.

Forty-four of those cases have been confirmed to be E. coli O157: H7.

Both Ontario restaurants closed as a result of the E. coli outbreaks (or outbreak)  Go here for more.

North Bay E Coli Outbreak Grows To 190

Harvey's restaurant in North Bay, Ontario must have been a popular place.   The number of E coli 0157:H7 cases linked to Harvey's increased today to 190, up from 158 just a day earlier.   Of those, 36 have been confirmed by laboratory results.  CBC News gave this report:

"We believe the increase in the number of cases is largely due to people who are still reporting their symptoms and are within the expected timeframe of the outbreak," the North Bay Parry Sound District Health Unit said in a statement.

The cases are spread across nine health unit districts in Ontario and one in Quebec, and the majority remain linked to the Harvey's on Algonquin Avenue in North Bay, the city's health unit said.

All of the initial food samples collected on Oct. 12, when health officials shut down the restaurant, have tested negative for E. coli strain.

All of the packaged food from the restaurant have also tested negative for E. coli, according to the Canadian Food Inspection Agency.

Go here for more, including information on contacting the District Health Unit.

Michigan State E Coli Victim Files Lawsuit

A University of Michigan student has filed a lawsuit against Detroit-based Aunt Mid's Produce in connection with a statewide E. coli outbreak last month.  The lawsuit -- the second against Aunt Mid's since the outbreak -- was filed Monday in Washtenaw County Circuit Court on behalf of a U-M senior who alleges she was sickened in the outbreak, which has been linked to Aunt Mid's.  At least 38 people were sickened in Michigan last month by an E. coli strain linked to industrial-size packages of iceberg lettuce distributed by Aunt Mid's to restaurants and institutions. In her complaint, the student says she consumed the contaminated lettuce in mid-September, and by Sept. 19, she began to experience abdominal cramps, vomiting, and bloody diarrhea.  She sought treatment at the University of Michigan Health Service Clinic. An MSU student has also sued Aunt Mid's in connection with the E. coli outbreak.

Ontario, Vermont, & Washington State All Tracking E. coli Outbreaks; Meat Recall Underway

We are beginning to wonder if the number and seriousness  of E. coli 0157:H7 has become so routine  that its like background music.  

The North Bay, Ontario outbreak has  reached 159 confirmed and suspected cases, say Canadian health officials.  South of the border, there are 10 more 0157:H7 victims in Vermont, where Vermont Livestock, Slaughter and Processing Co. has recalled of 2,758 pounds of ground beef due to the fact that they may be contaminated with E. coli.

Across the country north of Seattle, health officials in Snohomish County say they are investigating at least six cases of E. coli poisoning.

Some of the anger that is common with E. coli victims was documented by The Canadian Press.  It reports:

Twenty-year-old student Kelly Fortier says she's angry her life has been put on hold since eating two weeks ago at a local Harvey's restaurant linked to the outbreak.

She suffered terrible cramps and bloody diarrhea and was hospitalized for four days, and she still can't go to school or work.

"I'm still in isolation - I can't go anywhere," Fortier said.

"I have other things to do, which I can't do. I was upset when I was in hospital, because I thought I was dying. But mainly I'm just angry."

 

Oklahoma Was Slow To Close Popular Locust Grove Restaurant

The Oklahoma State Health Department arrived in Locust Grove at nightfall last Aug. 22nd to investigate multiple reports of food poisoning in the area.

They knew by the next day that the Country Cottage restaurant was implicated in the outbreak, but allowed popular family dining spot to remain open until it closed voluntarily three days later on Aug. 26th.

The slow response was detailed today by Daily Oklahoman reporters Tony Thornton, Randy Ellis and Nolan Clay.  They reported that:

State Health Department officials allowed a Locust Grove restaurant to stay open temporarily — even after confirming six of eight initial food poisoning victims had eaten its food, internal documents show.
That decision may have resulted in additional people getting sick.

A rare strain of E. coli, 0111, caused the outbreak that killed a 26-year old man, put 72 in the hospital including seriously injured children, and made another 241 sick.

The Country Cottage remains closed. According to health officials, every 0111 victim had consumed food prepared by the Country Cottage. Officials have been unable to isolate a single source.

The work of the Oklahoman's investigative reporters can be found here.

 

Harvey's Restaurant in North Bay Linked To E. Coli Outbreak

Canada has seen more of its fair share of food-borne illness in recent months, especially with the Maple Leaf listeria outbreak that has killed 20.   Now its got a full-blown E. coli outbreak on its hands as well.

Ontario's North Bay Parry Sound Health District today is reporting its:

...caseload of people who are ill with symptoms of E coli O157:H7 has increased overnight, as was anticipated. There are now 14 lab-confirmed cases of E coli and 38 are under investigation, bringing the total to 52 cases connected to this E coli outbreak investigation. All of the people who have become ill are linked to the Harvey’s Restaurant on Algonquin Avenue since September 28th 2008.

Unfortunately, because of the number of meals served at Harvey’s Restaurant on a daily basis and the long incubation period of E coli O157:H7, we did predict that there would be an increase in the number of people who might be affected.” says Dr. Catherine Whiting, Medical Officer of Health.   “Right now, I can tell you that the ages of the people who are ill range from 9 years old up to 84 years of age. Some of them are in hospital and some are recovering at home.”

Public Health Inspectors continue to collect information and analyze data to ensure that all possible sources of E coli are being investigated. City of North Bay emergency crews also conducted extra testing on the municipal water during the weekend. Lab test results confirm that drinking water is not the source.

For more from the Health District, go here.  North Bay is a city of about 54,000 in northeastern Ontario.  Its history is associated with the Canadian Pacific Railway.

Raw Milk Farms Celebrate; Their Product Sends Three To Hospital

Today farms selling raw milk in Vermont held open houses. They invited city and town folk to "hop from farm to farm and spend the afternoon getting to know the farmers, dairy cows and goats in your community and beyond. Tour the farms, taste the milk, and even purchase a gallon to bring home!"

When they picked Sunday, Oct. 5, for the event, the raw milk dairies probably did not anticipate it would coincide with an E. coli outbreak blamed on their product.

Three people from Orleans County, Vermont are down the E. coli after consuming either raw milk or ice cream made with raw milk, health officials say.

In Vermont, farmers are allowed to sell small quantities of raw milk and raw milk products, but only on the farm. State health officials and the state Agency of Agriculture recommend that raw milk not be consumed.

The suggested donation for Sunday's open house was $10 per family, and all proceeds went benefit Rural Vermont's Farm Fresh Milk Campaign. Maybe the Campaign will step up and pay some medical bills!   But we bet the milk goes sour long before that happens.
 

Boulder, Where The Rich Always Keep Secrets, Won't Say Which Sorority Has E coli Outbreak

Public Health Officials Investigating wave of E. coli cases

Boulder County Public Health (BCPH) is currently investigating a cluster of E. coli O157:H7 infections associated with students attending the University of Colorado at Boulder (CU). Since September 23rd, BCPH has investigated eight related cases.

Initial investigations indicate that on-campus dining is not related to the illness. BCPH 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.  According to the Daily Camera, Initial investigations showed that on-campus dining isn't related to the outbreak, but health officials are still trying to identify the source. Of the eight cases, seven are CU students and one is a sorority adviser. Most of the affected students are members of the same sorority, which CU officials declined to name.

There have been recent E. coli outbreaks traced to steaks and lettuce.

Outbreak May Be Over, But Suffering Continues In Locust Grove, OK

There are places with bad karma and it makes you wonder why.   Locust Grove, OK is such a place.  The town of 1500 was, 30 years ago, the center for the murders of three Girl Scouts at camp.  Murders that remain unsolved.   Then there was the more recent killing of an elderly couple south of town. Killings that remain unsolved.

Now there's the outbreak of E. coli 0111 that made more than 300 sick and killed 26-year old Chad Ingle, a bank teller and newlywed from the nearby town of Pryor.  Officially the outbreak is over, but the suffering continues.

KJRH-TV 2 in Tulsa reports:

13-year-old Lexy Morton was hospitalized due to E. coli for five weeks.

"She went through kidney dialysis.  She had trouble with her pancreas, her kidneys, and her liver.  She's lost a lot of muscle mass and a lot of weight," said Becky Morton, Lexy's mother.

She's been out of the hospital for a week now, but her treatments aren't over yet, "They're still taking bloodwork.  We have to go a couple of times a week to the doctor," said Morton.

The Morton family is uninsured and now coping with $800,000 in medical bills.  For more, go here.

Health officials have yet to find out how the 0111 strain of E coli got into the Country Cottage restaurant in Locust Grove, where most of the victims contacted the bacteria.

Whether or not it will remain another Locust Grove unsolved mystery remains to be seen.  With the bad karma, however, we fear his too may remain unsolved.

If Your "Aunt Mid's" Place Is In Detroit, You've Got A Problem!

The Michigan Department of Community Health is issuing a public health alert after dozens of cases of E. coli surfaced. It now appears the E. coli outbreak is linked to iceberg lettuce that came from a wholesale distributor.

As a precautionary measure, the Michigan Department of Community Health (MDCH) is issuing a public health alert due to illnesses from the 26 cases of E. coli strain O157:H7 that are thought to be associated with bagged, industrial-sized packages of iceberg lettuce sold through wholesale venues to restaurants and institutions.

There is no evidence that the bagged lettuce at grocery stores is affected.

Some of the 26 Michigan cases consumed shredded or chopped iceberg lettuce in restaurants or institutions purchased from Aunt Mid's Produce Company, a Detroit-based wholesale distributor; and other distributing outlets could be identified. Product trace back and additional tests results are still in progress.

Our top priority at the Michigan Department of Community Health is to protect the public, said Dr. Gregory Holzman, chief medical executive for MDCH.  We appreciate all of the assistance from Aunt Mid's. They have been very helpful in this investigation. We want to ensure that the public's health and well-being is protected. Even though the investigation is ongoing, available evidence is strongly pointing to iceberg lettuce.

The 26 genetically linked cases are present in eight Michigan counties including seven at Michigan State University (Ingham County), five inmates at the Lenawee County Jail, three students at the University of Michigan (Washtenaw County), four in Macomb County, three each in Wayne, two in Kent counties, and one each in St. Clair and Oakland counties. Of the E. coli O157:H7 cases that are genetically linked, 10 have been hospitalized. These linked cases range in age from 11 to 81 years old. Symptoms of these confirmed genetically linked E. coli patients began on Sept. 8. More confirmed cases could surface as the investigation continues

Ten Students At Michigan State University Are Down With E. coli 0157:H7

The“particularly dangerous” type of E coli (0157:H7) is said to be responsible for an outbreak at Michigan State University. Ten students living on campus are sick.  According to the Detroit Free Press:

Tests have confirmed that the strain of E. coli that infected at least ten Michigan State University students last week is a “particularly dangerous” type. It’s the same strain that killed several young children in the Pacific Northwest in 1993 after eating hamburgers at Jack-In-the-Box restaurants, Dr. Dean Sienko, director of the Ingham County Health Department said.

The strain was confirmed by tests this morning, as the health department and health officials at the East Lansing school sought to determine the source of the outbreak.

Still, the infection seems to have been contained. No one has sought medical treatment since Thursday, Sienko said.

Sienko told the Free Press the ten cases could, however, represent the "tip of the iceberg" as many victims of food borne illness do not seek medical treatment.  For more, go here.

 

More E. coli Cases In OK-A Clue In Broken Arrow?

The wording that has been used in the Oklahoma State Health Department releases have left us with no doubt that the number of victims in the E. coli 0111 outbreak could continue to increase.   That happened on Friday, when the total number climbed to 291.  We were waiting for more detail, which has yet to come out.   Since its now Monday, we though we'd best pass along what was said. Here you go:

The Oklahoma State Department of Health (OSDH) said Friday, Sept. 12th that  its investigation of the E. coli 0111 outbreak in northeastern Oklahoma has now confirmed at least 291 persons have become ill. Of that number, 227 were adults and 46 were children; the ages of 18 cases have not yet been identified. One person has died.

At least 67 persons have been hospitalized including 16 who have received dialysis treatment. Of that number, nine were children and seven were adults.

More than 1,700 persons have been interviewed thus far, including 228 persons on Thursday. Today is the last day the OSDH will interview persons who ate at the Country Cottage restaurant in Locust Grove, OK, Aug. 15-17. In particular, the OSDH wants to talk with families with young children who ate at the restaurant and did not become ill. Persons can call the OSDH at 1-800-990-2769 through 8 p.m. today.


The OSDH, Tulsa Health Department, and a team from the federal Centers for Disease Control and Prevention are also investigating an event catered by the Country Cottage restaurant at the Bethany Free Will Baptist Church in Broken Arrow on Aug. 16. About 250 persons attended the event and health investigators have interviewed about 160 thus far to see if they became ill after eating at the event and if so, what their symptoms were. At least 30 of those attending have indicated they became ill with diarrhea or other milder symptoms.


Oklahoma Says Food Samples Are Clean; Mystery Continures

The laboratory analysis of food samples taken from the Country Cottage restaurant found no disease-causing pathogens, the Oklahoma State Health Department (OSHD) announced today.  Earlier, no disease-causing pathogens were found in either the well water available for use at the Country Cottage nor the Locust Grove public water.  Nor was anything found on the counters or other surfaces at the Country Cottage.

So, there is an unsolved mystery in Locust Grove, OK.  Today's OSHD update also said:

"...its investigation of the E. coli 0111 outbreak in northeastern Oklahoma has now confirmed at least 248 persons have become ill. Of that number, 202 were adults and 46 were children. One person has died.

At least 64 persons have been hospitalized including 16 who have received dialysis treatment. Of that number, nine were children and seven were adults.

Check out the rest here.

OSDH Updates Numbers In E coli 0111 Outbreak

While we wait for laboratory analysis of food samples from the Country Cottage restaurant in Locust Grove, OK, there was this update:

The Oklahoma State Department of Health (OSDH) said today at least 231 persons have become ill as the result of an E. coli 0111 outbreak in northeastern Oklahoma. Of that number, 185 were adults, 43 were children and the ages of three cases have not yet been confirmed.

At least 61 persons have been hospitalized including 16 who have received dialysis treatment. Of that number, nine were children and seven were adults.

The OSDH cautions that the number of reported cases and hospitalizations associated with the outbreak are likely to change as the investigation continues.

One man who became ill also died.   For more from OSDH, go here.

Meanwhile, families with victims of the outbreak are retaining Bill Marler to represent them as reported by this Fox News report.



Food is Final Focus of Investigation into E. coli 0111 Outbreak

The largest outbreak of E. coli 0111 remains unsolved.   Here's the latest from state officials:

The Oklahoma State Department of Health (OSDH) said today that analysis of environmental samples taken from the Country Cottage restaurant in Locust Grove, OK, indicated no disease-causing pathogens were found on the restaurant’s surfaces. The restaurant has been the focus of an ongoing investigation into the source of an E. coli 0111 outbreak in northeastern Oklahoma.

“We found no firm evidence of E. coli 0111 on food preparation and serving surfaces,” said State Epidemiologist Dr. Kristy Bradley. “I would caution, however, that it is very challenging to go to the scene of a food-borne illness outbreak and try to retrieve an organism from surfaces that may have been cleaned since any contamination took place.”

E. coli 0111 was identified from laboratory specimens of patients sickened by the outbreak.


Laboratory analysis of foods sampled at the restaurant is continuing.

State officials previously eliminated both well water available for use at the Country Cottage and Locust Grove public water as sources of the outbreak that has killed one 26-year old man and made more than 200 others very sick.

About 1300 people, including many Country Cottage patrons who did not get sick, have been interviewed by health officials.

Check out this headline in today's Oklahoman for more: Cause of northeast Oklahoma E. coli outbreak still sought


CDC Joins Oklahoma Investigation Into E Coli 0100 Outbreak: Locust Grove Suffers Along With Victims

There is no reason now to get off the Cherokee Turnpike, northeastern Oklahoma's toll road, at Locust Grove.   The Country Cottage remains closed, few want to go to any other Locust Grove restaurants, and they've even called off a high school football game.

That's what happens when you are the center of a mystery outbreak of the rare E. coli 0100.  The northeast Oklahoma outbreak is one of only ten, according to the Centers for Disease control.  In the 10 previous similar outbreaks the source has been found in only two.

One was a salad bar at a cheerleading camp in Texas in 1999 and the other was unpasteurized apple cider in New York in 2004.

And even though the Oklahoma State Health Department (OSHD) says its safe for people to visit Locust Grove and eat in the restaurants that remain open, people are staying away and business is real slow.

It's bad. Everybody's having a real rough time surviving," said Linda Shipley, who has owned Cook's Restaurant for 17 years. "We know for a fact that the people who were sick were not my customers. It's kind of crucified us because of it."

For more on Locust Grove restaurants, go here.

But with more than 200 sick and one dead, people are moving through Locust Grove as quickly as possible.  The nearby Wagoner School District even refused to bring its team into Locust Grove for a pre-season scrimmage.

"I'm responsible for those little kiddos and, here again, it being just a scrimmage, I didn't want to risk anything happening," said the Wagoner Superintendent.

Meanwhile OSHD has a big weekend planned.  

In our efforts to establish if there is an association with particular food items and illness, we will be interviewing more persons to find those who ate at the Country Cottage and did not become ill,” said State Epidemiologist Dr. Kristy Bradley. “In an investigation of this scope, it is as important to collect information on those who did not get sick as those who did become ill. We’ve determined that our statistical database does not adequately represent those who ate at the Country Cottage but did not become ill.”

OSHD has the names of 320 people who ate at the Country Cottage but did not become ill during the critical dates of Aug. 15-17 when most of the victims did partake at the popular restaurant.

These newly identified persons will be contacted this weekend to see if they can recall what food items they ate and if they got sick afterward. “This information is necessary so that we can make the distinction between what might have been a popular food choice versus a valid association with illness,” Bradley explained.

The Foodborne and Diarrheal Diseases Branch of the federal Centers for Disease Control and Prevention (CDC) has joined Oklahoma's investigation.

Also on Saturday, Lexy Morton hopes to be able to get out of her hospital bed for her 13th birthday.  She is one of the victims of the Country Cottage outbreak, and her story can be found here.

E. coli 0111 Outbreak Continues To Increase East of Tulsa

The Oklahoma State Department of Health (OSDH) reports this weekend that at least 176 persons have become ill as a result of the E. coli O111 outbreak in northeastern Oklahoma. Cases include 128 adults and 48 children. Federal and state health officials say E. coli O111 is a rare type not normally associated with an outbreak this large. OSDH disease investigators, along with staff from Tulsa Health Department and area local county health departments, have interviewed more than 450 persons in an effort to identify the source of the outbreak. Interviews continue this weekend. While the source has not yet been identified, health officials continue to focus on the Country Cottage restaurant in Locust Grove, OK, after interviews with cases indicated most had eaten there during the time period Aug. 15 through Aug. 23.

The restaurant is closed while the investigation continues. Not all persons who ate at the restaurant have become ill. No other restaurant or food service outlet in the area has been linked to the outbreak. OSDH laboratory analysis of water samples taken from a private well on the restaurant property has cleared the well water as  the source of the outbreak.

Prior Outbreaks of E. coli O111:

Community Outbreak of Hemolytic Uremic Syndrome Attributable to Escherichia coli O111:NM -- South Australia, 1995

Outbreak of diarrhoea due to Escherichia coli O111:B4 in schoolchildren and adults: association of Vi antigen-like reactivity

Escherichia coli O111:H8 Outbreak Among Teenage Campers - Texas, 1999

Outbreaks of food poisoning in adults due to Escherichia coli O111 and campylobacter associated with coach trips to northern France

Country Cottage's Use Of Private Well Water May Have Been Fatal

The outbreak of a rare strain of E. coli centered east of Tulsa has now made 116 people sick, put 50 into area hospitals and taken at least one life. The Oklahoman today is reporting that well water tests at the Country Cottage restaurant are raising more questions about the source of the deadly E. coli 0111.

According to The Oklahoman story by John David Sutter:

The state Health Department says its inquiry into a deadly E. coli outbreak in northeast Oklahoma remains focused on food from a buffet restaurant in Locust Grove, even though tests of the restaurant's well water show possible bacterial contamination.

Water tests released Friday by the state Department of Environmental Quality show a private water well at the Country Cottage restaurant may be contaminated with potentially harmful bacteria. But the tests are inconclusive and "may be a very peripheral finding” in the state's overall investigation into the outbreak, state epidemiologist Kristy Bradley said.

 The Country Cottage used its private and untested well water when the public supply was not available.   A city water line break on or about Aug. 10th caused the restaurant to switch to its back up source.   But the restaurant claims it was back on public water when most people who got sick dined there, between Aug. 15 and 17.

Using untested private well water in a public restaurant may be illegal in Oklahoma.

Can we say for sure it was the water that caused the outbreak? No, we can't. But we also can't rule it out,” said an Oklahoma Department of Environmental Quality spokesman.

State officials said the public water supply undergoes regular testing and is safe, but urged other private well owners in the area to get their water tested as soon as possible.

Go here for more.

 

Tulsa's 2 Discovers Country Cottage Has Dirty Record

Beth Burnett at KJRH-TV 2 in Tulsa appears to be digging into that area's E. coli outbreak, finding that the ill-fated Country Cottage restaurant has a long history of negative inspections by local health authorities.   The popular Locust Grove, OK restaurant racked up a staggering 88 health violations in the last four years.  

Burnett also reports:

  • The state health department reports a restaurant suspected of causing an E-eoli outbreak, has officially been linked to the cause.
  • Meanwhile, one man who died from the illness has been laid to rest.
  • Most of the ill report eating at the Country Cottage restaurant in Locust Grove.
  • Health department officials say they do not believe the contamination came from an outside food source.
  • In fact, they say the mistake could have been as simple as placing two different kinds of food too close together.

As we understand it, the Country Cottage was a buffet style restaurant, so placing "two different kinds of food too close together' would have been standard practice.  For the rest of 2's story, go here.

Locust Grove, OK's Country Cottage Said Responsible For Death and Illnesses

 Locust Grove, Oklahoma, population 1400,   is about 50 miles east of Tulsa.  A local hamburger joint called D.J.'s was made famous by local country-western star Mica Roberts.  But an apparent outbreak of E. coli 0157:H7 is making another Locust Grove restaurant famous in the worst way.

The Country Cottage is at the center of an ongoing possible outbreak of E. coli 0157:H7 that is now said to be responsible for at least one death and three dozen illnesses.  The name of the person who died has not yet been released.   As many as 30 people suffering from symptoms of E coli are being care for at hospitals in Tulsa, Beggs, Bixby and Pryor.

The Country Cottage is also known at the Blue House to locals who frequent it.

When we have more information from Oklahoma health officials, we will be back with an update.

Pay E. Coli Boy Scouts' Medical Bills and Parents Lost Wages, Marler Clark Urges S&S Foods

"Blog Release"

Bill Marler, food safety advocate and E. coli attorney, whose Seattle law firm, Marler Clark, has been contacted by victims of the E. coli outbreak traced to the S&S’s hamburger recall and outbreak that has sickened at least 80 Boy Scouts, called today on S&S to pay the medical bills and lost wages of all individuals who became ill with E. coli infections as part of the outbreak.

“We know that at least eight became ill with E. coli infections after eating S&S hamburger,” Marler said. “The cost of treating victims of E. coli infections can run in the tens of thousands of dollars, or in a severe case, even in the hundreds of thousands of dollars,” Marler continued. “These families need S&S to do more than promise to cooperate in the investigation into this outbreak. They need to know that S&S intends to fulfill its corporate responsibility by looking out for its customers.”

Marler noted that in other outbreak-situations companies such as Chi-Chi’s, Dole, Jack in the Box, Con Agra, Odwalla and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

Since the Jack in the Box E. coli outbreak in 1993, Bill Marler has represented thousands of E. coli victims against corporations such as AFG, Bauer Meats, BJ’s Wholesale Club, Byerly’s, ConAgra, Cub Foods, Dole, Emmpak, Excel, Finley School District, Fresno Meat market, Gold Coast Produce, Habaneros, Interstate Meats, Jack in the Box, Karl Ehmer, Kentucky Fried Chicken, King Garden, Kroger,  Lunds, McDonalds, Odwalla, Natural Selections, Nebraska Beef, Olive Garden, Peninsula Village, Pat & Oscar’s, PM Beef Holdings, Sam’s Club, Sizzler, Spokane Produce, Sodexho, Supervalu, Taco Bell, Taco John’s, Topps, United Food Group (UFG), Walmart, Wendy’s and Whole Foos. Total recoveries on behalf of victims are in excess of $300,000,000.

Several times a month Bill, through the non-profit OutBreak, Inc., speaks to industry and government throughout the United States, Canada, China and Australia on why it is important to prevent foodborne illnesses. He is also a frequent commentator on food litigation and safety.

Tags:

84 Boy Scouts With Symptoms of E. coli 0157:H7

Lisa Crutchfield of the Times-Dispatch reported this morning that about 84 people who attended the camp at the reservation between July 20 and Aug. 2 have shown symptoms of the E. coli O157:H7 infection.  Twenty-five children in Northern Virginia have been lab-confirmed with the E. coli O157H7 infection and eight Virginia Scouts have required hospitalization, said Virginia health officials.  In addition, five cases of E. coli O157:H7 have been confirmed among those who returned from Goshen to Maryland.

S&S Foods of Azusa, California recalled about 153,630 pounds of frozen ground beef linked to E. coli O157:H7 infections at Goshen Scout Reservation in Rockbridge County.  Health officials matched samples of beef removed from the Scout reservation to bacteria found in stool samples of some of the affected campers.

According to the CTI website, "CTI Foods is a privately held company owned by a group of foodservice industry veterans.  The Company was established in July 2003 through the acquisition and merger of SSI Food Services, Inc. and S&S Foods, LLC.  Since then, the Company has expanded its operations into Texas by opening two additional processing facilities.  Production operations have been in place since 1986 in Idaho, 1998 in California, and 2004 in Texas."

As I said to the LA Times yesterday:

Since spring 2007, more than 19,500 tons of E. coli-tainted beef have been recalled in more than 30 separate incidents, according to Seattle attorney and food safety expert William D. Marler.

The Massachusetts Department of Public Health announced Monday that it was investigating six cases of E. coli that might be linked to a multi-state outbreak involving tainted meat from Nebraska Beef of Omaha. So far, at least 50 people have been sickened.

"Nobody I've talked to has any idea why we're seeing an increase, though everybody has a different theory," Marler said. "The meat industry basically has no answers. It's pretty frustrating -- there'll be some hand-wringing, a bunch of lawsuits and nothing will be done until three months later, when it all happens again."

E. coli O157:H7 Tainted Hamburger Linked to Boy Scout Illnesses in Virginia

One would think that it is a really bad idea to poison boy scouts a few hours outside of Washington DC with E. coli-tainted hamburger, but apparently not.

According to press reports, Virginia Health officials confirmed today that beef taken from the Boy Scout camp in Goshen tested positive for the E. coli O157:H7 bacteria. However, Alan Lambert, the Scout Executive for the National Capital Area Scout council says the Virginia Department of Health says it may not be the only culprit in the outbreak there. He held a press conference in Bethesda, MD Monday morning. Lambert says the USDA is continuing with its investigation.

Health department officials have confirmed at least 14 boys and one adult were infected with E. coli while attending a Boy Scout camp in Rockbridge County. As many as 60 people who attended the Goshen Scout Reservation last week reported becoming ill, and the number of E. coli cases could increase as test results are analyzed, according to the Virginia Department of Health. All 14 boys were from Northern Virginia, and nine were hospitalized.

Water does not seem to be the source of the infection, said Dr. Douglas Larsen, director for Central Shenandoah Health District. The camp is part of Larsen's district. All six water wells at the camp tested negative on June 21, just prior to the outbreak, Larsen said.

Health department officials have confirmed at least 14 boys and one adult were infected with E. coli while attending a Boy Scout camp in Rockbridge County. As many as 60 people who attended the Goshen Scout Reservation last week reported becoming ill, and the number of E. coli cases could increase as test results are analyzed, according to the Virginia Department of Health. All 14 boys were from Northern Virginia, and nine were hospitalized.

Health officials in Northern Virginia are in the process of talking to those with confirmed cases about what food they ate. That could lead to some more clues, Larsen said.

Also, according to a Boy Scout press release, the Goshen Scout Reservation has been closed and will remain so until further notice. Earlier today, the National Capital Area Council (NCAC), BSA was made aware of three additional Scouts showing symptomatic signs of E. coli bacteria infection. The affected Scouts were at Goshen Scout Reservation during week 5 (July 28 - August 2).

Are Massachusetts E. coli Cases Linked To Multi-State Outbreak?

Outbreaks of E. coli 0157:H7 continue around the country with the latest coming in Massachusetts where at least six people are sick and beef is the suspected source of the illness.

Both the Massachusetts Department of Public Health and the United States Department of Agriculture investigated over the weekend.

State officials said a source of contamination has not been identified, however the cluster of illnesses may be linked to the consumption of beef products. The cases appear to be caused by the same strain of the bacteria found in patients from several other states.

Massachusetts and USDA officials are working identify a possible source of contamination. The investigation is focused on ground beef, and testing of samples collected from several stores will be conducted this week.

Also according to the Boston Channel:

The Massachusetts cases range in age from three to 60 years. They include residents of Middlesex, Suffolk and Essex counties. They reported becoming ill between July 10 and 16. At least five of the cases were hospitalized.

These cases may be linked to 20 other cases in several states and Quebec that were caused by the same strain of E. coli.

The Massachusetts cases were linked by DNA testing and by comparing those results to results from others around the country through a federal foodborne illness surveillance program called PulseNet.
According to the CDC, 54 confirmed cases have been linked both epidemiologically and by molecular fingerprinting to the Nebraska Beef outbreak. The number of cases in each state is as follows: Georgia (4), Indiana (3), Kentucky (1), Michigan (22), New York (1), Ohio (21), Utah (1) and West Virginia (1). Their illnesses began between May 27 and July 1, 2008. 28 persons have been hospitalized. One patient developed a type of kidney failure called hemolytic-uremic syndrome (HUS). No deaths have been reported.

As Many as 78 Goshen Reservation Scouts Sickened - 10 Hospitalized - Possibly Due to E. coli Contaminated Beef and Vegetables

I must admit I was a Boy Scout – many years ago.  I too went to scout camp, but never became ill – certainly not with E. coli O157:H7.  Now at least 18 people have fallen ill with E. coli O157:H7 infections after visiting a Scout camp in Virginia.

According to the Washington Post, the Virginia Department of Health was notified of several cases involving ill children after boys from dozens of Scout troops left the Goshen Scout Reservation outside of Lexington, Virginia.  An additional 60 people who returned from the camp have experienced symptoms that may be from E. coli O157:H7 infections.  Christopher Novak, a Health Department epidemiologist, said the E. coli O157:H7 might have come from packaged meals of vegetables and beef eaten frequently at the camp.

To those reporters reading my blog, a few questions to ask the Virginia Health Department, the USDA/FSIS and the CDC (assuming the vegetable and beef meals are a common food item eaten):

1. What is the Pulsed Field Gel Electrophoresis pattern (genetic fingerprint) of E. coli O157:H7 bacteria taken from the ill scouts’ stools?

2. Does that genetic fingerprint match any other ill people in the United States?

3. Does that genetic fingerprint match any recently recalled meat?

It will be interesting to see if poisoning Boy Scout just outside the D.C. Beltway gets Congresses attention?

Georgia E. coli Case Now Officially Linked To Nebraska Beef Multi-State Outbreak

Official release from the Southwest Public Health District (in Georgia).

The National Centers for Disease Control and Prevention are now citing a Colquitt County case as part of a multi-state outbreak linked to beef infected with E. coli 0157.

“This is not a new case. What is new is that the CDC has now determined that it fit their case definition for the outbreak that began in Michigan and Ohio,” said Southwest Georgia Public Health District Health Director Dr. Jacqueline Grant.

Late Tuesday, the CDC announced that New York, Kentucky and Indiana each had a lab-confirmed case of bacterial infection that matched the clusters in Michigan and Ohio that had been traced to beef sold in Kroger supermarkets. With the inclusion of Georgia, six states are now linked to the outbreak.

“The number of lab-confirmed E. coli cases associated with the Colquitt County outbreak remains at eight, with four presumed cases,” Grant said. “That number has not changed. The lab-confirmed cases are undergoing additional testing to determine whether they also match the multi-state case definition. Testing results are expected later this week.”

The Colquitt County cases are the only cases related to the national outbreak found in Georgia by disease investigators, she said. All confirmed and presumed cases involve people who ate at the Barbecue Pit, located at 311 First Ave., S.E. in Moultrie from mid-June through July 3.

Public health officials are working with the restaurant owners to ensure the facility is thoroughly decontaminated. “Cross contamination is a big concern in food borne investigations, and preventing it will be a focus for our team,” Grant said.

The process has required the restaurant to discard food stored there, upgrade facilities and equipment, train staff in stringent food handling techniques and undergo additional testing.

“At this point in the investigation, we cannot estimate how long before the Barbecue Pit can reopen,” said Dr. Grant. “While our main concern is preventing the disease from spreading and protecting the health of the community, we are certainly also committed to helping the restaurant get disinfected and back to business as soon as possible.”

On July 3, the restaurant closed voluntarily as disease investigators looked for the source of the illness. The break in the investigation occurred when bacteria in one of the confirmed cases matched the strain of E. coli in the disease outbreak in Michigan and Ohio.

“That match led our team to take a closer look at beef at the Barbecue Pit. We learned had recently began purchasing meat from a new distributor, which told them it had acquired beef from Nebraska Beef, which had supplied the beef linked to the Ohio and Michigan outbreak,” Grant said. “We had been awaiting official confirmation that the Colquitt County outbreak was part of the bigger outbreak, and now we have it.”

Earlier this week, disease investigators reported a slowdown in the number of new patients seeking treatment at Colquitt Regional Medical Center and other local healthcare providers. It can take as long as 10 days before people exposed to E. coli begin having symptoms.

Symptoms of E. coli include stomach cramps, vomiting and diarrhea, which is often bloody. A complication known as hemolytic uremic syndrome (HUS) may develop in patients with severe E. coli infections. The Colquitt County disease cluster included four patients with HUS, Grant said the best way to prevent E. coli and other foodborne illnesses from spreading is with good hand-washing and food preparation practices. “Wash your hands thoroughly and frequently,” said Grant. “Avoid cross-contamination of counters, equipment and utensils when you are preparing raw meat and vegetables. Cook meat thoroughly and avoid unpasteurized juices and dairy products.”

More information about E. coli is available on-line at www.southwestgeorgiapublichealth.org or by calling your local county health department.

Multistate Outbreak of E. coli O157:H7 infections - Indiana, Kentucky, Michigan, New York, and Ohio

The Centers For Disease Control and Prevention (CDC) today issued a report on the multi-state E. coli outbreak.  It was silent on the ten cases in Georgia that remain under investigation.  Here's most of what was said in the report with a link at the end for the rest, which was mostly about consumer food safety.  Again, from CDC:

State departments of health and agriculture in several states, collaborating local health jurisdictions, CDC, and the United States Department of Agriculture’s Food Safety and Inspection Service (USDA-FSIS) are investigating a multi-state outbreak of Escherichia coli O157:H7 infections.

States with cases of E. coli 0157:H7 infections with the outbreak strain

US States with Outbreak-Associated Cases of E. coli O157, July 2008Based on this investigation, as of 5pm EST, July 14, 2008, 44 confirmed cases have
been linked both epidemiologically and by molecular fingerprinting to this outbreak. The number of cases in each state are as follows: Indiana (1), Kentucky (1), Michigan (20), New York (1), and Ohio (21). Their illnesses began between May 30 and June 24, 2008.

Twenty-one ill persons have been hospitalized. One patient has developed a type of kidney failure called hemolytic-uremic syndrome (HUS). No deaths linked to the outbreak have yet been reported. Twenty-five (57 percent) patients are female. Patients range in age from 4 to 78 years with a median age of 20 years.
CDC and public health agencies across the United States are continuing surveillance activities to detect additional cases related to this outbreak. CDC and state laboratories are using advanced molecular testing techniques to help determine the extent of this outbreak.
State health and agriculture departments tested ground beef recovered from several patient residences that was purchased at Kroger® retail stores in Michigan and Ohio. Molecular fingerprinting testing conducted by the Ohio and Michigan Departments of Health and Agriculture Laboratories, in collaboration with PulseNet, the national molecular subtyping network for foodborne disease surveillance, on E. coli O157 isolates isolated from these ground beef samples have confirmed the isolates to be the outbreak strain of E. coli O157.
CDC's OutbreakNet Team conducted a multi-state case-control study in collaboration with health authorities in Ohio and Michigan to epidemiologically examine exposures that would be related to illness. The data indicate a significant association between illness and eating ground beef purchased at one of several Kroger® Company stores in Michigan and Ohio. CDC has provided these results to the USDA-FSIS and public health agencies in Michigan and Ohio.
On June 25, 2008, a recall was announced for ground beef sold at Kroger® Co. Stores in Michigan and Ohio. On July 3, the Kroger® Co. expanded the June 25th recall to include ground beef products from Kroger® establishments outside of Michigan and Ohio.
On June 30, 2008, a recall of 531,707 pounds of ground beef components from Nebraska Beef Ltd. was announced. On July 3, 2008, Nebraska Beef Ltd. expanded the June 30 recall to include all beef manufacturing trimmings and other products intended for use in raw ground beef produced between May 16 and June 26, 2008, totaling approximately 5.3 million pounds.
More information about these recalls can be found at the United States Department of Agriculture, Food Safety and Inspection Service’s (USDA/FSIS) web site at http://www.fsis.usda.gov/Fsis_Recalls/.
FSIS has confirmed that none of the affected products remain available for purchase at stores; however consumers are urged to check their refrigerators and freezers and discard or return the ground beef products for a refund. Consumers with questions about the recall should contact the Kroger Consumer Hotline at (800) 632-6900 or James Timmerman, Nebraska Beef Ltd. Vice President of Administration at (402) 397-7300.
For more, go here.

Eight Confirmed E. coli Cases In Georgia; Four Pending -- Nebraska Beef Moved Too Slow For USDA

Here are two things that come as no surprise.  First,  Nebraska Beef Limited (some would say very limited) is not playing nice with the United States Department of Agriculture.   Second, the number of confirmed E. coli 0157:H7 cases in southern Georgia continues to increase.

Let's take them one at a time.   Tests discovered E. coli contamination in the Nebraska Beef's massive Omaha slaughterhouse in early June.

"The establishment didn't take appropriate actions when positives were found," USDA spokeswoman Amanda Eamich said. "It's all about their ability to control E. coli 0157:H7."

Slow to its initial recall of  531,707 pounds of ground beef makings; Nebraska Beef had to up the amount to 5.3 million pounds after definite links were made to 41 confirmed cases of E. coli in Ohio and Michigan.  The company, which denies most everything, denies it moved too slowly as well.

This morning, The Moultrie Observer gave this update on the Georgia end of now multi-state outbreak:

The Barbecue Pit, the restaurant that closed voluntarily July 3 at Southwest Georgia Public Health District’s request, remained closed Monday as disease investigators announced the tally of E. coli patients has climbed to eight confirmed and four presumed cases.

“Although the number of patients being seen at Colquitt Regional Medical Center has slowed down, people are still seeking treatment and in some cases being admitted with bloody diarrhea and other symptoms,” Southwest Georgia Public Health District Health Director Jacqueline Grant said. “To ensure there is no ongoing risk to the public, we are asking the restaurant to remain closed while we continue our investigation.”
Disease investigators learned Friday a sample from one of the confirmed cases was a match to the Escherichia coli (E. coli) 0157 bacteria strain behind disease outbreaks in Michigan and Ohio. Those illnesses were linked to ground beef. Results of samples taken from the Barbecue Pit on Friday may be available Tuesday, Grant said.
Go here for more.



Nine Georgians and Moultrie Barbecue Pit Latest Victims of Nebraska Beef E. coli - Including Hemolytic Uremic Syndrome (HUS) Cases

The Moultrie Observer reported on the link between ill people in Ohio and Michigan to at least nine in Georgia – “E. coli: Ground beef may be culprit.”  The common denominator here is Nebraska Beef Ltd. (Remember, the guys who sue a church).  Here is the key:

“A specimen sample from one of the patients resulted in a match to the same strain of E. coli bacteria in disease outbreaks in Michigan and Ohio, and those illnesses are linked to ground beef. “The National Centers of Disease Control and Prevention and state epidemiologists agree that ground beef may be a source of the infection in Colquitt County.”  Nebraska Beef has recalled 5,300,000 pounds of meat.

Ground beef is used in some of the dishes served in the Barbecue Pit, a Moultrie restaurant that has voluntarily closed as disease investigators attempt to find the source of E. coli O157:H7 contamination. A common thread among patients with confirmed cases of the disease is that they ate at the restaurant.

The tally of confirmed E. coli cases has now climbed to six, with three more cases still considered probable. The three “probable” E. coli patients have hemolytic uremic syndrome (HUS).  Laura Hall Bannister of Moultrie was one of the first ill reported.  Hemolytic Uremic Syndrome (D+HUS) is a severe, life-threatening complication that occurs in about 10% of those infected with E. coli O157:H7 or other Shiga toxin (Stx) producing E. coli.  D+HUS was first described in 1955, but was not known to be secondary to E. coli infections until 1982. It is now recognized as the most common cause of acute kidney failure in infants and young children.  Adolescents and adults are also susceptible, as are the elderly who often succumb to the disease.  We are now involved with at least three suits against Nebraska Beef:

Kroger E coli Outbreak Litigation

An outbreak of E. coli O157:H7 in June, 2008 was traced to Kroger stores in Ohio and Michigan. Kroger began a voluntary recall of certain ground beef products on June 25.  On June 26, it was revealed that the meat was supplied by Nebraska Beef.   Marler Clark filed the first lawsuit stemming from the outbreak on behalf of an Ohio resident on June 30, 2008.

Nebraska Beef E. coli Litigation

In 2006, meat manufactured by Nebraska Beef, distributed by Interstate Meat, and sold by Tabaka’s Supervalu was identified as the source of an E. coli outbreak among residents of and visitors to Longville, Minnesota.  An outbreak investigation conducted by the Minnesota Department of Health and Minnesota Department of Agriculture led to the conclusion that 17 people who had eaten ground beef purchased at Tabaka’s Supervalu and consumed either in private homes or at a dinner prepared at the Salem Lutheran Church in Longville had become ill with E. coli infections.  Three people developed hemolytic uremic syndrome (HUS), and one person died.

And, several E. coli cases in Georgia:

Bauer Meat E. coli Litigation – Georgia

Excel E. coli Outbreak – Georgia

White Water Water Park E. coli Outbreak - Georgia

Kroger Expands Recall To Fry's; Ralph's; Smith's;Baker's;King Soopers: & City Markets

It is always at this point in a Big Beef recall that some corporate suit makes a statement that sounds like it was given after they were worked over by a homicide detective:

"It's on ground beef products in a Styrofoam tray with clear cellophane over it," Kroger spokeswoman Meghan Glynn said this morning. "It could have been purchased in cases or over the service counter.

Gee, we are glad someone is coming clean.  Kroger expanded its recall to include:

  • Kroger's Mid-Atlantic division, which includes stores in North Carolina, northeastern Tennessee, Virginia and West Virginia, with "sell by" dates of May 19-June 6.

  • Fry's, Ralphs and Smiths stores ground beef with "sell by" dates of May 21-July 3.

  • Baker's stores with "sell by" dates of May 17-June 4.

  • King Soopers and City Market stores with "sell by" dates of June 20-July 3.

See the Cincinnati Enquirer's "Kroger broadens beef recall" online here.


Michigan and Ohio E. coli Cases Hit at Least 39

As of 4 pm on June 27, the Michigan Department of Community Health has confirmed 17 E. coli O157:H7 cases that are genetically linked and over half of those cases have either prepared or consumed hamburger meat from Kroger. 11 of these cases required hospitalization. The 17 genetically linked cases, E. coli O157:H7, are present in seven Michigan counties including Eaton (1), Macomb (3), Washtenaw (4), Saginaw (1), Genesee (1), Wayne (3) and Oakland (4). In addition there are 8 other cases under investigation.

The Ohio Department of Health is reporting 22 confirmed and probable cases of E. coli O157:H7, 18 of which are confirmed and linked to the outbreak in Michigan and Ohio. The cases are in Franklin (10 confirmed, 1probable); Delaware (1 confirmed); Fairfield (4 confirmed); Lucas (1 confirmed, 3 probable); Seneca (1 confirmed); and Union (1).

We have been contacted by over a dozen individuals and families who believe they are linked to this outbreak. We are completing our investigation on 5 that are genetically linked to Kroger meat.

Kroger, Recall Your E. coli Contaminated Meat and Tell The Public Who Supplied It, Says William D. Marler, Food Safety Attorney

With the Michigan State Health Department linking Kroger ground beef to many of the illnesses in Michigan (which have also been linked to illnesses in Ohio), Kroger must recall all possibly contaminated ground beef said Seattle food safety attorney William D. Marler.

In 2007 companies voluntarily recalled ground beef products 21 times. The amount of recalled meat was more than 33 million pounds. The goal of a recall is to get the contaminated meat out of people’s homes, especially freezers. According to Marler, with nearly 50 people sickened in Ohio and Michigan E. coli outbreaks, it is irresponsible for a company like Kroger to not recall all potentially contaminated ground beef sold through their stores.

"Frankly, Kroger should recall the ground beef first and foremost for the safety of its customers, but also for self-preservation. If people become ill after Kroger could have recalled its ground beef products, it is exposing itself to a claim for punitive damages for having consciously ignored a known health risk to its customers," said Marler.

E coli Found In Meat At Kroger's Store In Ohio

A spokesman for Kroger Stores in Ohio tonight is confirming one of their outlets sold meat that the Ohio Health Department found contaminated with E. coli. 

The Kroger spokesman told NBC 4 in Columbus that the grocery store chain is working with its suppliers to track down the origin of the bad meat.

Discovery of the E coli comes as central Ohio health departments continue to investigate an increased number of E. coli cases.  Fifteen Central Ohio cases of E. coli have been matched by DNA testing, according to the Ohio Department of Health.

According to NBC 4:

Local health officials were notified by the Ohio Department of Health that a ground-beef sample submitted by the Franklin County Board of Health has tested positive for E. coli.

That announcement was made Tuesday afternoon.
The testing was conducted by the Ohio Department of Agriculture Laboratory. Further DNA testing is currently pending at the Ohio Department of Health Laboratory to determine if there is a match to the human cases in Ohio.

The NBC 4 story can be found here.




12th New E. coli Case In Columbus, Ohio Area

The 12th case of E. coli in the Columbus, Ohio area has health officials officially calling it an outbreak.

They say none of the cases have a a genetic link to the 52-year old Gahanna, Ohio who died from E. coli compliations on May 27th.

But since then, central Ohio has seen a dozen more cases and they are searching for a source of the bacteria.

The Columbus Dispatch says a team of health departments that includes the city of Columbus; Delaware, Fairfield and Franklin counties; and the state has come together to investigate the outbreak.

The new case is from Fairfield County.

Also, a fourth case was genetically linked to three others through state lab testing, meaning that those cases — all discovered within Franklin County — are likely from the same source.
More from the Dispatch story can be found here.

Ohio E. coli Outbreak Grows To 11 New Cases

First it was seven, and now it is 11; and it has nothing to do with Baby needing a new pair of shoes.  It is a growing E. coli outbreak in the Columbus, Ohio area.  

In our two previous posts, we reported on an E. coli-related death in late May; followed by 7 new cases of E. coli this month being connected by health officials in Ohio.   Today,  WBNS-TV in Columbia says more cases have turned up.   The station's news department reports:

Three cases were reported by the Columbus Health Department, while the Franklin County Board of Health reported a fourth case involving a 14-year-old girl.
The Columbus Health Department and Franklin County Board of Health were in contact with the Centers For Disease Control and Prevention to see if the pattern was similar to any others in the country.
The cases were called an outbreak because at least three of the seven cases of E. coli were genetically linked through DNA testing.
Go here for more on this developing outbreak.



Ohio Health Officials Study E. coli Cluster - 7 More Victims Since Death

We reported on the death E coli victim in Franklin County, Ohio earlier this month. Since that report, health officials in Central Ohio have come up with 7 additional cases.

A 55-year-old Delaware County woman who was hospitalized for three days with an E. coli infection. She is now at home and being interviewed about where and what she ate before coming down with E. coli.

Three cases in Fairfield County and three Franklin County cases, including two in the City of Columbus, are also being investigated.

Ohio health officials are looking for links that could point to a common source for the E. coli infections that appear to be occurring within about a week of one another in neighboring counties.

A Gahanna, Ohio woman died in a local hospital May 27 from E. coli.  A TV10 news story on the E. coli cluster can be found here.
 

E. coli Outbreak At Minnesota Day Care Center

The town of Slayton in Southwest Minnesota isn't much.   A couple thousand people living around the intersection of a couple of highways.   Still, it's experiencing an unusual share of food-borne illnesses.

In May 2007,  a couple of restaurant workers at Slayton's Pizza Ranch were said to be responsible for a Hepatitis A outbreak that required 1,200 people to get shots or vaccines.  Now the town's "Wonder World" day care center is dealing with an E. coli outbreak.

According to the Marshall, MN newspaper, The Independent, here's what's happening:

Since May 15, three children who attend Wonder World have been confirmed positive for a harmful strain of E. coli bacteria, a Minnesota Department of Health news release said. One child has been hospitalized with symptoms consistent with hemolytic uremic syndrome, a severe complication of the infection that affects the kidneys. About 13 other children have shown symptoms of illness and are being tested for E. coli, the release said.

The state health department said the bacteria seem to have spread from child to child, instead of coming from a source at the preschool.  Farm animals might be involved. For more, go here.

Romaine Lettuce Source Of E coli Outbreak In Washington State

Late night news developments seem to be getting common.  Here's what's just been filed on the Marler blog:
King 5 TV just reported that the Washington State Department of Health announced that nine confirmed cases of E. coli O157:H7 infection found in north Thurston and south Pierce counties (appears to be college students - food service) have been traced to bagged, commercial romaine lettuce.
Health officials say it's not the same type of lettuce you would buy in a grocery store. The Health Department says four cases of E. coli O157:H7 infection were identified in Thurston County, and six in Pierce County. Some of the people infected were hospitalized. The people who got sick all had salad or lettuce at different places, which means all of those places probably got their lettuce from a single source.
You can read the complete version of E. coli Infections in Washington Traced to Restaurant Romaine Lettuce by going here.

Tyson "Chubs" Sold To Sherm's Food In Medford May Be Tainted With E. Coli 0157:H7

The U.S. Food Safety & Inspection Service is out with an "alert" about beef due to possible contamination with E. coli O157:H7. The public health alert is for approximately 808 pounds of ground beef products produced at Tyson Fresh Meats, Inc., in Lexington, NE.

Here's the meat of the FSIS announcement:

Tyson Fresh Meats, Inc., (EST. 245L), sold chubs of 85 percent lean, 15 percent fat coarse ground beef to Sherm’s Food-4-Less retail establishment in Medford, OR who then processed this ground beef into various sized packages of ground beef products and sold to consumers between May 7 and 19.

FSIS is issuing a public health alert rather than a recall because FSIS has confirmed that none of the affected products remain available for sale at this retail
establishment. Consumers that may have purchased various sized packages of ground beef products at this retail establishment between May 7 and May 19 are urged to check their refrigerators and freezers and discard or return the ground beef products for a refund.
The problem was discovered after a microbiological test for E. coli O157:H7 was reported positive by another recipient of the product subject to this alert. FSIS has received no reports of illnesses associated with consumption of this product. Anyone with signs or symptoms of food-borne illness should consult a medical professional.
Gee, recalls are not used if products have been sold?  We are not sure we follow that reasoning.




Whoever Brought The Roast Beef Might Not Get Invited Back

Omaha's Midlands News Service is reporting on a private party in March that went bad, giving many of the guests a bad bout of E. coli. Site of the gathering was Sarpy County, which makes up the southern edge of Omaha's metro area. Midlands' Michael O'Connor reports:

State health officials are continuing to investigate an E. coli outbreak in Sarpy County that sickened 14 people -- including a 7-year-old -- and sent four people to the hospital.

Dr. Tom Safranek, state epidemiologist, said the outbreak was caused by roast beef served at a reception hall in Sarpy County for a private gathering on March 26. The meat was prepared at a person's home and brought to the event, he said.

He declined to say specifically where the meal was served or what the gathering was for.

The people affected ranged in age from 7 to 73. The four people who were hospitalized were released several weeks ago, he said.

All of the people affected suffered abdominal cramping, diarrhea and in some cases bloody diarrhea, Safranek said.

Safranek said he believes the E. coli problem was contained to the roast beef served at the Sarpy County gathering. He said there currently is no evidence that people who have purchased or eaten roast beef in Nebraska are at risk.

The Midlands News Service story can be found here.

Outbreak in Texas said to have been caused by shiga-toxins

Texas health officials are investigating an E. coli outbreak that has already resulted in one death, apparently caused by a Shiga toxin carried by bacteria.


E. coli O157:H7
and other bacteria contain Shiga toxins, and can cause severe illness, including hemolytic uremic syndrome. The chain of events leading to HUS begins with ingestion of Shiga toxin producing E. coli or another Shiga toxin producing bacteria in contaminated food, beverages or through person to person transmission.

Indiana Report On Galena School Outbreak Due Soon

We wish we could say that a story today by The Courier-Journal makes us feel warm and fuzzy.  Its about the soon-to-be forthcoming report from the State of Indiana on the last fall's E. coli outbreak at the Galena Elementary School in Floyd County.

The Louisville, KY newspaper says:

Indiana health officials have concluded that the E. coli outbreak in Floyd County last fall resulted in 15 confirmed or probable cases and that it likely began with one child who had environmental contact with the bacteria.

The Galena Elementary School outbreak was unusual because so many of the cases resulted in serious kidney damages.  If as reported, Indiana health officials are going to put the outbreak on one unknown child, it will be disappointing.

The Courier Journal says:

According to the findings in the state report, one Galena Elementary School student—which one could not be determined—inadvertently brought the infection into the Floyds Knobs school, perhaps after contact with a cow or goat.

Those animals are reservoirs for the bacteria but don’t display symptoms of the illness. The E. coli was then spread by contact within the school or with siblings of infected students

The Courier Journal is relying upon Tom Harris, Floyd County health officer, for the tip that the report will be made public soon.   The story can be found here.



UK Opens "Public Inquiry" Into Death E coli Victim Mason Jones

William Tudor, the butcher jailed for food safety violations, after the meat he supplied schools in the United Kingdom killed young Mason Jones will not be testifying in the public inquiry now being held.

The death of Mason Jones and the illnesses of 118 confirmed cases of E. coli O17:H7, including 31 children who were sent to hospitals, is all connected to Butchers John Tudor and Son in Bridgend, which had the contract to supply cooked meat to the schools service in late 2005.

Tudor and Son was identified as the probable source and inspections found dangerous found hygiene practices, leading to cross contamination between raw and cooked meats, through which the E.coli O157 had been spread.

Tudor went to jail in September 2007 and won't be required to testify.
 

E. coli lawsuit filed against Organic Pastures

Marler ClarkMarler Clark filed two E. coli lawsuits against Organic Pastures on February 7, 2008. The lawsuits were filed in Fresno County Superior Court on behalf of two children who developed hemolytic uremic syndrome (HUS) secondary to E. coli O157:H7 infection after consuming Organic Pastures raw milk.

The California Department of Health Services
(CDHS) and California Department of Food and Agriculture (CDFA) conducted an investigation into the E. coli outbreak in September of 2006. CDHS and CDFA identified six children who had become ill with either E. coli O157:H7 or HUS and learned that all six had consumed Organic Pastures raw milk or colostrum in the days before becoming ill.

While investigating the cause of the children’s illness, pulsed field gel electrophoresis (PFGE), or “genetic fingerprinting” confirmed that five of the six children were infected with the same strain of E. coli; the sixth did not test positive for E. coli but had HUS. An investigation at Organic Pastures led to the discovery that several cows were infected with E. coli O157:H7, although the strain was different from the outbreak strain. CDHS determined that unpasteurized dairy products from Organic Pastures were the likely source of the outbreak.

Eleven-year-old Lauren Herzog and 9-year-old Chris Martin both consumed raw milk produced by Organic Pastures in early September of 2006. Lauren became ill with symptoms of E. coli infection on September 6. Her illness subsequently developed into HUS, a life-threatening complication of E. coli infection that can cause kidney failure and central nervous system impairment, and she was hospitalized on September 8. Lauren suffered acute renal failure and required approximately two weeks of daily kidney dialysis. She remained hospitalized until October 18, 2006, when she was discharged with over $250,000 in medical bills.

Chris became ill with symptoms of E. coli infection on September 5, 2006 and he was hospitalized on September 7. Like Lauren, Chris suffered HUS. His condition worsened and he was transported by helicopter to a Children’s hospital and was placed in pediatric intensive care. Chris’ kidneys failed and he required weeks of daily dialysis, as well as multiple blood transfusions. He was placed on a ventilator as a result of impending congestive heart failure, and remained on the ventilator for five days, was briefly taken off the ventilator, and later returned for several more days. Chris suffered a number of seizures as a result of his HUS. He also developed high blood pressure and pancreatitis. Chris was discharged from the hospital on November 2, 2006, nearly two months after he was admitted, with over $450,000 in medical bills.


Tennessee family recovering from E. coli

Marti Davis of the Knoxville News Sentinel spoke with the McDonald family, whose two children became ill with E. coli infections last fall after eating Cargill ground beef patties.

Preschoolers John and Michaela McDonald shared a burger that led to a prolonged stay in intensive care and cost 4-year-old John part of his bowel and colon. The frozen hamburgers at Sam's Club near their West Knoxville home a few days before the patties were recalled.

Surgery to bypass John's digestive tract was reversed in December, and both children are well for now.

Only Jim McDonald, the children's father, has eaten ground beef since his children's illness. The rest of the family has not reintroduced ground beef into their diet.

The McDonald family, who is represented by Marler Clark, filed a lawsuit against Cargill last year, but has withdrawn the lawsuit in the hopes that Cargill will compensate the children for injuries they sustained through mediation instead of a jury trial.
 

Marler Demands Agencies Name Names in Recall

Since last Saturday night when the federal Food Safety & Inspection Service went public with the recall of 188,000 pounds of ground beef from the Minnesota-based Rochester Meat Co., not much has happened.

Well, the profile of the California victim became known.  It was reported this way in the local San Diego media:

A local teen's illness has been linked to a national beef recall.
The 17-year-old girl was not hospitalized and has since recovered.
But her case has health officials worried that others could become 
sick, as well.
E. coli fears have led a Minnesota meat packer to recall nearly 
200,000 pounds of ground beef patties.
The company ships its products to distributors around the country for 
use in restaurants and other food service operations.
The recalled beef was not sold directly to consumers.

No, it was sold to restaurants, including perhaps just one national chain, who then sold it to consumers. 

Yesterday, food safety attorney Bill Marler went on the attack over the lack of information on this recall coming from the impacted states and federal officials.  From Marler:

Public health officials in Washington DC, California and Wisconsin are playing a dangerous game with American consumers by refusing to reveal the specific stores or restaurants that may have served meat contaminated by toxic E. coli, says the Seattle lawyer who represents victims of food-borne illness.

'The public needs to know who may have poisoned their kids,' said Bill Marler, managing partner of the Marler Clark law firm in Seattle.

Marler spoke up Sunday after health officials revealed that 188,000 pounds of ground beef was being recalled by the Rochester Meat Company, a Minnesota firm, because it has been contaminated with E. coli O157:H7.  This appears to be the first major recall of 2008.  2007 set a recent record for recalls - topping twenty recalls of over 33 million pounds of meat.

While announcing the nationwide recall, officials have refused to reveal the name of the restaurant or other outlets believed to have served the meat to consumers.  That, Marler says, means that consumers who may be at risk of contracting potentially fatal food-poisoning  have no way of knowing – until they get sick.

He called on Dr. Richard A. Raymond, head of Federal Food Safety & Inspection Service (FSIS), Kevin R. Hayden, secretary of the Wisconsin Department of Health and Family Services, and Dr. Mark Horton, director of the California Department of Public Health, to immediately disclose the names and locations of retail outlets that have been associated with the contaminated meat.

The Federal Food Safety & Inspection Service (FSIS) persuaded Rochester Meat Company to issue the recall after investigations revealed that at least six people have been sickened in Wisconsin and California.

'We are hearing from the environmental health community that a national chain restaurant, or restaurants are connected with this recall,' Marler said. 'If so, these public officials are playing a very dangerous game. They are betting that nobody else gets sick because they had no way of knowing they were at risk.'

Marler said there are indications that state officials know of one or more restaurants where contaminated meat has been served and where consumers already have been sickened.  'The public has a right to know the name of that establishment and its involved locations, ' said Marler. ' If more than one is involved, the public has a right to know that too.'

Well said Mr. Marler!  Maybe someone in the national media will light a fire under these agencies that are suppose to operate in the public interest.  

FSIS ALERT: Public Health Alert for Ground Beef Products Due To Salmonella Contamination in Safeway supermarkets in Arizona, California, Hawaii, Nevada and New Mexico - 38 sickened.

The U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) is issuing a public health alert due to illnesses from Salmonella Newport associated with fresh ground beef products contaminated with multi-drug resistant Salmonella that may have been ground and sold at Safeway supermarkets in Arizona, California, Hawaii, Nevada and New Mexico between Sept. 19 and Nov. 5, 2007.

This public health alert was initiated after epidemiological investigations and a case control study conducted by the California Department of Public Health, Arizona Department of Health Services and the Centers for Disease Control and Prevention, determined that there is an association between the fresh ground beef products and 38 illnesses reported in Arizona (16), California (18), Idaho (1) and Nevada (3). The illnesses were linked through the epidemiological investigation by their rare PFGE pattern found in PulseNet, a database maintained by the Centers for Disease Control and Prevention.

AFG recalls E. coli-contaminated meat after outbreak in Illinois

American Foods Group of Green Bay, Wisconsin, has recalled over 95,000 pounds of ground beef products for E. coli contamination after the Illinois Department of Health confirmed consumers in that state had become ill with E. coli infections after eating AFG ground beef products.

American Foods Group of Green Bay, Wisconsin, has recalled over 95,000 pounds of ground beef products for E. coli contamination after the Illinois Department of Health confirmed consumers in that state had become ill with E. coli infections after eating AFG ground beef products.

Updated Investigation of Food Poisoning Outbreak Caused by E. coli O157:H7 tainted Totino's and Jeno's Pizzas - As many as 23 Ill in 12 States

The Tennessee State Department of Health and CDC are collaborating with public health officials in multiple states and the USDA's Food Safety and Inspection Service to investigate an ongoing multistate outbreak of E. coli O157:H7 infections.

Frozen pizza that contained pepperoni and was produced by the General Mills company under the brand names of Totino's or Jeno's was the likely source of the illness.

As of November 1st, at least 21 confirmed cases of E. coli O157:H7 have been collected. At least 8 people have been hospitalized, and 4 have developed a type of kidney failure known as hemolytic-uremic syndrome.
 

Possible pizza E. coli case in Iowa

The Des Moines Register reported this morning that an Iowa E. coli case might be connected to the E. coli outbreak that was traced back to consumption of Totino's and Jeno's pizzas earlier this month.  According to the story, testing is still being conducted, and the epidemiologic investigation has not yet concluded that the pizza was the source of the Iowan's illness; however, the investigation is ongoing.  Nigel Duara wrote:
totino's ecoli outbreakDr. Patricia Quinlisk of the Iowa Department of Public Health said Tuesday that either a person in western Iowa contracted a strain of E. coli that matches the DNA "fingerprint" of the E. coli bacterium involved in a national frozen pizza recall, or the person's history involves consumption of the tainted product.

The bacterium in the recall is blamed for sickening 23 people in 12 other states, including bordering states South Dakota, Nebraska, Missouri, Illinois and Wisconsin.

Quinlisk said the department has investigated three cases. Two did not match the strain found in the pepperoni in Totino's and Jeno's pizzas, but one case is still under investigation.

"We're still waiting for some further information," Quinlisk said Tuesday. "We don't know it's definitely here. Two (cases) were proved not to be here."
General Mills announced on November 1, 2007, that the company was recalling its Totino’s Crisp Crust Party pizzas and Jeno’s Crisp ‘N Tasty pizzas for possible E. coli O157:H7 contamination. The recall was initiated after over 20 people became ill with E. coli infections after eating the pizzas.

The pizzas were produced on or before October 30, and were distributed nationwide. Each package is marked with “EST. 7750” inside the USDA seal of inspection, and has a “best if used by” date on or before April 2, 2008.

Topps hamburgers still being sold in New Jersey

Ground beef patties produced by Topps Meat Company that were recalled for possible E. coli contamination in September are still on store shelves.

Over the past few weeks, 141 boxes of Topps burgers have been found at 12 stores, all in northern New Jersey except for one in Gloucester City in Camden County, according to the state Division of Consumer Affairs.

At least six people in New York had become ill with E. coli infections after eating Topps Meats' ground beef, and the investigation into these illnesses by the New York Department of Health and the Centers for Disease Control and Prevention (CDC) was what led to the resulting recall.

Topps Meat Company of Elizabeth, New Jersey, recalled 21.7 million pounds of frozen ground beef products that may have been contaminated with E. coli O157:H7. The CDC announced that 38 confirmed illnesses had been tied to the outbreak in 9 states: Connecticut, Florida, Indiana, Maine, New Jersey, New York, Ohio, and Pennsylvania.
 

Kansas child hospitalized with E. coli, benefit planned for Wisconsin family

Aubrey Anderson, a five-year-old from Sterling, Kansas, has been hospitalized with hemolytic uremic syndrome, secondary to E. coli infection. Doctors believe she could remain hospitalized for 3-6 weeks.

Public health officials have not yet been able to determine the source of Aubrey's illness, unlike in the case of Courtney Hansen, an eight-year-old from Ellsworth, Wisconsin, who was recently released from the hospital after a five-week stay while she was treated for HUS.

In Courtney's case, the Pierce County Herald reported that she and her younger twin sisters all became ill with E. coli infections after eating wind-fall apples.

Benefits are being planned to raise money for medical expenses.
 

Tennessee family sues Cargill over E. coli illnesses

Marler Clark has filed a lawsuit on behalf of Knoxville, Tennessee, residents Jim and Georgia McDonald and their two children, who both became ill with E. coli O157:H7 infections and were hospitalized after eating hamburgers made from Cargill ground beef patties.

Four-year-old John McDonald was seen in the emergency room, where he was treated for dehydration and released. The next day, he was taken by ambulance to East Tennessee Children’s Hospital, and was admitted. While hospitalized, John developed hemolytic uremic syndrome, pancreatitis, compromised liver function, and bowel necrosis.

He was later transferred to the University of Tennessee Medical Center for dialysis, and on October 16th underwent surgery to have part of his bowel removed. After nearly a month’s hospitalization, John was discharged from the hospital, but has not yet fully recovered from his E. coli infection and the following complications.

One-year-old Michaela McDonald fell ill with symptoms of E. coli infection about a day after John, and was treated for dehydration at the emergency room. Michaela was then admitted to East Tennessee Children’s Hospital. When her brother was transferred to the University of Tennessee Medical Center, Michaela was also transferred. She remained hospitalized for over a week.
 

Kayla Boner, Monroe teenager's death linked to E. coli

Since mid-2007, 33,000,000 pounds of hamburger has been recalled, according to the Des Moines Register. There have been hundreds of illnesses and several reported deaths.

There were six cases of E. coli reported in Polk County in October, according to the Polk County Health Department, which officials said is a typical number.

During the month, a 16-month-old girl and a 17-month-old boy who attended the same Urbandale child care center were infected with E. coli. In July, the Iowa Department of Public Health issued a warning after three children developed illnesses linked to a rare strain of E. coli. The children, all 5 years and younger, were not hospitalized. Two of the three children visited private and municipal pools before getting sick, health department officials said at the time.
 

Totino's Pizza E. coli Outbreak

At least 21 people have become ill with E. coli O157:H7 infections after eating Totino's or Jeno's brand pizzas produced by General Mills.

The victims of this most recent E. coli outbreak are from Kentucky, Missouri, New York, Ohio, Pennsylvania, South Dakota, Tennessee, Virginia, and Wisconsin.

A USDA press release warns consumers who have Totino's or Jeno's brand pizzas in their freezers that were produced before October 30, 2007, should not consume the pizzas.
 

Topps meat found in NJ stores after recall

Meat recalled a month ago that could be contaminated with E. coli was found in seven northern New Jersey stores, state consumer safety officials said Tuesday.

Inspectors in the past week have seized 138 boxes of frozen hamburgers made by Topps Meat Co., which issued a nationwide recall on Sept. 29 for 21.7 million pounds of frozen patties.

Four of the stores, all in Jersey City, were located after a distributor was subpoenaed by the state Division of Consumer Affairs and provided shop names and locations. Inspectors found the other three while visiting nearly 200 stores in Hudson County

State authorities have not determined when the meat was delivered to the stores.
 

Topps E. coli outbreak update

The USDA Food Safety and Inspection Service has announced that in a joint investigation between the Canadian Food Inspection Agency and FSIS, investigators had determined that Ranchers Beef, a Canadian company, had supplied E. coli-contaminated beef trimmings to Topps.

The agency also announced that Ranchers Beef, Ltd., has been "delisted" since October 20, meaning the company has not been eligible to export meat to the United States since that date.

Topps has expanded an earlier recall to include 21.7 million pounds of ground beef products for possible E. coli contamination. The recall was initiated after illnesses associated with the products were reported in New York, Pennsylvania, and several other states.  As of October 26, the Centers for Disease Control and Prevention had identified 40 illnesses under investigation as being part of the outbreak.
 

Child with HUS home from hospital

Sidney Jacobi, a 6-year-old child who is part of the E. coli outbreak among Galena Elementary School students, is home from the hospital.

Sidney sustained the most serious injures of any child hospitalized during the outbreak, suffering hemolytic uremic syndrome, which caused kidney failure. Although Sidney is still recovering, high blood pressure is still a concern.

Follow-up treatment for victims of E. coli and hemolytic uremic syndrome is very important, and all persons who have experienced HUS should be formally evaluated by a nephrologist at a year following their acute illness.
 

New York Couple Sues Topps: Punitive damages sought

A lawsuit seeking punitive damages was filed today against Topps, the New Jersey beef supplier that recalled nearly a year's supply of frozen ground beef patties after its products were identified as the source of an E. coli outbreak in September.

The lawsuit was filed on behalf of Keith and Kristin Goodwin and their 8-year-old son, Lucas, by Seattle-based Marler Clark and Rochester-based Underberg & Kessler.

The lawsuit states that Topps had knowledge of consumer illness tied to its products and a positive E. coli sample from its ground beef patties no later than September 8th, seven days before Kristin and Lucas Goodwin ate Topps hamburgers.

Kristin was released from the hospital on September 26th, but Lucas developed hemolytic uremic syndrome and remained hospitalized for eight days. While they were hospitalized, Topps recalled 332,000 pounds of ground beef products.  The company later expanded the recall to include 21.7 million pounds of ground beef.
 

E. coli is everywhere!

E. coli cases have sprung up across the nation in recent weeks. Some of these cases have been traced back to the millions of pounds of ground beef that have been recalled by Cargill and Topps, but in other cases a source has not been identified.

Of recent news reported:

  • Two North Carolina children became ill with E. coli infections after eating hamburgers produced by Cargill.  The children have since recovered from their E. coli infections, and Cargill recalled 840,000 pounds of ground beef patties sold at Sam's Club and other stores.
  • J&B Meats Corporation recalled 173,000 pounds of ground beef.
  • Public health officials have been so far unable to determine the source of an E. coli outbreak at an elementary school in southern Indiana where ten children became ill with E. coli infections. At least one child is still hospitalized with hemolytic uremic syndrome.
  • A Tennessee toddler has been hospitalized from eating an potentially E. coli-contaminated hamburger.  If her case is, in fact, tied to ground beef, her case may be related to three other E. coli cases in Knox County that have been confirmed part of the Cargill E. coli outbreak.
     

Marler Clark to Cargill: Step up, pay victims' medical bills

Seattle attorney William Marler called today on Cargill to front medical costs for victims of an E. coli outbreak traced to the company's frozen ground beef patties. Victims of the outbreak include families of children who have been hospitalized in Minnesota, Wisconsin, Tennessee, and North Carolina.

“Without assistance in the form of monetary compensation for medical expenses and lost wages, many of the families with members in the hospital will face financial hardship in the coming months when the bills start coming in,” said Marler, who filed a lawsuit against Cargill on behalf of a Minnesota family yesterday. “Cargill should do the right thing and begin compensating victims of this outbreak for those most basic needs now. Of course, Cargill will still be responsible for the costs of long-term medical care for victims, but it is better to step up now.”

Cargill E. coli outbreak gets bigger - fallout of beef recalls continues

Three students from Wisconsin and two North Carolina children were added to the number of E. coli illnesses caused by consumption of E. coli-contaminated ground beef patties produced by Cargill and sold by Sam's Club today.

The Wisconsin students all ate hamburgers served at a cookout before a soccer game on campus. The North Carolina children had both attended a cookout where hamburgers were served.

Sam's Club has pulled more than 840,000 pounds of patties nationwide.
 

Indiana E. coli not likely from food

An E. coli outbreak among children who attend Galena Elementary School may not have come from a source inside or close to the school.

DNA test results have shown a link between the strain of the E. coli in the Galena cases with an isolated case reported outside the county in August.

“This finding suggests that outbreak strain may have been circulating in the community or the environment prior to the outbreak,” says Dr. Tom Harris, Floyd County health officer. “Some cases do not attend Galena Elementary School nor reside in Floyd County.”

State and county health officials would not identify the location of the isolated case.
 

Topps E. coli victim's story told, Cargill recall details released

Marler Clark client Emily McDonald's mom Catherine is thankful that doctors did not treat her daughter with antibiotics without knowing whether she was suffering from E. coli or not. The administration of antibiotics is believed to be a potential contributing factor to children developing hemolytic uremic syndrome.

Antibiotics and painkillers can slow the expulsion of the bacteria from the body and cause more complications, said Josh Schaffzin, the state Department of Health's medical director of the regional epidemiology program.

Emily has been able to start school with her third-grade classmates at St. Pius X School in Loudonville. She's returned to her soccer team and is starting saxophone lessons.

Topps Meat Company, LLC, of Elizabeth, N.J., has voluntarily expanded its Sept. 25 recall to include a total of approximately 21.7 million pounds of frozen ground beef products because they may be contaminated with E. coli O157:H7.
 

Sam's Club is source of E. coli outbreak in Minnesota

The Minnesota Department of Health have announced that ground beef patties purchased from Sam's Club stores in Minnesota have been identified as the source of an E. coli outbreak.

Hamburger patties purchased from Sam's Club stores in Eagan, Maple Grove and White Bear Lake have been implicated as the cause of 4 cases of E. coli infection.

All four cases were children. Two of the cases developed hemolytic uremic syndrome and were hospitalized. One case has been discharged and one remains hospitalized.

The brand name of the implicated frozen ground beef patties was “American Chef’s Selection Angus Beef Patties.”
 

Topps closes, USDA admits recall could have happened sooner

Topps Meat Company, the company whose ground beef products were identified as the source of an E. coli outbreak and recalled over 21 million pounds of ground beef in recent weeks, closed today. It is closing its business six days after it was forced to issue the second-largest beef recall in U.S. history and 67 years after it first opened its doors.

USDA officials also acknowledged that the recall could have been announced much faster, admitting that a positive E. coli sample from Topps brand meat was identified weeks before the recall was announced.

Topps began recalling frozen hamburger patties that may have been contaminated with the E. coli bacteria strain O157:H7. The recall eventually ballooned to 21.7 million pounds of ground beef.

Topps Chief Operating Officer Anthony D'Urso, told the Jeff Gold of the Associated Press that a few employees will remain at the processing facility to help USDA scientists investigate the source of the E. coli outbreak, but that the company would not reopen.

Thirty people in eight states had E. coli infections matching the strain found in the Topps patties, the Centers for Disease Control and Prevention reported. None have died. The decision will cost 87 people their jobs.
 

More on the Topps E. coli recall and outbreak

The Chicago Tribune reports that the USDA knew of a positive E. coli test from a meat sample and a human sample over two weeks before a recall was initiated in regards to Topps Meat Company.

Amanda Eamich, a USDA spokeswoman, said that the USDA's recall committee first met on Sept. 25 to consider the Topps case, 18 days after E. coli was confirmed in a Topps hamburger, according to Robertson's e-mail, which was provided to the Tribune.

The committee, comprised of department officials, concluded then that it should request a Class I recall of the Topps meat. Class I is the USDA's most serious recall class. It means that there is "a reasonable probability that eating the food will cause health problems or death."
 

7 hospitalized with E. coli in Indiana

The number of E. coli infections tied to Galena Elementary School in Floyd County, Indiana, has risen to ten.

Among the ten sickened, seven have been hospitalized with hemolytic uremic syndrome in Louisville, Kentucky. Three of the cases are not students.

Seven children have been hospitalized for E. coli infections, but Kosair Children's Hospital says federal privacy laws prohibited him from identifying them or describing their conditions, reports the Indianapolis Star.
 

Marler Clark E. coli attorneys file lawsuit against Topps

A lawsuit has been filed against Topps Meat Company, the meat producer whose ground beef products have been identified as the source of an E. coli O157:H7 outbreak, and who expanded a ground beef recall to include 21.7 million pounds of meat over the weekend.

The lawsuit was filed on behalf of Albany County, New York, residents Robert and Catherine McDonald and their young daughter, who became ill with an E. coli O157:H7 infection and was hospitalized after eating a hamburger made of Topps Meats ground beef

E. coli outbreak at Clackamas County Fair

The Oregonian today reported on an E. coli outbreak at the Clackamas County Fair in August. According to the story, the Clackamas fair board will put up more signs regarding hand washing for next year's fair.

Health investigators said today the outbreak spread to one additional person but is now contained. E. coli infections can cause diarrhea, stomach cramps and kidney failure. Those who became sick in August have recovered or are recovering.



This year's outbreak is larger than the one from the Clackamas County Fair in 2006, when the bacteria infected four people, sending one to the hospital, said William Keene, an epidemiologist for the Oregon Public Health Division.

E. coli cases up to 21 in Topps outbreak

A Topps Meats, of Elizabeth, New Jersey press release reported that at least 21 people in eight states could be part of an E. coli outbreak that has been traced back to consumption of ground beef products produced by their company.  The CDC has confirmed three cases linked to Topps, and is waiting on lab testing for confirmation of an additional 18 cases, according to the Associated Press.

Health officials found contaminated burgers in one New York victim's home freezer.  The boxes recalled carry the number "Est. 9748" inside the USDA mark and were produced on June 22, July 12 or July 23.



The recalled products include certain 10-pound boxes of Butcher's Best 100% All Beef Patties; certain 10-pound boxes of Kohler Foods burgers; certain 10-pound boxes of Sand Castle Fine Meat; some 2-pound boxes of Topps 100% Pure Ground Beef Hamburgers; and some 3-pound boxes of Topps 100% Pure Ground Beef Hamburgers.

E. coli recall by Topps after outbreak

The United States Department of Agriculture announced yesterday that Topps is recalling 331,582 pounds of frozen ground beef.  The recall was announced after an E. coli O157:H7 outbreak investigation identified Topps ground beef products as the source of an E. coli outbreak.

According to the Albany Times/Union, the E. coli outbreak was discovered by the New York Department of Agriculture, which was investigating several E. coli cases among New York residents. 

Information about the recall, supplied by the USDA, is as follows:  Each package also bears the establishment number “Est. 9748” inside the USDA mark of inspection.



The frozen ground beef products were produced on June 22, July 12 or July 23 and were distributed to food service institutions in the New York metropolitan area and to retail establishments nationwide.

An investigation into a cluster of illnesses in the Northeast region carried out by the New York State Department of Health in coordination with the Centers for Disease Control and Prevention led to a positive product sample collected by the New York Department of Health.



In August, 2005, an eight-year-old Albany, New York girl became ill with an E. coli O157:H7 infection after eating a hamburger purchased from Price Chopper. The ground beef used in the hamburger had been supplied to Price Chopper by Topps Meats.

 

Illinois child with E. coli infection hospitalized with HUS

A six-year-old first grade student at Galena Elementary School in Indiana has been hospitalized with kidney failure after she developed hemolytic uremic syndrome following an E. coli infection, according to WLKY news. 

The child is one of six students at the school who have been confirmed as suffering E. coli infections, with five cases unconfirmed but possibly linked to the outbreak.  The state health department has joined the outbreak investigation, and is sending three additional investigators to help determine the source of the outbreak.  The school has been thoroughly cleaned but parents are still concerned about the safety of their kids.



State Health Officials said they are sending three more specialists to Floyd County to help track down the source of an E. coli infection.  Two food specialists and a second epidemiologist are scheduled to inspect the school Tuesday.

 

E. coli outbreaks in Maine, Illinois, Indiana

The Maine Centers for Disease Control is investigating six cases of E. coli infection, and is working to determine the source of a potential outbreak, according to a story posted on the Bangor Daily News website. Four of the six cases in Kennebec, Androscoggin, Lincoln and Franklin counties have been confirmed positive for Shiga toxin-producing E. coli O157:H7 by the Health and Environmental Testing Laboratory, state epidemiologist Dr. Kathleen F. Gensheimer confirmed Friday.

Two other cases are pending and one other suspected case is under investigation, according to the health advisory issued by the CDC. Those afflicted, including one who was hospitalized, had bloody diarrhea, one of the common symptoms.

Gensheimer said Friday that two of the three cases are unrelated, a fact revealed through genetic testing. No place, event or food has been identified as a link in the investigation, she said.

Elsewhere, an E. coli outbreak has been traced to a restaurant, according to WAND TV.com.  The El Rancherito restaurant in Effingham, Illinois, has been identified as the source of an E. coli outbreak that has resulted in at least six confirmed cases of E. coli O157:H7 among customers who ate at the El Rancherito restaurant in Effingham between September 11th and September 13th. 

The health department says it has six confirmed cases of E. coli 0157. They are all linked to eating at El Rancherito restaurant in Effingham at I-57 and I-70. The health department says the restaurant is cooperating and has been closed since Thursday.

The people affected ate there between September 11th and the 13th. Their illnesses started between the 14th and 17th. There is no word on their conditions.

An investigation into two E. coli-infected students from Galena Elementary School in Indiana is ongoing.  The News and Tribune reported that a second has been hospitalized with similar symptoms, school officials confirmed Friday afternoon.

“We don’t know the details, but we can say that the health department is investigating one confirmed and one suspected of E. coli,” said Bill Briscoe, assistant superintendent of operations and administration for the New Albany-Floyd County Consolidated School Corp.

Both students, who were not identified, were hospitalized on Thursday. The Floyd County Department of Health confirmed in a news release at least one case of E. coli on Friday morning and said it suspected the other, but didn’t reveal further details.

E. coli outbreak one year later

USA Today featured a detailed timeline of last year's spinach outbreak - from the first death to the discovery that spinach was the source of the outbreak to the fifth death and how the spinach industry and federal investigators and regulators responded during the crises and beyond. 

Marler Clark client Jillian Kohl stated in the article:  "By the time I am 40 to 45 years old, I could be laying in a bed hooked up to dialysis machines again. I know death is inevitable, but sometimes it feels like quite a load to carry, knowing a rough timeline has potentially been put on my life."

 

Ninth E. coli case reported in beef recall

Yesterday, an Idaho woman was added to the list of people who became ill with E. coli O157:H7 infections after eating ground beef produced by a Clackamas, Oregon meat producer and consumers were warned to check their freezers for potentially contaminated ground beef products. Illnesses associated with the outbreak have been reported in Idaho, Oregon, and Washington.

This morning, Alex Pulaski of the Oregonian reported that a Bend, Oregon, resident helped Oregon health officials determine the source of her E. coli illness and establish a link to the Washington and Idaho cases.

Amber Wark, one of the family members who had fallen ill, discovered a telling clue Saturday morning while taking it on herself to rummage through a dozen garbage bags in a trailer bed: packaging for 4 pounds of ground beef.

The wrappers led state epidemiologists, federal agricultural inspectors and Washington health authorities back to Interstate Meat Distributors Inc. in Clackamas, which had ground the meat that Wark bought July 29 at Safeway.
 

Washington, Oregon residents ill with E. coli after eating ground beef

The Food Safety and Inspection Service announced today that Interstate Meat Dist., Inc., of Clackamas, Oregon, was recalling 41,305 pounds of ground beef products for potential E. coli O157:H7 contamination. The recall was announced after at least eight people in Oregon and Washington became ill with E. coli infections after eating the ground beef products.

This public health alert was initiated after epidemiological investigations conducted by the State of Oregon Department of Health Services and the Washington State Department of Health determined that there is a possible link between the ground beef products and eight confirmed E. coli O157:H7 illnesses reported in Oregon and Washington.

The products subject to this public health alert include:

  • 16-ounce packages of "Northwest Finest 7% FAT, NATURAL GROUND BEEF." The label bears a UPC code of "752907 600127."
  • 16-ounce packages of "Northwest Finest 10% FAT, Organic GROUND BEEF."

     

Huntsville E. coli outbreak ends in death

WAFF reported this morning that one of the victims of an E. coli outbreak traced back to Little Rosie's Mexican restaurant in Huntsville, Alabama, has died. The victim, whose name was not released, became ill with an E. coli infection in July, and developed hemolytic uremic syndrome, a complication of E. coli infection.

The woman was one of the first to develop the E. coli bacteria in her bloodstream in July, and had spent the last several weeks in the hospital.

The family says the bacteria acted at least as a catalyst in their loved one's death. She passed away Wednesday morning.

The only common denominator among the cases health department officials could find was shredded lettuce served at Little Rosie's, a Mexican restaurant in Huntsville.

Health officials have not yet released information on whether they were able to identify a specific food served at Little Rosie's that was the source of the E. coli outbreak.
 

Colorado E. coli outbreak investigation focuses on daycare, water sources

Health officials in Colorado are investigating an E. coli outbreak among children in Eagle County. Several cases have been confirmed in children under 5. The county is focusing on swimming pools and child-care centers in its investigation.

In the summer of 1998, 26 children became ill from E. coli O157:H7 contracted while playing in the kiddie pool at White Water Park, a commercial water park in suburban Atlanta. Seven of those children were hospitalized and a 2-year-old boy died from hemolytic uremic syndrome, a kidney disorder caused by E. coli O157:H7.

In August of 2000, the Kindercare facility located on Lexington Drive in Folsom, California, was traced as the source of an E. coli O157:H7 outbreak. Health department officials who investigated the outbreak determined that the probable “index case” – a child who unknowingly brought the bacteria into the facility – experienced “explosive diarrhea at the daycare on the afternoon of 8-3-00.”
 

Anniversary of an outbreak

Tomorrow marks one year since E. coli-contaminated spinach was harvested from a field in California's Salinas Valley. One month from today will mark a year from the date US health officials - the Food and Drug Administration and Centers for Disease Control - confirmed that that spinach was the source of a nationwide E. coli outbreak, and announced that all bagged spinach products were being recalled for possible E. coli contamination.

Earthbound Farms, which is the largest producer of gourmet salad greens, hired food safety microbiologist Mansour Samadpour to set up a testing lab just days after the outbreak was traced to the company's products.  Dr. Samadpour instituted a testing regimen that is the most aggressive in the leafy greens industry.  All products are now checked for pathogens when they arrive at the processing plant and when they are through processing.

Kaua'i E. coli outbreak traced to lettuce

Today, Hawaiian health officials announced that an E. coli outbreak in March has been traced to lettuce grown on Kaua'i.

All eight people were most likely infected by eating contaminated lettuce from a Kaua'i farm, where heavy rains and flooding had carried E. coli bacteria from a cattle pasture onto the lettuce patch.

Officials declined to name the farm they suspect was the source of the lettuce.

The state Department of Health said that the eight victims, including the four who required hospital care, have recovered without complications from the outbreak of a strain of E. coli O157, whose symptoms include abdominal cramps and bloody diarrhea and which in severe cases can cause kidney failure.
 

Huntsville child released from hospital after suffering E. coli, HUS

An article for the Huntsville Times gave an account of the homecoming of Samuel Coggin, a five-year-old boy who became ill with an E. coli O157:H7 infection and hemolytic uremic syndrome after eating at Little Rosie's restaurant in Huntsville.

Samuel spent about three weeks on dialysis after the dangerous E. coli O157:H7 bacteria caused his kidneys to fail, a condition called hemolytic uremic syndrome.

Nineteen people became ill with E. coli infections after eating at Little  Rosie's Taqueria inn July.  Three people were hospitalized, including Samuel.  The other to people who developed HUS remain hospitalized.  One is in serious condition at Huntsville Hospital, and the other is hospitalized at Memorial Mission Hospital in Asheville, North Carolina.
 

Three still hospitalized with E. coli after eating at Little Rosie's

Health officials say the Huntsville outbreak most likely was caused by contaminated lettuce served at Little Rosie's between June 27 and June 30. Eighteen of the 19 known victims ate at the popular Mexican restaurant on Whitesburg Drive on those dates; the other infected person did not eat at Little Rosie's and caught the bacteria another way.

Three Little Rosie's customers have been in the hospital since about July 4 undergoing dialysis for kidney damage.

E. coli linked to ground beef

Several reports indicate that 7 people who became ill with E. coli infections earlier this summer were infected after eating contaminated ground beef.

All seven patients, including an 8-year-old North Carolina girl who was hospitalized after her kidneys shut down, are recovering, Dr. Humayun J. Chaudhry, the Suffolk County health commissioner, said Tuesday.

Chaudhry stressed that no specific brand of ground beef has been identified; it was purchased at various locations around Long Island. He also said the majority of those who became ill between June 9 and July 3 were believed to have eaten the beef products at local barbecues and not at restaurants.

He said federal and local health officials are continuing to investigate, but early findings suggest the E. coli contamination is not specific to Suffolk.
 

Seven in Suffolk, Long Island, New York sick from E. coli in ground beef

Seven people in Suffolk County were sickened in recent weeks after eating undercooked ground beef contaminated with E. coli bacteria, county health officials said Monday.

In one case, an 8-year-old North Carolina girl was hospitalized for about two weeks when her kidneys shut down, said Dr. Patricia Dillon, director of communicable diseases for Suffolk's health department. The girl, who was visiting friends and family here, was recently released from the hospital, Dillon said.  Officials said the meat was of different brands and was purchased at several supermarkets and grocery stores.  Test results showed that the bacteria strain in three of Suffolk's cases matched cases reported in Minnesota, California and Michigan.  "Preliminary findings suggest the E. coli O157:H7 contamination is not specific to Suffolk, but it is part of a larger national food supply concern," health officials said in a news release.

Interestingly, Abbott's Meat Inc., a Flint, Michigan, establishment, recalled approximately 26,669 pounds of ground beef products because they may be contaminated with E. coli O157:H7 in the last few days according to FSIS.  I posted yesterday on the increasing number of E. coli cases tied to red meat that we have been seeing over the last few months.

 

E. coli O157:H7 is Baaaaaack in Red Meat

In August 2002, I wrote an Op-ed for the Denver Post entitled “Put me out of business - please.” That summer, the now infamous ConAgra case, started with a few sick kids in Colorado and quickly spread coast-to-coast, eventually triggering the recall of over 19,000,000 pounds of ground beef tainted with E. coli O157:H7. I asked, no pleaded, that the government and industry adopt measures to prevent illnesses. I asked:

1. Actually, inspect and sample meat. At present, the USDA employs thousands of inspectors across the nation to inspect hundreds of plants that produce millions of pounds of beef at processing plants and retail outlets. The GAO has warned that the USDA's food samplings are so scattered and infrequent that there is little chance of detecting microscopic E. coli or any other pathogen.

2. Consider mandatory recall authority. This authority is required in Sen. Tom Harkin's Safer Meat, Poultry and Foods Act of 2002 (named Kevin’s law for a young boy who died of E. coli that year).

3. Require the meat industry to document where specific lots of food are sold. That way, it can be recalled quickly if a pathogen is detected. In most E. coli outbreaks, there is no recall because retailers do not know where the meat came from and processors rarely step forward.

4. Merge the two federal agencies responsible for food safety. Right now, USDA's Food Safety Inspection Service and the inspection arm of the Food and Drug Administration share this mission. The system is bifurcated, which leads to turf wars and split responsibilities. We need one independent agency that deals with food-borne pathogens.

5. Finally, large purchasers of meat – fast food industry, grocery store chains, and yes, the USDA – must require the meat industry to produce high quality, pathogen lessened, meat.

From 2002 until a few weeks ago I believed that even though most of the measures above never fully occurred, E. coli illnesses, especially those tied to red meat consumption were down - way down. A report in 2005 released by the CDC, in collaboration with the FDA and USDA, showed important declines in foodborne infections due to common bacterial pathogens in 2004. From 1996-2004, the incidence of E. coli O157:H7 infections decreased 42 percent.

Now that was, and still seems, significant. We saw the same results in our law firm. From 1993 (Jack in the Box) to 2002 (ConAgra), 95% of the cases in our office were E. coli cases tied to red meat consumption. After 2002, we saw enormous drop in clients, and more importantly, ill people nationwide. Recalls fell to nothing. That is until six weeks ago.

The last three months look like the late springs and summers from 1993 to 2002, when hamburger recalls and E. coli illnesses were a large part of every summer – much like vacations and baseball season. Now here is the concerning reality of 2007:

- Abbott's Meat Inc., a Flint, Mich., establishment, recalled approximately 26,669 pounds of ground beef products because they may be contaminated with E. coli O157:H7.

- At least thirteen people have been confirmed ill with E. coli O157:H7 infections after eating ground beef produced by United Food Group sold in Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming and Montana. Over 5,700,000 pound of meat have been recalled.

- Tyson Fresh Meats, Inc. recalled 40,440 pounds of ground beef products due to possible contamination with E. coli O157:H7. No illnesses yet reported.

- Seven Minnesotans were confirmed as part of the E. coli O157:H7 outbreak that prompted PM Beef Holdings to recall 117,500 pounds of beef trim products that was ground and sold at Lunds and Byerly’s stores.

- Twenty-seven people have been confirmed ill with E. coli O157:H7 infections in Fresno County. The Fresno County Department of Community Health inspected the “Meat Market” in Northwest Fresno, the source of the outbreak.

- At least two people were confirmed ill with E. coli O157:H7 infections in Michigan after eating ground beef produced by Davis Creek Meats and Seafood of Kalamazoo, Michigan. The E. coli outbreak prompted Davis Creek Meats and Seafood to recall approximately 129,000 pounds of beef products that were distributed in Arkansas, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia, and Wisconsin.

- Several people were confirmed ill with E. coli O157:H7 infections in Pennsylvania after eating E. coli-contaminated meat products at Hoss’s Family Steak and Sea Restaurants, a Pennsylvania-based restaurant chain that purchased its meat from HFX, Inc., of South Claysburg, Pennsylvania. As a result of the outbreak, HFX recalled approximately 4,900 pounds of meat products.

I am not sure I know the reason for the new and ominous trend (these are the largest meat recalls in five years), but by anyone’s count these numbers are concerning. What I do know is that these recent outbreaks have all the ugly signs of another national emergency. As a nation - and that includes all federal and local government agencies as well as the private sector – we cannot let the positive tend of the past become another acceptable body count. We need to figure out why this has happened. My suggestion – if Congress was willing to drop everything in order to investigate the deaths of a dozen cats due to contaminated pet food from China – perhaps bringing all the executives of the companies responsible for this recent rash of outbreaks, recalls and illnesses to Washington for a few days of questioning (under oath) might help us get to the bottom of this.

Update: Huntsville, Alabama, E. coli Outbreak

In what is now the largest E. coli outbreak in Alabama in 20 years, 18 people who ate at Little Rosie's restaurant in Huntsville, Alabama, have been confirmed as suffering from E. coli O157:H7 infections, and testing is being conducted to determine whether there are additional victims of the outbreak.

The Huntsville Times reports that two people remain hospitalized with hemolytic uremic syndrome, and a third hospitalized E. coli victim's status was not available.

The newest confirmed victims are a 65-year-old man and a 43-year-old woman. Neither got sick enough to need hospital care.

Although state and county health officials point to shredded lettuce as the most likely culprit, Bill Marler, a Seattle lawyer who specializes in foodborne illness cases, said he suspects that the outbreak ultimately will be tied to ground beef.
 

Huntsville, Alabama, E. coli outbreak traced to lettuce

An E. coli outbreak in Huntsville, Alabama, that has sickened numerous customers of Little Rosie's and has sent at least three people to the hospital with hemolytic uremic syndrome, was caused by contaminated lettuce, according to the Madison County Health Department. The Huntsville Times reports that health officials have not determined when the lettuce became contaminated - if it was before or after it entered the restaurant, but they are looking into the possibility that the lettuce was cross-contaminated before it was served.

Five-year-old Samuel Coggin of Meridianville started dialysis Wednesday morning at Vanderbilt Children's Hospital in Nashville. Two adults whose names have not been released are also hospitalized with kidney problems: a 48-year-old woman in critical condition at Huntsville Hospital and a 70-year-old woman undergoing dialysis in Asheville, N.C.

Dr. Debra Williams, the Huntsville-Madison County Health Department's assistant director, said 16 people who ate at Little Rosie's Taqueria late last month have now tested positive for E. coli O157:H7 poisoning. A 17th E. coli victim did not eat at the Whitesburg Drive restaurant and was sickened by a different source, she said.

Three more restaurant customers who were hospitalized with symptoms of E. coli exposure have tested negative, Williams said.
 

THE 2006 DOLE E. COLI O157:H7 SPINACH OUTBREAK

E. coli O157:H7 outbreaks associated with lettuce or spinach, specifically "pre-washed" and "ready-to-eat" varieties, are by no means a new phenomenon.

In October 2003, thirteen residents of a California retirement home were sickened, and two people died, after eating E. coli-contaminated, pre-washed spinach; in September 2003, nearly forty patrons of a California restaurant chain fell ill after eating salads prepared with bagged, pre-washed lettuce. In July 2002, over fifty young women fell ill with E. coli O157:H7 at a dance camp after eating “pre-washed” lettuce, leaving several hospitalized and one with life-long kidney damage.

Twenty or more E. coli O157:H7 outbreaks since 1995 have spinach or lettuce was the source.  Several more outbreaks linked to contaminated leafy-produce, including most recently the September 2005 Dole packaged lettuce outbreak.

Once the investigation was completed, a final report on the outbreak was prepared by the California Food Emergency Response Team (CalFERT), a team comprised of members from the FDA and the California Department of Health Services. The Final Report is replete with facts damning of all those involved in the growing, harvesting, processing, distribution, and sale of the implicated spinach products.

The Final Report also faulted with NSF’s procedures for monitoring the quality of processing-water, its record-keeping, and its inability to demonstrate that harvesting bins were being washed to prevent cross-contamination.
 

Kentucky Health Department confirms three E. coli foodpoisoning cases

The Buffalo Trace District Health Department has confirmed three cases of E. coli poisoning in the area.

According to Tim Stump, director of the district health department, the three individuals reside in Bracken and Fleming counties but were all diagnosed at Meadowview Regional Medical Center. All three individuals are juveniles, Stump said, and two are believed to be still hospitalized.

There have been reports of as many as seven cases of E. coli poisoning, but Stump said he is only aware of, and has only confirmed, the three.
 

Rare E. coli strain uncovered in Eastern Iowa children

Three Eastern Iowa children have recovered from a rare strain of E. coli, health officials said Monday.

Kevin Teale, spokesman for the Iowa Department of Public Health, said the three were not hospitalized from the strain, called enterohemorrhagic E. coli O26.  He would not identify where the children - all age 5 or under - live in Eastern Iowa. All were in the same county. 

Possible sources of infection, including splash pads, wading pools and contact with farm kittens, were identified in two cases, but no link was established with the third case.  Teale said two of the children had visited both private and municipal pools. 

Lab work performed at University Hygienic Laboratory found that all three strains matched, he said.
 

No criminal charges over spinach E. coli outbreak

Federal prosecutors have decided against charging companies involved in the September 2006 E. coli outbreak traced to contaminated spinach.

Following the outbreak, which led to the deaths of three people and sickened about 200 others, FBI agents raided two produce processing plants and several farms for evidence of environmental and food-safety violations. The investigation did not find that growers or processors had deliberately skirted the law or were negligent in preventing tainted foods from entering the marketplace, said U.S. Attorney Scott Schools.

Authorities had searched plants in October run by Growers Express LLC in Salinas and Natural Selection Foods LLC in San Juan Bautista, as well as farms in Santa Clara, Monterey and San Benito counties.

The outbreak last August and September caused 205 illnesses in 26 states and killed two elderly women and a toddler. The U.S. Centers for Disease Control and Prevention estimated that about 4,000 people were sickened by the spinach, taking into account that relatively few cases typically are reported.

The companies involved in the spinach E. coli outbreak still face civil litigation.
 

E. coli cases linked to slaughtered goat at Captain's Galley

The Captain's Galley restaurant in China Grove, N.C. is closed indefinitely after a recent E. coli outbreak that health officials believe is probably connected to a slaughtered goat.

Cable News 14 from Charlotte, North Carolina reported on the bizarre practice of allowing employees to slaughter a goat in a restaurant.

An 86-year-old woman died last week after suffering from complications from an E. coli infection and many more people can become sick.  Now residents are reacting to the disturbing happening at the popular restaurant.
 

More E. coli cases in Minnesota

Seattle-based Marler Clark law firm struck back in a lawsuit filed suit yesterday alleging negligence against meat producer PM Beef and retailer Lund Food Holdings.

According to Minnesota Lawyer, Anne Herwig was one of seven Minnesotans infected with E. coli bacteria this spring, leading PM Beef to voluntarily recall 117,500 pounds of beef trim products.

The lawsuit in Hennepin County District Court seeks undisclosed damages for Herwig's pain and suffering, medical expenses and emotional distress. The bug can cause severe stomach cramps and bloody diarrhea, with complications leading to kidney failure.
 

Faye Sides dies of E. coli after eating at Captain's Galley

A woman infected with E. coli has died in a Rowan County hospital.

Rowan Regional Medical Center officials say 86-year-old Faye Sides died yesterday of multiple organ failure related to the infection. Sides was 1 of 20 people who ate at a restaurant in China Grove and became ill about three weeks ago.

First suit filed against UFG by E. coli victim

The first lawsuit stemming from an E. coli O157:H7 outbreak traced to ground beef produced by United Food Group, Inc. was filed yesterday in Riverside County Superior Court, in California.

The lawsuit was filed against UFG by Seattle-based Marler Clark and San Diego-based Gordon and Holmes on behalf of Lawrence Fournier and Cynthia Centura of Hemet, California, whose four-year-old daughter, Lauren, became ill with an E. coli infection and was hospitalized with hemolytic uremic syndrome, a severe, life-threatening complication of E. coli infection that can lead to kidney failure, after eating UFG ground beef.

“The meat industry has made significant progress in preventing E. coli outbreaks traced to meat products in the last five years,” said William Marler, who has dedicated his law practice to representing victims of foodborne illness outbreaks since representing over 100 victims of the 1993 Jack in the Box E. coli outbreak. “One has to ask, ‘Who dropped the ball at UFG?’”

On June 3, 2007, UFG recalled 75,000 pounds of ground beef due to potential E. coli O157:H7 contamination. After additional testing and more reported illnesses, UFG expanded the recall on June 6 to include 370,000 pounds of ground beef. By June 9, UFG had again expanded its recall to include a total of approximately 5.7 million pounds of both fresh and frozen ground beef products.

The California Department of Health Services, the Colorado Department of Health, and the CDC reported 14 illnesses associated with the outbreak – 6 in Arizona, 3 in California, 2 in Colorado, 1 in Idaho, 1 in Utah, and 1 in Wyoming.
 

China Grove Captain's Galley E. coli Outbreak - Eight cases of E. Coli confirmed

The Rowan County Health Department has eight confirmed cases of E. coli and is tracking seven potential cases, reports the Independent Tribune.

Health Director Leonard Wood said calls about illness from the bacteria have decreased. “We’re beginning to see a slowdown in calls,” Wood said. “We don’t know the final number, but things have slowed down.”

The latest case was confirmed on Tuesday, Cabarrus Health Director Fred Pilkington said. Last week, Rowan and Cabarrus health officials began an investigation when residents complained of E. coli-like symptoms. The investigation led officials to Captain’s Galley Seafood Restaurant in China Grove.
 

E. coli outbreaks, recalls reminder of challenges to food safety

The latest technology allowed scientists at the Colorado Department of Health and Environment to link a pair of illnesses in Denver to the same E. coli pathogen sickening several people in California.

The Colorado scientists used an international computer database called PulseNet, created by officials who track illnesses.

"We then saw 11 cases with the same DNA fingerprint in five states," said Jim Beebe, Colorado's chief microbiologist.

"By using information shared worldwide, we can identify outbreaks that once were only viewed as isolated events," Beebe said.

Once Colorado made the link and the source was identified, the USDA announced on June 3 that United had issued a 75,000- pound recall of ground beef processed at its plant on April 20. It later expanded the recall to 5 million pounds of ground beef.
 

E. coli Source Identified by Fresno Health Department

The Health Department says that tests have confirmed that E. coli outbreak has come from cooked meat at "The Grill" at the Meat Market in Northwest Fresno.

Tests on leftovers have confirmed a viral strain of E. coli was present in that meat. The same strain was found in at least 11 of the victims.

The Grill is voluntarily recalling the cooked tri-tip meat.

The Health Department is not clear on how the contamination occurred. Their investigation is still underway. However, they say the meat could have come to the Meat Market contaminated from the packing house, perhaps it wasn't cooked enough or the contamination could have happened during contamination after it was cooked.
 

E. coli outbreak likely at China Grove Captain's Galley

Health officials in Rowan and Cabarrus counties in North Carolina are investigating an outbreak of E. coli that could be linked to the Captain's Galley Seafood Restaurant in China Grove.

As of Thursday morning, there were four confirmed cases of the intestinal illness, and another nine patients are considered to likely have the disease. Even more are still under investigation.

E. coli lawsuit filed against Minnesota meat supplier, grocer

A lawsuit will be filed today against PM Beef Holdings, LLC and Lund Food Holdings, Inc., the producer and retailer who sold E. coli-contaminated ground beef traced to an outbreak of E. coli O157:H7 illnesses in Minnesota and Wisconsin residents in April, 2007.

The plaintiff in the lawsuit is Anne Herwig, a Minneapolis resident who became ill with an E. coli O157:H7 infection and was hospitalized after eating contaminated ground beef in April.  Ms. Herwig is represented by Marler Clark. Ms. Herwig is one of seven Minnesotans who were confirmed as part of the E. coli outbreak that prompted PM Beef Holdings to recall 117,500 pounds of beef trim products that was ground and sold at Lunds and Byerly’s stores.

 

China Grove North Carolina E. Coli Outbreak Under Investigation

An E. coli outbreak in China Grove, North Carolina, has sickened at least four people, with another nine people possibly infected as well.

It was discovered after several people showed up at Northeast Medical Center in Concord, complaining about similar symptoms over the past few days. It's believed to be the first outbreak of it's kind in Rowan County. 

The health department says it appears all the people ate at one restaurant. "So far the common denominator has been the fact that these folks had eaten at Captain's Galley," said Leonard Woods, director of the Rowan County Health Department.
 

North Carolina E. coli Outbreak traced to restaurant

Lab tests have confirmed four cases of E. coli so far, and another nine cases are considered probable and are awaiting lab tests.

Officials say many of the sick people ate at the Captain’s Galley Restaurant prior to becoming ill.

The North Carolina Division of Public Health is conducting an investigation into the outbreak along with Rowan and Cabbarus County health departments.
 

Update on United Food Group E. coli Recall and Outbreak

The ongoing recall of potentially E. coli-contaminated ground beef products produced by United Food Group has affected numerous stores nationwide.

The ground beed was carried by Albertson's, Basha's, Grocery Outlet, Fry's, "R" Ranch Markets, Sam's Club, Save-A-Lot, Save-Mart, Scolari's Wholesale Markets, Smart and Final, Smith's, Stater Bros. and Superior Warehouse Club supermarkets.

The meat was produced in Vernon, California, on April 13 and sold under the brand names of Moran's All Natural, Miller Meat Company, Stater Bros., Inter-American Products Inc., and Basha's.

Sam's Clubs in California, Arizona and Nevada were the only stores belonging to that chain stocked with the recalled product.
 

E. coli recall: 4 Arizonans part of outbreak

Four cases of E. coli infections have been identified by Arizona health officials as possibly linked to beef that a California meatpacking company recalled Monday.

The beef was processed by United Food Group LLC of Vernon, Ca. and shipped to retail distribution centers in Arizona, California, Colorado, Oregon and Utah. It was sold at Albertsons, Save-A-Lot, Grocery Outlet, Fry's, Save-Mart, Smart and Final, Smith's, and Stater Bros. stores.

California Senate advances reforms to ensure produce safety

The California State Senate became the first legislative body in the nation to recognize the unique risk posed by leafy greens when it approved Senate bills that enact food safety reforms.

Senate Bill 200 gives the Department of Health Services the authority to recall or destroy produce which may pose a threat to the public. The measure also creates an inspection program to proactively address the threat of outbreaks. DHS inspectors would have the authority to conduct periodic on-farm inspections, including testing of water, soil and produce.

Senate Bill 201 mandates Good Agricultural Practices for leafy green growers, covering everything from water and fertilizer use, to worker hygiene, to the creation of buffer zones between fields and potential contamination sources. Growers would be required to maintain extensive documentation of these practices. These documents would be reviewed by DHS to ensure compliance.

SB 202 calls for the creation of a traceback system that can quickly trace contaminated produce through the various stages of the distribution process, from farm to processor, to distributor, to retailer. In the most recent E. coli outbreaks, lettuce and spinach producers nationwide took a major economic hit, because it could not immediately be determined where the infected produce came from and every farm was suspect. The ability to quickly find the specific source in an outbreak, combined with DHS’ ability to destroy suspect produce, will prevent a similar industry-wide hit in future E. coli outbreaks.
 

June 2006 Wendy's E. coli O121:H19 Outbreak

In early August 2006, public health officials in Weber County, Utah, became aware of several people who attended a teachers' conference luncheon and had contracted E. coli O121:H19 infections.

On August 2, 2006, the Weber-Morgan Health Department issued a News Release indicating that three people had been infected with E. coli O121:H19, and that two of the individuals had developed HUS.  WMHD stated that the evidence indicated that all three people contracted E. coli from the same source sometime during June 27-30 at a restaurant in the Ogden, Utah area. By August 7, WMHD officials had revised the number of outbreak victims to four, including three who had developed HUS.

WMHD concluded that the source of the infection was contaminated iceberg lettuce prepared at a Wendy’s Restaurant in North Ogden, Utah.

Eventually, WMHD determined that at least 69 people had become ill in the outbreak. Of those, four remained hospitalized and were in serious condition.
 

E. coli Attorney: Recent outbreaks traced to meat products

The Centers for Disease Control and Prevention have announced that the incidence of E. coli O157:H7 infection traced to ground beef products had significantly declined. CDC attributed the decline to the implementation of a new set of recommendations from the USDA's Food Safety and Inspection Service in 2002 and the beef industry's subsequent enhancement of food safety systems, including testing and control measures.

It is true that since 2002, there has been a general decline in the number of E. coli cases traced to red meat, and an increase in the number of E. coli cases traced to fresh produce, namely bagged lettuce and spinach. But in the last weeks E. coli outbreaks traced to beef products have underscored the importance of continued efforts to protect the public from E. coli in meat.

More sickened with E. coli in Utah and Arizona

Four cases of E. coli infections have been identified by Arizona health officials as possibly linked to beef that a California meat packing company recalled Monday.

Of the four cases, the Arizona Department of Health Services says two people required hospital treatment but have recovered. The beef was processed by United Food Group of Vernon, California, and shipped to retail distribution centers in Arizona, California, Colorado, Oregon and Utah.

One Utahn became ill after eating hamburger meat contaminated with the E. coli bacteria, the state Department of Health reported on Tuesday. The victim was treated and has recovered, said department spokesperson Charla Haley, adding that no other cases are being investigated at this time. Supervalu Inc. has recalled ground beef sold under the Moran label in its Albertsons' stores in Utah, California, Idaho, Montana, Nevada, North Dakota, Oregon, Washington and Wyoming.
 

At least 38 E. coli cases in last few months tied to red meat - nearly 500,000 pounds of meat recalled

Where is the USDA and Congressional investigation?  Why do we only investigate when pets are sickened?

California Company recalls 75,000 pounds of beef - twelve sickened

75,000 pounds of ground beef has been recalled due to contamination with E. coli O157:H7. According to California Health officials, the beef tainted with a deadly strain of E. coli has sickened a dozen people in five states and Canada, including three in California and two in Colorado. United Food Group, LLC, of Vernon, California has recalled its Moran ground beef products. The products have been recalled from Supervalu-owned Albertsons stores in California, Idaho, Montana, Nevada, North Dakota, Oregon, Utah, Washington and Wyoming, and from Save-A-Lot stores in Arizona, California and Nevada and products which were distributed at Grocery Outlet, Fry's, Save-Mart, Smart and Final, Smith's and Stater Bros., stores in several states.

E. coli Outbreak in Fresno County – fifteen sickened


The Fresno County Health Department said there are now eleven confirmed cases of E. coli in Fresno County. On Thursday, May 31st, investigators are still looking for the source of the bacteria. The Health Department has inspected the “Meat Market” in Northwest Fresno. Meat from the company may have been served at several private parties where some guests later became sick. On Tuesday May 29th, five people were confirmed to have the potentially deadly bacteria. Three more cases were confirmed on Wednesday and another three on Thursday. All of the victims had attended one of three private parties that were all serviced by the same caterer.

Kalamazoo company recalls 129,000 pounds of beef – two sickened

Davis Creek Meats and Seafood in Kalamazoo is voluntarily recalling approximately 129,000 pounds of beef products due to the possible contamination of E. coli. The problem was discovered after two people in the Kalamazoo area became sickened with symptoms related to the bacteria. The beef products were produced between March 1 and April 30, and were shipped to food service distribution centers and marketplace stores in Arkansas, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia and Wisconsin.

E. coli O157:H7 cases linked to ground beef purchased at Lunds or Byerly’s stores since mid-April – 117,500 pounds of beef shipped to eight states - seven sickened


Minnesota Department of Health and Agriculture officials are investigating seven cases of E. coli O157:H7 infection in Minnesota residents associated with eating ground beef purchased from Lunds or Byerly’s stores since mid-April. Routine monitoring by the Minnesota Department of Health (MDH) found that the cases of illness were all caused by E. coli O157:H7 with the same DNA fingerprint. All of the cases had purchased the ground beef from one of four Lunds or Byerly’s stores in the west metro area since April 12. The people became ill between April 21 and 28 after consuming the meat. The cases include two children and five adults. Three of the cases were hospitalized, but all have been discharged.

E. coli scare changes menu at St. Helena Little League shack – 100,000 pounds of frozen ground beef patties - three sickened


Following reports early last month of E. coli infection in three Napa Valley children — who got sick from hamburger patties sold at a St. Helena Little League snack shack — Little League baseball spectators in St. Helena will no longer be able to buy a burger during game time. Gamble said the three confirmed reports of E. coli were in children between the ages of 8 and 12. The meat that sickened the children came from a Napa business, the Salami Lady’s Cash & Carry. Jan Dalluge, who has owned the business for five years, said she acquired the product from Richwood Meat Company of Merced.

Fresno E. coli Outbreak - Update #4

Fresno County health investigators said 15 E. coli cases from a recent outbreak had been confirmed as of Friday afternoon, reports the Fresno Bee.

One man has been hospitalized with hemolytic uremic syndrome, a kidney complication from the bacterial infection, said David Luchini, communicable disease division manager for the Fresno County Department of Community Health.

Most of the cases appear to be related to three private gatherings -- two graduation parties and a wedding. But health workers are still investigating illnesses that might be related to other events.
 

Fresno E. coli outbreak update #3

The number of confirmed cases linked to an E. coli outbreak in the Fresno area has increased by three to 11, according to an article in the Fresno Bee.

Samples are still being tested and additional positive results may be confirmed in the coming days, said Tim Casagrande, director of Fresno County's environmental health services department.

Health officials are focusing on determining which food item served at three separate parties could have been the source.  Early reports indicated that beef tri-tips from the Meat Market was served at all three events.
 

Fresno E. coli outbreak update #2

Health officials have identified two additional people who tested positive for E. coli and may be part of the recent outbreak traced to private gatherings held in the Fresno area.

Investigators are tracking down everyone who attended three private parties where tainted food might have been served.

Officials need to know what the people ate for breakfast, lunch and dinner for the past week, said David Luchini, division manager of communicable diseases for the Fresno County Community Health Department. He did not have an estimate on how long the interviews would take.

E. coli O157:H7 can cause a complication known as hemolytic uremic syndrome, or HUS.  HUS occurs in 5-10 percent of E. coli patients, and can cause damage to the kidneys, brain, pancreas, and central nervous system.
 

Fresno E. coli outbreak update

KFSN-TV reported that health officials are investigating 20 reported E. coli cases - 16 from the same source - in an outbreak that apparently began after two graduation parties on May 19.

Food from the same Fresno market was served at both graduation parties.

A number of food sources are under scrutiny, but the parties were catered by the same company, said Tim Casagrande, the county's director of environmental health.

Health workers are talking to people in attendance at two other parties held on the same day to determine if more people have become ill.
 

E. coli outbreak in Fresno

The Fresno County Health Department and Fresno County Environmental Health are looking into whether the Meat Market is the source of the E. coli outbreak that has sickened as many as 20 people so far.

The grill at the popular Meat Market in north Fresno was shut down for about an hour while county health inspectors checked the facility. Tim Casagrande, Fresno County Environmental Health says, "Our staff's gonna be looking at essentially food handling, critical points, temperatures."

 

E. coli outbreak in New York

An E. coli outbreak may be ongoing in Montgomery and Fulton Counties in New York.

The State Health Department has confirmed that three children have tested positive for E. coli, and one has been hospitalized. Two of the children attend the same daycare, but officials are not releasing the name of that facility yet, according to WTEN TV.

It is not known how the third child became ill, but health officials say they are performing tests on some of the children attending the daycare program.

During summer months, exposure at pools and water parks has been linked to outbreaks of E. coli, Cryptosporidium, and other bacteria, parasites, and viruses.  Recently, several children became ill with E. coli infections after attending a back yard water slide party near Bakersfield, California.  In 2004, thousands of people became ill with Cryptosporidiosis after exposure to Cryptosporidium at the Seneca Lake Spraypark near Geneva, New York, and in 1998 dozens of children became ill with E. coli O157:H7 infections, including seven children who were hospitalized and one child who died, after playing in a kiddie pool at the White Water waterpark near Atlanta, Georgia.
 

E. coli O157:H7 cases linked to ground beef purchased at Lunds or Byerly's stores since mid-April

Minnesota state health and agriculture officials are investigating seven cases of E. coli O157:H7 infection in residents associated with eating ground beef purchased from Lunds or Byerly's stores.

The cases include two children and five adults. Three of the cases were hospitalized, but all have been discharged.  Marler Clark has been contacted by victims of this outbreak.

According to the Minnesota Department of Health, “The stores currently involved include Byerly’s St. Louis Park, Byerly’s Minnetonka, Byerly’s Chanhassen and Lunds Edina. However, we can’t be certain that meat from other stores is not involved, since all of the beef used for ground beef for Lunds and Byerly’s stores comes from a single processing facility,” said Heidi Kassenborg, Acting Director of the Dairy and Food Inspection Division of the Minnesota Department of Agriculture.

Ground beef that was purchased after April 7 from a Lunds or Byerly’s store, whether still in the refrigerator or freezer, should not be used, but should be discarded or returned to the store, officials said.
 

Source of Bakersfield E. coli outbreak found

The Kern County Health Department issued a press release today stating that the investigation into an E. coli outbreak among several Bakersfield, California-area resident had been traced.

Early speculation about the source of the outbreak indicated that health officials were investigating potential exposure to the E. coli bacterium at a restaurant; however, the press release shows that health officials have pinpointed the exposure as happening at a water slide event.

One child is still hospitalized in fair condition, according to an article from the Bakersfield Californian.
 

Minnesota beef recall expands

PM Beef Holdings expanded an E. coli recall to include 117,500 pounds of beef trimmings to make ground beef yesterday. The original recall was initiated after an E. coli outbreak among Byerly's and Lunds customers in the Minneapolis area who had consumed ground beef products from the stores.

According to the St. Paul Pioneer Press, the recall comes after an E. coli outbreak that has sickened seven Twin Cities residents, who purchased and ate ground beef from either of the two stores. While those stores have already removed any potentially contaminated beef from their shelves, today's move greatly expands the scope of the recall.

The beef trimmings in question were processed on March 27 at the PM Beef Holdings plant in Windom, and the USDA said it was shipped to distributors and retail outlets in Minnesota, Wisconsin, Iowa, Illinois, Michigan, Arizona, Ohio and Virginia.
 

Bakersfield-area E. coli outbreak investigation continues

California health officials continue their investigation into an E. coli outbreak that has sickened at least a dozen people in the Bakersfield, California, area.

A common thread is a restaurant in Bakersfield, but the Kern County Health Department will not reveal its location. Health officials continued to say there is no immediate threat to the public and that is why the health department will not officially name the pizzeria.

Two of the hospitalized children have been released, and two developed hemolytic-uremic syndrome -- a condition marked by kidney failure and seen in serious foodborne illnesses -- and were transferred to hospitals outside Kern County.
 

E. coli infosheet from Food Safety Network

This week's food safety infosheet from the International Food Safety Network focuses on E. coli outbreaks in California and Minnesota.  Both outbreaks were traced to ground beef, and both are still being investigated by health officials. 
Minnesota E. coli Outbreak

E. coli outbreak in Minnesota

According to an article in the Minneapolis Star-Tribune, Minnesota health officials have traced an E. coli outbreak in late April to ground beef sold at grocery several stores in Minnesota towns. 
ground beef E. coli recallThe meat was sold under a store label at the Edina Lunds, and Byerly's stores in Minnetonka, Chanhassen and St. Louis Park, according to the health department.

Five adults and two children were among those sickened. Three were treated at area hospitals. The infections were reported between April 21 and April 28, according to the health department.

State health officials added that any ground beef purchased at the stores since April 7 should be thrown out or returned to the store.
In a Minnesota Department of Health press release, "E. coli O157:H7 cases linked to ground beef purchased at Lunds or Byerly’s stores since mid-April," Heidi Kassenborg, Acting Director of the Dairy and Food Inspection Division of the Minnesota Department of Agriculture stated, "[W]e can't be certain that meat from other stores is not involved, since all of the beef used for ground beef for Lunds and Beverly's stores comes from a single procesing facility." 

While the ground beef has not been recalled, the Minnesota Department of Health is encouraging consumers to throw out or return the ground beef products to stores.
As a precautionary measure, Lunds and Byerly’s have voluntarily removed many varieties of ground beef from all of their stores and are cooperating fully with the investigation.

Lunds and Byerly’s customers are urged to return or destroy fresh ground beef purchased at any of their stores since April 7, 2007. This includes ground beef purchased fresh then frozen at home. It includes fresh beef patties, fresh or frozen meatloaf and ground chili meat. Customers should return the ground beef to any Lunds or Byerly’s immediately for a full refund. (A receipt is not required.)

California kindergarteners sick with possible E. coli

The Bakersfield Californian reported today that at least four children have become ill with symptoms of E. coli infection, and have been hospitalized - two with hemolytic uremic syndrome (HUS).  Health officials are continuing their investigation into the apparent outbreak, and are assessing potential common exposures the children may have had.  According to the article, "At this point, all that's known is that the four children, who know one another from school or play dates, suffered bloody diarrhea after attending several parties and playing at a local park."

KGET reported
that seven children had been counted as being part of the potential outbreak:
[S]ix kindergardners are sick, some of them hospitalized with the sometimes fatal disease.

An eighth student is a 10-year-old relative of of one of the kindergarders.
HUS develops when the toxin from E. coli bacteria, known as Shiga-like toxin (SLT) [1,2], enters the circulation by binding to special receptors. These Shiga-toxin receptors, known as Gb3 receptors [1], are probably heterogeneously distributed in the major body organs allowing disparate thrombotic (blood clotting) impacts in different HUS victims, although the greatest receptor concentration appears to be in the kidneys, especially in children. As the inflammatory reaction process accelerates, red blood cells are destroyed and cellular debris aggregates within the microvasculature while the body’s inherent clot breaking mechanisms are disrupted. The result is formation of microthrombi within particularly susceptible organs such as the kidneys and brain. Because there exists no way to halt the progression of HUS, doctors are left to support the HUS victim while the acute process runs its course.

E. coli video Some organs appear more susceptible than others to the damage caused by these toxins, possibly due to the presence of increased numbers of toxin-receptors. These organs include the kidney, pancreas, and brain.  An animated video of how E. coli attaches to the intestinal wall and releases shiga-toxins, causing infection, is available at the Howard Hughes Medical Institute Web site.


[1]  Recent research suggests that E. coli O157:H7 acquired its pathological character when a bacteriophage (virus that infects bacteria) transmitted genetic material for the creation of the toxin from a closely related Shigella bacterial species (hence the epithet, Shiga-like toxin) to a formerly benign species of E. coli.

[2]  Verotoxin-globotriaosyl ceramide binding receptors.

After E. coli outbreak, Hoss's switches meat producers

Hoss's, a restaurant chain that operates restaurants in Pennsylvania, Virginia, and West Virginia, has changed meat suppliers after an E. coli outbreak was traced to one of its restaurants, according to an article posted at Lancaster Farming. Health officials are still investigating the outbreak, but believe it was caused by consumption of mechanically tenderized steaks purchased at Hoss's restaurant.

Five people ate E. coli tainted steaks at four Hoss’s locations in Centre, Dauphin, Venango, and York counties between March 24 and 29. Each person was infected with a potentially deadly strain of E. coli, the same strain that killed three people and hospitalized hundreds last summer as a result of consuming E. coli-tainted spinach.

The department states each person ate a different cut of steak, but the fact they got it at Hoss’s is the only common link. Four of the five people were hospitalized with symptoms of E. coli, which include severe bloody diarrhea.

Hoss’s stated it would be eliminating three practices it has used to tenderize and flavor its steaks before they arrive at a restaurant: blade tenderization, vacuum marination and marinade injection.
 

Restaurant's Health Permit Restored After E. Coli Outbreak

The health permit of a Lake Forest eatery linked to an E. coli infection outbreak, which affected 14 customers and one employee, has been reinstated, reports KCAL Santa Ana.

The Foothill Ranch restaurant voluntarily closed on April 6, after reports that several people who ate at the restaurant reported getting sick, including two children who were hospitalized.

Despite an ongoing investigation, the source of the E. coli O157:H7 infections has not been identified, said Howard Sutter of the Orange County Health Care Agency. He said the permit was reinstated after the restaurant completed four requirements:

  1. cleaning and sanitizing all food contact surfaces in the facility,
  2. screening all employees for the infection,
  3. disposal of all unpackaged food items handled by employees prior to screening,
  4. restaurant employees have attended a food worker education class presented by HCA Environmental Health.

     

E. coli Outbreak Infosheet

The Food Safety Network's latest infosheet is about an E. coli outbreak in Orange County, California. 

E. coli O157:H7 Update


According to the Orange County Department of Health and multiple news sources, a 15th E. coli O157:H7 case has been confirmed in Southern California resulting from the person eating at the contaminated Orange County restaurant.

The restaurant in Lake Forest, California is the main target in this E. coli O157:H7 outbreak with 14 customers and 1 employee now testing positive for the pathogenic bacteria. All of these customers ate at the restaurant between March 23rd and March 25th. 10 children and five adults make up the split as to who got sick. Two kids have been hospitalized due to the bacteria with a 12-year-old girl recovering in intensive care.

We have been contacted by several of these customers, some who have been counted by the Health Department and some still in process. One older woman remains hospitalized with symptoms consistent with E. coli O157:H7 caused kidney failure. Although the 15 cases presently counted by the Health Department is the “official” number, it is most likely, based upon CDC statistics, to grow to at least 200 “probable” or “suspect” cases.

The food source has not yet been determined with the restaurant remaining closed. Investigators are now testing all 40 of the employees to try and find a link to where the E. coli O157:H7 actually came from. From past foodborne illness outbreaks tied to these types of buffet restaurants it will be unlikely that a specific food source will ever be found. This is the case because all of the food that made people ill has long been eaten or discarded. It is also true that when people eat at buffets they tend to eat multiple items thereby making it difficult for investigators to find a specific, common, food item.
For more information on Marler Clark, visit www.marlerclark.com.  For more information on our not for profit food safety consulting work, see www.outbreakinc.com.

Restaurant finally closes in E. coli outbreak

The Associated Press reported that two more cases of E. coli infection linked to a restaurant have been identified, forcing the Orange County eatery to temporarily close for business.

The new cases brought the number of people sickened by the dangerous bacterium to 12. The first 10 people who tested positive for E. coli had eaten at the Foothill Ranch restaurant in Lake Forest. Tests confirmed that an 11th person, a juvenile who had eaten at the restaurant was also infected, said Orange County Health Care Agency spokesman Howard Sutter. Tests also showed an employee who did not report any symptoms or illness also had contracted E. coli O157:H7.

Meanwhile, a 12-year-old girl hospitalized with an E. coli infection was in good condition Saturday after being transferred out of intensive care and into a general care ward at Children's Hospital of Orange County, said Denise Almazan, hospital spokeswoman

"We still have not identified the source of these infections and we cannot draw any conclusions about the possible source from the latest developments," said county health officer Eric Handler. "Our interviews with employees have shown that they also eat meals at the restaurant and an employee could have become infected in the same manner as others who ate at the restaurant."

The findings prompted the restaurant to voluntarily close so all its employees could be tested. The new cases also led the Health Care Agency to suspend the restaurant's health permit.  The serve-yourself salad-buffet restaurant stayed open after the first several cases because health inspectors initially concluded its food and conditions were safe.
 

Pittsburgh-area E. coli outbreak

Earla Marshall and Amy Champion met at Pittsburgh Children's Hospital while their sons were undergoing treatment for E. coli O157:H7 infections. The two mothers determined that both sons had eaten at the Ellwood Moose Lodge gun auction and wild game dinner on the same day, and believe the boys became ill with symptoms of E. coli infection after the meal.

According to the New Castle News, the mothers began researching what they believed to be an outbreak. Marshall and Champion busied themselves trying to find other people who had attended the dinner, which Marshall said featured such meat as elk, moose, duck, bear and deer.

“We discovered six other people who had gotten ill and were diagnosed with E. coli,” Marshall said, noting that between 200 and 300 people attended the event. She added that leftovers from the dinner were given to the Franklin Township Volunteer Fire Department, and that some of the firefighters there fell ill as well.
 

Three more E. coli cases in Orange County bring total to 10

Three more cases of E. coli were identified among customers of an Orange County restaurant, bringing the number of people sickened to 10, reports the Associated Press. Interviews with all 10 people confirmed they ate at a restaurant in the city of Lake Forest on March 23 or 24, the Orange County Health Agency said in a statement.

"We have not yet identified the source of the infections, and our investigation is continuing," the agency said.

The latest cases were confirmed a day after health officials announced that tests showed the first seven cases all had the same strain of E. coli in common, indicating a common source of infection. One of the earlier cases, a 12-year-old girl, remains in intensive care at Children's Hospital of Orange County, said county health information officer Deanne Thompson.

The restaurant has remained open. Health inspectors concluded its food and conditions were safe.
 

E. Coli Source Identified

The Orange County Health Care Agency's on-going investigation of reported E. coli O157:H7 cases has identified a restaurant at which all currently known cases have reported eating.

Interviews with each of the seven currently known cases have determined they all ate at the Foothill Ranch restaurant in Lake Forest, California.

The continuing investigation will attempt to identify food items that may be implicated. “Staff from the restaurant and corporate office have been completely cooperative with our on-going investigation of this foodborne outbreak,” said Eric G. Handler, M.D., County Health Officer.
 

E. coli outbreak traced to Orange County restaurant

Orange County Public Health Services announced yesterday that at least seven people had become ill with E. coli O157:H7 infections after eating at a buffet-type restaurant in Lake Forest, California. Six of the people with reported E. coli infections became ill after dining at the restaurant on March 23rd or 24th. Three of the victims have been hospitalized.

The Orange County Health Care Agency and the California Department of Health Services are investigating the outbreak, but have not yet determined which food served at the restaurant was contaminated with E. coli. According to an Associated Press report, foods served at this chain of Orange County restaurants are prepared at a central kitchen, which supplies nine restaurants. No E. coli illnesses have been reported from diners at other of the chain's restaurants in Orange County.

“More has to be done to ensure the safety of our food supply,” said attorney William Marler, who is representing 93 victims of last year’s spinach E. coli outbreak and over 4,500 victims of the Salmonella outbreak that was traced to contaminated peanut butter. “Consumer confidence has been shaken, and we need to know that the food we’re putting into our bodies, whether at home or in restaurants, is not contaminated with pathogenic bacteria that could kill us.”

The Centers for Disease Control and Prevention estimates that 73,000 cases of Escherichia coli O157:H7, or E. coli, occur annually in the United States. Every year, 2,100 Americans are hospitalized, and 61 people die as a direct result of E. coli infections and its complications.
 

E. coli in spinach: final report issued

The California Department of Health Services and the FDA have released their final report on the spinach E. coli outbreak.

Authorities for the first time said they had isolated the deadly E. coli strain on Paicines Ranch in San Benito County from a field the ranch leased to Mission Organics, a spinach grower.

They found E. coli "indistinguishable from the outbreak strain" in river water, cattle feces, and wild pig feces on the ranch within a mile a from the spinach fields, the California Department of Health Services and U.S. Food and Drug Administration said in a joint report.

Investigators also said they could not make a "definitive determination" as to how the E. coli contaminated the spinach.

The Paicines Ranch, which breeds Angus cattle and quarter horses, said in a statement on its Web site that it leases land to crop growers and was not under investigation in the outbreak.
 

Son of Woman Killed by E. coli Testifies: Legislature must go farther than industry-led marketing agreement

Darryl Howard, the son of Betty Howard, a Richland, Washington, resident who died after contracting E. coli O157:H7 last September after eating California-grown spinach, will testify before the California Senate Agriculture Committee in Oakland, advocating for legislation to ensure fresh produce safety.

Mr. Howard and his two brothers will attend the hearing in support of Senate Bills 200, 201 and 202, which are sponsored by Senator Dean Florez.

“The state needs some jurisdictional teeth not just over products, but over potential E. coli sources,” said Mr. Howard.  “After listening to testimony by John Dyer, CFDA’s chief counsel who helped write the agreement for the state, say, ‘Growers aren’t subject to this act, and to the agreement’ and ‘Marketing Orders and Agreements are not food safety-empowered programs,’ I knew this agreement did not go far enough and gives the public a false sense of security.”  The leafy greens marketing agreement goes into effect on April 1st, to which Mr. Howard said, “It’s appropriate because it’s April Fools Day.”

Howard will submit for the record the federal testimony of Dr. Kevin Reilly, Deputy Director, Prevention Services, California Department of Health Services.  Dr. Riley gave testimony on November 15, 2006 to the U.S. Senate Committee on Health, Education, Labor, and Pensions.  In his testimony, he stated that, “The Salinas Valley appears to have systemic E. coli O157:H7 contamination in the environment that has led to a number of fresh produce associated outbreaks over time.”
 

Lawmaker wants agency to release findings on E. coli tainted Valley spinach

State officials say they will soon release results of an investigation into last year's deadly Salinas Valley E. coli outbreak, including naming the San Benito County farm where the tainted spinach was grown, but Senator Dean Florez says consumers can't wait any longer.

"Time is a luxury we don't have," the senator said at a legislative hearing Monday. "We cannot wait any longer to solve this problem."

The September outbreak killed three people and sickened more than 200 nationwide. State and federal officials have traced the outbreak back to a 50-acre spinach plot. The E. coli strain identified in the contaminated spinach has been found in a nearby stream and in cattle feces and in wild pigs.

But the Department of Health Services has declined Florez's request to release further details until the report is in its final version. It is still being reviewed by the federal Food and Drug Administration, which has aided in the inquiry.

"We believe it will be released in the coming weeks," said Jennifer Kent, associate secretary of legislative affairs at the state Health and Human Services Agency. She testified at the Senate Select Committee on Foodborne Illness, which Florez leads.

The results of the Salinas Valley investigation are likely to play a major role in several lawsuits filed on behalf of E. coli victims. Marler Clark, a Seattle law firm representing 90 plaintiffs alleged in a lawsuit that the tainted spinach was grown at a farm called Mission Organics.
 

Second Taco E. coli Outbreak Traced to Central Valley

Investigators for the FDA and CDC have indicated that the E. coli-contaminated lettuce that sickened customers at Northeast Taco Bell restaurants in November and December of 2006 came from California's Central Valley. The Taco Bell outbreak was reported just before an outbreak at Taco John's locations in the Midwest, which was also traced to lettuce grown in the Central Valley.

In an article for the Salinas Californian, Brian Tumulty reported that FDA was continuing its investigation and that a final investigation report into the Taco Bell E. coli outbreak would not be published for at least another month, while a report on last fall's E. coli outbreak traced to baby spinach will be issued before then.

E. coli outbreak impacts Taco Bell's Q4 earnings

Los Angeles Times reporter Jerry Hirsch wrote about Taco Bell's five percent drop in earnings in the fourth quarter of 2006, and noted that Taco Bell cited a "produce sourcing" issue as part of the reason for the drop in earnings. E. coli, according to Hirsch's article, was conspicuously absent in Yum! Brands' earnings report.

Yum provided almost no financial details about the effect on Taco Bell except to say that sales were recovering from their December low.

Overall, Yum reported a profit of $232 million, or 83 cents a share, a 3% gain from $226 million, or 77 cents, a year earlier. Sales rose 4% to $3 billion. Yum also owns the fast food chains Pizza Hut and KFC.

Before the earnings release, Yum shares rose 29 cents to $60.78. The price, near its 52-week high, was little changed in after-hours trading.

In a report Monday to investors, UBS analyst Palmer said he believed Taco Bell restaurants would bounce back to at least flat sales and might log "slightly positive" growth in April.

Yum also will collect an undetermined level of insurance payments to help offset profit lost because of the E. coli-related drop in sales, he said.

In an article for BusinessWeek.com, Bruce Schreiner wrote that Taco Bell and Yum!'s performance surprised financial analysts:

Larry Miller, a restaurant analyst with RBC Capital Markets, said the drop at the Mexican-style chain wasn't as severe as he had expected. "I think investors are going to be somewhat relieved with Taco Bell," he said in an interview. "It wasn't quite as bad as I think some of us thought it might be."

E. coli outbreak at Connecticut nursing home

The Connecticut Post Online reports that residents at an Astoria Park nursing home have become ill with E. coli infections. Astoria Park health officials are investigating the source of the outbreak, which has sickened at least ten residents.

City Health Director Maian Evans said "other people ate the food and didn't get sick," in regards to the infection coming from contaminated food.

Authorities will try to determine whether the illness was caused by sources such as produce from outside the nursing home or food-handling problems within the facility.

In 2003, residents of a San Mateo, California, retirement facility became ill with E. coli infections after eating E. coli-contaminated spinach during the Sequoias Portola Valley E. coli outbreak.  Two women died after suffering complications of their E. coli infections, and dozens of residents were sickened.
 

Taco Bell to Report 4th Quarter Earnings

Taco Bell will report earnings for the 4th quarter of 2006 on Monday, and financial analysts are questioning whether earnings will fall short of expectations following the E. coli outbreak traced to Taco Bell restaurants in the Northeast last December.

The OC Register reports that the time of the incident, the survey by Sandelman & Associates showed that eight out of 10 people had heard of the E. coli incident. The poll included roughly 400 people, Sandelman said.

Of those who were aware of the E. coli incident, 94 percent were able to tie the outbreak to Taco Bell. "There was no confusion," said Sandelman.
 

Taco John's E. coli outbreak update

The Food and Drug Administration has announced that it has moved closer to identifying the source of illness for the Taco John E. coli outbreak.

FDA and the state of California, working in conjunction with state health officials in Minnesota, Iowa, and Wisconsin, have DNA-matched the strain of E. coli O157:H7 bacteria associated with the outbreak with two environmental samples gathered from dairy farms near a lettuce growing area in California's Central Valley.

The outbreak sickened approximately 81 individuals in November and December of 2006. Illnesses were reported in Minnesota, Iowa, and Wisconsin. Twenty-six people were hospitalized, and two suffered hemolytic uremic syndrome, a serious complication of E. coli O157:H7 infection that can cause permanent kidney damage and death. No deaths have been associated with the outbreak. No new cases of illness are being reported and the outbreak is now considered over.

Epidemiological studies by Minnesota and Iowa health officials had previously identified shredded iceberg lettuce served in the restaurants as the likely vehicle of transmission in the outbreak. FDA was able to focus on specific lettuce growing regions based on the traceback from records obtained from the lettuce processor. The recent DNA match provides a clue as to one possible source of the contamination for the lettuce, although others may exist. It has yet to be determined how the E. coli contaminated the lettuce. The traceback investigation is ongoing and will hopefully yield further insight into how this contamination occurred.
 

E. coli outbreak reports are in

Last fall, several students at the University of North Carolina became ill with E. coli O157:H7 infections after eating at McAlister's Deli. In a follow-up story on that outbreak, the Daily Tarheel reports that the Orange County Environmental Health Department's final report also showed a strong statistical likelihood that the restaurant's lettuce was the source of the infections.

Though Orange County interim environmental health director Tom Konsler said in a November interview that food-borne illnesses can strike even the cleanest restaurant, a health inspection conducted on Oct. 24 gave McAlister's a raw score of 89.

That score included deductions for improperly storing meat, improper handwashing and hygiene and improper handling of utensils.
 

E. coli-Contamianted Spinach: From California to the Midwest

In the last decade, lettuce and spinach grown in California's central coast region have caused at least nine outbreaks of illness associated with E. coli bacteria. Today, fresh produce outpaces even meat as a source of food-borne illness. The beef industry tightened its safety practices after Jack In the Box burgers contaminated with E. coli killed four children in 1993, but with vegetables, regulators and growers are still catching up.

As health officials have urged Americans to eat more green, leafy vegetables, the produce industry has responded to consumers' unrelenting demand for convenience by giving them salad that's pre-washed and packaged in plastic. Yet the convenience may have a price: Some steps in processing might actually contribute to the spread of contamination.

Even after one of the biggest food-safety investigations in U.S. history, officials can only guess at what exactly caused the recent outbreak involving bagged fresh spinach, which killed three people and sickened 201 in 26 states and Canada. Worse, they still can't guarantee that every salad will be safe to eat.
 

E. coli contamination - is our food safe?

Work on safety guidelines that the FDA is ready to propose began in 2004 -- though it has been slowed because staff time has been devoted to finding the source of the most recent outbreaks of E coli.

Even when these guidelines are finished, the FDA says they will be voluntary, according to the Sheboygan Press.

Growers are ready to implement new procedures on how to prevent contamination in green leafy vegetables from the planting stage to the time they reach the dinner table.

Because produce grows outdoors in the dirt, there is little you can do that will make it 100 percent safe unless you cook it or irradiate it, and it is unlikely that consumers will begin cooking all fresh produce, while there is skepticism about the public's acceptance of irradiated product. Researchers at the University of Illinois expressed concerns about existing technologies - including irradiation - that can reduce or eliminate pathogenic bacteria from fresh produce.

Food science professors are testing ozone, high-intensity ultrasound, electrolyzed water, irradiation, and temperature, and they say no treatment singlehandedly can reduce the number of pathogens sufficiently to meet the standards set by the FDA.

 

E. coli top headline of 2006

QSR.com recently highlighted several E. coli outbreaks that happened at the end of 2006. The author, Fred Minnick, brought up the E. coli outbreaks due to the impact they had on quick-serve restaurants, such as Taco Bell and Taco John's.

"E. coli was another big headline maker in the QSR segment as Taco Bell and Taco John’s served food contaminated with the virus,” said QSR.com. “Both brands quickly responded to consumer and public concerns with targeted store closures and the temporary removal of green onions from its menu. Taco John’s even paid hospital bills for those inflicted with the illness. Despite their efforts, however, both brands are being sued.”
    
“This latest outbreak is proof that the food industry has not done enough to protect consumers from deadly pathogens like E. coli O157:H7,” said William Marler, a food safety advocate who has represented over a thousand victims of E. coli outbreaks. “It is time for Congress to step into the arena and call hearings to explore the causes of recent outbreaks and to help prevent future outbreaks from happening.”
 

Monterey County Grand Jury Addresses E. coli Concerns

Among the concerns outlined in the Monterey County Grand Jury's 2006 report was E. coli contamination in the Salinas Valley lettuce and spinach fields, which has plagued the area for years now, reports the Monterey County Herald.

As part of their investigation, grand jury members accompanied federal, state and local health officials on a survey of Santa Rita Creek last May. During the survey, the report said, the group observed land littered with cans, tires, bed frames and mattresses as well as animal feces.

Fecal material and samples of water samples from one parcel containing cattle and a llama with access to the creek were tested for E. coli 0157:H7. Although the results were negative, the grand jury report recommended that the county health department enforce state codes protecting waterways from animal contamination.
 

New York E. coli victim sues Taco Bell

Another E. coli lawsuit has been filed against Taco Bell today by Marler Clark. The lawsuit was filed on behalf of Michael Notar, a Clinton, New York, resident who became ill with an E. coli infection and was hospitalized for four days after eating E. coli-contaminated food at Taco Bell.

The filing coincides with Taco Bell’s announcement that Taco Bell President Greg Creed and Pennsylvania Governor Ed Rendell will tour the Taco Bell restaurant located at Franklin Mills Circle in Philadelphia today.

“While Taco Bell is parading around with politicians, the victims of this outbreak continue to incur costs related to their illnesses,” said William Marler, attorney for Mr. Notar and managing partner of Marler Clark. “The least a multi-million dollar corporation like Taco Bell can do is make a good will gesture and pay my clients’ medical expenses.”

According to the complaint, Mr. Notar ate food from Taco Bell locations in Yorkville and Utica, New York, before becoming ill with symptoms of E. coli infection on December 5. His symptoms worsened, and he was hospitalized at St. Luke’s Hospital in New Hartford, New York, on December 6. Mr. Notar was released from the hospital four days later, but continues to suffer gastrointestinal discomfort as a result of his illness, and has scheduled several medical procedures in January to further treat the injuries he sustained while he was ill with E. coli.

“Corporate responsibility means stepping up to the plate and saying you’re sorry when you’ve done something wrong – like poison your customers – and then putting forth an effort to make things right,” Marler concluded.

Marler Clark has associated Underberg & Kessler, a respected Rochester law firm, on the case. The two firms have worked together in other New York litigation, including E. coli and Salmonella cases. Most recently, they were appointed by the New York Court of Claims to represent over 700 victims of cryptosporidiosis at the Seneca Lake State Park Spraypark during the summer of 2005. The case was recently designated a class action.
 

E. coli outbreak picked as top food story of the year

Notably, the E. coli outbreak that was traced to contaminated spinach was the most memorable story food writers across the nation wrote about this year.

While Taco Bell and Taco John's try to recover from the effects of E. coli outbreaks traced to letuce served at their restaurants, The Daily Mail acknowledged that food editors, who would usually focus on the positive - good recipes, the history of a particular food, etc. - found this to be the most important headline of the year.

E. coli-contaminated spinach traced to a farm in California's Salinas Valley killed three people and infected more than 200 people in 26 states this past September, bringing the topic of food safety back into the limelight once again.
 

Public Health Expert Says E. Coli Outbreaks Prove Need To Enforce Food Regulations

Dr. Robert Field, chair of the Department of Health Policy and Public Health at University of the Sciences in Philadelphia said Americans' lives depend on enforcing food regulations, reports the VitaBeat blog.

“We have come to take the safety of what we eat for granted. We know that too much fast food can kill us over time, but how many people realized that on rare occasions, it can do so much more quickly,” Field in a press statement. “A tremendous amount of effort that we never see goes on in the trenches by regulators every day. It is not glamorous, but our lives can depend on it.”

After E. coli outbreak, Taco Bell restaurants reopening

The King of Prussia Courier reports that Taco Bell has reopened several restaurants that were implicated in the recent E. coli outbreak.

“Early on, Taco Bell came out and said they had a culture match of the E. coli on the green onions and pulled all the green onions out of their restaurants and then fired their supplier,' said Bill Marler, a Seattle attorney who is representing victims of the outbreak in litigation against Taco Bell and its produce supplier.

 “It looked logical that it was the green onions, because why would Taco Bell do that? But apparently when the FDA came in, they found that the E. coli test was wrong,” he noted. “Their interviews with the victims indicated that lettuce was the most likely source of contamination.”

More than 70 cases of E. coli have also occurred recently at the Taco John chain of Mexican restaurants in the Midwest. "The Taco John outbreak in Iowa and Minnesota, at last count, had official numbers that are more than the Taco Bell outbreak," Marler said.
 

Taco Bell tries to earn consumer confidence, congresswoman calls for single food safety agency

Bob Sandelman, CEO of a research company that did a survey on whether people would return to Taco Bell restaurants after an E. coli outbreak sickened over 70 people in the northeast, says, "It's still a raw issue because it's still in the news."

But he adds that consumer concerns will fade over time, or even disappear, once the cause of the outbreak is pinpointed.

In Congress, Rep. Rosa DeLauro, D-Conn., who will chair the agriculture subcommittee of the House Appropriations Committee, intends to hold her first hearing on food-safety issues. She hopes to haul in Taco Bell executives, along with other industry figures.

One of her priorities will be to reintroduce legislation she co-sponsored with Illinois Senator Dick Durbin to create a single food-safety agency. Different agencies, she pointed out, regulate Taco Bell's products. The Food and Drug Administration oversees produce while the Agriculture Department is supposed to monitor the meat and cheese.
 

Second E. coli lawsuit filed against Taco John's by Iowa resident

A second lawsuit has been filed against Taco John's on behalf of a victim of the recent E. coli O157:H7 outbreak that was traced to contaminated lettuce served at Taco John's restaurants in Iowa and Minnesota.

The lawsuit was filed on behalf of Waterloo resident Karen Hibben-Levi. Ms. Hibben-Levi is represented by Seattle attorneys Marler-Clark, the nation’s leading law firm representing victims of foodborne illness, who filed its first E. coli lawsuit against Taco John’s on December 14.

A joint investigation by Iowa and Minnesota health officials indicated that E. coli-contaminated lettuce was the source of the Taco John’s E. coli outbreak, which ultimately resulted in 77 E. coli cases among customers who ate at Taco John’s locations between November 28 and December 6. On December 13, Taco John’s announced that the company had contracted with a new vendor to supply produce to its approximately 100 Midwest franchises.

“E. coli in lettuce has become almost a systemic problem for the fresh produce industry,” said William Marler, attorney for Ms. Hibben-Levi. “Given the recent history of lettuce E. coli outbreaks, I question Taco John’s’ decision to switch produce suppliers. At this point, the issue is at the farm level, not at the distribution level, and it seems that one supplier’s produce is not likely safer than the next.”

“Instead of looking at one restaurant or one supplier, it’s time we took a hard look at all aspects of lettuce production in this country – from farm to fork – and came up with some real solutions to prevent future outbreaks,” Marler continued. “It’s time for the federal legislature to take up this issue and bring all parties involved, including players from the fresh produce industry, university researchers, FDA, CDC, and consumers, to the table and hammer out real solutions to this recurring problem.”
 

E. coli Attorney Calls on Taco John's to Pay Victims' Medical Bills

William Marler, a food safety advocate and attorney who is representing 10 victims of an E. coli outbreak at several Taco John's locations in Iowa and Minnesota, called today on Taco John's to pay the medical bills of all individuals who became ill with E. coli infections as part of the outbreak.

“We know that at least 26 people were hospitalized during this outbreak,” Marler said. “Some families are already facing bills in the tens of thousands of dollars. It’s only right that Taco John’s should step up and pay all victims’ medical bills.” 

Marler noted that in other outbreak-situations companies such as Dole, Jack in the Box, Odwalla, Chi-Chi’s and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products. “Other companies have shown their commitment to corporate responsibility and have put their customers first. It is my hope that Taco John’s will follow their lead,” Marler concluded.

Health officials have counted at least 77 people as being part of the outbreak, which was traced to Taco John’s restaurants in Iowa, and Minnesota. The Black Hawk County, Iowa, health department reported that at least 18 people had been hospitalized with E. coli infections after eating at Iowa Taco John’s restaurants, and Minnesota health officials reported 8 hospitalizations. At least two people developed hemolytic uremic syndrome, a complication of E. coli infection that can cause kidney failure and central nervous system impairment and requires extended hospitalization and medical treatment.
 

Recent E. coli outbreaks nothing new to health officials

The Associated Press points out that the FDA and CDC have investigated at least five produce-related outbreaks in the last four months, including the spinach E. coli outbreak, which sickened over 200 people and killed 4, and two Salmonella outbreaks that were traced to contaminated tomatoes served in restaurants. Combined, those outbreaks sickened 400.

The outbreaks cast media lights on the issue of food safety, and the focus grew more intense this month, when at least 71 customers at Taco Bell restaurants in New York, New Jersey, Pennsylvania and Delaware were reported ill.

Through a process of elimination, health officials have named iceberg lettuce as the culprit, and they feel confident about it despite a lack of scientific evidence.
 

Taco Bell E. coli O157:H7 Outbreak: Q&A with the FDA

The Food and Drug Administration's Center for Food Safety and Applied Nutrition has published a fact sheet, titled, "Questions and Answers: Taco Bell E. coli O157:H7 Outbreak."

Q. Does FDA know what caused the E. coli O157:H7 infections linked to some Taco Bell Restaurants in several Northeastern states?
A:
Shredded Iceberg lettuce has been implicated in the current E. coli O157:H7 outbreak. The U.S. Centers for Disease Control and Prevention (CDC), in conjunction with state and local health authorities, initially identified three food items served at the Taco Bell restaurants considered to be the most likely sources of the bacterial infection: shredded iceberg lettuce, cooked ground beef, and cheddar cheese. For a variety of reasons, it now appears very likely that the shredded lettuce was the vehicle of transmission, and very unlikely that the infections were transmitted by the meat or cheese.

Q: Are people still getting sick as a result of this outbreak?
A:
This outbreak is considered to be over. According to the CDC, the latest onset of illness connected with this outbreak is December 6, 2006. The rate of newly reported illnesses has declined substantially. Cases still remain under investigation, but the data indicates that these individuals consumed iceberg lettuce no later than the first week of December.

Q: Where exactly are the restaurants and the reported illnesses located that have been associated with this outbreak?
A:
A total of 71 cases in five states have been reported to the CDC: Delaware (2 cases), New Jersey (33 cases), New York (22 cases), Pennsylvania (13 cases) and South Carolina (1 case — this person ate at a Taco Bell in Pennsylvania). 53 hospitalizations and 8 cases of Hemolytic Uremic Syndrome (HUS) have been reported. Taco Bell restaurants in other states have not been connected with this outbreak.

Q: Is lettuce in grocery stores and other restaurants safe?
A:
There is no reason to suspect that lettuce in grocery stores is unsafe. Lettuce available in grocery stores has not been connected with the lettuce implicated in the outbreak linked to some Taco Bell restaurants in the Northeast.

Q: Are onions and green onions safe?
A:
Early reports that green onions were implicated in this outbreak were inaccurate. There is no indication that any type of onions, including green onions, are unsafe or are connected in any way with this outbreak.

Q: Where did the shredded lettuce at Taco Bell restaurants come from?
A:
The precise source of the shredded lettuce is under investigation. FDA has expedited its traceback efforts in an attempt to quickly find the source of the lettuce. The agency has set up a special team of food safety experts to review all available information as quickly as possible to pinpoint where the lettuce originated.

Q: How could the lettuce have become contaminated?
A:
It is too soon to tell. FDA is working with state health agencies and the CDC to determine how and where the lettuce may have become contaminated.

Q: Could any of the shredded lettuce connected with the outbreak still be in distribution?
A:
FDA believes that this is unlikely and that the suspect lettuce was distributed only to some Taco Bell restaurants.

Q: Is the lettuce in this outbreak related in any way to the current outbreak linked to Taco John's restaurants in Iowa and Minnesota?
A:
Detailed DNA analysis (fingerprinting) has proved that the E. coli O157:H7 causing illnesses in Iowa and Minnesota is a different strain than that linked to illnesses from Taco Bell restaurants in the Northeast.

Q: What should I do if I believe I may be infected?
A:
Consumers who are concerned that they may have contracted E. coli O157:H7 infection from eating this lettuce should contact their health care provider to seek appropriate medical evaluation and treatment.

Q: What is FDA doing to increase the safety of lettuce and other fresh produce?
A:
The FDA developed the Lettuce Safety Initiative in response to recurring outbreaks of E. coli O157:H7 in lettuce. The primary goals of the initiative are to reduce public health risks by focusing on the product, agents and areas of greatest concern and to alert consumers early and respond rapidly in the event of an outbreak. On August 24, 2006, the State of California Department of Health Services and Department of Food and Agriculture and the FDA met with industry and academia to further clarify the goals, objectives and the next steps for the Lettuce Safety Initiative. This meeting was facilitated by the Western Institute for Food Safety and Security. This initiative is based on the 2004 Produce Safety Action Plan, intended to minimize the incidence of food borne illness associated with the consumption of fresh produce.
FDA is considering a variety of options to increase the safety of all fresh produce marketed in the United States. The agency will hold a public hearing on the issue in early 2007.
 

E. coli-contaminated lettuce: Taco John's supplier will re-examine food safety

Bix Produce, the company that the Minnesota Department of Health has identified as the supplier of E. coli-contaminated lettuce to Taco John's restaurants in Minnesota and Iowa, announced that it will implement new measures to ensure produce safety.

The Minneapolis Star-Tribune reports that Bix is hiring a longtime crisis management spokesman and trying to prevent further loss of sales.

The changes came a day after the produce processing company was dropped by Taco John's as its supplier of shredded lettuce. Minnesota health officials have linked the E. coli cases to shredded lettuce supplied by Bix. The E. coli-contaminated lettuce has sickened more than 20 people in Taco John's restaurants in Minnesota and Iowa.
 

Taco John's sued in E. coli case

An E. coli lawsuit was filed against Taco John's in Federal District Court for the Northern District of Iowa.

The lawsuit was filed on behalf of Ryan and Angela Saul, a Cedar Falls couple whose nine-year-old daughter, Autumn, is hospitalized at the University of Iowa Hospital in Iowa City. The Sauls are represented by Marler Clark, the Seattle law firm that has represented hundreds of victims of E. coli outbreaks, including 93 victims of this fall’s outbreak traced to contaminated spinach, and dozens of victims of the recent E. coli outbreak traced to Taco Bell. 

According to the complaint, Autumn Saul ate two soft shell tacos purchased from the University Avenue Taco John’s restaurant in Cedar Falls on November 29, and became ill with symptoms of an E. coli infection on December 2. Autumn’s symptoms worsened, and she was admitted to the hospital after an emergency room visit on December 7. She was subsequently transferred to the University of Iowa Hospital in Iowa City, where she remains hospitalized and is being monitored for complications of E. coli infection, including hemolytic uremic syndrome.

The Black Hawk County Health Department has confirmed 33 people as being ill with E. coli infections after eating at the Cedar Falls Taco John’s location, including 14 people who were hospitalized, and the Minnesota Department of Health has reported related illnesses among patrons of the Albert Lea and Austin, Minnesota, Taco John’s locations.
 

E. coli outbreak in Chelan, Washington

The Chelan-Douglas Health District has issued a press release regarding an E. coli outbreak that sickened a at least six people, one adult and five children, in the Chelan and Manson areas around Thanksgiving.

The Seattle Times and the Associated Press are both reporting that at least one child is hospitalized at Seattle Children's Hospital with hemolytic uremic syndrome.

According to the Chelan-Douglas Health District press release, the agency is receiving investigative support from the State Department of Health, as well as the Seattle-King County and Snohomish County Health Departments in this investigation.
 

Taco Bell E. coli Outbreak Update

The FDA and CDC E. coli outbreak investigation into illnesses at Taco Bell restaurants in New York, New Jersey, Pennsylvania, and Delaware took a turn this week, when health officials determined that green onions were not the source of the outbreak.

Investigators from the CDC and FDA announced that the likely source of the outbreak is E. coli-contaminated lettuce.

The New York Post reported an increase in the number of victims from the Taco Bell E. coli outbreak. While the outbreak continues, Taco Bell stores that had been closed due to the E. coli outbreak have reopened. Taco Bell has written an open letter stating that food in Taco Bell stores is safe.
 

Taco John's food is source of E. coli outbreaks in Iowa and Minnesota

An E. coli outbreak that had been traced to a Taco John's restaurant in Cedar Falls, Iowa, has also been potentially linked to an outbreak in Albert Lea, Minnesota.

Minnesota officials announced that they were investigating an apparent outbreak of E. coli infections tied to a Taco John's restaurant in Albert Lea, which is just north of Iowa.

18 people in Black Hawk County have been hospitalized this month after eating at a local Taco John's restaurant.

Approximately 100 Taco John's franchises in the Midwest will be using a new produce vendor starting as soon as today as an extreme precautionary response to reports of potential E. coli contamination at three of the franchise locations, one in Iowa and two in Minnesota, that used a common vendor. The remainder of the Taco John's system utilizes other produce vendors.
 

New York man files E. coli lawsuit against Taco Bell

The Seattle law firm Marler Clark filed its second lawsuit in the Taco Bell E. coli outbreak. The lawsuit named Yum! Brands, the parent company of Taco Bell and Ready Pac Produce Inc., the company that packaged and distributed fresh produce to Taco Bell restaurants.

According to the suit, Jared Keller, a Utica, New York, resident, became ill with symptoms of an E. coli O157:H7 infection two days after eating at the North Genesee Street Taco Bell location in Utica. Mr. Keller’s symptoms worsened over the course of the next few days, and he was admitted to St. Luke’s Hospital.

Seattle attorney William Marler has proposed congressional hearings focused on the following:
 

Outbreak Linked to Cedar Falls Taco Johns

More than a dozen people are hospitalized with what health officials suspect is an E. coli bacteria ingested at a Taco John's restaurant in Cedar Falls.

According to the Black Hawk County Health Department, at least 33 people were suffering from severe diarrhea and other symptoms after dining at the restaurant today. Fourteen have been hospitalized.

Local and state health officials say preliminary test results suggest E. coli is to blame, though a final report isn't expected until Monday.

Health officials say the Taco John's in Cedar Falls remains open and has removed any suspected ingredients from its menu and sanitized the facility.
 

Taco Bell E. coli Cases up to 200

Bloomberg News reporter Josh Fineman reported that E. coli cases from Taco Bell have topped 200. Fineman discusses confirmed cases that are counted by the CDC, and breaks down other potential cases by state:

  • New York – 22 confirmed cases, 220 potential cases
  • New Jersey – 28 confirmed cases, 55 potential cases
  • Pennsylvania – 9 confirmed cases
  • Delaware – 2 confirmed cases
  • South Carolina – 1 confirmed case (food was eaten in New Jersey)
  • Utah – 1 confirmed case
     

Iowa E. coli outbreak sends 14 to hospital

An E. coli O157:H7 outbreak has been traced to a fast food restaurant in eastern Iowa, according to the Des Moines Register. The outbreak is said to have sickened at least 19 people, hospitalizing 14 of those who became ill as part of the outbreak. The Black Hawk County Health Department is investigating the outbreak, and expects lab test to be completed on Monday.

A number of the E. coli outbreak victims are students at the University of Northern Iowa.  Last month, an E. coli O157:H7 outbreak that sickened a number of University of North Carolina students was traced to a Chapel Hill restaurant.

Seattle E. coli lawyers file lawsuit against Taco Bell

An E. coli lawsuit has been filed on behalf of Stephen Minnis, a Montgomery County, Pennsylvania, resident who became ill with an E. coli O157:H7 infection after eating food from the Taco Bell restaurant located on East Philadelphia Avenue in Gilbertsville.

The lawsuit was filed against Yum! Brands, the parent company of Taco Bell, in United States District Court for the Eastern District of Pennsylvania by Marler Clark, the Seattle law firm with a national reputation for the successful representation of E. coli victims.

Taco Bell has a connection to prior foodborne illness outbreaks. In 1999, At least ten San Francisco Bay-area people became ill with E. coli infections after eating at Taco Bell.  In 2000, dozens of people became ill with Hepatitis A, after eating contaminated green onions at Taco Bell locations in Florida, Kentucky, and Nevada.
 

Prior outbreaks traced to green onions

The Star-Ledger reported on the Taco Bell E. coli outbreak, which is suspected to have been caused by contaminated green onions.

The newspaper interviewed Richard Miller, a former Marler-Clark client who became ill with hepatitis A after eating green onions at a Chi-Chi's restaurant in Western Pennsylvania in 2003. He was among 650 people sickened in the outbreak -- the nation's largest -- that eventually was linked to green onions from Mexico. More than 120 people were hospitalized. Three died.

“I'm torn between anger and a total lack of trust in our food supply,” Miller said. “We need our agriculture departments to hold their feet to the fire.”
 

E. coli numbers up today

The New York Times reported today that 99 people have been confirmed ill with E. coli infections in connection with this outbreak, and stated that additional Taco Bell restaurants and a second food distributor had been implicated in the outbreak.

New York reported 41 E. coli cases on Long Island and an increase in illnesses reported from upstate. New Jersey reported 43 E. coli cases, with additional cases under investigation. Pennsylvania has also reported 7 E. coli cases.

Taco Bell E. coli Outbreak Update

The Food and Drug Administration today annonced that the agency is involved in the investigation related to the E. coli O157:H7 outbreak at Taco Bell restaurants. The FDA is actively working with state and local health officials, the U.S. Centers for Disease Control and Prevention, the firm, suppliers and distributors to determine the cause of the sicknesses and prevent additional infections.

The investigation has so far focused on green onions, or scallions, supplied to Taco Bell. According to the LA Times, New Jersey food safety regulators and the FDA are investigating two suppliers: McLane Foodservice and a Florence, N.J., facility operated by Irwindale-based Ready Pac Foods Inc.

Ready Pac today announced that it has ceased distribution of green onions until the investigation into the Taco Bell E. coli outbreak has been completed.
 

New York State Health Department Investigates E. Coli Cases That May Be Linked to Taco Bell

The New York State Health Department has issued a press release regarding its investigation into illnesses traced to Taco Bell restaurants.

State Health Commissioner Antonia C. Novello, M.D., M.P.H., Dr.P.H., today announced that the State Health Department is investigating 15 cases with laboratory evidence of a E. coli O157:H7 infection in New York State tied to a national outbreak associated with Taco Bell restaurants. An additional 15 cases are also being investigated. There have been 13 hospitalizations and 1 report of hemolytic uremic syndrome, a severe complication of E. coli O157:H7 infection that can lead to kidney failure.

The New York State Department of Health is independently testing the green onions to confirm preliminary test results obtained by Taco Bell. Taco Bell has removed green onions at all of its restaurants nationwide.
 

Taco Bell E. coli Outbreak Update: New Jersey Health Department Press Release

The New Jersey Department of Health and Social Services issued a press release on December 6th regarding the E. coli O157:H7 outbreak traced to Taco Bell restaurants.

They are recommending that all Taco Bells in New Jersey receiving food from the McLane Foodservice, Inc. of Burlington discard all current food supplies and clean and sanitize their facilities.

NJDHSS has been working closely with the federal Centers for Disease Control and Prevention, neighboring state and local health departments, New Jersey’s local health departments, and Taco Bell Corp. regarding the ongoing investigation of statewide cases of E. coli associated with Taco Bell.

According to the press release, Taco Bell Corp. has announced that three samples of green onions were found to be presumptive positive for E. coli O157:H7 by an independent testing laboratory.  As a strictly precautionary effort, Taco Bell Corp. has removed green onions at all of its approximately 5,800 restaurants nationwide.
 

Taco Bell's E. Coli Outbreak - Newsweek's Interview with a Food Safety Expert

Newsweek's Jessica Bennett recently interviewed Debra Hotzman, a food safety expert, about what people can do to prevent illness when dining out:

    Q: "We often see children as the victims of food illness. Why are they so much more at risk?

    A: Anybody can get a food-borne illness. But the people who are at risk for severe complications are anyone who has a weakened immune system—young children, older people, pregnant people, people who are post-operative. Those are the people who should take real [care].

    Q: This is the second E. coli outbreak in just a few months. What does that say about our food industry?

    A: We need more stringent regulations in place. I think there should be a single agency in charge of all food safety.

    Q: How long did it take for people eat spinach again—and do you think it's safe?

    A: Spinach is one of the most wonderful foods that you can eat. And when you buy it, like with all leafy vegetables, there are things that you can do. You can remove the outer leaves at first and throw them away and then really spend time washing them under clear, clean, running water. Also keep up to date on recalls and safety alerts. The truth is that bacteria are sticky—hard to remove. But if you're really concerned, if you're somebody with a weakened immune system, then cook the spinach."
 

E. coli traced to green onions: Taco Bell pulls onions from restaurants

An E. coli outbreak among patrons of New Jersey, New York, and Pennsylvania-area Taco Bell restaurants has been traced to E. coli-contminated green onions.

Taco Bell has pulled all green onions from restaurants nationwide and closed suburban Philadelphia Taco Bell stores after four E. coli cases were confirmed in Pennsylvania.  The Taco Bell press release regarding its decision to remove green onions from its stores can be found at www.tacobell.com, and stated that an independent lab had been hired to test green onions from Taco Bell.  Three tests came back presumptive positive for E. coli O157:H7.

The New York Times reports that 39 people in New York and New Jersey had become ill as part of the outbreak.  The updated count for illnesses in central New Jersey alone is 40 today, according to the Asbury Park Press.  6abc.com out of Philadelphia has also reported that at least 4 people have become ill in Pennsylvania.
 

E. coli Attorney Calls on Taco Bell to Pay Victims' Medical Bills

William Marler, a nationally-recognized food safety advocate and attorney, today called on Taco Bell and its parent company, Yum! Brands, Inc., "to do the right thing and immediately pay the medical bills for the victims of this most recent E. coli O157:H7 outbreak traced Taco Bell restaurants in New York and New Jersey."

Marler noted that in other outbreak-situations, companies such as Dole, Jack in the Box, Odwalla, Chi-Chi’s and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

To date, New York and New Jersey health officials have reported that 39 people have been confirmed as victims of this Taco Bell outbreak. At least 2 victims develop hemolytic uremic syndrome, a potentially lethal complication of E. coli O157:H7 infection, and are still hospitalized. “With such devastating injuries, and so many of them,” Marler continued, “I hope that Taco Bell executives step up and do the right thing for their customers.”
 

Taco Bell E. coli Update

The New York Times reports that 35 people are ill with E. coli in New Jersey and Long Island.

At least five people are in the hospital, including two with hemolytic uremic syndrome, after eating at New Jersey-area Taco Bell restaurants. The E. coli outbreak has so far sickened at least 22 people, and has been traced to multiple Taco Bell locations.

Twenty of those infected, including two restaurant employees who tested positive for E. coli but did not get sick, ate at a Taco Bell in South Plainfield.

Authorities are trying to determine how and where the people with confirmed cases of E. coli became infected.
 

19 New Jersey residents ill in latest E. coli O157:H7 outbreak

An E. coli O157:H7 outbreak in New Jersey has sickened at least 19 people, most of whom reported eating at New Jersey Taco Bell restaurants in the days before they became ill with symptoms of E. coli infections.

The victims range in age from one to 23 years old. Seven remain hospitalized, two with hemolytic uremic syndrome, a complication of an E. coli infection that can lead to kidney failure, central nervous system impairment, and death.

Health officials are working to trace the source of the outbreak back to a particular food served at Taco Bell restaurants in South Plainfield, Edison, and Franklin Township. A 1999 outbreak traced to San Francisco-area Taco Bell restaurants was determined to be caused by consumption of under-cooked ground beef; however, recent E. coli outbreaks at other fast food restaurants have also been traced to contaminated fresh produce such as lettuce.
 

E. Coli Still A Big Concern For U.S. Agriculture

WJZ TV reports former USDA Food Safety and Inspection Service director Michael Taylor has concerns with the current U.S. food safety system, saying, "We have a system that's not working as well as we can and we will continue having these problems until we address prevention."

Food safety experts have been advocating for a single food safety agency to regulate the U.S. food supply. Taylor pointed out no one agency regulates the food industry and in particular produce. 'We have a fragmented system with the FDA being responsible for part of the food supply and the USDA being responsible for meat and poultry.'"

California child home after battle with E. coli and HUS

The Californian and North County Times report that Chris Martin of Murrieta, California, was hospitalized with an E. coli infection and hemolytic uremic syndrome after eating spinach and raw milk.

Although Chris' parents aren't sure what the source of his infection was, they believe that antibiotics administered when they took their son to the hospital could have led to his developing HUS. The couple said they believe their son would have recovered fairly easily from the E. coli infection were it not for a dose of antibiotics he should never have been given. This medical error, they said, pushed Chris to develop hemolytic uremic syndrome and ultimately kidney failure.

An E. coli infection can still lead to the syndrome without a dose of antibiotics, but the odds are significantly increased if a patient is given antibiotics. In Chris' case, his father said doctors did not wait for the results of a culture to come back to confirm E. coli, that they thought it was colitis, an inflammation of the colon.
 

Spinach E. coli outbreak: FDA statement 11/15/06

Robert E. Brackett, Ph.D., recently participated in a panel before the US Senate committee on Health, Education, Labor, and Pensions. Brackett, who is the director of the FDA's Center for Food Safety and Applied Nutrition, pointed out that ready-to-eat fresh vegetables, fruits, and prepared salads have a high potential risk of contamination because they are generally grown in a natural environment and are often consumed without cooking or other treatments that could eliminate pathogens if they are present.

He went on to explain FDA's role in food safety, discuss FDA’s response to the recent E. coli outbreak and the ongoing investigation, describe some of the specific efforts that FDA is taking to enhance the safety of fresh produce to prevent future outbreaks, and reviewed some of the next steps that FDA plans to take to work with food safety partners to improve the safety of ready-to-eat foods.

Among the steps Brackett outlined were:

  • The development of a plan to minimize the risk of another outbreak in all leafy greens, including lettuce.
  • An examination of whether improvements in the following four areas could help prevent or contain future outbreaks: 1) strategies to prevent contamination; 2) ways to minimize the health impact after an occurrence; 3) ways to improve communication; and 4) specific research.
  • Putting on a series of meetings with industry groups to discuss ways to improve the safety of fresh produce.
  • Consideration of whether additional guidance and/or additional regulations for the produce industry are necessary.
  • Increasing research on analytical technologies that enable faster detection of foodborne pathogens and better intervention strategies.
  • Studying possible intervention strategies, such as use of thermal treatment and irradiation, which could be applied to fresh produce products to reduce the level of bacteria and viruses that are in or on the product.
  • Working with universities, industry, and state governments to develop both risk-based microbiological research programs and technology transfer programs to ensure that the latest food technology reaches the appropriate end users along the supply chain.

E. coli outbreak: McAlister's tries to bounce back after outbreak linked to restaurant

The Daily Tarheel reports that health officials have not yet been able to pinpoint the source of contamination within the restaurant that led to at least 9 cases of confirmed E. coli O157:H7 among McAlister's patrons.

Neil Newcomb, owner of the Franklin Street McAlister's, said that he noticed a decline in business after last week's revelations, but that customers are returning. "We need to be the perfectly run restaurant. If we were not, we are now," he said. "We anticipate bouncing back."

Senator Durbin's statement on spinach and E. coli

Senator Durbin submitted a statement for the hearing held yesterday by the Senate Health, Education, Labor and Pensions Committee. The hearing was titled, "Food Safety: Current Challenges and New Ideas to Safeguard Consumers".

In the statement, Senator Durbin addressed that dated methods used to oversee modern food distribution systems. He also suggested changes that should be made to increase food safety protocols, including:

  • Giving federal agencies the ability to issue mandatory recalls
  • Implementation of a regular inspection program for domestic food facilities
  • Requirements for food producers to code products for ease in tracking origins
  • Creation of a single food safety agency
     

E. coli outbreak: Woman who became ill after eating spinach recovering

Marler Clark client Chenelle Reyes was interviewed by KIRO 7 news in Seattle. Ms. Reyes and Bill Marler both discussed the E. coli outbreak traced to spinach with Graham Johnson:

"I literally felt I was dying," Reyes said. "I was in a lot of pain."

Federal investigators confirm the outbreak killed three people and made 204 sick. Investigators have traced the source of the outbreak to cow manure on a ranch near Natural Selection foods. They think wild pigs might have carried E. coli to the spinach fields.
 

E. coli in Chapel Hill: Students wary of return to McAllister's

The Daily Tarheel reported that students at the University of North Carolina are hesitant to return to McAllister's, a popular deli, after a recent E. coli outbreak was traced to the restaurant.

A recent E. coli outbreak might have infected only seven students and two community members, but its impact has affected the eating habits of countless more students.

Several students said they are hesitant to return to McAlister's Deli, which is being investigated by the Orange County Health Department as a possible source of the outbreak.
 

Chapel Hill E. coli Cases Rise To Eight - McAlister's

The number of people with confirmed cases of E. coli in Chapel Hill has risen to eight. Of the eight confirmed cases, seven are University of North Carolina at Chapel Hill students. Health officials said seven of the eight recalled eating at McAlister's, a restaurant at 205 E. Franklin St. in Chapel Hill Oct. 23-25.

Both the people with confirmed cases and those they knew who also ate at the restaurant and did not get sick are being asked by the Environmental Health Services Division to complete food histories of that period to try to find a common link. Officials hope the tests will also narrow the focus of any possible causes, if any are found.

E. coli outbreak at UNC: Possible source found

The Daily Tarheel reports that the Orange County Health Department is focusing its E. coli outbreak investigation on McAlister's Deli, a restaurant on Franklin Street in Raleigh.

Officials at the health department stated in a press release that six out of the seven confirmed cases had McAlister's as a common link. Those six individuals ate at McAlister's between October 24th and October 28th.

The OCHD press release stated that the health department has confirmed seven cases of E. coli O157:H7 infection, and is investigating the possibility of additional cases, with three ill individuals' lab results pending. 
 

E. coli outbreak at UNC

The University of North Carolina and North Carolina Department of Health announced that they are investigating an E. coli O157:H7 outbreak among UNC students. Although no common source of exposure to the bacteria has been identified, health officials are working to determine the cause of the outbreak and do not believe that more students are at risk of developing the E. coli infection.

Three University students have, to date, developed confirmed cases of gastroenteritis caused by E. coli O157:H7 bacteria. This illness causes severe diarrhea, abdominal cramps and is occasionally associated with severe complications, especially in young children and the elderly.

The affected students developed symptoms between October 26th and 29th. Health authorities are investigating a small number of additional possible cases among University students.
 

E. coli investigation: Ranch denies involvement

The owners of the Paicines Ranch, which has reportedly been under investigation as a potential source of the E. coli O157:H7 outbreak traced to contaminated spinach, issued a statement about reports of its involvement.

The owners told KSBW: " The Paicines Ranch is not under investigation by any government agency. We lease row crop land to farmers. Whether or not these farmers are under investigation is unknown to us. If you want to know whether a particular farmer is under investigation, you should ask them. Since we neither farm nor process row crops of any kind, we are unable to comment further.”

Deadly Pathogens and Science vs. PR and Politics: Spinach in Monterey County - California Progress Report

Frank Pecarich, a retired soil scientist, points out that more could have been done before the E. coli outbreak traced to spinach, had scientists been listened to when they pointed out problems with the agricultural systems in the Salinas Valley.

"At first, our analysis clearly spied the flaws in the agriculture infrastructure and system of growing our fresh vegetable food supply,” he posted on the California Progress Report blog. “I have written three articles at this web site on all the gory details of why irrigating fresh leafy green vegetables with treated sewage effluent intended to be consumed raw was a horrible idea. We have also pointed out that the scientific literature is clear on the inability of tertiary treatment of sewage water to completely eradicate E. coli 0157:H7.”

He continues, “As we look deeper to see how this classic example of a bad idea got worse, we find that there are many groups of people who have their ‘finger prints on the bloody knife’, so to speak."
 

E. coli cases may be linked to State Fair food stand

The Winston-Salem Journal reports that at least three people have become ill from E. coli O157:H7 infections after attending the North Carolina State Fair.

A 2004 outbreak at the fair was traced to a petting zoo; however, the suspected source of this latest outbreak is a food stand.

Two adults and a teenager got sick after eating chicken pita sandwiches from a food vendor, which wasn't identified, near Dorton Arena. Two of them have been hospitalized.
 

Grocers put pressure on produce industry to clean up

The LA Times reports concerns from several grocers who are putting pressure on the produce industry to ensure fresh produce is safe.

An October survey of consumer attitudes by the association found that 22% of the respondents lacked confidence in the safety of all fresh produce products, not just spinach.

As the spinach crisis unfolded in September, the lack of reliable industry standards became apparent. Currently, growers are using a hodgepodge of safety measures and procedures to raise their crops.

The Salinas Californian also reports that the owner of Paicines Ranch, which is under investigation as the potential source of the spinach E. coli outbreak, said that his operation didn’t grow or process the suspect spinach but that he rents fields to two tenants. While one of the tenants has been cleared, he said the other tenant, Otto Kramm, is still being investigated.
 

E. coli spinach case: Lawsuit filed on behalf of family of woman who died

A lawsuit has been filed by Seattle lawfirm Marler Clark on behalf of the family of Ruby Trautz, an elderly woman who died after eating E. coli-contaminated spinach.

The estate is suing Dole Food Co. of Westlake Village, Calif.; Natural Selections Foods of San Juan Bautista, Calif.; No Frills Supermarkets of Omaha; and the undisclosed California farm where the spinach was grown, according to the Bellevue News-Leader.

According to the lawsuit, Trautz ate Dole brand baby spinach, which Nebraska public health officials linked to a national E. coli outbreak that sickened 204 people and caused three deaths. Natural Selections Foods bagged the spinach.

Bill Marler, the attorney representing the Costello family and 93 other people who were sickened as part of the outbreak, posted about today's announcement that one of four farms who supplied Natural Selections Foods and Earthbound Farms with spinach had been identified on his blog.
 

Produce industry hears talk about cleaning up

In response to a nationwide E. coli O157:H7 outbreak traced to contaminated spinach, produce industry leaders held a recent meeting to address industry concerns and to discuss what is likely impending legislation if the industry does not find a solution to produce contamination soon.

According to the Capital Press, Dr. Robert Brackett, director of Center for Food Safety and Applied Nutrition for the U.S. Food and Drug Administration, said the recent E. coli outbreak linked to fresh spinach from a Salinas Valley processor demonstrates the need for the produce industry to take food safety seriously.

He said the outbreak, which sickened nearly 200 and killed three, has cost $17 million in public health costs. He advised the industry to work together to strengthen food safety standards as a way to rebuild consumer confidence in fresh produce.
 

Family of Nebraska spinach E. coli victim files suit

A lawsuit was filed today on behalf of the estate of Ruby Trautz, an 81-year-old Nebraska resident who died on August 31, 2006, after suffering complications of an E. coli O157:H7 infection traced to contaminated spinach.

The lawsuit was filed by Marler Clark, the Seattle law firm with a national reputation for the successful representation of victims of foodborne illnesses, and Berry & Kelly, a respected Lincoln, Nebraska, law firm. “John Doe Farms” is named as a defendant, along with Dole Food Company, Natural Selections Foods, and No Frills Supermarkets.

“FDA owes it to the American public, and to the victims of this outbreak in particular, to release information as to the identity of the spinach farm. This far into the outbreak investigation, FDA should already have named the farm where the spinach came from,” said attorney Bill Marler. “We included John Doe Farms as a defendant to try to get more answers for our clients.”

This latest lawsuit is the eighth filed by Marler Clark on behalf of victims of the spinach E. coli outbreak. The firm has filed lawsuits on behalf of residents of Maryland, Wisconsin, Oregon, Michigan, Utah, and New York, but this is the first time the firm has named the retail outlet where the victims purchased the spinach and the farm where the spinach was grown.
 

E. coli outbreak traced to wild pigs?

The Associated Press reported today that FDA and California Department of Health investigators believe they have found three potential sources of the spinach E. coli outbreak: Wild pigs, cattle, and contaminated water.

Samples taken from a wild pig, as well as from stream water and cattle on the ranch, have tested positive for the same strain of E. coli implicated in the outbreak. Investigators are looking at three other ranches in the areas in seeking the source of the contaminated fresh spinach.

California State Senator Dean Florez, who held a hearing on the spinach outbreak, said he plans to introduce bills in December to add a half-dozen new state regulations related to growing and packaging food, including how fields can be irrigated safely.

“We're going to focus in on the water,'' said Florez. ``We'll also work on better worker conditions, in terms of the equipment they use in the fields.''

Florez's proposal, among other actions, would allow farmers following organic practices to use more chlorine to disinfect their vegetables than is currently permitted under labeling standards for so-called organic foods.
 

TMJ4's test: Is spinach really safe?

Milwaukee NBC affiliate, TMJ4, reported on their investigation into whether spinach now on the shelves in Wisconsin supermarkets is safe and free of pathogenic bacteria.

The investigation did not uncover any E. coli or other bacteria on spinach sampled from Milwaukee stores, but consumers are still skeptical about whether they should eat bagged spinach and lettuce from California's Salinas Valley.

The food industry and Dr. G. Richard Olds from the Medical College of Wisconsin both assert that spinach and other vegetables are safe to eat. However, with the number of E. coli outbreaks traced to produce in recent years, consumers are still concerned.
 

Safe food: Where did the E. coli come from?

Ellen Kanner with the Sun-Herald points out that fresh produce may not always be stored below 41 degrees fahrenheit to prevent spoilage and the growth of pathogenic bacteria, the outbreak problem is not the temperature at which fresh produce is stored. It is that produce is contaminated in the first place.

While the CDC, FDA, and the produce industry are working to curb outbreaks, consumers cannot prevent their fresh produce from being contaminated just by properly refrigerating. Produce destined for consumers' plates needs to reach them without pathogenic bacteria already present.

Investigators have identified a possible source - tainted cow manure from a neighboring pasture. How the manure got to the spinach fields isn't clear. Other possible causes are still being explored, from tainted irrigation water to errors made in processing. Some experts claim bagging produce keeps bacteria at bay, but others assert it creates a greenhouse effect when produce isn't kept at optimum conditions.

Supermarkets try to keep their refrigerator cases at 41, but often the temperature goes higher. It goes far above 41 on kitchen counters, where we trust the fresh produce we've just bought will be safe if we leave it out for a bit. At room temperature, bacteria proliferate.
 

E. coli at Habitat for Humanity dinner?

The Chetek Alert reports that Barron County health officials believe that people who became ill with E. coli infections may have become ill after eating at a fundraiser for Habitat for Humanity.

Barron County Health Officer Kaye Thompson and Randy Wilson, Barron County Sanitarian, are asking that any person that participated in the fund-raising dinner and is experiencing symptoms such as diarrhea, abdominal cramps, vomiting or fever to contact the Barron County Department of Health and Human Services and to see a physician.

E. coli O157:H7 infections can lead to complications called hemolytic uremic syndrome and thrombotic thrombocytopenic purpura, which can lead to acute kidney failure, central nervous system damage, and impairment of other major organs.
 

Another confirmed California E. coli case

The Redding, California, newspaper has reported that another California resident has been confirmed to be ill with the same strain of E. coli O157:H7 as that which was recalled by Natural Selections Foods.

Shasta County Public Health officials confirmed the illness as part of the outbreak, but would not disclose the outlet where the victim purchased and consumed the spinach. Dr. Lou Anne Cummings, Shasta County Public Health deputy health officer, said the patient had eaten at two restaurants that may have received shipments of the contaminated spinach.

Both restaurants had been following all proper rules and procedures, and the contaminated spinach has been removed, limiting the spread of the virulent bacteria.
 

Two new E. coli cases confirmed in Maryland

HometownAnnapolis.com reports that Maryland health officials have confirmed two more E. coli O157:H7 cases as having the same genetic fingerprint as the strain of E. coli linked to the spinach outbreak.

Maryland's Department of Health and Mental Hygiene's announcement also addressed the death of June Dunning, an elderly woman from Haggerstown. Seattle law firm Marler-Clark has filed a lawsuit on behalf of the Dunning family.

Neither child in the most recent cases was hospitalized, said health department spokesman John Hammond.
 

Who is accountable for E. coli O157:H7 outbreak?

A ConsumerMan report on MSNBC points to the fact that some infected individuals are still in the hospital, including Marler-Clark client Suzanne Bandy of Ramsey, Illinois.

The article raises the question about who is accountable for the outbreak - is it the spinach famers? Is it government agencies? Who had the most ability to prevent the article in the first place? The ConsumerMan quotes Jean Holleran, a spokeswoman at Consumers Union, who said she tells individuals with a weakened immune system “to consider just eating cooked vegetables,” since we cannot guarantee the safety of fresh fruits and vegetables.

The article draws attention to the responsibilities of different organizations throughout the food chain. The bottom line, the article says, is that if consumers must be encouraged to eat only cooked produce there is a problem with the food safety system.

While farmers across the country have been hurt financially by this outbreak, the impacts of E. coli can last for longer than days, weeks, or months - but for lifetimes of the victims.
 

E. coli outbreak was predictable, preventable

Marion Nestle, professor of nutrition, food studies, and public health at New York University, she asserts that the latest E. coli outbreak traced to fresh produce from the Salinas Valley was preventable and predictable and that having a single federal agency in charge of food safety is part of the solution to preventing outbreaks in the future. She tells NPR:

“For anyone who tracks the arcane politics of food safety in the United States, this outbreak was entirely predictable. Since 1998, the Food and Drug Administration has repeatedly warned producers of fresh fruit and vegetables about the dangers of E. coli 0157:H7 and the need for measures to keep potential sources of these bacteria well away from their crops.

In 2004, the FDA issued a plan for preventive steps that it fully expected vegetable producers to follow. But last year the agency complained that its long efforts to engage the lettuce industry ``have not yet resulted in a comprehensive, collaborative plan to address the issue of E. coli 0157:H7.'' The FDA then warned growers to get busy and fix the problem.

This August -- too late to prevent the current outbreak -- the agency extended this warning to spinach producers. The futility of the FDA's increasingly urgent pleas reflects the huge gaps in the nation's century-old and highly dysfunctional food safety system.”
 

Maryland confirms fifth E. coli case traced to spinach

The Baltimore Channel is reporting that Maryland has confirmed the state's fifth E. coli O157:H7 illness traced to contaminated spinach.

John Hammond, a spokesman for the state health department, said two more suspected Maryland cases are pending, including that of an elderly resident who died.

The state agency hasn't identified that person, but family members sait it was June E. Dunning, 86, of Hagerstown, who died Sept. 13 of an E. coli complication.

Marler Clark has filed a lawsuit on behalf of the family of Mrs. Dunning last week. The lawsuit was filed against Dole and Natural Selections.
 

E. coli found in spinach caused more severe illness

The San Francisco Gate reports that the strain of E. coli O157:H7 isolated from case-patients and bags of spinach during the most recent E. coli outbreak is more virulent than other strains of E. coli O157:H7.

Health officials are working to determine why this particular strain seems to have caused a more severe illness in individuals who consumed contaminated spinach, and whether the molecular make-up of this strain of E. coli differs from other strains of E. coli O157:H7.

Peter Gerner-Schmidt, a scientist at the Centers for Disease Control and Prevention who is investigating the outbreak, agrees that that this strain is probably a more dangerous strain than others. Research is under way to figure out why.
 

'95 lettuce scare in Missoula remembered

Mea Andrews, a reporter for the Missoulian, recapped an E. coli O157:H7 outbreak that occurred in Missoula, Montana, in 1995 in a recent article.

The culprit was never fully pinned down, but it was most likely leaf lettuce. In fact, the Missoula cases were believed to be the first reported community outbreak of E. coli 0157:H7 associated with eating lettuce, according to a wrap-up article in The Journal of Infectious Diseases in 1998.

Two possible sources came to the forefront: Several lettuce farms in Washington state that were located near each other, or a local lettuce-growing operation that supplied Missoula-area restaurants and stores.

Most likely, the lettuce from the Montana farm, never identified, was the source of the outbreak. How the lettuce was contaminated also was never established. Four possibilities were discussed:
 

  • Improperly composted manure from a local dairy;
  • Cattle feces from a nearby, uphill farm infecting runoff or irrigation water;
  • Cattle feces infecting stream water;
  • Infection from other animals that were present, including sheep or deer.
     

Two more E. coli cases confirmed in Illinois

The Associated Press reports that there are four confirmed cases of E. coli O157:H7 traced to contaminated spinach in Illinois.

A spokeswoman for the Illinois Department of Public Health says the woman was reported to be mildly ill. Spinach from her household tested positive for the strain of E-coli linked to the national outbreak that began last month.

The child became ill in late September but has since recovered.
 

Hard times for spinach companies

Fox 28 out of South Bend, Indiana reported today that spinach processor ReadyPac, from nearby Michiana, will likely lay off over 200 workers who bag produce like spinach, lettuce and mixed salads.

More proof that this outbreak didn't just impact spinach growers from the Salinas Valley comes from a report in the Orlando Sentinel, which ran an article on AP Military Group, a company that filed for bankruptcy after its sales to the US military dropped off during the outbreak and its aftermath:

AP Military Group, a Palm Bay broker that helps supply salads for military families across the globe, said in its Chapter 11 bankruptcy filing in Orlando that its sales were dramatically impacted by last month's recall of spinach after an outbreak of E. coli was linked to the vegetable.

Elizabeth Green, an attorney representing AP Military, said the broker sustained up to a 50 percent decline in revenue after the Food and Drug Administration started advising consumers not to consume bagged spinach in mid-September.
 

NPR Story on Spinach E. coli Litigation

NPR recently interviewed Ken Costello, a Nebraska man who became ill with E. coli after eating contaminated spinach, and whose mother-in-law died after also becoming ill with a spinach-linked E. coli infection.

The hospital had not tested her for E. coli as part of their routine testing. Costello had to seek independent testing on the spinach that had made both him and his mother-in-law ill, and later killed her.

Spinach, tainted by E. coli bacteria, has reportedly made about 200 people in two dozen states sick. At least three people are said to have died from the outbreak.

The radio station also interviewed Seattle attorney William Marler, who is representing Ken and more than 90 other individuals who became ill after eating contaminated spinach, who stressed that addressing irrigation issues may go towards helping to alleviate the problem.

Lawmakers and advocates are demanding federal authorities do more to eliminate the contamination.
 

Who's accountable for E. coli in our produce?

Michael R. Taylor, former administrator of USDA's Food Safety and Inspection Service and FDA's deputy commissioner for policy, told the Baltimore Sun his opinion on who is at fault for the recent E. coli outbreak tied to tained spinach.

Despite repeated calls by the Government Accountability Office and the National Academy of Sciences to modernize the food safety laws and unify the food safety agencies, Congress hasn't budged, according to Taylor. He continues:

“The deadly form of E. coli that has sickened so many consumers who merely ate spinach or lettuce lives naturally and harmlessly in the gut of cattle - harmlessly, that is, until it is shed into a cow's manure and enters the food supply. This occurs through contamination of beef during the slaughter process or contamination of fresh fruits and vegetables as a result of manure infecting water supplies, birds picking up the bacteria in one field and depositing it in another, or any one of the many other ways bad bugs spread in the environment. The risk of someone getting sick is determined by such contamination events and by all the things that do or do not happen afterward to increase, reduce or eliminate the bacteria before they reach the dinner plate. For spinach, lettuce and other produce consumed raw, the only sure-fire protection is to prevent the contamination in the first place, and that's where the system breaks down.

No one is in charge of leading the research, regulatory and educational initiatives that would be required to discover and implement effective preventive measures, such as vaccines, competitive exclusion agents in animal feed and other innovative tools to prevent infections in animals.”
 

Dole and Natural Selections named in another E. coli lawsuit

Marler Clark filed a lawsuit today on behalf of the estate of June Dunning, a Haggerstown, Maryland, resident who was part of a nationawide E. coli outbreak traced to contaminated spinach.  Ms. Dunning suffered an intense E. coli O157:H7 infection and hemolytic uremic syndrome before passing away on September 15, 2006. 

The lawsuit filing coincides with a California Department of Health and Food and Drug Administration announcement that today test results from the E. coli investigation confirmed that the same genetic fingerprint of the E. coli bacteria isolated from bags of spinach was found in samples of cattle feces from a ranch near the spinach fields implicated in the outbreak:
"This is a significant finding because it is the first time we linked a spinach or lettuce E.coli O157:H7 outbreak to test results from a specific ranch in the Salinas Valley," said State Public Health Officer Dr. Mark Horton.  "Our follow-up investigation on this ranch is continuing today with the ongoing assessment of animal management, water systems and agricultural practices to clarify how the bacterial contamination of the spinach occurred."

The trace-back investigation was narrowed from nine implicated ranches to four ranches.  The outbreak strain of E. coli O157:H7 from cattle feces was identified on one of these four ranches.  At this time, testing of other environmental samples from all four ranches that supplied the implicated lot of contaminated spinach is in progress.  The positive test result is a significant finding, but is just one aspect of this investigation.  The next step in the investigation is determining how the E. coli pathogen contaminated the spinach.  These implicated fields on these four ranches located in Monterey and San Benito counties are not being used to grow any ready-to-eat produce.

If regulators don't know how the E. coli contamination occurred, what can they do to make salad safe?

The authors of an editorial in the Washington Post made some points about how to make our nation's food safety system more efficient and therefore, make our food safer.

In the editorial, they suggest that Congress should provide money to increase inspection staffing and inspection frequency at the FDA. Other suggestions include lawmakers requiring agencies responsible for food safety to institute a tracing system for food produced in the United States, and Congress giving the FDA the power to issue mandatory recalls of any tainted produce.

The article also mentions legislation that was introduced that would require food producers to establish steps so their products could be traced before they reach consumers.  The bill also calls for the creation of a single federal agency with responsibility for monitoring the safety of all foods.
 

FDA Statement on Foodborne E. coli O157:H7 Outbreak in Spinach

The FDA and the State of California announced today that test results from a field investigation of the outbreak of E.coli O157:H7 in spinach was found to be positive for E.coli O157:H7. Samples of cattle feces on one of the implicated ranches tested positive based on matching genetic fingerprints for the same strain of E. coli that sickened 199 people.

An FDA News report says that the trace back investigation has narrowed to four implicated fields on four ranches. The outbreak strain of E. coli O157:H7 from cattle feces was identified on one of these four ranches. At this time, testing of other environmental samples from all four ranches that supplied the implicated lot of contaminated spinach are in progress. The positive test result is a significant finding, but is just one aspect of this investigation. More information may come forward as the investigation continues.

The four fields, located in Monterey and San Benito counties, are not currently being used to grow any fresh produce. While the focus of this outbreak has narrowed to these four fields, the history of E. coli O157:H7 outbreaks linked to leafy greens indicates an ongoing problem. As the FDA stated in its letter to the lettuce industry in November of 2005, the FDA continues to be concerned due to the history of outbreaks and the on-going risk for product contamination of leafy greens.

This investigation is on-going. FDA, the State of California, the Centers for Disease Control and Prevention and the United States Department of Agriculture are continuing to work closely to determine the cause and scope of the E. coli O157:H7 outbreak linked to fresh spinach.
 

Minnesota E. coli outbreak report released

The Brainerd Dispatch reported an update on the E. coli O157:H7 outbreak in Longville, Minnesota from this summer. The Minnesota Department of Health released its final report on the outbreak.

The USDA collected a sample of beef trimmings from a meat processing plant that yielded an outbreak of E. coli O157:H7. However, that MDH learned of this several days after the Longville outbreak began.

USDA would not report the name of the processing plant to the state health department or the Minnesota Department of Agriculture, and therefore it is unclear if the sample was from the plant MDH's and MDA's investigations find most likely.
 

Spinach E. coli Outbreak Update

Thirteen product samples have been confirmed to contain the outbreak strain of E. coli O157:H7 that is responsible for a nationwide outbreak that has resulted in 199 confirmed illnesses and 31 cases of hemolytic uremic syndrome.

There are now a total of 13 confirmed product samples that contain the E. coli O157:H7 outbreak strain.

  • The Colorado Department of Public Health and Environment has confirmed the presence of the outbreak strain of E. coli O157:H7 in a sample of Dole spinach with a lot code of P227A02, and a "best if used by" date of August 30, 2006.

  • The Ohio Department of Health confirmed the isolation of E. coli O157:H7, matching the outbreak strain, from a package of Dole Baby Spinach.

  • The Wisconsin Department of Health and Family Services has confirmed that E. coli O157:H7, the same strain as that associated with the outbreak, has been found in 2 bags of Dole Baby Spinach with lot codes of P227A.

  • The Nevada Department of Health and Human Services has reported a confirmed finding of E. coli O157:H7 in bagged spinach, with a lot code of P227A03, matching the outbreak strain. The Nevada sample was analyzed by FDA Pacific Regional Lab NW.

  • The Pennsylvania Department of Health has confirmed that E. coli O157:H7, the same strain as that associated with the outbreak, has been found in 2 individual bags of Dole spinach purchased in Pennsylvania with a "best if used by" date of August 30, 2006, and a lot code of P227A01.

  • The Utah Department of Health (UDOH) and the Salt Lake Valley Health Department (SLVHD) have confirmed that E. coli O157:H7, the same strain as that associated with the outbreak, has been found in a bag of Dole Baby Spinach purchased in Utah, with a lot code of P227A01. Laboratory tests were conducted by the Utah Public Health Laboratory (UPHL).

  • The New Mexico Department of Health announced on September 20, 2006, that it had linked a sample from a package of Dole Baby Spinach with the outbreak strain of E. coli O157:H7. DNA fingerprinting tests determined that the strain from the spinach matches the strain from patients in the outbreak. The package of spinach that tested positive was Dole Baby Spinach, with a lot code of P227A03.

  • The Illinois Department of Public Health has confirmed that E. coli O157:H7, matching the outbreak strain, has been found in a package of Dole Fresh Spinach with a lot code of P227A02, and a "best if used by" date of August 30.

  • The Arizona Department of Health Services reported a confirmed finding of E. coli O157:H7 in Dole bagged spinach, with a lot code of P227A03, and a "best if used by" date of August 30, 2006, matching the outbreak strain.

  • The Nebraska Health and Human Services System reported a confirmed finding of E. coli O157:H7 in Dole bagged baby spinach, with a lot code of P227A01, and a “best if used by” date of August 30, 2006, matching the outbreak strain.

  • The Utah Department of Health reported a confirmed finding of E. coli O157:H7 in Dole bagged baby spinach, with a lot code of P227A01, matching the outbreak strain.

  • Lettuce suspected in Ontario E. coli cases

    Two separate E. coli outbreaks in Ontario, with a total of 34 confirmed and suspected cases, may have been the result of tainted lettuce. But health officials say there's no longer a threat to the public, according to CTV News.

    Officials are investigating outbreaks stemming from a restaurant in Sudbury and a school in Hamilton. The cities, which are about five hours away from each other, both had outbreaks dating back to late September.

    Spinach suits have familiar taste to Dole

    Westlake Village, Calif.-based food giant Dole Food Co. Inc. has been named as a defendant, along with Natural Selection Foods, in five cases filed by people who contracted an E. coli infection allegedly after eating the companies' bagged spinach.

    The latest outbreak, which began last month, has killed one person and sickened 183 in 26 states. Of the 95 people hospitalized, 29 have a kidney failure condition called hemolytic uremic syndrome.

    Dole settled more than four cases earlier this year, reports the National Law Journal,  brought by people who also became ill with E. coli infections in an outbreak last year tied to the company's bagged lettuce.

    Dole settled four lettuce cases, three in Minnesota and one in Oregon, in May and June, without disclosing the terms of the resolutions and binding the parties to confidentiality agreements.
     

    U.S. opens criminal inquiry on health measures taken by spinach growers

    The New York Times reports that federal investigators have opened a criminal investigation into accusations that some California spinach growers and distributors failed to take adequate measures to ensure that their spinach was safe before selling it.

    Yesterday, agents of the FBI and the Office of Criminal Investigations in the FDA carried out search warrants at Natural Selection Foods of San Juan Bautista and Growers Express of Salinas.

    Natural Selection, a large distributor of fresh produce, had previously recalled its packages of fresh spinach.

    Eight cases of E. coli traced to Van Buren daycare

    The Pine Bluff Commercial reports that Arkansas Department of Health and Human Services spokeswoman Ann Wright said eight cases of E. coli were confirmed Tuesdayin a Van Buren daycare facility, after specimens taken from those ill tested positive for the bacteria.

    Rose Worthey, director of the daycare, said Tuesday the center will probably remain closed until all 15 staff members are tested for the bacteria. Worthey said she did not know how long testing the staff would take.

    E. coli found in cattle feces in spinach probe

    California officials have discovered E. coli in cattle feces on pastures near farms being investigated as possible sources of spinach contaminated with the bacteria, which caused a nationwide outbreak of food poisoning.

    Reuters reports that state investigators have obtained eight samples of cattle feces testing positive for E. coli. The samples are being retested to see if their bacteria strain matches the strain in 193 cases of food poisoning, including one confirmed fatality last month, all linked to tainted spinach.

    The bacteria could have been transmitted to the spinach by irrigation water, fertilizer, farm equipment or workers, livestock and wild animals, or it could have contaminated the spinach inside processing plants, during transport or on store shelves.

    The U.S. Food and Drug Administration has said that fresh spinach is safe to eat in the United States because all E. coli-tainted spinach had been recalled.
     

    Another Nevada E. Coli Case Confirmed

    A second case of E. coli connected to the tainted spinach has been confirmed by the Southern Nevada Health District.

    The first confirmed case of E. coli involved a 9-year-old Henderson girl. The health district has not released details on the second case.

    Last week, it was confirmed that a bag of Dole baby spinach purchased in Clark County did test positive for E. coli. The spinach implicated in the current outbreak has been traced to Natural Selection Foods of San Juan Bautista, California.
     

    3 kids from Van Buren daycare ill from E. coli

    At least three children enrolled at a Van Buren daycare center have been diagnosed with E. coli infection, and state health officials are investigating whether the outbreak is more widespread, according to the Northwest Arkansas News.

    Elite Kids Academy Inc. Preschool and Childcare is awaiting test results of 14 other children who have shown symptoms that could be E. coli, said owner Matt Harris.

    The daycare first alerted the state Health and Human Services Department last week that one child had a confirmed diagnosis from a private doctor. The center sought advice on protocols and other steps to take, Harris said.

    As a precaution, Elite Kids Academy will voluntarily close its doors today to deep-clean “every nook and cranny,” even though no one yet knows how or where the first child became infected, Harris said. The center will reopen Wednesday.
     

    State lifts quarantine on raw milk producer

    The state is allowing a Fresno County dairy to resume producing raw milk products after a three-week investigation into four cases of E. coli poisoning in Southern California.

    "The recall and quarantine were lifted because Organic Pastures dairy met the requirements of the state to resume manufacturing operations," Steve Lyle, spokesman for the California Department of Food and Agriculture, told the Sacramento Bee.

    McAfee, the state's largest organic raw milk producer, was at the center of an inquiry by the California Department of Food and Agriculture and the Department of Health Services after four children became ill with E. coli poisoning.
     

    E. coli cases reported at local daycare center

    Cases of E. coli have been reported at Elite Kids Academy, Inc., Pre-School and Childcare in Van Buren, Arkansas.

    Sharon Harris, owner of the daycare, tells KFSM 5 News that she became aware of the situation when a little girl became sick at the center. The girl went to her doctor who determined that she had an E. coli infection. Since that time, at least two additional children have tested positive for E. coli and another 16 are showing symptoms and are being tested.

    The daycare remains open today, with about 40 children present and another 30 expected after school. They normally serve around 130 children.

    The center will close tomorrow as a precaution, but they hope to reopen as soon as Wednesday. If they are able to reopen on Wednesday, they will have a health department nurse present to check children for any signs of E. coli symptoms.
     

    Expert says E. coli spinach outbreak may be hard to solve

    As the FDA narrows the search for the cause of a nationwide outbreak of E. coli 0157:H7 tied to bagged spinach, a specialist in Penn State's College of Agricultural Sciences said the incident may lead to tighter controls on food safety at the farm level.

    Luke LaBorde, an associate professor of food science who studies food-safety issues associated with fruits and vegetables, told Penn State Live that the FDA has been concerned about green, leafy vegetables having more than their share of contamination problems.

    "The FDA had been focusing on lettuce, and now they've added spinach to their 'alert list' of commodities," LaBorde said. "Once investigators determine how this occurred, the next step will be to find new methods to prevent this from happening again."
     

    Left holding the bags: My produce firm needed better FDA guidance in the E. coli outbreak

    Ted Keany of the Washington Post also works at Keany Produce Company in Landover, Washington. The day after the FDA's national warning for consumers to not eat fresh bagged spinach, the produce company wondered what to do with the spinach they did have.

    The FDA had not recalled all spinach, but they also had not identified any of the brands or packers that were affected. Nor did they specify whether or not the affected produce was in retail or food-service packaging.

    What they did know was that the outbreaks were mostly in the west and midwest, and that the bacteria was E. coli.

    When spinach isn't good for you

    A New York Times editorial comments on the recent spinach-related E. coli outbreak:

    “Just when many of us thought that eating lots of fresh green leafy vegetables was the key to good health, along comes an outbreak of bacterial contamination in bagged spinach that has frightened consumers and led to a recall of all affected brands. The contamination, detected only in spinach packaged at a particular processing plant in central California, reveals how silly we were to assume that spinach in sealed bags would necessarily be safer than fresh spinach exposed to the environment.”

    Calif. growers must improve food safety, officials stress

    California health officials said Thursday that they still hoped to locate the source of the E. coli spinach contamination that has sickened at least 187 people in 26 states, killing one.

    Officials stressed that the state's farmers must do a much better job of adhering to safe agriculture practices to prevent future E. coli outbreaks. Those practices include making sure produce doesn't come into contact with the E. coli bacteria from irrigation water, fertilizer, animal droppings or unclean human hands, the Associated Press reported.

    Raw milk blamed for girl's illness from E. coli

    A Snohomish County, Washington girl is ill from E. coli after drinking unpasteurized milk from a dairy in Whatcom County.

    The milk came from Grace Harbor Farms, which sells its products in several counties through health food stores, PCC Natural Markets and Whole Foods Market.

    The state Department of Agriculture is investigating the dairy and its operations.
     

    E. coli sickens two children who drank raw milk from Whatcom County dairy

    Two children have been sickened in another episode of E. coli infection, this time from drinking raw milk from a Whatcom County dairy.

    A 5-year-old boy from Issaquah was still hospitalized with the illness Thursday, while an 8-year-old girl from Snohomish County was recovering at home, said state health officials and a spokeswoman for a store that sold the milk told a medical reporter for the Seattle Times.

    

The unpasteurized milk came from Grace Harbor Farms, a small dairy in Custer, north of Bellingham. It is sold by PCC Natural Markets and Whole Foods Markets.

    Pittsford woman files E. coli lawsuit

    The Monroe County resident sickened by eating E. coli-tainted spinach is suing companies in California and Delaware for an illness that required a trip to the hospital.

    It was reported in the Rochester Democrat and Chronicle that Rochester lawyer Paul Nunes filed a complaint in U.S. District Court late Tuesday afternoon on behalf of his client, Patricia Ann McCoy of Pittsford, who alleges she contracted a severe gastrointestinal illness after eating a bag of Dole brand baby spinach she bought from Martin's Super Food Store in Perinton on or about August 21st, 2006.

    McCoy ate a number of spinach salads in late August, and on August 31st began experiencing abdominal cramps and diarrhea. McCoy alleges her symptoms worsened to bloody diarrhea and on September 3rd she went to Highland Hospital, where she received intravenous fluids and had diagnostic tests done. She left the hospital later that evening.

    Tainted spinach brings demands for new rules

    The latest outbreak of food-borne illness, traced to a virulent bacterium in bagged spinach, is being called a watershed moment for American industrial agriculture, a time of reckoning for industry and government and the public. 



    Critics tell the New York Times the factory farming system needs an overhaul, with produce farmers and processors being subject to the same sorts of mandatory rules as the meat industry to protect against E. coli O157:H7 and other harmful bacteria. More outbreaks of disease are now traced to produce than to meat, poultry, fish, eggs and milk combined.

    E. coli investigation update

    The local health department began an investigation after more than a dozen people came down with a severe stomach ailment. We first brought you the story when doctors diagnosed three of deputy Mark King's children with an E. coli infection. Health investigators also determined that five other people contracted the bacteria. 



    WDEF News 12's Rebecca Cruz reports the probe indicates several of the victims ate at Ryan's Buffet in Hixson. Ten of 14 people who got sick back in July say they ate at Ryan's Buffet in Hixson. Investigators now confirm that eight of them contracted the E. coli bacteria. Five dined at Ryan's on July 8th. 


    More E. coli infected spinach found

    More bags of spinach tainted with toxic E. coli bacteria have been found and could help investigators track down an outbreak that may have killed three people, the U.S. Centers for Disease Control and Prevention said in an interview with an Reuters on Tuesday.

    Investigators found the bags in Pennsylvania, Illinois, and Ohio. The CDC said the DNA "fingerprint" of the strain isolated in Pennsylvania matches that of the outbreak strain. "'DNA fingerprinting' is underway on the strains isolated in Illinois and Ohio," the CDC said in a statement. 



    183 people in 26 states had been confirmed with E. coli O157:H7 infections in the outbreak. The Toronto Star newspaper said a woman in Canada's Ontario province had also been infected.
     

    E. coli is confirmed in Marion County girl, 11

    A second case of E. coli poisoning in the widespread outbreak blamed on fresh spinach has been confirmed in Marion County, the Oregon Public Health Division said in an interview with The Statesman Journal Monday.

    An 11-year-old girl was confirmed late Friday as having illness caused by E. coli O157:H7 infection. She was not hospitalized and did not develop complications associated with hemolytic uremic syndrome. 



    The case was confirmed by the Oregon Public Health Division and reported Saturday to the Centers for Disease Control and Prevention. The girl is the sixth confirmed case in Oregon.

    3 state cases not connected to spinach

    Maryland public health officials said yesterday that three of the state's four pending cases of E. coli O157 illness are not linked to a nationwide outbreak caused by bad spinach.

    Officials told the Washington Post they continue to investigate the death of an 86-year-old Hagerstown woman and hope to receive test results within a week. But those results might prove inconclusive, because of problems associated with a sample.  All told, only three of the state's 10 cases have conclusively been linked to the bad bagged spinach from California.

    The nationwide outbreak, which has infected 175 people in 25 states, has been traced to fresh spinach from three counties in and around Salinas Valley in California, according to the Centers for Disease Control and Prevention. Among those ill, the CDC said, 53 percent were hospitalized; 16 percent developed a type of kidney failure called hemolytic uremic syndrome; and an adult in Wisconsin died. Two other deaths -- a child in Idaho and the Hagerstown woman -- might be linked to the bad spinach.
     

    Recent E. coli outbreak in the U.S. raises liability questions: Who is responsible for harm connected to production, distribution, consumption of food?

    Widespread warnings against eating fresh spinach from the United States because of an E. coli outbreak in at least 19 states have given a whole new meaning to the health dictum "Eat your greens" - not just for consumers trying to stay healthy but for lawyers.

    The Montreal Gazette reports that spinach-related outbreak and continuing scares about any spread to humans of avian influenza and BSE, or Mad Cow Disease, raise new challenges for those involved in the question of liability - or determining who is responsible - for harm connected to the production, distribution and consumption of food.

    The spinach crisis provided unexpected topicality yesterday for an all-day session of the International Bar Association annual congress titled “Food Safety from Farm to Fork - Who Is Liable for Unsafe Food?"

    On the food side, supply and distribution for the world's consumer tables have become more global than ever before at a time when new pathogens are appearing and can spread more easily because of international human travel.

    While lawyers in international law associations are struggling to bring the issues forward "to start to develop a conceptual framework," regulators and food companies are also wrestling with the new reality. 


    We have now have 250 types of bacteria, parasites, viruses, toxins that will cause food-borne illness, what we call food poisoning, and 50 years ago, we only knew about 50 of them.

    E. coli, or 015:H7 bacteria, was only clearly identified a little more than 10 years ago, with the first notable case being the death of four children in 1993 from so-called hamburger disease, or eating undercooked meat.

    Additionally, technology has enabled quicker and more detailed analysis. That has sometimes led to recalls or product notifications by companies who consequently face millions of dollars in losses whether or not a real threat is present.

    Businesses throughout the food-supply chain also increasingly have to bear the cost of new demands by large retailers who are insisting on the new concept of "traceability," or insisting that suppliers provide warranties or guarantees as to where the ingredients came from or were 
processed.

    Still, the specter of a potential flood of class-action suits with more food-related health outbreaks remains ever present.  Health Canada estimates that one in three Canadians will be affected by some kind of food-borne illness each year.

    Maine discovers its third case of E. coli illness

    Maine health officials told Maine Today they have found a third case of a resident becoming sick from the same strain of E. coli bacteria involved in a nationwide outbreak.

    The case occurred in late August, the same time that the other two cases in the state occurred, a spokesman for the Maine Department of Health and Human Services said.

    Dozens of people around the country have been sickened by spinach that has been contaminated by the bacteria, and one death has been reported. Investigators have traced the contamination back to farms in California. 

    State officials said the latest case, involving a Kennebec County woman, was not initially uncovered in a review last week of E. coli cases in the state since August 1. The spokesman said the sample from that woman was in a different lab and wasn't linked to the review and genetically matched until Wednesday. 



    The E. coli in all three samples matches the genetic fingerprint of the bacteria involved in the nationwide outbreak, state health officials said. The other two Maine cases were in Kennebec and Aroostook counties. 

All three of those sickened have recovered.

    Mystery grips Salinas

    The San Jose Mercury News reports that investigations into the latest in a 10-yr string of E. coli outbreaks is forcing food producers to re-examine their entire process, tracing a path from the seed in the ground to the salad on the table.

    This time the tainted produce is spinach, with one death and 146 people sickened in 23 states after eating contaminated spinach traced back to the Salinas Valley. This valley has been implicated in eight of 19 previous outbreaks of potentially deadly E. coli O157:H7 since 1995, most involving lettuce.

    This past week, investigators fanned out across the Salinas fields, suspecting the most likely source of contamination initially is on the farm somewhere.

    The U.S. Department of Agriculture has credited the boom in spinach and lettuce sales to the advent in the early 1990s of pre-washed greens in sealed bags. California farmers sold $258 million of spinach last year alone, a huge jump from the $56 million sold in 1995.

    Growers say they're constantly fine-tuning the way they prepare the soil, irrigate, fertilize and harvest. The industry also follows its own guidelines. Despite such voluntary guidelines, contamination of a crop from a neighboring cow pasture seems a reasonable possibility when one takes a drive along Metz Road between Soledad and King City. Along this winding two-lane road, cattle graze just uphill from farms, and ditches take potentially manure-tainted rainwater through culverts directly into fields full of lettuce.

    Scientists are also looking at the next stage: harvesting. They are looking into whether or not workers are failing to follow proper hygiene practices, or if occasional government inspections actually guarantee that iceberg lettuce isn't tainted by a dirty knife the moment it's removed from the ground.

    Spinach growers hammer out safety plan

    California produce growers and processors hope to salvage what's left of the spinach season and stop millions of dollars in losses by drafting new food-safety measures. 



    The Associated Press reports that federal officials have required the industry to adopt the measures before they will lift a week-old consumer warning on fresh spinach.

    Search of fields for E. coli could take another week

    It's likely to be at least another week before federal and state investigators conclude their search of Salinas Valley farms, looking for the source of the nationwide E. coli outbreak in spinach.

    The Monterey County Herald reports that regulators told the industry that the investigation -- along with guidelines the industry is now working on to strengthen food safety processes -- will be key prerequisites for the Food and Drug Administration to lift a week-old warning against all fresh spinach.

     

    Hey, FDA! Ethnic Americans eat spinach, too

    When they sounded the alarm on E. coli-contaminated spinach last week, using the media to put the word out, the FDA did apparently did not properly include the ethnic press.

    Viji Sundaram, health editor of New California Media, inquired to the FDA why these outlets were not used to report the outbreak and received this brusque response before being hung up on: "We did an extensive outreach with the national and local media."

    The Korean Daily, Ming Pao, The World Journal, and Sing Tao Daily -- all newspapers with large circulations, with the latter two read by hundreds of thousands of Chinese Americans each day -- were apparently also not addressed by the FDA, nor were scores of other ethnic media outlets across the country.

    Spinach Scare's Larger Warning

    Even as government health experts urge Americans to eat more fruits and vegetables, federal rules for protecting consumers from such hazards as the current E. coli outbreak from contaminated spinach are weaker than for meat and poultry.

    And as food-borne illnesses attributed to produce appear to be rising, budget squeezes have federal regulators retreating rather than attacking. Compliance with safety guidelines on the handling of produce is voluntary and federal inspectors conduct fewer and fewer checkups, according to government documents and LA Times interviews with consumer groups and a top former Food and Drug Administration official. 



    For example, since the FDA hired inspectors in the wake of bioterrorism concerns after the Sept. 11 attacks, the government has been steadily thinning their ranks. The number of FDA staff in field offices around the country shrank from 2,217 in 2003 to 1,962 currently, budget documents indicate.

     

    Organic Milk Recalled

    Organic milk is being recalling after three children tested positive for the E. coli bacteria. Raw milk sold by organic pastures of Fresno is being recalled by the state of California. Three children who drank the un-pasteurized milk have tested positive for E. coli.

    WVVA TV news reports while none of the samples of milk have tested positive for E. coli, experts say they have established a link. Officials say these cases are not related to the spinach E. coli outbreak.
     

    Spinach Firm Has Permit Troubles

    The spinach-packaging company in the cross hairs of an investigation into a nationwide E. coli outbreak has struggled to manage its wastewater and is in violation of a state water disposal permit, according to public records and state officials.

    The Sacramento Bee reports that there is no indication these problems at Natural Selection Foods contributed to the current outbreak; by Wednesday investigators had not pinpointed a single source. But federal officials said wastewater management and processing habits at Natural Selection and other companies have not been ruled out.

    Organic Milk Recall

    Organic Pastures of Fresno County is the subject of a statewide recall and quarantine order announced by California State Veterinarian Dr. Richard Breitmeyer and reported on KSEE-TV NBC 24 Fresno.

    The recall states that all Organic Pastures whole and skim raw milk is to be pulled from retail shelves immediately. Consumers are being strongly urged to throw away any milk remaining in their refrigerators. 



    Organic Pastures is not permitted to produce raw milk for the retail market until further notice. The order also affects raw ice cream and raw colostrum, also produced by the company. 



    The quarantine was issued after a report of raw milk causing a bacterial illness in a 10-year old girl from San Bernardino County. An investigation by the California Department of Health Services detected two additional bacterial illnesses in children consuming raw milk. One was a 7-year old boy from Riverside County, the other an 8-year old San Diego County girl.
     

    From roadside stand to produce empire

    The Washington Post says Drew and Myra Goodman, the husband-and-wife produce team whose business is at the center of the E. coli spinach crisis in California's Salinas Valley, did not plan on becoming farmers.

    They grew up in Manhattan. Drew's father was an art dealer. Myra's father was a jewelry manufacturer. They went to college in California -- Drew in Santa Cruz, Myra in Berkeley -- and stayed. The reason: a 2 1/2 -acre raspberry farm in the back of a Carmel Valley home, an 
investment property of Myra's family where the couple was living in a guesthouse. 



    To pass some time before graduate school, they opened a roadside farm stand. They grew raspberries, and baby greens, which they sold to a local chef. What they had left over, they packed in plastic bags to eat during the week. When the chef left town, they decided to sell the packaged greens to grocery stores on consignment. Those little plastic bags, coupled with the rise of busy consumers trying to eat more healthfully, led to a $360 million-a-year produce business.
     

    At E. coli hunt's end, a safety standards gap

    It took exactly 14 days, says The Washington Post, from the time state health officials in Wisconsin noticed five cases of E. coli O157:H7 in the same county until investigators arrived Wednesday at a field in California's Salinas Valley in search of the bacteria that ended up in bagged spinach and sickened 157 people in 23 states.

    The outbreak -- the largest, in terms of victims, caused by fresh produce -- has exposed strengths and weaknesses in the highly fragmented U.S. food safety system. And the extent of it has federal officials talking about imposing tougher regulation.
     

    Death of child may be linked to E. coli

    KUTV of Salt Lake City is reporting that an Idaho toddler has died in a Utah hospital from a kidney disease associated with E. coli infection. The infection may be linked to the national outbreak traced to contaminated packaged spinach, health officials said.

    Kyle Algood, 2, of Chubbuck, Idaho, died Wednesday at Primary Children's Hospital in Salt Lake City from hemolytic-uremic syndrome, said Dr. Christine Hahn, said epidemiologist for the Idaho Department of Health. The boy was flown to the Utah hospital earlier in the day from Portneuf Medical Center in Pocatello, Idaho.
     

    Officials consider spinach labeling plan

    Like fine wine and cheese, spinach could be labeled with a place of origin to reassure shoppers jittery about an E. coli outbreak linked to leafy greens grown in California, says health officials.

    Federal health officials told The Associated Press that more explicit labeling was just one proposal under consideration for allowing fresh spinach back on the market.

    Others include stepped-up regulation of how spinach is grown and processed.
     

    Contaminated spinach: What would Popeye do?

    The warning from the Centers for Disease Control and Prevention and the Food and Drug Administration says that bagged spinach is likely the cause of an outbreak of E. coli infections, strikes fear in the hearts of many parents.

    Spinach is the poster child of healthy eating -- replete with vitamins, minerals, possibly healthful antioxidants such as beta-carotene -- it has long been a food that parents lovingly urge on reluctant children. Because diets with ample amounts of fruits and vegetables are associated with better health, consumers have been looking for ways to incorporate them more frequently and conveniently into their diets.

    

Ruth Kava of the American Council on Science and Health reports that producers of fresh produce have responded by making it easier for busy consumers to get their fruits and veggies in as convenient a way as possible. Now, one can find pre-cut fruits and salad fixings in virtually any large grocery store in the country. Although these items are supposedly washed and ready for consumption when purchased, sometimes accidents occur.

    

A couple of years ago, some pre-washed, bagged organic lettuce was found to be contaminated with E. coli -- probably because of the use of manure-contaminated water when it was washed. Now, we have outbreaks of E. coli infections in eight states, according to the CDC, apparently stemming from consumption of bagged fresh spinach.

    West Virginia resident reported to have E. coli

    West Virginia Media reports that the Wheeling-Ohio County Health Department announced today that an Ohio County resident is said to have E. coli.

    Surrounding states have reported cases of the disease, but the Ohio County report is the first in West Virginia. Tests are being conducted in Virginia to determine whether the disease is related to a nationwide outbreak connected with eating fresh spinach.  

    Consumers across the country have been advised not to eat fresh spinach or salad blends containing raw spinach.

    Including the case in Ohio County, 147 people in 24 states are sick from eating spinach thought to be tainted by E.coli.

    Canned, frozen or already prepared spinach, such as that found in frozen dinners, is said to be safe.

    Tainted spinach-farmers

    California produce growers and processors worked to draw up new food-safety measures as government investigators trying to pinpoint the source of the deadly E. coli outbreak narrowed their search to three counties.

    Western Growers, an industry group representing about 3,000 fruit and vegetable farmers in California and other states tells The Associated Press they plan to unveil a proposal Thursday for protecting produce from the bacteria that have killed one person and sickened at least 146 others across the country since last month.

    Investigators found a contaminated bag of Dole baby spinach Wednesday at the New Mexico home of a person who fell ill. The spinach was packaged by Natural Selection Foods, a San Juan Bautista company that packages salad greens sold under dozens of brands.

    After analyzing the strain of E. coli bacteria in the bag, investigators said they believe it probably originated in at least one of nine farms and several processing plants in California's Monterey, San Benito or Santa Clara counties.

    E. coli is often spread by human or animal waste. Inspectors have been looking at the possibility that the germ was spread by contaminated irrigation water, workers relieving themselves in the fields, or some other means.

    Napolitano: Arizona shouldn't try to exploit spinach problem

    Governor Napolitano says it'd be wrong for Arizona to try to gain an agricultural advantage over California because of the nationwide E. coli outbreak.

    Health authorities are hunting the source of the outbreak in Arizona and numerous other states but are zeroing in on California's Salinas Valley. California is the source of three-quarters of the nation's fresh spinach crop.

    Arizona farmers also grow spinach, and KTAR radio reports Napolitano was asked during her weekly news conference today whether Arizona should try to somehow take advantage of the situation for the benefit of the state's agricultural situation.  She rejected that idea, saying she wouldn't want to exploit the situation.

     

    E. Coli outbreak reveals lapses in food inspection: Agriculture industry loosely regulated

    The expanding E. coli spinach outbreak, which now has sickened 146 victims in 23 states, is prompting calls for an overhaul of how food inspection is done in the United States, with a focus on getting rid of a patchwork approach that leads to loopholes and leaves the industry mostly policing itself.

    Mary Anne Ostrum, Lisa Kreiger and Ken McLaughlin of the San Jose Mercury News reported that demands from top consumer groups and others came as the federal Food and Drug Administration announced Wednesday that a bag of spinach found in the refrigerator of a sickened New Mexico resident definitively links the outbreak to Natural Selection Foods. The San Juan Bautista company has already recalled nearly three dozen brands of spinach that it processes.

    

Through codes on the bag, the FDA has traced the spinach back to a growing region encompassing Monterey, San Benito and Santa Clara counties. 

Still, officials recommend that consumers avoid eating any fresh spinach products.

    E. coli spinach outbreak could dampen salad sales

    The nationwide E. coli outbreak from bagged spinach could seriously dampen the popularity of prewashed, packaged salads with time-pressed and diet-conscious Americans, food safety and marketing experts say.

    The U.S. Food and Drug Administration's announcement Wednesday that the bug that sickened hundreds of people matched a strain found in an opened bag of Dole spinach. Both the Canadian Press and The Associated Press speculate this may eat away consumer's confidence in a $2.8 billion-a-year industry built on convenience and good health.

    Elderly Tucson man recovering from symptoms of E. coli-tainted spinach

    Late last week, the spinach industry came to a halt as E. coli bacteria has been found in pre-packaged bags of fresh -- not canned -- spinach across the country.

    Arizona’s KVOA News 4 reported that The Centers for Disease Control is warning everyone to toss out any bags of fresh spinach, no matter what the brand. 



    Tainted spinach has been found in 23 states, mostly in the west, and now you can add Colorado and Arizona to the list.   One person is dead, 146 people are sick and 76 hospitalized as a result of the contamination.
     

    5-year-old Harford boy may have contracted E. coli from spinach

    The Harford County Health Department is awaiting the results of a culture taken from a 5-year-old boy who may have contracted the strain of E. coli that has been linked to contamination of flat-leaf spinach.

    According to Matthew Plum of TheExaminer.com in Baltimore the case was first reported to the health department last week; about the same time recalls for flat-leaf spinach were issued across the country. According to the Food and Drug Administration, the contaminated spinach originated in California.

    

It is not yet known whether the 5-year-old boy contracted E. coli O157:H7 — the strain that has been linked to the spinach contamination.

    Recycled water safe, essential, officials say

    Monterey County officials say legislation that has been proposed to ban the use of water reclaimed from sewage for irrigating vegetable fields that could impact the state's agricultural industry and its water supply.

    Monterey County officials say legislation that has been proposed to ban the use of water reclaimed from sewage for irrigating vegetable fields that could impact the state's agricultural industry and its water supply. 

    

A report by Kevin Howe in the Monterey County Herald  says State Sen. Dean Florez, D-Bakersfield, a former chairman of the Assembly Agricultural Committee, has called for laws governing crops and packaging that would ban the use of reclaimed sewage water in organic vegetable crops and possibly nonorganic crops. 



    The proposal comes on the heels of reports of E. coli-contaminated spinach in the Salinas Valley. Much of the irrigation water used on crops on the west end of the Salinas Valley has been reclaimed from sewage.

    Growers to propose new safety procedures

    Salinas Valley's spinach growers and processors are proposing a plan to federal and state health officials to tackle food safety concerns in light of the unfolding nationwide E. coli outbreak according to a report by Dania Akkad in the Monterey County Herald.

    About 75 local producers and trade association representatives met at the Monterey County agricultural commissioner's office in Salinas to zero in on areas of their work where there is the greatest potential for contamination. 



    The plan comes in response to a meeting at the Western Institute for Food Safety and Security in Davis in which regulators told industry representatives they needed to outline actions to 
prevent future outbreaks.

    

Federal and state investigators also said a bag of Dole baby spinach found in the refrigerator of a person sickened by E. coli in New Mexico was contaminated with the bacteria -- the ''smoking gun'' that investigators have sought for the origin of the deadly outbreak.

    Earthbound suddenly mum about E. coli link to plant

    Once a readily accessible media darling celebrated for its eco-friendly business practices and humble beginnings, Earthbound Farm shied away from public scrutiny almost entirely Wednesday after investigators found E. coli bacteria in spinach that had been processed at the company's San Juan Bautista plant.

    During a hastily called news conference, Earthbound Farm spokeswoman Samantha Cabaluna read a prepared statement and answered a few questions before being hustled back into the plant by company officials, according to The Monterey County Herald.

    Cabaluna acknowledged that the E. coli-contaminated Dole baby spinach is directly connected to Earthbound Farm. She said all Dole spinach is processed by the local plant, although Cabaluna pointed out that some Dole spinach is not grown by Earthbound Farm.

    However, Cabaluna stopped short of acknowledging that Earthbound Farm is a possible source for the nationwide E. coli outbreak.
     

    In danger from food

    An editorial in the Contra Costa Times, reminds us that the current E. coli outbreak is something that should alert consumers to the lack of regulatory oversight over farmers and distributors of leafy greens that are purchased at local supermarkets.

    For the past week, an E. coli outbreak, spread through contaminated spinach believed to have originated in the Salinas Valley, has swept the United States. Federal health officials have ordered a recall of all raw and packaged spinach from store shelves. Although investigators haven't determined the exact cause of the deadly bacteria, they say they have traced the origin of the outbreak to Earthbound Farms Natural Selection label.

    It's the 20th time in a decade that leafy greens from the region have been contaminated. Twice in the last 10 months, the Food and Drug Administration warned California farmers they needed to do more to ensure that the leafy greens grown on their farms weren't at risk of E. coli contamination. Yet the FDA appears to have left it up to individual producers to monitor their own safety standards.

    The editorial says that “voluntary monitoring clearly has not worked,” and urges federal and state regulatory agencies to start “minding the farm”.
     

    State lab confirms 7th Kentucky case

    The state laboratory in Frankfort has confirmed a seventh case of E. coli bacteria infection thought to be linked to the nationwide outbreak from tainted fresh spinach.

    A male teen-aged Kenton County resident received outpatient treatment for the illness, a particular strain of E. coli O157:H7, said Gwenda Bond, spokeswoman for the Kentucky Department for Public Health reports the Lexington Herald-Leader.

    Of the six previously confirmed cases, an Oldham County woman remains hospitalized. In addition to the Kenton County case, two cases have been identified in Oldham County, two in McCracken, one from Hopkins and one from Jefferson.

    The Department for Public Health also reminds people to continue to avoid eating fresh spinach products to avoid potential infection.
     

    Spinach not tied to E. coli in Denver

    The Colorado Department of Public Health and Environment announced Wednesday that a test on a Denver resident showed that that person's E. coli was not related to eating bagged spinach, and that the two Denver residents must have been infected in some other way.

    Meanwhile, a Gunnison resident's test did come back as spinach-related E. coli.

    Two other Colorado cases - both from Boulder - remain, and those test results should be announced today or Friday, reports the Rocky Mountain News.

    The bag of Dole baby spinach tested positive for the same strain of E. coli linked to the outbreak, said Dr. David Acheson of the Food and Drug Administration's Center for Food Safety and Applied Nutrition. Dole is one of the brands of spinach recalled Friday by Natural Selection Foods LLC, of San Juan Bautista, California.

    More than 100 people in 23 states have been sickened by E. coli, which probably got into the spinach in the fields of northern California by way of water, contaminated with cow manure being sprayed on the fields.

    Sonja Tuitele, spokeswoman for Wild Oats markets, said the Boulder-based market will be looking for written assurance from the FDA that the only spinach suspected of being contaminated was grown in California. If everything goes well, she said, fresh spinach could be back in the vegetable bins by the weekend.
     

    How to save spinach

    When food turns deadly, old-fashioned detective work, modern technology and an appropriate sense of urgency are the best weapons to fight back. All have been employed in an outbreak of E. coli bacteria, which has sickened 146 people in 23 states and caused the death of one since August 2nd.

    Detection and warning are what the government does best in these cases. Preventing outbreaks is a more complex task, much of which properly falls on the produce industry. Surely, it has every incentive to do better. While suspicion has centered on packaged spinach sold by one company, the entire industry has taken a huge financial hit. Federal officials are investigating farms in California's Salinas Valley, nicknamed America's Salad Bowl, looking for the elusive source of the bacteria. Since 1995, 19 outbreaks of E. coli sickness have come from fresh-cut lettuce or spinach — three of them linked to the Salinas Valley just since 2002 says USA Today.

    But primary responsibility for safety lies with the produce industry. It might look to almond producers for cues.

    If spinach is to regain its reputation as a health food, consumers ought to be able to eat it with confidence and without the need for government inspectors to turn over each new leaf.
     

    Tainted spinach outbreak brings calls to boost food safety

    The contaminated spinach that's sickening consumers is emboldening lawmakers who want to strengthen federal defenses against future outbreaks of food-borne illness. With at least one death and 130 sick patients attributed to California spinach tainted by E. coli, the moment seems ripe for action. That could mean more money for research, more muscle for regulators and reformed oversight of the nation's food supply says Knight-Ridder.

    By the numbers, food safety regulation is already big business.

    The Food and Drug Administration is responsible for fruits and vegetables, so it is investigating the contaminated spinach traced to the Salinas Valley. It's familiar territory: Last month, citing the
    "recurring outbreaks of E. coli" that have included at least 20 episodes since 1995 linked to spinach or lettuce, the FDA unveiled its "Lettuce Safety Initiative." It includes visits by FDA officials to farms, cooling and packing facilities.

    The agency, however, lacks the power to recall tainted produce, nor do the different federal agencies all follow the same rules. The Agriculture Department, for instance, inspects canning facilities daily if the plant produces canned beans with meat or chicken. If the canned beans lack meat or chicken, the FDA will inspect the plant between a year and up to every five years.

    Overall, 76 million U.S. residents become sick annually from food-borne illness, more than 325,000 people are hospitalized and 5,000 people die. With so many problems, some lawmakers have
    previously tried to reinforce existing food safety efforts.

    But when congressional negotiators met to craft a final spending bill, according to sources familiar with the sessions, the proposed UC-Davis food safety center lacked the support of Rep. John Doolittle, R-Calif., a conservative member of the House GOP leadership. The money was dropped.

    The first opportunity for reform or reinforcements for federal food safety efforts will come in the Agriculture Department and FDA funding bill for fiscal 2007. The House is proposing to spend $1.5 billion for the FDA next year, more than last year but slightly less than President Bush had requested. The Senate has not yet approved its version.

    The least likely reform would be a wholesale reorganization of the food safety regulatory agencies, even though that is what some believe is most necessary.

    New York Democratic Sen. Hillary Rodham Clinton and a small band of House liberals including Democrats George Miller from California and Jim McDermott from Washington have authored legislation to create a unified Food Safety Administration. It would combine the work of now-disparate agencies; but, with only nine co-sponsors in the House, it is stalled. 

    The FDA currently labors under an acting commissioner, as Bush's latest nominee has yet to win Senate confirmation. Various political controversies have kept the permanent FDA position vacant for more than half of Bush's time in office.
     

    Search narrows for source of E. coli

    Health officials in New Mexico positively identified a deadly strain of E. coli in a bag of spinach yesterday, providing a crucial clue that investigators say can be used to trace the source of an outbreak that has sickened 146 people.

    Until now, the evidence implicating spinach has been circumstantial.

    The E. coli outbreak, which was reported a week ago, has led to the leafy vegetable's banishment from restaurants and dinner tables across the country and is threatening the spinach industry with severe damage. Losses are estimated at up to $100 million if the crisis lasts just a month, and the industry has been hoping for a quick resolution in order to stem long-term damage. Nutritionists and food-policy experts said public fears about spinach could extend to other popular produce, such as bagged salads. Even though there have been 20 E. coli outbreaks from spinach or lettuce since 1995, this one has attracted the most attention because it has the most victims, with one death, another death suspected and the number of illnesses climbing by 15 yesterday. Two more states, Arizona and Colorado, reported cases yesterday.

    The uncertainty has virtually shut down the fresh spinach industry reports the Washington Post.

    Federal officials yesterday narrowed the source of the outbreak to three counties, Monterey, Santa Clara and San Benito, in and around the greater Salinas Valley. The germ was found in a bag of Dole baby spinach, marked best used by Aug. 30. Acheson said the spinach was processed by Natural Selection Foods LLC, saying the code on the bag fit with information provided by the company, which has previously been linked to the outbreak.

    And officials reiterated that no one should consume fresh spinach until they lift their warning.

    The Salinas Valley is a dominant area for spinach production in California, which produces roughly 74 percent of the country's fresh spinach, thanks in large part to Natural Selection's Earthbound Farm and its innovative bagged produce. California recorded $258 million in spinach sales last year. In Monterey County, sales of spinach reached $188.2 million last year, up from $56 million in 1995.

    Spinach is grown in 80-inch beds and harvested mechanically, at a cost of about $33,500 an acre. Farmers with hundreds of acres, who may lose more than one crop before the end of the growing season in November, stand to suffer big losses, according to Richard F. Smith, a farm
    adviser in the University of California Cooperative Extension program in Monterey County. Last year, 17,000 acres in the county were planted with spinach.

    As a leafy green vegetable, which nutritionists would like Americans to eat more of, spinach is known as being a good source of fiber and vitamin A, as well as iron, vitamin C and folic acid. "It's a pretty
    power-packed vegetable compared with iceberg lettuce," said Reed Mangels, nutrition adviser for the Vegetarian Resource Group.

    There are other sources of leafy vegetables that provide similar nutritional value: kale, collard greens, mustard greens, arugula. Some of those have already become a replacement for dishes containing spinach in restaurants. Also, frozen and canned spinach are not included in the warning.
     

    Consumer update on E. coli investigation

    Earlier today, the New Mexico Department of Health announced a link to E. coli O157 in an opened, leftover bag of spinach from a case patient, says a media release from Earthbound Farm.

    The product was conventional spinach, packed in Earthbound Farm's facility. The strain matched the outbreak strain. This news confirmed their decision to go out early with a voluntary recall.

    The US Food & Drug Administration and California Department of Health Services investigators were in the Earthbound Farms facility on Friday, taking environmental samples from our processing facility for testing. At the same time as the government inspectors, scientists from an independent, third-party laboratory did identical sampling and testing.

    The FDA and CDHS on Tuesday had inspectors in 9 fields identified in a traceback as the possible source of the spinach, including the bag with a positive match in New Mexico.
     

    Leafy green sewage

    Farmers and food safety officials still have much to figure out about the recent spate of E. coli infections linked to raw spinach. So far, no particular stomache-ache has been traced to any particular farm irrigated by any particular river.

    There is also no evidence so far that Natural Selection Foods, the huge shipper implicated in the outbreak that packages salad greens under more than two dozen brands, including Earthbound Farm, O Organic and the Farmer’s Market, failed to use proper handling methods says the New York Times.

    Indeed, this epidemic, which has infected more than 100 people and resulted in at least one death, probably has little do with the folks who grow and package your greens. The detective trail ultimately leads back to a seemingly unrelated food industry — beef and dairy cattle. First, some basic facts about this usually harmless bacterium: E. coli is abundant in the digestive systems of healthy cattle and humans, and if your potato salad happened to be carrying the average E. coli, the acid in your gut is usually enough to kill it.

    Where does this particularly virulent strain come from? It’s not found in the intestinal tracts of cattle raised on their natural diet of grass, hay and other fibrous forage. No, O157 thrives in a new — that
    is, recent in the history of animal diets — biological niche: the unnaturally acidic stomachs of beef and dairy cattle fed on grain, the typical ration on most industrial farms. It’s the infected manure from
    these grain-fed cattle that contaminates the groundwater and spreads the bacteria to produce, like spinach, growing on neighboring farms.

    Unfortunately, it would take more than a week to reduce the contamination of ground water, flood water and rivers — all irrigation sources on spinach farms — by the E-coli-infected manure from cattle farms.
     

    Officials narrow investigation after finding bad spinach

    The investigation into an outbreak of E. coli that killed one person and sickened more than 140 others both broadened and shrank on Wednesday, as more victims were reported and scientists zeroed in on the contaminated spinach that caused the illness.

    In Washington, federal officials said that they had narrowed the focus of their investigation after health officials in New Mexico announced that they found the strain of E. coli responsible for the outbreak in an open bag of baby spinach in the refrigerator of a sickened woman.

    That batch, under the Dole brand, was hailed as a “smoking gun” by California officials who have been frantically trying to identify the source of the infection, which has halted the state’s spinach harvest and raised the specter of millions of dollars of agricultural losses.

    The authorities traced the spinach to one of three counties — Monterey, San Benito and Santa Clara, all south of San Francisco — and investigators continued to prowl plants and farms looking for evidence of the bacteria, which can cause diarrhea, kidney failure and even death reports the New York Times

    As of Wednesday, 146 people in 23 states had been sickened by E. coli from fresh spinach, with 76 requiring hospitalization, including 23 who have developed hemolytic uremic syndrome, a serious kidney problem.

    While federal and California officials seemed somewhat relieved by the day’s developments, concerns continued to percolate in agricultural counties. In San Juan Bautista, about 90 miles south of San Francisco, where street signs are hand-painted and farms back into modern housing
    developments, residents said a serious farm disruption could shatter the economy.

    Few agricultural leaders were discussing economic damage, as spinach sat unpicked on thousands of acres, saying the health issues far outweighed their money woes.
     

    E. coli attorney calls on spinach industry to pay victims' medical bills

    William Marler, a nationally-recognized food safety advocate and attorney, today called on the spinach industry "to do the right thing and immediately pay the medical bills for the victims of this most recent outbreak traced to E. coli-contaminated spinach," according to the Associated Press. Marler noted that, in other large outbreaks, companies such as Jack in the Box, Odwalla, Chi-Chi's and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

    To date, the Food and Drug Administration has reported that 131 people have been confirmed as victims of the outbreak, 20 victims developing hemolytic uremic syndrome, a potentially lethal complication of E. coli O157:H7 infection. “With such devastating injuries, and so many of them,” Marler continued, “I hope that the people responsible for this outbreak will stop trying to shift the blame or think of more excuses. The FDA has warned the lettuce and spinach industry repeatedly about its problems and deficiencies.” Marler noted that this latest outbreak is the twentieth outbreak since 1995 associated with lettuce or spinach.

    Marler’s Seattle-based law firm, Marler Clark, is representing 31 victims of the outbreak, including twelve people who developed HUS. The firm has filed three lawsuits to date—in Utah, Oregon, and Wisconsin.

    Since 1993, Marler has represented thousands of victims of E. coli, Salmonella, Hepatitis A, Listeria, Shigella, Campylobacter and Norovirus illnesses in over thirty States. In 1998, Marler and his current law partners formed OutBreak, a non profit food safety organization. Marler dedicates one-fourth of his time to travel to food-industry conferences, giving speeches about how to prevent foodborne illness litigation.
     

    E. coli pervades harvest area

    The bacterium that has sickened people across the nation and forced growers to destroy spinach crops is so pervasive in the Salinas Valley that virtually every waterway there violates national standards.

    Federal officials said Wednesday they are focusing on nine fields in San Benito, Santa Clara and Monterey counties as possible sources of the bacteria-contaminated spinach that killed one woman and sickened at least 145 others in 23 states. Investigators also announced that spinach found in the refrigerator of a New Mexico resident who became ill tested positive for E. Coli 0157:H7, the dangerous bacteria strain responsible for the outbreak reports the LA Times.

    Monterey County's Salinas Valley is one of the world's most intensely farmed regions and a major supplier of lettuce and spinach to the nation. The current outbreak of food poisoning marks the 20th time since 1995 that the dangerous E. coli strain has been linked to lettuce or spinach.

    Many creeks and streams near the region's spinach fields, including the Salinas River, Gabilan Creek, Towne Creek, Tembladero Slough and Old Salinas River Estuary, are known to be carriers of the E. coli strain implicated in the food poisonings. When consumed, people experience cramping, diarrhea and, in severe cases, kidney failure.

    After food poisoning outbreaks several years ago, regional water officials stepped up sampling and added analysis for the deadly strain in the Salinas watershed, finding the bacteria in several waterways
    next to areas where livestock graze.

    Water used for drinking supplies and irrigation is not threatened by the bacteria because it is drawn from deep wells, more than 100 feet below the surface, and bacteria is readily filtered by the region's
    clay soil.

    Owners of irrigation wells and private wells do not have to test for acteria or comply with the EPA's drinking water standards, but large Salinas Valley growers test their wells anyway, at the request of
    grocery chains concerned about food safety, he said.

    State agricultural leaders say that if livestock are contaminating leafy green crops, they will work together because their aim is the same: Ensuring the safety of food produced in California, which has
    been the nation's leading supplier for over half a century.

    The water board is now developing new limits, called Total Maximum Daily Loads, in an effort to bring the Salinas River watershed into compliance with the federal law. That could mean costly new controls on the livestock industry as well as cities responsible for cleaning up runoff.
     

    More Nebraska E.coli cases linked to spinach

    Two possible cases of E. coli in Nebraska may have been passed from person to person, and not come directly from eating tainted spinach.

    That brings the total confirmed Nebraska cases to seven, with four more possible cases.

    The two secondary cases are people who live with someone who became ill after eating spinach according to the Associated Press

    According to the Associated Press Nationally, the outbreak has sickened at least 146 people in 23 states. One person has died and 76 others have been hospitalized, some with kidney failure as a result of hemolytic uremic syndrome.
     

    Tainted Spinach

    Federal health officials await test results from California farms and packing plants that could allow them to pinpoint the source of an E. coli outbreak that's sickened spinach eaters across the country.

    Though state and federal officials have traced the outbreak to a California company's fresh spinach, they still don't know how bacteria contaminated the leafy greens.

    They have ruled out tampering, leaving multiple other potential sources of contamination, including the water and fertilizer that farmers in California's Salinas Valley use to grow much of the nation's spinach crop. Testing could reveal that source, though that isn't guaranteed.

    The FDA and the California Department of Health Services again are reviewing irrigation methods, harvest conditions and other practices at farms possibly involved.

    For now, officials warn consumers not to eat raw spinach. Natural Selection Foods LLC, whose multiple brands many people reported eating before falling sick, has recalled spinach products distributed throughout the United States. The company also distributed spinach to Canada, Mexico and Taiwan.

    The Associated Press reports that various produce growers associations worked with the FDA to publish new guidelines for the safe handling of spinach and other leafy greens in April, after the agency voiced concerns about produce safety.

    Despite the number of spinach and lettuce contamination incidents traced to the Salinas Valley in recent years, California health officials said that could be explained by the sheer volume of crop produced there rather than poor farming practices.

    E. coli cases linked to tainted spinach have been reported in 21 states: California, Connecticut, Idaho, Illinois, Indiana, Kentucky, Maine, Michigan, Minnesota, Nebraska, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin and Wyoming, according to the Centers for Disease Control and Prevention.
     

    Spinach scare could hurt market

    The nationwide E. coli outbreak from bagged spinach could seriously dampen the popularity of prewashed, packaged salads with time-pressed and diet-conscious Americans, reports the Associated Press.

    The Food and Drug Administration's announcement Wednesday that the bug that sickened hundreds of people matched a strain was found in an opened bag of Dole spinach.

    So far, there has been no evidence the source of the outbreak can be traced to the packaging process or that the salad bags themselves breed bacteria such as E. coli, which is found in animal and human waste.

    Seattle lawyer Bill Marler, who has represented dozens of clients in lawsuits connected to contaminated bagged leafy greens, said he's representing more than 30 clients from 12 states over the current E. coli outbreak. He said he reached a settlement for his clients with the company in five previous cases.

    Based on past experience, Marler said he suspects bacteria-tainted irrigation or flood water is behind the current outbreak. "Plants like spinach and lettuce can absorb not just water but bacteria," Marler said. "All the washing and rinsing and triple washing and nice bags with smiley faces on them mean nothing because the product is then just a little tiny bomb waiting for someone to eat it."

    Packaged greens, a category the industry calls "value-added" produce, was invented by a Salinas company, Fresh Harvest, in the late 1970s. Today, leading processors such as Fresh Express, NewStar and River Ranch Foods are based in Salinas.
     

    New Mexico links first spinach sample to National E. Coli outbreak

    The New Mexico Department of Health announced today that it has linked the first spinach sample in the nation with the outbreak strain of E. coli 0157 that is affecting hundreds across the country.

    The Scientific Laboratory Division isolated the nationwide outbreak strain from a package of spinach that one of New Mexico’s patients ate before becoming sick.

    “The lab’s finding will move the federal investigation one step forward by showing that the bacteria that made these people sick was also found in the spinach,” said David Mills, the department’s Scientific Lab Division director.
     

    E. coli scare may have wider impact

    With fresh spinach linked to an unusually virulent outbreak that has killed one and sickened 130, the region has vaulted to new fame: the E. coli capital of America.

    According to the LA Times, the whirlwind of health warnings and media reports over the past five days has tarnished the reputation of its growers and processors so severely that experts predict some farms with large spinach crops may fail.

    Though they have tentatively linked some of the illnesses to Natural Selection, federal regulators have, in an abundance of caution, recommended against eating any fresh spinach, organic or otherwise, which has brought the spinach harvest to an abrupt halt, affecting smaller growers’ and workers’ finances.
     

    5 more cases of E. coli

    Five more cases of E. coli in Nebraska have been linked to tainted spinach that's killed one person and sickened more than 130 people across the country.

    Three people in Nebraska have been hospitalized, according to the Lincoln Journal-Star. The afflicted range in age from 13 to 83.

    About half of those with the food poisoning in this national outbreak were hospitalized, according to the CDC. E. coli causes diarrhea, often with bloody stools. Most healthy adults can recover completely within a week, although some people — including the very young and old — can develop hemolytic uremic syndrome, a form of kidney failure that often leads to death.

    Natural Selection Foods LLC, a San Juan Bautista company whose multiple brands many people reported eating before falling sick, has recalled spinach products distributed throughout the United States.

    Salinas-based River Ranch Fresh Foods recalled spring salad mixes containing spinach purchased from Natural Selection.

    On Tuesday, a third company said it was voluntarily recalling salad mixes that may contain spinach supplied by Natural Selection. RLB Food Distributors LP, based in West Caldwell, N.J., said the recall included various salad mixes sold under the Balducci’s and FreshPro brands and distributed on the East Coast.
     

    State lab confirms first case of spinach-related E-coli in Colorado

    The Laboratory Services Division of the Colorado Department of Public Health and Environment has confirmed the first case of spinach-related E. coli that is of the same strain as the one associated with the national outbreak.

    “As would be expected in a widespread outbreak that has already affected neighboring states, Colorado now has a case of disease confirmed to be part of the multi-state E.-coli outbreak,” said Dr. Ned Calonge, chief medical officer at the Colorado Department of Public Health and Environment. “This case provides further support for the recommendation of the Food and Drug Administration for consumers to avoid eating fresh spinach or fresh spinach-containing products until further notice.”

    Of those five cases, two are from Boulder County, two from the City and County of Denver, and the third is from Gunnison County.
     

    Number of confirmed E. coli cases grows: 21 states affected

    Twenty-one states have been affected by the national spinach-related E. coli outbreak. Of the 131 cases nationwide, 66 people have been hospitalized with acute E. coli O157:H7 infections, including 20 with kidney failure, and one adult in Wisconsin died.

    The breakdown of how many cases by state was provided by the CDC:

    Caliornia 1
    Connecticut 2
    Idaho 5
    Illinois 1
    Indiana 8
    Kentucky 6
    Maine 2
    Michigan  4
    Minnesota 2
    Nebraska 6
    Nevada 2
    New Mexico 5
    New York 9
    Ohio 15
    Oregon 5
    Pennsylvania 6
    Utah 16
    Virginia 1
    Washington 2
    Wisconsin 32
    Wyoming 1

    National 131
     

    E. Coli Probe Focuses on 9 Calif. Farms

    Investigators searched nine California farms for evidence of spinach-borne E. coli yesterday, going into the fields for the first time, as the number of confirmed illnesses rose by 17 to 131.

    A team of about a dozen investigators from the Food and Drug Administration and the state of California fanned out to farms in Monterey County's Salinas Valley, according to Kevin Reilly, deputy director of the California Department of Health Services. The farms grew spinach for Natural Selection Foods LLC and River Ranch Fresh Foods LLC, which have recalled all of their fresh spinach.

    Federal officials focused on those nine farms after records provided by Natural Selection and River Ranch indicated a link to bags of spinach eaten by those who became ill, reports the Washington Post.

    The outbreak appears particularly virulent, though that could change as more cases are reported. Of the 131 cases, 66 people have been hospitalized, 20 have experienced kidney failure, and one person has died -- a higher than expected proportion.

    Some victims have retained lawyers for possible lawsuits. William Marler, a Seattle lawyer who specializes in food poisoning cases, said he is representing 30 victims of the outbreak, 11 of whom have developed kidney failure as a result of hemolytic uremic syndrome.
     

    Local Law Firm to Represent E. Coli Victims

    Underberg and Kessler, a western New York law firm, has been hired to represent people who got sick after eating spinach contaminated with the E. coli bacteria. They are the same firm that represented more than 700 people who got sick last summer from the cryptosporidium parasite after a visit to the Sprayground at Seneca Lake State Park.

    Lawyer Paul Nunes says Underberg and Kessler has been retained by Marler Clark of Seattle in the E. coli outbreak. The two firms also worked together on the sprayground case and they represented victims of several large-scale salmonella outbreaks in central New York.

    Marler Clark is suing growers and produce companies on behalf of people in Wisconsin, Oregon and Utah who got E. Coli infections after eating bagged fresh spinach. Underberg and Kessler plans to do the same on behalf of New Yorkers who claim injuries from the outbreak.

    The New York State Health Department has confirmed seven E. coli cases as part of the current outbreak. Four are in Erie County plus one case each in Schoharie, Schenectady and Chemung Counties. State Health Commissioner Antonia Novello says anyone who has fresh spinach in their fridge should toss it. She says washing won't make it safe.

    Usually E. coli causes diarrhea and cramps, but in some cases it can lead to kidney failure and death due to the complication hemolytic uremic syndrome.
     

    Bagged Produce May Not Be Worth Convenience

    A Seattle attorney and advocate for change in the produce industry says, though convenient, maybe bagged produce isn't such a good idea after all, reports Ed Yeates. As the probe continues into E. coli contaminated spinach that's now sickened people in 21 states, Bill Marler says it may be just one more example of a systemic problem that's been plaguing the industry for the past four years.

    "I think you have to step back and go, ‘well, maybe convenience and money aren't worth it’,” Marler says.

    Yeates says, “Look at other incidents over the past few years. The nasty strain shows up in produce in three states, sickening 23 people. Fifty kids at a Mormon dance camp in Spokane get hit. Fourteen people at an old folks home in San Francisco are infected. Two die. In northern Utah, two women remain on dialysis. And these are just reported cases.”

    Bill Marler responds, "There has never been a smoking gun. They've never found the farm or the cow. They've never been able to do that, and that's been frustrating for both the FDA and the industry." Bill Marler is in Salt Lake, representing people here considering lawsuits. He's also formed a non-profit group that, in his words, teaches the industry how not to poison people.

    Unlike a single head of lettuce or one bundle of spinach, bagged varieties, he claims, pose a unique problem. "When you're eating a bag, you may be eating parts of ten, twenty, thirty, forty bunches,” says Marler.  “You have a couple of pieces of bad heads of lettuce or bad bunches of spinach and it gets massively processed in a big facility that gets spread out among hundreds if not thousands of bags."

    Consumers like bagged produce because it's often more convenient and economical, but Marler says perhaps we've reached a point where all of us need to strike a new balance between what is convenient and what is risk.
     

    FDA takes heat over recent E. coli outbreak

    As the national spinach-based E. coli outbreak stretches into 21 states, food safety advocates called on the federal government to revamp its regulations for fruit and vegetable production.

    As of Monday afternoon, the CDC reported that 114 people, including one in California, have been infected with a strain of E. coli that has been linked to fresh spinach. One person has died as a result, and there is an ongoing investigation into the cause of a second death. The FDA said it found no evidence of deliberate contamination.

    The food poisonings are the latest in a string of at least 19 outbreaks linked to lettuce or spinach since 1995. Eight were traced to the Salinas Valley, known as the "salad bowl of the world."

    Caroline Smith DeWaal, food safety director for Washington, D.C.-based Center for Science in the Public Interest, said that Congress must streamline the patchwork of agencies that now oversee see food safety, provide more resources for inspecting farms and processing plants, hand the FDA and U.S. Department of Agriculture the power to issue mandatory recalls and tighten regulations for the handling and processing food.

    The FDA is already in the process of implementing the Lettuce Safety Initiative, an effort to assess industry practices, refine government guidelines and consider additional regulatory action. The organization said it will now expand the initiative to include spinach.
     

    Source of E. coli outbreak not limited to spinach: Some infections may be tied to Manitowoc County Fair

    Tainted spinach is not the only source of E. coli to infect local residents in a recent outbreak, reports the Green Bay Press-Gazette. Five of the seven E. coli cases being investigated by the Manitowoc County Health Department may have been caused by exposure to animals at the county fair.

    The Food and Drug Administration has linked an outbreak of E. coli that has killed one person and sickened at least 108 others around the country to fresh spinach from Salinas, California-based Natural Selection Foods LLC, the country's largest grower of organic produce. The company has recalled 34 brands of fresh spinach sold at stores around the country.

    However, the E. coli infections that sent four Manitowoc County people to the hospital and have been linked to the death of Marion Graff, 77, of Manitowoc may be tied to the Manitowoc County Fair.

    Wergin said test results have been returned from the State Lab of Hygiene for five of the six remaining Manitowoc County cases, with the final test result expected later this week. Local investigators have determined that four people in those cases reported attending the fair in late August.

    The health department is investigating whether the fair could be a source of the infection.
     

    Researchers say deadly bacteria may be in, not on, spinach

    More than 100 people have fallen ill in recent days and one died after eating raw spinach contaminated with the O157:H7 strain of E. coli, according to FDA officials. A second death, of a person in Ohio, was being studied to see if it also was linked to the outbreak.

    The CDC has now linked 114 cases of E. coli poisoning in 21 states to raw spinach. The states with the largest number of cases were Wisconsin with 32, Utah with 15 and Ohio with 10, according to The Western Star.

    Potentially deadly E. coli bacteria can contaminate edible parts of plants like spinach and lettuce through water absorbed by the plants' roots, scientists said Monday as federal officials reported that a new outbreak of the bacteria continues to spread.

    Scientists at Rutgers University reported four years ago that they had shown that quantities of the bacteria sufficient to cause disease can be present in - rather than on - the plants' leaves.

    "I am concerned from the findings that we have," said Karl Matthews, a microbiologist. "You can't wash the organism away from the crop. Even if it's washed several times, you're not actually washing away the organism."

    After growing lettuce in soil that had been deliberately inoculated with E. coli O157:H7, Matthews washed the leaves in bleach but still found the bacteria inside the plant tissues.

    The scientists' findings means that no amount of rinsing or careful handling can keep the E. coli out of salads and other foods in which raw vegetables are used if the pathogen is in, rather than on, plant leaves. It also poses new challenges for farmers seeking to ensure that their crops remain free of the contaminant.
     

    SPINACH SCARE

    Supermarkets and salad bars throughout the New York metropolitan area stopped selling prepackaged fresh spinach yesterday as New York joined the growing number of states reporting confirmed cases of E.coli infections linked to Popeye's favorite food.

    The New York cases are currently all upstate - in Erie, Schoharie, Schenectady and Chemung counties. Nationwide, 20 states reported E.coli cases linked to tainted spinach - with one person dead and 94 sickened.

    The D'Agostino supermarket chain is giving refunds to anyone walking in with spinach in any form, whatever the brand and no matter where in the city it had been purchased.

    A&P spokesman Richard DeSanta said all stores operated by the food giant, including Waldbaum's, Food Emporium and Food Basics, has pulled not only bagged spinach from its shelves nationwide, but all fresh spinach and all prepared products that had fresh spinach in them.

    The Cosi lunch chain also has stopped offering fresh baby spinach in its hand-tossed salads, even though it's not prepackaged.
     

    Death linked to spinach?

    Health authorities in Ohio are investigating a death that may be linked to the nationwide outbreak of bacterial illnesses caused by contaminated spinach harvested in California's coastal valley, reports the Knight-Ridder Tribune.

    Federal public health authorities cannot confirm the Ohio case as having a definite association with the outbreak of E.coli O157:H7 illnesses until the state laboratory has completed its examination of the patient's specimens. Ohio authorities then must r eport the information to the Centers for Disease Control and Prevention.

    In the same vein, state microbiologists in Albany are studying five more potential cases in New York, which could push the state's total to 12 cases if those under study are confirmed. All confirmed and suspect cases are in upstate counties.

    Dr. David Acheson, medical director of the FDA's Center for Food Safety and Applied Nutrition, said what has seemed an escalating outbreak could soon reach its peak. However, as of yesterday, he reported six additional confirmed cases, bringing the nation al total to 114 in 21 states since Sunday. Among those affected, 75 percent are women. All victims range between 18 and 60 years of age.
     

    Oregon sleuth solves E. coli mystery

    The answer to the central mystery in an ongoing national E. coli scare that has sickened at least 114 people was uncovered during a series of phone surveys conducted from Melissa Plantenga's Lloyd Center office.

    Plantenga, a research analyst who tracks food-borne diseases for the Oregon Department of Human Services, had telephoned the five E. coli victims in Oregon to answer a scattershot, 400-question survey.

    One of her questions concerned bagged salad.

    "I have had very few people ever say yes, they had eaten bagged greens," Plantenga said. "But the demographic of the victims being women and over the age of 20 suggested a produce item."

    After logging four similar answers, she went online and researched a possible connection. A picture of the DNA pattern associated with patients she interviewed was sent to the CDC, where it was confirmed that it resembled a similar outbreak in Wisconsin.

    With the new information, other states were then able to also pinpoint bagged spinach as the culprit in the E. coli outbreak. As a result, retailers as well as producers of the product pulled it from their shelves to prevent possible more contamination and illnesses.
     

    Farm water is suspected in outbreak

    Government and other experts say that water on the farms could be a likely culprit in the Salinas Valley farms where E. coli has contaminated the spinach crops, though that has not been proved.

    Salinas Valley is believed to be the source of at least eight E. coli outbreaks since 1995. Twice in the past two years, federal health officials told California growers of lettuce and other leafy greens, mostly in Salinas Valley, to make their farming practices safer.

    Floodwaters from nearby creeks and rivers are being suspected now as it was when the letter was sent by health officials to the California growers. The letter said that although it was unlikely that contamination in all of the outbreaks was caused by flooding from agricultural water sources, farmers should dispose of any ready-to-eat produce that comes in contact with floodwaters because the produce could be exposed to sewage, animal waste, heavy metals, pathogenic microorganisms or other contaminants.

    While investigators warned against reaching premature conclusions, experts said from everything they knew of the current outbreak, most signs pointed to E. coli-contaminated water. Proving it may be very difficult, although experts have long felt irrigation water may be the source of the repeated outbreaks.

    “Contaminated irrigation water is one of the most common vehicles by which E. coli may be introduced into the environment,'' concluded Abasiofiok Ibekwe of University of California-Riverside in his 2005 paper in the journal Environmental Science and Technology. He found that the microbe can persist for more than 45 days in soil.

    Well-water contamination in Salinas Valley and elsewhere has been blamed for at least two other major outbreaks of disease due to produce contamination. In one of these cases, the well had not been shielded at the surface. The cause of bad well water was not identified in the second case.

    In a third major outbreak, investigators found that lettuce fields had been flooded by water contaminated by cattle grazing in an adjacent field.
     

    Source of E. coli

    Michael Greger, the director of public health and animal agriculture for the Farm Animal Welfare division of the Humane Society of the United States, wrote a letter to the editor of the Stamford Advocate regarding a recent article about the recent national E. coli outbreak stemming from spinach.

    In the letter, he states that:

    “Any diseases found on produce likely came from contamination with livestock fecal material. Our intensive confinement system of industrialized animal agriculture produces more than one billion tons of manure each year in the United States -- the weight of 10,000 Nimitz-class aircraft carriers. We crowd billions of animals a year into these stressful, filthy conditions. No wonder we are plagued with the increasingly common emergence of infectious, food-borne disease.

    Factory farms are a public health menace. We shouldn't have to overcook our food.”
     

    Farmers warned year before E. coli cases

    Federal health officials told California farmers to improve produce safety in a pointed warning letter last November, nearly a year before the multistate E. coli outbreak linked to spinach.

    In fact, the current food-poisoning episode is the 20th since 1995 linked to spinach or lettuce, the Food and Drug Administration said.

    There have been 19 other food-poisoning outbreaks since 1995 linked to lettuce and spinach, according to the FDA. At least eight were traced to produce grown in the Salinas Valley. The outbreaks involved more than 400 cases of sickness and two deaths.

    In 2004 and again in 2005, the FDA's top food safety official warned California farmers they needed to do more to increase the safety of the fresh leafy greens they grow.

    On Monday, Illinois and Nebraska joined the list of states with confirmed cases. Those states are: California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, New Mexico, Nevada, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington and Wyoming, according to the Centers for Disease Control and Prevention.
     

    E. coli in salad greens has many sources

    On its way to supermarket shelves, bagged spinach passes from field to packing plant to store, with several opportunities along the journey for it to become contaminated with deadly E. coli bacteria.

    This complex chain is making it hard to identify the precise source of the outbreak that has killed one person and sickened at least 113 others around the country, according to the Associated Press.

    Food health experts say the germ can be spread a multitude of ways -- by manure, by contaminated irrigation water, by farmhands relieving themselves in the field, by inadequate washing by processors, by insufficient refrigeration that promotes the growth of bacteria in sealed bags of salad greens.

    California agricultural regulations require that toilet and handwashing facilities for farmworkers be located within one-quarter mile or a five-minute walk from the work site, with one toilet per 20 employees of each gender. Employers whose workers use fields instead of the bathrooms can face fines of up to several thousand dollars.

    In addition, safety measures exist all along the production chain, from chlorinated water to refrigerated trucks for transport.

    Yet whatever precautionary measures are in place, industry watchers say you can only do so much to control nature.
     

    Killer bacteria hunted in fields of California

    Drew Falkenstein of Marler Clark LLP in Seattle is representing 15 to 20 victims of the national spinach-based E. coli outbreak.

    The suits, against Dole and Natural Selection Foods, include filings by Anna and Paul Zientek of Milwaukee, whose two children were hospitalized after eating spinach; and Gwyn Wellborn, a Salem, Ore., woman who became sick after eating Dole brand baby spinach.

    114 people in 21 states who have been sickened since Aug. 23 in a deadly outbreak of E. coli that claimed the life of a Wisconsin woman. The cases include 18 cases of hemolytic uremic syndrome, which causes kidney failure, and 60 hospitalizations, the FDA announced Monday night.

    Natural Selection Foods, who supplies greens to numerous companies, has recalled all of its spinach packaged in bags, either alone or blended with other salad greens. River Ranch Fresh Foods of Salinas, Calif., which investigators found had bought mixed greens from Natural Selection, issued a recall of three packaged salad mixes, Acheson says. The "spring mix" brands containing spinach are: Farmers Market, Hy-Vee and Fresh and Easy.
     

    Utah family joins suit against spinach producer

    Shaila Leafty and her young son have joined what is expected to be a growing number of people who are suing a California spinach producer blamed for a national E. coli outbreak. Her son Brayden's illness is just one of an estimated 15 E. coli cases reported in Utah since the spinach-related outbreak was discovered.

    While state and federal officials have traced the current outbreak to Salinas, California-based Natural Selection Foods’ fresh spinach, they haven't pinpointed the sources of the bacteria.

    "As the grower and producer, Natural Selection Foods should have been consumers' first line of defense against E. coli entering the food supply," says attorney Bill Marler. "Instead, this company allowed contaminated produce to enter the marketplace and caused one of the largest fresh-produce-related outbreaks in recent history."

    Marler is also representing the parents of two Wisconsin children who were also believed to have been sickened by contaminated spinach. According to the Wisconsin lawsuit, both children came down with hemolytic uremic syndrome, a potentially deadly condition associated with E. coli infections. As of last Sunday, the daughter remained hospitalized.

    An Oregon woman has also sued. According to her lawsuit, she ate spinach for lunch several times during the week of Aug. 21. She reports she was hospitalized at Salem Hospital for six days and required at least four blood transfusions and other medical procedures.

    In all of the federal lawsuits, the plaintiffs have asked for unspecified damages, including compensation for pain and suffering, loss of enjoyment of life, medical expenses, travel expenses, emotional distress and attorney fees.
     

    Local grocers, restaurants take spinach precautions

    Don't plan to order the Spinach Veggie Wrap any time soon at Jason's Deli, warns Anna Faltermeier of The University Daily Kansan.

    After a nation-wide E. coli outbreak, companies are recalling products with spinach. Although no cases have been reported in Kansas, Lawrence businesses are taking preventative measures.

    John Baranski, general manager of Jason’s Deli, 3140 Iowa St., said he received a letter from corporate headquarters before the restaurant opened Friday telling the restaurant to throw away all of its spinach. This leaves the restaurant with one type of lettuce instead of the usual three. Both baby spinach and spring mix were thrown away because spring mix had baby spinach in it. Customers will now have to settle for romaine.

    E. coli infections have been confirmed in nineteen states: California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin and Wyoming. There have been no confirmed cases in Kansas, but stores and businesses are playing it safe and getting rid of all fresh spinach and items containing fresh spinach.

    Frozen and canned spinach were not affected.
     

    Seattle firm hires New York lawyers for spinach E. coli cases

    Marler Clark has retained the Buffalo-Rochester based law firm Underberg & Kessler to assist  with litigation resulting from the E. coli O157:H7 outbreak traced to bagged spinach. Marler Clark has filed lawsuits on behalf of Wisconsin, Oregon, and Utah residents, and is currently investigating claims on behalf of New York residents who have contacted the firm in regards to potential legal claims stemming from the outbreak.

    Nationally, the outbreak has already caused one death and made over 100 people ill. Two victims in the Buffalo area developed hemolytic uremic syndrome, a complication of E. coli O157:H7 infection that can lead to kidney failure, central nervous system impairment, and death. The New York Department of Health has reported confirmed E. coli cases in Schoharie, Schenectady and Chemung counties as being part of the outbreak. 

    This appears to be one of the more significant outbreaks of the dreaded E. coli O157:H7 bacteria in fresh produce that has occurred in the US. Because fresh bagged spinach is often eaten without being cooked, the risk of infection is especially high.

    The FDA and the fresh produce industry have been working on the issue of E. coli contamination for a number of years. It is unfortunate that efforts so far have not produced solutions that could have prevented this outbreak from happening in the first place.

    Marler Clark and Underberg & Kessler have worked together in other New York litigation, including E. coli and Salmonella cases. Most recently, they were appointed by the New York Court of Claims to represent over 700 victims of cryptosporidiosis at the Seneca Lake State Park Spraypark during the summer of 2005. The case was recently designated a class action.

    FDA expands warning to cover all fresh spinach

    Consumers should avoid all fresh spinach, regardless of whether it is pre-packaged, a chief U.S. food safety official warned on Saturday, saying the number of E. coli illnesses had passed 100.

    Reuters reports that while the FDA did not expand the warning beyond fresh spinach, the investigation into the cause of the illnesses was continuing and other possible sources had not been excluded.

    Investigators believe that the spinach was contaminated before it was bagged since more than one bag contained contaminated product, said Dr. David Acheson, the U.S. Food and Drug Administration's director of food safety and security.

    Since August 2, one person has died and 102 people have fallen ill, including 16 who suffered kidney failure after eating spinach suspected of being contaminated with the E. coli 0157:H7 -- a potentially deadly bacterium that causes bloody diarrhea and dehydration.

    On Friday, Natural Selection Foods LLC/Earthbound Farm, the nation's largest grower of organic produce, voluntarily recalled fresh spinach products sold in the United States, Mexico and Canada after the U.S. government said they could be linked to the worsening outbreak.
     

    Brookfield child has E. coli-related symptoms

    Anne Grintjes told the Madison, Wisconsin-based The Capital Times that her 6-year-old son is in the hospital with E. coli-related complications and her daughter is now complaining of stomach cramps, a symptom her son had before being diagnosed with hemolytic uremic syndrome, which can lead to serious kidney damage, failure, and death.

    Wisconsin has been hit the hardest in the outbreak, linked to fresh spinach. E. coli has been blamed for the death of a 77-year-old Manitowoc woman.

    On Saturday, health officials said two additional cases had been confirmed in the state, bringing the state total to 32. At least 109 people in 19 states have been sickened by the bacteria, according to the Centers for Disease Control and Prevention.
     

    Toddler dies from E. coli bacteria

    23-month-old Olivia Perkins died from complications related to the deadly E. coli bacteria, which causes diarrhea and ultimately can lead to kidney failure through hemolytic uremic syndrome, which is caused by E. coli.

    Her mother told Columbus WBNS’s James Black that she isn't sure how she contracted the bacteria, but says she's frustrated by the lack of coordination among various county health departments in tracking the deadly bacteria.

    "They were trying to make it sound like it's just this family," Rebecca Perkins said. "It's not just this family. They're not doing anything. I don't mean that they're not doing anything, it's just that they're not doing enough."

    Ohio public health officials are still recommending that consumers follow the FDA warning and not consume bagged spinach at this time.
     

    To find the bacteria, follow the water

    The outbreak of illness last week due to bacterial contamination of bagged spinach is one of the larger episodes of its kind, with at least 94 victims, including one death, in 20 states.

    But the outbreak, which health authorities linked to spinach sold by a company in the Salinas Valley in California, is not an isolated one, says New York Times writer Henry Fountain. In the past decade there have been eight others tied to E. coli contamination of fresh greens from the valley, where most of the nation’s lettuce and spinach is grown.

    Fountain asked Dean Cliver, a professor of food safety at the University of California at Davis, why these outbreaks keep occuring. Cliver said that no one, including the FDA, had been able to pinpoint sources of bacterial contamination.

    The most likely source, he said, is irrigation and processing water that has been contaminated by animal waste. But poor sanitation for field workers and use of compost containing manure are other possibilities.

    Dr. Cliver said greens are a quick crop, and fields are turned and replanted long before an outbreak occurs. Even if the contamination could be traced to a particular field, determining the source of the water can be difficult.
     

    Second company is implicated in outbreak linked to spinach

    A second company in California has been implicated in the E. coli outbreak linked to spinach, the Food and Drug Administration said late Sunday, and the number of identified victims is still rising.

    The New York Times reports that the newly identified company, River Ranch Fresh Foods, obtained salad that included spinach from the first company implicated, Natural Selection Foods of San Juan Bautista, Calif. The spinach that passed through River Ranch is sold under the brand names Farmers Market, Hy-Vee, and Fresh and Easy.

    The federal health authorities are advising consumers not to eat fresh spinach. They said frozen spinach had not been implicated.

    Some processors expose spinach to chlorine to kill E. coli, which can kill the bacteria on the leaf surface. But if the bacteria are in irrigation water they can enter the plant, and the chlorine will not reach them.

    The number of reported cases of E. coli infection rose by seven on Sunday, to 109, but officials said that the real number was probably higher and that reporting was probably delayed because some health departments were not staffed on weekends. They also said they expected the number of states in which cases had been reported, 19 on Sunday, to rise. So far, 16 cases of hemolytic uremic syndrome, a serious kidney complication from E. coli exposure, have been reported. One death, in Wisconsin, has been linked to the outbreak.
     

    E. coli cases prompt calls to regulate farm practices

    Over the weekend, federal health officials expanded their initial warning not to eat bagged spinach to include any fresh, raw spinach. As of late Saturday, the CDC reported 102 cases of E. coli exposure in 19 states, including one death in Wisconsin.

    This latest incident, taken with earlier reports of E. coli contamination in greens, exposes a glaring weakness, experts say, and that effective health standards and cleanliness enforcement should be dependent on the farm itself. Currently, FDA enforcement authority begins in the packaging facilities where produce is washed and packaged for transport.

    Consumer watchdogs hope the more-frequent appearance of E. coli in leafy vegetables will finally cause Congress to expand the reach of the Federal Drug Administration to farms.

    Scientists say E. coli bacteria live in the intestines of cattle and other animals and are passed to plants through contact with fecal matter. Produce could become contaminated several ways: manure used for fertilizer, fecal runoff into streams that are used for farm irrigation, or even droppings from birds that had swallowed manure. As a result, many observers say that stricter FDA oversight is needed at sites where produce is grown.
     

    Officials checking if E. coli case related to nationwide outbreak

    Lorain County Health Commissioner Kenneth Pearce told the Morning Journal that his agency is investigating whether a case of E. coli infecting a Columbia Station woman is connected to the national cases.

    The recent E. coli outbreak has killed one person and made more than 100 ill across the country, according to reports. Seven cases have been confirmed in central and southern Ohio. Pearce said the local case was reported Sept. 5, before the national alert was made Wednesday.

    Investigators will also collect samples of the E. coli DNA, which will be sent to the Ohio Department of Health, Pearce said. Strains of the disease vary, and the DNA will be tested to see if it matches E. coli from victims of the tainted spinach.
     

    Bagged salads a gamble not worth taking, expert says

    A press release issued by MSU proposes the idea that bagged pre-washed salads may be a game of chance, there the odds are not in the consumer's favor.

    Prewashed packaged vegetables, like the spinach that is the focus of the recent outbreak of E. coli, always have been viewed with suspicion from experts in foodborne illness because it's a packaging system that inherently increases the risk of spreading germs.

    Thomas Whittam, Michigan State University Hannah Distinguished Professor of microbial evolution, says that the combination of E. coli's durability and power with a mixture of produce creates the potential for a veritable “stew” of food poisoning.

    "When a contaminated plant gets mixed in with hundreds of other plants and packaged together, and when it takes very few bacteria to get sick, that really increases the risks," Whittam said. "With washing you can remove 99.99 percent of the bacteria, but the few that make it through don't get killed by normal defenses in the stomach. Basically, you're assuming a lot of risk."
     

    Spinach recalls expand in USA

    The investigation into a deadly E. coli outbreak in 19 states widened on Sunday as a second produce company was set to recall its spinach products, reports USA Today.

    FDA officials on Sunday reported 109 cases so far of infection with a deadly strain of Escherichia. coli bacteria. There has been one death, of a 77-year-old Wisconsin woman.

    Suspicion has centered on packaged spinach sold by Natural Selection Foods of San Juan Bautista, California. State and federal investigators will begin sampling spinach farms in California's Salinas Valley that have been linked to the outbreak. It will take at least a week for those samples to identify the source of the outbreak.
     

    FDA Statement on Foodborne E. coli O157:H7 Outbreak in Spinach

    The FDA has posted the following information pertaining to the current E. coli O157:H7 outbreak on their website:

    Case Reports
    To date, 102 cases of illness due to E. coli infection have been reported to the Centers for Disease Control and Prevention (CDC), including 16 cases of Hemolytic Uremic Syndrome (HUS) and one death. Illnesses continue to be reported to CDC. This is considered to be an ongoing investigation.

    Symptoms of E. coli O157:H7 Illness
    E. coli O157:H7 causes diarrhea, often with bloody stools. Although most healthy adults can recover completely within a week, some people can develop a form of kidney failure called HUS. HUS is most likely to occur in young children and the elderly. The condition can lead to serious kidney damage and even death.

    States Affected
    There are 19 confirmed states (versus 20 reported yesterday). The case originally attributed to Tennessee was, in fact, in Kentucky. States reporting illnesses include: California, Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, Nevada, New Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, Wisconsin, and Wyoming.

    Consumer Advice
    FDA advises consumers to not eat fresh spinach or fresh spinach-containing products until further notice. If individuals believe they may have experienced symptoms of illness after consuming fresh spinach or fresh spinach-containing products, FDA recommends that they seek medical advice.

    Recalls
    Natural Selection Foods, LLC, of San Juan Bautista, California, is recalling all of its products containing spinach in all brands they pack with "Best if Used by Dates" of August 17, 2006 through October 1, 2006. These products include spinach and any salad with spinach in a blend, both retail and food service products. Products that do not contain spinach are not part of this recall.

    Natural Selection Foods, LLC brands include: Natural Selection Foods, Pride of San Juan, Earthbound Farm, Bellissima, Dole, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, Jansal Valley, Cheney Brothers, Coastline, D'Arrigo Brothers, Green Harvest, Mann, Mills Family Farm, Premium Fresh, Snoboy, The Farmer's Market, Tanimura & Antle, President's Choice, Cross Valley, and Riverside Farms.

    The affected products were also distributed to Canada and Mexico. FDA continues to investigate whether other companies and brands are involved.
     

    Utah child sues California spinach producer and manufacturer over E. coli illness

    On Monday, Marler Clark will file another lawsuit on behalf of a victim of the recent E. coli O157:H7 outbreak traced to contaminated spinach. The lawsuit will be filed against Natural Selection Foods, LLC and National Selection Foods Manufacturing, LLC in federal court in Utah on behalf of Murray, Utah resident Sheila Leafty and her young son, Brayden. Brayden is one of at least 14 Utah residents who have become ill with E. coli O157:H7 infections after eating contaminated spinach produced by Natural Selection Foods. 

    Marler Clark also added both Natural Selection companies to two lawsuits that the firm filed last week in federal court in Oregon and Wisconsin against Dole Food Company. Health officials in those states have reported that at least 19 residents (5 in Oregon and 14 in Wisconsin) were confirmed to be part of the outbreak. On Sunday, the Food and Drug Administration reported that 109 individuals in 19 states, sixteen of whom have developed hemolytic uremic syndrome (see www.about-hus.com), have been confirmed as being part of the outbreak. One Wisconsin resident died after suffering complications of E. coli infection.

    As the grower and producer, Natural Selections Foods should have been consumers’ first line of defense against E. coli entering the food supply. Instead, this company allowed contaminated produce to enter the marketplace and caused one of the largest fresh produce-related outbreaks in recent history.

    Continue Reading...

    E. coli outbreak: Salem woman wasn't expected to live

    Gwyn Wellborn of Salem is recovering from a brush with death from E. coli poisoning that was traced to a bag of Dole baby spinach she bought Aug. 21 at WinCo Foods.

    The 27-year-old wife and mother developed a rare complication called hemolytic uremic syndrome, a disease that affects the kidneys and the blood-clotting system. Doctors at Salem Hospital didn’t expect her to survive, but several blood transfusions and plasma exchanges later, Wellborn pulled through.

    About the same time the U.S. Food and Drug Administration warned consumers about a nationwide outbreak of E. coli O157:H7 stemming from bagged fresh spinach, the law firm Marler Clark filed a personal-injury action suit against Dole Food Co. on behalf of the Wellborns.

    The Seattle firm has represented thousands of victims of food poisoning, including some of the people sickened a year ago in a similar outbreak traced to bags of Dole lettuce, attorney Bill Marler said. Marler told the Statesman Journal he has tried and settled $250 million in E. coli poisoning cases during the past 13 years.

    The Wellborns are suing Dole for damages including general pain and suffering and medical-related expenses. No monetary amount is listed in the complaint filed in U.S. District Court in Portland.
     

    Longview woman among those sickened in E. coli outbreak

    Washington state health officials said today the outbreak of E. coli had sickened a woman from Longview, who was tested in Oregon. Officials were still investigating and could not say today whether the spinach was purchased in Washington, said Deanna Mill, spokeswoman for the Washington Department of Health.

    Federal health officials worked today to find the source of a multistate E. coli outbreak and warned consumers that even washing the suspect spinach won't kill the sometimes-deadly bacteria.

    The death occurred in Wisconsin, where 20 people were reported ill, 11 of them in Milwaukee. The outbreak has sickened others — 10 of them seriously — in Connecticut, Idaho, Indiana, Kentucky, Michigan, New Mexico, Ohio, Oregon and Utah. In California and Washington, health officials were investigating a single case in each of the two states.

     

    2nd Case Of E. coli Reported In Connecticut

    A second case of E. coli was reported in Connecticut on today, as federal officials worked to find the source of the 10-state outbreak linked to bagged spinach.

    A Wisconsin resident died and dozens of others have been sickened. The Food and Drug Administration warned people not to eat bagged spinach and said washing it wouldn't solve the problem because the bacteria are too tightly attached. Supermarkets around the country began pulling packaged spinach from store shelves.

    Officials: 4 people in Idaho, Wash sickened in E. coli outbreak

    Four people in Idaho and Washington have been sickened in a multistate outbreak of E. coli that killed one person in Wisconsin. In Idaho, three people were sickened, but only one was hospitalized.

    Idaho health officials have asked all grocery stores to voluntarily remove fresh bagged spinach from their produce shelves.

    In addition to the death in Wisconsin, 20 people were reported ill in that state, 11 of them in Milwaukee. Besides Washington and Idaho, victims have been identified in Connecticut, Indiana, Kentucky, Michigan, New Mexico, Ohio, Oregon, and Utah.
     

    Deadly E. coli outbreak tied to bagged spinach

    Supermarkets around the country have begun pulling packaged spinach from store shelves due to a multistate E. coli outbreak. Ten states are reporting a total of at least 58 cases of E. coli nationwide.

    The outbreak has affected a mix of ages, but most of the cases have involved women.

    The Centers for Disease Control and Prevention and Wisconsin health officials alerted the FDA about the outbreak at midweek. Preliminary analysis suggested the same strain is responsible for the outbreak in all nine states.

    Officials believes the spinach may have been grown in California, and federal and state health officials were there trying to pinpoint the source of the contamination.
     

    E. coli outbreak spreads to 10th state

    One person has died, and dozens of others were sickened, in the 10-state E. coli outbreak, linked by Food and Drug Administration officials to bagged spinach. The FDA has warned people not to eat bagged spinach and said washing it wouldn't solve the problem because the bacteria is too tightly attached.

    "If you wash it, it is not going to get rid of it," said Robert Brackett, director of the FDA's Center for Food Safety and Nutrition.

    The warning applied to consumers nationwide because of uncertainty over the origin of the tainted spinach and how widely it was distributed. Health officials did not know of any link to a specific growing region, grower, brand or supplier.

    Officials believe the spinach may have been grown in California, and federal and state health officials were there trying to pinpoint the source of the contamination. Most of the spinach crop at this time of the year comes from California. A special effort is under way in the Salinas Valley of California, a major leafy-vegetable growing region.
     

    FOX Facts: E.Coli and Spinach

    An outbreak of E. coli in eight U.S. states has killed one person and sickened dozens of others, prompting federal health officials to warn consumers nationwide not to eat bagged fresh spinach. FoxNews has listed some E. coli facts on their website:

    FOXFacts: E. coli

    • Escherichia coli O157:H7 is an emerging cause of food-borne illness. An estimated 73,000 cases of infection and 61 deaths occur in the United States each year
    • Infection often leads to bloody diarrhea, and occasionally to kidney failure. Most illness has been associated with eating undercooked, contaminated ground beef
    • Person-to-person contact in families and child care centers is also an important mode of transmission
    • Infection can also occur after drinking raw milk and after swimming in or drinking sewage-contaminated water
    • Consumers can prevent E. coli O157:H7 infection by thoroughly cooking ground beef, avoiding un-pasteurized milk, and washing hands carefully
    • Because the organism lives in the intestines of healthy cattle, preventive measures on cattle farms and during meat processing are being investigated.
       

    FOXFacts: Spinach

    • U.S. consumption of spinach has quintupled since 1972
    • Americans eat average of 2.35 pounds of spinach per year
    • Americans eat over 671 million pounds of spinach a year
    • U.S. spinach consumption increased 66 percent from 1990-92 to 2000-02
    • Women consume 14 percent more spinach than do men
    • Men and women between ages 40 and 59 are biggest consumers of spinach
    • Spinach is believed to be of Persian origin
    • Spinach was introduced into Europe in the 15th century
    • Spinach is a good source of essential nutrients such as vitamins A and C
    • 1/2 cup of cooked spinach provides 20 percent of daily iron requirement
    • 1/2 cup of cooked spinach provides 190 percent of daily vitamin A requirement
       

    State death is blamed on E. coli

    Of 57 confirmed cases nationally, at least 20 have occurred in Wisconsin, including one death, state and federal officials said. Wisconsin was the first state to identify the particular strain of E. coli involved.

    Besides the Wisconsin cases, the outbreak has sickened people in Connecticut, Idaho, Indiana, Michigan, New Mexico, Ohio, Oregon, Utah and Washington, according to federal health officials.

    Preliminary analysis suggests the same bug is responsible for the outbreak in all the states.

    Some grocery store managers are clearing shelves of pre-washed packaged spinach, although there has been no official recall. Many grocers around the state have already responded to the FDA's outbreak announcement by working to voluntarily remove products from their shelves and keep their customers informed on the reported E. coli outbreak. Other bagged vegetables, including prepackaged salads, apparently are not affected.

    Health officials do not know of any link to a specific growing region, grower, brand or supplier at present.
     

    E. coli outbreak sickens one in Kentucky

    A 17-year-old girl from Paducah, Kentucky, is among dozens sickened by an E. coli outbreak in several states and is being treated at a Tennessee hospital.

    The teen, who couldn't be identified because of privacy concerns, is a vegetarian who had eaten spinach recently, said Jerry Jones, a spokesman for Vanderbilt University Medical Center in Nashville. She has suffered kidney complications from the infection due to hemolytic uremic syndrome.

    Kentucky is the 10th state to report a case of E. coli, linked by Food and Drug Administration officials to bagged spinach. One death occurred in Wisconsin.

    All spinach, even bagged salads containing the green, was pulled from the shelves Friday morning at the Food Giant grocery store in Paducah. It did not apply to any specific brand.

    There is speculation that because the outbreak is so widespread, it likely was caused by bacteria in the irrigation systems in spinach crops or during the washing process.
     

    Case Of E-Coli Confirmed In Pennsylvania

    The Pennsylvania State Health Department have just announced a case of E. coli in Pennsylvania, with a potential link to the nationwide alert about contaminated spinach.

    Officials tell CBS 3 that the link falls into the same critical time-frame of the last week of August. During that time, the victim may have eaten fresh spinach sold packaged in a bag.

    Health officials will not confirm where in Pennsylvania this happened, only that the person is recovering. In the meantime, they are warning consumers not to eat fresh bagged spinach and advise them to throw out any of the suspected produce that may be in their homes.
     

    Spinach blamed for E. coli outbreak

    The FDA is urging people to throw out any bagged fresh spinach they have after one death in Wisconsin has resulted from E. coli-tainted spinach.

    The outbreak also has sickened 20 others in Wisconsin and 29 people in other states.

    In Wisconsin, a spokesman for the state Department of Health and Family Services said the 20 cases, including the death, were in seven counties: Milwaukee, Waukesha, Racine, Ozaukee, Dane, Manitowoc and Outagamie, according to the Associated Press.
     

    Deadly E-coli Outbreak Traced To Bagged Spinach, Sickens Dozens

    Roundy's Supermarkets is voluntarily removing all pre-packaged fresh spinach from its grocery store shelves, according to the Associated Press.

    Roundy's stores include Pick 'n Save, Copps and the Metro Market in Wisconsin. Roundy's also is taking the spinach out of the Rainbow stores in Minnesota, even though Minnesota isn't one of the eight states identified by federal health officials.

    Health officials are investigating a multistate E. coli outbreak linked to the spinach. The disease has caused one death in Wisconsin and sickened 49 others in eight states.

    Twenty cases of the bacterial disease have been confirmed in Wisconsin. State health officials say in all 20 cases, the same strand of E. coli is involved, indicating the source is the same and likely from prewashed, bagged spinach.
     

    Don't eat bagged spinach, FDA says after E. coli outbreak

    U.S. regulators are telling consumers not to eat bagged spinach at all, even after washing it, as an outbreak of E. coli spreads to a ninth state.

    Washing the spinach won't make it safe because the E. coli bacteria are sticking so tightly. "If you wash it, it is not going to get rid of it," Robert Brackett, director of the FDA's Center for Food Safety and Nutrition, told the Associated Press and CBC News.

    So far, there is no indication where the problem started, and no particular brand identified as dangerous.

    There is no indication so far that E. coli has contaminated spinach in Canada, said René Cardinal, acting national manager for fresh fruits and vegetables at the Canadian Food Inspection Agency. The FDA will keep the Canadian agency informed of the progress of its investigation.
     

    E. Coli Outbreak: Kills 1; Sickens Dozens

    According to Health Officials, raw packages of spinach is likely the sources of an E. coli outbreak, killing at least one person and made at least 49 other people sick. Connecticut, Idaho, Indiana, Michigan, New Mexico, Oregon, Utah, Wisconsin, and California have all made reports and are investigating a possible case.

    A warning has been issued by officials, until they identify the source of the spinach's distribution, says Priscilla Rodreguez of KNX 1070 NewsRadiol

    Amy Philpott of the United Fresh Produce Association says her industry is, ''very concerned'' and taking the outbreak ''very seriously.''

    Officials say most healthy adults can recover within a week. Some people, mainly the very young and old, can develop hemmolytic uremic syndrome, a form of kidney failure that often leads to death.
     

    10 Utah cases among national E.coli outbreak

    The Salt Lake Tribune reports that an outbreak of E. coli traced to packages of fresh spinach has killed one person and left 49 others sick in nine states, including 10 people in Utah. Those in Utah affected by the bug live in various parts of the state, said Robert Rolfs, the state epidemiologist at the Utah Department of Health.

    Feds warn: Don't eat fresh bagged spinach

    Federal health officials are warning people not to eat bagged fresh spinach after an outbreak of E. coli in eight states has left at least one person dead and 50 others sick.

    The death occurred in Wisconsin. The cases of people getting sick were reported in Connecticut, Idaho, Indiana, Michigan, New Mexico, Oregon and Utah.

    FDA officials say they do not know the source of the outbreak, other than it appears to be linked to bagged spinach. Epidemiologists in the Oregon Department of Human Services and in Wisconsin have traced the illness to packaged, washed spinach, although they so far have been unable to identify whether the contamination is confined to a single brand.

    ODHS has notified the federal Centers for Disease Control and Prevention, which is working with the affected states, and the Oregon Department of Agriculture.

    Public health officials cite these as primary protections against E. coli O157 infection:
     

    • Thoroughly cook ground beef and hamburger.
    • Keep raw meat separate from ready-to-eat foods.
    • Wash hands, counters and utensils with hot soapy water after exposure to raw meat.
    • Drink only pasteurized milk, juice or cider.
    • Wash fruits and vegetables thoroughly, especially those that will not be cooked.
    • Always wash hands after using the toilet.
       

    Dole sued by Oregon E. coli victim

    An E. coli lawsuit was filed against Dole late Thursday in United States District Court for the District of Oregon.  The lawsuit was filed on behalf of Gwyn Wellborn, a Salem, Oregon woman who became ill with an E. coli O157:H7 infection after eating Dole brand baby spinach.  Ms. Wellborn and her husband, David, are represented by Marler Clark, the Seattle law firm that has represented hundreds of victims E. coli outbreaks, including victims of last fall’s E. coli outbreak traced to Dole brand lettuce.


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    Manitowoc County Reports 7 Cases Of E. coli

    The Manitowoc County Health Department is investigating seven cases of E. coli infection.

    The county's public health nurse manager, Amy Wergin, says they occurred between August 26th and September first, and involve people ranging in age from 8 to 66.

    Wergin says that finding a source has been difficult because the cases are from different areas of the county. Her department is trying to determine if the infections came from a food source, such as a restaurant, or any place where people would be in contact with animals, such as a farm or petting zoo.
     

    E. coli strikes again in Utah

    At least five more people, two of them children, have contracted E. coli from an unknown source in Weber County.

    No common food source has been linked to the bacteria, though officials say there seem to be no ties to an outbreak that occurred June 27-30. During that outbreak, at least five other people contracted infections, either directly or indirectly, from tainted lettuce served from a North Ogden Wendy’s restaurant.

    Results of the current investigation, which involves analyzing stool samples from victims for recent food histories, should be available by the end of next week, reports the Standard-Examiner. If infections are found to be from a common source, the Weber-Morgan Health Department will release that information.
     

    Restaurant closed after E. coli outbreak

    Health inspectors have closed the doors of George's Burgers and Subs on Henderson Highway after it failed to comply with health orders made in the wake of the city's outbreak of E. coli. The burger joint is one of four restaurants in the city connected to the outbreak, which has made 40 people sick since June, including 14 who required hospitalization.

    Winnipeg Regional Health Authority medical officer Dr. Pierre Plourde said three of the restaurants - Mrs. Mike's, V.J.'s Drive-In and the Dairi-Wip Drive-In - had responded to inspectors’ orders when a spot check for compliance was done 24 to 48 hours later. However, the Henderson Highway George’s outlet had not and was closed late Friday, Plourde said.

    At least two people remain in hospital with the illness, which causes severe stomach cramps, bloody diarrhea and in extreme cases can cause kidney failure.

    The WRHA encourages people to be careful preparing their food, and about the cleanliness of the establishments where they eat. While 60 percent of the E. coli cases diagnosed in August have been traced to meat sold by the Dutch Meat Market, there are 40 per cent of the cases which are as yet unsourced.

    The Dutch Meat Market was cleared of any wrongdoing in the outbreak and officials are now looking for the rendering plant and farm where the beef originated.
     

    WINNIPEG RESTAURANT CLOSED IN E. COLI OUTBREAK

    Winnipeg health authorities said that meat contaminated with E. coli had been traced to the Dutch Meat Market in St. Boniface, where restaurants purchased meat.

    While the Dutch Meat Market and several burger restaurants that purchased their meat from the butcher have now been given a clean bill of health from authorities, George's Burgers and Subs did not pass a second inspection. George's Burgers and Subs on Henderson Highway in Winnipeg has been closed as a result.

    A lawyer for the Dutch Meat Market said Monday the business is considering legal action against the farm or slaughterhouse that supplied it with the contaminated meat.

    Health officials are still trying to track down the original source of the meat, said Dr. Pierre Plourde, medical officer for the Winnipeg Regional Health Authority, on Tuesday.

    More than 35 people have contacted health authorities with samples of meat they bought at Dutch Meat Market in the first two weeks of August, which will be tested in an effort to track down the original source.

    The August outbreak raised the total number of E. coli infections this summer to 57. In all, there were 65 cases so far this year. Last year, the WRHA recorded only 13 cases of E. coli infection, and 25 cases in 2004.
     

    E. coli confirmed in Guernsey County

    Cambridge-Guernsey County Health Department is investigating three confirmed reports of E. coli affecting Guernsey County residents, according to The Daily Jeffersonian.

    The outbreak includes a case that reportedly claimed the life of a Cambridge toddler, but is not confirmed.

    Authorities have reportedly not identified the source of the E. coli contamination.

    Most E. coli infections comes from eating undercooked ground beef. E. coli 0157:H7 is a disease-causing bacterium that produces a powerful toxin that can cause severe illness.

    Eating meat that has not been cooked sufficiently to kill E. coli can cause infection. Contaminated meat looks and smells normal. Drinking unpasteurized milk and swimming in or drinking sewage-contaminated water can also cause infection.

    About two to seven percent of E. coli infections result in a complication called Hemolytic Uremic Syndrome, in which the red blood cells are destroyed and the kidneys fail, causing death.
     

    E. coli Death - Meat linked to outbreak hard to find

    The Minnesota Department of Health is focusing its investigation into an E. coli O157:H7 outbreak on a Nebraska meat packer, according to a story from the Minneapolis Star-Tribune.

    Although the beef was ground by a local grocery store, the source of the E. coli contamination probably came from the meat processing plant in Nebraska.

    The store that sold the E. coli-contaminated meat receives meat from an Albert Lea distributor that gets its supply from four different meat processors. The processors operate at least eight different slaughterhouses.

    The Albert Lea distributor does not have records on the source of the meat that it shipped to the Longville grocery store.
     

    Minnesota E. coli death linked to church dinner

    The Minnesota Department of Health has been investigating an E. coli outbreak that was the source of 17 confirmed illnesses and one death. MDOH suspects that at least 30 people were ill with E. coli infections, but that not all cases were confirmed through laboratory testing.

    A report in the Pioneer Press noted that this latest E. coli outbreak caused the first E. coli-related death in Minnesota since 2002.

    “We think primarily what happened was there were a number of illnesses associated with eating potato salad or another cold salad that became cross-contaminated with the ground beef that was used to make meatballs,” said Doug Schultz, a spokesman for the Minnesota Department of Health. Those preparing the food probably used the same utensils or cutting board for the potatoes as for the beef.

    Health investigators were initially perplexed by the outbreak, Schultz said. People from the church were sick, but so was a group of people who did not attend the event.

    The investigators eventually traced the contamination to E. coli that had been discovered during a routine federal inspection of a Nebraska meatpacker. A distributor bought beef from that plant and sold it to a Longville grocer, who in turn sold the beef to a local restaurant as well as the organizers of the church event. The victims who weren't infected at the church all had eaten at the same restaurant.
     

    Confirmed Cases of E-Coli Could Have Local Link

    The Tennessee health department has confirmed that the seven people who fell ill ate at a Hixson restaurant between July 8th and 20th, reports WDEF-TV.

    Since then, employees of the restaurant have all tested negative for the bacteria, and health inspectors have made sure that the restaurant was thoroughly sanitized.

    Three of Janet King's four children contracted the bacteria. The ordeal has devastated the family financially; Janet's husband Mark, a Hamilton County deputy missed five weeks of work while doctors treated the kids in and out of the hospital.

    Friends are hosting a daylong benefit at Veterna's Park in Soddy-Daisy. Proceeds will help the Kings with extraordinary medical bills they now have. King says she's more than grateful for the family, friends, who helped them during their time of need.
     

    E. coli death is Minnesota's first in 3.5 years

    A woman from Longville, Minnesota, who apparently ate contaminated food at a church supper, has become the first Minnesotan recorded as dying of E. coli complications in at least three and a half years, according to the Minneapolis Star-Tribune.

    Services will be held today for Carolyn Hawkinson, right, 73, at Salem Lutheran Church in Longville, where the meal was served July 19.

    Hawkinson, who died Sunday after nearly a month in hospitals, had helped set up for the church supper the day before it was held, her daughter said.

    In the past six weeks, E. coli has sickened at least 17 people and perhaps as many as 30 around Longville, the Minnesota Department of Health reported Tuesday. Nine people were hospitalized, including Hawkinson and one other with serious complications.
     

    Recent E. coli breakouts raise concern

    E. coli outbreaks have been found twice in Utah in recent weeks; once in North Ogden and once in Hyrum. The Hyrum outbreak infected five people; health officials weren't able to identify the source, reports Heidi Toth of the Utah Daily Herald.

    The North Ogden outbreak, resolved earlier this week, originated from contaminated lettuce in a Wendy's restaurant. Three people in that outbreak ended up with hemolytic uremic syndrome, which can be life-threatening and leave permanent damage.

    Fortunately, said Terry Beebe, director for environmental health at the Utah County Health Department, good food handling, lots of hand washing and taking precautions can minimize the risk. Outbreaks can happen, and do; the last one in Utah County was several years ago at the state Developmental Center in American Fork.

    About 73,000 Americans get sick and 61 die every year from infections caused by the bacteria, which can be spread in a number of ways, including when infected ground beef is not fully cooked or when it comes into contact with other food, when raw milk is infected by cow manure or equipment, when sewage gets into water supplies or swimming pools or when feces gets on a person's hands who then handles food without washing. There are a number of different strains; the most common of the infecting types is O157:H7.

    The health department has a number of procedures in place to avoid outbreaks, including semiannual inspections of every restaurant in the county and more if there's reason to suspect a problem. Utah County implemented a no-bare-hand-contact policy about a year ago among restaurants to minimize the possibility. Health inspectors also check were the food is coming from, that dishes and countertops are being properly washed and food is cooked to the proper temperatures.

    People also need to be aware of the E. coli risk in their homes. Beebe advises lots of hand-washing while cooking, knowing where the food came from and keeping kitchen implements clean. He emphasized that since most transmissions of the bacteria were fecal to oral, washing hands, while not perfect, was a good way to minimize risk.
     

    8 E. Coli patients out of hospital

    Eight patients, including six children, who were hospitalized after an E. coli outbreak at a day camp have been released.

    The kids, along with a youth counselor and an adult from the Palisades Country Day Camp & School, were treated for dehydration, said representatives from Hackensack University Medical Center and Englewood Hospital and Medical Center.

    Most of the patients were 5-year-old girls, but as many as 14 children and staff members may have been infected E. coli O157:H7, according to The Record. State health officials are continuing to investigate the camp to find the source of the infections.

    The camp, which shut down Wednesday as a result of the outbreak, will remain closed through next week, said director Patricia Luttrell, speaking through a staff member.

    There are about 50,000 to 75,000 cases of E. coli infections in the United States each year, said Dr. Jeffrey Kocher, an infectious disease specialist at Englewood Hospital and Medical Center.

    Anyone can become infected with the highly contagious bacteria, which are often contracted by ingesting undercooked meat, raw milk or contaminated water, but it is particularly dangerous for children, the elderly, and those with compromised immune systems. About 10 percent of infections can lead to hemolytic uremic syndrome, a debilitating kidney disease, and about 10 percent of those cases can result in death.
     

    Campers sickened in E. coli outbreak

    An E. coli outbreak at a day camp caused several children and staff members to be hospitalized and the camp to be shut down temporarily, reports NorthJersey.com.

    There were seven confirmed and seven probable cases of E. coli infection originating at the Palisades Country Day Camp & School, said Donna Leusner, spokeswoman for state Department of Health and Senior Services. Most of the patients are 5-year-old girls.

    The Palisades Country Camp & School is for children ages 3 to 6. The campus includes a heated swimming pool, a petting zoo and a playground.

    A representative from Hackensack University Medical Center said that two children with a confirmed diagnosis and one adult with a pending diagnosis related to the outbreak are being treated at the hospital.

    The camp closed voluntarily Wednesday and plans to reopen Monday. State health officials are running tests to find the source of the outbreak.
     

    Minnesota Department of Health investigating Longville area E. coli outbreak

    15 cases of E. coli infection have been reported in the Longville area to the Minnesota Department of Health, according to The Pilot-Independent.

    Of those, four people tested positive for the E. coli strain O157:H7. As of Friday, at least two people were hospitalized in what MDH spokesperson Doug Schultz termed as a "relatively serious condition."

    MDH has determined that most, but not all of the cases have an association with a July 19 potluck at Salem Lutheran Church in Longville. At least three individuals did not attend the potluck.

    "We are still investigating a number of other events and are looking at other possibilities," Schultz stated. "It may be that we won't be able to determine a single source. We just want to make sure there isn't a source out there that would pose an ongoing public health risk."

    Pastor John Monson of Salem Lutheran Church said MDH is still conducting interviews to determine common links for the outbreak.

    "Our congregation is concerned about the health of our community and is doing whatever possible to assist the MDH in their research," Monson stressed. "Since the MDH inquiry is ongoing, we can only wait for their conclusions and hope that their discoveries may help prevent future outbreaks.

    Just to be on the safe side, Salem Lutheran Church decided to cancel its August smorgasbord, had its water supply checked, and its food service area double-checked.
     

    Wendy's source of E. coli

    Four people contracted severe E. coli infections after eating lettuce from a Wendy's restaurant in North Ogden, according to the Standard-Examiner.

    Two of the four cases were traced to a CORE Academy conference held at Orion Junior High School in Harrisville and catered by Wendy's. A third case was determined to have been a secondary infection from one of the first two patients.

    The fourth case was an individual who ate at the Wendy's for three straight days during that same time period. Three of the four infected have developed into hemolytic uremic syndrome, a potentially fatal kidney disease.

    At least 300 more people were potentially exposed to the infection while attending the conference but health officials don't believe any more infections will occur.

    The only common food item shared was iceberg lettuce from Wendy's.

    "We believe that the source of this food-borne contamination was limited to this one Wendy's restaurant," House said.

    "A main head of lettuce could be the culprit of the whole problem," said Glenn Kinney, regional epidemiologist for the Utah Department of Health.
     

    E. coli infected 4 at meet in northern Utah

    The Weber-Morgan Health Department confirmed Monday four people were infected with E.coli bacteria in June following a conference held at Orion Junior High in Harrisville.

    The Deseret Morning News reports that three of those people have developed a more severe case of hemolytic uremic syndrome.

    Based on its own investigation, the department said the likely source of the contamination was iceberg lettuce prepared at a Wendy's restaurant in North Ogden, which was one of the caterers for the conference.

    "What we're trying to determine is what happened," said Denny Lynch, spokesman for Wendy's Restaurants in Denver. "Clearly we are very concerned with this incident."

    The conference was attended by more than 300 people, but only a handful reported getting sick. No other cases among those who attended have reported to have E.coli.

    Wendy's Restaurants is trying to contact those who were apparently affected by the contaminated lettuce and do what they can for them.
     

    Wendy's is finally named as source of E. coli

    An E. coli outbreak in North Ogden has health department officials pointing fingers at a Wendy's fast-food restaurant.

    It happened in June when some three hundred educators were attending a conference at a junior high in Harrisville, where for one day, Wendy's provided the food. The health department investigation concluded that iceberg lettuce from Wendy's was the common denominator in three confirmed cases and a number of other unconfirmed cases.

    A Wendy's representative told ABC 4 News, "We are very saddened that apparently people got sick eating the lettuce from one of our restaurants. When situations arise we will always do the right thing for our customers."

    Gwen Hadley with the Weber Morgan Health Department told ABC 4 News one of the victims became so ill she couldn't speak. However, officials say the illnesses and infections have run their course and there is no risk of further infection.
     

    Recent E. coli outbreak still a puzzle in northern Utah

    According to the Deseret Morning News, the Bear River Health Department cannot say for certain what caused a spate of recent E. coli cases in northern Utah, although it's pretty sure that two of the five cases were not related to the other three.

    Everyone has recovered in the town of Hyrum, there have been no new recent cases and the department is now warning residents to take precautions against foodborne and waterborne illness, since both paths have come under suspicion.

    A few of the patients had shared events that led to their illness, but not all patients shared similar stories. Health officials found a possible but unprovable connection in the water supply to the subdivision where the patients lived.

    However, since the water theory cannot be proven, officials are left with reminding residents to wash vegetables and fruits, cook meats properly and not allow cross-contamination between cooked and uncooked foods and surfaces. They are also pushing good hand-washing hygiene and avoiding direct exposure to backyard secondary water, especially among kids, such as playing in sprinklers or filling wading pools, playing in gutters and more.
     

    Officals mum on E. coli outbreak

    The Weber-Morgan Health Department has refused to disclose the name of a Weber County restaurant where three people contracted E. coli infections, according to the Standard-Examiner.

    "We have a policy not to disclose that information," said department Director Gary House. "Our policy is to protect businesses. If we felt it was serious enough, then we would do that."

    The Standard-Examiner filed a request for the information under the Government Records Access and Management Act. Under the act, department officials have up to 10 days to respond.

    Two of the three individuals infected developed hemolytic uremic syndrome, the most severe type of E. coli infection, according to the health department.

    All three people contracted E. coli from the same source during June 28-30, a written news release from the health department said.
     

    Update On Children Undergoing Treatment For E-Coli

    Good news comes in from Knoxville, where two daughters of a Hamilton County deputy have undergone treatment for E. coli.

    WDEF-TV reports that three out of four of Mark King's children came down with the bacteria in mid-July.

    Doctors released 8 year old Kelsey from the hospital over the weekend and upgraded the condition of her four-year-old sister Lexie from critical to serious. One-year old Harley is already home.

    The Health Department still has not determined where the family contracted the E. coli.
     

    Don't let a bad meal spoil summer: An unusually high number of E.coli cases have been reported in the region

    An unusually high number of E.coli cases have been reported in the Edmonton region in recent weeks, says the Mayerthorpe Freelancer. During the warmer summer months, the risk of food borne illness often increases as more people prepare food outdoors whether barbecuing, camping or picnicking.

    Seven cases of E. coil have been reported in the Edmonton region in the last three weeks. The infections are most often the result of eating food which has been contaminated by the E. coil bacteria. Ground beef is of special concern since it is sometimes contaiminated with E. coli.

    These safe food handling tips can help prevent E. coli infection:
     

    • Do not prepare food for others if you are ill with diarrhea.
    • Always wash your hands before handling food and after handling raw meat.
    • Before and after preparing ground meat, wash the work surface and everything you used in preparing the meat with hot soapy water. (This prevents E. coli bacteria from being transferred to other foods you may prepare on the same work surface.)
    • Keep hot foods hot (above 60C/140F ) and keep cold foods cold (below 4C/40F).
    • Most importantly, thoroughly cook all ground beef to kill disease causing bacteria. Cooking ground beef to a temperature of 71C/160F at the centre of the hamburger patty will destroy E. coli bacteria. Use a meat thermometer to ensure the meat has reached a high enough temperature. The colour of the meat and juices are not a reliable way of ensuring ground beef is thoroughly cooked.
       

    Tennessee children with E. coli are improving

    Three children from one family became ill with E. coli O157:H7 infections in early July. One child remains in a Knoxville hospital, hospitalized with hemolytic uremic syndrome, but the other two are recovering, reports Newschannel 9.

    But over the last ten days, 18-month-old Harley King has been to Children's Hospital twice fighting off the symptoms of E-Coli.

    His eight year old sister Kelsey is expected to be released from a Knoxville hospital this afternoon.

    The news is not as good for four year old sister Alexis. She remains in the Knoxville hospital with attention focused on her kidneys.
     

    E. Coli Cases Rise In State

    Health officials are urging South Dakotans to practice food safety precautions and good hygiene to protect themselves from the threat of E. coli, according to the Marshall County Journal.

    60 percent of South Dakota cases in 2006 have been children younger than 20 years old, and 25 percent of cases are children three years old and younger. Three of the E. coli cases have resulted in hemolytic uremic syndrome, all in children 13 years and younger. There have been no deaths.

    Dr. Lon Kightlinger, State Epidemiologist for the Department of Health, offered the following suggestions to prevent the spread of E. coli and other food-home illnesses:

    • Avoid eating raw, rare, or undercooked ground beef or hamburger. The bacteria in meat are killed by heat when thoroughly cooked. Cook ground beef or hamburger until the pink is gone, the juices run clear, and it is hot on the inside (at least 160 degrees F).
    • Clean all food preparation surfaces that will come in contact with food.
    • Wash hands, utensils, plates, platters, and countertops after contact with raw meat or poultry and before contact with the same food when cooked.
    • Avoid drinking from untreated water supplies. Chlorine or other effective disinfectants will kill the bacteria.
    • Drink only pasteurized milk and fruit juices.
    • Wash hands after working with cattle or manure.
    • Careful hand-washing with soap will reduce the risk of spreading the bacteria by food handlers, in daycare settings, and by health care workers.

    Two Confirmed Cases of E-Coli In Hamilton County

    The Chattanooga - Hamilton County Health Department has reported that two children in their county have contracted E. coli.

    Health officials are trying to figure out where the children, 18-month-old and four-year-old siblings, contracted the bacteria. NewsChannel9 has learned that the children are doing better and in stable condition.

    The CHCHD's CDC Program Manager, Donna Needham says, "It is fecally -- orally transmitted, meaning it is shed from the rectum of a source into an object that be an animal or human. If it goes into an object that is contaminated or food that is contaminated and then it has to get to the mouth of another person. That is where the infection occurs."

    Needham says the best way to prevent E. coli is to wash hands thoroughly before eating, preparing food or after using the bathroom to reduce your risk of coming in contact with E. coli bacteria.

    Also, Needham recommends keeping raw meat away from raw vegetables and other ready to eat foods to prevent cross-contamination. Other recommendations include drinking only pasteurized milk, juice or cider and washing fruits and vegetables before eating.
     

    Another E. Coli Outbreak Hospitalizes More Kids

    Another E. coli outbreak has hit Middle Tennessee, sending more kids to the hospital, according to WTVF-TV Nashville.

    Doctors were treating six new children Tuesday night, and there is concern more kids will get sick from the bacterial infection. Two of the patients are suffering from kidney failure. The rest are still recovering.

    Unlike the E. coli outbreak in Macon County weeks ago, these six kids were not infected with E. coli from one spot, but rather were from all over central Tennessee. Doctors worry there could be even more cases to come, because E. coli is spread so easily between humans.

    E. coli infection can come from under-cooked beef but also from swimming in streams, lakes, and drinking well water that cows may have contaminated. With the new cases, state health investigators began looking into those possibilities.
     

    Source of Hyrum's E. coli unknown

    The source of E. coli cases in Hyrum remains unknown more than a month after the bacteria was discovered, reports the Associated Press.

    "Our investigation is still under way," Bear River Health Department spokesman Mike Weibel said. "We have not ruled anything out, and Health Department tests of Hyrum's water show that it is safe to drink."

    Residents have speculated that the bacteria could have originated in the culinary water, since a new water line was recently installed in the High Valley subdivision, but city officials maintain that proper precautions were taken.

    The Utah Department of Environmental Quality is assisting the local health department in the investigation.
     

    Cases of e-coli reported in Newton

    State public health officials say there's a "small cluster" of E. coli cases in the Newton area, according to KGRN Radio of Iowa. Five cases have been reported in Jasper County. All are children.

    "They've done an investigation through the Iowa Department of Public Health and haven't pinpointed an exact source," Easley says. "There's nothing that they've learned that these children shared in common experience, but they're still looking."

    According to the state Department of Public Health, there have been 33 E. coli cases reported in Iowa since May 1st.

    Diane Larson, director of Jasper County's Public Health Nursing Service, says the major symptom of E. coli is diarrhea. Some who fall ill suffer stomach cramps and chills. Common causes are food that's not completely cooked or eaten raw, and young children can also contract the disease from animals at petting zoos if they do not wash their hands thoroughly afterwards.
     

    Day-care kids' illness likely from E. coli

    State investigators remain unsure about the exact source of the infection that sickened at least four children at the Here Wee Grow day-care center in Sidney, Nebraska.

    Health officials are assuming that the infection was most likely caused by E. coli.

    The classroom and the center's food and water supplies have been tested, but a direct tie of E. coli to the center has not been confirmed. The center was still open Wednesday but one of its rooms remained closed for cleaning and sterilization.

    At this time, health officials believe the source of the bacteria was outside the facility. The day-care staff and its board of directors are working closely with the Centers for Disease Control and Prevention, the Panhandle Public Health Department and the state epidemiologist to ensure the bacteria is contained and that the risk of further infection is eliminated.
     

    3 E. coli outbreaks spur investigation in Hyrum

    The health department held a news conference discussing the three confirmed cases of E. coli in Hyrum's High Valley subdivision in Utah. But officials declined to speculate on the source of the intestinal illness, according to the Deseret Morning News.

    Health department teams from the Bear River Health Department have made direct contact with many of the people in the subdivision -- a small area that includes about 40 houses on two streets and a cul-de-sac -- in an attempt to discover how each person became infected.

    Some subdivision residents worry the contamination stems from work being done on city water lines.
     

    E. coli strikes Hyrum

    Over the past two and a half weeks, all eight members of the Sanders family in Hyrum have, according to The Herald Journal, been sick. The youngest child, just 16 months old, has tested positive for E. coli.

    The case is one of three positive tests for the bacteria in Cache County during the last month, all of which have occurred in Hyrum's High Valley subdivision.

    E.coli can be spread through a variety of ways and involves the transmission of fecal material in water or food, such as uncooked hamburger meat. The bacteria can develop into Hemolytic-Uremic Syndrome and can prove fatal in the most serious cases.

    Although officials have not determined if the illnesses are related, some residents are claiming the city's water source could be the culprit. The city recently put in a new water line underneath 300 North to better serve the residents of the subdivision. Officials are now monitoring Hyrum's drinking water.

    During the past month, the Health Department has conducted at least five tests of water samples in the area, but have not found any bacteria in the water.
     

    Two still hospitalized, four treated after E-coli outbreak at daycare

    Six confirmed cases of a serious E. coli infection and four additional "suspected" cases are being looked into by the state Department of Health, according to the Macon County Times.

    Most of the six children with confirmed cases have been released from Sumner Regional Medical Center or treated by their family doctor and sent home with their parents. Two children, a girl age three-years and a sixteen month old boy, remain in Vanderbilt Children's Hospital where they are receiving treatment.

    It seems as though the outbreak was started with one infected child spreading the bacteria to other children at the center.

    The day care center voluntarily closed for the time being as a safety procedure and to make sure everything was thoroughly cleaned and sanitary before children return to avoid the possibility of further infection.

    State officials are actively investigating the source of the infection, but the daycare has received good health and safety inspections in the past and has a history of adhering to high standards for the day care industry. The day care facility in Lafayette has been in continuous operation for nearly twenty years.
     

    2 Cases of E. coli in Yakima County

    The Health District hopes to soon know more about how a young Yakima county child got sick from E. coli, according to KAPP TV.

    There have been two reported cases in recent weeks; both involve children under the age of 5. Both are in stable condition. Experts say at least one came in contact with farm animals but are still not sure what caused the other.

    Health officials say E. coli typically causes diarrhea and upset stomach. It usually passes within a couple of days. Other cases can be more severe, especially in young children or seniors, who tend to have weaker immune systems, where it can develop into hemolytic uremic syndrome, a potentially fatal kidney complication.

    The key is to catch it early. Prevention can be as simple as washing your hands regularly to help reduce the risk of exposure.
     

    E. Coli Outbreak Hospitalizes 2 More Kids

    Newschannel5.com reports that two more children from a day care had to be admitted to Vanderbilt Children's Hospital because of complications from E. coli.

    There were currently four children in the hospital. Ten kids altogether from Macon County have come down with E. coli. The day care center has been shut down and is complying with health officials in cleaning and sanitizing the facility.

    The patients include 15-month-old Colin Hoff, as well as his older brother and eight other children from the Macon County day care he attends.
     

    Macon County E. coli outbreak sends two children to hospital with kidney failure

    A representative for the Tennessee Department of Health has reported that an outbreak of E. coli at a local day care was probably started with one infected child who then transmitted the bacteria to other children.

    The infected child probably attended the day care facility for three to four days while he was experiencing symptoms of E. coli infection. Nine children have become ill as a result, with two children developing hemolytic uremic syndrome, a potentially fatal disease that causes kidneys to shut down.

    "Any day care operator should have measures in place to prevent the spread of diarrheal illness at their facility, even if it means sending a kid home until they're feeling better and able to pass solid stool," said William Marler, an attorney who has represented hundreds of victims of E. coli outbreaks. "I understand that having an outbreak is a day care operator's worst nightmare, but this nightmare was largely preventable."

    E. coli O157:H7 causes a diarrheal illness that results in painful abdominal cramping, nausea, and bloody diarrhea. Five to ten percent of children who become ill with E. coli O157:H7 infections develop hemolytic uremic syndrome (HUS), a complication that can cause kidney failure as well as damage to the pancreas, liver, brain, and heart. Children with HUS can develop medical conditions such as high blood pressure or diabetes, and often require medical monitoring and treatment throughout the rest of their lives.
     

    Two still hospitalized, four treated after E-coli outbreak at daycare

    Six confirmed cases of a serious E. coli infection and four additional "suspected" cases are being looked into by the state Department of Health, according to the Macon County Times. All of the infected children, ages 5 and under, attended the same Key Road day care facility operated by Paulette Colter, west of Lafayette.

    "Most of the six children with confirmed cases have been released from Sumner Regional Medical Center or treated by their family doctor and sent home with their parents," said Debbie Hoy of the state Department of Health. Two children, a girl age three-years and a sixteen month old boy, remain in Vanderbilt Children's Hospital where they are receiving treatment.

    An additional four young children have shown symptoms but have not become dangerously ill from the E. coli strain of infection, which can lead to serious complications such as hemolytic uremic syndrome, which causes damage to the kidneys.
     

    E. coli outbreak in day care

    There has been an E. coli bacteria outbreak at a day care center in Macon County, where two toddlers have been admitted to an area hospital as a result. Eight other children are recovering.

    The Health Department has begun investigating the outbreak, according to Nashville’s News Channel 5.

    Investigators have said that they believe one child somehow contracted E. coli, then went to the day care center in Lafayette. Nine other kids got sick days later from secondary infections from the one sick child.

    Two of those kids are in the hospital after their kidneys shut down, as a result of hemolytic uremic syndrome.
     

    Search for source of illness in Monett inconclusive: Even E. coli sources can't be traced as incidents drop off

    Murray Bishop of The Monnett Times reports that the investigation into the foodborne bacterial outbreak in Monnett has come to an end without yielding any definitive results.

    In all, 77 students were reported to have gotten sick, 49 household members, and 12 school staff members. Tests on stool samples confirmed two cases of infection with the E. coli bacteria, and six with the campylobacter bacteria.

    Initially tests concentrated on common shared sources, such as the city's water supply and the school cafeteria. Tests were run on possible sources of the dangerous bacteria, and none turned up.

    “The investigation is still ongoing," says Robert Niezgoda, the regional epidemiology specialist for the Missouri Department of Health. "Unless we get more evidence, there's no way to determine what the source is."

    The outbreak started at the last week of school, and has dropped off since then.
     

    At least 8 sickened by E. coli last month

    The Toledo-Lucas County Health Department is investigating an E. coli outbreak in Toledo last month that sickened at least eight people, with one small child still hospitalized with complications from the illness, according to the Blade.

    All the victims have recovered except for the child, a 5-year-old boy, who has developed hemolytic uremic syndrome. He is expected to be be released from the hospital soon.

    The source of illness in some of the E. coli victims is unclear, though five of the cases are linked to the consumption of raw meat used in a Middle Eastern dish called kibbe. The meat was purchased at a Middle Eastern meat market in Toledo.

    According to Karim Baroudi, supervisor of the Toledo-Lucas County Health Department’s food safety division, says the outbreak appears to be a "one-time" incident.
     

    Officials seek source of E. coli infection

    Health officials are testing for the source of a confirmed E. coli infection suffered by one elementary school student in Monett, while about 60 other students are suffering similar symptoms, the school district said yesterday.

    So far, the city water system has come up clean and there is no evidence the infection reported Sunday came from the campus of the Monett Elementary School.

    As of yesterday, the department of health had not determined that the source for any of the illnesses was at the school.

    Only one child has tested positive for E. coli and stool samples from four others have come back negative, but more are being collected and test results are due back soon.
     

    E. coli probe continues in Monett

    The investigation into an E.coli bacterial outbreak that sickened about 60 children at Monett Elementary School and some residents of Monett, Missouri, has not produced a common link that can explain the illnesses, according to The Joplin Globe.

    Robert Neizgoda, an epidemiologist with the Missouri Department of Health and Senior Services, said the focus of the investigation has been the school and the foods that were served there, but that investigators have had additional contacts about illnesses from people who were not associated with the school. The school has an enrollment of about 700 pupils.

    Water samples taken this week in Monett showed no signs of bacterial contamination. Additional sampling and water tests are planned at the school.

    Public-health nurses are making home visits to interview the families of children affected by the illness. At present, only 50 percent of those needing to be interviewed have been questioned.
     

    Monett school investigates after one E. coli case

    Health officials are testing for the source of a confirmed E. coli infection suffered by one elementary school student in Monett, while about 60 other students are suffering similar symptoms, according to the Associated Press.

    So far, the city water system has come up clean and there is no evidence the infection reported Sunday came from the campus of the Monett Elementary School.

    District Superintendent Dr. Charles Cudney asked the state health department to investigate after over 100 children called in sick or did not attend the school last Tuesday.

    As of Wednesday afternoon, the department of health had not determined that the source for any of the illnesses was at the school.
     

    Lab tests confirm E. coli case

    Health officials have confirmed one case of E. coli in Lawrence County, and lab work on five other samples is pending.

    Officials are still collecting information on a number of possible E. coli infections in the Monett area to determine whether there was a common exposure, said Robert Niezgoda, a regional epidemiologist.

    Symptoms accompanying an E. coli infection can include nausea, vomiting, chills and diarrhea.

    Niezgoda encouraged people in the Monett area, especially schoolchildren, to wash their hands and not to prepare food for others if they are exhibiting any of the symptoms.
     

    Monett E. coli Outbreak is Threat to Public Health

    At least one person was confirmed ill with an E. coli O157:H7 infection in Monett, Missouri, and lab work on five additional tests is pending, according to a report from the Springfield News-Leader.

    The source of this outbreak is not yet clear, but general information about E. coli infection, the symptoms of infection, and how to prevent becoming ill in an effort were shared by Seattle attorney William Marler to give individuals the ability to make informed decisions to prevent the further spread of illness.

    E. coli O157:H7 infection is contracted through the ingestion of contaminated feces. Recent E. coli outbreaks have been traced to ground beef, which can become contaminated during the slaughtering process, and bagged lettuce, which can become contaminated in fields or during processing. Other outbreaks have been traced to contact with livestock at petting zoos and fairs, contaminated swimming pool water, day care settings, and unpasteurized fruit juices or raw milk.

    Symptoms of E. coli O157:H7 infection include nausea, diarrhea, which may become bloody, and painful abdominal cramping. In most infected individuals, E. coli symptoms last about a week and resolve without any long-term problems. Antibiotics do not improve the illness, and some medical researchers believe that medications can increase the risk of complications. About 5-10 percent of individuals goes on to develop hemolytic uremic syndrome (HUS), a complication of E. coli O157:H7 infection that can lead to kidney failure and damage to the central nervous system. HUS is believed to be the most common cause of kidney failure in childhood in the United States.

    To help prevent E. coli infection:
     

    • Cook all ground beef thoroughly. Ground beef should be cooked until a thermometer inserted into several parts of the patty, including the thickest part, reads at least 160 F.
    • Drink only pasteurized milk, juice, or cider.
    • Wash fruits and vegetables thoroughly, especially those that will not be cooked.
    • Drink municipal water that has been treated with chlorine or other effective disinfectants, or bottled water that has be sterilized with ozone or reverse osmosis.
    • Avoid swallowing lake or pool water while swimming, especially pool water in public swimming facilities.
    • Avoid Petting Zoos and other animal exhibits.
    • Make sure that persons with diarrhea, especially children, wash their hands carefully with soap after bowel movements to reduce the risk of spreading infection, and that persons wash hands after changing soiled diapers. Anyone with a diarrheal illness should avoid swimming in public pools or lakes, sharing baths with others, and preparing food for others.
       

     

    E coli nursery outbreak blamed on failure to follow basic hygiene rules

    Poor hygiene standards were to blame for the outbreak of deadly E. coli at a Fife nursery, according to a leading NHS official.

    It is likely that a single infected person had brought the disease into the Careshare nursery at Lauder College, reports The Scotsman. As the number of confirmed and possible cases rose to 37, health officials say that the problem would have ended earlier if the nursery had ensured there was effective, supervised hand-washing.

    The first child to have contracted E. coli has been put on dialysis after developing hemolytic uremic syndrome, a complication that can lead to kidney failure.

    Two more possible cases of E. coli infection have emerged at a second nursery in Dunfermline, based at Lynburn Primary School.

    Four of the nine confirmed cases are at Glasgow's Yorkhill Hospital, where their condition was yesterday said to be stable.

    The Fife nursery was criticised by the Care Commission over its infection control procedures in January this year. Its failure to address highlighted problems could lead to enforcement action backed by the threat of compulsory closure.

    An inspection at the Fife nursery had found the layout of the sinks was a potential problem, because water tended to splash on to the area around, rather than going down the sink.
     

    Toledo E. coli outbreak linked to contaminated fruit served by caterer

    A preliminary investigation report released by the Ohio Department of Health pointed to contaminated fruit served at seven catered events in the Toledo area as the source of an E. coli O157:H7 outbreak that sickened 14 people and killed one woman last September. Two people developed hemolytic uremic syndrome, a complication of E. coli infection that can lead to organ failure, central nervous system impairment, and death.

    The Centers for Disease Control and Prevention (CDC) continues to investigate the outbreak, but Ohio health officials note in the preliminary report that, "Although other possibilities exist, findings suggest that the fruit may have been contaminated during preparation." In fact, two people in Wisconsin who tested positive for a genetically indistinguishable strain of E. coli as that isolated from outbreak case-patients in Toledo reported consuming undercooked ground beef before becoming ill.

    Continue Reading...

    Fruit likely source of E. coli outbreak

    Fruit supplied by a Toledo caterer seems to be the likely source of an E. coli outbreak during fall in Toledo that killed one woman and sickened 14 others, according to the Toledo Blade.

    In September, food from the caterer was served at seven separate events, including a wake, a wedding or bridal shower reception, and a physicians' meeting.

    The Ohio Department of Health released a preliminary report, in which they discuss the possibility of cross-contamination between contaminated meat and fruit. The report at this time does not address how that may have happened.

    The caterer's identity has not been released, though it's expected to become public once a final report is done. The suppliers to the caterer have all yielded negative test results.

    Feds issue warning about E. coli outbreak

    The Scripps Howard News Service reports that the the U.S. Department of Agriculture's Food Safety and Inspection Service is warning consumers to take precautions when cooking meat, after 14 cases of E. coli infection was found across the country in the last six months.

    The source of the pathogen has not yet been determined, but the FSIS hopes that the public health alert, urging consumers to adopt safe practices when handling raw ground beef and other foods, may curb consumers' chances of infection.

    Those practices involve cooking meat to an internal temperature of 160 degrees Fahrenheit; proper washing of hands with warm, soapy water after handling food; and washing fruits and vegetables with cold water before using.

    The CDC says E. coli O157:H7 is a dangerous foodborne pathogen that causes an estimated 73,000 cases of disease and 61 deaths each year, and can be lethal for young children or people with compromised immune systems. The pathogen was first identified in 1982, and outbreaks of illness have been linked most commonly to eating undercooked hamburger. But infections also have been linked to drinking raw milk, eating sprouts, or fruits and vegetables washed in E. coli-contaminated water.

    THE FLANDER'S E. COLI INVESTIGATION

    The Communicable Disease Epidemiologist Program at the Colorado Department of Public Health and Environment has been notified that young boys William and Alexander Faber had both contracted E. coli O157:H7.

    When questioned, their mother recounted how the two boys had eaten hamburgers at the USAF Academy faulty picnic. The hamburgers were purchased at WalMart, and manufactured by Flanders Provision Company.

    Additional cases of E. coli have surfaced from the same frozen hamburger product made by Flanders. The US Department of Agriculture issued a recall of 900,000 pounds of the frozen ground beef patties by Flanders.

    Breaking News: State to fine Woodland dairy for milk violation

    The Washington State Agriculture Department has announced that Dee Creek Farm in Woodland will be fined $8,000 for distributing raw milk contaminated with E. coli and sickening 18 people, including 15 children.

    Dairy owners Anita and Michael Puckett and Summer Steenbarger have expressed interest in obtaining a license to sell raw milk, but have yet to file the paperwork with the state. In the meantime, they are under a cease-and-desist order, prohibiting them from distributing any milk products.

    A state investigation found many potential sources of contamination at Dee Creek, including mud and manure a foot deep on the barn's dirt floor, the presence of chickens in the barn during milking, and a lack of basic sanitation practices. The farm was also found to be distributing raw milk without the required dairy-milk-producer or milk-processing licenses.

    None of the farm's cows had been given required tests for tuberculosis or brucellosis, the department said in a news release. The farm had also purchased a cow in Oregon and transported the animal into Washington without the proper animal inspection certificates.

    The $8,000 is for the total of eight violations, each with a maximum $1,000 penalty.

    Washington dairy in E. Coli case hit with $8,000 fine

    KATU News in Portland reports that Dee Creek Farm in Woodland, an unlicensed dairy in southwest Washington, has been hit with a $8,000 fine for distributing raw milk without a license.

    18 people were sicked when the unpasteurized milk from Dee Creek was found to be contaminated with E. coli. Of those, three children were admitted to intensive care units.

    Dee Creek Farm has been under a cease and desist order since the outbreak, and is prohibited from distributing milk products. The farm can also request a hearing to contest the penalty.

    State investigating raw milk contracts

    According to the Associated Press, the Ohio Department of Agriculture is investigating "herd share" agreements on dairy farms in their state, which an agriculture official says appear to take advantage of a legal loophole.

    In a "herd share," a "shareholder" owns part of a herd of cows. In return for his partial ownership, he gets to have raw, unpasteurized milk from the cows.

    In Ohio, it is illegal to sell raw milk. The "herd share" basically is a loophole in that law.

    Unpasteurized milk can cause a variety of bacterial infections, most commonly E.coli and salmonella. Outbreaks from raw milk have happened in several states over the years, which is why raw milk sales are banned in almost 30 states.

    Ground beef is prime suspect in E-coli case

    News bureau NTB reports that ground beef contaminated with E. coli may be to blame for six Norwegian children to become ill.

    Health authorities are pretty certain that the E.coli strain found in the sick children is the same as a batch of ground beef produced by Norwegian meat producer Gilde.

    Health authorities were warning all consumers to check any packages of Gilde ground beef before eating it to make sure that it is not from the contaminated batch. The ground beef has an authorization number of 103.

    Last young E.coli victim is released from hospital


    Eighteen people in two states got sick after drinking milk contaminated with E. coli from Dee Creek Farm, 13 of them children. The last child hospitalized with E. coli has finally gone home.

    Dr. Justin Denney, Clark County's health officer, said that it's still too soon to tell if the children will have long-term health effects, but added that it may be possible, given that some of the hospitalized children had kidney failure and required dialysis.

    Two families have hired Seattle lawyer Drew Falkenstein to investigate a lawsuit to recoup the long-term medical needs of their children, which he said could be substantial.

    E. coli is from Dee Creek, state confirms

    State investigators have conclusively linked Woodland's Dee Creek Farm to the December E. coli outbreak that sickened 18 people, according to the Daily News.

    Investigators found E. coli bacteria in seven of the 57 samples taken at the unlicensed dairy, both in the unpasteurized, or raw milk, and in the mud and muck in and around the barn. Labs were then able to genetically match the samples to E. coli found in the 18 infected patients, who all drank Dee Creek milk.

    In addition to the E. coli tests, investigators found numerous health and safety violations -- several of which could lead to immediate closure if discovered at a licensed dairy.

    Amongst the violations at the farm:

    • No water or wastewater systems or hand-washing areas in the barn.
    • Cows walked through 12 inches of mud and manure to enter the barn.
    • The milking area floor was not concrete, as required, and had mud and manure present during milking.
    • The same towel used to clean a cow's udder was then used to wipe the lip of the milking machine.
    • Milking equipment came in contact with cows' muddy legs during milking.
    • Chickens covered in mud and manure flew overhead during milking.
    • Collected milk was transported in a dirty, hay filled car with one container covered only with a piece of plastic wrap.
    • The milk was bottled in the family kitchen, not the required separate facility.
    • No documentation of tests for brucellosis and tuberculosis.
    • The farm's beef cattle have contact with a wild elk herd.

     

    State unveils E.coli report on farm today

    The state Department of Agriculture will detail the investigation of a December E. coli outbreak that sickened 18 people, including five children who were hospitalized, in its E. coli report on Woodland's Dee Creek Farm today.

    The report will include laboratory analysis of samples of milk from the unlicensed diary, says the Longview Daily News.

    The outbreak has resulted in warnings to the public about the risks of raw, unpasteurized milk, by local, state, and federal health agencies. It has also resulted in two bills to close a loophole in the sale of raw milk, by enforcing that dairies that participate in cow-share programs must be licensed and inspected.

    Wash. Dairy's health violations to blame for E. Coli

    According to the Washington State Department of Agriculture, Dee Creek Farm's violation of basic safety and sanitation standards directly contributed to the E. coli outbreak that came from the raw milk supplied by the farm.

    "We've conclusively linked Dee Creek Farm's raw milk with the E. coli 0157 H7 outbreak that occurred in the Vancouver and Portland area," Jerry Buendel, WSDA Assistant Director for Food Safety & Consumer Services.

    Among the violations were the fact that there was no running water or hand-washing sink in the milking area, the milking area wasn't sufficiently clean, chickens and other fowl were running loose in the area and milk processing took place in the family kitchen.

    Eighteen people were sickened in Washington and Oregon, including two children who were placed on life support during their hospital stays.

    The Pucketts could face a civil penalty of up to $1,000 per day per violation.

    Jackson first grader is on slow recovery from E. coli infection

    8-yr-old Parker Nixon of Hillsboro has been diagnosed with hemolytic uremic syndrome as a result of a possible viral infection while visiting Mexico with his family, according to the Hillsboro Argus.

    Hemolytic uremic syndrome is a severe case of an E. coli bacterial infection in children that destroys red blood cells, resulting in brain clots and kidney failure.

    His mother, Juanita Young, thinks that he probably contracted the virus from the swimming pool of the Vallarta Torres five-star hotel in Puerto Vallarta, Mexico, where the family of three and six extended family members had vacationed in December. Each family member got a mild case of E. coli.

    Nixon was transferred to the intensive care unit at Emmanual Hospital in Portland, where he suffered two strokes, two seizures and a loss of most involuntary bodily functions as a result of mini blood clots in the brain.

    The only thing doctors could do for Nixon was to let the outbreak run its course and keep him hydrated and under dialysis, but are amazed at his rapid recovery.

    Child sickened with E-coli leaves hospital

    The Daily News Online reports that Clark County Health Department officials have announced that one of the final two children hospitalized with E. coli last month has been released from the hospital. The other remains in the hospital but is improving.

    Five Clark County children were hospitalized in an E. coli outbreak linked to raw milk from Woodland's Dee Creek Farm. A total of 18 people were sickened.

    Preliminary state tests found E. coli in Dee Creek milk, but more sophisticated tests are needed to link the DNA of the E. coli found in the milk to the DNA of the E. coli found in patients.

    The farm stopped distributing milk after the outbreak and remains under a cease-and-desist order from Cowlitz County.

    E. Coli Response Was 'Textbook'

    Welsh Assembly health officials have published a report saying that the south Wales E. coli outbreak was handled in a textbook manner.

    The review of how the health service coped with the bug made 22 recommendations on improving responses to a major outbreak, but that it was unlikely the improvements would have reduced the number of infected people.

    The outbreak affected 158 people and killed five-year-old Mason Jones.

    E. coli victim makes fewer trips to doctor nowadays

    Ten days after Shannon Smowton returned home in May from a Jacksonville rehabilitation clinic, she woke up with debilitating pain in her belly, according to the Orlando Sentinel.

    Shannon had originally been admitted to the hospital and then released to a rehabilitation clinic, after she was sickened at the Florida Strawberry Festival due to an E. coli infection from the petting zoo there.

    At least 26 children and 4 adults contracted the bacteria at the same petting zoo. In Shannon's case, however, the E. coli caused a dangerous condition called hemolytic uremic syndrome, that raises blood pressure and attacks the kidneys. She endured dialysis, and later developed brain abscesses.

    She had been released from the rehab center after weeks of working with therapists to regain muscle control, only to find out in May that her gallstones had to be removed. The problem was compounded when days after the surgery she had to return due to bacterial infection.

    Six months later, the rehabilitation and trips to doctors to monitor Shannon's kidneys, heart and brain have finally tapered off, but her parents are unsure whether or not Shannon may need a kidney transplant.

    The Smowtons have filed a negligence suit against Agventure Farm Shows, who provided the animals for the petting zoo, and the Florida Strawberry Festival. It remains unresolved.

    E. coli deadlier than strain from years past

    National E. coli researchers believe E. coli strains have mutated, making it stronger and multiplying the risk of infection.

    Dr. Justin Denny of the Clark County Health Department says that the strain of E. coli that sickened 18 people that drank raw milk from Dee Creek Farm is likely a stronger and deadlier version of the bacteria than even 25 years ago.

    Health officials also have found no new cases of E. coli among the dairy's customers and believe the cycle should be just about complete, but are warning people about the possibility of secondary infection.

    Secondary infections can happen when an infected person passes the infection to a family member because of bad hygiene practices. It can be prevented by simply washing hands thoroughly and repetitively.

    UK: Threat of E-coli contamination spreads

    The Camembert cheeses that were recalled may not have been all that was infected with E.coli, according to the Food Standards Agency.

    The sale of all raw milk products produced by French company Laiterie Fromagerie du Val d'Ay-Etablissement REAUX is now being halted, due to concerns about possible E-coli contamination.

    Large E. coli O157 outbreak in Ireland, October-November 2005

    Between October and November of 2005, 18 cases of E. coli O157:H7 were identified in a small rural area of midwest Ireland.

    According to Eurosurveillance Weekly, nine of the 18 cases were preschool children attending two local creches, both of which were unregistered. Creches are childcare facilities that are allowed to be based inside of a home. Irish legislation requires that creche owners who care for more than three children in their own homes must be registered with local preschool services.

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    Outbreaks of Escherichia coli O157:h7 associated with petting zoos --- North Carolina, Florida, and Arizona, 2004 and 2005

    North Carolina
    • 108 people came down with E.coli infection, after visiting the North Carolina State Fair's petting zoos. Twenty patients were hospitalized, and 15 had hemolytic uremic syndrome diagnosed.

    • One of the petting zoos contained approximately 100 goats and sheep in an area where visitors could have extensive contact with animals and their bedding, which contributed to the outbreak, since visitors had access to potentially contaminated animal waste.

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    E coli outbreak in Washington blamed on raw milk


    According to CIDRAP News, an outbreak of E.coli O157:H7 in Washington has sickened up to 18 people, including 15 children younger than 13, and has triggered renewed warnings about drinking raw milk.

    Preliminary tests by the Washington State Department of Agriculture revealed E.coli O157:H7 in milk from Dee Creek Farm near Woodland, Washington, and from a customer's home.

    Dee Creek Farm is not a licensed raw-milk dairy. The state of Washington allows limited sales of raw milk by inspected and licensed dairies. There are only six such dairies in the state. The state stopped the distribution of Dee Creek Farm's milk last week.

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    Two families hurt by E. coli hire lawyers

    Marler Clark will be representing two families victimized by the recent E. coli outbreak with an eye toward suing the farm that provided the raw milk that sickened their children.

    Eighteen people, 15 of them children ages 1 to 13, have been sickened in the outbreak, and all 18 consumed raw milk from Dee Creek Farm near Woodland. Two children remain hospitalized but their conditions are improving.

    Clark County and state health officials have been testing and cross-testing milk samples and E. coli victims to determine the scientific link between the milk and the bacteria.

    Tests so far confirm seven have the 0157:H7 E. coli strain, which is safe for cows but dangerous in people. The four completed tests all show an identical DNA fingerprint, indicating a common source of infection, said Marni Storey, Clark County public health manager.

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    Dairy link with E.Coli cases confirmed

    Preliminary tests conducted using milk samples from Dee Creek Farm provided by shareholders have tested positive for E. coli, according to NewsRadio 750 KXL.

    The samples will now be tested by the state to verify that the strain of E. coli is the same as that which has sickened 18 people, who reported consuming unpasteurized milk from the farm.

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    E. coli found in farm's raw milk

    Distribution of raw milk products at Dee Creek Farm has been halted, while Washington State Department of Agriculture and county health officials investigate the outbreak.

    Clark County's health officer says that unpasteurized milk taken from the Woodland farm and from the home of a farm patron have both tested positive for E. coli.

    Further testing is needed to determine whether it is the same strain that sickened the people, but that milk from the farm seems to be the common link.

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    Children recovering from E. coli

    Sixteen cases of E-Coli-related illness were confirmed in southwestern Washington and northern Oregon since last week, including ten children.

    The two children who became the most seriously sick during an outbreak of E-Coli are improving, but remain hospitalized with hemolytic uremic syndrome, which can cause kidney failure.

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    Families may sue Dee Creek over E. coli


    Parents of two of the children sickened after drinking unpasteurized milk from Dee Creek Farm have asked Seattle lawyer Bill Marler to look into possible litigation against the farm.

    Twenty-one people who drank raw milk from Dee Creek developed E. coli symptoms. Five children were hospitalized and two remain in critical condition.

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    Three county residents tested for E. coli after outbreak


    The Daily Astorian and The Associated Press report that three Clatsop County residents may have contracted E. coli, following an outbreak of the bacterial disease linked to a raw-milk dairy in Washington.

    Dee Creek Farm, an unlicensed raw milk dairy in Woodland, was the source of the outbreak.

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    5 more cases of E. coli linked to dairy's raw milk

    Five more people have become sickened with E. coli from unpasteurized milk from Dee Creek Farm, bringing the total sickened to 17 people, including two children still in critical condition.

    Marni Storey, Clark County's public health manager, says that lab tests show that "One hundred percent of the people with E. coli reported consuming unpasteurized milk from Dee Creek dairy."

    A Cowlitz County judge had ordered farmers Anita and Michael Puckett to turn over the names of 45 families who obtained raw, or unpasteurized, milk from the Woodland farm.

    Dairy operators question whether raw milk was source of E. Coli


    Michael and Anita Puckett, operators of the Dee Creek Farm in Woodland, have been given 24 hours to give health officials the names of people who received raw milk from their farm, according to the Associated Press.

    The milk is being blamed for an outbreak of E. coli-related illness in 11 people, including nine children. In addition to the 2 adults and 9 children sickened by the milk, 3 employees of the farm also showed symptoms of infection.

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    Raw milk strikes again

    Douglas Powell of the Food Safety Network say that seven children have been stricken with E. coli O157:H7 in Woodland, Washington, and four of them remain in serious condition in hospital, after drinking contaminated raw milk.

    Dee Creek Farms, an unlicensed and uninspected farm near Woodland, provided the raw milk that sicked the children.

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    E. Coli Outbreak: Bacterium Confirmed In 7th Child


    A seventh child now has a confirmed case of E. coli from drinking unpasteurized milk.

    The health department says all the cases are connected to Dee Creek Farm near Woodland. Dairy producers are required to be licensed and inspected monthly, but Dee Creek was never licensed.

    Four of the seven children sickened with the potentially deadly bacterium are currently in serious condition.

    Officials say criminal charges are possible, and urge anyone with Dee Creek milk to dispose of it immediately.

    Two children hospitalized in Clark County E. coli outbreak

    A potentially deadly form of E. coli bacteria has hospitalized two Clark County children in critical condition, according to the Oregonian. They allegedly contracted the bacteria by drinking unpasteurized milk.

    They are among six Clark County children ages 5 to 14 who apparently have come down in the past week with E. coli 0157:H7, a strain that can cause death or serious kidney damage. Four cases have been confirmed and the remaining two appear likely to be the same strain.

    Woodland dairy blamed for E. coli

    Unpasteurized milk from Dee Creek Farms in Woodland, Washington, has been linked to at least five cases of E. coli in Clark County children, according to the Daily News.

    Three months ago, state officials had ordered the farm to stop selling raw milk, since they are not properly licensed to do so. It is illegal in the state of Washington to sell unpasteurized milk unless the seller is properly licensed and the milk labeled as potentially harmful.

    Claudia Coles, manager of the food safety program for the state Department of Agriculture, had warned Michael and Anita Puckett, owners of Dee Creek Farms, that selling the milk in shares did not absolve them from getting the proper licenses and inspections. Farmers often sell "shares" of a cow rather than gallons of raw milk, so as to seem as though they are not selling the milk outright. Coles warned the Pucketts in August.

    The couple responded in a Sept. 1 letter that they do not sell raw milk, Coles said.

    Since Clark County has traced the E. coli cases to Dee Creek Farms, Coles plans to send officials to the farm to investigate.

    E-coli outbreak linked to milk sickens Clark County kids

    KGW reports that an E. coli outbreak, apparently linked to unpasteurized milk, has sickened several children in Clark County, Washington. The children are between the ages of five and 14, with two of the children hospitalized in unstable condition.

    Health officials said they believe the common source of the infections is unpasteurized, or raw, milk consumed from the Dee Creek Dairy in Cowlitz County.

    In Washington state, raw milk sales are legal if the farm is licensed through the state, which requires monthly testing of the milk and inspection of the farm and milk bottling room. Also, each bottle must contain a warning label stating "WARNING: This product has not been pasteurized and may contain harmful bacteria," in addition to a few other cautionary phrases.

    Six dairies in the state are licensed to sell Grade A raw milk, including Dee Creek.

    The Clark County E. coli outbreak is the third in Washington state over the past several years linked to raw milk.

    Health Officials Believe Child E. coli Cases Linked

    The only commonality between the six children who contracted E. coli in Fresno County seem to be that they all attended the Big Fresno Fair, reports ABC30.

    The Fresno County Department of Health is still investigating and questioning fair operators, but says they may never know definitively what caused the outbreak.

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    Alert of tainted beef came a month after report of first Alta E. Coli case

    The Canadian Press reports that although the source of where the Safeway meat was contaminated has been identified and eliminated, health officials are saying that it still took more than a month after the first E. coli case was reported before the public was alerted.

    Since E. coli can take up to a week before showing symptoms, and another week before lab tests come back confirming that the infection is indeed E. coli, outbreak announcements can be delayed. In the case of provinces, additional tests add another week to that time, making it nearly a month before an alert and recall would occur.

    The contamination was traced to Safeway's Lucerne meat processing plant in Calgary.

    All Calgary patients who were infected have since been released. One of the five current E. coli victims in British Columbia remains in hospital in serious condition.

    Six Fresno Kids Catch E. Coli Possibly From Fair

    CBS2 in Fresno has reported that six Fresno children have become ill from a serious form of E. coli.

    County health investigators say nearly all the children had contact with animals at The Big Fresno Fair, which is the likely cause of the illness.

    The bacteria may have come from any number of livestock locations at the fair, including the livestock pavilion and petting zoo.

    McGrath's opens after E. coli cases


    The Bulletin reports that McGrath's Fish House in Bend, Indiana will reopen today after closing last week because of an E. coli outbreak that sickened at least three of its customers and may have caused symptoms in more than 90 people.

    Health officials said that initial test results on one of the three confirmed cases of E. coli showed the local outbreak was likely linked to a recent E. coli outbreak in two restaurants and a grocery store in Washington state.

    Investigators believe that parsley contaminated by E. coli bacteria caused diners to become ill, but they are still awaiting test results.

    McGrath's used parsley in its compound butters that include spices, and the garnish was chopped finely and added to a number of dishes as an accent. The restaurant will not be using parsley in any dishes.

    Jim Marshall, vice president and director of operations for the chain, has thrown out close to $10,000 worth of food and had the restaurant completely disinfected twice, all while still paying employees while the restaurant was closed. All employees have tested negative for the bacteria.

    Family hit as E. coli finds its way into salad mixes

    Lori Olson's plan to serve healthy meals to her daughters backfired when the salad she served them resulted in E.coli poisoning in her 11-year-old.

    The Star-Tribune reports that Amber Brister was hospitalized for 34 days after her kidneys shut down. She needed four blood transfusions and 18 days of kidney dialysis.

    It was determined that she contracted the bacteria from pre-washed salad made by the Dole Food Company. She was one of 26 confirmed cases linked to the outbreak, which sent 13 people to the hospital after it began in September.

    Since 1995, 19 confirmed outbreaks have sickened 400 people nationwide and caused two deaths. Investigations have linked most of the outbreaks to lettuce grown in California.

    The Olson family has filed a lawsuit against Dole, alleging negligence and seeking at least $200,000 in expected medical bills and other damages. Two other lawsuits over Dole lettuce have been filed in U.S. District Court in Minneapolis.

    Second E.coli outbreak confirmed

    Tests have revealed that the new E.coli cases in Brecon are not linked to the original 171 cases in the South Wales valleys.

    Professor Hugh Pennington, Emeritus Professor of Medical Microbiology at Aberdeen University, will be chairing the E.coli inquiry, according to BBC News.

    Professor Pennington had led the inquiry into the 1996 outbreak in Scotland, in which 17 people died from E.coli after eating contaminated meat from a butcher shop.

    He says that the inquiry's role would be to be establish facts and learn lessons, but not to apportion blame.

    E.coli tests in Brecon outbreak

    BBC News reports that six weeks after the E.coli outbreak in south Wales, health experts have begun testing over 200 children after E.coli cases were discovered at a school not much far from the original outbreak.

    The outbreak affected 171 people, most of them children, in more than 40 schools. The infection also led to the death of five-year-old Mason Jones.

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    17 ill after eating meat contaminated with bacteria in France

    According to Agence France Presse, minced meat sold in the popular Leclerc supermarket chain in France has left at least 17 people with severe gastrointestinal problems because of E. coli contamination.

    All but one of the victims were children. They were rushed to the hospital and some are being treated in intensive care.

    Ten of the children have a related complication called hemolytic uremic syndrome - a potentially fatal condition where red blood cells are destroyed and kidneys fail.

    The contaminated meat was traced back to frozen patties sold under the brands Chantegril and Marque Repere. The contamination appeared to have come from beef slaughter and preparation company Soviba.

    The products are being recalled and consumers alerted.

    E. coli Infections Traced to Contaminated Parsley

    Three cases of E. coli have been confirmed in patrons of McGrath's Fish House in Bend, Indiana, in the past week. Those cases may now be linked to an outbreak in Washington caused by parsley used in restaurants and grocery stores there.

    McGrath's has closed its Bend restaurant to clean the facility and test employees, who have so far tested negative for the bacterium.

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    Flooded fields could be source of past E. coli outbreaks

    The Herald Salinas Bureau reports that a report by the California Department of Health Services could affect a web of lawsuits and cross-complaints that have been filed in Salinas Valley, following E. coli outbreaks that killed one woman and sickened more than 100 people in California and Washington.

    The report states that ready-to-eat produce grown on fields that have been, or could be, flooded should not be sold to the public.

    The new recommendations focus primarily on the area's agricultural ditches. Investigators recommend steps that can be taken to prevent water from overflowing from the ditches, which could be contaminated, onto fields with ready-to-eat crops.

    The first outbreak occurred in July 2002 at Eastern Washington University in Cheney, Wash., during a drill team and dance camp.

    The subsequent outbreaks in September and October 2003 involved customers who dined at Pat & Oscar's, a restaurant chain in Southern California, and residents of a retirement community in San Mateo County.

    The lawsuit has involved Sodexho America LLC, Diamond Produce, Pismo Oceano Vegetable Produce, River Ranch Fresh Foods, ComGro, Inc., and the city of Salinas.

    A multi-agency study will continue throughout this year in an effort to examine water from the area's agricultural ditches to see what preventative measures can be put in place to reduce the likelihood of contamination.

    Health officials look for source of Bend E. coli outbreak

    Health officials are interviewing patrons and food-workers to determine which foods served at the restaurant between October 12 and October 18 were associated with an E. coli outbreak that has happened at McGrath's Fish House in Bend, Indiana.

    E. coli can cause severe stomach cramping, followed by diarrhea, which can become grossly bloody. There is also a risk of the E. coli infection to turn into Hemolytic Uremic Syndrome, a complication that can lead to kidney failure.

    It's important for restaurant operators, in addition to health officials, to be aware of the number of E. coli outbreaks and illnesses occurring around the country for possible connections to the Bend outbreak.

    Recent E. coli outbreaks in other states have been traced to contaminated ground beef and prepackaged lettuce. One Oregon resident has been tied to the Dole lettuce outbreak that has primarily hit Minnesota.

    E. coli outbreak tracked to Bend restaurant

    Teresa Bell of KGW News reports that the Deschutes County Public Health Department has confirmed two cases of E. coli infection out of 18 people who have developed similar symptoms after eating at McGrath's Fish House in Bend, Indiana.

    Symptoms include severe diarrhea, bloody diarrhea, or inability to keep fluids down.

    People who think they may have been infected were cautioned not to take over-the-counter anti-diarrheal agents, such as loperamide or antibiotics, because these medicines may increase the risk of complications.

    E. coli produces a powerful toxin and can cause severe illness but it usually resolves in five to 10 days without specific treatment. The infections may be spread from a variety of food products, most commonly undercooked ground beef, unpasteurized milk and apple cider, other foods cross-contaminated with raw beef, and untreated water.

    E. coli can also be spread person-to-person, primarily within households. Washing hands with soap and water for at least 20 seconds after using the bathroom can help reduce cross-contamination amongst family members.

    E. coli sickens Bend diners

    Christine Metz of The Bulletin reports that Deschutes County Public Health Department is investigating the outbreak of E. coli at McGrath's Fish House in Bend, Indiana.

    There are now two lab-confirmed cases of E. coli from diners that ate at the restaurant, as well as 21 suspected cases - 16 diners and 5 restaurant workers.

    The employees that show symptoms of E. coli are not working.

    Deschutes County Health Administrator Dan Pedddycord is unsure of where the bacteria originated, since a specific food has not been linked to the outbreak.

    This is the first reported E. coli outbreak within the McGrath's restaurant chain, which has been operating for 25 years.

    The restaurant is cooperating with the health department and has followed all recommendations, including throwing out all food from the time of the outbreak.

    About 500 people eat at McGrath's a day.

    Two students in Barren County diagnosed with E. Coli

    The Associated Press reports that two children at Red Cross Elementary School have been diagnosed with E. coli poisoning.

    Barren County Schools superintendent Jerry Ralston met with faculty and staff at the school, and sent a sheet explaining E. coli home with every student. He also sent a personal letter to each student's family on how to prevent the spread of the bacteria.

    It is unclear how the two at Red Cross Elementary came in contact with the bacteria, but the school will intensify its inspections and reviews.

    E. coli is spread when bacteria leave the body through the stool of an infected person and enter another when hands, food or objects such as toys contaminated by touching are placed in the mouth.

    "We're going to make sure we incorporate (health department) precautions," said Ralston. "We're going to make sure students are washing their hands and do some extra cleaning."

    Child Who Contracted E. coli At Fair's Petting Zoo Last Year Doing Better

    WRAL News reports that three-year-old Aedin Gray was hospitalized after being one of about 100 children who contracted E. coli at the N.C. State Fair's petting zoo last year.

    This year, she is doing much better, but is still suffering from the conditions caused by the E. coli infection and resultant hemolytic uremic syndrome.

    Aedin's medical condition has been complicated by diabetes. She wears an insulin pump and her blood sugar must be checked throughout the day. She may also need a kidney transplant some day.

    With Aedin on the road to recovery, the Grays were able to have a new state law approved - called Aiden's Law - that may help prevent future outbreaks. The new law includes the posting of warning signs and handwashing stations.

    Minnesota finds E. coli in lettuce bags

    Produce News reports that for the first time, a lab has found E. coli O157:H7 in two bags of prepackaged lettuce in connection to the Dole lettuce recall.

    In Minnesota, 23 people have become sick because of the E. coli outbreak linked to the bagged salads.

    Dole says that the prewashed, prepackaged salads do not need to be washed before serving, and the Food & Drug Administration agreed.

    The Minnesota Department of Agriculture is working with FDA and the California Department of Food and Agriculture to find out how the bacteria got into the lettuce.

    Applesauce, Fruit Cups Suspected In Jr. High Students' Illness

    The Chicago Tribune reports that authorities are focusing on fruit cups and applesauce as possible reason for dozens of pupils at a Park Forest junior high school getting food poisoning.

    Pupils were taken to local hospitals after becoming ill with food poisoning.

    The president of the food company said they have taken samples of the fruit cups and applesauce that were served at lunch that day and are conducting testing.

    The health department is also investigating the incident.

    This was the second case of food poisoning in the last two weeks at the school, where earlier this month 17 students fell ill due to contaminated juice boxes.

    E. coli Attorney Calls on Dole to Pay Victims' Medical Bills and Lost Wages

    Marler Clark has filed a lawsuit in the Minneapolis Federal Court again the Dole Company, Inc., on behalf of Leonard and Carol Tvedten. The Tvendens became ill after eating a salad made from Dole's prewashed salad mix.

    To date, twenty-three people in Minnesota have been sickened with E. coli, eight have been hospitalized, and one child developed HUS, all from eating bagged, "pre-washed" lettuce made by Dole.

    More that 245,000 bags of lettuce may be affected nationwide, and an alert and recall have been launched.

    I am asking that Dole do the right thing and immediately pay the medical bills and wage loss of those sickened with E. coli in the Dole lettuce outbreak. In many past outbreaks, corporations have stepped up and taken care of the customers they poisoned. We want to see Dole do the right thing for these victims.

    Another person falls victim to E.coli 0157:H7

    Durham Region's Health Department is investigating a fourth case of E.coli 0157:H7 linked to the consumption of cider purchased at Tyrone Mills.

    The health department is warning against consumption of apple or apple-pear cider from Tyrone Mills or Watson Farms, purchased within the last three weeks, since they may be contaminated with E. coli.

    Watson Farms had apples pressed at Tyrone Mills and so might be contaminated as well.

    The Ontario Health Department recommends using only juice and cider products with a label indicating products have been pasteurized.

    Unpasteurized juices or cider should be boiled for at least one minute, and kept refridgerated.

    E. coli infection symptoms can occur within two to 10 days of consuming contaminated products, and include stomach cramps, vomiting, fever and diarrhea.

    Toddler diagnosed with rare, serious condition

    The Staten Island Advance reports that two-year-old Joshua Salamanca of West Brighton has been hospitalized since October 2nd, where his condition has been found to not be E. coli infection, but a more serious but not contagious condition called hemolytic uremic syndrome.

    HUS is a disorder in which red blood cells become damaged or destroyed, causing anemia and the kidney becomes damaged.

    HUS is most often caused by E. coli, but because Joshua tested negative for E. coli, he falls into the minority of HUS cases that stem from different causes, like an infection or a complication related to antibiotics.

    The boy's mother had been concerned that her son had contracted HUS via E. coli at his day care center, but investigations showed no E. coli anywhere there.

    Some HUS cases are ideopathic, which means they have no identifiable cause.

    Two children are believed sickened by E. coli strain

    The Brainerd Dispatch says two reported cases of E. coli infections believed to have stricken two young children in the Brainerd lakes area have led to serious medical complications.

    An E. coli outbreak is not suspected, and no links have been made between the two cases.

    Both cases have progressed to hemolytic uremic syndrome, or HUS.

    Hemolytic uremic syndrome occurs when the red blood cells are destroyed and the kidneys fail. Most cases of acute kidney failure in children are caused by hemolytic uremic syndrome and most cases of this syndrome are caused by E. coli infections.

    While one case of hemolytic uremic syndrome has been confirmed as being caused by the E. coli 0157:H7 strain, the results are not yet in about the second case.

    There have been 17 cases of hemolytic uremic syndrome reported in Minnesota this year and most cases have been caused by E. coli infections.

    Fears e-coli outbreak has hit OAP home

    The South Wales E. coli outbreak that spread quickly through the Welsh school system may have spread to a retirement home.

    A worker at the home may have contracted the illness. He has been told to stay away.

    The elderly who are at the home are being tested.

    Glenboi Primary, the first school shut down by the E. coli outbreak, has not yet reopened.

    Just how safe are pre-washed packaged salads?

    University of Georgia News reports that questions are being asked about the safety of bagged salads, even though the popular mixtures are pre-washed.

    The U.S. Food and Drug Administration and the produce industry say prewashed salads can be eaten without further washing.

    However, food-safety researchers who purposely contaminated lettuce in lab tests didn't find washing, even with bleach water, very effective in eliminating E. coli.

    Produce can be tainted by workers' unwashed hands or contaminated rinse water, but since E. coli is found in fecal matter, any lettuce can be contaminated by irrigation water or runoff from livestock pastures near growing fields.

    The safest possible course may be to purchase head lettuce and discard the outside leaves.

    ''If you were to eat bagged lettuce, the likelihood of becoming ill is quite low,'' says Mike Doyle, director of the University of Georgia Center for Food Safety. "But that's not to say it doesn't happen.''

    Review of e.coli death after parents complain

    icWales reports that the parents of Mason Jones, the five-year-old who died after contracting E. coli, are claiming that doctors failed to act quickly enough to save their son.

    Both he and his older brother, Chandler, both caught the bug as it swept though schools in the south Wales valleys.

    Mason had originally been sent to school with a packed lunch, but preferred school dinners, which was how he contracted the bacterium.

    Parents Sharon Mills and Nathan Jones say it took medical staff too long to recognise how ill their boy was despite their repeated attempts to get him treatment.

    A spokesman for Gwent Healthcare NHS Trust said that the family's case is currently under review.

    Bellevue E. coli cases reported

    The Seattle Times reports that James Apa, spokesman for Public Health in Seattle & King County, says the outbreak of E. coli that sickened patients in a Bellevue nursing home has ended.

    Four of the 14 tested positive for the strain of E. coli implicated in the outbreak. One woman died, but did not test positive for E. coli.

    So far, health officials haven't found a source for the E. coli.

    Another investigation is looking at eight E. coli cases in different counties, including 4 at a Olive Garden restaurant in King County.

    There are between 150 and 300 cases each year of E. coli O157:H7, the common strain in outbreaks. E. coli live in the intestines of cattle, so anything that comes into contact with cow manure can harbor the bacteria. In the past, ground beef has been the most commonly contaminated food.

    Outbreaks have also occurred in people who have consumed garden vegetables fertilized with animal manure, unpasteurized apple cider and home-made venison jerky. Some cases recently were linked to contaminated swimming water and petting farms.

    Recent cases seem to indicate more problems with pre-washed, packaged lettuce and other vegetables. Investigations reveal the problem is contaminated irrigation water sprayed onto the vegetables.

    Health officials investigate E.coli cases

    KING5.com reports that Fourteen people have become ill at Robinswood Pointe Assisted Living in Bellevue, Washington.

    One of the residents has died.

    Four people who became ill have tested positive for E.coli.

    So far this year, 32 cases of E.coli have been reported to the state, which is consistent with the average number of cases at this point during the year, including 4 cases at an Olive Garden restaurant in Federal Way and others in unrelated cases.

    14 Sickened At Bellevue Nursing Home

    KOMO News reports that more than a dozen people at a nursing home in Bellevue, Washington have become sick, and at least four have been confirmed with cases of E. coli.

    The King County Health Department has reported that 14 people at Robinswood Pointe Assisted Living Center had gastrointestinal illness that may be from E. coli poisoning.

    One of the people has died, but it is still uncertain if E. coli was the cause of death.

    Nursing home residents and patrons of local restaurant ill with

    Marler Clark has learned that local Seattle health officials are investigating two outbreaks of E. coli O157:H7, the potentially deadly foodborne pathogen that first became widely known during a 1993 outbreak linked to Seattle-area Jack in the Box restaurants. The outbreaks are reportedly linked to a local nursing home and restaurant.

    In the last two weeks outbreaks of E. coli have led to recalls ground beef produced in Georgia, and prepackaged lettuce sold in Minnesota, once again reminding us that E. coli is not a bacterium of the past. The bacterium, which lives in the intestines of healthy livestock, can cause a deadly infection in otherwise healthy individuals when it is ingested via contaminated food or water.

    When ingested, E. coli O157:H7 attaches itself to the inside surface of the large intestine and causes inflammation of the intestinal wall. Symptoms of E. coli infection typically appear within 2-10 days, and include severe stomach cramping, followed by diarrhea, which can become grossly bloody. Children, the elderly, and persons with weakened immune systems are most at-risk for developing E. coli infection and Hemolytic Uremic Syndrome or Thrombotic Thrombocytopenic Purpura - complications that can lead to kidney failure.

    Primary school shuts over E.coli

    Health experts in South Wales have closed a primary school after discovering evidence that a child has contracted the E.coli bug.

    All 97 pupils at Glenboi Primary School, in Rhondda Cynon Taf, had been told the school will be closed on Friday and are now being checked to find who has contracted the illness.

    This is the first time authorities have closed any of the dozens of affected schools.

    Lab tests confirm E. coli in bags of salad

    Laboratory tests from the US Department of Agriculture have confirmed E. coli bacteria in two bags of Dole prepackaged lettuce.

    The bags had the same "best if used by" date as those identified as the possible source of an E. coli outbreak in Minnesota that have resulted in 17 confirmed cases of E. coli and eight hospitalizations.

    The USDA believes this is the first time a laboratory has been able to isolate E. coli from lettuce in an outbreak.

    Investigators still haven't determined how the bacteria got into the lettuce bags.

    Agencies investigating E. coli that sickened 14

    The Toledo Blade reports that The outbreak of E. coli bacteria in Toledo that sickened 14 people appears to have been from contaminated beef.

    13 of those who got sick have recovered. An elderly woman from Lucas County died, but investigators are trying to determine whether pre-existing health problems caused her death.

    Health officials suspect a Toledo catering company, or a supplier to the company in question, might be the source of the outbreak.

    In addition to an Ohio Department of Health epidemiologist, the federal Centers for Disease Control and Prevention has two epidemiologists and a medical student aiding in the investigation.

    E-coli in Lucas County

    An outbreak of E. coli in Lucas County has sickened at least 14 people.

    The health department has called in the Centers for Disease Control to investigate the outbreak.

    The Lucas County health commissioner says several people became severely ill about a month ago after eating food at a four different events, and that one death may be linked to the outbreak.

    Health investigators are looking at several caterers who served food at the four events, as well as any vendors that provided products to the caterers.

    Six More Hospitalized From E.Coli In Bagged Salad

    The Associated Press reports that six more Minnesotans have been hospitalized due to an E. coli outbreak connected with Dole pre-packaged lettuce sold in Rainbow Foods grocery stores.

    There are now 17 confirmed cases and eight hospitalizations.

    In addition, six family members of an infected person have become ill, but tests haven't confirmed that they have E. Coli.

    E-Coli Outbreak in Lucas County, Ohio

    The Toledo-Lucas County Health Department reports it is investigating an outbreak of E-coli that may have infected at least 14 people.

    The local health department is conducting what it calls a "confidential" case review along with the Ohio Departent of Health and the Centers for Disease Control.

    It has not been revealed which eating or food facilties are involved.

    E. coli alert for Dole salads

    The Herald Salinas Bureau reports that three Dole Fresh Vegetables' bagged salads containing produce grown in the Salinas Valley are the focus of an investigation into an E. coli outbreak that sickened at least 12 people in Minnesota last month.

    The cited bags are Dole's Classic Romaine and American Blend salads with a "use-by" date of Sept. 23, 2005, and a production code beginning with B250. Dole's Greener Selection with a "use-by" date of Sept. 22 and the same production code was also identified.

    Because Dole has distributed a little more than 245,000 bags of the three recalled brands across the country, the Food and Drug Administration has issued a national alert to consumers against eating the affected Dole products.

    As of Tuesday, 12 illnesses had been reported and four people were hospitalized. At least 11 of the affected people involved purchased the Dole products at the Rainbow Foods grocery chain in Minnesota.

    All were infected with E. coli 0157:H7, the most dangerous strain of the bacteria, which can cause stomach cramps and bloody diarrhea. Being infected with the E. coli 0157:H7 may also lead to a serious complication called hemolytic uremic syndrome, which can cause kidney failure and death.

    Tainted lettuce grown in Salinas

    The Salinas Californian reports that investigators are working to find out whether E. coli bacteria that ended up in Dole-brand salads in Minnesota can be traced back to production in the Salinas Valley.

    The matter also is under investigation by the U.S. Food and Drug Administration and the California state Departments of Health, and the trail might lead back to the Salinas Valley, where the lettuce was grown.

    Contamination of lettuce and spinach grown in the Salinas area also has been blamed in three other major food-illness outbreaks since 2002 that killed one elderly woman and sickened at least 114 other people.

    Even though the lettuce was grown in Salinas, it could have been packaged either at the Dole plant in Soledad or at a packing plant in Ohio before being shipped to Minnesota.

    About 23 percent of all salads in the United States today are made from bagged lettuce.

    E. coli outbreak raises questions about bagged salad

    The Atlanta Journal-Constitution reports that a national alert to throw away salad mixes linked to an E. coli outbreak in the Midwest has raised questions about the safety of pre-washed salads.

    Packaged spinach and lettuce mixes have been tied to several E. coli 0157:H7 outbreaks in recent years. Earlier this week, the FDA issued a national warning against eating three kinds of Dole salad blends that have been linked to a September outbreak. At least 13 people have been sickened in Minnesota and Wisconsin; four were hospitalized and released.

    Other packaged salads have been linked in the past few years to outbreaks in restaurants, a nursing home and at a cheerleading camp.

    The U.S. Food and Drug Administration as well as the produce industry say that pre-washed salads can be eaten without further washing. Some food safety experts urge consumers to wash anyway, but caution that it may not eliminate bacteria.

    Bacteria that cause food-borne illness can be destroyed by cooking, but most salads are served raw. That makes the cleanliness of the product even more important.

    Researchers at the Center for Food Safety in Griffin have performed experiments with lettuce contaminated with high doses of salmonella or E. coli bacteria, washing it with chlorinated water. It removed only a small amount of the bacteria.

    The FDA and the Minnesota Department of Health are looking for the source of the outbreak.

    E.coli outbreak in Wales claims life of boy aged five

    The Independent reports that the worst outbreak of E.coli food poisoning in Britain for almost a decade has claimed the life of a five-year-old boy.

    The death of Mason Jones is the first caused by the bacterium, which has swept through 38 schools in south Wales and infected 161 people, most of them children.

    Nine children were in hospital yesterday receiving specialist treatment for kidney failure or other complications. A total of 27 people have been admitted to hospitals.

    All were said to be stable or improving.

    The outbreak was linked with cooked meat from John Tudor & Son, Bridgend, a supplier to local schools, who had been discovered using inadequate disinfection procedures and risks of cross-contamination.

    More people infected with E.coli

    The number of people infected with the E.coli infection that swept through schools and communities in south Wales rose again, this time to 156 cases.

    Health officials said children there had been infected before strict hygiene controls were put in place after the first cases were reported nearly two weeks ago.

    Tests to pin-point the source are continuing and health officials have yet to release any results, but investigations have centred on the John Tudor and Sons meat supply firm in Bridgend, although tests from the firm have come back negative.

    E coli outbreak in Welsh schools

    The Guardian Unlimited reports that the number of E coli cases among schoolchildren has risen to 75 in 27 schools across south Wales. A number of the children affected have been treated in hospital and some remain very ill.

    Investigations into the source of the has concentrated on meat suppliers John Tudor and Sons of Bridgend, who has agreed to withdraw its cooked meats from sale on Monday and has now been ordered to stop trading following an Environmental Health investigation.

    Kelyn Williams, manager at John Tudor and Son, said the company was co-operating fully with investigators. He said, "On Monday we stopped all deliveries and the plant has been shut ever since. We are working alongside environmental health to find the source of the problem."

    Stringent hygiene procedures have also been put in place in schools to stop the bug spreading from person to person. Children's play areas, such as sand pits, have been ruled off limits, as has playing with water and Plasticine, all because they are potential sources of infection.

    E.coli bug cases multiply

    Daniel Davies of Western Mail reports that the E.coli outbreak which has hit south Wales almost doubled in size yesterday with the total reported suspected cases reaching 56.

    Seven more schools in three counties - Rhondda Cynon Taf, Merthyr Tydfil and now Caerphilly - reported suspected cases. Now 25 separate schools across the area have been affected.

    The National Public Health Service for Wales (NPHS) has narrowed down the outbreak to the week between September 10 and September 17.

    Teachers, pupils and catering staff across the area have been given hygiene advice in an attempt to stop the spread of contamination while investigators interview families, restaurant owners and food suppliers.

    An Outbreak Control Team (OCT) has also been established to hunt for its source and claims the investigation is progressing well.

    Strict controls have been put in place in an effort to eradicate all potential sources of infection such as the withdrawal of pre-cooked meat from schools in the affected area as well as residential care homes. All schools have now stopped providing uncooked meals.

    E.coli outbreak cases rise to 31

    Complications from e.coli poisoning can be serious.

    The number of confirmed cases of e.coli food poisoning in the south Wales valleys has risen to 31 in 16 schools.
    As food suppliers were being examined as part of the inquiry, there were fears the total might increase further.

    Most of those affected in Rhondda Cynon Taf and Merthyr are children, and at least 11 have had hospital treatment.

    The number has risen from seven at the weekend. Schools opened as usual on Tuesday, but parents were told to keep children with a stomach upset home.

    The National Public Health Service for Wales said the total went up to 22 on Monday. Another one was confirmed on Monday afternoon, and eight more on Tuesday.

    A helpline has been set up with five lines, on 029 2040 2520, open from 0900 to 2100 BST every day until Friday.

    Food bug hits school pupils

    An investigation has been launched after 22 cases of E.coli food poisoning were discovered in schools in South Wales.

    The cases, which are all in the Rhondda Cynon Taf, Merthyr Tydfil and Caerphilly areas, are believed to be linked and the victims are thought to be mostly, if not all, children from 12 different schools.

    The 10 primary and two secondary schools have also suspended activities such as cooking and allowing pupils to play with Plasticine while the investigation continues.

    Officers from the environmental health departments of the council areas affected and the NPHS for Wales are heading the probe into the outbreak.

    E-coli outbreak traced to vegetable grower

    The source of an e-coli outbreak in western Sweden affecting 110 people has been traced to a vegetable grower outside of Vorberg.

    The grower had watered his crops with contaminated water from a nearby stream.

    The population of western Sweden are being encouraged not to use water from streams to water vegetable gardens. Of the 110 contaminated, seven became critically sick and needed dialysis. According to the investigation, the contamination occurred between the 16th of August and 10th of September.

    The cultivator responsible for the contaminated vegetables has withdrawn his products.

    E-COLI BUG IN SOUTHERN COLORADO

    News 13 reports that the Colorado State Health Department has confirmed two southern Colorado cases of E. coli, and the strain of the bacteria is new.

    Recommendations to avoid contamination and infection include:

    • Washing all fruits completely before eating.
    • Washing hands with antibacterial soap.
    • Making sure that hamburger meat is properly cooked before eating.

    Drug-Resistant E. Coli Spreads in England

    September 13, 2005

    Strains of E. coli bacteria that are resistant to most types of antibiotics and may be spread in food are increasing rapidly in England, the government's health agency said Monday.

    The Health Protection Agency called for more research, saying there is no reliable estimate of the number of cases involved and it is not certain how the bug is transmitted.

    E. coli are very common bacteria that normally live harmlessly in the gut, and are one of the most common causes of urinary tract infections.

    Continue Reading...

    State investigates e-coli outbreak at Greenhaven Correctional Facility

    Dutchess County as well as state officials are trying to determine the cause of an E. coli outbreak amongst prisoners at Greenhaven Correctional Facility in Stormville, where 52 inmates became ill earlier this month.

    Three inmates had to be transported to outside hospitals for treatment.

    Dutchess County Health Commissioner Dr. Michael Caldwell is looking for the cause of the bacterial disease. "We are working very diligently to assure that this is not going to happen again, number one; number two, that we really understand where the source of the infection came from," he said.

    E-coli can come from undercooked chopped meat, water supplies, juices and vegetables.

    No prison guards or other employees have come down with the illness.

    Health agency fingers food in E coli outbreak

    The U.K.'s Health Protection Agency has pointed the finger at imported food as the potential source of a deadly E. coli superbug, which has already killed 83 people in the country.

    About 83 hospital patients, most of them elderly, were infected with the antibiotic-resistant bacterium and died over the past two years. Many more cases were admitted to hospital over the same period.

    Georgia Duckworth, a researcher at the HPA, said the organization's survey found an increasing problem of infections caused by multi-drug resistant E. coli bacteria in England.

    Among the HPA's recommendations was a call for further assessment of the level of resistant E. coli in the gut of the normal population. If its presence is found to be commonplace then authorities should look at whether the resistant E. coli are prevalent in food, including imported food and especially raw meat.

    Their study's figures show a rise in the number of infections caused by E coli bacteria that are also resistant to more than one antibiotic. The agency is now calling for more surveillance by hospitals and doctors.

    Nasty E. coli strain in Isles

    The Honolulu Advertiser reports that four E. coli cases were reported to the Hawai'i Health Department between Aug. 12 and 16.

    Three of the cases involved O'ahu residents, while the fourth was a visitor who probably ingested the E. coli-containing food on O'ahu or the Big Island. State health director Dr. Chiyome Fukino said there was no common thread in the four cases, including the type of food eaten or where the food was purchased.

    The state Department of Health is advising Hawai'i residents to thoroughly cook hamburgers, wash vegetables thoroughly and take other precautions to reduce the chance of getting sick from food that might contain a particular strain of E. coli bacterium.

    Additional recommendations include:

    • Wash hands before and after handling food. After handling raw hamburger, scrub under fingernails with antibacterial soap.
    • Cook ground beef thoroughly. Interior temperatures should reach 160 degrees. If a thermometer is not available, avoid eating hamburger that is still pink inside.
    • Wash countertops, utensils and especially cutting boards with hot, soapy water after they come in contact with raw meat.
    • Never use the same platter used to carry raw hamburger patties or other raw meat to the stove or grill to carry the cooked meat back to the kitchen or serving area.
    • Drink only pasteurized milk, juice or cider.
    • Wash fruits and vegetables thoroughly. Do not serve alfalfa sprouts to children younger than 5, to immuno-compromised people or to the elderly.
    • People with diarrhea should wash hands carefully, and avoid swimming in public pools, sharing baths with others, and preparing food for others.

    E. coli infections on Oahu

    KHON-TV reports that state health officials are investigating a recent outbreak of E. Coli infections on Oahu. They say the strain of bacteria responsible is less common and more dangerous.

    Although the four cases on Oahu started at around the same time, health officials say they have not found a common link to help them find a source of the infection.

    "It's not like they were all at the same party and came down with this illness. They appear to be unrelated, and so that makes tracking the source a lot more difficult," says Dr. Chiyome Fukino, State Health Department director.

    While 73,000 cases are reported in the U.S. each year with E. coli O157:H7, Dr. Fukino says it's not commonly found in Hawaii. The bacterium also produces powerful toxins that can cause bloody diarrhea and abdominal cramps. Anyone who experiences these symptoms should see a doctor. In severe cases, the infection can be fatal.

    Dr. Fukino points out that in most cases, those infected can recover in five to 10 days. But young children, the elderly, and those with a weakened immune system can suffer severe symptoms. Here are suggestions to avoid E. Coli infections:

    • cook hamburgers well done;

    • keep raw meat separate from ready-to-eat foods;

    • drink only pasteurized milk, juice or cider;

    • wash hands thoroughly after handling raw meat.

    E. coli infection strikes 4 in isles

    The Star Bulletin reports that Hawaiian health officials are investigating reports of four people getting food poisoning from E. coli bacteria. Three people were from different parts of Oahu; the fourth was a visitor to Oahu and the Big Island.

    State health officials have issued a physicians' alert, notifying doctors of the illnesses and asking them to report similar incidents. Health officials view the incidents as a cluster of cases, they do not know if the cause is the same.

    None of the four people were hospitalized.

    Health officials say Colorado illness traced to recalled beef

    9news.com reports that One human case of E. coli has been traced to ground beef that was recalled by the Flanders Provision Co. Two other cases of E. coli were confirmed in children there, but the officials don't believe they were related to the recalled beef.

    Flanders Provision Co. recalled about 900,000 pounds of frozen ground beef patties because the patties may be contaminated with the bacteria.

    The victim, an adult female from Delta, was hospitalized and released.

    Clark County alert after 3 E. coli cases

    The Oregonian reports that Health officials are watching for more cases of E. coli after two teenage girls and a woman in her 20s suffered nausea, vomiting and bloody diarrhea from bacteria they might have picked up at the Clark County Fair.

    In Clark County, physicians have been notified to watch for additional cases and recall patients who may have had symptoms in the past few days, said Dr. Justin Denny, Clark County's health officer.

    Symptoms include bloody diarrhea, vomiting, severe stomach cramps and fever.

    E. coli 0157:H7 produces a toxin that causes kidney and blood vessel damage in about 15 percent of cases, or in more severe cases, death. No treatment against E. coli 0157:H7 is known. Antibiotics can increase problems, and anti-diarrhea agents should be avoided.

    E. coli 0157:H7 is most commonly found in the intestines and feces of cattle but also is associated with handling animals or breathing in airborne bacteria. Other possible causes are eating uncooked meat, drinking unpasteurized milk or passing the disease person-to-person by, for example, handling soiled diapers.

    Washing hands with warm soap and water after using the bathroom, changing diapers, handling animals or touching raw meat is the best way to prevent the disease's spread, Denny said.

    3 Vancouver residents sick with E. coli

    KGW.com reports that Three females are finally recovering after becoming sick with E. coli after attending the recent Clark County Fair. In each case, the individual reported visiting the fair's animal exhibits between August 9 and 14.

    The Health Department is investigating all possible causes and is monitoring the situation for possible additional cases.

    The strain of E. coli which made the trio ill is most commonly found in cattle intestines and excrement, but people can also get it from touching infected animals or visiting animal exhibits at fairs or petting zoos.

    Other common ways of E. coli infection include eating undercooked ground beef, drinking unpasteurized milk, juice, or contaminated water, and swimming in contaminated water.

    E. coli is also easily spread from person to person. Frequent handwashing, especially after using the bathroom, can minimize chances of spreading infection.

    E. coli strikes Ross resident

    The Gazette reports that a female Ross County resident has contracted E. coli, and local health officials are warning about the bacteria's dangers. Her information has yet to be released.

    She apparently picked up the bacteria while visiting the Fayette County Fair.

    Although she has been treated and released, Dr. Timothy Angel, health commissioner, is working with the state health department to trace the exact source of the contamination.

    Angel stressed local residents have no need to become alarmed, but said anyone suffering the symptoms of E. coli should seek treatment from a doctor.

    The source of the bacteria has not been confirmed, but Angel says, "We have confirmed that of E. coli that matches the strain found at the fair. We are working with the Ohio Department of Health to trace the commonalties among the cases."

    Ohio E. coli may be part of multi-state outbreak

    Three confirmed cases of E. coli O157:H7 in Fayette County, Ohio, may be linked to a larger, multi-state outbreak of the bacterial infection.

    E. coli illnesses are not pretty. And although they are preventable, most E. coli infections develop after a person ingests food contaminated with this deadly pathogen."

    E. coli O157:H7 attaches itself to the inside surface of the large intestine and causes inflammation of the intestinal wall. Symptoms of E. coli infection typically appear within 2-10 days, and include severe stomach cramping, followed by bloody diarrhea,. E. coli symptoms sometimes include vomiting. Children, the elderly, and persons with weakened immune systems are most at risk for developing E. coli infection and Hemolytic Uremic Syndrome, a complication of E. coli infection that destroys kidneys.

    E. coli O157:H7 outbreaks have been traced to contaminated foods such as ground beef, unpasteurized milk and juices, and fresh fruits and vegetables. The bacterium lives in the intestines of healthy cattle, and is spread through contamination of food or water sources with animal feces.

    JG sues Health Department for not disclosing E. coli child care

    According to a lawsuit filed Friday in Allen Superior Court against the Fort Wayne-Allen County Department of Health, the Indiana Journal Gazette was denied the name of a child-care center where the E. coli outbreak occurred despite a formal access request, the Gazette reports.

    The lawsuit alleges the department has violated The Journal Gazette's statutory rights by denying access to government records to which the public is to have open access. They are seeking unaltered copies of the documents concerning the E. coli outbreak, attorney's fees, court costs and other expenses incurred as a result of the lawsuit.

    The department maintains that it made the correct decision and will continue defending its position as the case travels through the legal system. Mindy Waldron, Health Department spokeswoman, said that by revealing the identity of the child-care center, it would have revealed the people who were exposed to the disease.

    Protecting the identities of people who have a communicable disease is essential to public health investigations, Waldron said. If the department couldn't promise confidentiality to those afflicted, many people might not be cooperative during the investigation, which aims to discover the cause and prevent such a situation from happening again.

    Journal Gazette Editor Craig Klugman argued that "If a child-care center has an outbreak of a dangerous disease, the public needs to know where it's happening."

    Outbreaks of E. Coli Off; Not so Salmonella

    The Commercial Appeal reports that Robert Tauxe, chief of the foodborne-disease unit at the U.S. Centers for Disease Control and Prevention, spoke at last week's Institute of Food Technologists' annual convention regarding the state of pathogenic outbreaks.

    "There's been some real progress in the prevention of (food) pathogens," Tauxe said. But he reported that disease detectives "are finding more salmonella than we should," and that more needs to be done in the meat-and-produce industry to combat the pathogen.
    The CDC last year detected salmonella infections at the rate of 14.7 cases per 100,000 people - more than double the government's "healthy people" goal. There were similarly high rates of salmonella infections from 2000 to 2003.

    Although salmonella is commonly associated with ground beef and poultry, there have been outbreaks traced to green onions and cantaloupe imported from Mexico, snow peas from Guatemala and alfalfa from Australia. About 6 percent of foodborne illness is associated with fresh produce, the CDC says.

    Outbreak of Shiga toxin producing E. coli (STEC) infections associated with a petting zoo at the North Carolina Sate Fair - Raleigh, North Carolina

    On November 1, 2004, the North Carolina Department of Health and Human Services Division of Public Health reported to the Centers for Disease Control and Prevention 15 cases of culture- confirmed E. coli O157:H7 infections, including four patients diagnosed with hemolytic uremic syndrome (HUS).

    Many of those reporting illness had a history of attending the NC State Fair. After researching all possibilities it was determined that the area occupied by the Crossroads Farm Petting Zoo had tested positive for E. coli.

    There was another petting zoo at the farm, but their zoo only allowed touching through a railing. Crossroads' petting zoo allowed people to walk among and have extensive direct contact with sheep and goats, and touch various exotic species held in pens. The Crossroads' petting zoo also had a high number of animals, causing overcrowding in the area, resulting in stressed animals with loose stools in the petting zoo area.

    Both petting zoos allowed feeding, and both had hand-sanitizer stations available. The Crossroads' petting zoo area also had signs recommending hand hygiene, but it is supposed that infection could have occurred from:

    • skin contact other than hands (such as face and legs)
    • possible exposure sufficient to infection prior to hand-santizer use
    • delayed infection from touching shoes and stroller parts (such as wheels) after they had been being exposed to the floor of the petting zoo, which may have had manure contaminated with E. coli.
    • possible contaminated hand-sanitizer gel
    • lack of sufficient hand-sanitizer gel use

    The CDC has recommended the following to assure that E. coli outbreaks are minimized:

    • share information about zoonotic disease risks with all potential visitors prior to animal contact
    • physical barriers to reduce direct contact with animals
    • prohibit or discourage direct or extensive interaction with animals
    • prompt removal of contaminated bedding regardless of animal health
    • reduce large crowds of people and dense numbers of at any one time
    • monitor for and assure removal of any animals ill with diarrhea
    • separate animal areas from areas where foods and beverages are prepared, served or consumed
    • hand hygiene stations between animal and non-animal areas
    • hand-washing stations should be cleaned routinely to reduce cross-contamination, and maintained to assure continued service.

    See also: final epidemiology report of the outbreak by U.S. Centers for Disease Control and Prevention

    Eviction looms after kids' illness

    The E. coli outbreak that nearly killed two Port Orange brothers might force the entire Kleinschmidt family from their home, too, the News Journal reports.

    Their mother, a shift manager at Wendy's restaurant where she had been for seven years, hasn't worked since the boys were hospitalized three months ago.

    Medicaid paid for the boys' hospitalizations, but living expenses have been piling up for the single mother. And although the boys are now at home, they cannot go to daycare, and one boy is on seven medications.

    Now Kleinschmidt and her family are facing eviction from their apartment, and she doesn't even have the money to file a court document disputing the eviction.

    The $300 she received from Volusia County Department of Human Services in May didn't last long. So Kleinschmidt applied for emergency housing; she was told that there was no funding until July. She applied for state cash assistance in April; that application is pending. She's called Halifax Urban Ministries and a number of churches to no avail. And an application for one son to receive Social Security disability has been denied, so she doesn't hold out much hope for the other to be approved. And her ex-husband hasn't paid any child support payments.

    The family has a lawsuit against the petting zoo, Ag-Venture Farm Shows, as do other families whose children were hospitalized. Morgan & Morgan in Orlando is handling the case on a contingency basis. But any money they might win seems an eternity away.

    "I'm pretty upset -- it seems like nothing at all is working out for us," Kleinschmidt said. "It is hard right now. But I'm just hoping and praying that something will come through for my family."

    Drinking water likely cause of Camp Yamhill disease source

    Health officials have identified water contamination as the likely source of the E. coli outbreak that sickened more than 50 people at a Christian camp in Oregon last week.

    The investigation, which began last week, involved DHS and 6 county health departments. The Oregon Department of Human Services has confirmed cases of both E.coli O157 and Campylobacter, both of which cause diarrhea, were caused by the water. No food item was implicated.

    Camp Yamhill's water treatment system, which draws water from the North Yamhill River, may have been overwhelmed by surface water run-off caused by recent heavy rainfall, said Dr. Mel Kohn, state epidemiologist in the Oregon Department of Human Services.

    Most of the kids who became sick from the outbreak have recovered, and the camp is planning to upgrade its drinking water treatment system.

    For the time being, the camp has arranged to bring in drinking water from an approved outside source and will continue to do so until treatment improvements are identified and completed.

    Outbreak sickens 10 in Yamhill County

    Public-health officials are investigating an E. coli outbreak that struck several people who attended a Yamhill County Christian camp gathering last week.

    The bacteria apparently struck teenage and adult campgoers at Camp Yamhill. The camp is about eight miles west of Yamhill. The outbreak appeared to affect people taking part in the camp's Christian Outdoor School program.

    At least 10 cases of people infected with E. coli O157 had been confirmed, including six students and an adult chaperone from Eugene Christian School who attended the camp. 120 people are potentially exposed to the bacteria.

    People become infected by ingesting the bacteria carried in the feces of humans and animals. Exposure to it can come from eating undercooked hamburger or other meats, raw milk, unpasteurized juice, alfalfa sprouts and contaminated produce such as lettuce. It also can be spread easily from person to person.

    To avoid illness, health officials advise thoroughly washing and rising your hands with soap and running water for at least 20 seconds after using the bathroom and before cooking or putting anything in your mouth.

    Staff members voluntarily closed the grounds Friday while authorities investigated the cause of the outbreak. The camp is expected to reopen Sunday.

    Potentially deadly E. coli outbreak at Yamhill camp spreads fear

    As many as 120 people who attended a gathering at Camp Yamhill between May 17 and 29 may be at risk of E. coli infection, according to Mel Kohn, M.D., state epidemiologist in the Oregon Department of Human Services (DHS).

    A cluster of illnesses amongst young teens who visited the Christian camp in northwest Yamhill County, Oregon, has prompted DHS and six county health departments to actively investigate the outbreak.

    A boil order was recently lifted on Friday in Woodburn, Oregon, after E. coli was discovered in the public drinking water supply there.

    On average, 117 E.coli O157:H7 cases are reported annually in Oregon. Symptoms include bloody diarrhea and cramps. About 5 percent of cases develop kidney problems that lead to kidney failure and death. Common ways of acquiring the infection include eating undercooked ground beef, touching infected animals, drinking unpasteurized milk, juice or contaminated water, swimming in contaminated water and contracting the illness from another person.

    Frequent handwashing, especially after using the toilet, can prevent spreading the disease.

    The camp has voluntarily closed until the source of the illness is identified.

    Toddlers still fight E. coli infections

    The News Journal reports that new cases of the potentially deadly E. coli infection have been reported in Central Florida since the Department of Health confirmed or suspected 68 people statewide, but the families and business affected by the outbreak, caused by animals from AgVenture Farm Shows, may never fully recover.

    Port Orange resident Ava Wheatley's grandsons, ages 2 and 4, are both home from extended stays at Arnold Palmer Hospital for Children and Women in Orlando. Both children could have permanent kidney damage, and the youngest child, with one kidney still only working at 30 percent, is still too sick to return to day care.

    Although none of the cases was linked to Barnyard Friends Animal Farm in Samsula, fear of E. coli kept so many customers from visiting the area petting zoo that owner Donna Sue Sanders was forced to close its doors.

    The closure of her petting zoo meant finding new homes for a few goats, two llamas and chickens, but she's moving the ponies, cows and horses to the family farm.

    E. coli hits day-care center

    The Fort Wayne News Sentinel reports that E. coli 0157:H7, the most deadly strain of the bacterium, has struck at least nine children in a Fort Wayne day-care center, Allen County Commissioner of Health Dr. Deborah McMahan confirmed Wednesday.

    The department is not releasing the name of the center, but McMahan said one child was taken to Riley Hospital for Children in Indianapolis. E. coli infections affect an estimated 73,000 people and kill 61 people annually, according to the U.S. Centers for Disease Control and Prevention. "It looks like this was spread person-to-person," McMahan said.

    Day cares are common sites of outbreaks because little children put their hands in their mouths and on various parts of their own bodies, then have direct contact with other youngsters. Although symptoms may be gone after five to 10 days, young children can shed the bacteria in their feces for another week or two, and babies can spread it to adults during diaper changes, which is why parents and child-care providers should remain vigilant about hand-washing.

    In most cases, the infection must run its course. Antibiotics are not considered effective. Anti-diarrheal agents also are discouraged in favor of the body naturally ridding itself of the bacteria. Caregivers should be on the alert for dehydration in children and the elderly.

    9 Allen County residents hit with E. coli

    The Journal Gazette reports that in 2003 and 2004, there were only two cases of E.coli infections in Allen County. This year, nine people have been sickened with the bacteria due to an outbreak at a small child-care center.

    Health officials would not release the name of the center, nor the name nor age of those sickened with the bacteria or the severity of the cases, including whether anyone was hospitalized.

    The child-care center was not shut down, but those who tested positive for the bacteria were removed from the day care and will not be allowed to return until they test negative twice, according to Fort Wayne-Allen County Department of Health spokeswoman Mindy Waldron. She said that the source of the outbreak has not been determined, but it appears to be from person-to-person contact and not from contaminated food.

    The main symptom is diarrhea and there is often little or no fever associated with infection. The most severe cases can lead to kidney failure or death, with children under 5 and the elderly being most at risk.

    According to the Indiana State Department of Health, E.coli infections generally occur from eating undercooked beef, drinking unpasteurized milk and fruit juices, eating unwashed raw fruits and vegetables or swimming in or drinking water contaminated with animal or human waste. An infected person can pass the bacteria in his stool for up to two weeks after symptoms have stopped, and it can be transmitted to others if those infected do not wash their hands well after using the toilet.

    Rising E. coli cases take toll in Alabama

    Birmingham News reports that ShyAnne Bailey has been an intensive care patient at Children's Hospital in Birmingham for more than three weeks. The 4-year-old girl from Chilton County was admitted a few days after eating a hamburger, and has tested positive for E. coli O157:H7 infection.

    Doctors have removed most of ShyAnne's colon and gave her a temporary colostomy. Her kidneys and pancreas have failed, and she lost her eyesight for a week and a half. She will be spending at least another month in the hospital.

    The Centers for Disease Control estimates that the bacteria causes 73,000 infections and 61 deaths in the United States each year. Dr. J.P. Lofgren, state epidemiologist, said the number of E. coli cases reported in Alabama hit a record high last year, 32. The year before, in 2003, only 17 cases were reported.

    Infections often are caused by eating undercooked hamburger meat, which can be contaminated during slaughter. Other sources include sprouts, lettuce, salami, unpasteurized milk and juice, and swimming in or drinking sewage-contaminated water, as well as petting animals who may have infected fecal matter on their fur or skin.

    Infections often start with abdominal cramps and diarrhea. The infection can also cause a complication called hemolytic uremic syndrome, in which red blood cells are destroyed and the kidneys fail.

    E-Coli Victim Heading Home At Last

    First Coast News reports that Shannon Smowton is finally going home after three weeks of physical therapy at the Brooks Rehabilitation Hospital. It has been a long road for the Smowton family, and Shannon's Dad is looking forward to the simple things, once they arrive at their Winter Park home Wednesday afternoon.

    Shannon was diagnosed with an E. coli infection - the same as 30 other children in Central Florida who were infected by animals at petting zoos at three separate fairs. After being on dialysis, she was released to Brooks Rehab Hospital because her muscles had lost their strength.

    Part of Shannon's therapy was standing up, reaching into a plastic pail filled with bean-bags, then throwing them across the room. While it appeared to be fun and games, it was an exercise designed to strengthen Shannon's legs, arms, balance and coordination.

    When she was admitted, "She wasn't walking. She wasn't moving her legs very much and I know her left arm wasn't moving," said Brooks Physical Therapist Kristine Carter. But after three weeks of hard work, Shannon is now walking unassisted.

    Milkshakes linked to E. coli illness

    A 15-year-old Calgary girl was put on dialysis yesterday after drinking a milkshake at Peters' Drive-In, a popular Calgary eatery that health officials say is behind an E. coli outbreak. Three other people were admitted to the hospital for the same illness.

    The Calgary Health Region reports 13 confirmed cases of the illness, all of them linked to marshmallow milkshakes that an infected employee made at the restaurant.

    E. coli, which is found in a variety of foods, can cause diarrhea and stomach cramps or even kidney failure, especially among children and people with weak immune systems.

    The restaurant was temporarily closed, but health inspectors gave it the green light to reopen this week.

    Petting Zoo Victim Recovering in Jacksonville

    First Coast News in Jacksonville reports that Shannon Smowton of Winter Haven, Florida, is slowly recovering at the Brooks Rehabilitation Hospital in Jacksonville. She was released earlier from the hospital where she, along with 30 other people, were diagnosed as having suffered from the recent E. coli outbreaks in Central Florida.

    "I was encouraging them to touch the animals, you know? Telling them to pet the cow and so on," said Kathie Smowton, talking about how her two young daughters played at the petting zoo, where Shannon contracted E.coli.
    Shannon was hospitalized when her fever and severe bloody diarrhea didn't stop after three days.
    "From Friday at the petting farm to the following Saturday, (Shannon was)literally comatose on a vent(ilator) and dialysis. That's how quickly it went," said Smowton.
    Shannon eventually regained consciousness, but weeks of lying in a hospital bed left her muscles weak, and her joints stiff as boards, which is why she was admitted to the Brooks Rehabilitation Hospital. The therapist works with her, reaching into a plastic bucket to pick up bean-bags to toss across the room.

    Physical Therapist Kristine Carter says that Shannon has made dramatic progress from the day she arrived at Brooks about ten days earlier, but that it will be weeks before she'll be well enough to go home.

    E. Coli Case Linked to Third Florida Fair's Petting Zoo

    In its latest E. coli update, the Florida Department of Health says it has found "strong evidence" connecting the Florida State Fair in Tampa to the recent E. coli outbreak, which has lead to several cases of Hemolytic Uremic Syndrome (HUS).

    Most of the 22 individuals reportedly infected with the E. coli bacteria are children who attended the Central Florida Fair in Orlando or the Strawberry Festival in Plant City, and at least one person is believed to have contracted E. coli at the Florida State Fair in Tampa.

    "We have strong indications that the petting zoos at each of the fairs are the likely source of exposure," said John O. Agwunobi, M.D., M.B.A., M.P.H.
    Florida officials say that anyone who has attended a recent event with animal exhibits and has diarrhea with variable severity should contact a health care provider.

    Fairgrounds Decontaminated Due To E. Coli Outbreak

    The Department of Agriculture is decontaminating fairgrounds around Central Florida after more than 75 people who attended three fairs got sick with a potentially fatal kidney illness.

    The company that ran the petting zoos, Ag-Venture Farm Shows of Plant City, has been under quarantine since the outbreak. Several Central Florida families have already filed lawsuits. Although the three fairs in Central Florida closed more than a month ago, tests from just a few weeks ago showed the strain of E. coli that made people sick was still present at the fairgrounds.

    E. coli bacteria can survive on surfaces for roughly 100 days after animals are gone. The Department of Agriculture is using spray machines to decontaminate every part of the fairgrounds where the animals were, from the grazing areas to the barns and pavilions. Crews make sure they cover all of the hay, the manure, and any surfaces the animals came in contact with, wearing protective suits because the chemical used is so strong.

    Usually, cleaning with water and chlorine is the only method that fair workers use. However, with the outbreaks, three rounds of the strong decontamination treatments are needed.

    "It's a general purpose disinfectant. It specifically will kill E. coli and it's a good biodegradable disinfectant. Seven days it will be gone and it won't wash into the pond," said Dr. Hank Doten, Florida Dept. of Agriculture.

    State Disinfects Fairgrounds; E. Coli Victim Leaves Hospital

    State agriculture investigators spent the day disinfecting the Central Florida Fairgrounds, making sure there were no traces of E. coli bacteria at the petting zoo that may have made more than two dozen kids sick recently.

    "The fair people have gone through and removed all the manure and straw and bedding and then they power-washed and chlorinated and used hot soap and water on the barns. They've asked us to come down and use a general purpose disinfectant to kill any bacteria," said Dr. E.H. Doten, of the Florida Department of Agriculture.
    A number of children became critically ill and nearly died from Hemolytic Uremic Syndrome, the kidney disease that results from E. coli.

    Shannon Smowton was rushed to Arnold Palmer Hospital last month because of the vicious infection she picked up at the petting zoo after a trip to the Central Florida Fair. She was put on dialysis, but the infection had already spread to her brain, paralyzing her left side.

    Six weeks later, she has recovered enough to be released from the hospital, but rather than going home, her parents have to take her to a rehab center in Jacksonville, where therapists will work to get the strength back in her legs. If all goes well, she could be home in a few weeks.

    At the peak of the outbreak, there were 30 confirmed E. coli cases and another 37 suspected cases. The state determined that petting zoos at the fairgrounds and two other sites, all owned by AgVenture Farm Shows, was the source of the outbreak.

    Praise for North Carolina Petting Zoo Guidelines

    There's nothing more American than a State or County Fair. From Washington and North Carolina to New York and Florida, countless numbers of children visit their local Fairs to ride the rides, feast on cotton candy and hot dogs, and visit those cute farm animals at the petting zoos. Unfortunately, some of the children will get very sick from doing a very simple act -- petting those animals. And the sickest ones, most of them very small children, may be close to death before their doctors identify the cause - a relatively new strain of deadly bacteria known as E. coli O157:H7.

    So what do we do? Banish the county fair? Close down petting zoos? Fair organizers and petting zoo owners need to take some rather simple and inexpensive precautions. North Carolina Department of Agriculture has just taken a bold, yet small, step to try a prevent a repeat of last years nearly 100 people, again mostly children, who were stricken with E. coli O157:H7 after visiting a petting zoo at the North Carolina State Fair. Separation of possibly infected animals and children is a positive step. Adding multiple hand washing stations and warning the public of the risk of disease spread by animals all makes sense, but they are only guidelines.

    However, Pennsylvania is still the lone state that has put into law measures to protect visitors at fairs and petting zoos from E. coli O157:H7 and other zoonotic diseases. The law passed by Pennsylvania legislators stipulates that animal exhibitions provide hand washing facilities, and post notices on the need for hand washing as well as warning about the dangers of more than 75 zoonotic diseases. It is the law and applicable to all. But, do North Carolina's guidelines and Pennsylvania law go far enough?

    Continue Reading...

    Serious Human Illness Linked to Some Animal Exhibits

    North Carolina state fair ecoliAs families begin flocking to petting zoos, fairs, and other animal venues this spring, a few people are coming down with serious illnesses. Some of the latest incidents occurred in Florida, where 60 people in 18 counties have confirmed or suspected cases of E. coli-related illness. The sources for the illnesses were petting zoos in three central Florida counties.

    Many venues where people come in contact with animals can pose a risk, says the CDC, including county and state fairs, petting zoos, circuses, carnivals, zoos, farm tours, pet stores, animal swap meets, livestock-birthing exhibits, wildlife exhibits, and schools. Diseases other than those caused by certain types of E. coli may also pose a threat, including rabies, tuberculosis, salmonella, ringworm, cryptosporidiosis, and monkeypox.
    In addition, physical injuries such as bites, scratches, stepped-on feet, or broken bones are of concern.

    Affected animals often show no obvious signs of illness, and testing or antibiotic treatment of animals is of limited value, which makes it nearly impossible for visitors to see if an animal they are playing with is infected.

    A list of about two dozen documented incidents in the past decade or so (in IL, MN, OH, NC, NY, OH, OR, PA, TX, WA, WI, the Canadian provinces of British Columbia and Ontario, and a few overseas locations) has been assembled by Seattle law firm Marler Clark. Some of these incidents, which affected a total of more than 1,000 people, are highlighted in a CDC report.

    Remedies that can sharply reduce problems are relatively simple, the CDC explains, including:

    • hand washing after touching or visiting animals;
    • designing, maintaining, and operating animal exhibits carefully to minimize exposures, including full separation of animal areas from any area where people eat or come in contact with human food;
    • educating operators, staff, exhibitors, and visitors about risks and appropriate protective measures;
    • paying strict attention to those at most risk, including children, the elderly, and those with weakened immune systems; and
    • properly cleaning animal areas, especially since harmful microbes have been proven to linger afterward for months.

    State confirms 27 E. coli cases

    Officials concluded last week that a Plant City-based company that ran petting-zoo exhibits at three fairs in Tampa, Orlando and Plant City during February and March was the source of a recent bacterial outbreak. Cows, sheep, goats and other animals harbor the bacteria in their waste.

    There is now a twenty-seventh victim in the outbreak.

    Another 45 cases are under investigation. The illnesses typically begin with mild to severe diarrhea and can progress to a potentially fatal condition called hemolytic uremic syndrome, or HUS. Officials say more confirmed cases are possible as laboratory testing continues.

    Animals' threat to humans isn't new

    In a Special to the Washington Post, E. Fuller Torrey and Robert H. Yolken point out that human infection via bacterial and viral transmission from animals have been around for a long time and does not discriminate. In Angola, about 150 people have died from the largest outbreak of Marburg hemorrhagic virus, also known as green-monkey disease because of its source. There are also international cases of AIDS (which comes from nonhuman primates), Lyme disease (from deer), West Nile virus (spread by birds) and SARS (apparently transmitted by civet cats), and bird flu. In the US, Florida recently had an outbreak of E.coli O157:H7 due to animals in petting zoos.

    Experts estimate that at least three-quarters of all infectious diseases originally came from animals, and last year Julie L. Gerberding, director of the Centers for Disease Control and Prevention, noted that "11 of the last 12 emerging infectious diseases that we're aware of in the world, that have had human health consequences, have probably arisen from animal sources."

    More than 12,000 years ago, when humans lived in small groups as hunters and gatherers, they were afflicted with relatively few infectious diseases. Early humans acquired a few other infectious diseases, such as anthrax from wild sheep and tularemia from rabbits, as they butchered and ate their kill.

    Most diseases come originally from animals, including yellow fever, plague, tuberculosis, measles, typhoid fever, influenza, smallpox and leprosy. At a time when fewer and fewer people engage in agricultural work, more and more people are coming into contact with animal diseases, either through house pets, petting zoos, takeout food or the congested nature of modern life, which allows diseases to spread quickly.

    Other human diseases suspected of being the consequence animals include whooping cough from pigs, glanders from horses, typhoid fever from chickens and influenza from ducks. Although the flu virus has existed in water birds for millions of years, when it infects pigs or other mammals it is modified. The modified viruses, if spread to humans, can cause deadly pandemics such as the 1918 influenza outbreak, which killed more than 20 million people worldwide. The current farming system in Southeast Asia, in which ducks, pigs, chickens and humans live, is ideal for fostering such deadly viral strains.

    There are estimated to be about 5,000 different species of viruses and up to 1 million species of bacteria, the vast majority of which have not been identified. They presumably infect all of the known 4,500 species of mammals, of which humans are only one.

    The most important thing we can do is to educate ourselves about animal pathogens. The continuing transmission of infectious agents from animals to humans, as well as the possibilities of epidemics, are inevitable. Only by educating ourselves, modifying our behavior and using available resources intelligently can we hope to reduce the incidence and severity of such epidemics.

    Link Confirmed Between Petting Zoo Animals, E. coli Outbreak

    Although the Ag-Venture animals had been certified as healthy by a veterinarian within 30 days of visiting three Central Florida fairs, as required by law, the specific E. coli 0157:H7 strain that have sickened at least 26 visitors to petting zoos in Orlando, Plant City and Tampa was found in six animals from the petting zoo, said state Agriculture Commissioner Charles Bronson.

    Many of the people sickened with E. coli infection have gone on to develop hemolytic uremia syndrome (HUS), a life-threatening kidney ailment. Eight of the 26 confirmed victims remain hospitalized, most of them children.

    All 37 of the company's animals have been quarantined and are permanently barred from further contact with the public, the Tampa Tribune reports.

    E. coli still has half-dozen hospitalized

    florida fair zoo ecoli outbreaksMore than a half dozen people remain hospitalized, suffering from HUS, a life-threatening kidney ailment that the Florida Department of Agriculture and Health has traced more than two dozen cases of a disease caused by E. coli back to a Plant City-based petting zoo. 26 people contracted the disease from AgVenture's petting zoos in central Florida and there are 42 other suspected infections from the livestock.

    "It wasn't the fault of the petting zoo," said Dr. Doug Holt, director of the Hillsborough County Department of Health. "It wasn't the fault of the fair, and it wasn't the fault of the parents. It was just a unique combination of circumstances that led to this exposure and these illnesses."

    "E. coli itself is very common in our own intestinal tract," he said, "and it is one of the most common, if not the most common, cause of urinary tract infections."But one rare strain of E. coli can cause a serious disease in humans known as Hemolytic Uremic Syndrome. "It's basically a blood disorder that affects the kidneys, and you get renal failure," Holt said.


    E. coli scare impacts Central Florida

    Green Meadows Petting Farm has pigs, cows, goats and sheep, in addition to a water buffalo, bison, ostriches and llamas. They also have hay rides, train rides and pony rides - all things that children love to interact with. However, the recent outbreak of E. coli 0157:H7 and hemolytic uremic syndrome in Central Florida has caused business to drop off "tremendously" at Green Meadows.. Typically, they would be welcoming about 150 customers per day. But lately they have been averaging about 50, due to bad publicity from the outbreak.

    "All the schools seem to be canceling," Petting Farm manager Linda Langford said. "The school boards are getting involved. Their lawyers are warning them not to go. We have a beautiful place. It's a shame that people are not allowed to come and enjoy it." Langford said she heard from Orange and Seminole county school officials that their lawyers have advised them not to send students to facilities that contain farm animals.
    Despite assumptions, the Osceola County School District has not received any communication from the county health department about petting zoos, nor has it not issued directives prohibiting schools from going on such field trips. Daryla Bungo, director of student services, said it's a school-based decision.

    Another company, Phillips Petting Zoos of East Prairie, MO, provided the animals for the Osceola County Fair at Osceola Heritage Park, as part of the Kissimmee Valley Livestock Show. Randy Bateman, livestock extension agent for Osceola County and vice president of KVLS, said:

    "We feel like we made a concerted effort to offer a safe environment and we have an ongoing educational program to inform the public about safety practices that need to be followed when visiting the fair."
    Bateman said show officials provided hand-washing stations outside the petting zoo and offered hand wipes inside the petting zoo area as well.
    "Individual families and consumers must make decisions as to whether to attend or not attend," said Dr. John O. Agwunobi, secretary of the Florida Department of Health.. "I'm a parent of three children myself. Every day I look at the risks and make decisions about what's right for my children. My goal is to protect them while exposing them to the wonders of the world. Animals carry diseases. There are precautions that need to be taken as a result."

    E. coli outbreak definitely linked to petting zoo animals

    The Associated Press reports that epidemiologists have matched DNA from E. coli bacteria in six animals -- two goats, two sheep and two cows -- to the DNA in the bacteria contracted by the victims of a recent Central Florida outbreak, thereby definitively linking the outbreak to animals from petting zoos at three fairs.

    The six animals were all from the same company, Ag-Venture Farm Shows, which had provided the animals for the petting zoos. Florida Agriculture Commissioner Charles Bronson said Ag-Venture had cooperated fully with the investigation and was voluntarily quarantining the animals permanently. Officials said the farm company hadn't broken any laws and no charges would be filed.

    Florida Health Secretary John Agwunobi emphasized that there wasn't any indication that animals at any other petting zoos were carrying the particular strain of E. coli linked to this outbreak.

    Twenty-six people were confirmed infected with the E. coli infection, including 23 children, after contracting the bacteria at either the Central Florida Fair in Orlando, the Strawberry Festival in Plant City or the Florida State Fair in Tampa in February and March. More than 20 people were hospitalized.

    Deltona kids leave hospital; Port Orange boys on dialysis

    Three Deltona children who were confirmed with E.coli have been discharged from Florida Hospital Orlando, while two Port Orange boys remain hospitalized two weeks after they were sickened with E.coli infections widely blamed on a petting zoo at area fairs.

    The Chace family of Deltona has filed a lawsuit against Plant City-based Ag-Venture Farm Shows, who provided animals at three Central Florida fairs. Twins Courtney and Cole Chace, 18 months old, and their brother, Connor, 3, were hospitalized at last week.

    Ava Wheatley, grandmother of the two Port Orange brothers who remain at Arnold Palmer Hospital for Children and Women, said Wednesday night that both boys, ages 2 and 4, are still undergoing daily dialysis.

    A total of 26 cases of confirmed E.coli infection, some which have progressed to the potentially fatal condition hemolytic uremic syndrome, have been linked to the three Central Florida fairs.

    2 Seminole children diagnosed with E. coli

    Two more children, this time from Seminole County, have now been added to the growing list of victims stricken by a bacterial infection after visiting recent fairs in Florida. Five children are being treated at Orlando hospitals. Two were listed in critical condition Tuesday, and three were in fair condition. In addition, two adults remain hospitalized in Orlando in fair condition.

    Most of the illnesses have occurred among Orange County residents, with 13 cases. There are six in Volusia; three in Seminole; two in Pasco; and one each in Charlotte and Collier counties. The state also is investigating 40 other suspected cases.

    There are now 26 confirmed cases linked to illnesses caused by E. coli O157:H7, which can be passed through contact with the feces of animals. Most of the victims are children, and had visited petting zoos at fairs in Tampa, Orlando and Plant City during February and March.

    The Florida Department of Health is focusing its investigation on Plant City company Ag-Venture Farm Shows, which ran petting zoos at all three fairs. The animals are being tested and have been placed under quarantine.

    E. coli cases hit home for families

    The Florida petting zoo E. coli outbreaks brings back memories for Andrea Bourget. Although she has no proof and no other infections were reported locally, Bourget suspects that her son, Matthew, who was 15 months old at the time, had contracted the bacteria from a local petting zoo. Matthew spent six weeks in the hospital, and luckily did not develop hemolytic uremic syndrome, which comes from exposure to E. coli O157:H7.

    Kelly Docherty's daughter Averey suffered from HUS in 2001 from exposure to red meat rather than a petting zoo. The experience for me was absolutely life altering, Docherty says. During Averey's nearly five-week hospital stay she experienced renal failure, dialysis, blood transfusions, her bowels shutting down, and a fungal infection in her kidneys. She also required painful bloodwork for weeks after her release.

    Although Averey, now 5, has a good bill of health, she still suffers from bowel problems and must be closely monitored during periods of change in the kidneys -- puberty, pregnancy and menopause.

    Dr. Julian Midgley, who specializes in kidney disease at Calgary's Alberta Children's Hospital, says that in the 10 years he's been at the hospital he's seen an average of 10 cases of HUS in a year, with only one death. He cautions:

    "Clearly, very small children who can't stop putting things in their mouth shouldn't be petting animals. Older children need to make sure they wash their hands and are careful for what they touch."

    Manatee cases may be E. coli

    Manatee County may be adding their name to the list of Florida counties with victims of an E. coli outbreak due to petting zoos at central Florida fairs.

    The Manatee County Health Department learned of one suspected case Thursday and two more Friday, spokesman John Burns said. A child and two adults suffered mild to severe or bloody diarrhea after visiting one of the events. He declined to release other details about the patients or their conditions, citing confidentiality laws.

    The bacteria, known as E. coli 0157:H7, usually causes diarrhea and abdominal cramps that lasts for five to 10 days. In some cases, especially in children under age 5 and the elderly, it can destroy red blood cells and cause hemolytic uremic syndrome, a potentially fatal kidney condition.

    Of the confirmed cases, Orange County has the most at 13, followed by six in Volusia County, state health officials said. There also have been two confirmed cases in Pasco County and one each in Charlotte, Collier and Seminole counties. The 40 suspected cases are spread over 16 counties, including six in Charlotte, four in Pinellas, three in Hillsborough, two in Hardee and one each in DeSoto and Sarasota. They are in 25 children and 15 adults.

    Tests Link Most E. Coli Cases

    A team of veterinarians and investigators from the state agriculture department tested a number of animals that were at three fairs that are suspected to be the source of an E. coli outbreak that has affected 24 confirmed victims in 6 Florida counties with 40 additional suspected cases, but have not yet been able to match any samples to the one found in the victims.

    The investigation into the outbreak of hemolytic uremic syndrome, a life-threatening complication of the virulent 0157:H7 strain of E. coli, centers on individuals who attended the Florida State Fair, the Florida Strawberry Festival or the Central Florida Fair and visited the petting zoos at those fairs. The petting zoos for all three fairs were provided by AgVenture Farm Tours.

    "As the investigation continues we are leaning more and more toward Ag-Venture, the petting zoo at all three festivals,'' said Doc Kokol, a spokesman for the Florida Department of Health.

    Although the investigation is focusing on animals at the fair, contaminated food and water is another possible source health officials are examining.

    Veterinarian Jeff Bender, a researcher at the University of Minnesota. and Liz Compton, a spokeswoman for the agriculture department, both emphasize that there are both benefits - such as emotional bonding - and risks to human/animal contacts and that those risks must be weighed and minimized. The single most important thing when you visit (fairs and) animal exhibits is hand-washing.

    Fair focus turns to cleanliness

    There'll be an emphasis on the three F's - food, fun and frequent hand-washing - at local county fairs this week due to the recent E. coli outbreaks in Central Florida linked to animals in petting zoos. Victims had tested positive for E. coli, and others have developed a potentially life-threatening related kidney disease, hemolytic uremic syndrome, which can cause kidney failure.

    It appears that the number of victims is still growing, even though the incubation period for the disease is nearly over. Another 35 cases are under investigation. Officials at the Centers for Disease Control (CDC) said two more cases in Ohio and another in Georgia are likely related to those in Florida.

    The outbreaks have prompted fair officials in Bradford and Clay counties to post prominent signs urging visitors to wash and sanitize theirs hands frequently, and have increased the number of places available to do so. The Florida Federation of Fairs has provided all of its members with a set of guidelines from the CDC that detail how to manage an animal-based event like a fair or petting zoo to reduce the risk of infections.

    Fair officials have also sponsored a poster contest for 4-H and FFA members to raise public awareness about the need for good hygiene around animals.

    Florida E. coli Cases Rise to 24

    Two more cases of potentially deadly E. coli infection linked to petting zoos at three central Florida fairs have raised the total number of confirmed cases to 24.

    Twenty-one children and three adults either tested positive for the infection in their stool or else had a potentially fatal kidney disease known as hemolytic uremic syndrome. All had visited petting zoos at the Central Florida Fair in Orlando, the Florida Strawberry Festival in Plant City or the Florida State Fair in Tampa over the past two months. Some victims also have progressed to a potentially fatal kidney disease called hemolytic uremic syndrome.

    The same company, Plant City-based Ag-Venture Farm Shows, supplied the animals at all three fairs. Orange County had the most cases at 13, followed by six inVolusia, two in Pasco, and one each for Charlotte, Collier and Seminole counties.

    Most of the victims have been released from the hospital, and there have been no deaths from the outbreak. There are an additional 40 suspected cases, involving 26 children and 14 adults, said Florida Secretary of Health John Aguwnobi. "Fortunately, we've had no deaths associated with this outbreak,'' said Aguwnobi, who plans to visit an Orlando hospital Monday where patients were treated for the outbreak.

    Deltona family recovering from E. coli illness, lawsuits filed against Ag-Venture Farm Shows

    Attorney Scott Miller has filed a lawsuit against Ag-Venture Farm Shows Inc. - adding to the string of legal actions taken against the Plant City-based company, whose petting zoos at fairs held in Orlando, Plant City and Tampa in recent weeks are under scrutiny by state health and agriculture departments.

    Miller is filing the suit on behalf of Patricia Chace and her three children - three-year-old Connor Chace and his 18-month-old twin siblings, Courtney and Cole, who all became seriously ill three days after visiting the Central Florida Fair in Orlando on March 12. They have all tested positive for E. coli O157:H7, the nasty strain of bacteria that can lead to hemolytic uremic syndrome, a serious kidney disorder, said Marti Mackenzie, a spokeswoman for Miller. The four will continue to be monitored by doctors.

    The suit alleges AgVenture failed to:

    • Prevent its petting zoo animals from contracting harmful bacteria;
    • Properly inspect its animals;
    • Provide adequate handwashing facilities;
    • Warn the public about illnesses that may result from interacting with the animals.

    Marler Clark is representing three other families planning to sue AgVenture, and I've represented dozens of victims in similar circumstances in North Carolina, Oregon and other states. This is a nasty bug. I think petting zoos and fairs have an obligation to do absolutely everything they can do to make sure these outbreaks don't happen again.

    I suggest that Florida and other states should follow the lead of Pennsylvania, which created rules for petting zoo operators based on standards recommended by the CDC in 2001, which include installing handwashing stations with hot water, soap and disposable towels at petting zoos.

    I have spoken at numerous events, including the annual meeting of the International Association of Fairs and Expositions. Petting zoo operators are upset and angry me, because they claim I am "trying to ruin America," rather than help them provide a safer environment for visitors. But nothing could be further from the truth.

    Petting-zoo safety stressed in wake of E. coli illnesses

    While over 22 people suffer the effects of E. coli infection due to recent petting zoo visits in Florida, more than a few people are still willing to play with farm animals at recent local events.

    Duck Duck Goose Petting Zoo of Bushnell, the company who provided the animals for the Park's petting zoo, is happy that the children are having a good time. The owner, Lynda Lewis, is also grateful that Mount Dora and Lake Eustis Railway, who are sponsoring the event at Wooton Park, has hired her.

    The recent E. coli outbreaks have been linked to petting zoos at three separate fairs in Florida, who had all hired AgVenture Farm Tours for their animals. The outbreak has caused cancellations throughout the state for petting zoo owners. Other fairs are cancelling petting zoos altogether, or opting for events with animals that do not involve human contact.

    She doesn't know what the long-term effect might be on her 10-year-old business. Duck Duck Goose Petting Zoo has always offered a cleanup area and sanitizer, and their animals are inspected annually by the U.S. Department of Agriculture.

    "They get a bath every morning before an event," she said. "We've never had any problems. We have sanitizers, hand wipes -- we always have. And there are bathrooms nearby."

    The spread of the illness was surprising to her, she said. "I never even heard of HUS until last week," she said. "And I never heard of an illness spreading like this."

    The severe diarrhea from the E. coli infection also can develop into a more serious condition known as hemolytic uremic syndrome, or HUS, which has struck a number of Florida children who were infected from the AgVenture animals. That ailment, which can be fatal, causes kidney failure and can require dialysis. In addition to the 22 confirmed cases, health officials are still investigating 35 suspected cases around Florida and three in Ohio and Georgia.

    E. coli outbreak among children in Florida brings scrutiny to petting zoos

    People attending fairs all across the country look forward to happy memories of carnival rides and cute farm animals. They don't think about sanitation nor the possibility of E. coli infection - which happens at fairs more often than people tend to think.

    One of the country's first large fair outbreaks came in the fall of 2000, when E. coli at a suburban Philadelphia petting farm infected 16 children. Health officials suspected an additional 45 probable cases. Outbreaks at county fairs in Ohio and Wisconsin sickened 84 in the summer of 2001. In August 2002, 82 people, mostly children, fell ill after attending a county fair in Oregon, and 108 people got sick after visiting the North Carolina state fair's petting zoos last fall.

    The outbreaks are blamed on the bacterium E. coli O157:H7, which typically causes bloody diarrhea. The Centers for Disease Control and Prevention says that this strain of E. coli is responsible for an average of 73,000 cases of infection and 61 deaths in the United States each year. And now, the bacteria have shown up in fairs in Florida - namely the Central Florida Fair in Orlando, the Florida Strawberry Festival in Plant City and the Florida State Fair in Tampa.

    At least 22 people, almost all children, fell seriously ill after visiting one of the three fairs in Florida in the past two months. State health officials are investigating 35 more cases. Victims may have had different things to eat and drink, but almost all of them touched the chicks, sheep, goats and calves in the petting zoos, which officials are convinced is the source of the bacteria. About eight per cent of people infected with E. coli O157:H7 are later stricken with the potentially fatal kidney disease known as hemolytic uremic syndrome, or HUS.

    People who visit petting zoos must take safety into their own hands - literally. What often happens is that a toddler will pet a sheep or goat, then stick his fingers in his mouth, as children often do. Livestock on farms and at fairs are not regularly tested for E. coli O157:H7 because inspectors are looking only for illnesses that could harm the animals themselves. Infection with the bacteria is not uncommon among livestock, and an animal with E. coli O157:H7 shows no symptoms and does not get sick.

    If officials confirm the outbreak began in the zoos, where animals' feces can carry the potentially lethal bacteria, this would be the latest episode in what appears to be a growing threat to public health.

    "It's seems to be an increasing phenomenon," said Jeff Bender, an assistant professor of veterinary public health at the University of Minnesota. "As a result, we need to get some recommendations or guidelines out there. The single most important thing in prevention is handwashing," Bender said. He added that only handwashing with soap and water or a sanitizing gel will work.

    Florida Health Officials Worried E. coli Will Spread Via Human Contact

    The Florida State Fair, which ran Feb. 10-21, attracted more than 500,000 visitors. Florida Health Secretary John Agwunobi has now added that fair to the list of fairs that hired a Plant City-based petting zoo company that is the likely source of a bacterial outbreak that has sickened fairgoers across the state. The Strawberry Festival in Plant City and the Central Florida Fair in Orlando are the other two.

    The only factor linking the five is that AgVenture Farm Shows provided animals for the petting zoos at fairs that they attended.

    "They got it from the same place," Agwunobi said. "We have a very strong suspicion there is an association with this petting zoo."
    The animals from AgVenture have now been quarantined.
    "We have taken steps to make sure this particular petting zoo is of no further risk," he said. "There will be no further interaction (with the public) as a result of our work with them."
    Agwunobi said there are currently 19 children and 3 adults with confirmed cases. They all suffered diarrhea, attended one of the three fairs and tested positive for the specific strain of E. coli, or hemolytic uremic syndrome, HUS, a fairly infrequent and life-threatening complication of the E. coli infection.

    Agwunobi also raised a new concern, saying the suspected cases indicate the bacteria can be spread through human contact. It could be as simple as changing a diaper of a child who had diarrhea, said Agwunobi, himself a father of three young children.

    He stressed that "frequent and diligent" hand washing can reduce the chance of infection.

    "There are lessons we will learn," he said. "I am of the belief that if you are taking your child to a petting zoo or farm, a very important part of the planning process must contain strict hand washing. Take very serious steps to ensure children aren't putting their hands in their mouths or on their food. Wash their hands vigorously. I know it sounds simple, but at this point, it's what science advises we do."

    Florida E.coli outbreak: State says Plant City petting zoo the likely source

    The Florida Department of Health's continuing investigations of reported cases of E. coli O157:H7 and its related Hemolytic Uremic Syndrome (HUS) in Central Florida has lead to an update:

    "As our investigation continues, we've found strong evidence to indicate that the Florida State Fair in Tampa may also be involved in the recent Central Florida outbreak of E. coli O157:H7," said John O. Agwunobi, M.D., M.B.A., M.P.H. "We have strong indication that the petting zoo at each of the fairs is the likely source of exposure, though the investigation continues."
    Officials are focusing on AgVenture Farm Shows, a Plant City petting zoo company, as the likely source of a bacterial outbreak that has sickened people at central Florida fairs and festivals. AgVenture had taken their animals to the Florida State Fair, the Central Florida Fair, and the Florida Strawberry Festival - all places where people had contracted the bacteria.

    The Florida DOH released the following numbers at 8 a.m. Thursday, March 31, 2005:

    CONFIRMED CASES:
    - 19 children and 3 adults in the following Counties:
    - Charlotte: 1 case
    - Collier: 1 case
    - Orange: 11 cases
    - Pasco: 2 cases
    - Seminole: 1 case
    - Volusia: 6 cases

    SUSPECT CASES:
    - 24 children and 9 adults in the following Counties:
    - Charlotte: 7 cases
    - DeSoto: 1 case
    - Highlands: 1 case
    - Hillsborough: 3 cases
    - Lake: 1 case
    - Marion: 2 cases
    - Orange: 2 cases
    - Pinellas: 2 cases
    - Polk: 3 case
    - Sarasota: 1 case
    - Seminole: 2 cases
    - Taylor: 7 cases
    - Volusia: 1 case

    Victims linked to petting zoo, AgVenture Farm Tour

    Dr. John O. Agwunobi, Florida State Health Department Director, has zeroed in on a single petting zoo as the likely source of the mysterious bacterial infection that has sickened nearly two dozen people across Florida. The AgVenture Farm Tour is the only common link for five victims so far who have tested positive for a specific strain of bacteria known as Escherichia coli O157:H7.

    The focus shifted almost entirely to AgVenture after one of the five patients turned out to have attended the Florida State Fair in Tampa in February -- and not the Strawberry Festival in Plant City or the fair in Orange County that other victims visited in March. AgVenture ran petting zoos at all three fairs, negating vendors as possible sources for the bacteria. State inspection records showed that no single food vendor attended all the events, spokeswoman Meg Shannon said.

    The announcement marks a turning point in the effort to pin down the cause of the illnesses, which have mainly struck young children. Researchers must now perform testing on AgVenture animals, none of which has yet tested positive for the specific strain of E. coli that has made people sick.

    Families of infected children are not waiting for results of the testing on the AgVenture animals, and have started filing lawsuits against the petting zoo company. The first lawsuit, filed Wednesday on behalf of the families of 2-year-old Nicholas Parton and 6-year-old John Kim, accuses Ag-Venture of negligence for failing to have adequate hand-washing facilities or properly warn parents of the danger. Longwood attorney Scott Miller said he will file a lawsuit today on behalf of Tricia Chase and her three children - two of them 18-month-old twins - in Orange County Circuit Court accusing Ag-Venture of negligence.

    E. Coli O157:H7 hits hardest on the young, the elderly and those with compromised immune systems, said Liz Compton, a spokeswoman for the state Department of Agriculture. The bacteria can evolve into hemolytic uremic syndrome, which can shut down kidneys. Central Florida has the majority of the cases. Orange County has 11 confirmed cases, while Volusia has six and Seminole has one. In addition, health officials are keeping an eye on 33 suspected cases.

    Agwunobi also raised a new concern, saying the suspected cases indicate the bacteria can be spread through human contact.

    "There are lessons we will learn," he said. "I am of the belief that if you are taking your child to a petting zoo or farm, a very important part of the planning process must contain strict hand washing. Take very serious steps to ensure children aren't putting their hands in their mouths or on their food. Wash their hands vigorously. I know it sounds simple, but at this point, it's what science advises we do."

    Florida State Fair is Third Fair Linked To E. Coli Outbreak

    State health officials have now determined that's the number of possible cases of E. coli infection or the related kidney disease, hemoleytic uremic syndrome (HUS), has jumped from 24 to 33, with several new cases being linked to a third Florida fair.

    John Agwunobi, Florida Health Secretary, said Thursday that the additional cases appear to have come from the Florida State Fair in Tampa in mid-February. He also said it looks more and more like all the cases are linked to the same petting zoo - AgVenture Farm Shows.

    Patients all started with diarrhea and progressively got worse. Conditions can get worse, turning into HUS, a disease that attacks and can destroy the kidneys.

    Health officials have not confirmed whether petting zoo animals or a food vendor caused the outbreak, but they said they are leaning more towards the petting zoo as the source of the problem. Although the state Department of Agriculture has said AgVenture's animals might not be the source of the outbreak, and has not ruled out the possibility that the bacteria could also come from the company's equipment or hay.

    Meanwhile, families have started to file lawsuits against the petting zoo for failing to maintain sanitary conditions.

    Health officials said only those who attended the Central Florida Fair and Strawberry Festival are sick, but petting zoos across Central Florida continue to lose business. The Flagler County Fair has cancelled its petting zoo for next week, and the livestock area of the Brevard Sheriff's Petting Zoo is also closed. At the Lake County Fair, which opens next week, organizers said they will feature a pig-racing event rather than the traditional petting zoo so that fairgoers will not have direct contact with the animals.

    Some animal farms, like Barnyard Friends Animal Farm in Samsula, are closing their doors for good. Owner Donna Sue Sanders is shutting Barnyard down after schools and private parties canceled trips to her farm for fear of E. coli, despite the fact that animals at the animal farm are not linked to the E. coli outbreak. Some of the animals at Barnyard will be sold and Mason fears when that happens, she will lose the job she loves.

    Third fair linked to petting zoo E. coli outbreak that sickened 22

    DNA tests have shown that the same strain of E. coli that infected 22 people, most of which were children, who attended two other Florida fairs in March has been linked to an outbreak at a third central Florida fair that was held in February.

    Health Secretary John Agwunobi said Thursday that at least one person is believed to have contracted the infection at the Florida State Fair in Tampa in mid-February.

    The cases are confirmed to have been infected by a particular strain of the E. coli bacteria - O157:H7 - and some of them have developed hemolytic uremic syndrome - a potentially fatal follow-up disease that affects the kidneys.

    While he said other causes haven't been definitively ruled out, one company, Ag-Venture Farm Shows of Plant City, provided the animals for the petting zoos at all three, Agwunobi said.

    "It's increasingly clear to us that one of the few, if not the only, bridging event appears to be a very specific petting zoo - AgVenture,'' Agwunobi said. "We have a very strong suspicion that there is an association with this petting zoo.''
    Ag-Venture's animals who were at the three fairs have been voluntarily quarantined while investigations continue.

    Cause of girl's death is still unknown

    It is now official that hemolytic uremic syndrome was not was killed 12-year-old Kayla Nicole Sutter. Cultures taken from the Wesley Chapel girl came back negative Wednesday for the strain of E. coli associated with the debilitating kidney infection, according to the Pinellas-Pasco Medical Examiner's Office.

    Kayla, a seventh-grader at Weightman Middle School, collapsed at her Meadow Pointe home the morning of March 23 after battling an unknown illness for days, according to the Pasco Sheriff's Office. Her family told a Pasco epidemiologist that she had visited the petting zoo at the Florida Strawberry Festival in Plant City, one of two fairs linked to the recent E. coli outbreak.

    Her link to the petting zoo and other factors were enough for state health authorities to suspect HUS and label her death an unconfirmed case, but an autopsy showed no trauma. The cultures were tested by the state health department, but toxicology and histology tests have yet to be completed.

    "They are negative for the E. coli strain, and that's pretty self-explanatory," said Bill Pellan, the medical examiner's director of investigations. "If the cultures are negative that pretty much rules (HUS) out as a cause of death."
    While the medical examiner reached a clinical decision in Kayla's death, state investigators must still make an epidemiological decision before removing her from the list of suspected HUS cases. The number of confirmed cases rose from 17 Tuesday to 22 Wednesday, and the number of suspected cases rose to 24.

    All the patients suffered diarrhea and tested positive for HUS or the specific strain of E. coli it is linked to. The syndrome and the strain can be contracted from contact with animals, such as at the fairs' petting zoos, or eating undercooked or tainted meat.

    With Sutter being preliminarily cleared of HUS, authorities have announced that to date none have died from HUS in the Florida fair cases.

    One E. coli infection suspected in Sarasota

    Dianne Shipley, spokeswoman for the Sarasota County Health Department, said there is now one suspected case of E. coli bacteria infection reported in Sarasota County by an adult who recently attended a fair or festival in Florida. The Sarasota resident meets both screening criteria for HUS infection: mild to severe and bloody diarrhea, and attendance at a recent Florida fair.

    The Florida Department of Health is working with state and local partners to continue investigating reported cases of E. coli O157:H7 and hemolytic uremic syndrome in central Florida. Shipley urged anyone who has attended a fair or event with animal exhibitions and has diarrhea, either mild or severe, to contact a doctor.

    Health officials have traced the outbreak to petting zoos at recent festivals. Other pathways of exposure are under investigation, including transmission of foodborne illness from not cooking foods properly or not washing fruits and vegetables.

    "Our message is one of precaution," Shipley said. "You get infected from contact with fecal matter. Parents should make sure their children wash their hands after touching or petting animals."

    New York State Cleared in Washington County Fair Outbreak

    On August 28th and 29th of 1999, the Argyle Fire Department and Udder Delights had concession stands at the Washington County Fair in the state of New York near Well No 6. Health officials believe a believe a rainstorm on Aug. 26 may have washed infected cow manure into the well. The contaminated water was then used to make beverages and to prepare food sold to fairgoers.

    Children who attended the fair - thousands - purchased concessions made with water from that well. 71 of them were rushed to area hospitals after becoming sick with high fever, diarrhea and abdominal cramping, including 13 of them who were diagnosed with acute hemolytic uremic syndrome, or HUS, caused by a strain of the bacteria E. coli - a virulent type known as 0157:H7. Those children suffered permanent kidney damage as a result - including Jacob T. Moore, who was five when he attended the rural fair.

    Jacob's mother, Melissa, sought damages on the grounds the Health Department gave food and beverage vendors permits without bothering to make sure that the water used to prepare those items was safe.

    In a decision reached on March 9, Judge Edward A. Sheridan dismissed the Moores' claim, stating the process of permitting vendors "involved an exercise in judgment ... as to the potability and purity of the Washington County Fair water supply."

    The Judge continued, "While that judgment was in all probability erroneous and while more could have been done ... defendant is not answerable in damages for any injuries caused by errors of omission in permitting vendors to operate in what in all probability was a contaminated water supply."

    In 2003, Judge Sheridan had approved a $4 million settlement for E. coli victims of the Washington County Fair, after attorney Donald Boyajian won a class-action lawsuit on behalf of 134 people, including the families of 3-year-old Rachel Aldrich of Clifton Park and a 79-year-old Gansevoort man, who died.

    However, in the 1999 Washington County Fair case, now known as the largest waterborne E. coli outbreak in American history, Sheridan cleared the state of any wrongdoing because fair officials were self-testing water and reporting the results to the Health Department's district office. Health Department staff were also actively working with fair management to improve the water delivery service.

    Florida Hemolytic Uremic Syndrome Investigation Widens to 46

    Hemolytic uremic syndrome is a potentially fatal disease caused by E. coli O157:H7. The bacteria has caused a statewide outbreak of infection and disease, and all of the patients had attended the Central Florida Fair or the Florida Strawberry Festival.

    The majority of the patients are Florida residents, although there was a potential case involving a patient in Wisconsin who had visited one of the fairs. Although the source of the E. coli is still under investigation, a petting zoo that was at both fairs is seen as a likely source.

    There is currently 1 confirmed case of E. coli infection in Charlotte County, as well as one death possibly related to the bacteria in Pasco County. There are, in addition, four suspected cases in Charlotte County and one in Sarasota County, and the number of people statewise showing symptoms is currently 46, up from 37. Of the 46, 34 are children and 12 are adults.

    Investigators are uncertain as to how many out-of-state visitors may have contracted the illness.

    22 Confirmed E. coli Cases in Florida

    Cape Coral HospitalThe list of children suffering from hemolytic uremic syndrome, or HUS, as a result of contracting a rare strain of the E. coli bacteria keeps growing. A Charlotte County girl has been admitted to Cape Coral Hospital and has now tested positive for HUS. Four other children from Charlotte are waiting for test results to see if they too have HUS.

    The Charlotte children are now part of 22 people confirmed with HUS in Florida who contracted the E. coli infection or the kidney disease after visiting petting zoos at the Central Florida Fair in Orlando or the Florida Strawberry Festival in Plant City. In addition, there are 24 adults and children who are suspected of having been infected.

    Lake could have first E. coli case

    The Orlando Sentinel reports that a Lake County toddler who petted an animal at the Florida Strawberry Festival might have the bacterial infection that has sickened at least 17 people this month, state health officials said Tuesday.

    The 14-month-old child was admitted to an area hospital Monday after suffering from severe diarrhea, according to Kevin Lenhart of the Lake County Health Department.

    Statewide, 14 children and three adults have been confirmed to have HUS after reporting contact with animals at petting zoos at either the Central Florida Fair in Orlando or the Strawberry Festival in Plant City this month, according to the state's Department of Health.

    Florida Department Of Health HUS Investigation Update

    The Florida Department of Health, who is working with state and local agencies to continue investigations of reported cases of fair-related hemolytic uremic syndrome (HUS) in Central Florida, sends out a daily email update on the number of confirmed cases at 10 a.m. eastern time, except on weekends. As of Tuesday, March 29, 2005:

    CONFIRMED CASES:
    Definition: Individuals with diarrhea with variable severity (from mild to severe and bloody) that has tested positive for E. coli O157:H7 and/or a diagnosis of HUS, and has recently attended Florida fairs or festivals.

    14 cases (Children) and 3 cases (Adults) in the following counties:

    Collier: 1 case
    Orange: 11 cases
    Pasco: 1 case
    Seminole: 1 case
    Volusia: 3 cases

    SUSPECT CASES:
    Definition: Individuals with diarrhea with variable severity (from mild to severe and bloody) who have recently attended Florida fairs or festivals.

    12 cases (Children) and 8 cases (Adults) in the following counties:

    Charlotte: 3 cases
    Highlands: 1 case
    Hillsborough: 3 cases
    Lake: 3 cases
    Orange: 1 case
    Pasco: 1 case
    Pinellas: 2 cases
    Polk: 1 case
    Sarasota: 1 case
    Seminole: 2 cases
    Taylor: 2 cases

    The Florida DOH advises that if you or your children attended a recent event with animal exhibits, and has diarrhea with variable severity (from mild to severe and bloody), please contact your health care provider. It also recommends that to avoid infection and illness, wash hands often, immediately after contact with domestic or farm animals, and to not eat undercooked meat.

    Florida Department of Agriculture Joins Investigation Into E. Coli Outbreak

    The Florida Department of Agriculture joined the search Wednesday for what caused an outbreak of a potentially fatal illness in Central Florida. All visited petting zoos at either the Central Florida Fair in Orlando or the Strawberry Festival in Plant City in early March. Officials suspect they may have contracted the disease from touching animals at the fairs, or possibly from eating tainted food.

    The agency has taken samples from animals that were part of petting zoos at two festivals in Central Florida to determine if those animals caused the outbreak. A state spokeswoman said the tests are finding the presence of E. coli bacterium, but it's still too early to say whether that's what sickened more than a dozen people who attended the Strawberry festival in Plant City or the Central Florida Fair in Orlando.

    The new cases identified Tuesday include an adult admitted to Orlando Regional Medical Center, as well as 18-month-old twins and an older sibling who were at Florida Hospital Orlando.

    That brings to 17 the number of people infected by E. coli or the kidney disease resulting from it who also have recently attended one of two central Florida festivals where authorities think they contracted the illness. In addition to the 17 confirmed cases, authorities are also looking into 20 cases where they suspect infection, but haven't confirmed it. The majority of the confirmed cases, 11, are in Orange County, which includes Orlando. A 12-year-old girl from Pasco County suspected of being infected has died.

    The outbreak involves the bacterium E. coli O157:H7. About 8 percent of the people who are infected with that bacterium are later stricken with the kidney disease, known as hemolytic uremic syndrome, or HUS. It can cause severe kidney problems, and can be fatal. The symptoms of HUS include lethargy and decreased urination. Doctors also watch for anemia and a falling platelet count -- signs that the blood is breaking down. Long-term complications for those recovering from HUS can include pancreatitis, intestinal perforations and blockages of blood vessels in the brain and belly. Some may need to return to dialysis years later.

    Dr. Mehul Dixit, a pediatric nephrologist with Florida Hospital Orlando, thinks the number of new cases will ebb because E. coli has an incubation period of a week before symptoms show up. Both fairs ended March 13. We are cautiously optimistic that the worst is behind us, he said.

    State agriculture officials tested hundreds of animals last week for E. coli and sent 37 positive results to the state Department of Health for additional testing to see whether any match the strain infecting humans. Results could be ready this week.

    Florida Cases Of HUS Increase Amidst Petting Zoo Concerns

    The Florida Department of Health has released the latest numbers in regards to confirmed cases of hemolytic uremic syndrom (HUS).

    Orange County tops the list with nine. Volusia has two, while Seminole, Collier and Pasco counties each have one confirmed case of HUS, including the death of a 12-year-old girl in Pasco County. Tuesday, several more cases of E. Coli were confirmed at two local hospitals - a set of 18-month-old twins and an older sibling - both on kidney dialysis machines and one already also on a ventilator. All patients with confirmed cases of HUS had all recently visited petting zoos at area fairs.

    "These are young kids. They were healthy a couple of days ago, and now they are on dialysis and one is on a ventilator. To me, as a parent, that meets an extremely critical criteria," said Mehul Dixit, MD, pediatric nephrologist with Florida Hospital Orlando.
    As of yet, there is no conclusive proof that petting zoos are what made the children sick, but doctors are quick to point out that is the one common bond that they all share. Doctors hope to confirm, soon, that all the cases are linked to petting zoos.

    Doctors also warn that anyone who develops HUS will always need monitoring. Five to 15 percent of children who develop HUS don't survive. Doctors are trying to remain optimistic that their young patients will make it.

    Infectious Diseases Still Major Public Health Threat, Fauci Says

    Anthony S. Fauci, MD, director of the National National Institute of Allergy and Infectious Diseases, NIH, delivered the 20th Harry A. Feldman Lecture on March 24 at the Bloomberg School. His lecture was part of the 78th annual meeting of the American Epidemiology Society, held March 24 and 25.

    During his presentation, Fauci showed a slide of a world map superimposed with the names of all types of infectious diseases and their locations.

    "Every year, I add one or two more, sometimes three," he said. "It's gotten to the point where I need to remove a few just to read the slide." In addition to a persistent stable of infectious diseases, new and re-emerging diseases continually bombard us such as SARS, West Nile, E. coli, monkeypox, HIV/AIDS, and multidrug-resistant tuberculosis.
    Fauci groups infectious diseases into three categories: emerging, re-emerging, and deliberately re-emerging, such as those used by bioterrorists. Even though more people died of the flu in 2001 than died of anthrax, the fear factor of bioterrorism sparked a big infusion of resources into biodefense. Luckily, the rapidly expanding areas of genomics and proteomics, and the new power to sequence microbes quickly are helping combat the ever-increasing tide of disease agents. What used to take a year now takes a day or two. Last year, the malaria vector and parasite were both sequenced. And just a year after the SARS virus was discovered, the microbe was sequenced, and a vaccine was in development.
    "The rapidity with which the public health community mobilized to attack this [disease]... I don't ever recall seeing anything this rapid," Fauci said.
    Despite these advances, Fauci still feels that it's going to take a combined effort of basic bench science, disease surveillance, and mobilized and coordinated public health forces to keep up with new and re-emerging infections.
    Fauci quoted Nobel Laureate and microbiologist Joshua Lederberg who said, "The future of humanity and microbes likely will unfold as episodes of a suspense thriller that could be titled Our Wits Versus Their Genes."

    Woman Certain Petting Zoo Caused Grandsons' Illness

    Ava Wheatley is thankful that her granddaughter is afraid of animals. That's why she didn't touch the animals at the petting zoo at the Central Florida Fair.

    Her younger brothers weren't as lucky - the two boys have picked up the potentially fatal strain of E. coli bacteria that has them both hospitalized in serious condition. The two are undergoing kidney dialysis at Arnold Palmer Hospital for Children & Women. The older one was taken there Thursday after he was admitted to Halifax Medical Center March 22. And his brother went to the Orlando hospital Friday, following his admission to Halifax on Wednesday.

    The two Port Orange brothers are the only confirmed Volusia County cases of the potentially fatal E. coli infection. Of the 14 confirmed cases in Orange, Seminole, Volusia, Collier and Pasco counties, nine are still hospitalized. The girl from Pasco County died shortly after visiting the Florida Strawberry Festival in Plant City.

    State officials are waiting on the results from the Pasco County medical examiner to see if the girl had been infected with the particular bacterium, E.coli O157:H7, that sometimes results in the kidney disease, known as hemolytic uremic syndrome. Last year, there were about 70,000 cases of the disease that is fatal to 2 percent to 8 percent. But animals that carry the disease often appear the picture of health - as all the suspect petting zoo animals did when they were tested, said Liz Compton, a spokeswoman at the Florida Department of Agriculture and Consumer Services.

    State officials said that tests are incomplete on the animals of three petting zoos at the Plant City Strawberry Festival or the Central Florida Fair in Orlando earlier this month. State Health Secretary John Agwunobi, M.D., said the disease also could have been picked up at a dairy milking exhibition, undercooked food or simply playing in the hay.

    "It's important that people know that (this disease) is not an animal problem but a washing-your-hands problem," Compton said. "Animals can test negative for this bacteria one day and then positive the next." But Wheatley scoffs at the idea that it could have been anything but the petting zoo: "The three kids ate everything the same, the same everything else" except the petting zoo.

    Analysis: Officials Probe Kidney Failures Related to Florida Fairs, Petting Zoos

    The 14 (possibly 15) children suffering from hemolytic uremic syndrome (HUS)-related kidney failure in Florida are only a small part of the more than 100 children nationally who have been infected in recent years. Investigators said they were focusing on a strain of dangerous bacteria as the possible cause of the disease, and focusing on petting zoos as the likely culprits.

    There is no specific evidence linking the disease with the animals at the petting zoos to make a definitive conclusion, but there appears to be a connection. The dangerous strain of E. coli has not shown up in some cases, and health department officials said it is possible that those who were originally infected with the strain no longer would test positive because it may have passed entirely through their systems, partially as a result of the diarrhea that comes with it.

    The national Centers for Disease Control and Prevention said there have been 25 such outbreaks involving farm animals at public events dating back to the 1990s. They have occurred in Washington and Pennsylvania and most recently in North Carolina, where more than 100 people were infected.

    Florida has no law regulating petting zoos. Some states such as Pennsylvania passed regulations after similar problems. The Pennsylvania law requires petting zoos and other animal exhibitions to provide hand-washing facilities. The CDC now recommends posting signs warning visitors they are entering an animal area and advising them to wash their hands before leaving. It advocates plenty of hand-washing stations and making certain the stations are easy to use for children. It also requires animal exhibitions to inform the public about the types of diseases that animals can pass on to humans.

    Tom Umiker, owner of Plant City's Ag-Venture Farm Shows, who had animals at both the Central Florida Fair and the Florida Strawberry Festival, recently told UPI News that while owners of animal exhibits rely on the fairgrounds for the hand-washing stations, they also sell hand wipes. He said he has noticed a recent increase in the number of stations available and the signs promoting safety practices.

    He said his animals have periodic tests for tuberculosis and brucellosis, a bacterial disease that can be passed from cattle to humans. He said he has asked veterinarians about routine testing for E. coli but was told that was not practical because it was so common in animals. Thirty-seven of the animals tested positive for E. coli, short for Escherichia coli, and those samples were passed on to the Florida Health Department for further tests for the O157:H7 strain that is related to the kidney disease.

    The agriculture inspectors have tested all of the animals involved, except for six goats that were already sold, said Liz Compton, spokeswoman for the department. They were located through paper work and are being tested Monday. Investigators have begun interviewing food vendors from the two fairs to see whether contaminated food or beverages might also be involved.

    HUS Hits Florida After Fairs, Health Department Still Investigating

    Federal Centers for Disease Control and Prevention investigators are looking into cases of hemolytic uremic syndrome (HUS) cropping up in states other than Florida, involving tourists who attended fairs there. The life-threatening condition has stricken more than a dozen children and adults who attended the Central Florida Fair in Orlando or the Florida Strawberry Festival in Plant City.

    Investigators trying to track down the source have focused on petting zoos at the fairs. Some 37 cultures taken from the animals produced E. coli. Those cultures have been sent to the state health department laboratory to determine whether it is the virulent strain that causes HUS. News of the outbreak and its possible link to animals at the fairs has hit the petting zoo industry hard.

    Health department officials are looking into how the children had contracted the disease. Although most of the children had visited the petting zoos at the fairs, there are a few who had not attended the fairs at all. A five-year-old girl who was admitted last week to St Joseph's Hospital, tested positive for HUS, and is now undergoing dialysis at Tampa General Hospital, had visited Orlando but not attended either of the fairs.

    "We're not sure that the petting zoos have anything to do with this outbreak,'' said state Health Secretary John Agwunobi. The state's top health official on Monday said livestock is just one possible source under investigation.

    Currently, state health officials have revised the number of confirmed cases from 15 to 14, based on one patient's laboratory retest coming back negative. Nine cases are in Orange County, two in Volusia and one each in Pasco, Seminole and Collier. The Pasco case involves Kayla Sutter, a 12-year-old Wesley Chapel girl who died suddenly last week at home. Sutter's parents told investigators she had attended the Strawberry Festival. The Pasco County medical examiner has not yet established a cause of death.

    Although the state numbers haven't changed much in the past 72 hours, Florida state epidemiologist Joann Schulte calls the patients hospitalized in intensive care "the tip of the iceberg. We're still in an active case-finding mode. It's a moving target.''

    Officials are asking parents and health care providers to be on the lookout for diarrhea - especially bloody diarrhea in children and the elderly - which can progress to HUS. Parents are urged to seek medical attention if, after diarrhea, the child becomes lethargic, puffy or has decreased urine output.

    Florida Officials Seek a Link in 15 Cases of a Kidney Illness

    Epidemiologists are trying to triangulate multiple cases of hemolytic uremic syndrome (HUS) that have recently surfaced in Florida to see if they can be associated with a single point source. Along with the 14 confirmed cases, state health officials are investigating seven others around the state, including one involving the death of a girl in Pasco County.

    Officials at various Florida hospitals told The Associated Press that they knew of nine children with HUS who had visited petting zoos at the Central Florida Fair in Orlando or the Florida Strawberry Festival in Plant City, but Florida's secretary of health Dr. John O. Agwunobi said it was "too early to point to one single element, such as a petting zoo."

    The number of cases under investigation has grown to 21, and an etiological agent common to all or most cases has yet to be identified.

    There have been previous outbreaks associated with petting zoos, notably one at the North Carolina State Fair last year, in which 180 people were reported sick and 15 developed HUS. The virulent bacteria strain that causes HUS, known as E. coli 0157:H7, lives in the guts of cattle, sheep, goats and other ruminants, and can be picked up by petting or nuzzling the animals, or simply touching one's shoes after walking through manure. The disease is most dangerous to children under 5 and the elderly, and can be transmitted in many settings, Dr. Agwunobi said, including pony rides, rodeos, livestock displays, milking demonstrations, hayrides and pig races.

    Many other dangerous bacteria are found on petting animals and poultry. Snakes, for example, often have salmonella on their skins, and animal feces may contain campylobacter, shigella, giardia and cryptosporidium. Young animals and birds are the most likely to transmit infections.

    The petting zoos at the two festivals remain the focus of the investigation, but under cooked foods or other sources linked to the animals at the petting zoos are still being investigated.

    HUS can cause bloody diarrhea and can lead to the kidneys, overwhelmed by toxins, shutting down. In rare cases, it can require dialysis or a kidney transplant. Three percent to 5 percent of cases are fatal. There were about 73,000 infections nationally with the E. coli strain last year; of those, 61, or less than one-tenth of 1 percent, were fatal.

    Petting Zoos Shutting Down As Result of E. coli Scares

    petting zoo safetyEaster is usually associated with bunnies and chicks, and outdoor events usually have petting zoos for children to enjoy. However, Easter events across the Tampa Bay area are either closing up or cancelling appearances by petting zoos this year because of an E. coli scare that has put more than a dozen people, mostly children, in area hospitals.

    Mike Kilgore of the Tampa Bay Performing Arts Center told ABC Action News he isn't taking any chances. His group decided, because of publicity, that it would be better to err on the side of caution.

    Meanwhile, the Florida Department of Health is investigating 15 reported cases of E. coli infection or the more serious hemolytic uremic syndrome, HUS, including one reported case in Collier County. Health officials aren't sure the animals are making people sick, but it's the one thing all 15 victims have in common. Health experts and zoo officials are warning parents to be careful.

    The public is advised to contact their family doctors and the health department if they have symptoms, said Deb Millsap, spokeswoman for the Collier County Health Department. Symptoms of HUS are bloody diarrhea and a red pinpoint freckle rash. To avoid infection, health department officials recommend frequent hand washing, especially after contact with domestic or farm animals, and not eating undercooked meat.

    Middle School Girl's Death May Be Linked to Petting Zoo Outbreak

    The Times reports that Weightman Middle School seventh-grader Kayla Nicole Sutter collapsed in her family's Meadow Pointe home and was found dead Wednesday morning, according to the Pasco County Sheriff's Office. Kayla had been ill since Saturday with a 103-degree fever and had visited an emergency room early in the week.

    Medical investigators are now trying to determine whether her death is linked to the same syndrome that has affected 11 children this week, who had all tested positive for hemolytic uremic syndrome (or HUS) that results from an infection of E. coli. Like those children, Kayla had visited the Florida Strawberry Festival's petting zoo.

    "In this particular death we are waiting for pathology and toxicology reports to see if it can be determined if it happened to this patient," Dr. Marc Yacht, medical director of the Pasco County Health Department, told the Times on Friday . "It's a suspect case, but the clinical picture of this child doesn't necessarily line up with what we would normally see in an HUS case."
    "There's one aspect of Kayla's case that would make HUS unlikely, Yacht said. "Although there are fatalities involving HUS," he said, "children survive it." The Pinellas-Pasco Medical Examiner's Office ruled out anything suspicious in Kayla's death, the Sheriff's Office said, but has not yet determined the cause."

    Investigators Focusing on E. coli O157:H7 in Florida Outbreaks

    Shannon SmowtonEleven children under the age of 10 and four adults over the age of 40 have been admitted to area hospitals one of the most dangerous complications of an E. coli infection, a kidney ailment called hemolytic uremic syndrome or HUS. All of them attended either the Florida Strawberry Festival in Plant City or the Central Florida Fair in Orlando. Both events ran from March 3-13, and many of the children had contact with farm animals at petting zoos or other exhibits.

    Investigators are focusing on E. coli - O157:H7, which has been linked to similar outbreaks in other states. It can be spread by contaminated food or beverages as well as through contact with animal manure that harbors the bacteria.

    The Orlando Sentinel reports that officials are looking for "common activities that would bridge both of those events," said Dr. John Agwunobi, secretary of the Florida Department of Health. "It is way too early to point to any single activity, whether it be a petting zoo or anything else, and say this is the cause."

    Four children are improving and listed Friday as stable or fair, and one youngster who was rated in good condition could go home as early as this weekend. Two others were listed as serious, and three remain in critical condition, including Shannon Smowton. The little 6-yr-old girl from Winter Garden went to the Florida Strawberry Festival with her mom and sister, MacKenzie, on March 11. Both children fed the goats, pigs and lambs at the festival, where they also snacked on ice cream and popcorn.

    Kathie Smowton said they sat on the ground for a little bit around a sweet-natured calf with big brown eyes. "You just don't imagine taking your kids to a fair on a Friday and then ending up here," she said, sitting in the conference room at Arnold Palmer Hospital for Women and Children. Shannon fell ill last week with diarrhea and bad abdominal cramps, and test results came back positive for E. coli O157:H7.

    "It was horrific," Greg Smowton, an Orange County firefighter and paramedic, said about the first couple of days of Shannon's hospital stay. They've seen their daughter hooked up to tubes and fighting for her life, lapsing in and out of consciousness even before doctors hooked her up to the respirator and dialysis machine when her kidneys stopped working.
    They said doctors have told them that Shannon has a good chance of beating her illness. In the meantime, handmade greeting cards from her kindergarten classmates adorn the walls of her hospital room while she lays under a pink blanket, her golden-blond hair pulled off her face in tiny red ribbons, a stuffed toy lamb tucked under one arm and a ventilator tube taped to her mouth.

    She hasn't been fully conscious since last weekend.

    E. coli Can Cause Illness, Death

    e. coliE. coli is a commonly known bacterium that usually cause no harm. However, one strain of E. coli, labeled O157:H7 can be picked up from contaminated food and beverages, or through contact with manure from farm animals - and creates a toxin that can shut down kidneys and lead to death.

    E. coli O157:H7 creates different reactions in different people. Some hardly get sick, or only struggle with a few days of diarrhea and vomiting. In others, however, people fall extremely ill, and in some cases, die. The Centers for Disease Control estimates that over 70,000 Americans get infected with E. coli annually, and about 60 people a year fall sick from the bacterial infection.

    In rare cases, especially amongst children and the elderly, the bacteria can also trigger hemolytic uremic syndrome (HUS), a dangerous kidney complication. The symptoms starts much like those of regular E. coli infections - diarrhea, fever, abdominal cramping and vomiting. The problem is that unlike standard infections, even though these symptoms may pass in a few days, the infection is far from being over - the bacteria in HUS leaves behind toxins in the bloodstream of the infected person.

    The toxin causes microscopic clots that often lodge inside the tiny vessels that feed the kidneys. Any red blood cells flowing through gets caught on these clots, and the kidneys start to lose function. Eventually, the patient loses kidney function.

    There is no specific treatment for HUS - doctors can only relieve the effects with dialysis, IV fluids, and blood transfusions. Unfortunately, 10 to 30 percent of patients will suffer some sort of permanent kidney damage as a result, and some may need ongoing dialysis. Worst case scenarios result in eventual kidney transplants or death.

    Florida Fair Outbreaks Don't Keep Parents From Taking Kids to Petting Zoos

    florida fair zoo ecoli outbreaksAmbar Delgado's father wasn't afraid to let his five-year-old daughter pet a goat at the Brevard Zoo, since both he and Amber had learned to practice the best form of protection against disease at places like petting zoos - using the hand sanitizer, available at the fence post just outside the petting zoo area.

    "She washes her hands when she leaves the petting area and, if she was eating something, before she goes in," said Axel Delgado to Victor Thompson of Florida Today. "This is her favorite part of the zoo."
    At least nine children and one adult have been infected with hemolytic uremic syndrome (HUS) after being at fairs such as the Central Florida Fair and the Florida Strawberry Festival, and officials are warning that the numbers could grow.

    Three of the nine children have tested positive for staphylococcus aureus, a non-animal-related bacterium. The other children and the adult are sick due to a rare complication arising from an initial infection most commonly associated with E. coli, a bacterium found in undercooked beef or contaminated food. Officials said the children might have been exposed to the bacteria through animal feces.

    Florida Department of Health spokesman Doc Kokol told Florida Today they're still gathering facts, and nobody has said that it's the petting zoo or anything else that's causing this.

    Florida Officials Search for Source of HUS Cases

    florida fair zoo ecoli outbreaksRecent life-threatening cases of hemolytic uremic syndrome (HUS) amongst children and at least one adult have been attributed to contact with livestock at fairs in Orange and Hillsborough counties, and have resulted in inspections of farm animals by a team of veterinarians and inspectors from the State.

    The Tampa Tribune reports:

    "I think we were a good starting point because we had been mentioned in the news,'' said Tom Umiker, who created Ag-Venture in 1996 to educate city kids about farm life. Ag-Venture is based in Plant City and operated petting zoos this month at both the Florida Strawberry Festival and the Central Florida Fair - both places where infected children had been. Ag-Venture is one common factor, but health officials are looking at possible other sources. "They're talking to the fairs, taking a look at what kind of vendors were there, where the animals were. They're taking a look at food preparation as well,'' said Joann Schulte, an epidemiologist with the state health department.

    "It's tempting to think that there's a petting zoo at fault, but all we remember are things that are out of the ordinary, whereas you may have forgotten that you drank milk or ate ice cream,'' says John Sinnott, director of the division of infectious disease at the University of South Florida.. "This could be an unheard of or unidentified pathogen, and I hope they're looking carefully at viruses.''
    HUS is most commonly associated with a particularly virulous form of E. coli - however, none of the children infected have tested positive for E. coli. The syndrome can also occur with salmonella (from chickens), shigella (from sewage), and some viral agents. Whatever the source, the illness starts with bloody diarrhea and possible fever, followed by lethargy, anemia, and decreased urine output. Even after the diarrhea has stopped, the bacteria emits toxins that destroy red blood cells. Fragmented pieces of those cells can clog vessels in the kidney and impair kidney function.

    Florida Hospital had five children with diagnosed cases of HUS. One has been on a ventilator and dialysis for days, and a second child was put on dialysis late Wednesday. On Thursday, Florida Hospital admitted yet another child, increasing the number of children to six. The latest child's sibling, who also attended the Central Florida Fair, is developing early symptoms of HUS but has yet to be admitted. Their grandparent, who did not attend the fair, is also showing symptoms - a reminder that household contact, especially amongst children and the elderly, can lead to infection if one member of the family has HUS.

    There are now two additional cases at Arnold Palmer Hospital for Women in Orlando, although there are currently no cases of HUS in either Hillsborough County or the Tampa Bay area. Of the 15 cases, nine involved people who live in Orange County, which includes Orlando; two of the victims live in Seminole County; two in Volusia; one in Collier County; and one in Pasco County. There is also now a confirmed case of HUS in Wisconsin involving a child who recently had visited the Orlando area.

    7th Florida Child Develops HUS in Petting Zoo E. coli Outbreaks

    Hemolytic Uremic Syndrome HUS Florida petting zoo E. coli outbreaksDoes your child have diarrhea? Been to a petting zoo lately? You might want to put down that over-the-counter remedy and take him/her to the hospital right away.

    Children all over the Orlando area are being admitted into hospitals this past week with cases of hemolytic uremic syndrome, better known as HUS. The uncommon condition causes kidneys to malfunction and is potentially fatal.

    Four children are at Florida Hospital, of which three are listed in critical condition and the fourth on dialysis. Two children are at Arnold Palmer Hospital for Women and Children, with a third just diagnosed today. That makes a total of seven children just in this past week. All children had been to area fairs, including the Central Florida Fair in Orlando and the Florida Strawberry Festival in Plant City, between March 3-13.

    The Orlando Sentinel reports that health officials are currently not certain as to whether the exposure to bacteria was caused by the petting zoos at the fairs or contaminated food and beverages, and are conducting interviews with the families to get more information.

    HUS is most often caused by a specific form of the E. coli bacteria that live in the intestinal tracts of many animals. This form - E. coli O157:H7 - has been linked to outbreaks of kidney failure among children in other states, including Pennsylvania, North Carolina and Washington. In the Florida cases, however, not all children have tested positive for E. coli. That could indicate a source other than farm animals as the cause of their infections.

    Health officials are retesting the children for E. coli and are awaiting those results from a state lab in Jacksonville and the Centers for Disease Control and Prevention in Atlanta.

    "We don't know yet what the common denominator is," said Joann Schulte, a medical epidemiologist with the Florida Department of Health in Tallahassee. "Certainly, the petting zoos are of interest, but we don't know if they're the source of the infections."
    Once a child is infected, he or she typically suffers from a bout of diarrhea that can last for several days. Inside the body, a toxin produced by the E. coli is attacking red blood cells, sometimes causing fragments of the cells to clog the tiny vessels in the kidneys. The kidneys stop functioning normally, and the child begins to show decreased urination and puffiness as liquids in the body are not regulated properly. Parents should be mindful of these symptoms.
    "We are ready for any number of cases," said Dr. Mehul Dixit, a pediatric nephrologist with Florida Hospital Orlando, where four children are being treated. "We will make all necessary arrangements to make sure they get the care they need."

    Florida Petting Zoo E. coli Outbreaks: Lightning Strikes the Same Spot Twice

    petting zoo ecoli outbreaksOn Wednesday, the Orlando Sentinel reported that at least five children were in critical condition in Orlando-area hospitals with Hemolytic Uremic Syndrome, a potentially life-threatening cause of kidney failure. All visited a petting zoo the week before they became ill.

    There's nothing more American than a petting zoo. Countless numbers of children visit petting zoos to have a hands-on experience with farm animals every year. Unfortunately, some children become ill with E. coli O157:H7 infections -- the leading cause of Hemolytic Uremic Syndrome in North America. In fact, it is estimated that five to ten percent of persons who become ill with E. coli infections develop Hemolytic Uremic Syndrome.

    Most people identify E. coli with undercooked ground beef, but it's not that simple. E. coli infections are caused by the ingestion of fecal material. So a burger becomes contaminated during the slaughtering process, and children can become infected while playing with livestock that are shedding the bacteria. Just as proper sanitation in slaughterhouses is essential in preventing foodborne illness outbreaks, good hygiene and sanitation in areas where livestock are held are of utmost importance in preventing E. coli outbreaks among petting zoo visitors.

    Lightning does strike the same spot twice, or even more often.

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    Florida investigates another potential fair outbreak that caused kidney failure in 5 children

    petting zoo ecoli outbreakThe Orlando Sentinel reported yesterday that five children are in critical condition at Orlando hospitals with kidney failure that may have been caused by infections they picked up at area petting zoos. A sixth child has been treated and released after suffering from the same kidney ailment.

    The Orange County Health Department says the infections are the subject of a large-scale investigation by a team of state and county health officials who are working urgently to determine how the youngsters became infected.

    One theory is that they were exposed to E. coli through the feces of the petting-zoo animals. As recently as December, a petting zoo in North Carolina was linked to an outbreak of the kidney condition that sickened more than 100 children.

    The four children at Florida Hospital Orlando visited zoos at the Central Florida Fair, which ended a 10-day run in Orlando on March 13. A fifth child at Arnold Palmer Hospital for Children & Women visited a petting zoo at the Florida Strawberry Festival in Plant City, which also ran from March 3-13.

    Officials still are checking whether a sixth child, who was treated and released from Arnold Palmer about four weeks ago, had any exposure to petting-zoo animals. The child's case did not draw attention at the time, but officials are now interviewing the family to get more details, according to Dr. Jorge Ramirez, a pediatric nephrologist with Arnold Palmer.

    The potentially dangerous kidney condition - called hemolytic uremic syndrome or HUS - is a rare complication arising from an initial infection most commonly associated with Escherichia coli, a bacterium found in undercooked beef or contaminated food, but these illnesses can also occur at petting zoos through direct exposure to animal feces. Young children, more apt to pop a dirty pacifier into their mouths, are at a high risk for E. coli when they visit a petting zoo. (See also: fair-safety.com.)

    Epidemiology of Escherichia coli O157:H7 Outbreaks, United States, 1982--2002

    Josefa M. Rangel, Phyllis H. Sparling, Collen Crowe, Patricia M. Griffin, and David L. Swerdlow
    Centers for Disease Control and Prevention, Atlanta, Georgia, USA; and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA

    Escherichia coli O157:H7 causes 73,000 illnesses in the United States annually. We reviewed E. coli O157 outbreaks reported to Centers for Disease Control and Prevention (CDC) to better understand the epidemiology of E. coli O157. E. coli O157 outbreaks (≥2 cases of E. coli O157 infection with a common epidemiologic exposure) reported to CDC from 1982 to 2002 were reviewed. In that period, 49 states reported 350 outbreaks, representing 8,598 cases, 1,493 (17%) hospitalizations, 354 (4%) hemolytic uremic syndrome cases, and 40 (0.5%) deaths. Transmission route for 183 (52%) was foodborne, 74 (21%) unknown, 50 (14%) person-to-person, 31 (9%) waterborne, 11 (3%) animal contact, and 1 (0.3%) laboratory-related. The food vehicle for 75 (41%) foodborne outbreaks was ground beef, and for 38 (21%) outbreaks, produce.

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    Creek flooding blamed for '03 E. coli cases

    The Salinas Californian today reports more on the Sodexho E. coli outbreak in Salinas Valley and where things are going.

    Just before Christmas, Marler Clark settled 29 out of 40 claims of customers sickened at Pat & Oscar's. We also represent the family of Alice McWalter and Sarah Ish, another sickened Sequoias resident, in lawsuits against Sodexho USA.

    From the article:

    In an action that is usually a prelude to a lawsuit, the Monterey County Board of Supervisors has rejected two claims that allege the Monterey County Water Resources Agency failed to maintain a creek, resulting in the contamination of a field of produce which was later connected to two food-borne illness outbreaks.

    Last Tuesday, the Monterey County Board of Supervisors rejected two claims filed by the companies in November, the county counsel's office said.

    Filing such claims and having them rejected are a necessary prelude to filing full-blown lawsuits.

    Legal consequences of two food-borne illness outbreaks that sickened at least 63 people and killed one in 2003 have returned to the Salinas Valley, where state investigators say lettuce and spinach -- contaminated at an unknown point before they were eaten -- were grown.

    Beginning with those infected with E. coli 0157:H7 by the tainted produce, lawsuits have blossomed throughout the food-growing and distribution chain. Now River Ranch Fresh Foods and Diamond Produce, the two companies said to have grown the contaminated lettuce and spinach, have taken preliminary steps toward suing Monterey County.

    Lawyers for the two Salinas-area companies say the Monterey County Water Resources Agency failed to maintain Santa Rita Creek, resulting in flooding in 2003 that spread waste across a field where produce was grown.

    Continue Reading...

    Customers of Reno sushi restaurant were victims of e-coli

    We now know what made several people sick after eating at a Reno sushi restaurant last month. The Centers for Disease Control says customers at Sushi Pier 2 were infected by E. coli.

    Officials say the restaurant could have been infected by someone who didn't wash their hands properly and then handled food, or the food could have been contaminated by someone else during the distribution process.

    Sushi Pier 2 has hired a food service consultant to monitor food safety at the restaurant.

    Wendy's ground beef thought to be Oregon E. coli culprit

    A case at a second Wendy's in Tualatin has been linked to the Wendy's E. coli outbreak. So far Marler Clark has been contacted by eight families affected. We filed one lawsuit on behalf of Robert Pascal of Salem a week ago.

    The investigation is now focusing on ground beef. The connection was made after a second Wendy's restaurant in Tualatin was linked to the outbreak when an adult female was confirmed Sept. 2 as an E. coli victim. The DNA of the E. coli matched that of the Salem outbreak, confirming a common contamination source.

    No other outbreaks have been uncovered, and the total number of confirmed cases remained at 19. Nineteen others are likely cases but were not tested in time to catch evidence of E. coli. There are 49 suspected cases without bloody diarrhea.

    Investigators initially considered lettuce as a source of contamination. But the Tualatin restaurant gets its produce from a different supplier, making that connection improbable. The investigation then shifted to the meat, which went to both restaurants from a common supplier. The lettuce link can be explained by cross contamination, which may have occurred because of improper food handling.

    Lightning Does Strike Twice for KFC and E.coli

    KFC ecoliNearly every day I hear about another case of E. coli, Salmonella or Lysteria tied to some food product. However, I have never seen a situation where the same product injures different people who ate at the same restaurant chain one year apart -- usually a company learns from past mistakes.

    According to reports by the Omaha World-Herald in March 1999, KFC was implicated in 27 confirmed E. coli illnesses stemming from coleslaw at a Greenwood, Indiana restaurant in May 1998.

    At that time, the Indiana Health Department found:

    • The cabbage was packaged in net bags, which could have allowed for contamination during shipment.
    • Food handlers at the restaurant did not wash the cabbage before shredding despite noticing that it was of poor quality and heavily soiled when it arrived. This probably allowed the E. coli organism to be introduced into the coleslaw.
    • The restaurant with the illnesses quickly changes its coleslaw preparation practices to include the use of pre-washed and pre-shredded cabbage rather than whole cabbage.

    It is frankly shocking that KFC did not move faster to assure its customers that lightening, in the form of E. coli, would not strike twice. I think the Ohio and Kentucky Health Departments should look very hard at pressing charges against KFC.

    Health officials probe outbreak of E. coli in Hunterdon

    The Hunterdon County Democrat reported today on the New Jersey-County and state departments of health, Hunterdon Medical Center and the federal Food and Drug Administration investigating an outbreak of 10 cases of E.coli in late October and early November.

    Health Department Director John Beckley said the primary focus of the investigation is Chili's restaurant in Raritan Township and one of its food suppliers that deals with sources from out of state. He said information is being gathered.

    "We're understanding more, but don't have things pinned down," Beckley said. "The positive cases are not all the same strain. We've been doing continuing surveillance since November and there have been no new cases" since his department became involved.

    Meileen Acosta, the county's epidemiologist, said the Health Department learned about the outbreak when a physician called to report the first case. The department is still getting lab results, trying "to isolate and identify the absolute source" of where the infection started.

    "The objective is to learn as much as we can about the source or sources of the infections so we can prevent any future cases," Beckley said. He would not identify what specific products were being analyzed, but said he does not believe there is any ongoing risk, "We have no reason to think that the restaurant poses any risk. I ate there myself last weekend," he said.

    Health investigators determine cause of E-coli outbreak

    Elizabethtown Bladen Journal reports that nearly two months after cases of E-coli began springing up among state residents, investigators with the North Carolina Division of Public Health have determined the source of the majority of the cases.

    Since most of the cases involved individuals who had attended the North Carolina State Fair in October, investigators early on surmised that the outbreak might be linked to some entity at the fair.

    After extensive environmental testing and genetic fingerprinting, the investigators now say many of the cases are linked to the Crossroads Farm Petting Zoo at the fair. According to investigators, 108 likely cases of E-coli were in people who had attended the State Fair, 43 of which were confirmed by lab tests.

    Of that number, investigators say 33 cases exhibited identical genetic fingerprints. Those fingerprints matched positive to samples from the Crossroads Farm Petting Zoo site, officials state. Samples from other areas of the State Fair grounds contained no indication of the outbreak strain.

    "The genetic fingerprinting supports our extensive epidemiological study, which relied on looking at people who got sick along with those who did not," said State Epidemiologist Dr. Jeffrey Engel. "This controlled study design is the gold standard for this kind of investigation."

    After comparing behaviors of those who attended the petting zoo and later became ill to those who attended and did not, investigators determined that the infections most likely came from direct contact with manure. People who had come in direct contact with manure were more likely to become infected.

    Children who were sucking their thumbs or pacifiers or drinking from a sippy cup while visiting the petting zoo were also more likely to be infected.

    The Division of Public Health has made several suggestions aimed at reducing the probability of such infections at petting zoos. They include restricting direct contact with animals, reducing fecal contamination, and reducing crowding of both people and animals in petting zoos.

    North Carolina E coli outbreak traced to petting zoo

    CIDRAP News also reports on the recent outbreak of E coli O157:H7 infections traced to the petting zoo at the North Carolina State Fair:

    The NCHHS concluded that most patients fell ill as a result of visiting the petting zoo, though some probably picked up the infection elsewhere at the fair.

    "In light of the investigation, we recommend restricting direct contact with animals, reducing fecal contamination, and reducing crowding in petting zoos in addition to existing recommendations to prevent future E. coli O157:H7 infections," the NCHHS said, citing recommendations from the National Association of State Public Health Veterinarians (NASPHV). "These recommendations are particularly pertinent for young children and others with reduced immunity to infection."

    The North Carolina outbreak is one of several E coli O157:H7 outbreaks linked to petting zoos or farms in recent years. A petting zoo in Ontario was found to be the source of 159 cases in 1999, and 51 cases were traced to a Pennsylvania dairy farm in the fall of 2000, according to the US Centers for Disease Control and Prevention (CDC).

    E. Coli Outbreak Source Identified

    David Sinclair of The Pilot reports that North Carolina public health investigators have identified a petting zoo from Chatham County as the source of an E. coli outbreak that sickened 108 people who attended the State Fair in October.

    Investigators with the N.C. Division of Public Health announced Thursday that Crossroads Farm Petting Zoo was the source of the majority of E. coli cases during the fair. They used extensive environmental testing and genetic fingerprinting to link many of the cases to the Crossroads Farm Petting Zoo.

    A Moore County girl, 13-year-old Katie Maness, was among 43 confirmed cases of E. coli. She became seriously ill when she developed hemolytic uremic syndrome, a complication that occurs in high-risk people such as children and can cause kidney failure, seizures and, in some cases, death.

    Katie and two of her friends attended the State Fair on Oct. 22, and they visited a petting zoo. The other two girls did not get sick.

    Several days later, after she became ill, her parents took her to FirstHealth Moore Regional Hospital. When she was diagnosed with the hemolytic uremic syndrome, doctors transferred her to UNC Hospitals in Chapel Hill for treatment. She came close to requiring kidney dialysis, according to her mother, Becky Maness.

    State Fair Petting Zoo Blamed For E. coli Outbreak

    North Carolina state fair ecoliState health officials announced Thursday that they have pinpointed a petting zoo as the source of an E. coli outbreak that sickened dozens of people that attended the State Fair two months ago.

    Through extensive environmental testing and genetic fingerprinting, public health investigators have linked many of the cases to the Crossroads Farm Petting Zoo.

    Investigators reported 108 likely E. coli cases in people that had attended the Oct. 15-24 fair in Raleigh. Forty-three of those cases were confirmed by lab tests.

    Thirty-three of the confirmed cases had identical genetic fingerprints, and those fingerprints matched positive E. coli samples from the Crossroads Farm Petting Zoo site, officials said. The outbreak genetic strain was not identified in environmental specimens collected at other areas of the State Fair grounds.

    NC State Fair E. coli Outbreak

    E. coli Case Update

    This is the executive summary of a pending report by the NC Division of Public Health regarding this outbreak. The full report will be available in January 2005.

    An outbreak of enterohemorrhagic (bloody diarrhea) illnesses caused by E. coli O157:H7 associated with visits to the North Carolina State Fair occurred in North Carolina during October and November, 2004. After receiving reports of hemolytic uremic syndrome or HUS, a severe complication of E. coli O157:H7 disease, among State Fair visitors in late October, the North Carolina Division of Public Health recognized the potential for a large outbreak with potentially hundreds of thousands of fair visitors exposed. We gathered resources from within state government as well as the Centers for Disease Control and Prevention (CDC) to investigate the outbreak. The Public Health Command Center was opened for command, control and communications management of a statewide outbreak. Early goals included rapidly collecting reports of patients to gauge the size of the outbreak, and identifying common links between patients.

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    State health investigators find cause of E. coli outbreak

    North Carolina state fair ecoliState health officials said Thursday that the State Fair petting zoo was the likely source of the E.coli bacteria that gave 15 children a life-threatening kidney ailment earlier this fall.

    The final report by investigators with the North Carolina Division of Public Health said North Carolina's largest outbreak of E. coli in three years, involving 108 cases, apparently originated at the Crossroads Farm Petting Zoo exhibition at the October fair.

    The report said more than half of the 108 people infected with E. coli were 5 years old or younger; two-thirds were under 18. Though most people suffered milder symptoms, including diarrhea, 15 children suffered serious reactions to toxins that collected in their kidneys. The complication can lead to kidney failure and possible death.

    The Associated Press reported today:

    Four of the 15 children continue to receive dialysis, said Debbie Crane, a spokeswoman for the state Department of Health and Human Services.

    "The genetic fingerprinting supports our extensive epidemiological study, which relied on looking at people who got sick along with those who did not," state epidemiologist Dr. Jeffrey Engel said.

    The report said Crossroads Farm Petting Zoo "had implemented guidelines from a national group of public health veterinarians to encourage hand hygiene to protect visitors from illness. Signs and hand sanitizing stations were present."

    However, because very few E. coli bacteria can cause infection, those measures were not enough, the report said.

    Are Fairs, Petting Zoos Just Too Dangerous?

    As published in Food Protection Report, December 2004 Vol. 20 No. 12:

    "I think counties and states may have to reassess whether it is worth having fairs, petting zoos, and other events that bring people in close contact with animals," suggests prominent food litigation lawyer William Marler of the Seattle law firm Marler Clark. "I know it sounds un-American, but we are now having outbreaks of E. coli O157:H7 linked to these events almost on a yearly basis," Marler told Food Protection Report.

    Infections picked up at events where people and animals mingle can spread throughout the community. Since 1998, at least seven E. coli O157:H7 outbreaks have been traced to fairs. The most recent outbreak occurred in North Carolina, where an investigation is ongoing.

    Although the specifics of each E. coli outbreak at fairs differ, Marler says, they all have a common denominator and the pathogen lurks in ways that were not seen decades ago. A 2003 study by USDA found E. coli O157:H7 was not only commonly present at fairs but that levels of the bacteria were similar to those found in commercially reared livestock, which surprised researchers.

    Continue Reading...

    Hand washing is key to preventing illness

    The Daily Ardmoreite reminds us today that hand washing is one of the best ways to prevent the transmission of disease, especially during influenza season. Oklahoma public health officials are using National Hand Washing Awareness Week, Dec. 5-11, as an opportunity to remind people about this simple and inexpensive disease prevention technique.

    "Hand washing helps prevent catching and spreading colds, hepatitis A, meningitis, and infectious diarrhea, as well as many other diseases," said Oklahoma State Department of Health Epidemiologist, Becky Coffman, RN, MPH. "The effective way to wash your hands is to wet your hands and apply liquid or clean bar soap. Rub your hands vigorously together for at least 10 to 15 seconds to dislodge and remove germs, and then rinse your hands well and dry them."

    Coffman said the new alcohol-based hand rubs are effective in reducing the number of germs on skin if your hands are not visibly soiled. The rubs are fast acting and cause less skin irritation, but it is important to remember that they are not effective when the hands are visibly soiled. The benefits of these hand sanitizers are their convenience, speed, and ability to use when soap and water are not readily available.

    Setting Blame For E. coil Outbreak

    Regarding the recent outbreak of E. coli across the state, the blame now apparently rests squarely on the shoulders of departing Commissioner Britt Cobb and the Department of Agriculture under his watch. Mr. Cobb and the state agency he oversaw are charged with "... controlling and eliminating animal diseases and ensuring general animal health." This according to the department's own web site.

    The E. coli outbreak at the N.C. State Fair last month which infected over 100 fair goers, half of them children, illustrates the unreserved lack of attention and prioritization by the former commissioner's Veterinary Division and exposes serious flaws in judgment and oversight at the very event which is expected to showcase the Agriculture Department's best side. But alas, Mr. Cobb's apparent lack of experience failed those who have entrusted him with ensuring their health and safety.

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    Kindergartener dismissed from hospital after battling HUS

    Emma Ackerman, a kindergartener who battled hemolytic uremic syndrome, is coming home Wednesday.

    Emma has been hospitalized for more than three weeks. Although doctors suspected E. coli 0157:H7 was the culprit, it never showed up in stool cultures which is not uncommon.

    After a couple of days at Good Samaritan Hospital in Kearney, Emma was transferred to Children's Hospital in Omaha where she could undergo pediatric dialysis. Her mother said said Emma was taken off dialysis on Nov. 21 and the catheter was surgically removed on Nov. 24. Mom says Emma probably won't return to school until Monday and then only half days as she tires easily. Emma will also have to periodically visit a kidney specialist to make sure her kidneys are working correctly.

    Emilie still suffering from complications of bacteria infection

    The Daily Journal has given an update on Emilie Allen of Bonne Terre, the 2-year-old girl who was severely sickened from E. coli in September. Emilie is still suffering from complications of the infection but was able to come home on Nov. 2 from Cardinal Glennon Hospital in St. Louis after a month and a half stay.

    Emilie suffered kidney failure soon after contracting E. coli 0157:H7 and was forced to go on dialysis. Emilie's kidney though, started functioning once again and the 2-year-old girl was able to come off dialysis on Oct. 19. At one point Emilie was also placed on a ventilator, but it was removed on Oct. 8.

    Emilie's mother says her little girl is doing OK. Her blood pressure is still very high. She is not producing red blood cells like she should. They had to take her back up to Cardinal Glennon Hospital on Sunday so she could get a shot that will help her produce the red blood cells. She is receiving the shots every two weeks. The doctors thought by now she would be able to produce the red blood cells on her own. She goes back up to Cardinal Glennon on Dec. 9, so hopefully they will know more then.

    The St. Francois County Health Department conducted routine inspections at two local restaurants on Oct. 4 in an attempt to identify where the strain of E. coli originated that infected the 2-year-old girl. Officials said no direct links were made to the origin of the strain of E. coli 0157:H7.

    In addition to inspecting the food establishments, a water sample out of the private well at the residence of the Allens was also tested. The water sample also came back negative.

    A benefit account for Emilie is still open at First State Community Bank locations.

    Monroe County Marketplace possibly linked to E. coli outbreak

    Mendon Meadows Marketplace recalled all ground beef products, including veal, and fresh ground beef patties, that were purchased between November 7 and November 14, 2004 due to potential contamination with E. coli O157:H7. Two E. coli O157:H7 infections have been reported in Western New York, and Monroe County and New York State health officials, as well as USDA officials, are investigating whether the possible E. coli outbreak may be linked to the recalled products.

    Illness caused by E. coli O157:H7 bacteria causes fever, as well as severe abdominal cramping and diarrhea, which is often bloody. Between five and ten percent of people with E. coli infections develop Hemolytic Uremic Syndrome (HUS) or Thrombotic Thrombocytopenic Purpura (TTP), complications of E. coli infection that can lead to renal failure and central nervous system impairment.

    Continue Reading...

    Mendon Meadows Marketplace Takes Precautionary Measures In Recalling Ground Beef for E.coli 0157:H7

    The Mendon Meadows Marketplace recall of ground beef products is being called a precautionary recall by the company, although it has already been potentially linked to two E. coli O157 illnesses in Western New York.

    Health officials have yet to identify possible sources of the outbreak. Meanwhile, Monroe County residents are being urged to check with their health care providers if they or their children experience the following symptoms:

    • Diarrhea, especially bloody diarrhea (although bloody diarrhea is a common symptom of E. coli infection, it is not always present);
    • Abdominal pain or cramping;
    • Fever, along with the other symptoms.
    Symptoms typically occur about three days after exposure, with a range of one to nine days. Because E. coli infections can be serious or fatal, especially for young children and the elderly, prompt diagnosis is vital.

    Back from the Brink: Families of children who contracted E. coli count blessings -- and bills

    As the Register-Guard reported yesterday, I've advised my clients to drop their lawsuits regarding the E. coli outbreak at the 2002 Lane County Fair. Not an easy decision, for me or for my clients, but after doing a lot of research and taking dozens of depositions of Lane County officials, family members of those affected by the outbreak and field experts, I saw no other choice.

    From the article:

    In 2002, when the Lane County outbreak happened, "airborne or dustborne transmission of E. coli was still a novel concept," Marler said. "Whether that's exactly how these people got the infection, we just don't know. Some washed their hands, others didn't. Some touched animals, others didn't. Some of the children walked through the barns, some never got out of their strollers. We just couldn't pinpoint, `This is what the fair didn't do, this is what they should have done.' Without that, we couldn't win a lawsuit."

    He and the families wanted more than just a financial settlement.

    "Most state, county and local entities are either immune from lawsuits or have caps on awards," Marler said. "There's very little economic incentive for them to change. I'm not suggesting that all award caps should be removed, but I think government officials should look at these situations as if it were their grandkids who had the problem."

    If they did, Kevin Closson believes, it might cut E. coli outbreaks in the future. Closson's daughter, Madeline, then 3, spent two weeks in Legacy Emanuel Hospital in Portland, undergoing daily dialysis treatments for a week and requiring blood transfusions.

    "During dialysis ... they suck the blood out, clean it up, cool it down and put it back in," Closson said. "It takes several hours, which is one thing for an adult but way too much for a little child, so they have to put them under anesthesia to do it. At one point, in one day, Maddy was under three times. The money wasn't as big a thing to us as witnessing what all that did to our 3-year-old's body."

    Sleuths seek origins of E.coli outbreak tied to N.C. State Fair

    The Associated Press reported yesterday that North Carolina state epidemiologist Dr. Jeff Engel has a goal of naming the source of the State Fair E. coli outbreak by Christmas.

    So far, 106 cases are believed to be involved in the outbreak tied to last month's North Carolina State Fair, with 50 confirmed as E.coli. Four people remain on dialysis after their kidneys shut down from exposure to the E.coli bacteria.

    Health investigators are still working to pinpoint the source of the bacteria among exhibitors or food vendors who set up on the fairgrounds in Raleigh for the 10-day event.

    Child's play spreads E. coli

    North Carolina state fair ecoliThe News-Observer's recent story on Matthew Baldwin said he was popular among the baby goats and sheep in the petting zoo at the N.C. State Fair.

    As the critters nudged and licked his hands, the 3-year-old Lee County boy squealed for more pellets. He'd have been happy to spend the whole day feeding the animals, forgoing the rides and fried goodies and midway games.

    But a 45-minute visit to the petting zoo on an October Sunday may have been all the exposure Matthew needed to pick up the E. coli bacterium, turning the Baldwins' happy afternoon celebrating the state's agricultural heritage into a monthlong medical horror.

    A few days after the fair excursion, Matthew doubled over with stomach cramps and bloody diarrhea. He was the first of more than 100 people who apparently got sick from E. coli last month in the days after the State Fair, giving rise to a mystery that has yet to be solved.

    From the article:

    William D. Marler, a personal injury lawyer in Seattle who specializes in contamination cases, said petting zoos are increasingly being identified as sources of E. coli outbreaks. He said the Centers for Disease Control and Prevention has published suggestions to cut exposure, such as providing hand-washing stations with running water and soap -- an amenity that wasn't offered at the State Fair's petting zoos.

    Exhibits that fail to take such measures, Marler said, may carry some legal liability, and four North Carolina families have contacted him.

    "I don't think we, as the public and people in positions of authority, have taken this seriously," Marler said. "Maybe five years ago nobody really knew about this, and it was novel. But it's far more than novel at this point. There are dozens of outbreaks that have occurred in petting zoos and fairs.

    State Ends Probe on E. Coli

    North Carolina state fair ecoliDue to the fact that there have been almost no new cases of E. coli related to the State Fair outbreak since Nov. 12, state health officials have ceased response-level operation of the Public Health Command Center.

    There were at least 41 confirmed cases, including a 13-year-old Moore County girl, who attended the fair. There were 106 cases under investigation.

    Katie Maness, an eighth-grader at The O'Neal School, was hospitalized at FirstHealth Moore Regional Hospital in Pinehurst and was later transferred to UNC Hospitals in Chapel Hill after developing complications that could have caused kidney failure.

    She was released from the hospital on Nov. 6 and has since returned to school.

    Although state health officials continue to investigate the exact site at the State Fair where the E. coli outbreak could have originated, the active surveillance for suspect cases of illness related to the outbreak has been discontinued.

    The ongoing investigation determined that the source of the outbreak was last month's State Fair in Raleigh.

    The case definition was limited only to people who attended the State Fair between Oct. 15 and Oct. 24 and who had onset of diarrhea (three or more loose stools in a 24-hour period for two or more days) between Oct. 15 and Nov. 9 that was not attributable to another cause.

    Health Department, schools react quickly to recent e-coli case

    The Nevada Daily Mail reported today that Nevada R-5 Assistant Superintendent Christie Peterson said the district is working with the Vernon County Health Department to make sure that a case of e-coli in a kindergarten student and a younger sibling doesn't spread.

    The case of e-coli was confirmed Tuesday and the district went into high gear to make sure that everything was being done to contact patrons of the district to inform them of the infection and to give them some information on how to prevent its spread.

    The district spent Wednesday disinfecting all surfaces of the school and has stopped having snacks in the classrooms. In addition, an Early Childhood program for about 30 3- and 4-year-olds has been temporarily suspended.

    E. coli and the Fair

    Agricultural fairs and petting zoos pose an inherent public health hazard by bringing the general public into direct contact with various animals, which can carry a host of human pathogens, including E. coli O157:H7.

    There's nothing more American than the state fair. Countless millions visit them each year for some up close and personal--sometimes even hands on--time with farm animals. What fair-goers are finding out though, is that petting zoos and livestock exhibitions often harbor the lethal bacteria E. coli O157:H7.

    Most people associate E. coli O157:H7 with undercooked hamburgers from fast food restaurants. The problem is not so confined. Infection can occur in a variety of ways, including attendance at a petting zoo, and those most prone to serious illness are our children.

    Any place where people come into contact with farm animals must be considered high risk for exposure to E. coli and other pathogens. The track record speaks for itself. Since 1995, fifteen outbreaks of E. coli O157:H7 have been reported at fairs and petting zoos in the United States (see http://www.fair-safety.com).

    Hundreds have been sickened. Some, mostly kids, suffer permanent kidney damage due to a complication of E. coli infection called Hemolytic Uremic Syndrome. Some have even died.

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    Seventh-grader develops severe complication

    When two of her three children complained of stomach aches a couple of days after Halloween, Polly Ackerman thought too much candy was the culprit. Her second-grade son Mason recovered but Emma--who's in kindergarten--was sick one day and felt better the next.

    This pattern continued for about five days until Emma began experiencing what Polly called "severe diarrhea."

    "That Saturday night we were up every hour with her as she had diarrhea and severe stomach cramps," said Polly, who is a registered nurse.

    By Sunday morning, Emma's stools showed specks of blood which Polly said was confirmed by a hemocult test.

    The Ackermans took Emma to a Kearney clinic that is open on Sunday afternoons where the pediatrician who saw the child admitted her to Good Samaritan Hospital.

    There Emma was treated for dehydration and observed to see if the diarrhea would slow. That didn't happen as Polly said her daughter had 19 stools in a 14-hour period.

    Speculation that the child had hemolytic uremic syndrome (HUS)--the most common complication of E. coli 0157:H7--was later confirmed.

    Continue Reading...

    State Fair E. Coli Outbreak

    North Carolina state fair ecoliNew questions are being raised about the source of the E. coli outbreak that has been linked to this year's State Fair. While most of the focus has been on petting zoos, some are questioning whether food vendors could be a possible source.

    An anonymous viewer sent pictures to Eyewitness News claiming they show boxes of frozen turkey drumsticks sitting outside on a wooden pallet during the State Fair.

    If the pictures are legitimate, and the drumsticks sat out long enough to be warmer than 45-degress, Wake County environmental health specialist, Rebecca Robbins says she would be concerned. "The concerns would definitely be food borne illnesses bacteria such as E. coli, salmonella... it's an important health concern because they do have a severe effect on people such as bloody stool etc."

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    E. coli Outbreak Waning

    Raleigh state fair ecoliNo new cases of E. coli have been reported to state health officials since Friday, so a command center set up to coordinate the response to the disease outbreak is closing, officials said Monday.

    State health officials are investigating 106 suspected cases of E. coli, 41 of which have been confirmed. Nineteen of the confirmed cases are in Wake County.

    The North Carolina State Fair has been identified as the source of the outbreak, with almost all of the confirmed cases in people who attended the fair last month in Raleigh.

    Although officials continue to investigate where at the State Fair the outbreak may have originated, they said active surveillance for suspected cases of illness related to the outbreak has been discontinued.

    N.C.'s E. coli outbreak

    As if critical shortages of flu vaccine weren't enough, now North Carolinians have a new public health risk to worry about: E. coli and petting zoos.

    The numbers vary from day to day, but officials are investigating more than 100 possible cases of that infection, with more than 35 cases confirmed so far. Almost all those victims visited the N.C. State Fair in Raleigh in October, and half are children under age 5. One is a 21-month-old Mecklenburg County girl, who is recovering.

    State epidemiologists believe they have traced the infections to the fair's two petting zoos. If that is the case, this outbreak will be one of a series related to petting zoos from Oregon to Ohio to Pennsylvania reported since 1998.

    The question is how to respond.

    E. coli is a bacteria usually spread through undercooked meat contaminated with animal feces or contaminated water. But it can be spread by contact with animals -- hence the petting zoo connection, and the associated public health risk.

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    Officials issue warning about E. coli danger

    The Herald-Sun reports that as of Thursday, 43 people people had tested positive for the bacterial infection, including the three in Chatham County, two in Durham County and one in Person County. At least 27 victims had visited the State Fair in Raleigh Oct. 15 through 24. Officials believe most of the victims came into contact with fecal material from one or more sheep, goats or cattle at the fair.

    From the article:

    "Although the illness is often associated with eating undercooked ground beef, we suspect these cases may have been contracted through direct contact with live animals," State Epidemiologist Jeffrey Engel said. "Outbreaks are often associated with fairs and petting farms, however we are still exploring every possible source."

    As the state continues to track down the source of the disease, Dr. Engel said that residents can help themselves by practicing prevention measures, especially in schools and child day care facilities.

    "The best way to reduce the risk of getting E. coli, especially if a friend or family member is sick with the disease, is careful and diligent hand-washing," he said. "Teachers and school officials will want to make sure they have plenty of soap and paper towels for their students. If teachers notice a student who appears to have any of the symptoms associated with E. coli, they should contact the parents as soon as possible."

    E. coli is associated with petting zoos because animals carry the bacteria in their intestines. People pick up E. coli by eating contaminated meat or through contact with manure, animals or contaminated surfaces. A number of the cases identified so far have been in contact with farm animals, however public health disease investigators have not yet determined the exact source or sources of the human cases.

    Health Workers Go Overtime To Contain E. coli Outbreak

    NBC 17 reports that the medical staff of Wake County Human Services is charged with monitoring all communicable diseases, but for the past few weeks, it has worked full time chasing down the E. coli outbreak.

    "We get phone calls from physicians' offices; we can get phone calls from hospitals," said Ruth Lassiter, one of three county public health nurses. "We work closely with all the hospitals here in the infection control and the emergency rooms who will report to us any unusual findings."

    They take those unusual findings and turn each suspected case of E. coli upside down. They ask questions about a victim's recent eating habits and social activity until they can conclude whether the person should be added to the growing statewide outbreak of the infectious bacterium.

    "You may never know those people," Lassiter said. "You may never meet them, but talking over the phone with them you can give them a little bit of extra support and let them know that everything possible is being done to find out where this might have come from and how we can help them with that."

    Health officials statewide are investigating 115 suspected cases of E. coli, including 43 that have been confirmed. Officials have identified the North Carolina State Fair as the source of the outbreak, although they haven't pinpointed the venue at the fair that is to blame.

    Girl Stricken by E. Coli Is Improving

    Katie Maness, 13, had been diagnosed with an E. coli infection and was a patient at FirstHealth Moore Regional Hospital in Pinehurst.

    Nothing could have prepared her mother, Becky Maness, for the shocking news the doctor would deliver: Her daughter's kidneys were failing.

    Katie had developed a condition called hemolytic uremic syndrome, a serious complication that occurs in high-risk people such as children and can cause kidney failure, seizures and in some cases death.

    Katie is one of 41 people in North Carolina with confirmed cases of E. coli disease. An investigation by the N.C. Department of Health and Human Services has determined that the State Fair, Oct. 15-24, was the source of the outbreak. At least 107 suspected case are under investigation, according to the state.

    Katie was discharged last Thursday but had to go back Friday for some lab work. It was determined that her hemoglobin was too low and that she would need a blood transfusion. Doctors re-admitted her to UNC Hospitals overnight. She was finally released Saturday.

    Katie, who is an eighth-grader at The O'Neal School, returned to school Wednesday and is going to classes for half days for now.

    E. Coli infections traced from fair

    North Carolina state fair ecoliThe North Carolina Department of Health and Human Services confirmed Wednesday that the recent State Fair in Raleigh was the source of an E. Coli outbreak that has potentially infected 107 people--41 of whom have tested positive for the bacteria. A majority of the infected are children, 11 of whom have already developed a serious complication known as hemolytic-uremic syndrome. This syndrome can be deadly.

    More than 800,000 people visited the fair in Raleigh from Oct. 15 to 24. While the specific source of the outbreak remains unknown, initial results have led investigators to blame the fair's two petting zoos, Crossroads Farm and Commerford and Sons, but officials are still inspecting food vendors and other animal exhibits.

    "There's been a lot of speculation that [the E. Coli] could have come from contact with animals at the state fair," said Brian Long, director of Public Affairs at the North Carolina Department of Agriculture and Consumer Services. "The petting zoos were operated by independent companies and they've both operated petting booths at the state fair for several years. They are obviously quite concerned and are monitoring the situation closely as well."

    Commerford said animals from the fair had been separated and were under observation, but she remained skeptical of the situation.

    "I've spoken to different veterinarians, and everybody has said that its virtually impossible to have an outbreak of E. Coli like that from petting an animal," she said.

    But epidemiologist Dr. Keith Kaye said the petting zoos remained a possibility to be the origin of the outbreak. "When you have animals in a closed setting like that and all those kids rolling around, it favors a high transmission rate," Kaye said. "Will we find the smoking pig, so to say? Maybe not, but these sort of outbreaks have occurred before."

    Caution urged at petting zoo after E. coli outbreak

    The Daytona Beach News-Journal did a story today on fairs, petting zoos, and caution in the wake of the E. coli outbreak in North Carolina. Health officials in North Carolina have confirmed 31 cases and are investigating 103 more, with some of the cases linked to a state fair petting zoo.

    From the Daytona Beach News-Journal:

    There have been no E. coli cases reported in connection with the Volusia County Fair, but Chris Campbell said he wasn't taking any chances. Campbell gave his children, ages 7 and 3, very specific instructions when he lets them loose at the Phillips Petting Zoo.
    Jim Phillips, who owns the Missouri-based petting zoo, said a few people have asked him about E. coli since the North Carolina cases were reported, but it hasn't hurt his business in Volusia County. People are still coming in to feed several varieties of fuzzy goats, cattle, llamas and horses.

    He sells wet-wipes for 25 cents so people can clean their hands and keeps a sign prominently posted reminding people to use "common sense" and wash their hands after feeding or petting the animals, and before eating.

    People who visit the Volusia County Fair can also come into contact with animals at the many agricultural displays, including farm animals at the Old Plantation building, but hand disinfectant is available, said spokesman John Owens.

    Unfortunately, hand wipes and common sense aren't always enough. For children who come in contact with the animals, hand washing stations should be available in both the animal free area and the interaction area. An adequate number of hand washing facilities complete with soaps and disposable towels should be provided. The facilities should be accessible, sufficient for the maximum anticipated attendance, and designed for use by both children and adults. Communal basins should not be considered as adequate hand washing facilities.

    Community bands together to help girl infected with E. Coli

    A benefit was held Saturday for a 2-year-old girl sickened with E. coli in September proved to be a success. The fund-raiser brought in $428 for the Emilie Allen Benefit Fund.

    Emilie Allen, a 2-year-old girl from Bonne Terre, contracted E. coli 0157:H7 back in September. Allen soon thereafter suffered kidney failure and was forced to go on dialysis.

    The benefit was held from 6-9 p.m. with performances by Sheriff Dan Bullock and the Deputies Band. Donations were accepted throughout the evening.

    A benefit account for Emilie has been set up at First State Community Bank. The Bonne Terre Eagles recently presented Allen's mother Valerie Allen with a benefit check for $680.

    The St. Francois County Health Department conducted routine inspections at two local restaurants on Oct. 4 in an attempt to identify the source of the E. coli that sickened Emilie.

    The Daily Journal reports that:

    "We have not made any direct links to any of the food establishments that we inspected with the origin of the strain of E. coli 0157:H7," said Jon Peacock, Environmental Public Health Specialist. "We were given information from the family of the infected person of places they had eaten prior to being infected."

    "We also took a water sample out of the private well at the residence of the family," Peacock said. "It came back negative."

    Orange hit with E. coli

    North Carolina state fair ecoliThe Raleigh News-Observer reported today on three sick children, all of whom visited the State Fair petting zoo. The three Orange County children have been added to the list of those sickened by an E. coli infection linked to the N.C. State Fair.

    In addition to the three confirmed cases, the county lab is testing 13 other children who may have been infected and expects to have results by the end of the week. Two of the suspected cases are thought to be secondary infections spread among siblings within households, health officials said.

    All three Orange County children with confirmed infections -- one elementary school student and two preschool children -- visited the petting zoo at the fair, said Judy Butler, a Health Department nurse. All three became ill within a few days.

    State health officials announced Monday that they have collected enough information to identify the State Fair as the source of the E. coli outbreak but have not yet identified a specific exhibit or food vendor. State officials think the outbreak has sickened as many as 112 people statewide.

    Girl With E. Coli Home From Hospital

    David Sinclair of The Pilot reports that a 13-year-old Moore County girl who was among 35 people with confirmed cases of E. coli infection is back home from the hospital.

    Katie Maness, who is an eighth-grader at The O'Neal School, was released from UNC Hospitals in Chapel Hill on Saturday, her mother, Becky Maness said. She had developed a condition that severely affected her kidneys.

    On Monday, state health officials announced that they have collected enough information from the ongoing E. coli disease investigation to identify the State Fair as the source of the outbreak.

    Of the 35 confirmed cases, 32 of them had visited the State Fair before they became sick, including Maness.

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    Three Local Children Test Positive for E coli 0157

    The First Coast News reports that the Duval County Health department has confirmed its third case of E coli 0157 in children this year. Four year old Emma Kee is the latest to be diagnosed on the First Coast. Her symptoms started with a fever, then bloody diarrhea. Her mom, Trisha Kee says she's concerned it took three days for a hospital to diagnose the particular strain.

    Dr. Jeff Goldhagen of the Duval County Health Department says 0157 isn't typically tested for immediately because it's rare, though we've seen three cases in Northeast Florida. Goldhagen says it takes two cases where the patients are linked through one source for the county to declare an outbreak. In the three cases so far, there were no points of commonality. "Not where they ate, took field trips or even animals they touched."

    Kee encourages parents to ask as many questions as possible and ask specifically for an E coli 0157 test.

    Identifying the Path to Infection

    Medi-Lexicon reports: New protein structure is a first step toward preventing E coli diseases.

    Scientists from the US Department of Energy's Brookhaven National Laboratory and Stony Brook University have determined the two-dimensional crystal structure of a membrane protein involved in the process by which the Escherichia coli (E. coli) bacteria infects a human. This protein structure is a first step to better understanding how an E. coli infection begins, which may lead to information on how to block it.

    "E. coli is responsible for urinary tract infections, one of the most prevalent diseases in the U.S.," said Brookhaven biologist Huilin Li, the lead researcher on the study, described in the November 2, 2004, online edition of the Journal of Molecular Biology. "Between 50 and 80 percent of U.S. women will experience a urinary tract infection at least once during their lifetimes."

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    E. coli traced to fair

    NC state fair ecoli outbreakIn a bit more coverage of the North Carolina State Fair E. coli outbreak, the News Observer also reported today that the fair has been identified as the source of the outbreak which has sickened as many as 112 people. But the exact exhibit or vendor where the bacteria originated is not known, although two petting zoos are under consideration, as well as food vendors.

    E. coli, which causes severe diarrhea and can lead to kidney damage, is prevalent in healthy farm animals such as cows, sheep and goats, and is transmitted to people through contact with their feces. Most often, however, E. coli infections are caused by tainted food.

    Britt Cobb, the state agriculture commissioner, said the fair has worked with investigators to trace the source of the infection. Some fair patrons have noted that hand-washing kiosks at one of the petting zoo exhibits required a 25-cent deposit. But other stations were free.

    Continue Reading...

    State Fair identified as source of E.coli outbreak

    NC state fair ecoliState health officials today announced that they have collected enough information from the ongoing E. coli disease investigation to identify the state fair as the source of the outbreak. Health officials stressed that while a specific exhibit or concession within the state fair cannot yet be identified, the disease investigation can now focus on the most likely sources. In addition, state agriculture officials continue to assist with public health efforts.

    "More than 90 percent of the E. coli cases we've investigated during this outbreak were contracted during the time period of the state fair," State Epidemiologist Jeffery Engel said. "We have also determined that a large majority of the people who tested positive for E. coli during this time period indicated that they had attended the state fair. As our investigation continues we will attempt to determine the exact source or sources of the outbreak."

    At the time this news release was written, health officials were investigating 112 cases. A number of cases reported earlier have been dropped from the investigation because genetic testing conducted by the State Laboratory of Public Health determined that those cases are not associated with this specific outbreak.

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    N.C. State Fair identified as source for E. coli outbreak

    pettingzoo.jpgThe Daily Reflector reported today that the North Carolina State Fair has been positively identified as the source of a rash of E. coli infections, health officials said Monday, but where at the fair remains a mystery.

    State officials are investigating 112 E. Coli cases, none of which are in Pitt County. Of the 35 who have tested positive, 32 confirmed they visited the fair during the week before becoming sick.

    The closest infections to Pitt County are two confirmed cases in Wilson County. Wake County, the site of the fair, has the most with 17.

    Speaking during a news conference on Monday, the state's chief epidemiologist, Steve Cline, said officials don't know what at the State Fair caused the infections. The annual fair was held in Raleigh from Oct. 15-24.

    The event's petting zoo is a likely source, but food contamination is another theory, Cline said. Nearly half of the people infected are younger than five years old, and two-thirds are younger than 18. Officials believe children's sanitation practices could be the reasons, plus children are a little more susceptible.

    Number of E. coli cases rising

    Raleigh state fair ecoliThe Herald-Sun reports that three young children in Orange County now have been diagnosed with E. coli, and health officials are awaiting lab results on nearly a dozen more.

    All three children, a 5-year-old who attends Glenwood Elementary School and two who are in preschool, are doing fine, said Rosemary Summers, the county's health director.

    All three confirmed cases are linked to an E. coli outbreak at a petting zoo at the State Fair. Across the state, public health officials are investigating an outbreak of E. coli that has been confirmed in 35 people and is suspected to have infected 77 others in the state.

    Along with the three cases in Orange County, there are 11 more people who were tested after exhibiting symptoms of the illness. Those test results should start trickling back in later this week, Summers said.

    112 cases of E. coli infection suspected

    Suspected cases of E. coli infection have tripled since last week, as N.C. health officials narrowed their search for the source of bacteria to last month's State Fair.

    Health officials are now investigating 112 cases of possible E. coli infection, with 35 cases confirmed so far. Of the 35, 32 visited the Raleigh fair, which ran from Oct. 15-24, and half are children under age 5.

    "We're investigating all areas where people have contact with animals," including the fair's two petting zoos and other livestock exhibits, state epidemiologist Dr. Jeffrey Engel said Monday at a Raleigh news conference. "But there are other avenues of infection from E. coli. Contaminated food is also under investigation."

    If the N.C. outbreak turns out to be related to petting zoos or fairs, it will be one in a string of such outbreaks from Oregon and Washington to Ohio and Pennsylvania since 1998.

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    Still no link found in outbreak

    North Carolina health officials are now investigating at least 12 E. coli cases, many of which may be linked to a petting zoo at the N.C. State Fair.

    Early signs:

    The patients at Children's Hospital range in age from 15 months to 14 years, although hemolytic-uremic syndrome usually afflicts only young children. The syndrome can lead to death or long-term problems such as high blood pressure or chronic kidney problems in 10 percent to 15 percent of the cases, Benfield said.

    Initial signs of the illness are abdominal pain and prolonged diarrhea followed by bloody diarrhea. Several days later, patients can become pale and listless, the first signs of impending kidney problems.

    E. coli is a type of bacterium found commonly in the intestines of cattle that poses no risk to the animals but causes gastro-intestinal problems in humans. Meat that comes in contact with contaminated feces during the butchering or packing process can carry E. coli, but the bacteria is easily killed during cooking for most cuts of beef. However, ground beef could have the bacteria throughout the meat, not just on the surface, and the ground beef needs to be cooked all the way through to kill E. coli.

    That's why it's important to make sure all hamburgers are cooked until brown in the middle, said Ann Slattery, a toxicologist at Children's Hospital. If people eating in restaurants get hamburgers that aren't fully cooked, the meat should be sent back and returned on a fresh plate with a fresh bun, she said.

    Other precautions include drinking only pasteurized juices and milk, washing all fruits and vegetables in hot water, not drinking pool or lake water, and washing hands.

    Hospital Treats Several Children For E. coli

    The University of Alabama at Birmingham Children's Hospital is treating several children with E. coli bacterial infection.

    Jeremiah McCord, 2, was at the hospital undergoing kidney dialysis because of HUS. It's his third treatment. Jeremiah is one of seven children in the last month, five in the last week, to be treated at the Children's Hospital for the infection.

    No one knows how Jeremiah or the other six children contracted E. coli, but it's most commonly found in the intestines of cows and typically spreads in undercooked ground beef.

    Glenwood student diagnosed with E. coli

    The Herald-Sun reports that a Glenwood Elementary School student has been infected with E. coli. The student is doing fine, and will return to the school as soon as laboratory tests have confirmed the infection is fully resolved, according to a news release issued by the district.

    State officials, meanwhile, are investigating 20 confirmed cases of the infection that may be related to a petting zoo at the state fair last month. It was unclear Friday if the Glenwood student was one of those cases, or whether he or she had visited the fair.

    N.C. has largest outbreak of E. Coli since 2001

    The state's largest E. coli outbreak in three years is continuing to grow. Right now, health officials have confirmed 24 cases of the highly contagious bacteria.

    With North Carolina's worst E. coli outbreak since 2001, Tomerrial Boykin, a concerned Wilson mom, isn't taking her son's diarrhea problems lightly.

    The health department said around 40 possible cases, mostly in children, have been reported in recent weeks.

    Health officials have linked at least 15 cases to the State Fair.

    N.C.'s E. coli outbreak grows, 24 confirmed cases

    The Associated Press reports that North Carolina has confirmed more cases of infection with the E. coli bacteria, raising the total to 24 victims and 14 suspected cases Thursday.

    Health officials are awaiting genetic tests on some of the bacteria to see whether the cases are related. So far, the most common link among victims is that some visited the State Fair last month.

    Of the 38 cases being examined, at least 15 have some link to the State Fair and one person attended the Cleveland County fair. Seven people did not go to the fair, and investigators are awaiting information from others.

    "If it does turn out to be a petting zoo, there are thousands of people who were exposed, and they are widespread," said Dr. Jeffrey Engel, state epidemiologist. "People came to visit from other states."

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    No link found yet in outbreak of illness

    A rash of children have become sick since early October with an illness that can lead to kidney failure and is usually caused by E. coli infection.

    Children's Hospital has treated seven children since Oct. 8 for hemolytic-uremic syndrome, four of whom have needed dialysis because of kidney problems. Three of the patients have had confirmed E. coli infections, and the bacteria is by far the most likely culprit in the other cases, said Dr. Mark Benfield, a kidney specialist at Children's.

    The hospital usually treats five to 10 cases of HUS a year, Benfield said. Four of the patients are still at Children's. All seven are expected to make a full recovery, he said.

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    Durham, Chatham children get E. coli

    Durham County Health Director Brian Letourneau confirmed Tuesday that the 2-year-old Durham child was infected with a virulent strain of the common Escherichia coli (E. coli) bacterium. There are various forms of the bacteria, often found in feces and the digestive tracts of mammals, including humans.

    State and county health officials, however, are still trying to pinpoint the cause of the recent outbreak. A children's petting zoo at the N.C. State Fair is suspected in some cases, but Letourneau said it's possible there might be more than one source.

    E. coli suspected in 27 cases

    North Carolina State Fair E. coliThe number of E. coli cases under investigation rose to 27 Tuesday, with 18 confirmed, and North Carolina health officials opened a command center in downtown Raleigh to coordinate information as they work to trace the source of the bacterial outbreak, the News Observer reports today.

    The strongest lead so far is a petting zoo at the N.C. State Fair, but health officials were exploring other possibilities.

    Of the 27 cases under investigation, 14 have links to the State Fair, one attended the Cleveland County fair, six have not completed questionnaires with that information, and six did not attend the October fair in Raleigh.

    From the article:

    "We're not certain where it came from," said Bill Furney, a spokesman for the state Division of Public Health. "We're looking at all possibilities."

    Furney said the North Carolina cases still appear to be animal-to-human infections, hitting mostly children. So far, he said, no secondary, human-to-human infections have occurred. Some of the children attended school, however, and state health officials are working to make sure that the bacteria don't spread from that contact.

    Spread of the bug can be stopped with good hygiene -- in particular, frequent hand-washing. Furney declined to disclose where the children had attended school.

    N.C. reports 17 infected with E. coli

    North Carolina State Fair E coli OutbreakThe Associated Press reported today that North Carolina health officials have confirmed that 17 people have been infected with E. coli, a highly contagious bacteria that commonly lives inside of animals. Ten additional cases are suspected, the state Department of Health and Human Services said Tuesday. At least 14 of the cases have ties to the State Fair petting zoo, health officials reported Monday.

    That theory remains in question, though, because two people infected in Mecklenburg County got sick in early October, well before the Oct. 14 fair opening.

    From the article:

    "It's going to be tough" to trace the source, said state epidemiologist Dr. Jeffrey Engel.

    The victims are mostly children from across the state: Chatham, Cleveland, Durham, Harnett, Lee, Mecklenburg, Wake, Wilson and Union counties. State officials have sent the stricken families a 14-page survey, asking where the victims had been, what they had eaten and with whom they had come in contact in the days before becoming sick.

    Scientists at the state laboratory are running DNA tests of the bacteria that infected the victims to determine whether the cases are related. Results might be available later this week.

    The petting zoo had goats and sheep, animals that carry E. coli in their intestines. The bacteria is passed to humans through feces.

    Testing on the animals has not occurred, because the link to the petting zoos has not been confirmed.

    Agriculture Department officials said they have contacted the two firms that ran the petting zoos during the 10-day fair. One company, Commerford and Sons, has headed to its next show in South Carolina. The other, Crossroads Farms, only does a few shows a year.

    "I'm not sure what actions they are taking," said Brian Long, an Agriculture Department spokesman. "They are aware that there are cases in North Carolina, and that the State Fair is a commonality in some of those cases. We're waiting to hear some determination from public health at this point."

    It's unclear what the state would do if the cases are linked to one of the petting zoos.

    E. coli possibly tied to State Fair petting zoo

    NC State Fair Ecoli State officials said nine of 16 cases of E. coli bacteria around the state, including a sick Mecklenburg toddler, may be linked to the petting zoo at the N.C. State Fair.

    A spokeswoman stopped short of saying the outbreak stemmed from the fair, but "I know that nine of them did attend the state fair" and more than one said they had been to the petting zoo.

    E. coli is found in feces, and humans become ill if they drink or eat anything containing the bacteria. The most common way to contract it is from improperly cooked or handled food, but it can be passed on from animals.

    The N.C. State Fair ran Oct. 15-24 in Raleigh. More than 800,000 people attended.

    "Obviously, we're concerned," said Brian Long, a spokesman for the state Department of Agriculture, which organizes the fair. "We are very interested in the progress of the public health investigation."

    Carmel Clements, Mecklenburg County's director of communicable disease control, said a 21-month-old girl who has E. coli had gone to the petting zoo at the fair.

    "There is a connection" to the other reported cases, she said. "If it turns out to be the same strain, I don't know."

    E. coli sickens seven people

    At least seven people, most of them children, have been infected by E. coli in an outbreak that may point to the North Carolina State Fair's petting zoo.

    State health officials alerted local physicians, health departments and hospitals this weekend to be on the lookout for more cases. Doctors already are awaiting test results in several other suspected cases. Health officials are also urging parents to keep sick children at home.

    E. coli -- a type of bacteria found in the intestines of otherwise healthy livestock -- are spread through feces and can cause severe nausea and bloody diarrhea. An infection can be particularly harmful to young children.

    Nearly all of the confirmed cases are children, state officials said. Of the confirmed cases, two are in Wake County, two are in Lee County, one is in Wilson County and two are in Mecklenburg County.

    State Fair officials have tried to alert the owners of the petting zoo animals, R.W. Commerford and Sons of Connecticut, of a potential problem. These animals -- goats, lambs, pigs and a few zebras and antelope -- travel the fair circuit up and down the East Coast, State Fair manager Wesley Wyatt said.

    State fair visitors warned

    Local health officials are warning people who visited the petting zoo at the North Carolina State Fair to be on the lookout for possible symptoms of an E. Coli outbreak. Three Wake County children fell ill with the bacteria this week.

    The children had been to the petting zoo at the state fairgrounds in Raleigh, where they apparently came in contact with the bacteria and contracted hemolytic uremic syndrome, or HUS. It's a disease that can affect young children, attacking red blood cells, and in rare cases, leading to kidney failure.

    Common symptoms include bloody diarrhea and abdominal cramps and usually develop within two to eight days of exposure. The illness typically is spread through particles of fecal matter on the hands and later ingested when the child eats without washing his hands.

    "We want to make sure that any child who attended the petting zoo and their parents are on the lookout for these symptoms," Joey Huff, Lenoir County health director, said. "If these symptoms appear we urge them to seek immediate medical attention."

    7 E. coli cases verified in N.C.

    At least 2 suspected E. coli cases are linked to the state fair in Raleigh. State officials Sunday night said they have confirmed seven cases of E. coli in four counties, including two in Mecklenburg, the Charlotte Observer reports.

    A spokeswoman said state health officials are investigating last month's fair in Raleigh as one possible cause of at least two confirmed Wake County cases, and a third suspected case.

    From the article:

    "There are three cases that seem to have that in common, but the investigation is not yet done," said Carol Schriber, a spokeswoman for the state Department of Health and Human Services.

    The fair ran from Oct. 15 to 24, and drew more than 800,000 people.

    Schriber said most of the confirmed cases were children, including the three Wake County cases.

    Wake, Lee and Mecklenburg counties each have two confirmed cases, state officials said in a statement. Wilson County has one.

    State Fair May Be Common Link Among E. coli Cases

    Health officials are currently trying to determine if a petting zoo at the N.C. State Fair is the common link between five children, three of which live in Wake County, who are infected with E.coli.

    From a WRAL.com article:

    Gibbie Harris, Wake County's community health director, says it's not uncommon for animals that have stepped on their own E. coli-infected feces to then jump on children.

    A spokesperson says the Department is currently evaluating the situation.

    Harris warns that parents should seek immediate medical attention if their child has bloody diarrhea, as this may be a sign of infection.

    E. coli identified here

    Lee County health officials are warning the public to take necessary precautions after two cases of E. Coli were discovered on the same day. The two cases were found in unrelated individuals - a small child and an adult, both of whom are recovering - whose paths have apparently not crossed in the past 10 days. That has stumped health officials trying to determine the cause of the bacterial disease.

    Roy Warren, a county environmental health official, said investigators don't know if the cases are related. Although this is the first known E. Coli outbreak ever in Sanford or Lee County, Warren said investigators haven't found any commonalities in the places the two victims ate or even bought groceries.

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    Source of E. coli remains a mystery

    The Monitor-Index Reporter reports that the man who tested positive for E. coli in Randolph County has now tested negative for the bacteria. According to the Randolph County Health Department. Janet Murray, Environmental Health Supervisor for the Department said he was "retested and he and his family are fine."

    From the article:

    Murray said because the case was isolated it was difficult to track down exactly where he contracted the bacteria, however it is believed the organism came from a hamburger from a local fast-food restaurant. He originally tested positive on October 8.

    "If we had gotten another case, it would have been a lot easier to track," Murray said. "We then could have narrowed it down and figure out if it was somewhere he ate." E. coli can be contracted a number of ways from uncooked ground beef and unwashed vegetables to unpasteurized apple cider. Murray said the original alert was put out to remind restaurant employees of the dangers of E. Coli.

    Surprisingly, Murray said it has been a number of years since a Randolph County resident was known to be infected with the 0157:H7 strain of the bacteria.

    "It's kind of a quandry...you can get it from just about anywhere," Murray said. She warned that unpasteurized cider, a popular fall-time drink, can be a source of the bacteria. Most orchards in Randolph County pasteurize their cider.

    Murray urged residents not to panic but encouraged them to take precautions. To avoid getting E. coli residents should wash their hands regularly, wash fresh vegetables, and order burgers that are well done.

    "Watch children carefully and make sure that are taking all the precautions," Murray said. Children are more susceptible to the bacteria and it can oftentimes lead to fatal results by shutting down their kidneys.

    Child with E. coli remains on dialysis

    Chris Cline of the Daily Journal reports that wo-year-old Emilie Allen remains on dialysis in a St. Louis hospital after nearly a month since she was diagnosed with a strain of E. coli 0157:H7. The 2-year-old Bonne Terre girl is believed to have contracted the strain of bacteria on or around Sept. 18.

    Emilie's mother Valerie (Pinkston) Allen said her daughter is now on dialysis 16 hours a day compared to around the clock.

    From the article:

    "She has started to get a few wet diapers," said Allen. "By Thursday we are hoping to know if Emilie is going to have to continue with dialysis. She still isn't eating on her own yet. She drinks in the morning, but then she turns right around and vomits."

    The St. Francois County Health Department conducted routine inspections at two local restaurants on Oct. 4 in an attempt to identify where the strain of E. coli originated that infected the 2-year-old Bonne Terre girl.

    Confirmed case of E. coli in Randolph County

    The Oberly Monitor-Index reports that the Randolph County Health Department has announced that there has been a positive human case of E. coli 0157:H7 within the county, and urges all consumers, food workers, and restaurants to be certain that all ground meats are thoroughly cooked.

    Environmental Health Supervisor, Janet Murray reports that "E. coli 0157:H7 is the organism that has been responsible for several deaths in children over the last few years. E. coli is found in the intestinal tract of cattle, deer and humans and has been the cause of numerous outbreaks of bloody diarrhea from undercooked hamburger, unpasteurized milk, unpasteurized apple cider and alfalfa sprouts, as well as other food items. It has been documented that swimming pool water and natural waters also can carry the bacteria."

    Transmission of E. coli is mainly by ingestion and takes from 2 to 8 days to develop. The infectious dose is very low, and children are at risk to develop HUS (hemolytic uremic syndrome). General symptoms include diarrhea (usually bloody), abdominal cramps and fever. Anyone with those symptoms should seek medical treatment, contact the Health Department, and request a stool test to isolate the organism. Also a reminder that food-handlers that experience diarrhea are not permitted to handle foods while ill. With some diseases, such as E. coli, Hepatitis A, Salmonella typhi, and Shigella, a positive food handler is not even allowed within the premises."

    Murray also adds that prevention of the disease is good basic sanitation, good handwashing practices and properly cooking foods, especially ground beef.

    Any person with questions is encouraged to contact the Randolph County Health Department at 660-263-6643.

    Health department inspects restaurants, seeks source of E. Coli

    Chris Cline of the Daily Journal reports that the St. Francois County Health Department conducted routine inspections at two local restaurants on Monday in an attempt to identify where a strain of E. coli 0157:H7 originated that infected a 2-year-old Bonne Terre girl.

    From the article:

    "We have not made any direct links to any of the food establishments that we inspected with the origin of strain of E. coli 0157:H7," said John Peacock, Environmental Public Health Specialist. "We were given information from the family of the infected person of places they had eaten prior to being infected. Typically we like to have nine days of food history prior to the infection. The family struggled with naming anything beyond the day prior to the illness."

    "We also took a water sample out of the private well at the residence of the family," Peacock said. "It came back negative."

    "We want to stress to the public how serious this is," said Maserang. "People really need to pay attention and take precautions when eating out and eating in their own homes."

    Emilie Allen remains on life support at Cardinal Glennon Hospital after contracting E. coli 0157:H7 on Sept. 18.

    Foothill Folks: Angels Camp family shifts priorities

    The Calaveras Enterprise did an article called Foothill Folks: Angels Camp family shifts priorities about Mike and Staci Kristoff of Angels Camp, who nearly lost their five-year-old son Nicholas to an E. coli infection.

    From the article:

    "Just watching Nicholas go through what he went through, we sort of changed our priorities," Staci said.

    Nicholas spent all of May in the Intensive Care Unit of Oakland's Children's Hospital after he developed severe kidney complications from an E. coli infection.

    His liver and kidneys essentially shut down and pneumonia collapsed his lungs.

    Amazingly, Nicholas is 100 percent better and his kidneys show no sign of damage, Staci said.

    Nicholas was one of six E. coli cases that broke out this spring, which included Nicholas' infant sister Abigail, a 3-year-old girl who attended day care at the Kristoff's house, and three teenage boys who exhibited beef at the Calaveras County Fair.

    Child with E. coli on life support

    The Daily Journal did a story on a 2-year-old girl who is on life-support. The mother of the girl said she believes her daughter Emily and her 1-year-old son Carter contracted E. coli on Sept. 18.

    The St. Francois County Health Department acknowledged Thursday a presumptive case of E. coli that has been reported in St. Francois County on September 27. According to officials with the county health department, the investigation is ongoing and test results are expected to come back next week.

    E. Coli Found in Sacramento Area Restaurant

    KTXL reports that Dr. Glenna Trochet of Sacramento County's Public Health Department confirmed today an investigation is underway over an increase in E. coli cases in the area Last year the county saw 6 reported cases. This year, 14 have come in so far.

    Loyal customers of Garcia's Mexican Restaurant in Carmichael were shocked to see it closed today. A sign on the door said the restaurant was not open due to "electrical problems." The Health Department confirmed that more than one person who contracted e.coli in the county said they had eaten here recently.

    A manager at Garcia's told Fox40 only that the restaurant did have an electrical problem today.

    The Health Department found Garcia's committed some minor violations back in August of last year pertaining to sour cream and cream cheese not being stored at the proper temperature.

    A spokesperson from Garcia's Corporate Office said in taking a proactive approach the company shut the restaurant in Carmichael down so that the regular pace of business wouldn't interfere with the health department's investigation.

    As far as the signs on the doors, the restaurant is doing preventive maintenance on the electricity while the health department is taking sample food and conducting culture tests.

    E. coli strikes Olympia toddler

    The Olympian reports that a local toddler has been hospitalized with E. coli, a bacteria that in severe cases can lead to deadly complications. Samantha Hatcher, 2, became ill during the weekend with bloody diarrhea and is at Children's Hospital and Regional Medical Center in Seattle.

    The toddler was stable Thursday, according to a hospital spokeswoman. County health officials reported earlier in the day that she was in critical condition. The county has received no other reports of E. coli.

    Officials are investigating how Hatcher became infected, according to County Health Officer Diana Yu. They tested the tap water where the Hatcher family lives and found it clean of the bacteria.

    The family doesn't know how Hatcher got E. coli. The toddler was playing at a pool where there were other children during the weekend.

    E. coli cases are linked to meat sold at Sam's Club

    The Star Tribune reports that five people in Minnesota and Wisconsin have been infected with E. coli bacteria traced to ground beef bought at Sam's Club stores in July, the Minnesota Department of Health reported Tuesday.

    The four infected Minnesotans, including one child, became ill between July 10 and July 24. All five have recovered, although one Minnesotan was hospitalized, state officials said. Health officials say they are concerned that it could be the beginning of a much larger outbreak.

    Up to 500,000 pounds of suspect meat was sold to Sam's Club in late June, according to officials from the meat processor, Carneco Foods of Columbus, Neb. Company officials said it is impossible to know yet how much of it has been consumed or how much might still be in people's freezers.

    In Minnesota, the E. coli infections were linked to meat bought at the Sam's Club stores in White Bear Lake and Eagan. The Wisconsin case of E. coli 0157:H7 was linked to the store in Waukesha.

    State health officials said that Sam's Club removed all of the remaining suspect meat from its shelves Tuesday.

    While no other cases of infection from the bacteria have been reported, officials say they don't yet know how many of the national discount retailer's 500 stores have sold the meat.

    Tests trace E. coli contamination in Quebec to Alberta slaughterhouse

    The Canadian Press reports that three of six Quebecers hospitalized this month ate beef contaminated with E. coli that has been traced to an Alberta meat-packing company, a Quebec Agriculture Department official said Wednesday. The department traced the contaminated meat sold at a supermarket in St-Eustache, north of Montreal, to XL Meats.

    The three cases from St-Eustache are related to the consumption of beef coming from XL Meats in Alberta. The other cases aren't related.

    From the article:

    An elderly Quebec woman died after eating contaminated meat. However, her case and those of two other people who fell ill couldn't be traced to any particular source, said Ramsay.

    One of the six females between the ages of 14 and 82 ate the ground beef raw, another ate a burger cooked medium-rare. Cross-contamination may have been involved in the other cases.

    The Quebec department had issued a recall of meat sold July 1-7 at a Metro supermarket.

    A second unrelated recall from three other supermarkets north of Montreal and from a store in Churchill Falls, Labrador, was ordered after the meat tested positive for the E. coli 0157:H7 bacteria. There were no reported illnesses associated with that recall.

    Cantaloupe blamed for E. coli illness

    The Billings Gazette has reported that cantaloupe appears to be the culprit that caused several children to fall ill at a Billings day-care center.

    Medical sleuths at the Yellowstone City-County Health Department deduced that the tainted melon was the likely source of an E. coli O157:H infection that sickened at least six children, ages 18 months to 5, at the Little Seeds Early Childhood Center, 2800 Fourth Ave. N.

    The news was announced Friday by Dr. Doug Moore, chief medical director and assistant health officer for the Yellowstone City-County Health Department.

    How the cantaloupe became infected with the bacteria is still under study and may never be known, Moore said. Lab tests confirmed that six children were infected with this particular E. coli strain. In some cases, E. coli O157:H has been known to cause serious illness in children, including kidney problems, and require hospitalization. None of the Little Seeds youngsters needed hospital care, Moore said.

    Interviews with parents and Little Seed staff revealed that more people may have been infected with E. coli, but those cases have not been confirmed with a lab test. The interviews also helped health department investigators pinpoint the source of the problem, Moore said.

    While investigating the E. coli outbreak, the health department also discovered eight cases of campylobacteriosis in children associated with the Billings day-care center. Three of the eight also had the E. coli infection.

    Like E. coli, campylobacteriosis is a bacterial infection with symptoms of diarrhea and abdominal cramping. Unlike E. coli, campylobacteriosis symptoms also may include fever and/or vomiting.

    Both infections occur two to five days after exposure, last about a week and generally clear up on their own. Campylobacteriosis, often associated with handling raw poultry or eating undercooked poultry, is much more common than E. coli and much less likely to cause serious complications.

    2 children get E. coli illness, closing day care

    Susan Olp of The Billings Gazette reported today that at least two children who attend Little Seeds Early Childhood Center in downtown Billings are ill with an E. coli infection that is potentially serious and can be transmitted to others. The outbreak led the day-care center to voluntarily close until the end of the week while the Yellowstone City-County Health Department investigates.

    One child was diagnosed in Billings and the other in Bozemant. The health department is not certain if something at the day-care center was the source of the infection, or if it is coincidental that the two children both attend there.

    After the health department learned of the two cases at Little Seeds at 2800 Fourth Ave. N., the daycare closed the same afternoon. Little Seeds is scheduled to reopen Monday.

    They are hopeful that the illness is linked to a one-time incident and not an ongoing problem.

    3 Cases Of E.Coli In Pierce County

    KOMO 4 reported yesterday that two children remain hospitalized while E. coli attacks their kidneys. The third child is recovering at home. Local health experts are working hard right now trying to pinpoint the source of what appears to be three cases of E. coli bacteria poisoning in Pierce County.

    Jena Richardson, 15, has been hospitalized since Friday. Since then, her condition has deteriorated. The E. coli is now attacking her kidneys, a serious sign. There is no antibiotic, no medicine that will cure this. For parents, it's hell to watch.

    Brydan Martinez, 2, was admitted to the hospital one week ago. He went four days with 103 degree fever, and the E. coli is also affecting his kidneys. Brydan's older brother was also hospitalized, but he's recovered.

    With the other two children it's a day by day, hour by hour, situation.

    Both families believe their children got sick after eating hamburgers grilled at home. The health department is looking for the source. Finding the source quickly and warning others is critical because this disease can be deadly.

    Both children are still in serious condition. The markers doctors watch for are still spiraling downward, however not as quickly as they were initially so that is somewhat of a good sign.

    Our state averages about 200 cases of E. coli each year. The cases spike during the summer, mainly because of the increased number of people cooking outdoors.

    E. coli is most often traced to hamburger that's not cooked well enough, as well as sprouts, lettuce, salami and unpasteurized milk or juice.

    Morris Park day care center awaits E. Coli testing

    The For Kids Only Day Care and Nursery in Morris Park is facing a very important test on Wednesday. Department of Health officials will tour the facility Wednesday to make sure there are no traces of E. Coli present.

    The owner of the For Kids Only Day Care and Nursery is confident about the tour. A team of outside lab technicians checked the entire business over the weekend and said there were no traces of E. Coli bacteria.

    On Tuesday, 40 employees of the day care center came in on their day off for basic hygiene training from Department of Health officials. Employees were shown how to make sure children washed their hands after using the bathroom and how to have children take their shoes off for nap time. Employees were also reminded that they can only serve food with latex gloves.

    If the day care center passes the Department of Health test, the center should be open on Thursday.

    Three of the five children that recently tested positive for E. Coli attended the For Kids Only Day Care and Nursery .

    E. coli ties with other states possible

    The Union Democrat reports that the possible link between 12 cases of E. coli found in California, Michigan, Missouri and Ohio is still being investigated by the Centers for Disease Control. Strains found in victims in each of those states are extremely similar and could lead to a source of the disease, health experts say.

    From the article:

    "All of the states that have those cases, it's not a perfect match, but they are markedly similar," said Colleen Tracy, Calaveras County public health director. "There are small, subtle differences in the DNA. ... We expect to hear about whether they (the CDC) think those cases are related and the source."

    Of the 12 people who got the similar strain of E. coli, three live in Calaveras County, two were from Michigan, five were in Jasper County, Mo., and two others were in Ohio.

    "We have not yet identified a source," Moehr said, adding that officials investigated the children's recent food histories. "We assume they are connected to the day-care."

    The three cases from Calaveras County that might be linked to the other states' cases occurred in two brothers from Murphys, ages 14 and 17, and a 13-year-old Angels Camp boy. The three exhibited cattle at the Calaveras County Fair and Jumping Frog Jubilee, held May 13-16.

    It has not been confirmed that the teens contracted the infections at the fairgrounds, but county public health officials said they each share that common history.

    Three Wash. residents infected with E. coli

    Local KING 5 News reported yesterday that public health experts in Pierce County are trying to track down what could have sickened three people with e-coli. Those three, including a young child, are all in local hospitals.

    From the article:

    "They're checking with family members trying to find out if the 3 people ate at the same restaurant -- ate food bought at the same grocery store and so forth," said Joby Winans of the Tacoma/Pierce Co. Health Dept.

    Chuck Richardson's 15-year-old daughter Jenna is having a difficult time. He thinks she got sick from an undercooked hamburger grilled at home.

    "She got halfway done and looked at it and said it was pinking and said 'it's not done,'" said Richardson.

    Health department officials say cases like these are not unexpected in the summer, but they are determined to find the source of the e-coli.

    "Certainly we want to prevent it if we can so we are trying to find out what that source is, so the people know and eliminate the problem," said Winans.

    It is possible to pick up E. coli from a number of sources, including undercooked beef, contact with farm animals or from people who are already sick.

    Most people do recover, but the very young and very old are most at risk.


    Information on E. coli:

    Escherichia coli is an emerging cause of foodborne illness. An estimated 73,000 cases of infection and 61 deaths occur in the United States each year. Infection often leads to bloody diarrhea, and occasionally to kidney failure. Most illness has been associated with eating undercooked, contaminated ground beef and person-to-person contact. Infection can also occur after drinking raw milk and after swimming in or drinking sewage-contaminated water. Consumers can prevent E. coli infection by thoroughly cooking ground beef, avoiding unpasteurized milk, and washing hands carefully.

    3 Children at Bronx Day Care Center Infected With E. Coli

    The New York Times has also reported on the day-care center E. coli situation, where three young children who attend the same day care center in the Bronx have been infected with the E. coli bacteria. City health officials are investigating whether as many as 18 other children at the day care center are also infected with the same bacteria.

    The Times reports that two of the infections, which occurred at the For Kids Only day care center at 904 Morris Park Avenue, were first reported to city officials by physicians at a Bronx hospital last Friday, said Dr. Don Weiss, the director of surveillance for the Bureau of Communicable Diseases, which is part of the City Department of Health and Mental Hygiene. Another case was reported on Monday.

    From the article:

    The children range in age from 7 months to 3 years old, Dr. Weiss said. A fourth child, who does not attend For Kids Only, has also been infected, Dr. Weiss said, and may have had contact with children who do attend the center.

    All four children were initially hospitalized, but only one remains in the hospital, in stable condition, Dr. Weiss said.

    The exact cause of the outbreak has yet to be determined.

    As soon as city officials learned of the outbreak, they sent a medical team, including an epidemiologist, to the day care center. They then called the families of all the children who attend the center regularly to see if they had developed symptoms of infection. The families of 18 children reported possible symptoms.

    The owners of For Kids Only are cooperating with the investigation and have voluntarily closed its doors, Dr. Weiss said.

    Some levels of the E. coli bacteria are normally found in the intestines of humans and animals. Although most strains are harmless, the strain found in the children, known as E. coli 0157:H7, can cause a diarrheal illness that sometimes leads to kidney damage and severe illness.

    The spread of infection is usually caused by poor sanitary practices like inadequate hand-washing after the handling of diapers and the unsafe preparation of food.

    Dr. Weiss said that the day care center has no cafeteria and serves food that the children bring from home.

    As many as 180 children, from 6 months to 5 years old, regularly attend the center, Dr. Weiss said.

    He said outbreaks of E. coli at a day care center occur every now and then around the country but none had occurred in New York City in recent memory.

    E. Coli Outbreak Hits Bronx Day-care Tots

    The New York Post reported Friday that a potentially deadly strain of E. coli bacteria hospitalized three toddlers at a Bronx day-care center and may have sickened 18 others, authorities are reporting, at the For Kids Only day-care center in Morris Park.

    According to the city Department of Health and Mental Hygiene, a fourth child who's from the neighborhood but didn't attend the center was also hospitalized in the outbreak,. One of the children was still in the hospital yesterday in stable condition.

    From the article:

    "Fortunately, all of the children are doing well at this point," said city Health Commissioner Thomas Frieden.

    The infected children range in age from 7 months to 3 years old.

    E. coli is normally found in animal and human intestines and feces, and most strains are harmless.

    But the strain that struck the day-care center -- known scientifically as E. coli 0157:H7 -- can cause bloody diarrhea and sometimes causes kidney damage, which can bring on more severe illnesses.

    City health officials said they weren't sure how the children got infected. However, the center told parents the children may have picked up the illness during a visit to the Bronx Zoo, one parent said.

    A health inspection Monday, after the outbreak was discovered, found several violations, including a failure to clean toys with bleach water, a failure to remove children's shoes at nap time, and a lack of paper towels, city records show.

    Children in day-care centers are particularly at risk for getting and spreading the disease if they have poor hand-washing habits, researchers say.

    The center passed its annual health inspections in April 2003 and last March.

    For Kids Only, which serves about 80 children, is owned by Bronx residents Dennis Garafalo and Carol Rhoades, who could not be reached yesterday.

    Garafalo cut short a vacation to fly back to New York to deal with the situation, Rhoades' daughter said.

    For Kids Only remained shuttered yesterday. An area businesswoman said that a few days ago, she saw workers give the premises a top-to-bottom scrubbing.

    Neighbors said the center has been in business for 14 years. "They are very clean, very health conscious," said Rosemarie Vicale, who worked at For Kids Only for six years and who sent her own child there.

    One parent who asked not to be identified said she had a lot of confidence in the center. "The people are very conscientious," she said. But another woman who was considering enrolling her 21/2-year-old daughter in the center said she'd take her elsewhere. "With your kid, you can't take any chances," said Eva Hernandez, 24.

    Two strains of E. coli identified

    Yesterday the Union-Democrat reported that according to the Calaveras County Health Health Officer Dr. Dean Kelaita, six Calaveras County children diagnosed in recent weeks with E. coli have two different strains of the virus.

    DNA testing by the state Department of Health Services shows that the first three children diagnosed in early May have the same strain. But the other three -- all teenagers later found to have E. coli -- have a different strain.

    From the article:

    A 13-year-old Angels Camp boy who exhibited cattle at the May 13-16 Calaveras County Fair was diagnosed June 11. Two brothers from Murphys, ages 14 and 17 who tested positive for E. coli were also exhibitors.

    The DNA testing on the E. coli strain these three teenagers had closely matches the strain found in E. coli cases in Michigan, Missouri and Ohio, Kelaita said.

    The first Calaveras County children diagnosed with the bacteria were Nicholas Kristoff and his 8-month-old sister Abigail. Nicholas, 4, of Angels Camp, developed an E. coli-related kidney complication called Hemolytic Uremic Syndrome and was sent to Oakland Children's Hospital early last month. Nicholas was in critical condition for nearly three weeks, but has since recovered and is back home.

    Soon after, another 3-year-old girl who received care from the Kristoff children's mother, Staci Kristoff, tested positive.

    All those children had the same kind of E. coli infection.

    Officials can't find E. coli link

    Today Wally Kennedy, a staff writer for the Globe, reported that when two cases of E. coli infection involving children emerged last month near Carthage, and a third case involving a St. Louis child who visited Jasper County occurred at roughly the same time, health officials immediately suspected a common link. That's because E. coli infections are rare. Three of them happening at the same time signals to communicable-disease investigators that a common source of exposure is likely.

    From the article:

    "It was very suspicious," said Tony Moehr, director of the Jasper County Health Department. "We suspected a link early on because the probability of one was great. But, the evidence did not show any link. It's unusual to have two cases with similar onset dates without there being a link."

    "We looked at the ground meat they consumed and the grocery stores where it was purchased," Moehr said. "The beef came from different sources. One of the children does not eat beef products, only chicken. We tracked every piece of information we could find about their foods and their activities."

    Investigators also checked beef-recall records. There was a beef recall shortly before the outbreak, but none of the suspect beef was shipped to this area based on shipping records, Moehr said.

    The outbreak started in late May and apparently has ended, with no other cases having been reported. One of the children from the Carthage area was the index case for multiple cases that subsequently emerged at a Joplin day-care center. The index child from Carthage and four children at the day-care center developed hemolytic uremic syndrome or kidney failure that required hospitalization. They have since recovered.

    The other child from the Carthage area also developed the syndrome, but had no connection to the other child from Carthage and was not enrolled in the Joplin day-care center.

    The outbreak affected a dozen or so children in the day-care center. The serious cases in the center were confirmed through lab tests as E. coli.

    Each year in the United States, an estimated 73,000 cases of infection and 61 deaths occur because of E. coli, according to the federal Centers for Disease Control and Prevention. Most illnesses are associated with eating undercooked ground beef. Person-to-person contact within families and child-care centers also is a factor.

    Pekarek said it is likely that the source of the exposure involved the children's environment. One of the more prominent possibilities is improperly cooked hamburger.

    E. coli outbreak over, say officials

    In an article published June 17, Globe staff writer Wally Kennedy reported that city and county health officials believe an E. coli outbreak late last month and early this month that caused serious illnesses in at least six children, most of whom attended a Joplin day-care center, has ended.

    From the article:

    The outbreak may have affected a dozen or so children in the day-care center, but only five developed life-threatening symptoms, such as hemolytic uremic syndrome or kidney failure, that required hospitalization. An additional child, also seriously affected, did not attend the day-care center.

    Federal privacy laws shield the identities of the children, where they were hospitalized and their medical conditions upon release from the hospital.

    But, local officials say all of the children have recovered from their bouts with the bacteria, identified as E. coli 0157H7. E. coli bacteria are found in the intestines of some animals, such as cattle. The presence of the bacteria in water can indicate fecal pollution.

    Local produce linked to E. coli outbreaks

    The Salinas Californian's story Local produce linked to E. coli outbreaks reports that contamination of lettuce and spinach grown in the Salinas area is blamed in three major food-illness outbreaks since 2002, although state investigators have been unable to pinpoint the sources of bacteria that killed one elderly woman and sickened at least 114 other people.

    From the article:

    All three incidents, two in California and one in Washington state, involved the most dangerous form of the bacteria E. coli -- type O157:H7.

    This form, which can lead to kidney failure in the worst cases, is more often transmitted in food handling than during cultivation or processing. But in two of the outbreaks, multiple contaminations of lettuce from the same shipments in different places suggest that trouble occurred before the produce reached food preparers.

    "The multiple sources of romaine involving two distant states suggest that contamination was not caused by consumers or a food handler," said a Washington State Department of Health report released in March 2003. "It is likely contamination occurred prior to lettuce distribution."

    At least 16 victims were hospitalized with symptoms that included severe cramping, vomiting and bloody diarrhea, according to official reports. All survived except for a resident of a Bay Area retirement community, who ate contaminated spinach in October 2003, and a fellow resident, who was hospitalized for bacterial infection and died days later of an unrelated cause, the San Mateo County Health Services Agency said.

    Following each of the outbreaks reported between July 2002 and October 2003 -- at a drill-dance camp in Washington state, a restaurant chain in San Diego County and the retirement community in Portola Valley -- California health officials completed extensive investigations around Salinas.

    All three outbreaks involved produce that had been cut in advance for convenient use, as opposed to heads or bunches.

    Health officials study E. coli cases

    Yesterday the Union Democrat reported that the discovery of five cases of E. coli in children ranging from 8 months to 17 years has kept the Calaveras County Public Health Department very busy this month.

    From the article:

    For each child infected with the bacteria, communicable disease control nurse Jane Loeffler has conducted contact investigations. She's spoken with the infected children or their parents to determine where they've been, what they've eaten and who they've been around. She's looked into anything that could lead to a source of infection.

    "We have a big binder in the health department. It's called 'big blue,'" said Public Health Officer Dr. Dean Kelaita, who has held that position since 2000. "In this, we have protocols on how to approach all of these diseases we might encounter."

    The first and most important step is to find out if there's a common link, such as one place to which each infected child went to or a certain food each ate.

    "If it's a food-borne outbreak or illness (such as E. coli) ... if there's a source in the community that the person had gotten that from -- that would mean other people are at risk, too," said Kelaita.

    So far, no common community source has been discovered and it's unknown if the bacteria found in three young Angels Camp children in early May is related to that discovered in two Murphys teens Monday.

    Read the full article.

    5 infected with E. coli in Calaveras

    Francis P. Garland, Lode Bureau Chief, published today that two Calaveras County teenage brothers have been infected with the same virulent strain of the E. coli bacterium that has left a young Angels Camp boy hospitalized with serious kidney problems for the past three weeks. Read the full article.