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.

FSIS Finds E. Coli In Cascade Natural & SP Beef Products; Recall Impacts Washington & Oregon

Portland, OR-based SP Provisions is recalling approximately 39,973 pounds of 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 today.

The products subject to recall include:

Cascade Natural Beef Brand: 

  • 5-pound and 10-pound bags of ground beef. Each package bears the identifying case code "13-016G."
  • 5-pound and 10-pound bags of chili grind. Each package bears the identifying case code "13-016C."
  • 15-pound boxes of ground beef patties. Each package bears the identifying case code "13-016GP."

SP Provisions Brand:
  • 5-pound and 10-pound bags of ground beef. Each package bears the identifying case code "01-136."
  • 5-pound and 10-pound bags of chili grind. Each package bears the identifying case code "01-136C."
  • 15-pound boxes of ground beef patties. Each package bears the identifying case code "01-136P."

Each identifying case code is preceded by the date code "040809" through "052809," signifying the production date in "month/date/year" format, i.e. April 8, 2009 through May 28, 2009. Additionally, each product bears the establishment number "EST. 2866" inside the USDA mark of inspection. 

These ground beef products were produced on various dates from April 8, 2009 through May 28, 2009, and were distributed to retail establishments as well as hotels, restaurants and institutions in Oregon and Washington. The products, produced from the same source material, were sent into commerce prior to May 29, 2009.

The E. coli contamination was discovered through FSIS microbiological sampling. FSIS has received no reports of illnesses associated with consumption of these products. Individuals concerned about an illness should contact a physician.

Ohio Reports Cluster Of E. coli 0157:H7 Infections Leading To Ground Beef Recall: Are More E. coli Lawsuits In the Future?

 

The Ohio Department of Health reports a cluster of E. coli O157:H7 infections in Ohio, Pennsylvania, and Illinois, prompting FSIS to announce a HIGH HEALTH RISK, CLASS I RECALL.

ILLINOIS FIRM RECALLS GROUND BEEF PRODUCTS DUE E. COLI O157:H7 CONTAMINATION

Valley Meats LLC, a Coal Valley, Ill., establishment is recalling approximately 95,898 pounds of 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 today.  The problem was discovered through an epidemiological investigation of illnesses. On May 13, 2009, FSIS was informed by the Ohio Department of Health of a cluster of E. coli O157:H7 infections. Illnesses have been reported in Ohio, Pennsylvania, and Illinois.

For more information about E. coli O157:H7, see, www.about-ecoli.com and for complications like Hemolytic Uremic Syndrome, see, www.about-hus.com.

The products subject to recall include:

 3S Brand Products:

• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN 3/S 100% GROUND BEEF PATTY.” Each package bears the identifying case code “95554.”
• 10-pound cases containing a total of 60 (6-1) “KEEP FROZEN 3/S 100% GROUND BEEF PATTY.” Each package bears the identifying case code “95556.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN 3/S CHOPPED BEEF SIRLOIN STEAK BURGER.” Each package bears the identifying case code “95573.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN 3/S CHOPPED BEEF SIRLOIN STEAK BURGER.” Each package bears the identifying case code “95574.

Grillmaster Brand Products:

• 10-pound cases containing a total of 100 (10-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” Each case can be identified by the case code “95588.”
• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” Each case can be identified by the case code “95500.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” Each case can be identified by the case code “95502.”

• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” The cases can be identified by the case codes “95504” and “95505.”
• 10-pound cases containing a total of 50 (5-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” Each case can be identified by the case code “95508.”
• 10-pound cases containing a total of 60 (6-1) “KEEP FROZEN GRILL MASTER 100% GROUND BEEF PATTY.” Each case can be identified by the case code “95509.” 
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN GRILL MASTER BEEF PATTIE.” Each case can be identified by the case code “95512.”

J & B Brand Products:

• 10.5 pound cases containing a total of 28, 6-ounce “KEEP FROZEN BEEF HOAGIE PATTIE.” Each package bears the identifying case code “51706.” 
• 10.5 pound cases containing a total of 14, 12-ounce “KEEP FROZEN BEEF DINNER PATTIE.” Each package bears the identifying case code “51312.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN TENDERKNIT BEEF STEAK CHOPPED AND FORMED.” Each package bears the identifying case code “11028.”
• 10-pound cases containing a total of 40 (4-1) “TENDERKNIT BEEF STEAK CHOPPED AND FORMED.” Each package bears the identifying case code “11024.” 
• 10-pound cases containing a total of 10 (4-1) “KEEP FROZEN TENDERKNIT VEAL LUNCHEON CHOPPED AND FORMED.” Each package bears the identifying case code “13014.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN SEASONED GROUND BEEF PATTIE.” Each package bears the identifying case code “11384BR.”
• 10-pound cases containing a total of 40 packages (4-1) “KEEP FROZEN BEEF STEAK BURGER.” Each package bears the identifying case code “J1004.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN FLAVOR BURST BEEF PATTIE.” Each package bears the identifying case code “51803.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN FLAVOR BURST BEEF PATTIE.” Each package bears the identifying case code “51804.”

Klub Brand Products:

• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN KLUB GROUND BEEF STEAK.” Each case can be identified by the case code “95565.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN KLUB GROUND BEEF STEAK.” Each case can be identified by the case code “95567.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN KLUB GROUND BEEF STEAK.” Each case can be identified by the case code “95568.”
• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN KLUB HOMESTYLE GROUND BEEF STEAK.” Each case can be identified by the case code “95583.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN KLUB HOMESTYLE GROUND BEEF STEAK.” Each case can be identified by the case code “95584.”

Thick ‘N Savory Brand Products:

• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN THICK ‘N SAVORY SEASONED BEEF PATTY.” Each case can be identified by the case code “95579.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN THICK ‘N SAVORY SEASONED BEEF PATTY.” Each case can be identified by the case code “95580.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN THICK ‘N SAVORY SEASONED BEEF PATTY.” Each case can be identified by the case code “95581.”

Ultimate Brand Products:

• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case can be identified by the case code “1012CL.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case can be identified by the case code “1013CL.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case can be identified by the case code “1014CL.”

Products with No Specified Name Brand:

• 10-pound cases containing a total of 20 (2-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case bears the case code “50123.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case bears the case code “50125.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN ULTIMATE BURGER CHOPPED BEEF STEAK.” Each case bears the case code “50127.”
• 10-pound cases containing a total of 30 (3-1) “KEEP FROZEN PURE BEEF PATTIE HEARTY HOMESTYLE.” Each case bears the case code “3253.”
• 10-pound cases containing a total of 40 (4-1) “KEEP FROZEN PURE BEEF PATTIE HEARTY HOMESTYLE.” Each case bears the case code “3254.”
• 10-pound cases containing a total of 50 (5-1) “KEEP FROZEN PURE BEEF PATTIE HEARTY HOMESTYLE.” Each case bears the case code “3255.”
• 24.75-pound cases containing a total of 144 “KEEP RERIGERATED GROUND BEEF PATTY.” Each case can be identified by the case code “8218.”
• 20-pound cases containing a total of 4 (4 X 5) “KEEP REFRIGERATED GROUND BEEF.” Each package bears the identifying case code “8020EC.”
• 40-pound cases containing a total of 8 (8 X 5) “KEEP REFRIGERATED GROUND BEEF.” Each package bears the identifying case code “8020VP.”
• 20-pound cases containing a total of 4 (4 X 5) “KEEP REFRIGERATED GROUND BEEF.” Each package bears the identifying case code “8515.”
• 20-pound cases containing a total of 4 (4 X 5) “KEEP FROZEN GROUND BEEF.” Each package bears the identifying case code “8020ECF.” 
• 20-pound cases containing a total of 4 (4 X 5) “KEEP FROZEN GROUND BEEF.” Each package bears the identifying case code “10201.”
• 20-pound cases containing a total of 4 (4 X 5) “KEEP FROZEN GROUND MEAT.” Each package bears the identifying case code “10301.”

Additionally, each product bears the establishment number “EST. 5712” inside the USDA mark of inspection. The (2-1), (3-1), (4-1), (5-1) and (6-1) markings refer to the number of portions per one-pound.

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.

This is not the first time bagged spinach has been traced to an E. coli outbreak. Bagged lettuce and spinach were traced to E. coli O157:H7 outbreaks in 2002[1], 2003[2], and 2005.[3] Consumers put their trust in the 31 brands that Natural Selections Foods supplied spinach for. They shouldn’t have to pay for their trust with their health.

Fresh and risky

Right on the heels of the nationwide E. coli outbreak stemming from tainted lettuce, the US FDA has announced a nationwide warning to consumers against consuming spinach for the same reasons.

Douglas Powell and Ben Chapman of the Food Safety Network say that despite the fact that fruits and vegetables are good for us, they are one of, if not the most, significant source of foodborne illness today in North America, with an estimated 76 million illness and 5,000 deaths in the U.S. each and every year from foodborne illness.

The U.S. lettuce/leafy greens industry took the first step in doing this, releasing a comprehensive set of food safety guidelines, from the farm through to retail, in April, 2006.

Powell and Chapman state that any grower can clean up for a once-a-year audit by inspectors. They are urging growers to maintain the standards for the rest of the year as well.
 

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.


The lawsuit alleges that Mrs. Wellborn purchased Dole brand baby spinach on August 21, 2006 and consumed the spinach in salads over several days during the week of August 21 through August 25.  Ms. Wellborn became ill with symptoms of E. coli O157:H7 infection, including diarrhea and stomach cramping, on August 25.  Her symptoms continued to worsen, and Mr. Wellborn took his wife to the emergency room at Salem Hospital in the early morning hours of August 27.  Ms. Wellborn was treated and released, but was admitted to Salem Hospital after a second visit to the emergency room at midday on the 27th.  She remained hospitalized at Salem Hospital for six days, and was transferred to Oregon Health Sciences University (OHSU) in Portland on September 2 after being diagnosed with hemolytic uremic syndrome (HUS).*  While at OHSU, Ms. Wellborn required at least four blood transfusions and eight plasmapheresis exchanges.  She was discharged from OHSU on September 8, and continues her recovery at home.


“The FDA and the fresh produce industry have been working to resolve the issue of E. coli contamination for a number of years,” said William Marler, attorney for the Wellborns.  “It is unfortunate that outbreaks continue to happen and that consumers continue to be injured as a result.”

BACKGROUND:  Marler Clark has extensive experience representing victims of foodborne illnesses.  William Marler represented Brianne Kiner in her $15.6 million settlement with Jack in the Box in 1993.  In 1998, Marler Clark resolved Odwalla Juice E. coli outbreak cases for five families whose children developed HUS and were severely injured after consuming contaminated apple juice for a reported $12 million.  Mr. Marler recently resolved an HUS case for $11 million. 

Hemolytic Uremic Syndrome is a frightening illness that even in the best American medical facilities has a mortality rate of about 5%.  About 50% of patients require dialysis due to kidney failure, 25% experience seizures, and 5% suffer from diabetes mellitus.  The majority of HUS patients requires transfusion of blood products and develops complications common to the critically ill.  Among survivors of HUS, about five percent will eventually develop end stage kidney disease, with the resultant need for dialysis or transplantation, and another five to ten percent experience neurological or pancreatic problems which significantly impair quality of life. 

 

E. coli cases reported in Manitowoc

A cluster of E. coli infections have been reported locally in the past week, Manitowoc County Health Officer James Blaha told the Herald Times-Reporter.

The source of the infections has yet to be determined, Blaha said. He said there has been an increase in reported E. coli cases statewide.

E. coli is a bacteria that causes severe abdominal cramping and diarrhea, which is often bloody. There is generally little or no fever associated with the illness. Infection is acquired by ingesting contaminated food or water, or by coming in contact with fecal material from infected people or animals. Blaha urges seeking medical attention if infected.

He said E. coli infections can be prevented by avoiding consumption of raw or undercooked beef, or drinking unpasteurized milk. Most importantly, people should wash their hands before preparing or eating food, after using the bathroom or after having contact with cattle.