by Marion Nestle

Currently browsing posts about: Food-safety

May 8 2024

Uh oh. Bulk organic walnuts associated with toxic E. coli

I learned about this one from Bill Marler’s blog: This is Nuts – California and Washington E. coli Outbreak linked to Gibson Farms Walnuts 

This refers to the CDC announcement: E. coli outbreak linked to organic walnuts

The CDC issued a warning: CDC warns of E. coli outbreak linked to organic walnuts sold in bulk

The FDA has its own investigation: Outbreak Investigation of E. coli O157:H7: Bulk Organic Walnuts (April 2024): Do not eat, sell, or serve recalled organic walnuts sold in bulk bins at natural food and co-op retailers in multiple states. FDA’s investigation is ongoing.

The CDC points out:

  • Almost all sick people purchased organic walnuts from bulk bins in food co-ops or natural food stores in California and Washington.
  • FDA determined that Gibson Farms, Inc supplied these walnuts and Gibson Farms, Inc has recalled these products.: These walnuts have expiration dates between May 21, 2025, and June 7, 2025.
  • FDA has a list of stores that may have received these walnuts.

Comment:  All toxic E. coli outbreaks are troubling because the illnesses are so serious and all are preventable if producers were doing what they were supposed to be doing.  But walnuts?  My first question is how could walnuts, firmly encased in shells, get contaminated with animal fecal wastes, the usual source of this strain of E. coli.  This reminds me of the Odwalla juice E. coli problems; the company had harvested apples that had fallen on the ground. Did Gibson harvest walnuts off the ground?  Whatever it did, the company should have been following a food safety plan mandated by the Food Safety Modernization Act, which requires prevention controls and testing to make sure things like this donn’t happen.

Are non-organic walnuts harvested any differently from organic walnuts.   Here’s what one producer says.

The nuts are removed from the tree using a mechanical shaker, a machine that grasps the trunk and shakes the whole tree. The nuts drop to the ground, are then swept into windrows and picked up with harvest machinery. This operation is completed quickly to reduce the time nuts remain on the ground.

Uh oh indeed.  I hope this incident causes some changes in this procedure.

In the meantime, Marler has more to do.

May 2 2024

USDA finalizes rule declaring Salmonella an adulterant in ONE chicken product. More to come I hope.

As I’ve said before, USDA is at long last taking a first step toward declaring Salmonella an adulterant on poultry products.

Here’s the headline: USDA Finalizes Policy to Protect Consumers from Salmonella in Raw Breaded Stuffed Chicken Products:  an adulterant in raw breaded stuffed chicken products when they exceed a specific threshold (1 colony forming unit (CFU) per gram or higher) for Salmonella.

And here’s the Advance Copy of Final Rule: Salmonella in Not-Ready-To-Eat Breaded Stuffed Chicken Products.  

What this rule means: raw breaded stuffed chicken shown to have more than one colony forming unit of Salmonella (basically none) cannot be sold.  Period.

I have long argued:

  • Chicken should be free of pathogenic bacteria when we buy it.
  • We should not have to run our kitchens like biohazard laboratories.
  • Poultry producers should be responsible for eliminating pathogens in their flocks.

Finally, the USDA is taking some action on this.  It promises to start rulemaking on other chicken products.  This can’t come too soon.

As for the chicken industry, alas: NCC [National Chicken Council] Expresses Grave Concerns with New FSIS Salmonella Regulation

NCC is gravely concerned that the precedent set by this abrupt shift in longstanding policy has the potential to shutter processing plants, cost jobs, and take safe food and convenient products off shelves, without moving the needle on public health….“NCC estimates that on an annual basis, over 200 million servings of this product will be lost, 500-1000 people will lose their jobs, and the annual cost to industry is significantly higher than USDA’s estimates. It is likely that this proposal would drive smaller producers of this product out of business entirely.

If you want to know why it’s taken the USDA so long to get this done, and only in one product, the NCC is your answer.

Additional resources

Feb 16 2024

Weekend reading: food animal markets and disease transmission

I thought this 2023 report was well worth a look.

 

Microbial diseases of animals can be transmitted to humans, and vice versa (witness COVID-19 in mink and zoo animals).  Some of these have led to serious epidemics.  Lots of people are worried that Confined Animal Feeding Operations could easily become the source of new and deadly forms of influenza.

But what interested me in this report is that industrial farm animal production is one of a great many sources of potential infectious disease transmission.

A few of the many examples, some well known to have caused Salmonella infections:

  • Pets
  • Hunted animals
  • Production of bat guano and coyote urine (who knew?)
  • Backyard chickens
  • Crocodile farming
  • Petting zoos
  • Research animals

The report is cautious on the topic of the origin of COVID-19:

At the time of this writing, scientists continue to debate the precise origins of the virus but there is no question as to the impact it has had. Indeed, few aspects of daily life in the United States remain untouched.

The implication is clear.  We need much better monitoring of animal markets for pathogens.

The United States has no comprehensive strategy in place to address the threat of zoonotic disease. There are serious regulatory deficiencies across almost every animal industry. Large information gaps exist, and disease can seep between these cracks.

Lots to learn here and think about here.

Feb 7 2024

An endless saga, alas: contamination of leafy greens

Last summer, food safety lawyer Bill Marler wrote a blog post:

28 years of Leafy Green E. coli Outbreaks – We can and should do better!  E. coli outbreaks associated with lettuce, specifically the “pre-washed” and “ready-to-eat” varieties, are by no means a new phenomenon. In fact, the frequency with which this country’s fresh produce consuming public has been hit by outbreaks of pathogenic bacteria is astonishing. Here are just a sample of E. coli outbreaks based on information gathered by the Center for… Continue Reading

It includes a long list of illness outbreaks (more than one case attributed to a particular source) from 1995 through 2022 caused by contaminated salad greens.

I did not add them up but the FDA reports a total of 78 foodborne disease outbreaks linked to leafy greens (mainly lettuce) from 2014–2021 reported to the CDC.  During this period, the CDC issued outbreak notices for several of the outbreaks.

Their cause: leakage of animal waste from Concentrated Animal Feeding Operations (CAFOs) onto vegetable fields.  This happens often enough to be worth advising against eating bagged salads from California or Arizona.

Bill Marler doesn’t eat bagged salads at all (see the 6 foods he won’t eat):

Prewashed or precut fruits and vegetables. “I avoid these like the plague,” Marler says. Why? The more a food is handled and processed, the more likely it is to become tainted. “We’ve gotten so used to the convenience of mass-produced food—bagged salad and boxed salads and precut this and precut that,” Marler says. “Convenience is great but sometimes I think it isn’t worth the risk.” He buys unwashed, uncut produce in small amounts and eats it within three to four days to reduce the risk for listeria, a deadly bug that grows at refrigerator temps.

Buy greens from farmers’ markets or grow your own.  If that seems impossible, buy them whole and grown in places unlikely to be neear CAFOs.  And wash them well in running water.

Dec 6 2023

Yet another Salmonella outbreak from cantaloupe

I’m having a hard time with this one.

Once again, the FDA is warning all of us : “Do not eat, sell, or serve recalled cantaloupes or recalled products containing pre-cut cantaloupe.”

The warning lists the products implicated and all the ones that have been recalled.

The CDC says much the same:

CDC is concerned about this outbreak because the illnesses are severe and people in long-term care facilities and childcare centers have gotten sick. Do not eat pre-cut cantaloupes if you don’t know whether Malichita or Rudy brand cantaloupes were used.

As of November 30, the toll is:

Total Illnesses: 117
Hospitalizations: 61
Deaths: 2

But that’s only in the U.S.  Canada reports illnesses too: 63 sick, 17 hospitalized and 1 death.

This, mind you, is from eating cantaloupe.

It’s not that nobody knew cantaloupe poses special safety problems.  It’s grown on the ground and is hard to wash.  If it is grown anywhere near animal wastes, it has a high risk of getting Salmonella on its rind.  Cutting through the rind can move harmful bacteria on the rind into the interior.

Food safety lawyer Bill Marler, who tracks such things, reminds us of previous lawsuits over cantaloupe food poisonings.

He also has some useful things to say about Salmonella during a Cantaloupe Outbreak – Symptoms and Treatment

Cantaloupes, he points out, might still be in season, but Salmonella should not be.

He quotes Perdue (sic Purdue) Extension on how to make cantaloupe safer: scrub and wash in very hot water.

But Marler has been quoted as saying he does not eat cut fruit (implying you should not either).

What’s infuriating about all this is that Congress passed the Food Safety Modernization Act to give the FDA the power to require safety plans from producers of every food under its jurisdiction.  This means cantaloupe growers are supposed to take steps—and test—to make sure the fruit is not contaminated with pathogenic bacteria.

Clearly, the system isn’t working.

The FDA needs to find out why not.

The FDA is chronically and infamously underfunded for what it is supposed to do.

Congress needs to pay attention to this issue.

Nobody should get this sick from eating cut fruit.

And if you haven’t seen the film featuring Marler (I’m in it too, briefly), take a look at Poisoned on Netflix.  It talks about cantaloupe, among other things worth knowing.

Nov 28 2023

The hazards of feeding babies and young children: What to do?

I’ve been collecting items on feeding kids.  Here are four.

I.  FDA Warning Letters: The FDA has sent warning letters to ByHeart, Mead Johnson Nutrition (Reckitt), & Perrigo Wisconsin for violating basic food safety standards in manufacture of infant formula.

They [letters] reflect findings from FDA inspections of these facilities over the last several months. At the time of each inspection, the FDA issued inspectional observations and exercised oversight of each firm as they initiated recalls (in December 2022February 2023 and March 2023) to remove product potentially contaminated with Cronobacter sakazakii from the marketplace…The FDA is issuing these letters now as part of its normal regulatory process and to reinforce to these firms the importance of instituting and maintaining appropriate corrective actions when they detect pathogens to ensure compliance with the FDA’s laws and regulations. As part of this, the firms must, among other things, thoroughly conduct root cause investigations and perform subsequent cleaning and sanitation activities. Notably, firms also need to properly evaluate their cleaning and sanitation practices, schedules, and procedures before releasing product. 

Comment: What shocks me is the implication that the companies are not already doing this as part of their normal routines.

II.  Baby food pouches with lead sicken children.   

At least 18 more children have been sickened by the recently recalled applesauce fruit pouches due to dangerous lead contamination, the Food and Drug Administration said, in a recent update.  That brings the total number of affected children to 52. Applesauce pouches recall timeline:From recalls to poisoned kids in multiple states

Comment: Yes, I know self-feeding pouches are convenient, but I sure don’t like them much.  They are usually loaded with sugar and they don’t teach kids about diverse food flavors and textures.  Quality control, apparently, is a big issue.  My vote: avoid.

III. Environmental Working Group study finds 40% of commercial baby foods to contain toxic pesticides.

  • EWG sampled 73 products from three popular brands: 58 non-organic, or conventional, baby foods and 15 organic.
  • At least one pesticide was detected in 22 of the conventional baby foods.
  • No pesticides were detected in any of the 15 organic products.

Comment: Pesticides may be in all foods but they get concentrated in baby foods.  The moral here is clear; if you want baby foods free of harmful pesticides, buy organic.  For more on this, see article in The Guardian.

IV. The marketing of ultra-processed foods especially targets infants and young children.   A study done in the UK provides ample documentation of anything you would want to know about this practice.

Comment: Food companies say they have to market to young children in order to meet sales growth targets.  Ethics is not a consideration here.

Given that situation, what to do?

Understand: commercial infant and baby foods are convenient, but enormously profitable to manufacturers.  Profits induce corporations to cut safety and health cautions.  This tension should make you think twice about using commercial infant and child feeding products.

To the extent you can:

  • Breast feed when possible, for as long as possible
  • If you use infant formula, switch around the brands (they are all the same, nutritionally); buy organic if you can afford it.
  • Make your own baby foods (put whatever healthy foods you are eating or have around in a tiny blender).; buy organic foods if you can afford them.
  • Feed kids real foods as soon as they can grab, chew, and swallow them without choking.

If you eat a generally healthy diet, get your kids eating it as soon as they can.

Oct 6 2023

Weekend reading: the cost of growing Romaine lettuce in California

Every now and then I run across a report about something I know absolutely nothing about but wish I did, and this is one of them—an analysis from the University of California on Sample Costs to Produce and Harvest Romaine Hearts Lettuce.

I’m particularly interested in Romaine because it is one of those foods that turns up frequently in food poisoning incidents.  Why?  Because in California and Arizona it is often grown in close proximity to Confined Animal Feeding Operations (CAFOs), as shown in the Netflix film, Poisoned, in which I appear briefly.

Bill Marler, the lawyer featured in the film, does not eat bagged Romaine.  Neither do I.

The cost analysis, which concludes that it takes about $17,000 an acre to produce Romaine, does not factor in fmeasures to assure safety.

But what it does consider is impressive.  Here is just the first part of a Table that continues well into another page.

I would not have guessed.

I grow Romaine lettuce in pots on my Manhattan terrace.  All I pay for is seeds.  I’ve never gotten sick from eating it.

Apparently, industrial lettuce is an entirely different matter.

Enjoy the weekend!

Aug 9 2023

On Netflix now: Poisoned

Poisoned, the food safety film featuring the lawyer, Bill Marler,  is now available to watch on Netflix.

I wrote about earlier when I saw it at the Tribeca Film Festival.

It’s totally worth watching, and not only because I have a cameo in it.

Bill Marler explains why.  I reproduce his post with permission.

Over two months ago, while watching the premiere of the documentary, “Poisoned,” at the Tribeca Film Festival in NYC, I got thinking again about how little in the past 30 years I feel I have moved the needle on food safety – pathogens and certainly, human nutrition.  Now that “Poisoned” is up on the Netflix platform, it has become the most watched documentary in the world – at least for the last few days.

The real issues to me is how do we engage the food industry, policy makers, academics and most importantly consumers, to focus on driving the numbers down on the pathogens that kill us quickly and the products that kill us over time?

I will focus on pathogens as I have for the last 30 plus years. I will leave it to some very smart people who are rightly concerned about the millions of us who become sick and die due to inadequate nutrition – especially the millions of illnesses and deaths due to heart disease, diabetes and obesity caused by ultra-processed foods, salt, sugar, and fat.

There is so much to do, and the list is long. So, what would I do with a Food Safety Magic Wand on day one?

  1. Vaccinate. The first thing I would do is mandate that all food service workers be vaccinated against hepatitis A.  Perhaps to some, not the most pressing food safety issue, but it is forefront of my mind.  In the past few months, I finished up litigation around a hepatitis A outbreak involving one ill food service work who infected nearly 50 people, hospitalizing most, killing four and causing two liver transplants.  With regret, I forced a family-owned restaurant chain to file for bankruptcy.  All of this could have been prevented by a safe vaccine that has been around for decades.  It is time for the restaurant industry and the CDC to step up.
  • Investigate. Invest in public health surveillance over human pathogens, like, ListeriaE. coli and Salmonella, etc.  A dirty truth is that most culture-confirmed illnesses are never attributable to a food source, so people never know what sickened or killed them. Not because the source was not food, but because we fail to invest adequate resources in the epidemiologists that investigate illnesses and track those illnesses to the cause. Tracking illnesses to the cause gets tainted product off the market and helps us all understand what products and producers to avoid.  We need to continue to invest in the science of whole genome sequencing, so we know with certainty which pathogens are causing which illnesses. Foodborne illness epidemiology helps us understand the root cause of an outbreak and helps prevent the next one from happening at all.
  • Relegate. Allow public health officials access, especially during an outbreak investigation, to all areas around farms that grow fruits and vegetables.  It is long past time to allow investigators access to neighboring cattle, dairy, chicken, or hog operations that spill billions of deadly pathogens into the environment, via air or water.  We need to think of our growing regions as an integrated system and that all sectors responsible need to play a role.  Access allows investigators to understand the likely cause of an outbreak, and again, what can be done to prevent the next one.
  • Advocate. Make all pathogens that can sicken or kill us adulterants.  In 1994 Mike Taylor making E. coliO157:H7 and adulterant has saved countless lives and has saved the beef industry from my lawsuits. We can do the same for all food producers, especially chicken, turkey, and pork.  Remember, in the 1990’s nearly all the lawsuits I filed were E. coli cases linked to ground beef.  Today that is zero.  Think about it.
  • Educate. Give everyone a thermometer and provide better education to middle and high school teachers and students around food safety and human nutrition policy, not in a dry, technical way, but by sharing engaging history, microbiology, patient stories, and case studies. We need to teach how and why our food can be unsafe and what consumers can do about it.
  • Consolidate. Finally, make a single federal agency out of USDA/FSIS, FDA, and the food safety parts of CDC, NOAA, and EPA, to oversee food safety and human nutrition. Making food safety and human nutrition its own agency would help increase governmental accountability,  close regulatory loopholes, facilitate the collection and sharing of information and facilitate critical change.  I might have a suggestion for someone to run it.

With the CDC estimating 48,000,000 are sickened each year, 125,000 hospitalized, and 3,000 die from food, preventing pathogenic foodborne illness is no simple matter.  And, if you consider the millions that are impacted by the lack of adequate and safe nutrition, we have a lot to do.  However, it can be done, and the six ideas above are a small start.

“Doing anything is better than doing nothing,” my Marine drill sergeant father used to say.  He used to require my brother and I to make our beds every morning and bounce quarters on them.  For the longest time I thought this was punishment.  But it was not punishment, it was accomplishment, that you could build on for the rest of the day.  Doing “little” things, like the six things above, are accomplishments. Doing them starts a process that will continue to make all our lives just a little bit safer.