The Proof, It Seems, Was In Pudding

Another outbreak solved. As we reported previously, numerous students from the Woodbury Middle School (in Salem, N.H.) and the Florence Rideout Elementary School (in Wilton, N.H.) fell ill after an overnight stay at the Stone Environmental School (in Madison, N.H.). Although approximately 120 children and adults reported some form of illness, only fifteen cases of Salmonella were confirmed. In turn, these illnesses led to the temporary closure of the camp while Department of Health and Human Services (“DHHS”) investigators worked closely with Stone Environmental to locate the source of the problem.

During the ensuing investigation, health officials confirmed that pudding served to the campers was contaminated with Salmonella. Interestingly, however, they also confirmed that the mixer used to prepare the pudding was sanitized by the camp after each use. According to Beth Daley, a DHHS epidemiologist, "the mixer was actually being sanitized in accordance with the manufacturer's specifications."

Nevertheless, it appears that, in addition to using the mixer to prepare pudding, the mixer was also used to prepare scrambled eggs (which can sometimes contain Salmonella). Thus, investigators suspect that a possible defect in the mixer design may have allowed bacteria to get into an area where it couldn't be cleaned out. The mixer has been removed and is undergoing further testing.

In any event, Stone Environmental was pleased that the source of the illness had been found. According to David Freese, executive director of the camp, "our first priority, of course, was the safety of our campers.” And, now that the likely source has been identified, both he and staff are looking forward to reopening soon.

Congratulations to both DHHS and Stone Environmental for their cooperative efforts to find and eliminate the source of these illnesses.

Source Of Salmonella Associated With Overnight Camp Still Unknown

The Stone Environmental School, where numerous school children reportedly became sick in recent weeks, temporarily closed after new cases of illness were reported last week. Previously, approximately 70 of 98 students (and staff) from the Woodbury Middle School in Salem, N.H. reported becoming sick after visiting the overnight camp. Last week, an additional 20 of 80 students who stayed at the camp (from Florence Rideout Elementary School in Wilton, N.H.) reported illness as well. Although some of the previous illnesses were caused by Salmonella, it is not yet clear whether the more recent illnesses are in any way related to the camp or exposure to the pathogen.

Nevertheless, the Stone Environmental School voluntarily suspended operations, for at least a few days, to allow health officials to continue their investigation. Click on the folloing link to see the N.H. Department of Health and Human Services Press Release.  According to Dr. Jose Montero, director of public health, "[i]t has been very difficult in this case to trace the exact source of the salmonella bacteria."

Despite a focused investigation, and close cooperation from camp officials, the original source of the Salmonella remains unknown.

Dozens Of Children Sickened By Salmonella After Attending Overnight Camp

Salmonella has been getting a lot of press these days. On the heals of numerous recalls involving the pathogen in food, we learned today that as many as 50 middle school children from Salem, New Hampshire may have been sickened with Salmonella after attending an overnight camp. On Monday, the Woodbury Middle School contacted the state’s Department of Health and Human Services, advising them that approximately 50 children had called in sick. Many students reported symptoms including vomiting, diarrhea and high fever.

This, of course, prompted an investigation, and health department officials have confirmed, via stool sampling, that at least some students were infected with Salmonella. The number of ill students also continues to rise, with a total of 69 children absent from school yesterday. According to Dr. Jose Montero, the state director of public health, at least one student has been hospitalized.

Notably, last week, all of the sick children attended an overnight camp (at the Stone Environmental School in Madison, NH). In turn, health officials have been interviewing infected children, and are working quickly to determine the specific origin of the outbreak. At this point, it is not clear whether the children were exposed to Salmonella through food or environmental sources.  Thus, we’ll be sure to report if and when the source of the outbreak is confirmed.

Salmonella Outbreak Investigation Continues As Reported Cases Decline

As the CDC outbreak investigation continues, and thousands of products are recalled, reported cases are on the decline. 

In early January 2009, the CDC and public health officials determined that peanut butter products were the likely source of the ongoing national Salmonella Typhimurium outbreak. Product testing eventually prompted recalls of various peanut butter products produced by the Peanut Corporation of America (“PCA”). Crisis management efforts, at all levels, then began in earnest.  On January 28, 2009, PCA recalled all peanuts, peanut meal, peanut paste and peanut butter, distributed from its Blakely, Georgia facility since January 1, 2007. Following additional governmental investigations, PCA also recalled all products, including peanut meal, granulated peanuts and dry roasted peanuts, produced and distributed from its Plainview, Texas facility since the plant opened in March 2005.

 

PRODUCTS AFFECTED:

Although the majority of products produced by PCA were not distributed for direct consumer sale, most products were distributed to downstream manufacturers for use as ingredients in many other products. As a result, the PCA recalls prompted hundreds of these manufacturers to recall their own products as well. Given the expansive scope of the recalls, and diverse use of PCA’s products as raw materials in many consumer foods, the FDA and industry are continuing their efforts - even to this day - to determine what additional products might potentially be affected. So far, more than 2,000 consumer products have been recalled. To find products affected, use the searchable FDA Recall Interface on our blog (just scroll down the left-hand column).

 

PRODUCTS NOT AFFECTED:

According to the CDC, major national brands of jarred peanut butter found in grocery stores are NOT affected by the recall. As we reported previously, Girl Scout Cookies are also Not affected. For a list of additional products not affected by the ongoing recalls, please visit the American Peanut Council Website.

 

CDC INVESTIGATIVE UPDATES:

The following are highlights from the CDC’s most recent investigation update:

  • Case count is 642 in 44 states with latest confirmed, most recent reported illness beginning on January 28, 2009;
  • Although the outbreak is continuing, the numbers of new cases have declined modestly since December. Many recently ill persons report eating peanut butter and other recalled peanut-containing products; and
  • Consumers should continue to check at home for recalled peanut butter containing products, and discard them.

              

 

As noted, as of February 15, 2009, 642 persons believed to be infected with the outbreak strain have been reported from 44 states. The number of ill persons identified in each state is as follows: Alabama (2), Arizona (13), Arkansas (6), California (76), Colorado (15), Connecticut (10), Florida (1), Georgia (6), Hawaii (4), Idaho (16), Illinois (9), Indiana (9), Iowa (3), Kansas (2), Kentucky (3), Maine (5), Maryland (8), Massachusetts (48), Michigan (35), Minnesota (39), Missouri (14), Mississippi (7), Nebraska (1), New Hampshire (13), New Jersey (23), New York (28), Nevada (6), North Carolina (6), North Dakota (17), Ohio (94), Oklahoma (4), Oregon (12), Pennsylvania (19), Rhode Island (4), South Dakota (4), Tennessee (13), Texas (9), Utah (6), Vermont (4), Virginia (21), Washington (18), West Virginia (2), Wisconsin (5), and Wyoming (2). Additionally, one ill person was reported from Canada (learn how food-borne illness outbreaks are tracked).

Oregon public health officials also recently confirmed, in a press release, that the ongoing outbreak may have also affected some pets. One laboratory-confirmed case of Salmonella in a dog from an Oregon household was reported, and further characterization of this Salmonella isolate is pending. Salmonella resembling the outbreak strain was also reportedly isolated by a private laboratory from recalled Happy Tails dog biscuits from the dog’s household. 

We, of course, will continue to report new developments.

PCA Representatives Decline To Give Testimony

Stewart Parnell, president of the Peanut Corporation of America (“PCA”), along with Sammy Lightsey, a PCA plant manager, were called today to testify before the House Energy and Commerce subcommittee. It has been alleged that PCA shipped certain peanut butter products from its Blakely, Georgia facility after receiving conflicting laboratory reports about the presence of salmonella. The testimony lasted only 10 minutes, however, as both individuals cited Fifth Amendment protections against self-incrimination and refused to answer questions. Prior to the appearance by PCA representatives, the subcommittee received statements from family members of individuals believed to be affected by the outbreak.

Also testifying today was the president of Deibel Laboratories, a company previously hired by PCA to conduct sampling on its products. Charles Deibel told the subcommittee that his company had consistently informed PCA of positive test results when salmonella was isolated from samples. According to Deibel, "[i]t is not unusual for . . . food testing laboratories to find samples that test positive for salmonella and other pathogens." In turn, when ready-to-eat samples are found to be positive for a harmful pathogen, companies should either dispose of such products or employ additional safeguards (such as a lethality step or adopting other interventions) to ensure product safety. Characterizing product testing of ready-to-eat foods as "the last chance to catch a problem," Deibel also expressed his view that FDA regulations needed to be updated to enhance the overall safety of our food supply. Notably, with the coming months, the FDA will likely introduce a new food registry that will require food companies to promptly report any positive testing results, along with the disposition of any potentially implicated products, directly to the FDA.

To date, the 2008-2009 salmonella outbreak has affected more than 1,800 consumer products. (use the FDA Recall Interface on the left-hand column of our blog to search for recalled products). The FBI, working closely with the FDA, is continuing its investigation into PCA and its operations to determine whether, and to what extent, there was wrongdoing.