FDA defends its handling of salmonella outbreak

0 comments

Posted on 6th February 2009 by Gordon Johnson in Uncategorized

, , , , , , , ,

Date: 2/5/2009 12:10 PM

By RICARDO ALONSO-ZALDIVAR and BRETT J. BLACKLEDGE
Associated Press Writers

WASHINGTON (AP) — Federal health officials are defending their handling of the nationwide salmonella outbreak, telling Congress they had been hot on the trail of a Georgia processor even before they were certain that peanuts were to blame for hundreds of illnesses.

The Food and Drug Administration “began its investigation prior to having a strong epidemiological link to a particular food,” Stephen Sundlof, head of the agency’s food safety center, said in testimony prepared for delivery to the Senate Agriculture Committee.

The first signs of the outbreak were detected in November by the Centers for Disease Control and Prevention. But disease detectives initially suspected chicken was the culprit in clusters of salmonella infections that states were reporting.

On Jan. 7 and 8, after discussions between federal and Minnesota authorities, peanut butter was added to the short list of suspects when some people who had gotten sick reported eating peanut butter in nursing homes and at an elementary school. On Jan. 8, the FDA visited an Ohio distributor for Peanut Corp. of America.

The next day federal inspectors were at the company’s Blakely, Ga. facility, which ultimately was identified as the source of the food poisoning. That same day, Jan. 9, Minnesota health officials found salmonella in an open container of peanut butter made at the plant. On Jan. 10, Minnesota made a positive match to the salmonella strain that caused the outbreak.

Lawmakers, however, may not be reassured. They are concerned about the state of the national food safety system, a collaboration between the FDA, CDC and authorities in each state. As the list of recalled items containing peanut products surpasses 1,000, lawmakers are vowing to press for stronger food safety laws and more money for inspections.

“To say that food safety in this country is a patchwork system is giving it too much credit. It is a hit or miss gamble, and that is truly frightening,” said Agriculture Committee Chairman Sen. Tom Harkin, D-Iowa. “It’s time to find the gaps in the system and remedy them.”

The salmonella outbreak has sickened at least 550 people in 43 states, eight of whom have died. New cases are being reported, although the outbreak is slowing.

The Peanut Corp. plant in Blakely, Ga., which produces a tiny share of U.S. peanut products, is being blamed. Authorities say the facility shipped peanut butter, paste and other products that had tested positive for salmonella. The company retested, got a negative reading, and shipped the products.

A criminal investigation is under way. The company has denied any wrongdoing and said Wednesday that its Blakely plant had received regular visits and inspections from state and federal authorities in 2008 and had gotten a “superior” rating from an independent inspection.

As the list of recall list grows, Assistant Surgeon General Ali Khan said it’s a textbook example of an ingredient-driven outbreak.

“The event illustrates how a large and widespread outbreak can occur from distribution of a single item to hundreds of foods,” Khan said in his prepared testimony.

Meanwhile, lawmakers are dusting off food safety legislation that went nowhere under administration of former President George W. Bush and are hoping for better luck under President Barack Obama, who has criticized the FDA’s handling of the outbreak.

But it remains unclear whether Congress can deliver major improvements in food safety this year, given the press of critical issues such as the shaky economy and a ballooning federal deficit.

All the reform proposals would give the FDA authority to order recalls, which are now voluntary.

Reformers also agree that food processing plants should be required to have a safety plan and document their compliance. And there is widespread agreement that standards for imported foods must be upgraded.

There’s also consensus that inspections should be carried out according to common requirements, but legislators differ on how frequently checks should be performed.

There’s agreement on the need for standards for fresh produce, but there are differences over setting up a tracking system to find foods implicated in an outbreak.

One of the bills calls for taking food safety away from the FDA, where it is sometimes seen as a bureaucratic stepchild, and setting up a new Food Safety Administration within the Health and Human Services Department.

William Hubbard, a former FDA associate commissioner, said no reforms can succeed without more money. He says Congress must double the FDA’s food safety budget to about $1 billion a year.

But even with that, Hubbard warned, the agency would not be able to regularly inspect some 150,000 facilities that produce, ship and store foods. He says the answer is a food safety system in which the FDA sets rules that all players in the food industry must comply with and that states help to enforce.

___

On the Net:

The FDA’s recall page: http://tinyurl.com/8srctw

Copyright 2009 The Associated Press.

Illinois, 41 other states in salmonella outbreak

0 comments

Posted on 8th January 2009 by Gordon Johnson in Uncategorized

, , , , ,

Date: 1/8/2009

By MIKE STOBBE
AP Medical Writer

ATLANTA (AP) — A nationwide salmonella outbreak that has struck 42 states has put about one in five of its victims in the hospital, the U.S. Centers for Disease Control and Prevention said Thursday.

Nearly 400 people have become ill in the outbreak that might have killed one person. An elderly woman in Minnesota had the infection when she died, although it’s not clear that salmonella was the cause, a health department spokesman there said.

The same type of salmonella bacteria has been lab-confirmed in 388 cases nationwide, said the CDC, which is leading the investigation but has not yet released the list of states or determined which foods may have caused people to become sick.

However, health officials in Illinois, North Dakota, Ohio, Georgia, Minnesota and California have confirmed cases. Ohio and California reported the most, with 51 cases each.

Nationally, all the illnesses began between Sept. 3 and Dec. 29, but most of the people grew sick after Oct. 1.

Most people develop diarrhea, fever and abdominal cramps 12 to 72 hours after infection. The illness usually lasts four to seven days, and most people recover without treatment.

Officials say steps to protect against the illness include careful handling and preparation of raw meat, and frequent hand washing.

CDC officials say the cases in the outbreak have all been genetically fingerprinted as the Typhimurium type, which is among the most common forms of salmonella food poisoning. Of those cases for which CDC officials have medical treatment information, 18 percent were hospitalized.

A Connecticut congresswoman on Thursday said she was frustrated that health officials don’t yet know how the bacteria has been spreading.

Not knowing what food is responsible means the U.S. Food and Drug Administration or the U.S. Department of Agriculture cannot help track the original source, said U.S. Rep. Rosa DeLauro, a Democrat who chairs the Agriculture-FDA appropriations subcommittee .

“Any delays in these critical investigations can sicken more people,” DeLauro said in a statement.

But foodborne illness investigations can be very complicated, and it can take weeks or months for health officials to interview patients, find common links in what they ate, test suspected foods and come up with a clear-cut cause, said Michael Doyle, director of the University of Georgia’s Center for Food Safety.

“There’s a lot more to this than meets the eye,” he said.

There are about 2,000 types of salmonella and about 40,000 cases are reported each year.

Of lab-confirmed cases, salmonella Typhimurium is the most common. The bacteria type is a year-round threat because it’s found in meat and eggs, and not as subject to seasonal food supply variations as produce.

The current outbreak’s bacteria is different from the salmonella Saintpaul bug that caused more than 1,400 illnesses last spring and summer. That was traced to vegetables from Mexico — jalapeno and serrano peppers and possibly certain types of tomatoes.

___

On the Net:

CDC information on the investigation: http://www.cdc.gov/salmonella/.

Copyright 2009 The Associated Press.