MEDICAL BIOLOGY: ON SALMONELLA INFECTIONS

Enterobacteria are a large heterogeneous group of gram-negative rods whose natural habitat is the intestinal tract of humans and animals. The family includes many genera, of which salmonella is one.

There are 1500 to 2000 types of salmonellae, with one type, S. typhi (typhoid fever), notorious, and another type, S. typhimurium, the most common enterocolitis (gastroenteritis) pathogen in the US.

Infections with most other types of salmonella, except for S. paratyphi, derive from environmental sources, principally poultry and livestock. Despite the frequency with which these organisms cause acute gastrointestinal illness, there are remarkably few documented examples of person-to-person spread. An outbreak in a day-care facility was associated with an uncertain number of secondary cases, and long-term surveillance of 54 permanent carriers of nontyphoidal salmonella identified 10 instances of transmitted infection.
 

First suit filed in Westmoreland County over Sheetz salmonella

A woman from Ligonier, Pennsylvania became the first in Westmoreland County to sue the Sheetz convenience store chain over an outbreak of salmonella bacteria this summer.

Amanda G. Moore says she got sick after eating a chicken salad sandwich she bought at the chain's Irwin store on Route 30. Moore says she was hospitalized and sick for about a week.

Sheetz officials say they've been working with those who have already sued the Altoona-based chain, and have settled some lawsuits already. They didn't specify how many suits have been filed or settled.

More than 400 people in nine states, including nearly 300 in Pennsylvania, who ate Roma tomatoes on sandwiches at the stores got sick. Coronet Foods of West Virginia, which cut and packaged the tomatoes, shut down in October due to concerns over the outbreak.

Moore sued Sheetz, Coronet and two produce wholesalers who allegedly sold the tomatoes.
 

FDA Still Investigating Salmonella Tomatoes

The FDA says it still hasn't determined how tomatoes were tainted with salmonella before they sickened at least 429 convenience store customers in Pennsylvania, Maryland, West Virginia and Ohio.

In August, WBAL reports, Hurricane Charley wiped out some evidence when it struck Florida farms where the tomatoes were grown. Officials believe the tomatoes were likely tainted by animals that came into contact with the fruits at the farm level or in storage sheds.

Customers became ill after eating sandwiches from Sheetz convenience stores this past summer.

Bad publicity from the outbreak put a West Virginia produce supplier, Coronet Foods, out of business.
 

Ligonier woman sues Sheetz over alleged salmonella poisoning

A Ligonier Township woman has filed the first Westmoreland County lawsuit in connection with salmonella poisonings last summer at area Sheetz stores, reports the Tribune-Review.

Amanda G. Moore, of Oakview Drive, contended in court documents filed last week that she contracted food poisoning from a chicken salad sandwich she purchased July 8 at the Sheetz store along Route 30 in Irwin.

Moore said she became sick a day after eating the sandwich and required hospitalization. It took about a week for her symptoms to subside, according to the 12-count complaint.

There were more than 400 confirmed cases of salmonella poisonings attributed to food purchased at Sheetz stores in nine states last summer. Investigators determined that Roma tomatoes likely were the cause of the illnesses.

In her lawsuit, Moore claimed that Sheetz, along with defendants Coronet Foods, of West Virginia; Consumer Produce Co. Inc., of Pittsburgh; and Procacci Brothers Sales Corp., of Philadelphia; were negligent and liable for her illness. She is seeking an unspecified amount in damages from each of the defendants.
 

FDA still unsure how tomatoes were tainted in Sheetz outbreak

WNEP-TV
December 27, 2004

PITTSBURGH-The Food and Drug Administration says it still hasn't determined how tomatoes were tainted with salmonella before they sickened at least 429 Sheetz convenience store customers in Pennsylvania and neighboring states.

Hurricane Charley, which hit Florida in August, wiped out some evidence when it struck farms where the tomatoes were grown. Officials believe the tomatoes were likely tainted by animals that came into contact with the fruits at the farm level or in storage sheds.

In Pennsylvania, some 288 cases were linked to the outbreak.

The salmonella outbreak was the second large food-related illness outbreak in western Pennsylvania in as many years. Last fall, at least 660 people were sickened -- and at least four deaths were linked to a hepatitis A tainted green onions served at a Chi-Chi's restaurant in Beaver County.

Salmonella at Sheetz still mystery

Investigators still don't know what caused the summer salmonella outbreak among patrons of Sheetz convenience stores, which resulted in 429 confirmed cases among people in nine states.

The search for the source of contamination had a setback in August, reports the Pittsburgh Post-Gazette, when Hurricane Charley hit Florida, home of farms that likely grew the tainted tomatoes at the heart of the outbreak.

Investigators believe that as many as five different strains of salmonella bacteria contaminated the tomatoes served at Sheetz, said Dr. Amy DuBois, epidemic intelligence service officer with the Centers for Disease Control and Prevention. The bacterial variety virtually eliminates the chance that contamination came from an infected food-handler somewhere along the food distribution chain, DuBois said.

The most common reservoirs for the roughly 2,000 known strains of salmonella are wild and domestic animals, so investigators tend to think the contamination occurred either at the farm or in packing sheds where tomatoes are processed. This is surely cold consolation for the owners of Coronet Foods, the Wheeling, W.Va., company that closed this year after it was revealed that Coronet sliced the tomatoes served at Sheetz.
 

No Answers in Salmonella Outbreak

There are still no answers as to what caused the Sheetz salmonella outbreak. The FDA said it still doesn`t know how the tomatoes were tainted with salmonella.

The FDA said Hurricane Charley wiped out any clues when it hit Florida tomato farms, reports NBC25 News.

Officials think animals probably contaminated the tomatoes. West Virginia-based Coronet Foods supplied the tomatoes to Sheetz and has since gone out of business.

More than 400 people in Pennsylvania, Maryland, West Virginia and Ohio said they got sick from eating the tomatoes.
 

Salmonella outbreak

Residents at a Murray Mallee aged care facility have been confirmed as having salmonella. Eleven residents were recently confirmed as having gastro-enteritis and after investigations by the Department of Health some of these people were confirmed as having contracted salmonella.

Department of Health Communicable Control Branch acting director Jane Raupach said the exact number of salmonella cases and the name of the facility could not yet be released. Nothing had been identified as a common exposure point which may have caused the symptoms.

She said the department recommended preventative hand washing in any case of salmonella and staff at the facility were under no direct threat.

Investigations are almost complete and the case is now being analysed by the Communicable Control Branch.
 

A New Vaccine Against Enteritidis Salmonella

Javier Ochoa Repraz defended his PhD thesis at the University of Navarre Faculty of Science on the development of an acellular vaccine aginst salmonella enteritidis. This involves a world pandemia considered to be the most importante zoonosis or illness/infection transmissible salmonellosis by animals to humans under natural conditions. It is estimated that the incidence of acute worldwide is more than a thousand million cases per annum and causes three million deaths.

The project developed by Javier Ochoa centred on the investigation of a new vaccine based on the encapsulation of the components of the Salmonella enteritidis cell sheath. The vaccine has shown itself to be efficacious in mice infected with this illness and is currently being employed on experimental farms of Hipra laboratories in Gerona, a company involved in the control of pathogens in birds.

In Spain, salmonella enteritidis is the bacteria that causes 85% of food-provoked gastroenteritis.
 

Caterer won't be punished for food poisoning

The caterer whose baked beans made people at a church picnic sick won't be punished, reports News 14 Carolina.

Police charged Carl Privette with creating a public health hazard and failure to prepare food in a licensed, commercial kitchen. In June, 55 people got salmonella food poisoning from his baked beans.

On Wednesday, Privette received a deferred prosecution. That means he won't be punished and the charges will be erased from his record, if he successfully completes a year of unsupervised probation.

Privette must also comply with the state's regulations before doing any more catering.
 

Costs high from illness

A salmonella outbreak that occurred almost a year ago in Steamboat Springs cost taxpayers almost $40,000 and cost individuals more than $66,000, not to mention a lot of upset stomachs.

Those were the estimates the Routt County Department of Environmental Health gave the City Council on Tuesday night when it presented calculations for the costs of the foodborne illness outbreak.

The outbreak occurred Dec. 16, 2003, at the Seasons at the Pond restaurant, and 51 cases of salmonella were reported in the weeks that followed. Those contaminated ranged from 4 to 72 years old, and 96 percent were Routt County residents.

A group of Steamboat Springs School District food service workers were among those infected. The cost of the infection to the individual was estimated at $1,300 per person.

Three of those infected were hospitalized. All those infected said they had diarrhea, 81 percent had abdominal pain and 75 percent had a fever, according to environmental health statistics. As bad as the outbreak was, it could have been worse, says Nadine Harrach with the environmental health department. The chain of contamination was broken early, it did not spread to any schools or to children through the food service workers, there was not a second wave of outbreaks, and no one died, she said.
 

Don't take a chance with 'foods of chance'

Health department inspectors catch one or two unlicensed food vendors each week. Each December the health department shuts down on average between 10 to 15 unlicensed food vendors, says Brian O'Green, environmental health manager for the Yuma County Health Department.

Some who are caught are simply unaware they need to be licensed and most, after being told to halt their operation, "just go away," he said. O'Green said there are very few cases that require the health department having to take them to court.

Those who eat "foods of chance" from an illegal vendor are increasing their risk of contracting food-borne bacterial infections such as salmonellosis and campylobacteriosis, O'Green said.

"Even one drop of juice from raw chicken meat can infect a person. One way to become infected is to cut poultry meat on a cutting board, and then use the unwashed cutting board or utensil to prepare vegetables or other raw or lightly cooked foods," the CDC reports.
 

Hand washing is key to preventing illness

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."

Public health officials advise you to wash your hands:

  • Before, during and after you prepare food;
  • Before you eat;
  • Before you insert or remove contact lenses;
  • After you use the bathroom or change a diaper;
  • After handling uncooked foods, especially meat, poultry or fish;
  • After handling animals or animal waste;
  • After you blow your nose, cough or sneeze;
  • After you handle garbage or dirty laundry;
  • When your hands are dirty;
  • More often when someone in your home is sick.

"You can infect yourself when you touch your eyes, nose or mouth after your hands have picked up germs from other sources such as people, uncooked foods or contaminated environmental areas," Coffman said. "One of the most common ways people catch colds is by rubbing their nose or their eyes after their hands have been contaminated with the cold virus."

Keeping food safe

Food-safety professionals say improvements in food safety are helping to ensure that.

Dave Wolfgang, a senior research associate in veterinary science at Penn State University, said animal-health programs present a "win, win, win" situation. Animals are healthier than in the past; there is a safe, plentiful food supply; and high productivity benefits the producer.

Wolfgang is one of several members of Penn State's agricultural and soil science staff working with government officials to educate providers about food safety. It's a big effort in Pennsylvania, says Mary Pickels of the Tribune-Review.

Agriculture is the state's largest industry, and Pennsylvania ranks high among those ushering food from farm to table. Production of dairy, eggs and poultry, beef and pork adds up to a combined gross income of $2.7 billion annually..

The basics -- fresh air, good diet, room to roam and rest -- are often the best ingredients. He said experimental vaccines and processing and packaging systems are being studied as other sources of protecting animal health.

Animal disease is still an issue, Wolfgang said. An animal may have a bug that it's adapted to, but that would wreak havoc on the human gastrointestinal tract.

Some Penn State professors are working through outreach programs to educate the state's farmers and producers about food safety.
 

Inmates cry fowl, sue county jail

A group of 67 county jail inmates have filed a lawsuit against the county claiming negligence in an outbreak of illness that followed the 2002 Thanksgiving meal in the jail. More than a third of the 719 inmates in jail on Nov. 28, 2002, reported symptoms of illness after that day's dinner.

An investigation by county and state officials tagged salmonella as the likely cause of the outbreak, reports the Daily News.

The lawsuit charges that jail officials knew of the unsafe condition beforehand, but did nothing to stop it.

The jail falls under the purview of the sheriff's office. Sheriff Gean Leonard said he could not comment on the particulars of the lawsuit because he had not seen it, but said deputies would never knowingly expose inmates to danger.