Superbug Enzyme in Britain

Via an unnamed source: the BBC reports on a new "superbug" in the UK, a shared antibiotic-eating enzyme imported from India.

The enzyme, called New Delhi Metallo-1, has so far been found attached to bacteria that has caused urinary tract infections and respiratory infections.
It is of particular concern because it can jump from one strain of bacteria to another meaning it could attach itself to more dangerous infections that can cause severe illnesses and blood poisoning making them almost impossible to treat.
The NDM-1 enzyme destroys a group of antibiotics called carbapenems which are mainly used in Britain for severe infections and are tightly controlled because they are one of the few groups of antibiotics that remain useful against bacteria that have already developed resistance to the commonly used drugs.

Where's the beef?

I went to see Food, Inc. with my unnamed sources last week, and one of them has already found a topical CNN report of yet another E. coli recall.

The beef products were produced on April 21 and were distributed nationally and internationally, the USDA said. Boxes of the recalled product bear the establishment number "EST. 969" inside the USDA mark of inspection, the identifying package date of "042109" and a time stamp ranging from "0618" to "1130," the statement said.
It added that some of the beef products might have undergone further processing and might not have the "EST. 969" marking on products for sale directly to consumers.
The USDA urged customers with concerns to contact their point of purchase of the beef products.

In other words, God only knows whether the smoking beef is in your freezer right now.

E. coli Cookie Update

Thanks to an unknown source for yesterday's CDC update to the E. coli cookie dough situation:

As of Monday, June 22, 2009, 70 persons infected with a strain of E. coli O157:H7 with a particular DNA fingerprint have been reported from 30 states. Of these, 41 have been confirmed by an advanced DNA test as having the outbreak strain; these confirmatory test results are pending on the others. The number of ill persons identified in each state is as follows: Arizona (2), California (3), Colorado (5), Connecticut (1), Delaware (1), Georgia (1), Hawaii (1), Iowa (2), Illinois (5), Kentucky (3), Massachusetts (4), Maryland (2), Maine (3), Minnesota (6), Missouri (2), Montana (1), North Carolina (2), New Hampshire (2), New Jersey (1), Nevada (2), Ohio (3), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (2), Virginia (2), Washington (5), and Wisconsin (1).

As advised by the CDC, PlagueBlog reminds you that you should not eat raw food products that are intended for cooking or baking before consumption, no matter how yummy they may appear.

Whole Foods and E. coli

Via Universal Hub: the Massachusetts Department of Health and Human Services reports that seven cases of E. coli in the state have been traced to ground beef from Whole Foods.

Officials from the supermarket chain have cooperated with staff from DPH during the agency’s investigation to determine the source of the contamination. Preliminary findings suggest that ground beef products that were previously identified as part of a nationwide recall may have entered the retail supply at Whole Foods during June and July.
Last month, the United States Department of Agriculture (USDA) announced the extension of a national recall for ground beef produced by Nebraska Beef, Ltd. due to possible E. coli contamination. Nebraska Beef produces products under the Coleman brand name, and a review of records from Whole Foods indicates that some of the stores received product from the recall list. At this time, it is not known why the food listed under the USDA recall was sold to the public after the recall date.

The state recommends throwing away any ground beef purchased at Whole Foods between June 2nd and August 6th.

Weekend of E. Coli

Channel 7 reports that this weekend's boil-water order in Woburn, Massachusetts(1) has been rescinded after the smoking squirrel(2) was discovered inside the suspect water tank:

That tank is being taken care of, and the mayor has an interesting theory at what caused the problem, a small animal was found inside the tank.
Crews disinfected the water supply by pumping in additional chlorine to affected areas.

(1) PlagueBlog recommends against drinking the water in Woburn, Mass. under any circumstances, boiled or not, boil order or not, brown or not, eating through the pipes or not, for at least a hundred years.

(2) "Smoking squirrel" is a term of art and should not be taken literally. The report did not specify the animal found.

Yo no quiero Taco Bell

Via ProMED-mail: The New York Times reports on the spreading Taco Bell E. coli outbreak.

Even as health officials and food distributors zeroed in yesterday on a California farm as the possible source of the contaminated green onions that have sickened Taco Bell customers, the E. coli outbreak widened considerably, with cases reported for the first time in New York City, Delaware, South Carolina and Utah.
In all, the number of cases that have been reported ballooned, to at least 169 yesterday, with most concentrated on Long Island and in New Jersey.
In New York, health officials said they were investigating 103 confirmed or suspected cases in 10 counties, up from 49 on Wednesday. Nearly three-quarters of the cases were found on Long Island, but cases were reported for the first time in New York City as well as Westchester, Rockland, St. Lawrence and Herkimer Counties.
In New Jersey, 12 new cases were reported, bringing the total to 55. There were no new cases reported in Pennsylvania, where seven people have been sickened thus far. In Delaware, one case was confirmed and another was suspected. According to federal health officials, “the vast majority of patients reported eating” at a Taco Bell.

The Smoking Spinach Bag

Via ProMED-mail: The AP reports that health officials have pinned the E. coli outbreak on the prime suspect, spinach from the Salinas Valley.

A bag of tainted Dole baby spinach found in the refrigerator of a New Mexico patient was a "smoking gun" that allowed investigators to zero in on farms in the Salinas Valley.
The spinach tested positive for the same strain of E. coli linked to the outbreak. Dole is one of the brands of spinach recalled late last week by Natural Selection Foods LLC of San Juan Bautista, California.

Spinach Recall

I saw them taking away the bagged spinach at Whole Foods today. See the New York Times article or the FDA warning against bagged spinach:

The U.S. Food and Drug Administration (FDA) is issuing an alert to consumers about an outbreak of E. coli O157:H7 in multiple states that may be associated with the consumption of produce. To date, preliminary epidemiological evidence suggests that bagged fresh spinach may be a possible cause of this outbreak.
Based on the current information, FDA advises that consumers not eat bagged fresh spinach at this time. Individuals who believe they may have experienced symptoms of illness after consuming bagged spinach are urged to contact their health care provider.

Disease Roundup

Several new and/or interesting outbreaks via ProMED-mail:

• Agence France-Presse reports that the Marburg death toll in Angola has hit 155, not counting the suspected Marburg death of a South African who left Luanda about a week ago. The virus continues to rage uncontrolled.
• Reuters reports on two more suspected cases of bird flu (not counting the woman who drank duck blood from earlier this week) as well as a doctor who died of apparent SARS, all in Vietnam.
• Folha de S.Paulo reports [in Portuguese] on a Brazilian outbreak of the parasite Diphyllobothrium latum in patients who ate raw, smoked, or undercooked fish. Patients consumed their sushi and sashimi at several establishments across Sao Paulo.
• UPI reports on a French woman who may have had variant CJD 20 years before the mad cow epidemic began.
• The AP reports that North Korean birds are sick with a different strain of bird flu (H7) than the highly fatal one which has spread to humans in other parts of Southeast Asia (H5).
• Agence France-Presse reports on the continuing spread of the rare Chlamydia infection lymphogranuloma venereum (LGV) among homosexual European males.
• NYNewsday reports on a rash of E. coli infections acquired from petting-zoo animals. PlagueBlog recommends avoiding contact with animals before their internal temperature has reached 160°F. Use a meat thermometer if necessary.

And don't travel to Angola.