Evelyn J. Kim | Food Safety News https://www.foodsafetynews.com/author/evelynkim/ Breaking news for everyone's consumption Mon, 30 Jul 2018 23:20:22 +0000 en-US hourly 1 https://wordpress.org/?v=6.3.1&lxb_maple_bar_source=lxb_maple_bar_source https://www.foodsafetynews.com/files/2018/05/cropped-siteicon-32x32.png Evelyn J. Kim | Food Safety News https://www.foodsafetynews.com/author/evelynkim/ 32 32 Nomavirus Is Everyone's Virus and Everyone's Cost https://www.foodsafetynews.com/2013/03/nomavirus-is-everyones-virus-and-everyones-cost/ https://www.foodsafetynews.com/2013/03/nomavirus-is-everyones-virus-and-everyones-cost/#respond Tue, 12 Mar 2013 05:03:46 +0000 https://www.foodsafetynews.com/?p=66641 Last Friday morning, Extra Bladet, a Danish Tabloid, broke the story: “Noma: 63 hit by Roskildesyge (Norovirus in Danish).” Norovirus, a highly virulent and contagious virus, causing nausea, vomiting and diarrhea, or gastroenteritis, sickened 63 out of 435 guests over a two-day period in February according to reports by The Danish Veterinary and Food Administration. For the world’s... Continue Reading

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Last Friday morning, Extra Bladet, a Danish Tabloid, broke the story: “Noma: 63 hit by Roskildesyge (Norovirus in Danish).” Norovirus, a highly virulent and contagious virus, causing nausea, vomiting and diarrhea, or gastroenteritis, sickened 63 out of 435 guests over a two-day period in February according to reports by The Danish Veterinary and Food Administration. For the world’s top restaurant, this was not just a case of Noma catching the flu. The story went viral. Food websites such as Eater and Grub Street lapped up the story as soon as it was reported in Danish papers, and soon, all other established media sources, including National Public Radio, AP, UPI, The Huffington Post, ABC News and the LA Times followed suit. While the Twittersphere was burning through its schadenfreude quota, the actual scientific details about the illness were buried under a pile of snark. Norovirus has been at epidemic levels, causing almost 21 million illnesses each year in the U.S. alone. According to the CDC, there is really no specific treatment and prevention, that is, proper hand and food hygiene, is often the best cure. The problem is that norovirus is one tough bug. According to a paper in the Journal of Infectious Diseases, “Noroviruses are perhaps the perfect human pathogens… highly contagious, rapidly and prolifically shed, constantly evolving, evoking limited immunity, and only moderately virulent, allowing most of those infected to fully recover, thereby maintaining a large susceptible pool of hosts.” In other words, it’s a public health nightmare. Carriers often don’t know they have it or continue to carry it after they recover, thus passing it on to unsuspecting victims. It can survive at a wide range of temperatures, from below freezing up to 140F, and can survive for nearly two weeks on many surfaces. And it doesn’t need a high viral load to do its job: less than 20 viral particles are enough to cause illness. And it just needs one carrier to infect an entire community or institution. Considering the prevalence, incidence and virulence of norovirus, it seems almost unbelievable that Noma didn’t have a previous outbreak of norovirus or have more patrons puking their guts out. What happened at Noma could have happened anywhere and everywhere, as it did in London in 2009 when 240 diners contracted the virus at the three-Michelin-starred restaurant, The Fat Duck and a Chipotle outlet near Kent State University in Ohio in 2008. But then the question is why didn’t Noma have an outbreak earlier or have more guests holding their stomachs? Hygiene is one factor. While the Danish authorities cited hygiene problems, specifically a “lukewarm” hand washing faucet, chefs and waitstaff are given strict instructions to wash hands thoroughly with hot water and soap on a regular basis. Although norovirus has been known to withstand even a dishwasher, frequent hand washing often cuts transmission rates. But one policy that Noma has is critically important: paid sick days. The CDC has found that 89 percent of norovirus outbreaks occur in places were food is prepared and handled on a regular basis: schools, nursing homes, cruise ships and restaurants. As it takes only one infected person to cause an outbreak, keeping quarantine on ill or possibly infected workers is paramount. Noma has a strict illness policy in which any ill worker, from the office to the cleaning staff, is sent immediately home at the slightest sign of illness and is told to stay home for 48 hours after symptoms subside. And they are paid for those days. Compare this to the United States. According to the CDC, in 2011, 12 percent of restaurant workers reported signs of norovirus. The CDC also reports that 50 percent of norovirus infections can be traced back to food service workers. According to the Institute for Women’s Policy Research, 78 percent of hotel and food service workers do not have paid sick leave. Another food service workers advocacy group, ROC (Restaurant Opportunities Center) United estimates 90 percent of food service workers lack paid sick leave. Due to the low wages and the job instability of food service work, many of America’s cooks, busboys, and servers can neither afford to stay home due to lost wages nor firing, only encouraging ill workers to come to work and infect their co-workers and patrons. Add the lack of health insurance to the absence of sick days, and you have a recipe for an ongoing epidemic. But where is the will to change public health and labor policies to prevent such epidemics from happening? Small business owners complain that health insurance and paid sick days are too costly for them. Yet the cost of not giving workers sick days is much greater. According to the Integrated Benefits Institute, $227 billion is wasted due to lost productivity from illness. In an economy that is barely recovering from a recession, these are dollars we cannot afford to squander. According to Cornell University economist Sean Nicholson, for every dollar spent on employee health care, employers can save three dollars in costs. While Noma tries to repair its unfairly damaged reputation, millions of other food service workers at no-name restaurants are just trying to work through another sick day. Too bad that they don’t have Eater or Grub Street gleefully sneering at their misfortune. It might be the only way that their plight and that of millions of others working without sick days will finally be able to serve you and the public better. This article originally appeared on the Huffington Post’s Blog on March 11, 2013. 

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It's Not About the Sprouts https://www.foodsafetynews.com/2011/06/its-not-about-the-sprouts/ https://www.foodsafetynews.com/2011/06/its-not-about-the-sprouts/#comments Sat, 11 Jun 2011 01:59:03 +0000 http://foodsafetynews.default.wp.marler.lexblog.com/2011/06/11/its_not_about_the_sprouts/ “Of course we are challenging nature itself, and, it hits back … We have to accept that it’s much stronger than we are.” – Werner Herzog (German Filmmaker on filming of Fitzcarraldo) In Berlin, where I live, the evidence and fear are everywhere. It’s the talk of the town. Our local beer garden has stopped... Continue Reading

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“Of course we are challenging nature itself, and, it hits back … We have to accept that it’s much stronger than we are.”
– Werner Herzog (German Filmmaker on filming of Fitzcarraldo)

In Berlin, where I live, the evidence and fear are everywhere. It’s the talk of the town. Our local beer garden has stopped serving salads, with our waitress apologizing profusely for the “E-Ha-E-Ce Ausbruch.” My grocer has placed several notices by the supposedly offending produce, lettuces, tomatoes, cucumbers and sprouts, indicating the risk in eating such produce. And at Berlin’s famed market at Winterfeldt Platz, piles of vegetables are rotting in the sun as produce dealers give exasperated sighs and lengthy explanations as to the source of their goods.  And in a bit of gallows humor, a friend has been gloating that he can finally eat all the sausages he wants, because vegetables are going to kill him.

German newspapers have tried to keep up with the rumor, innuendo, and the latest update on the enterohaemorrhagic E. coli (“EHEC”). Seven killed. Nine killed. Five hundred infected. First Swedish death. Nineteen killed, two thousand affected. Russia ban on all EU produce. 4 Americans contract EHEC. Thirty-one deaths.  First it was lettuce, tomatoes and cucumbers. Then it was Spanish cucumbers from Almería and Málaga. Then it was organic Spanish cucumbers. Then bean sprouts from a farm in Lower Saxony. It’s a cucumber found in a compost bin in Madgeburg. It’s sprouts again – but organic bean sprouts. Is it an old strain? A new strain? Mutant strain? Is it from over-use of antibiotics? Is it pesticides? Is it from cows? From humans? Is it because of genetically modified foods?

In Germany, unless you have been hiding under a rock, you know there has been an epidemic of food-borne illnesses caused by Escherichia coli (E. coli) O104:H4, the worst being the life-threatening hemolytic uremic syndrome (or HUS), which compromises kidney functionality.

The source has finally been found, after 5 weeks since the first cases were reported in Hamburg and the northern-German states of Saxony and Schleswig-Holstein. There have been lots of suspects, including that of Spanish cucumbers, but until Friday, there had been no definitive evidence as to the exact food source of the outbreak. And even as late as June 6, one German health official admitted, “…it is possible we shall never be able to identify the source (of the E. coli).” [1]

Of course this is not for lack of trying. Since the first case came to German public health officials’ attention on May 2, there has been a frenzied search by German health authorities, hospitals, epidemiologists and scientists across the Germany and the European Union to find the smoking gun. While many countries, most notably the US, have had E. coli scares and outbreaks before, the World Health Organization has even admitted that this particular strain has never been recorded before. And some have even suggested that the scope and the breadth of this particular outbreak may be unprecedented in Europe.

But the blame game has already begun. German citizens are blaming the Robert Koch Institute (the German equivalent to the U.S. Centers for Disease Control), local health authorities, German Ministry of Health (“Bundesministerium für Gesundheit”) and the German Ministry of Food, Agriculture and Consumer Protection (“Bundesministerium für Ernährung, Landwirtschaft und Verbraucherschutz”). German government has blamed Spanish agricultural practices. Spanish government blames Germany’s poor crisis management. France and other member states have blamed Germany and Spain for lack of transparency. Vegetable farmers accuse health officials for libel and lost revenue. US’s CDC criticized the German antibiotic therapies for E. Coli as a catalyst for HUS.

And sadly, after this outbreak comes to an end, we may be none the wiser.

Everyone seems to be missing the point. What is happening here in Germany can and will happen in other places. This is not just about sprouts. Or Spanish farmers. Or government agencies, Or food processors. The whole food system has to be examined and reformed. If there is anything we can learn from this tragedy is that food systems are no longer local. We have apples from South America; we have shrimp from Vietnam; we have cheese from France. There is no ONE global agency responsible or accountable for the safety of our food supplies. We are completely dependent upon state and local entities to safeguard our food system, but they are riddled with holes: overlapping responsibilities, non-coordination across agencies, agency infighting, competing public and corporate interests, poor enforcement, and no money. No political will. And that is just the tip of the iceberg.[2,3]

If anger and indignation were solutions, I’d be a policy genius. Unfortunately, the real world doesn’t work that way. I do have some concrete suggestions that might prevent future tragedies like this from happening.

1.Countries need to give food safety and consumer agencies the necessary enforcement power to oversee food production at ALL levels – from farm to fork. This means more money, more agents, more inspections, because right now, these agencies have too little to work with.[4]  This is especially true in the US, China and other developing nations with large agricultural trade interests (Brazil, Argentina, Uganda, Morocco, etc.).

2.There is need for an international agency or consensus on food safety standards with enforcement power. Food distribution chains have become global, however, the safeguards needed to oversee them have not. The World Health Organization and the International Organization for Standardization have given guidelines to food safety, however they are basic in nature and are NOT enforceable. An international agency with enforcement power could monitor food safety issues across borders, instead of depending upon individual countries to safeguard their food supply. Countries have their own political interests in defending their food products – consumers across the world don’t.

3.There needs to be more transparency in the food system. Period. Consumers should know where their food comes from, how it was produced, and in whose hands it was passed through before it gets to their table. If that means a label, sign or an independent 3rd party inspection, then so be it. Currently, consumers have very little information regarding the pathway from farm to plate (unless they grow or slaughter or gather your own food). In the end, it is the consumer that has to bear the consequences for faulty food safety practices – why shouldn’t they be the first to know where their food comes from?

Foodborne illnesses are entirely preventable. Human nature, unfortunately, is not. Let’s stop the blame game. Blame doesn’t save lives. Action and accountability do. Let’s try not to screw it up this time.

[1]   See EU Ministers to meet on E. Coli Outbreak, Al Jazeera English, 7 June , 2011.

[2]  This is not to suggest that it is all government’s fault. Corporations, agri-business, and multi-nationals are also to blame. But we also have to look at ourselves. Our need for cheap, fast and convenient food has only accelerated a series of agricultural and food practices that contribute to poor food habits – not just foodborne illnesses, but also obesity, type 2 diabetes, heart disease, cancer – the list goes on and on.

[3]  And no, this is just not only in the US. EU and EC agencies are just as problematic. Currently the EU Minister of Agriculture is responsible for both safeguarding the agricultural practices as well as promoting their interests in world trade. (For a while there, the EU Agricultural Minister was also a corporate farm owner…conflict of interest?) Many other countries have the same set of conflicts of interests regarding food, agriculture and consumer safety.

[4]  Currently in the US, Congress is determining the budget for fiscal year 2012. The Food Safety Modernization Act, which was passed with bi-partisan support last year, is getting the ax. The FSMA is the first major reform of food safety practices since the 1920’s and gives the FDA power to inspect, fine, suspend and recall foreign and domestic food and food facilities that do not meet safety standards. (See my blog post here regarding the history of food safety and the Food Safety Modernization Act.)

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Evelyn J. Kim lives in Berlin and Copenhagen, and writes for the food and sustainability blog, Edo Ergo Sum (www.edo-ergo-sum.com).

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