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Senior Citizen Alerts

Senior Citizens May Be Endangered by Increase in Deadly Foodborne Disease: Listeriosis

Two die in Texas, several recalls this month due to fear of listeria monocytogens bacteria, one of few foodborne diseases on the rise

By Tucker Sutherland, editor, SeniorJournal.com

This USDA video provides tips on keeping food safe in the summer. There are recommendations below news story for protection against Listeriosis. Click to Video

May 13, 2010 – There seems to be mounting evidence that older senior citizens should be on the alert for a possible foodborne illiness, Listeriosis, which can develop from the consumption of food containing the bacteria Listeria monocytogenes. It is among the deadliest of the foodborne diseases, especially for the elderly. There have been several food recalls in two months and at least two deaths reported in Texas due to this bacteria.

Twenty people died in the U.S. last year from Listeria but those deaths came from only 158 cases. By comparison, there were 24 deaths from the better known Salmonella in 2009, but that was from 7,039 cases. (See table below)

“A modest increase in the incidence of Listeria infection is a concern,” noted a report on 2099 issued April 16 by the Foodborne Diseases Active Surveillance Network (FoodNet) of CDC's Emerging Infections Program.

The report noted, however, “The incidence of Listeria infection continues to be substantially lower than at the start of FoodNet surveillance in 1996.”

“This is not a large outbreak. What made it bad is that it has infected people who are fragile, elderly people”

This report on preliminary data for 2009 and trends in incidence since 1996 does reveal sustained declines in the incidence of infections caused by Listeria, as well as, Campylobacter, Salmonella, Shiga toxin-producing Escherichia coli (STEC) O157, Shigella, and Yersinia. Vibrio infection continued to increase.

“Listeriosis can cause high fever, severe headache, neck stiffness and nausea. Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy. Individuals concerned about an illness should contact a physician,” according to the U.S. Department of Agriculture’s Food Safety and Inspection Service.

The statement added, “Healthy people rarely contract Listeriosis.”

Number of foodborne deaths and case fatality rate (CFR) in 2009*, by pathogen

Foodborne Diseases Active Surveillance Network (FoodNet), United States

Pathogen

Overall 2009

Bacteria

# deaths

total # cases

CFR
(%)

Campylobacter

9

6033

0.15

Listeria

20

158

12.66

Salmonella

24

7039

0.34

Shigella

1

1849

0.05

STEC†O157

2

459

0.44

STEC non-O157

1

264

0.38

Vibrio

7

160

4.38

Yersinia

2

150

1.33

Parasites

 

Cryptosporidium

8

1325

0.6

Cyclospora

0

31

0

Total

74

17468

0.42

*Data are preliminary

†Shiga toxin-producing Escherichia coli

Deadly outcomes in Texas

But, a reminder of the deadly consequence of Listeriosis
 for older people was in a news story today published in the San Antonio Express-News.

“State and local health officials are investigating a cluster of food-borne infections that sickened seven people in three Texas counties this year, killing two of them,” reported Don Finley.

The infected patients ranged from ages 66 to 93. Most had serious underlying health problems, and all but one were hospitalized either before or during their infection. The first case was reported in January, the most recent May 6, according to information provided the San Antonio newspaper by Roger Sanchez, senior epidemiologist with the Metropolitan Health District.

“This is not a large outbreak. What made it bad is that it has infected people who are fragile, elderly people,” Sanchez told the reporter.

Recalls announced by FDA and USDA

The FDA Enforcement Report of May 12 contained a list of log/cheese ball products with the “potential to be contaiminated with Listeria monocytogenes bacteria that are voluntarily being recalled by Wisconsin Cheeseman. This recall was initiated following a recall by Parkers Farm, Inc.

The Cheeseman first announced the recall on January 20, 2010 of the products distributed throughout the U.S. and Canada.

The company is recalling these cheese log/cheese ball products in conjunction with the voluntary recall initiated by Parkers Farm, Inc. Parkers Farm said it believes some of its food items have the potential to be contaminated with Listeria monocytogenes bacteria.

This was just the latest in several recalls already this month due to Listeria monocytogenes bacteria.

On May 10, the USDA's Food Safety and Inspection Service (FSIS) issued a public health alert for various ready-to-eat deli meat products “because they may be contaminated with Listeria monocytogenes.”

 

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In this case, FSIS was notified by the Canadian Food Inspection Agency (CFIA) that various ready-to-eat deli meat products subject to recall in Canada may have been exported to the United States. Recently, a problem was discovered through FSIS microbiological testing of imported product from Canada, which resulted in a positive sample for Listeria monocytogenes and two FSIS recalls dated May 4 and 5, 2010.

FSIS and Canada have received no reports of illnesses as result of consumption of products subject to this alert. Anyone with signs or symptoms of foodborne illness should contact a physician. FSIS will continue to provide information as it becomes available, including information about any related recall activity.

Products exported to the United States include, but are not limited to, the following:

   ● "Casa Italia Gastronomia Prosciutto"
   ● "Casa Italia Gastronomia Prosciutto Boneless"
   ● "Casa Italia Gastronomia Prosciutto Mattonella"
   ● "Casa Italia Prosciutto Boneless"
   ● "Casa Italia Prosciutto Boneless Sliced"
   ● "Casa Italia Prosciutto Ham Sliced"
   ● "Emma Dry Prosciutto"

The following recalls due to Listeria monocytogenes were also announced in May and April.

  ►  May 5, 2010 - International Gourmet, a Springfield, Va., establishment, is recalling approximately 70 pounds of prosciutto products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.
>> More information

  ►  May 4, 2010 - Orlando Greco & Son Imports, a Carol Stream, Ill., establishment, is recalling approximately 822 pounds of prosciutto products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The problem was discovered by FSIS microbiological testing of imported product resulting in a positive sample for Listeria monocytogenes. FSIS was notified by the Canadian Food Inspection Agency that the implicated product was also distributed to an Importer of Record and further distributed, thus resulting in this recall. FSIS has received no reports of illness as a result of consuming this product.
>> More Information

  ►  May 1, 2010 - Custom Corned Beef, Inc., a Denver, Colo., establishment, is recalling approximately 460 pounds of fully cooked crumbled pork sausage products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture’s Food Safety and Inspection Service (FSIS) announced today.
>> More information

  ►  April 4, 2010 - Lorentz Meats, a Cannon Falls, Minn., establishment, is recalling approximately 100 pounds of ham products that may be contaminated with Listeria monocytogenes, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.
>> More information

Recommendations For People At Risk For Listeriosis

   >> Wash hands with warm, soapy water before and after handling raw meat and poultry for at least 20 seconds. Wash cutting boards, dishes and utensils with hot, soapy water. Immediately clean spills.

   >> Keep raw meat, fish and poultry away from other food that will not be cooked. Use separate cutting boards for raw meat, poultry and egg products and cooked foods.

   >> Do not eat hot dogs, luncheon meats, bologna or other deli meats unless reheated until steaming hot.

   >> Do not eat refrigerated pâté, meat spreads from a meat counter or smoked seafood found in the refrigerated section of the store. Foods that don't need refrigeration, like canned tuna and canned salmon, are safe to eat. Refrigerate after opening.

   >> Do not drink raw (unpasteurized) milk and do not eat foods that have unpasteurized milk in them.

   >> Do not eat salads made in the store such as ham salad, chicken salad, egg salad, tuna salad or seafood salad.

   >> Do not eat soft cheeses such as Feta, queso blanco, queso fresco, Brie, Camembert cheeses, blue-veined cheeses and Panela unless it is labeled as made with pasteurized milk.

   >> Use precooked or ready-to-eat food as soon as you can. Listeria can grow in the refrigerator. The refrigerator should be 40 °F or lower and the freezer 0 °F or lower. Use an appliance thermometer to check the temperature of your refrigerator.

Answers to your questions

Consumers with food safety questions can "Ask Karen," the FSIS virtual representative available 24 hours a day at AskKaren.gov. The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from l0 a.m. to 4 p.m. (Eastern Time) Monday through Friday. Recorded food safety messages are available 24 hours a day.

>> Read complete story in San Antonio Express-News on Listeria deaths: Seven sickened, two killed, by food-borne infection

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