Salmonella outbreak tied to pot pies totaled 401 cases

first_imgNov 26, 2008 (CIDRAP News) – A widely publicized Salmonella outbreak that was linked to frozen pot pies last year involved 401 cases in 41 states and put more than 100 patients in hospitals, the Centers for Disease Control and Prevention (CDC) said today in a final report on the episode.The outbreak prompted changes in the label instructions for Banquet pot pies and warnings about the importance of thoroughly cooking frozen, not-ready-to-eat foods. And in today’s report, the CDC says the food industry and regulators should examine manufacturing processes for such foods to determine how safe it is to cook them in microwave ovens.Cases in the outbreak began in February and continued until December, peaking in September, according to the article in the Nov 28 issue of Morbidity and Mortality Weekly Report. Of patients for whom the information was available, 144 of 289 (50%) had bloody diarrhea, and 108 of 338 (32%) were hospitalized, the CDC says. The outbreak strain is known as Salmonella enterica serotype I 4,5,12:i:-.Rajal Mody, MD, a CDC Epidemic Intelligence Service officer, said a hospitalization rate of 32% is “close to average” for Salmonella outbreaks. He said a recent study that compared the hospitalization rates for many different Salmonella serotypes found that the average is 22.8%. The study was published in the Journal of Infectious Diseases (see link below).”There are definitely some strains that are lower, some in the 16% range, and there’s one as high as 67%, but that is a fairly rare serotype,” Mody told CIDRAP News. He said the same study indicated that the average hospitalization rate for the I 4,5,12:i:- strain is about 25%.The first cluster of cases involving the outbreak strain with matching DNA fingerprints was detected by Pennsylvania disease detectives in June, the CDC report says. But the source of infection was not discovered until a case-control study was launched in October.As part of that effort, epidemiologists in the Minnesota Department of Health determined that four case-patients had eaten Banquet pot pies in the week before they got sick. Further investigation of cases and neighborhood matched controls pointed to Banquet turkey pot pies as the only food associated with the outbreak.In subsequent interviews, 174 of 236 case-patients reported they had eaten frozen pot pies in the week before they fell ill, and more than 90% of these were Banquet or other brands made in the same plant. In addition, the outbreak strain was found in 13 unopened Banquet turkey pot pies collected from patients, all of them produced on Jul 13 or Jul 31, 2007.ConAgra Foods on Oct 8, 2007, suspended production of pot pies at the plant linked to the outbreak, and a few days later the company recalled all pot pies made there. Previous reports listed the plant location as Marshall, Mo.The CDC report indicates that many of the outbreak cases might have been related to undercooking of the pot pies in microwave ovens. “Banquet pot pie microwave instructions might have been confusing because different parts of the package recommended different preparation times,” the article says. Also, the microwave instructions varied by wattage, but few of the patients who were interviewed knew the wattage of their microwave. The report notes that ConAgra revised the labeling and instructions on the pot pies before resuming production.However, improper microwave cooking could not explain the entire outbreak, because 23% of case-patients who ate a pot pie reported cooking the pies in conventional ovens, the CDC says. The case-control study was not large enough to determine whether using a microwave rather than a conventional oven was a risk factor for illness.Several previous salmonellosis outbreaks have been linked to frozen, not-ready-to-eat foods, including several tied to frozen chicken entrees, the report notes. The pot pie outbreak differed from the previous ones in that all the meat ingredients in the pies were supposed to be precooked, with the crust being the only raw part, it says. The report suggests that contamination could have come from “raw frozen poultry pastes” used in making the pies. However, an intensive investigation of the ConAgra plant and its suppliers failed to pinpoint any source of contamination.In view of the likely role of microwave cooking in the outbreak, the CDC says, “Industry and regulators should consider examining the manufacturing processes for frozen not ready-to-eat foods to determine the extent to which microwave cooking is safe for these products.”Besides calling for clear instructions and warnings on frozen microwavable foods, the agency says that clear and prominent listing of the wattage on microwave ovens might improve consumer compliance with the cooking instructions.CDC. Multistate outbreak of Salmonella infections associated with frozen pot pies—United States, 2007. MMWR 2008 Nov 28;57(47):1277-80 [Full text]See also: Oct 12, 2007, CIDRAP News story “ConAgra recalls pot pies as Salmonella cases rise”Study from Jul 1, 2008, Journal of Infectious Diseases: “Salmonellosis outcomes differ substantially by serotype”last_img read more

Trump signs executive order to prevent price gouging, hoarding of medical supplies

first_imgOn Monday President Trump signed an executive order to prevent price gouging and hoarding of critical medical supplies amid the coronavirus outbreak.During  Monday evening’s briefing, Attorney General William Barr said that there was proof of people hoarding and price gouging amid the pandemic. Barr said the order would prohibit people from buying supplies to make profit off of them. Trump is authorized under the Defense Production Act to prohibit hoarding of needed resources by designating them as scarce or threatened by people accumulating excessive amounts, Barr said.This order will give Health and Human Services (HHS) Secretary Alex Azar the authority to designate certain supplies as critical, meaning those found to be hoarding or price gouging such equipment could face criminal action, Barr said.The DOJ and HHS are currently working to identify what materials as designated as critical.President @realDonaldTrump just signed an EO to prevent hoarding & price gouging of supplies needed in our war against the #Coronavirus. This sends a strong message – we will not let those hoarding vital supplies & price gougers to harm the health of America in this hour of need.— Stephanie Grisham (@PressSec) March 23, 2020last_img read more

CWI appoints Englishman to top commercial post

first_imgST JOHN’S, Antigua, (CMC) – Cricket West Indies(CWI have appointed Englishman Dominic Warne as director of Commercial, Marketing and Communications.The appointment, which took effect October 1, will see the executive taking responsibility for CWI’s commercial operations and revenue generation, along with marketing and communications initiatives.“I’m really excited to join CWI’s new leadership team and strengthen the iconic Windies brand,” Warne said.“The flamboyant cricket, colour and atmosphere that so defines Caribbean cricket is unique. We have a great opportunity to connect with fans and excite commercial sponsors, so I’m looking forward to growing partnerships with the territorial boards and sponsors to make the cricketing heartbeat of the region beat stronger.”According to CWI, Warne brings over two decades of marketing and sponsorship strategy to the new post.Warne, who will be based at the CWI headquarters here, joins another Englishman Johnny Grave, who was appointed CEO last February.last_img read more

Syracuse survives inconsistent performance from Sophie Dandola

first_imgSophie Dandola was in the midst of her fifth meeting in the pitcher’s circle in the third inning alone. Some were just Dandola and catcher Gianna Carideo, another time Miranda Kramer walked to the mound in her blue jacket, attempting to calm down the flustered Dandola. But by her fifth visit, her smile was wiped away. Syracuse (12-18, 2-4 Atlantic Coast) won both of its games on Wednesday over Niagara (1-14), 12-4 (5 innings) and 7-5. Yet Dandola, who has been an important second starter at pitcher this season, struggled with her control and emotions in the Orange’s home-opener. As a starter in the second game, she pitched 4.1 innings, allowing six hits and four walks. She was relieved by Miranda Hearn in the fifth inning and allowed five total runs, three earned. “I could have done better in a lot of areas,” Dandola said. “It was not my strongest outing, I didn’t have control of my pitches.”Dandola tries to keep herself motivated with “self-talks” in the circle. Sometimes, it’s riling herself up after a big strikeout, as she did in the second inning when she struck out Madison Rastello swinging on a changeup. Dandola had allowed a run in the previous at-bat, but she tried to hype herself up afterward. “When she goes from 0 to 100 with her emotions, she tends to not pitch that well,” SU head coach Shannon Doepking said. “The mound visits are to prevent that.”AdvertisementThis is placeholder textOther times, Doepking and Dandola said, Dandola lets her emotions take over. In the third inning, prior to any coaches’ visits to the circle, Carideo tried to calm her down. Dandola ran deep counts to the first four batters in the inning, falling behind to the first three of them quickly.Dandola’s strength is pitching to ground balls, Doepking said, which usually works well for SU except on Wednesday, when Niagara “booted it (the ball) all over the field.” The Orange made three infield errors that extended innings and made Dandola’s performance more difficult to get out of. After a strikeout to start the third, Dandola walked Kelsey Harrigan on just five pitches. As the Niagara dugout chanted, “Three balls, three balls, three balls” to try to get into Dandola’s head when the count was 3-1, Carideo stepped out in front of the plate a few times on the toss back to Dandola, trying to help her regain control. It didn’t work at first. Harrigan advanced to second on a passed ball early in the count to the next hitter. That at-bat resulted in a ground out to Dandola, who looked off the runner at second before firing to first. The next ball hit to her, though, she made an errant throw past first baseman Alex Acevedo and Harrigan came around to score.Then came another mound visit.“I’m kind of just like doubting myself, trying to stay calm,” Dandola said. “Trying to keep my thoughts in check. I think about the good or bad moments, it changes your mental state.”After the second mound visit, Dandola high-fived every one of her infielders. At 3-2, she got ahead of the fourth hitter in the inning with a first-pitch strike. Dandola did exactly what she wanted to do, force a ground ball, but Anya Gonzalez made a throwing error from shortstop. An unearned run scored, and the game was tied at three. Next, another walk as Dandola started to unfold. She wasn’t giving out high-fives anymore. She focused in and struck out Jennifer Timm. The next inning, a relatively stress-free inning, boosted her confidence, Dandola said. In the fifth, Dandola’s lack of control ended her night early. A walk, a passed ball, another walk and a single loaded the bases. After a second single brought a run in, Doepking turned to Hearn to get out of the jam.With inconsistency from ace Alexa Romero and Dandola, Hearn closed out Syracuse’s second-straight win with no runs in the middle innings. Even though Syracuse got by because of its pitching depth Wednesday, Doepking said Dandola has to manage her emotions better in the future. “I think Sophie, there is a lot of growing taking place with her,” Doepking said. “She’s super competitive and super hard on herself, if we can get her to chill a little bit to be honest she’ll be effective.” Comments Facebook Twitter Google+ Published on March 27, 2019 at 11:16 pm Contact Anthony: amdabbun@syr.edulast_img read more