Botulism Pumpkin Butter Recalled

Amish Wedding Foods Inc. of Millersburg, Ohio, is recalling all lots of 9- 16- and 18-ounce pumpkin butter, as well as all lots of 16- and 18-ounce sweet potato butter. The items are recalled because of concerns over possible botulism contamination. No illness has been reported. The pumpkin and sweet potato butters were sold under a variety of brands and were available in most states

What is Botulism ?

Botulism is a form of food poisoning caused by eating contaminated food containing a toxin that severely affects the nervous system. It can be very serious, although not contagious. There are two other types, wound botulism and infant botulism. These affect the central nervous system and the muscular system.

Causes of Botulism

Clostridium botulinum, a bacteria found in contaminated or incompletely cooked,
canned foods, is the cause of Botulism. This bacteria produces a powerful poison (toxin) that is absorbed from the digestive tract and spreads throughout the central nervous system. Likely foods to cause botulism include: home-canned vegetables and fruits, fish, meat, undercooked sausage, smoked meats and milk products. With infants under 1 year, raw honey or other uncooked foods may be the cause. The bacteria also may infect a wound and produce the toxin.

Signs and Symptoms of Botulism

Symptoms of Botulism usually appear suddenly 18 to 36 hours after eating contaminated food. They include blurred or double vision, drooping eyelids, dry mouth, slurred speech, swallowing difficulty, vomiting, diarrhea, weakness of the arms and legs. As the condition progresses, paralysis may develop. There is not direct effect on mental abilities and there is no fever associated with Botulism. Symptoms appearing in infants include severe constipation, feeble cry, and the inability to suck.

Scientists link protein to mad-cow disease, may lead to cure

U.K. researchers linked a protein to the development of mad-cow disease and found a way to reduce it, a discovery that may lead to a treatment for the illness and its human form, according to a report today in PLoS Pathogens.

A team of scientists at the University of Leeds found that the protein, called Glypican-1, boosts abnormal and infectious proteins in the brain called prions, which are known to cause mad-cow disease, or bovine spongiform encephalopathy. When the researchers reduced Glypican-1 in infected mouse cells, abnormal prion levels also declined, they wrote in the online journal.

Glypican-1 may act as a scaffold that brings together the two forms of the prion protein, causing normal prions to mutate into infectious ones, Nigel Hooper, one of the authors, said in a telephone interview.

“It’s bringing the normal prion protein and the infectious molecule together and allowing them to interact,” said Hooper, a professor of biochemistry at the university in northern England. “The infectious molecule will then allow the normal one to convert, setting up a cascade.”

In the mid-1990s, scientists found a possible link between bovine spongiform encephalopathy and a variant of the fatal human illness, Creutzfeldt-Jakob disease, which destroys brain tissue. An estimated 166 people in the U.K. may have died from variant Creutzfeldt-Jakob since 1995, according to the National Creutzfeldt-Jakob Disease Surveillance Unit in Edinburgh.
Infected Animals

People are believed to develop the disease by eating meat from infected animals or after transfusions of infected blood. Early symptoms include depression or psychosis, unsteadiness and involuntary movements. By the time of death, patients become immobile and mute.

Researchers may be able to use the Leeds team’s finding about Glypican-1 to design drugs that disrupt the disease process and treat mad-cow disease or variant CJD, Hooper said. He said his team next plans to study the effect of removing Glypican-1 from mice.

“We’re going into animal models to look at what happens if you take the Glypican-1 out,” Hooper said.
The Wellcome Trust and the U.K.’s Medical Research Council funded the research published today.

Stater Bros Botulism Concerns

Bay Valley Foods, LLC, just recalled chunky steak soup sold under the Stater Bros. brand name; the reason given, as can be seen in the USDA-FSIS recall notice, is the company's concern that the product was "underprocessed" during production.  Bay Valley should be commended for taking the necessary unilateral step of recalling its "underprocessed" product; but it's important for consumers to know that the real concern with low-acid, thermally processed foods like this soup being "underprocessed" is botulism. 

Botulism is a nasty bug. It produces a potent neuro-toxin that causes paralysis. It has produced some of the most gruesome illnesses, hospitalizations, and deaths of all clients at Marler Clark.

But botulism (i.e. the bacteria from which the toxins are produced) is also extremely prevalent in the environment.  It is a naturally occuring bacteria in the earth; in fact, if you were to go outside and pick up a handful of dirt from your backyard garden, you'd likely be picking up a bunch of botulism spores as well.  These are not harmful unless they are allowed to incubate at the right temperature for the right period of time, but they are there nonetheless.

To bring me back to the point with respect to the Stater Bros soup recall, the real risk here is that botulism spores in the low-acid, hermetically sealed soup containers might germinate and begin to produce the harmful botulism toxins.  The soup contains lots of vegetables, and lots of the vegetables probably came from dirt that contained lots of botulism spores. 

Thus, Bay Valley Foods/Stater brothers, should be commended for recalling the potentially contaminated (or "underprocessed") soup.  But it is equally important for consumers of this product to know the risks they face.  It's not that your beef might be a little undercooked, or the carrots a little hard.  It's botulism.

Stater Bros Chunky Steak Soup Recalled

Bay Valley Foods, LLC, a Pittsburgh, Pa., establishment is recalling approximately 6,490 pounds of a chunky grilled steak with vegetables canned soup product due to possible underprocessing, the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) announced today.

The following product is subject to recall: [View Label]

  • 18.6 - oz. metal cans of Stater Bros. brand, "CHUNKY GRILLED SIRLOIN STEAK WITH VEGETABLES" Ready to Serve Soup. The front of each label bears the USDA mark of inspection. Additionally, the "Use By/Sell By" date "11/10/10," and the establishment number, "EST. 108," are printed on the top of each can. Each case contains a total of twelve (12) cans and may be identified by the code "70411108."

The canned soup products were produced on November 10, 2008 and were distributed to retail establishments in California. If available, the retail distribution list(s) will be posted on the FSIS website at http://www.fsis.usda.gov/
FSIS_Recalls/Open_Federal_Cases/index.asp

 

Botulism: a persistent public health threat

Fortunately for us humans, animals have suffered the most this summer from the botulism bacteria.  Botulism, which produces a potent neurotoxin that causes paralysis and, frequently, death, is a health scourge to all, but appears to have killed an inordinate number of marine mammals and fish this summer.  Among the grisly stories produced by a quick google search are an unfortunate fresh-water sturgeon and lots of equally unfortunate ducks and geese.

Lest we be lulled into a false sense of security, however, botulism is every bit as prevalent in our human environments as it ever was, and it remains a virtually unparalleled threat to public health--at least as judged by the devastating, brutal nature of the illnesses that it causes.  We have represented victims of many major botulism outbreaks, including the Castleberry Chili sauce outbreak, and the Bolthouse Farms carrot juice outbreak, and the horrific nature of the illnesses that these people suffered is testament to the signficant threat that botulism is, and remains. 

Here's a botulism primer:

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium Clostridium botulinum. Clostridium botulinum is the name of a group of bacteria commonly found in soil. It is an anaerobic, gram-positive, spore-forming rod that produces a potent neurotoxin. These rod-shaped organisms are intolerant of oxygen. The bacteria form spores, which allow them to survive in a dormant state until exposed to conditions that can support their growth. The organism and its spores are widely distributed in nature. They occur in both cultivated and forest soils, bottom sediments of streams, lakes, and coastal waters, in the intestinal tracts of fish and mammals, and in the gills and viscera of crabs and other shellfish.
Four types of botulism are recognized: foodborne, infant, wound, and a form of botulism whose classification is as yet undetermined. Foodborne botulism is the name of the disease (actually a foodborne intoxication) caused by the consumption of foods containing the neurotoxin produced by C. botulinum.

In the United States an average of 110 cases of botulism are reported each year. Of these, approximately 25% are foodborne, 72% are infant botulism, and the rest are wound botulism. Outbreaks of foodborne botulism involving two or more persons occur most years and are usually caused by eating contaminated home-canned foods. The number of cases of foodborne and infant botulism has changed little in recent years, but wound botulism has increased because of the use of black-tar heroin, especially in California.

Foodborne botulism (as distinct from wound botulism and infant botulism) is a severe type of food poisoning caused by the ingestion of foods containing the potent neurotoxin formed during growth of the organism. The toxin is heat labile and can be destroyed if heated at 80°C for 10 minutes or longer. The incidence of the disease is low, but the disease is of considerable concern because of its high mortality rate if not treated immediately and properly. Most of the 10 to 30 outbreaks that are reported annually in the United States are associated with inadequately processed, home-canned foods, but occasionally commercially produced foods have been involved in outbreaks. Sausages, meat products, canned vegetables and seafood products have been the most frequent vehicles for human botulism.
 

A Lesson In How To Avoid Danger When Canning Quick Breads

Since fatal poisoning by botulism is possible from home canning, we often pass on the advice of experts on how to safety preserve those homegrown fruits and vegetables.

Sometimes the home canning experts tell consumers what to do, but do not explain why.   That’s why we like the approach taken by Kathleen Riggs, who is the Utah State University Extension Family and Consumer Sciences Agent for the Bee Hive State’s Iron County.

Take her advice on canned quick breads, for example. She says:

Although no cases of botulism have been identified as being caused specifically by a home canned quick bread, the potential is there. The product meets all the criteria for the organism to grow.

Fact: The organism C. botulinum itself is harmless; however, when conditions are right, it can form an extremely potent toxin. Three factors determine if C. botulinum will grow or not: a nonacid pH, adequate moisture and an airless environment. Canned breads meet all these requirements.

Normally these products are not being held under vacuum and therefore botulism is not a concern. However, sealing the bread in a jar provides he necessary airless condition.

Ms. Riggs writes about other “common practices that are not safe” for eggs in the shell, canned butter, canned wheat, and canning dried beans.  We found her column in The Spectrum in George, Utah.  More of her work can be found at Utah State University.

ARS Writer Expands On New Tests For Botulism

 We wrote in May about the new, faster tests that are in the works for detecting botulism.  Sandy Miller Hays of the Agricultural Research Service picks up this subject in today's Everybody's Science. She writes:

Although cases of foodborne botulism are rare in the United States these days, they do still occur. Botulinum toxin occurs in seven different forms, known as serotypes A through G, although serotypes A and B are the culprits in about 90 percent of the foodborne botulism cases in the United States. (Botulism is the reason why your mother warned you to never, ever eat food from a can that’s dented, swollen or–heaven forbid–leaking.)

Botulinum is a protein that acts like a neurotoxin, interfering with the neurological system that otherwise transmits vital signals throughout your body. In particular, it can cut off normal messaging to muscles, causing paralysis. Worst-case scenario: The toxin paralyzes the muscles of your diaphragm and you die of suffocation.

Unfortunately, there is no federally approved vaccine against botulinum. An injection of horse antiserum can help remove the toxin from your bloodstream, but that treatment can cause serious side effects.

Its worth going to her site and reading the rest.

MMWR Says Botulism Was Responsible For One of 11 Outbreak Deaths In 2006

We are very fortunate that while botulism is deadly it is also rare.

Today’s issue of Morbidity & Mortality Weekly Report (MMWR) published by the Centers for Disease Control & Prevention (CDC) carries an article that dissects all the food-borne disease outbreaks that occurred in 2006.

In “Surveillance for Foodborne Disease Outbreaks --- United States, 2006;” CDC looks at all 1,270 Food-borne Disease Outbreak (FBDOs) that were reported during that year, resulting in 27,634 confirmed illnesses and 11 deaths.

Only one of the 11 deaths was from Clostridium botulinum or botulism. That fatality was attributed to the C. botulinum toxin being transmitted by carrot juice.

Writing on his personal blog last December, Seattle food safety attorney Bill Marler told us what happened:

"For those that do not recall, in September 2006, three people living in Georgia developed food-borne botulism that was eventually traced to commercial carrot juice from a single bottle. Soon thereafter an additional case in Florida and two in Ontario, Canada surfaced. One of the 6 botulism patients died 90 days after illness onset. One year later, two others were still on ventilators. The remaining three were taken off ventilator support after 54, 90, and 129 days. Two survivors were at home, two were in rehabilitation facilities, and one was still hospitalized. All the patients had consumed carrot juice from the same manufacturer.

"Now, here is the interesting part, according to Dr. Anandi N. Sheth at the Centers for Disease Control in Atlanta, Georgia and colleagues, an investigation eventually determined that inadequate refrigeration probably led to botulinum toxin production. As the investigators pointed out, the pasteurized carrot juice had no protection against the bacterium Clostridium botulinum other than refrigeration. "This investigation demonstrates that carrot juice and other processed foods with no natural barriers to C. botulinum germination require additional chemical or thermal barriers," the investigators wrote in the medical journal Clinical Infectious Diseases. Accordingly, they report, "In June 2007, the FDA modified its guidance for refrigerated low-acid juices to recommend adding a validated juice-treatment method, such as acidification or appropriate thermal treatment, to decrease the risk of C. botulinum contamination, should any breaches in refrigeration occur."

Its comforting to know FDA may have addressed the problem and implemented the fix for the 2006 carrot juice outbreak.  However, it also shows that botulism from food products remains a concern.

 

Botulism Is Cause of Death For A Dozen Horses In Wyoming

The deaths in April of a dozen horses on one pasture in Natrona County, WY were due to botulism. Over last weekend, KCWY-13, Wyoming's NBC affiliate reported that:

Dr. George Marble says 3 horses were already dead on April 10th and when he went to the ranch he found two more that weren't able to walk. Within two days, all twelve the of the rancher's horses were dead or euthanized. Almost all the horses suffered paralysis of the legs and tongue which are both classic signs of botulism. The vet says no other pastures were affected by the toxin.

The veterinarian told KCWY-13, "the animals that were upstream so to speak from this particular pasture cause there was a little creek that ran through and those downstream from those horses and those that bordered on a fence line are all unaffected."

An equine health site associated with Horse Magazine says: "Horses usually become infected with botulism by ingesting the neurotoxin produced by the anaerobic bacterium Clostridium botulinum in contaminated feed or water. Feed contamination can occur when the decomposing carcass of a rodent or bird is baled in hay. This is seen more often in round bales. Feed can also be contaminated through improper storage or poor fermentation. Rarely, horses can get botulism when C. botulinum from the soil gets into an open wound."

KCWY-13 said it is extremely important for ranchers to check the hay before feeding, especially in the summer.

Here's A Picture Of "Fort Botulism!"

 “You know, it’s funny,” Vice President Joe Biden said. “Madame Speaker probably doesn’t want this publicized, but she has a secret BOTOX room inside the base of the Golden Gate Bridge. This way, in the event of a catastrophic shortage, she can still look like a 25-year old in an 85-year old’s body.” 

The Veep also said the facility keeping Speaker Nancy Pelosi's stock of botox was given a nick-name by Congress: Fort Botulism.

We know a lot of stuff on the internet isn't true, but wanted you to know how the name "Fort Botulism" became associated with the Golden Gate Bridge. It is true, however, that the Vice President today spoke to 1,046 graduating cadets at the United States Air Force Academy.

 

 

 

New, Faster Tests Being Developed For Detecting Deadly Botulism Toxin

 The rare, but deadly botulinum toxin is millions of times more poisonous than cyanide.  As dangerous as it is, the test for detecting botulinum toxin--an assay requiring the participation of laboratory mice, is neither quick nor easy. It takes from four to eight days, is not portable, nor very affordable.

A new, improved test for detecting what's known as "serotype A" of the toxin has now been developed by Agricultural Research Service (ARS) biologist Larry H. Stanker and colleagues at the ARS Western Regional Research Center in Albany, Calif.

The new test relies on laboratory built molecules known as monoclonal antibodies, which can bind to the toxin. Assisting the work are biologist Luisa W. Cheng and research associate Miles C. Scotcher.

The botulinum toxin that causes botulism occurs in seven different serotypes--A through G. A and B are culprits in most of the foodborne botulism cases in this country, according to Stanker.  The research team now expects to complete assays for detecting serotypes B and E sometime this year.

Safeguard Biosystems, Inc., of San Diego, CA., is packaging two of the serotype A antibodies into a dipstick-style test kit that looks and operates much like a home pregnancy test. The botulinum kit is intended for testing liquids, such as beverages, or clinical specimens, such as blood or urine.

That should be much quicker than waiting around for those lab mice.

ARS, a unit of the United States Department of Agriculture (USDA), has much more about this in its May/June magazine here.

Government Of Canada Warns Those Doing Home Canning And Fish Bottling To Take Steps To Avoid Deadly Botulism

 Health Canada and the Canadian Food Inspection Agency reminded Canadians of the importance of food safety while home canning or home bottling fish and other seafood. And they left no doubt about to whom their message was directed. The government said:

"Home canning and bottling of fish and other seafood is a popular activity for Canadians, especially in Atlantic Canada. However, improper preparation, canning or storage of these foods can cause serious illness, such as botulism."

Ottawa went on with this advice:

If you are home canning or bottling your own low-acid foods (including clams, lobster and whelks), the following steps will help to reduce the risk of contamination or the presence of C. botulinum:

- Use a pressure canner and strictly follow the manufacturer's instructions for canning or bottling foods considered to be low-acid, such as fish and other shellfish.

- Clean and sanitize your hands, all work surfaces, food, utensils, and equipment and keep them clean during all stages of the canning process.

- Do not substitute ingredients, amounts or the jar size that is in the recipe because this can cause the time or pressure needed during pressure canning to change. This can lead to bacteria remaining in the food. Use the final product within one year.

- Once the container has been opened, refrigerate leftovers immediately.

- If you are buying home canned products, ask the vendor if they have followed proper safety steps.

Always remember, never eat canned foods if you suspect the item has been tampered with, if the closure/seal has been broken, or if the container is swollen or leaking. If in doubt, throw it out!

The entire statement designed to prevent botulism can be found here.

 

USDA Advises Consumers Who Do Home Canning To Have Their Gauges Tested

The United States Department of Agriculture (USDA) recommends that pressure canner dial gauges be tested annually to be sure they are functioning properly.

Consumers who do home canning are advised to check with their state or county Extension Service to see if where tests can be conducted. Some local Extension Services offer the tests for free.

Pressure canners must be used to home can any low acid food including meats and poultry, vegetables and seafood.

You are in danger of botulism poisoning if using a pressure canner with a dial gauge that’s not reading accurately.

Only the pressure canner lid and dial gauge needs to be tested. 

CDC's Report On Tbe Botulism Outbreak That Brought Down Castleberry's

 

On July 7, 2007, the Centers for Disease Control and Prevention (“CDC”) learned that two siblings in Texas were critically ill with botulism and that their illnesses were likely acquired by eating contaminated food. Four days later on July 11, public health officials in Indiana reported to the CDC that a married couple in Indiana were suspected of having foodborne botulism. On July 17, CDC staff provided information regarding the production-dates and times to the FDA. The evidence strongly suggested that brands of Castleberry’s hot dog chili sauce were the common source of the four ill persons with botulism. By August 24, eight cases of botulism had been reported to the CDC. In addition to the Indiana couple, the mother of the children in Texas had developed symptoms of botulism, which brought the total number of Castleberry-associated cases in Texas to three. There were also three unrelated residents of Ohio who had developed botulism consuming Castleberry’s hot dog chili sauce in the week before symptom onsets. Botulinum toxin was identified in leftover chili sauce collected from the refrigerator belonging to one of the Ohio cases.

On July 18 and 19, a team of federal investigators were sent to the firm’s warehouse. Samples of Castleberry’s Austex and Castleberry’s brand Hot Dog Chili Sauce with the “best by May 7, 2009” and “best by May 8, 2009” lot codes were collected and sent to FDA laboratories for testing. FDA testing of sample 428113, consisting of 17 swollen cans, found C. Botulinum toxin in 16 of the cans. This sample included the same time-stamp and lot code from the May 8, 2007 production as the can found in the Indiana home. FDA testing of sample 420352, consisting of six swollen cans, found C. Botulinum in four cans. FDA sample 420353 included one swollen can, and its contents tested positive for C. Botulinum toxin.

Federal investigators conducted extensive tests on Castleberry equipment. The findings are presented in an FDA report issued on August 10, 2007.   Report below (click to download):

New Alabama Regulations Ban Botulism Risks From Public Markets

Alabama's Tuscaloosa Farmers Market is again selling home-made jams and jellies, but NOT certain canned goods due to fear of botulism.

The Alabama Department of Public Health last summer banned the sales of any good prepared in home kitchens at the popular farmers market. Now health officials have issued a new regulation allowing foods like baked goods to be sold, but not the more potentially hazardous like canned beans and the like.

According to the Tuscaloosa News:

The Alabama Farmers Market Authority and the Alabama Department of Public Health worked together to create the amendment to the state’s food establishment sanitation regulations.

Under the amendment, food prepared for sale at farmers markets or at charitable, religious, civic or not-for-profit events is permissible as long as it’s not potentially hazardous and a label or visible sign indicates that it was prepared at a location not inspected by the health department.

These include items such as baked breads, rolls, cookies, cakes, brownies, fudge, double-crust fruit pies, fruit jams, jellies, marmalades and relishes, candy, spices or herbs and snack items such as popcorn, caramel corn and peanut brittle.

Prohibited are low-acid foods, such as green beans or tomato-based products, sold in hermetically sealed containers that can lead to deadly botulism if they’re not prepared at a high enough temperature or with a strong enough seal.

Bad Batch Of Heroin In Dublin Spreads Botulism Among Drug-Users

Heroin was discovered by Bayer, the German pharmaceutical company, as an alternative to morphine.  Because the pain-killer also made people feel euphoric or even heroic, it earned its name Heroin.

The day when it was safety sold at the corner drugstore, however, was a long, long  time ago.

Given the, shall we say, uneven production methods now supplying the demand for Heroin, it comes as no surprise that bad batches lead to bad results.    Dublin, Ireland is now dealing with the worst possible result--Heroin on the street that is contaminated with deadly Botulism.

One drug user is already dead and six others may be suffering with Botulism.

Ireland's Belfast Telegraph reports:

 

Officials are trying to determine whether the outbreak may be linked to a batch of contaminated heroin.

Botulism is caused by a toxin released by the clostridium botulinum bacterium and can affect drug users who inject into soft tissue rather than veins.

The disease can lead to problems with vision and paralysis and can be fatal in 5-10 percent of cases.

 

For more, go here.

 

Inadequate Refrigeration Blamed For Carrot Juice Botulism

This was first published yesterday on the Marler Blog: 

I just finished my presentation here at the ACI Conference giving an overview of the increase in 2007 and 2008 in recalls and outbreaks associated with hamburger and E. coli O157:H7 when I got an email of an article from Clinical Infectious Diseases from its November 15, 2008 publication on the 2006 Carrot Juice Botulism Outbreak tied to Bolthouse Farms.

For those that do not recall, in September 2006, three people living in Georgia developed food-borne botulism that was eventually traced to commercial carrot juice from a single bottle. Soon thereafter an additional case in Florida and two in Ontario, Canada surfaced. One of the 6 botulism patients died 90 days after illness onset. One year later, two others were still on ventilators. The remaining three were taken off ventilator support after 54, 90, and 129 days. Two survivors were at home, two were in rehabilitation facilities, and one was still hospitalized. All the patients had consumed carrot juice from the same manufacturer.

Now, here is the interesting part, according to Dr. Anandi N. Sheth at the Centers for Disease Control in Atlanta, Georgia and colleagues, an investigation eventually determined that inadequate refrigeration probably led to botulinum toxin production. As the investigators pointed out, the pasteurized carrot juice had no protection against the bacterium Clostridium botulinum other than refrigeration. "This investigation demonstrates that carrot juice and other processed foods with no natural barriers to C. botulinum germination require additional chemical or thermal barriers," the investigators wrote in the medical journal Clinical Infectious Diseases. Accordingly, they report, "In June 2007, the FDA modified its guidance for refrigerated low-acid juices to recommend adding a validated juice-treatment method, such as acidification or appropriate thermal treatment, to decrease the risk of C. botulinum contamination, should any breaches in refrigeration occur."

Augusta Canning Factory Closes Its Doors Forever

The canning factory responsible for giving botulism poisoning to at least eight people closes forever today.

Castleberry's in Augusta, GA closes today, putting 327 people out of work.

Connor Brothers, which owns Castleberry's is selling the company to Hanover foods.

Hanover currently operates its own factory in New Jersey.

Executives with Conner Brothers say Castleberry's sales never recovered from the 2007 botulism outbreak that temporarily closed the plant. 

Gopher U Does Case Study On 2007 Castleberry's Botulism Outbreak

The Food Industry Center at the University of Minnesota has published a case study of last year's botulism recall. The Castleberry's: 2007 Botulism Recall publication examines this nationwide recall in a case study that "illustrates the complexity of the food industry."  The case study was funded by the National Center for Food Protection and Defense is available as a free Adobe Acrobat download here.


 

Recalling The Big Botulism Outbreak of 1978 in Clovis, New Mexico

Clovis, New Mexico is usually known for Cannon Air Force Base and the Norman Petty Recording Studios.   Cannon is home of the Air Force's Special Operations Command.  Petty's studio recorded Buddy Holly's first chart-topping hits.   Clovis, however, is known for something else.  Something that happened 30 years ago---a botulism outbreak that killed two and made 30 others sick, some very seriously.

Don McAlavy, Clovis News Journal columnist, recalled what happened:

One of the most dreaded food-borne poisons known to man struck Curry County on Friday night, April 4, 1978. A group of people were at a banquet in the old Colonial Park Country Club that night. Some 30 members of that group became slightly ill to very ill. It was the dreaded botulism that killed two people in that group. One of them was John Garrett Jr., a noted farmer at Claud.

Dr. Jonathan Mann, state health officer, said the area is extremely fortunate that help for the victims were able to mobilize to assist victims in this tragic case. Cannon AFB Hospital had air-evacuation aircraft to fly patients to Albuquerque when first alerted.

All day Saturday and Sunday, volunteers from all walks of life called the hundreds of people that were known to have eaten at the club in the past week.

As patients were hospitalized in Clovis, Albuquerque, Lubbock, Amarillo, El Paso and Santa Fe, Dr. Mann arranged for anti-toxin to be flown in from all over the country.

For the rest of McAlavy's look-back, go here.

Here Is An Update On the Ohio Family Fighting Botulism

Bucyrus City Auditor Joyce Schifer gave this update on the Ohio family stricken by botulism poisoning from home-canning gone bad:

"Joann Palm's family is still very sick from botulism poisoning. Her 15-year-old son is still in Akron's Children's Hospital and she is staying at the Ronald McDonald House there," Schifer said. "Her parents are still in Mansfield General Hospital but are doing better. One of her twin daughters was also affected and while she is back in school, she still gets worn out easily and is in speech therapy from the problems caused by the botulism.

"Her son will soon be moved to Children's Hospital in Columbus, but it will be a long process for him to get well. Many city employees have donated their sick time to Joann and that is very much appreciated."

The Palm family was affected by the botulism after eating home-canned green beans.

Final Victim of Botulism Outbreak: All 327 Castleberry Workers

The Connors Brothers Income Fund has dumped (oh, sold) its Castleberry brands to Hanover Foods Corp. It means the 82-year old Castleberry canning factory in Augusta, GA will be closed with the next 60 days.

The troubled canning factory was responsible for a botulism outbreak in late 2007. The 20-acre factory site is also on the block. The sale to Hanover will shift production of any Castleberry brands to the company's Aunt Kitty's Foods plant in scenic New Jersey.

Closure of the Castleberry's canning factory will put 327 people out of work, according to the Augusta Chronicle.   And its not a good time to be hitting the bricks.  The newspaper said:

As Donte Jones walked through the Augusta plant's gates after completing his shift Tuesday, the 21-year-old temporary worker said he was told of the closing just before 7 p.m.

"I'm just hoping they'll call me back tomorrow," said Mr. Jones, a loader for the company.

Having lived across the street from the plant since 1959, Mary Clayton said the closing would be catastrophic for the entire community.

"These are not good times for people to be out of work," the retired Fort Gordon employee said. "I really hate for this to happen."

Castleberry's Toronto-based owner spent the past seven months investigating a sale of its meat division, prompted by a loss of $38 million when the plant shut down for two months in 2007 when botulism toxin was found in its chili sauce.

For more, go here.

Avoid Botulism, Do Not Make Mistakes While Canning

Mistakes commonly made when pressure canning include:

  • Taking “short cuts.” Recommended preparation and processing instructions should always be followed.
  • Using jars not specifically designed for home canning. Commercial glass jars with screw-on lids should not be used when canning.
  • Using outdated canning books or instructions. Updated (within the past 10 years) canning books and instructions should be used.
  • Using untested recipes. Canning recipes should always be sought from a reliable source such as your local extension office

 

For more, go here.   Thanks to Extension Service, USDA.

 

New Investors May Bring Hope To New Era

The Muskegon Chronicle today has a story about Michigan's New Era Canning Company's attempt to get back in business after botulism-related recalls forced its shut-down.

Family-owned since it began in 1910, New Era wants to resume production.  Rick Ray, New Era's president and chief executive officer, told the Chronicle the outlook for the company can be described this way:

  • The positive: The FDA recently provided a permit to the company, with a couple requirements, that allows for certain cans of produce in the warehouses to be sold and the canning process to begin.
  • The frustration: Company officials contend that the FDA was slow to respond during the shutdown, causing operations to be ceased longer than New Era Canning management figured it should.
  • The hope: Interest seems to be high for potential investors in the cannery. "The process is going well," Rick Ray said. "There are a lot of people interested."

The family is even willing to give up control of New Era to new investors if it helps in getting the canning factory back in business.   Up to 260 seasonal and 50 full-time jobs would result.

In reading the story, found here, we find it interesting or perhaps telling that there is no mention of help for New Era from the State of Michigan.  The state is mess and maybe this is an example of why.   We wonder if Connors Brothers might look at New Era if they dump Castleberry's.  That would be ironic.

Connors Looks At Whether Or Not To Keep Castleberry's

The Connors Brothers Income Fund, based in Canada, was not ready to say last week if it would keep its Augusta, GA canning factory for Castleberry's brands.

Botulism poisoning in its chili cause forced the plant to shut down a year ago. Since its been back up and running, Connors said its was "stable and performing to expectations"

The recall cost the income fund more than $35 million with litigation remaining on behalf of some of the victims.

Wal-Mart is still shying away from the Castleberry's brand, which has prevented recovery of sales, according to chief executive Chris Lischewski.

“We still have not regained distribution at our largest customer, which is Wal-Mart,” Mr. Lischewski said.

More can be found here.

Washington State University Offers Helpful Advice To Home Canners

Rebekah Denn writes a blog called Devouring sEATtle as part of her duties as a food writer at the Seattle Post Intelligencer.   She is out today with Free canning class - no botulism allowed.

In addition to telling her readers about the canning class offered by the Washington State University Extension Service, Denn gives readers some advice about canning and avoiding botulism at the same time.   She credits WSU's Jessica Dally for these words of wisdom:

1. Don't assume a recipe or canning process is safe because it was handed down from your grandparents. "Your grandmother or grandfather or whoever was canning might have gotten away with a lot of things, but that doesn't mean you're going to." (This makes me feel better about not having learned canning at my grandmother's knee. At least I learned applesauce.)
2. Don't use old recipe books or ancient canners; invest in newer ones. Canners have been redesigned, our understanding of food safety has improved; even the way we grow some produce has changed. Dally recommends
this book and this one.
3, If your pressure canner uses a dial gauge, it needs to be checked annually for accuracy. And there are very, very few places anymore that check gauges. Use a canner with a weighted gauge to make your life easier.
4. After your goods are canned, store them without the rings around the jar lids. If the seal should break, you want to know about it; you don't want the ring holding the lid in place. Besides, that lets you re-use the rings instead of buying a new batch each time you can. For the same reasons, don't stack your canned goods; store them in a single layer.
5. Do not alter recipes. Even a tweak like adding extra garlic can change the food's acidity and the recommended processing time. "You are playing around with something you don't want to play around with."
6. A
jar lifter can be your best friend in the canning kitchen.

Faulty home canning has long been a source of botulism.   Commercial canning had a long track record of going botulism-free, but sadly as Castleberry's and New Era has shown, that is no longer the case.

 

 

 

 


 

 

One Woman's Opinion; Funny But Not True

Joan Rivers, age 75, says everybody should have Botox, the wrinkle-free injection for maintaining a youthful appearance.

"Age has freed me to say whatever I want.  Everyone should do Botox. Botulism is everywhere - in the air we breathe. I always say a little botulism never hurt anyone."

Ms. Rivers probably has not met the victims of Castleberry's Chili, but she is funny.

About Clostridium Botulinum - Botulism

Botulism is a rare, life-threatening paralytic illness caused by neurotoxins produced by an anaerobic, gram-positive, spore-forming bacterium, Clostridium botulinum. Unlike Clostridium perfringens, which requires the ingestion of large numbers of viable cells to cause symptoms, the symptoms of botulism are caused by the ingestion of highly toxic, soluble exotoxins produced by C. botulinum while growing in foods.

Overview

These rod-shaped bacteria grow best under anaerobic (or, low oxygen), low-salt, and low-acid conditions. Bacterial growth is inhibited by refrigeration below 4° C., heating above 121° C, and high water-activity or acidity. And although the toxin is destroyed by heating to 85° C. for at least five minutes, the spores formed by the bacteria are not inactivated unless the food is heated under high pressure to 121° C. for at least twenty minutes.

The incidence of foodborne botulism is extremely low. Nonetheless, the extreme danger posed by the bacteria has required that “intensive surveillance is maintained for botulism cases in the United States, and every case is treated as a public health emergency.” This danger includes a mortality rate of up to 65% when victims are not treated immediately and properly. Most of the botulism events that are reported annually in the United States are associated with home-canned foods that have not been safely processed. Very occasionally, however, commercially- processed foods are implicated as the source of a botulism events, including sausages, beef stew, canned vegetables, and seafood products.

Symptoms

After their ingestion, botulinum neurotoxins are absorbed primarily in the duodenum and jejunum, and pass into the bloodstream and travel to synapses in the nervous system. There, the neurotoxins cause flaccid paralysis by preventing the release of acetylcholine, a neurotransmitter, at neuromuscular junctions, thereby preventing motor-fiber stimulation. The flaccid paralysis progresses symmetrically downward, usually starting with the eyes and face, then moving to the throat, chest, and extremities. When the diaphragm and chest muscles become fully involved, respiration is inhibited and, unless the patient is ventilated, death from asphyxia results. Classic symptoms of botulism include nausea, vomiting, fatigue, dizziness, double vision, drooping eyelids, slurred speech, difficulty swallowing, dryness of skin, mouth, and throat, lack of fever, muscle weakness, and paralysis. Infants with botulism appear lethargic, feed poorly, are constipated, and have a weak cry and poor muscle tone. Throughout all such symptoms, the victims are fully alert and the results of sensory examination are normal.

In foodborne botulism cases, symptoms usually begin anywhere between 12 and 72 hours after the ingestion of toxin-containing food. Longer incubation periods—up to 10 days—are not unknown, however. The duration of the illness is from 1 to 10 (or more) days, depending on host-resistance, the amount of toxin ingested, and other factors. Full recovery often takes from weeks to months. And, as earlier indicated, mortality rate can be from 30% to 65% , with rates generally lower in European countries than in the United States.

Detection and treatment


Although botulism can be diagnosed based on clinical symptoms, its differentiation from other diseases is often difficult—especially in the absence of other known persons affected by the condition. Once suspected, the most direct and effective way to confirm the diagnosis of botulism in the laboratory is testing for the presence of the botulinum toxin in the serum, stool, or gastric secretions of the patient. The food consumed by the patient can also be tested for the presence of toxins. Currently, the most sensitive and widely used method for the detection of the toxins is the mouse neutralization test, which involves injecting serum into mice and looking for signs of botulism. This test typically takes 48 hours, while the direct culturing of specimens takes 5-7 days. Some cases of botulism may go undiagnosed because symptoms are transient or mild, or are misdiagnosed as Guillain-Barre Syndrome.

If diagnosed early, foodborne botulism can be treated with an antitoxin that blocks the action of toxin circulating in the blood. This can prevent patients from worsening, but recovery still takes many weeks. The mainstay of therapy is supportive treatment in intensive care, and mechanical ventilation in case of respiratory failure, which is common.

Long-Term and Permanent Injury
 
Although a minority of botulism patients eventually recover their pre-infection health, the majority do not. For those who fully recover, the greatest improvement in muscle strength occurs in the first three months after the acute phase of illness.  The outside limit for such improvement appears, however, to be one year.  Consequently, physical limitations that still exist beyond the one-year mark are more probably than not permanent.  Recovery from acute botulism symptoms may also be followed by persistent psychological dysfunction that may require intervention.
 
According to a recently-published study that tracked the long-term outcomes of 217 cases of botulism, a large majority of patients reported “significant health, functional, and psychosocial limitations that are likely the consequences of the illness.”  These limitations included: fatigue, weakness, dizziness, dry mouth, and difficulty lifting things.  The victims also reported difficulty breathing caused by moderate exertions, such as walking or lifting heavy items.  They were also more likely to have limitations in vigorous activities, like running or playing sports, climbing up three flights of stairs, or carrying groceries. Summarizing its finding, the study concluded that:
 
Even several years after acute illness, patients who had botulism were more likely than control subjects to experience fatigue, generalized weakness, dizziness, dry mouth, difficulty lifting things, and difficulty breathing caused by moderate exertion….In addition, patients…reported worse overall psycho-social status than did control subjects, with patients being significantly less likely to report feeling happy, calm and peaceful, or full of pep.
 
There is, as a result, no question that the damaging effects of botulism are life-long.

Some background information on canning


The canning process dates back to the late 18th century in France when the Emperor Napoleon Bonaparte, concerned about keeping his armies fed, offered a cash prize to whoever could develop a reliable method of food preservation. Nicholas Appert conceived the idea of preserving food in bottles, like wine. After fifteen years of experimentation, he realized if food is sufficiently heated and sealed in an airtight container, it will not spoil. More than fifty years later, Louis Pasteur provided the explanation for effectiveness of canning when he was able to demonstrate that the growth of microorganisms is the cause of food spoilage.

An Englishman, Peter Durand, took the idea one step further and replaced the breakable glass bottles with cylindrical tinplate canisters (later shortened to “cans”). Durand did not can foods himself, but sold his patent to two other Englishmen, Bryan Donkin and John Hall, who set up a commercial canning factory. By 1813, Donkin and Hall were busily producing their first canned goods for the British army, thus continuing the connection of canning to the military.

The basic principles of canning have not changed dramatically since Nicholas Appert and Peter Durand developed the process. Heat sufficient to destroy microorganisms is applied to foods packed into sealed, or "airtight" containers. The canned foods are then heated under steam pressure at temperatures of 240-250°F (116-121°C). The amount of time needed for processing is different for each food, depending on the food's acidity, density and ability to transfer heat.

Processing conditions are chosen and designed to be the minimum needed to ensure that the foods are made “commercially sterile,” while still retaining the greatest flavor and nutrition. All canning-processes must first be approved by the U.S. Food and Drug Administration. Once the cans are sealed and heat processed, the resulting canned food must maintain its high eating quality for more than two years and be safe to eat as long as the can is not damaged in any way. Historically, commercially-canned food has a near-perfect track record, having caused only four outbreaks in over forty years. The last outbreak occurred in 1974 and involving beef stew.

Botulism Associated with Commercial Carrot Juice—Georgia and Florida, September 2006

On September 8, 2006, the Georgia Division of Public Health (GDPH) and CDC were notified of three suspected cases of foodborne botulism in Washington County, Georgia. On September 25, the Florida Department of Health and CDC were notified of an additional suspected case in Tampa, Florida. This report describes the joint effort.

On September 8, the three patients from Washington County, Georgia, went to a local hospital with cranial nerve palsies and progressive descending flaccid paralysis resulting in respiratory failure; the patients had shared meals on September 7. On the evening of September 8, physicians suspected foodborne botulism, notified the state health department, and collected clinical specimens for testing at CDC. On the same evening, CDC provided clinical consultation and dispatched botulinum antitoxin, which was administered to each of the patients the following morning. After receiving antitoxin, the patients had no progression of neurologic symptoms, but they remain hospitalized and on ventilators.

On September 9, the Washington County Health Department, Richmond County Health Department, and GDPH launched an investigation. The three patients had consumed several food items during their two meals together on September 7, including juice from a single 1-liter bottle of Bolthouse Farms carrot juice. The bottle had a "best if used by" date of September 18, 2006. Clinical specimens and leftover food and juice were collected and sent to CDC for testing. On September 13, botulinum toxin type A was identified in the serum and stool of all three patients. On September 15, leftover carrot juice recovered from the home of one of the patients also tested positive for botulinum toxin type A.

During September 8-15, FDA, the Georgia Department of Agriculture, the Georgia Hospital Association, and public health officials in all 50 states were notified of the outbreak and the implicated product as information became available. After these notifications, no additional cases of botulism in Georgia were reported to the state and local health departments or to CDC. During this time, FDA launched an investigation of the Bolthouse Farms, Inc., manufacturing plant in Bakersfield, California. FDA and CDC tested other bottles of the implicated brand of carrot juice, including bottles from different lots, and all were negative for botulinum toxin. Because botulinum toxin was found only in the bottle of carrot juice consumed by the three patients, a lapse in refrigeration of the carrot-juice bottle during transport or storage was suspected, which would have allowed for growth of Clostridium botulinum and subsequent production of botulinum toxin. Based on the CDC test results, on September 17, FDA issued a consumer advisory on the importance of keeping carrot juice refrigerated. However, information obtained from patient interviews regarding storage and transport of the carrot juice did not confirm mishandling by the patients.

On September 25, officials at the Florida Department of Health, the Hillsborough County Health Department, and CDC were notified that a patient had been hospitalized in Tampa, Florida, on September 16, with respiratory failure and descending paralysis. On September 28, botulinum toxin type A was identified in the patient's serum. Circulating toxin persisted more than 10 days after illness onset in this completely paralyzed patient, indicating ingestion of a massive toxin dose. Accordingly, the patient was treated with antitoxin, which prevents binding of circulating botulinum toxin to nerve endings. The patient remains hospitalized, paralyzed, and on a ventilator. The Hillsborough County Health Department collected an open, 450-milliliter bottle of Bolthouse Farms carrot juice, which had been found by a family member in the hotel room where the patient had been staying during the month before being hospitalized. The hotel room had no refrigerator. The bottle, which had a "best if used by" date of September 19, 2006, had a different lot number than the bottle associated with the Georgia cases. On September 29, botulinum toxin was identified in carrot juice from the bottle found in the patient's hotel room; the toxin was subsequently identified as botulinum toxin type A. The Hillsborough County Health Department and CDC notified FDA, public health officials in all 50 states, and infection-control practitioners in Hillsborough County about the botulism case and implicated product.

The carrot juice consumed by these four patients was manufactured by Bolthouse Farms, Inc., and distributed in all 50 states, Mexico, Canada, and Hong Kong with the labels "Bolthouse Farms 100% Carrot Juice," "Earthbound Farm Organic Carrot Juice," and "President's Choice Organics 100% Pure Carrot Juice." Investigations of these cases by state and local health departments and investigations of the manufacturer by FDA are ongoing. On September 29, GDPH and the Georgia Department of Agriculture recommended that Georgia residents not purchase or consume Bolthouse Farms carrot juice. The same day, the FDA warned consumers not to drink Bolthouse Farms carrot juice with "best if used by" dates of November 11, 2006 or earlier (i.e., all bottles produced before the date the warning was issued), and Bolthouse Farms issued a voluntary recall of these products.

The 2007 Castleberry Botulism Outbreak


On July 7, 2007, the Centers for Disease Control and Prevention (“CDC”) learned that two siblings in Texas were critically ill with botulism and that their illnesses were likely acquired by eating contaminated food. The two children were admitted to pediatric intensive care, and there required mechanical ventilation. The CDC released doses of botulinum antitoxin, which was administered to the children the next morning.

Four days later on July 11, public health officials in Indiana reported to the CDC that a married couple in Indiana were suspected of having foodborne botulism. Serum samples were collected from each of them on July 10 and then sent to the Botulism Reference Laboratory at the CDC. On July 16, one day after the lab received the serum samples, botulinum toxin type A was detected by mouse bioassay in the man’s serum sample. Botulinum toxin was also detected by mouse bioassay in serum submitted by the wife, but the sample volume was insufficient to determine the toxin type. Investigations conducted by state and local health departments in both Texas and Indiana revealed that all four patients had eaten types of Castleberry’s hot dog chili before symptom onset.

Texas investigators found an unopened can of Castleberry’s Austex Hot dog Chili Sauce Original date stamped with a manufacture date and time of May 7 at 9:41 p.m. at the children’s home and tested it for botulism. The Texas Department of Health Services laboratory tested an aliquot from this can using an enzyme-linked immunosorbent assay (ELISA) for botulinum toxin and did not detect the toxin.

The Indiana couple had an unlabeled, sealed plastic bag of leftover chili mixture in their refrigerator that local health officials collected and sent to the CDC for C. botulinum toxin testing. On July 16 the CDC detected botulinum toxin type A by mouse bioassay in the chili mixture. Empty, well-rinsed cans of Castleberry’s Hot Dog Chili Sauce Original and chili made by another company were found in the couple’s recycling bin. CDC re-rinsed the two cans and tested the rinse water for botulinum toxin by mouse bioassay; both were negative. The label on the can of Castleberry’s Hot Dog Chili Sauce Original indicated a production-date of May 8, and a time of 2:23 AM—less than five hours after the production-time indicated on the can collected from the Texas home.

On July 17, CDC staff provided information regarding the production-dates and times to the FDA. The evidence strongly suggested that brands of Castleberry’s hot dog chili sauce were the common source of the four ill persons with botulism. On July 18, FDA issued a consumer advisory. On that same day, after being informed about the outbreak, and findings from the FDA investigation of the canning facility, Castleberry’s Food Company issued a voluntary recall that included a limited number of production dates of Castleberry’s Hot Dog Chili Sauce Original, Castleberry’s Austex Hot Dog Chili Sauce Original, and Kroger Hot Dog Chili Sauce. The recall was expanded on July 21 to include all production dates for 91 types of canned chili sauce, chili, other meat products, chicken products, and dog food that were manufactured in the same set of cookers, or “retorts” as the hot dog chili sauce at the Castleberry’s facility in Augusta, Georgia.

By August 24, eight cases of botulism had been reported to the CDC. In addition to the Indiana couple, the mother of the children in Texas had developed symptoms of botulism, which brought the total number of Castleberry-associated cases in Texas to three. There was also three unrelated residents of Ohio who had developed botulism consuming Castleberry’s hot dog chili sauce in the week before symptom onsets. Botulinum toxin was identified in leftover chili sauce collected from the refrigerator belonging to one of the Ohio cases.

The Castleberry’s manufacturing facility in Georgia produces products regulated both by the FDA and USDA-FSIS. Initial reports of illnesses were linked to meatless hot dog chili sauce and thus, fell under the jurisdiction of the FDA. The agency’s Atlanta District Office took the lead in the investigation of facilities.

The inspection started on the evening of July 17. FDA investigators requested company maintenance records, which were not immediately available because they were stored on a laptop of a vacationing employee. Finally, three days later, under threat of severe penalty, the company produced some of the requested records. Included in records provided to federal investigators was a 42-page report written by a consultant hired by Castleberry’s to investigate swollen cans of stew, chili, and hash produced in April and May 2007. The consultant had attributed spoilage to post-process handling operations in one of the plant’s cooking equipment. Reports by two other company-hired consultants would also implicate post processing as the reason for swollen cans. Unfortunately, Castleberry’s had not investigated the issues further.

On July 18 and 19, a team of federal investigators were sent to the firm’s warehouse. Samples of Castleberry’s Austex and Castleberry’s brand Hot Dog Chili Sauce with the “best by May 7, 2009” and “best by May 8, 2009” lot codes were collected and sent to FDA laboratories for testing.[42] FDA testing of sample 428113, consisting of 17 swollen cans, found C. Botulinum toxin in 16 of the cans. This sample included the same time-stamp and lot code from the May 8, 2007 production as the can found in the Indiana home. FDA testing of sample 420352, consisting of six swollen cans, found C. Botulinum in four cans. FDA sample 420353 included one swollen can, and its contents tested positive for C. Botulinum toxin.

Federal investigators conducted extensive tests on Castleberry equipment. The findings are presented in an FDA report issued on August 10, 2007, Attachment No. 1, FDA Inspectional Observations dated 08/10/2007, (Summary pages only). Noted observations include:

The system, equipment, and procedures used for thermal processing of foods in hermetically sealed containers were not operated and administered in a manner that ensures commercial sterility is achieved.

Each retort did not have an accurate temperature records device.

Failure to supply a suitable water valve used for water cooling to prevent leakage of water into the retort during processing.

The condensate bleeder was not checked with sufficient frequency to ensure removal of condensate or equipped with an automatic alarm system for the continuous monitoring of condensate bleeder functioning.

Required information was not entered on designated forms at the time the observation was made by the retort or processing system operator or designated person.

Failure to maintain fixtures in repair sufficient to prevent food from becoming adulterated.

Failure to properly adjust the temperature-recording device. The temperature recorded on the temperature-recording device chart was higher than the mercury-in-glass thermometer during processing.

The report ultimately placed blame on Castleberry management saying there was no commitment from employees in making the products and there was not adequate management oversight. As one Castleberry employee noted: “Two years ago the [implicated retorts] were maintained very well, but they are maintained poorly now.” The FDA plainly agreed, citing Castleberry’s for the “failure to maintain fixtures in repair sufficient to prevent food from becoming adulterated.”

Castleberry made substantial fixes at its plant and then reopened in the fall of 2007. The company re-branded its line to American Originals, and redesigned product labels. But in March, 2008, the plant was forced to close again after a February 27 joint-inspection by the FDA and USDA revealed deviations in some equipment operations on the processing line. The line was not related to deficiencies noted in the summer of 2007 but because under-processing caused the botulism outbreak, the plant’s operating permit was suspended.

References


Bleck, supra note 15, at 2547. See also P. Wilcox, et al., Recovery of Ventilatory and Upper Airway Muscles and Exercise Performance After Type-A Botulism, Chest, 98:620-26 (1990); J. Mann, et al., Patient Recovery From Type-A Botulism: Morbidity Assessment Following a Large Outbreak, Am. J. Public Health, 71 (3):266-69 (Mar. 1981).

Bleck, supra note 15, at 2547. See also F. Cohen, et al., Physical and Psychosocial Health Status 3 Years After Catastrophic Illness—Botulism, Issues Mental Health Nurs., 9:387098 (1988)

S. Gottlieb, et al., Long-Term Outcomes of 217 Botulism Cases in the Republic of Georgia, Clin. Infectious Disease, 45: 174-80, at 180 (220&).

St Louis ME, Peck SH, Bowering D, et al. Botulism from chopped garlic: delayed recognition of a major outbreak. Ann Intern Med 1998;108:363

Morse DL, Pickard LK, Guzewich JJ, et al. Garlic-in-oil associated botulism: episode leads to product modification. Am J Public Health 1990;80:1372

See J. Sobel, et al., Foodborne Botulism in the United States, 1990-2000, Emerging Infectious Diseases, Vol. 10, No. 9, at 1606 (Sept. 2004).

James M. Jay, MODERN FOOD MICROBIOLOGY, 466 (6th Ed. 2000).
Id. at 469-71; see also Sobel, supra note 2, at 1606.

Jay, supra note 3, at 467-69. See also, generally H. Houschild, Clostridium Botulinum, in FOODBORNE BACTERIAL PATHOGENS, at 112-89 (M. Doyle Ed. 1989). With botulism, the broader term “event” is used to encompass both outbreaks—i.e., two or more cases of botulism caused by a common-source, as well as individual (or sporadic) cases.

Thomas P. Bleck, Clostridium botulinum (Botulism), in MANDELL, DOUGLAS AND BENNETT’S PRINCIPLES AND PRACTICE OF INFECTIOUS DISEASE 2543, 2544 (5th ed. 2000).  see also BOTULISM FACT SHEET, National Agricultural Bio-Security Center, Kansas State University, online at http://nabc.ksu.edu/content/factsheets/category/Botulism#f26

R. Shapiro, et al., Botulism in the United States: A Clinical and Epidemiologic Review, Ann. Intern. Med. 1998; 129:221-28.

FDA/CFSAN Bad Bug Book, Clostridium Botulinum, available at http://vm.cfsan.fda.gov/~mow/chap2.html

The following introductory material is based on information from the Wikipedia entry on canning, online at http://en.wikipedia.org/wiki/Canning, and the sources there cited.

Tony Baird-Packer, The Production of Microbiologically Safe and Stable Foods, in Volume 1 of THE MICROBIOLOGICAL SAFETY AND QUALITY OF FOOD, 4 (B. Lund, et al. Eds. 2000).

See, e.g. MMWWR, supra note 1, at 3 (citing P. Blake, et al., Type A Botulism from Commercially-Canned Beef Stew, South. Med. J. 1977; 70:5-7).

The information about the outbreak comes primarily from the CDC-published report issued July 30, 2007. See MMWR, supra note 1, at 1-2.

Home canning? Be Careful!

We thought we'd pass along some advice we read in the Springfield News Leader about home canning.   This newspaper had readers who proudly call themselves "Ozarkers."  But those folks are not the only ones these days who are trying to be more self-sufficient and thrifty, so listen up!

Canning fresh foods at home can be a safe and affordable way to preserve bounty from your garden, but it can also pose a health risk if done improperly, said Jaci McReynolds, with the Springfield-Greene County Health Department.
“The most serious health risks with home canning are caused by improper preparation of the food during the canning process,” she said.
“In fact, about 90 percent of the foodborne illness outbreaks and death related to botulism can be traced to improperly home canned low-acid foods,” she said.
Botulism is a deadly toxin produced by the bacteria Clostridium botulinum, McReynolds said.
For more, go here.

Chai Mix Recalled By Montana's Tipu's Tiger

We are waiting for the first sickness and death from Tipu's Tiger Chai Concentrate because it may be taited with Clostridium botulinum.   The product was recalled Tuesday by Tipu's Tiger Chai of Missoula, MT.

Consumers are warned not to use the product even if it does not look or smell spoiled as the bacterium can cause life-threatening illness or death.

Botulism, a potentially fatal form of food poisoning, can cause the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems after consuming this product should seek immediate medical attention.

Tipu's Tiger Chai Concentrate was distributed, primarily to stores and coffee kiosks in western Montana and one café in Prescott, Arizona using the concentrate for mixed beverages sold on-site. Limited distribution of the bottled product was made directly to consumers in Western Montana.

For more information, go here.

Botulism Found In Bella Cucina Pesto: Jars Recalled

Atlanta-based Bella Cucina, which sells through the mail, on the internet and in stores, is recalling 6-ounce glass jars of porcini and parmesan pesto because of possible contamination by Clostridium botulinum.

That's the bacteria that can produce the toxin that causes botulism, a potentially deadly form of food poisoning.

The porcini and parmesan pesto sells for $12 for each 6-ounce jar. Sure does sound tasty, though. Bella Cucina's website promises that  the "Porcini and Parmesan Pesto is a thick, hearty pesto combining Italy’s most treasured ingredients: dried porcini mushrooms and parmesan cheese. This earthy pesto melts in your mouth..."

No illnesses have yet connected with the "earthy pesto" that now maybe just a little too earthy.

The jars being recalled are marked by lot numbers 0081028 and 0081018.

Frozen, salted Croaker Might Carry Botulism

A frozen salted Croaker fish that may carry botulism is being recalled by a New Jersey food store, according to the U.S. Food & Drug Administration.   Here's the poop from the company press release distributed by FDA:

Grand Supercenter, Inc. of Lyndhurst, NJ is recalling the following product because they have the potential to be contaminated with Clostridium botulinum, a bacterium, which can cause life-threatening illness or death.

HC Fresh, Frozen Salted Croaker,
Net. Wt.: 16.9 oz (480 gram),
Item # HC 0500402,
Expiration Date: Aug 02. 2009

Consumers are warned not to use these products even if they do not look or smell spoiled.

HC Fresh Frozen Salted Croaker was distributed through H Mart stores including H Mart and Super H Mart in New York, New Jersey, Pennsylvania, Illinois and Texas area.

See the pr package on the FDA website here.

Augusta Canning Factory To Re-open On Monday

WJBF-TV 6, the ABC affiliate in Augusta, GA, tonight (3/27/08) is reporting that the Castleberry's canning factory in that city will re-open on Monday.  According to the WJBF report:

Officials with Augusta's Castleberry's food plant say they're hoping to re-open the plant Monday. The FDA suspended the plant's temporary operating permit a couple weeks ago. That permit was issued after a July 2007 nationwide recall of hot dog chili made at the plant.

Last summer's recall came after botulism was found in some of the company's canned chili.  No recall was involved in the latest closure.  There were rumors within the food industry that the Canadian owners might be trying to sell the brand and the factory.

TV 6's report can be found here.

Castleberry's Closes Again, But No Recall This Time

Here's the company's statement issued after the news came out that Castleberry's Food Company has again closed its Augusta, Georgia canning factory: 

Castleberry’s Food Company has received notification that the Food and Drug Administration (FDA) suspended the Temporary Emergency Operating Permit that was issued in September 2007. The permit granted permission for the Augusta, Georgia factory to commence production of FDA products, following a July 2007 voluntary product recall.

Castleberry’s will work closely with the FDA to promptly answer questions and address any possible concerns. Although formal notification has not yet been received, we understand that the US Department of Agriculture (USDA) may also require responses.

During this time, Castleberry’s has decided to cease production of all products in the Augusta, Georgia factory. Factory work shifts are temporarily on hold.

We are cooperating fully with the agencies and look forward to a prompt resolution that we can resume operation and work shifts.

It is important to note that the suspension of our temporary permit does not involve any product recall.

For another pair of eyes on the closure, check out what Elizabeth Lee has to say in the Atlanta Journal-Constitution.  Her story inluding the history of Castleberry's bout with botulism can be found here.

Botulism Victim Seeks Justice From Castleberry's

 We said the Main Stream Media would be catching up with the "Bill Marler Blog" and we were right. One of the first to step up and tell the story of a botulism victim who has now filed a lawsuit against Castleberry's Chili is the Sandusky Register.  In the Ohio newspaper, reporter Cory Frolik writes:

Carl Ours Jr. won't be eating Castleberry Food Co.'s chili again

The New London resident planned to file a lawsuit in federal court Wednesday or today.

The civil lawsuit claims he developed botulism after eating some of the company's chili sauce in late June 2007.

Shortly after digging into a can of the chili on a camping trip, the 39-year-old man said he started having trouble chewing and swallowing food, and his muscles weakened.

The symptoms grew worse, and he was flown by helicopter to Cleveland Clinic, where he was diagnosed with the potentially fatal illness, a draft of the lawsuit states.

"He was in bad shape ," said his 72-year-old father, Carl Ours Sr. of Norwalk. "It was a life-or-death thing."

The rest of Frolik's story can be found here.

Marler Blog Breaks News On Botulism

Marler Blog, also known as Bill's Blog, often breaks food illness news ahead of the Main Stream Media.  Written personally by Bill Marler, managing partner of the Seattle-based Marler Clark law firm, Marler Blog is in the best position in the nation when it comes to knowing what's being done to advance the interests of victims of food-borne illness. 

Yesterday there was another example of this fact when Marler Blog reported:

A lawsuit was filed today against Castleberry’s Food Co., the company that recalled tens of millions of pounds of canned meat products sold under over 80 different labels after they were identified as the source of a botulism outbreak in July, 2007. The lawsuit was filed in Federal District Court for the Northern District of Ohio on behalf of Carl Ours, a New London, Ohio resident who became ill with botulism poisoning after consuming Castleberry’s Chili Sauce in late June of 2007. Mr. Ours is represented by Marler Clark of Seattle and Murray & Murray of Sandusky, Ohio.

In the lawsuit, the plaintiff alleges that he consumed Castleberry’s Chili Sauce on or about June 28, 2007, and began suffering from symptoms of botulism, including muscle weakness, inability of swallow, and choking while eating, on June 30. Mr. Ours’ symptoms worsened and within days he suffered weakness in his arms and legs that progressed until he had difficulty walking. He sought emergency treatment several times before being taken by “life-flight” helicopter to the Cleveland Clinic, where he was diagnosed with botulism poisoning. Mr. Ours was hospitalized from July 7 to August 3, and was then transferred to a nursing home to continue his recovery. He returned home on August 24, but continues to suffer physical injury as a result of his botulism illness.

Castleberry’s sold a product that was unsafe for human consumption and now owes a duty to its injured customers to compensate them for their injuries,” said William Marler, managing partner of Marler Clark. “It’s only right for Castleberry’s to offer restitution for Mr. Ours’ physical, emotional, and financial losses. His medical expenses and lost wages alone total over $100,000.”

Botulism is a rare but serious paralytic illness that is caused by a nerve toxin produced by Clostridium botulinum. Symptoms of botulism include double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, dry mouth, and muscle weakness. The illness can cause paralysis, respiratory failure, and death.

Marler added, “Without proper medical care, Mr. Ours and others who were part of the outbreak might not still be with us today.”

Watch the MSM, they wll catch up soon!

Unpasteurized Carrott Juice Adds Up To Botulism Lawsuit

Unpasteurized carrot juice made by Bolthouse Farms was responsible for four cases of botulism in the United States and three in Canada in late 2006.  The Bakersfield, CA-based company dropped unpasteurized carrot juice from its product lineup after it caused the botulism outbreak.

The latest development is a lawsuit in Canada filed on behalf of Susanna Chen and her husband, Andy Valy.  Both nearly died after drinking the unpasteurized carrot juice in August 2006.   Ms. Chen drank the juice first, and was in the hospital when Mr. Valy drank the same product because he was not aware of what made his wife sick.

Both fell into comas and it weeks passed before health officials figured out they were dealing with deadly botulism poisoning.  Bolthouse Farms blames the couple for not keeping the juice cold enough.

The National Post reported that the couple's lawyer sees it differently. The NP says:

"Michael Shannon, a lawyer representing the couple, disagrees. “They refrigerated the product, they just drank a toxic cocktail that they weren’t aware of.”  Mr. Shannon refused to disclose the amount the couple is suing for, except to say they will be launching a suit in the United States for pain and suffering.

Ms. Chen remains in a rehabilitation center and Mr. Valy was only discharged from the hospital in January.  Health officials say they had among the most severe botulism anyone has survived.

Go here for the complete NP story.

Botulism: an illness caused by Clostridium botulinum

Botulism is a rare but serious paralytic illness caused by a nerve toxin that is produced by the bacterium Clostridium botulinum. Clostridium botulinum is the name of a group of bacteria commonly found in soil. The bacteria are anaerobic, gram-positive, spore-forming rods that produce a potent neurotoxin. These rod-shaped organisms grow best in low oxygen conditions. The bacteria form spores that allow them to survive in a dormant state until exposed to conditions that can support their growth. The organism and its spores are widely distributed in nature. They occur in both cultivated and forest soils, bottom sediment of streams, lakes, and coastal waters, in the intestinal tracts of fish and mammals, and in the gills and viscera of crabs and other shellfish.

Foodborne botulism is a severe type of food poisoning caused by the ingestion of foods containing the potent neurotoxin formed during growth of the organism. The incidence of the disease is low, but the disease is of considerable concern because of its high mortality rate if not treated immediately and properly. Most of the 10 to 30 outbreaks that are reported annually in the United States are associated with inadequately processed, home-canned foods, but occasionally commercially produced foods are implicated as the source of outbreaks. Sausages, meat products, canned vegetables, and seafood products have been the most frequent vehicles for foodborne botulism.

Symptoms of Botulism

Classic symptoms of botulism include double vision, blurred vision, drooping eyelids, slurred speech, difficulty swallowing, dry mouth, and muscle weakness. Infants with botulism appear lethargic, feed poorly, are constipated, and have a weak cry and poor muscle tone. These are all symptoms of the muscle paralysis caused by the bacterial toxin. If untreated, these symptoms may progress to cause paralysis of the arms, legs, trunk, and respiratory muscles. In foodborne botulism, symptoms generally begin 18 to 36 hours after consuming contaminated food, but they can occur as early as 6 hours or as late as 10 days after consumption.

Botulinum toxin causes flaccid paralysis by blocking motor nerve terminals at the myoneural junction. The flaccid paralysis progresses symmetrically downward, usually starting with the eyes and face, then moving to the throat, chest, and extremities. When the diaphragm and chest muscles become fully involved, respiration is inhibited and unless the patient receives treatment in time, death from asphyxia results.

Detection and Treatment of Botulism

Although botulism can be diagnosed by clinical symptoms alone, differentiation from other diseases may be difficult. The most direct and effective way to confirm the clinical diagnosis of botulism in the laboratory is to demonstrate the presence of toxin in the serum or feces of the patient or in the food the patient consumed. Currently, the most sensitive and widely used method for detecting toxin is the mouse neutralization test, which involves injecting serum or stool into mice and looking for signs of botulism. This test typically takes 48 hours. Culturing of specimens takes 5-7 days. Some cases of botulism may go undiagnosed because symptoms are transient or mild, or are misdiagnosed as Guillain-Barre Syndrome.

If diagnosed early, foodborne botulism can be treated with an antitoxin that blocks the action of toxin circulating in the blood. This can prevent patients from worsening, but recovery still takes many weeks. Physicians may try to remove contaminated food still in the gut by inducing vomiting or using enemas.

While botulism has been known to cause death due to respiratory failure, in the past 50 years the proportion of patients with botulism who die has fallen from about 50% to 8%. The respiratory failure and paralysis that occur with severe botulism may require a patient to be on a ventilator for weeks, plus intensive medical and nursing care. After several weeks, the paralysis slowly improves.

Preventing Botulism

The types of foods implicated in botulism outbreaks vary according to food preservation and eating habits in different regions. Any food that is conducive to outgrowth and toxin production, that when processed allows spore survival, and is not subsequently heated before consumption, can be associated with botulism. Almost any type of food that is not very acidic (pH above 4.6) can support growth and toxin production by C. botulinum. Botulinal toxin has been demonstrated in a considerable variety of foods, such as canned corn, peppers, green beans, soups, beets, asparagus, mushrooms, ripe olives, spinach, tuna fish, chicken and chicken livers and liver pate, and luncheon meats, ham, sausage, stuffed eggplant, lobster, and smoked and salted fish.

Botulinum toxin is heat-labile, or unstable if heated to a certain temperature, and can be destroyed if heated and held at 80 degrees Centigrade (176 degrees Fahrenheit) for ten minutes or longer.