Fresh Produce Causes Outbreak of Salmonella
NewsMax.com Wires
Monday, Aug. 2, 2004
PITTSBURGH The 39-year-old Jerri Reges got severe stomach
cramps after eating a hoagie at a convenience store July 5,
becoming one of more than 300 people sickened in a recent
salmonella outbreak that has hit five states. Roma tomatoes are
believed to be the cause.
It's the latest high-profile scare involving fresh produce,
which experts say is the new frontier in foodborne disease
prevention. In this round no one has died, in contrast to last
year's hepatitis outbreak that killed four people and made hundreds
sick. Green onions from Mexico were blamed.
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Tainted fresh foods pose more concerns than others because
fruits and vegetables are often eaten raw or lightly cooked. That
means salmonella, cyclospora, shigella, E. coli and other pathogens
often aren't killed before eating, and they generally can't be
removed by washing.
The most common of these cause diarrhea and cramps and are not
fatal. The germs are often spread from the unwashed hands of food
workers.
International and federal laws don't allow the United States to
set tougher safety rules for imported produce than for domestic
products. Though the Food and Drug Administration tightened seafood
and juice regulations after outbreaks in the late 1990s, officials
are still studying whether to tighten fruit and vegetable
standards.
"It's really discouraging that it takes somebody to die to get
anybody to do something," said Nancy Donley, president of Safe
Tables Our Priority. The Burlington, Vt.-based group was formed by
the parents of children who died or were seriously ill after a 1993
E. coli outbreak traced to undercooked hamburgers.
Donley said a key problem is that no single agency is
responsible for food safety. The USDA monitors meat, poultry and
some egg products; the FDA handles eggs still in their shell, dairy
products and all other foods.
"If you've got an outbreak in a place that makes both cheese
and sausage pizzas, you'll have the USDA in there for the sausage
pizzas and the FDA in there for the pizzas with just cheese,"
Donley said. "It's just silly."
Officials with those agencies note that their jurisdictions are
set by Congress.
The fruit and vegetable industry, alarmed by the outbreaks, is
already policing itself, said Devon Zagory, senior vice president
of Davis Fresh Technologies LLC of Redding, Calif., a food safety
consulting firm. Most supermarket chains, for example, make growers
and suppliers use food safety programs that must be audited by
third-parties like Zagory's company, he said.
And when questions arise about unsafe imports, the FDA can
simply ban products it can't otherwise regulate.
Montezuma's Revenge Indeed
The agency barred imported Mexican cantaloupes a few years ago
after dozens of people got sick and two died in four separate
salmonella outbreaks linked to melons. The ban was lifted for some
Mexican companies that said they would adopt stricter safety
standards.
But another key to combatting food poisoning is measuring the
problem, an inexact science that the Centers for Disease Control
and Prevention is working to improve.
The CDC estimates 76 million Americans get foodborne illnesses
each year, based on a study of 1997 statistics, said Dr. Robert
Tauxe, chief of CDC's foodborne and diarrheal diseases branch. In
that study, the CDC concluded that 325,000 Americans are
hospitalized and 5,000 die each year, but that one in 38 cases is
never reported.
Those numbers are based on the assumption that millions of
people, unlike Reges, are never hospitalized and blame their
illness on a virus or the flu.
The CDC is now actively tracking foodborne illnesses in nine
states and using those numbers to set nationwide estimates.
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