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CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 20 Confirmed Dead

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Machinetranslation of previous post.

Two deaths in Quebec and mysterious new cases


Stephanie B?rub?

La Presse

The crisis of listeriosis takes a dramatic turn in Quebec. One death is under investigation by Ottawa since yesterday and another was reported late in the day, was told La Presse. In addition, five mysterious poisoning cases have just been confirmed in Mont?r?gie.

The Agency for Public Health of Canada released its latest results last night: 15 people died of listeriosis in the country recently, including one in Quebec. However, it is unknown whether this person had contracted the same bacteria that was found in the plant Ontario Maple Leaf and is the heart of this important food crisis.

The agency, however, will readjust its balance sheet today, as the Ministry of Health and Social Services of Quebec last night confirmed the death of another patient with listeriosis.


"Everything has shaken up late in the day," said Marie-Claude Gagnon, spokesman for the Ministry of Health and Social Services of Quebec, who could not give details on the circumstances of these two deaths in Quebec, nor on strains of bacteria involved.

There are several types of the bacteria Listeria. "To determine whether the same strain, one has to be in some way a paternity test," said Linda Saucier, a researcher with the department of animal sciences at Laval University. We need to draw on the sick person and the contaminated food. It then compares their common characteristics to determine whether the food is indeed responsible for the disease.

Until now, scientists at the Agency for Public Health found that 29 Canadians suffering from listeriosis have contracted by eating products from the factory 97B Maple Leaf, located in Toronto. Most, 22, are residents of Ontario, the province which is the hardest hit by the crisis. Quebec has a dozen cases officially recorded, of which only two have been linked beyond any doubt the strain present in the meat plant in Ontario.

But that does not include five new cases of disease that were confirmed last few days in Mont?r?gie. "This is a very unusual situation," said Patricia Hudson, the Agency for Health and Social Services of Mont?r?gie. The region noted seven cases since the beginning of the year: it is therefore an average monthly increase of a sudden, in a very particular context.

We must now determine if these sick people have eaten meat products affected by the recall or another contaminated food. The new cases are not yet on official balance sheets or Ottawa or Quebec, which has received this new information during the day yesterday. The second death is also occurring in Mont?r?gie.

A particular situation in Quebec

At the Ministry of Agriculture, Fisheries and Food of Quebec (MAPAQ), however it is expected that the majority of cases of listeriosis under investigation here are not related to the discovery of the bacterium in the Maple Leaf plant.

"We have cases of contamination with the bacteria Listeria each year: this is not unusual," said Guy Auclair MAPAQ. There are about 45 cases of listeriosis a year in Quebec. Since the beginning of the year, eight people died, all before the outbreak of the strain present in meat products. The situation is not exceptional, but the context to the east.

Quebecers who suffer from listeriosis became sick after eating cheese Quebec. The MAPAQ recalled Riopelle cheese sold in a market of Quebec last week and said yesterday cheese Mont-Jacob bought the market Octofruit Saint-Jerome.

"The cheese has been infected during the cut in trade with a knife contaminated or employees," said Guy Auclair. The Listeria bacterium is naturally present in the environment and settled in supportive environments, where safety rules are broken.

Most consumers would never know they have eaten food contaminated with the bacteria Listeria, explains Linda Saucier. But people whose immune systems are already weakened much at risk, she says. This explains the high proportion of elderly among the victims. Yesterday, nobody in Quebec could not provide details on those who are sick in the current crisis.

Maple Leaf products in hospitals

In Quebec, the second MAPAQ the Canadian Food Inspection in this crisis. Since last Friday, almost all inspectors Quebec ensure the proper functioning of the recall products that have passed through the factory meat Toronto, the famous 97B. The task is arduous. "Maple Leaf has 42 distributors in Quebec, said Guy Auclair. And to give you an idea, the first on the list has 86 clients. "Once the distribution line traced, the places most at risk have received the visit of inspectors first. The representative of MAPAQ confirms that hospitals and residences for the elderly were on the list.
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Listeria monocytogenes outbreak

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Update: August 27, 2008

The Public Health Agency of Canada (PHAC) continues to collaborate with provincial and local health authorities in Quebec, Ontario, Saskatchewan and British Columbia, Health Canada and the Canadian Food Inspection Agency (CFIA) to investigate an increase in cases of Listeriosis with the same genetic fingerprint (strain).

The following table indicates the latest number of confirmed and suspected cases of Listeriosis broken down by province.

Confirmed and suspected cases:

<TABLE class=widthFull cellSpacing=0 cellPadding=0 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>Province
</TD><TD class=bg-colour-grey-light vAlign=top>Confirmed Cases
</TD><TD class=bg-colour-grey-light vAlign=top>Suspected Cases
</TD></TR><TR><TD vAlign=top>Ontario
</TD><TD vAlign=top>22
</TD><TD vAlign=top>18
</TD></TR><TR><TD vAlign=top>BC
</TD><TD vAlign=top>4
</TD><TD vAlign=top>0
</TD></TR><TR><TD vAlign=top>Alberta
</TD><TD vAlign=top>0
</TD><TD vAlign=top>5
</TD></TR><TR><TD vAlign=top>Saskatchewan
</TD><TD vAlign=top>1
</TD><TD vAlign=top>0
</TD></TR><TR><TD vAlign=top>Quebec
</TD><TD vAlign=top>2
</TD><TD vAlign=top>8
</TD></TR><TR><TD vAlign=top>Total
</TD><TD vAlign=top>29
</TD><TD vAlign=top>31

</TD></TR></TBODY></TABLE>​

The following table indicates, of the confirmed cases, the number of deaths where Listeriosis was the underlying or contributing cause, and the number of deaths currently under investigation.

<TABLE cellSpacing=0 cellPadding=0 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>Province

</TD><TD class=bg-colour-grey-light vAlign=top>Deaths where Listeriosis was the underlying or contributing cause

</TD><TD class=bg-colour-grey-light vAlign=top>Deaths under investigation
</TD></TR><TR><TD vAlign=top>Ontario
</TD><TD vAlign=top>5*
</TD><TD vAlign=top>7
</TD></TR><TR><TD vAlign=top>BC
</TD><TD vAlign=top>0
</TD><TD vAlign=top>1
</TD></TR><TR><TD vAlign=top>Alberta
</TD><TD vAlign=top>0
</TD><TD vAlign=top>0
</TD></TR><TR><TD vAlign=top>Saskatchewan
</TD><TD vAlign=top>0
</TD><TD vAlign=top>1
</TD></TR><TR><TD vAlign=top>Quebec
</TD><TD vAlign=top>0
</TD><TD vAlign=top>1
</TD></TR><TR><TD vAlign=top>Total
</TD><TD vAlign=top>5
</TD><TD vAlign=top>10

</TD></TR></TBODY></TABLE>
* The number of deaths where listeriosis was an underlying or contributing cause in Ontario has been reduced from 6 to 5. This is because one of the deaths in that category has been reclassified as being "cause is undetermined" as the cause of death is being further investigated by one of Ontario's local public health units.


For most people, the risk posed by listeria is very low. Healthy people who are exposed to listeria are rarely affected by the bacteria. However, there are certain people who are at higher risk for listeriosis – the very young, the very old, pregnant women, and people with weakened immune systems.

People from these at-risk groups who may have eaten contaminated products and have experienced symptoms, such as persistent fever, severe headaches, neck stiffness, nausea and vomiting, should consult their health care provider.

We recommend that those at greater risk take precautionary measures when preparing food by avoiding the recalled products, avoiding raw, unpasteurized milk and dairy. products, and ensuring that raw vegetables are washed thoroughly before they are eaten.

Media Enquiries:
Public Health Agency of Canada
Michael Tansey, Media Relations
(613) 957-1788
Canadian Food Inspection Agency
Media Relations
(613) 228-6682

http://www.phac-aspc.gc.ca/media/issues/listeria_20080827-eng.php
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Some more on another wellknown source of listeriosis: (soft) cheese.

Listeria found in 2 brands of Quebec cheese

www.chinaview.cn 2008-08-28

BEIJING, Aug. 28 (Xinhuanet) -- Quebec provincial health officials found contamination from a strain of listeria in two brands of Quebec-made cheese, Canadian media reported Wednesday.

Quebec's Ministry of Agriculture, Fisheries and Food ordered the recall Tuesday of two soft cheeses ? Riopelle de l'lle and Mont-Jacob.

But Guy Auclair, from the province's food and agricultural department, said the strain found in the Quebec cheese is different from the Listeria-tainted processed meat linking to deaths of 15 people, which prompted a recall of more than 200 products made by a Maple Leaf Foods plant in Toronto.

At least nine cases of listeriosis were associated with the recalled cheeses, said Horatio Arruda, Quebec's public health director.

Provincial officials are awaiting test results from a man who died Tuesday night to determine whether the death is linked to contaminated cheese, Auclair said, adding there have been 42 cases of listeriosis reported this year in Quebec, where the annual average is around 50.

Another person with listeriosis died in Quebec in recent days has been identified as the strain linked to Maple Leaf Foods.

Listeria can cause flu-like symptoms, such as a stiff neck, headache, nausea and fever. Pregnant women, the elderly and people with weak immune systems are at greatest risk of being infected.

The disease has an incubation period of up to 70 days, meaning that there could be more cases in the coming weeks.

http://news.xinhuanet.com/english/2008-08/28/content_9727307.htm
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Listeriosis outbreak now blamed for eight deaths

THE CANADIAN PRESS

The number of deaths in Canada being blamed on a nationwide outbreak of listeriosis is now eight.

Mark Razienne of the Public Health Agency of Canada says all three of the latest victims are from Ontario, and had previously been on a list of deaths under investigation.

The news came the same day as the funeral for an elderly woman from Madoc, Ont., who died of listeriosis.

Family members have said 89-year-old Frances Clark suffered a separated shoulder in a fall last month and spent time in a hospital and nursing home before falling ill.

Health officials haven't yet determined if Clark's death is part of the nationwide outbreak.

There have been 29 confirmed cases linked to the outbreak strain, with another 36 suspected cases under investigation.
-
http://www.thestar.com/article/487245
--------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 15 Dead - Food Recalled

SARS lessons aid in meat recall

2003 outbreak claimed 44 lives, led to tracking system revamp

Aug 29, 2008 10:12 AM - THE CANADIAN PRESS

TORONTO ?

Ontario?s top medical official says the listeria outbreak that?s claimed eight lives might have gone unnoticed if not for the health-tracking system put in place after SARS.

Dr. David Williams, the province?s acting chief medical officer of health, says the outbreak would have been ?very hard? to spot under the old, paper-based system because the listeriosis cases were spread throughout Ontario.

The SARS outbreak in 2003, which claimed 44 lives in Canada, led to a revamp of how Ontario public health units report to the province.

Reportable diseases are now entered into an integrated computer database that Williams says allowed the relatively small jump in listeriosis cases over the summer to trigger an investigation.

All eight confirmed deaths in the nationwide outbreak have occurred in Ontario.

Meanwhile, almost 50 additional products have been added to an expanding list of items being recalled because they may contain some contaminated meat products from a Maple Leaf Foods (TSX:MSI) plant in Toronto.

The Canadian Food Inspection Agency added a variety of ready-to-eat products early Friday that are sold in Sobeys and Foodland stores throughout Atlantic Canada.

The products, including hospitality and party trays, submarine sandwiches and wraps have best-before dates up to and including August 25, 26 and 27.

The agency also recalled 10 sandwiches containing turkey which were made and sold in Ontario at Loblaws, Loblaw Superstore and Real Canadian Superstore. These items carry a best-before date up to and including August 25.

Three varieties of submarine sandwiches made and sold at Loblaws and Provigo stores in Quebec were also added to the list in addition to four products sold in Quebec at IGA, Bonichoix, Tradition and Omni stores.
Another seven products sold at Sobeys and IGA outlets in British Columbia, Alberta, Manitoba and Saskatchewan were also added, with best-before dates up to and including August 26.

Late Thursday, the agency and White House Meats Inc. of Toronto recalled oven roasted turkey breast that had been recalled by Maple Leaf.
That product was sold until Aug. 24 at the deli counter from two White House Meats locations in downtown Toronto.

The number of confirmed deaths in a listeriosis outbreak linked to meat from the Maple Leaf Foods plant jumped to eight on Thursday.

All eight deaths blamed on the outbreak are in Ontario, while seven others ? four in Ontario and one each in Quebec, B.C. and Saskatchewan ? remain under investigation.

Federal health officials say a total of 29 cases had been linked to the outbreak and 36 others remained under investigation.
-
http://www.thestar.com/article/487614
-------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 8 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 8 Confirmed Dead - Other Deaths Suspected - Food Recalled

Ninth death tied to tainted meat

Aug 29, 2008 04:52 PM

THE CANADIAN PRESS

Health officials say a death in British Columbia is being blamed on the ongoing listeriosis outbreak, bringing to nine the number of deaths linked to tainted meat produced by Maple Leaf Foods.

It's the first death outside Ontario, where eight other people have died, since word of the outbreak first emerged nearly two weeks ago.

Six other deaths ? four in Ontario and one each in Saskatchewan and Quebec ? remain under investigation for possible links to the outbreak.

Earlier today, the mayor of Walkerton, Ont. ? the scene of a deadly E. coli disaster eight years ago ? called for a public inquiry.

Charlie Bagnato says he's "shocked" the federal government hasn't learned the lessons of his town's tainted-water tragedy in 2000, which killed seven people and made thousands more ill.

Bagnato notes three federal ministers ? Tony Clement, John Baird and Jim Flaherty ? were all members of the Ontario cabinet at the time of the Walkerton outbreak.

Earlier Friday, Ontario's top medical official said the Listeria outbreak might have gone unnoticed if not for the health-tracking system put in place after SARS.

Dr. David Williams, the province's acting chief medical officer of health, said the outbreak would have been "very hard" to spot under the old, paper-based system because the listeriosis cases were spread throughout Ontario.

The SARS outbreak in 2003, which claimed 44 lives in Canada, led to a revamp of how Ontario public health units report to the province.

Reportable diseases are now entered into an integrated computer database that Williams said allowed the relatively small jump in listeriosis cases over the summer to trigger an investigation.

"With our system, we were able to pick it up with relatively small numbers, otherwise it might have gone unnoticed," Williams said.

"It helped us to connect the dots in such a way that we were able to say we have something provincially going on."

Meanwhile, almost 50 additional products have been added to an expanding list of items being recalled because they may contain some contaminated meat products from a Maple Leaf Foods (TSX: MSI) plant in Toronto.

The Canadian Food Inspection Agency added a variety of ready-to-eat products early Friday that are sold in Sobeys and Foodland stores throughout Atlantic Canada.

The products, including hospitality and party trays, submarine sandwiches and wraps, have best-before dates up to and including Aug. 25, 26 and 27.

The agency also recalled 10 sandwiches containing turkey which were made and sold in Ontario at Loblaws, Loblaw Superstore and Real Canadian Superstore outlets. These items carry a best-before date up to and including Aug. 25.

Three varieties of submarine sandwiches made and sold at Loblaws and Provigo stores in Quebec were also added to the list, in addition to four products sold in Quebec at IGA, Bonichoix, Tradition and Omni stores.
Another seven products sold at Sobeys and IGA outlets in B.C., Alberta, Manitoba and Saskatchewan were also added, with best-before dates up to and including August 26.

Late Thursday, the agency and White House Meats Inc. of Toronto recalled oven roasted turkey breast that had been recalled by Maple Leaf.
That product was sold until Aug. 24 at the deli counter from two White House Meats locations in downtown Toronto.
-
http://www.thestar.com/article/487862
-------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 8 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 8 Confirmed Dead - Other Deaths Suspected - Food Recalled

Listeria monocytogenes outbreak

<!-- START expandable header | DEBUT de l'en-tête extensible -->More Information




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Update: August 29, 2008 - 16:00 (EST)

The Public Health Agency of Canada (PHAC) continues to collaborate with provincial and local health authorities in Quebec, Ontario, Saskatchewan and British Columbia, Health Canada and the Canadian Food Inspection Agency (CFIA) to investigate an increase in cases of Listeriosis with the same genetic fingerprint (strain).

The following table indicates the latest number of confirmed and suspected cases of Listeriosis broken down by province.
Note: The numbers below are current as of mid-afternoon on Aug 29, based on reports to the Public Health Agency of Canada from the provinces and territories. There may be some variance with numbers from provinces and territories released later in the day.

Confirmed and suspected cases:

<TABLE class=widthFull cellSpacing=0 cellPadding=1 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>
Province
</TD><TD class=bg-colour-grey-light vAlign=top>
Confirmed Cases
</TD><TD class=bg-colour-grey-light vAlign=top>
Suspected Cases
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
22​
</TD><TD vAlign=top>
21​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
4​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
5​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Manitoba​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
2​
</TD><TD vAlign=top>
7​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
29
</TD><TD vAlign=top>
35
</TD></TR></TBODY></TABLE>

The following table indicates, of the confirmed cases, the number of deaths where Listeriosis was the underlying or contributing cause, and the number of deaths currently under investigation.

<TABLE cellSpacing=0 cellPadding=0 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>Province
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths where Listeriosis was the underlying or contributing cause
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths under investigation
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
8​
</TD><TD vAlign=top>
4​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
9
</TD><TD vAlign=top>
6
</TD></TR></TBODY></TABLE>

For most people, the risk posed by listeria is very low. Healthy people who are exposed to listeria are rarely affected by the bacteria. However, there are certain people who are at higher risk for listeriosis ? the very young, the very old, pregnant women, and people with weakened immune systems.

People from these at-risk groups who may have eaten contaminated products and have experienced symptoms, such as persistent fever, severe headaches, neck stiffness, nausea and vomiting, should consult their health care provider.

We recommend that those at greater risk take precautionary measures when preparing food by avoiding the recalled products, avoiding raw, unpasteurized milk and dairy. products, and ensuring that raw vegetables are washed thoroughly before they are eaten.

Media Enquiries:
Public Health Agency of Canada
Philippe Brideau, Media Relations
(613) 948-7970
Canadian Food Inspection Agency
Media Relations
(613) 228-6682

http://www.phac-aspc.gc.ca/alert-alerte/listeria/listeria_2008-eng.php
<!-- InstanceEndEditable -->
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Source: http://pr-canada.net/index.php?option=com_content&task=view&id=42555&Itemid=65

Note to media: Public Health Agency of Canada
Written by marin2008
Saturday, 30 August 2008
As Canada's Chief Public Health Officer, I want to update Canadians on the state of the ongoing Listeria outbreak.

We are all understandably concerned whenever we hear that something as precious as the food we eat may pose a danger. Years of effort to ensure safe and secure food supplies have allowed us to be confident in what we eat. Unfortunately given the number and variety of bacteria, viruses and parasites out there sometimes we will still see outbreaks like we are working on now. And when it happens it can have serious effects for many people. I offer a wish for speedy recovery to any who have fallen ill, and my sympathies and prayers go to those who have suffered the loss of a loved one.

For most people, the risk posed by listeria is very low. Even though the bacteria itself is commonly found in the environment, healthy people who are exposed rarely become ill. Our greatest concern is with the risk listeriosis poses pregnant women, the very old, the very young and people with weakened immune systems.

While not everything is preventable, fortunately there are some simple steps that can be taken to reduce the risk of illness for ourselves and our families. There are the usual things we should always be doing, like washing hands, storing and cooking food properly, washing fruits and vegetables well, and avoiding unpasteurized milk and milk products. But with this Listeria outbreak, remember that contaminated meat often will not look or smell bad, so it is important to check the Maple Leaf recall list on the Canadian Food Inspection Agency website http://www.inspection.gc.ca/english/corpaffr/recarapp/2008/list97be.shtml to see if you own meat that from the affected plant. The easiest way to tell if you have recalled products is to check for the code 97B that would appear beside the "best before" or "packaged on" dates. Most importantly, if you are in doubt, don't hesitate to throw it out.


Nationally, we continue to report updated numbers of illness and death. We expect we will still see new cases for some time even after the recalls and closure and cleaning of the affected plant, as the time between when someone is exposed and becomes ill can vary from as little as three days to over two months. This long incubation period is part of what is making the management of this outbreak challenging.

For most people, the risk posed by listeria is very low. Even though the bacteria itself is very common in the environment, healthy people who are exposed rarely become ill. Our greatest concern is with the risk listeriosis poses pregnant women, the very old, the very young and people with weakened immune systems.

Listeriosis can cause flu-like symptoms but for the vast majority, flu-like symptoms will not mean listeriosis is the cause. However, if you're in one of these higher risk groups, and you find yourself suffering symptoms, such as persistent fever, severe headaches, neck stiffness, nausea and vomiting, speak to your doctor. This is always good advice whether or not there is an outbreak like this going on, as we annually see cases of this disease.

Canadians should be confident that the Government of Canada, through the Public Health Agency of Canada, Health Canada and the Canadian Food Inspection Agency, is working closely with all provinces, territories, and with Maple Leaf Foods to respond to this outbreak and protect the public's health.

We can never be completely immune to the risk of contaminations and outbreaks, even with the best food safety system in the world. That is why we operate surveillance and other systems to identify potential outbreaks and do the detective work that helps us to find the cause and stop further problems. And what we learn from each experience helps us to improve the system further.

Dr. David Butler-Jones, MD

Chief Public Health Officer
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Listeria found in 2 brands of Quebec cheese
</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn
space.gif
2008-08-28 10:24:14
</TD><TD class=hui12 align=middle width="26%"> </TD><TD class=hui12 align=middle width="12%">
space.gif
space.gif
Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>


BEIJING, Aug. 28 (Xinhuanet) -- Quebec provincial health officials found contamination from a strain of listeria in two brands of Quebec-made cheese, Canadian media reported Wednesday.

Quebec's Ministry of Agriculture, Fisheries and Food ordered the recall Tuesday of two soft cheeses ? Riopelle de l'lle and Mont-Jacob.
But Guy Auclair, from the province's food and agricultural department, said the strain found in the Quebec cheese is different from the Listeria-tainted processed meat linking to deaths of 15 people, which prompted a recall of more than 200 products made by a Maple Leaf Foods plant in Toronto.
At least nine cases of listeriosis were associated with the recalled cheeses, said Horatio Arruda, Quebec's public health director.
Provincial officials are awaiting test results from a man who died Tuesday night to determine whether the death is linked to contaminated cheese, Auclair said, adding there have been 42 cases of listeriosis reported this year in Quebec, where the annual average is around 50.
Another person with listeriosis died in Quebec in recent days has been identified as the strain linked to Maple Leaf Foods.
Listeria can cause flu-like symptoms, such as a stiff neck, headache, nausea and fever. Pregnant women, the elderly and people with weak immune systems are at greatest risk of being infected. The disease has an incubation period of up to 70 days, meaning that there could be more cases in the coming weeks. (Agencies):tiphat: http://news.xinhuanet.com/english/2008-08/28/content_9727307.htm

</TD></TR></TBODY></TABLE>
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Tenth death linked to listeriosis outbreak

Aug 30, 2008 09:14 PM - THE CANADIAN PRESS

OTTAWA?

The confirmed death toll of the listeriosis outbreak rose to 10 Saturday as federal health officials blamed the outbreak for a death that occurred in Alberta, the first such fatality from that province.

Kristen Woboditsch, 36, of Grande Prairie, Alta., died in mid-August but the listeriosis link was only confirmed by Alberta Health officials in a phone call to her mother on Friday night.

"I think everybody thinks the same thing ? it won't happen to me," Mary Hicks of South River, Ont., told CTV News on Saturday. "But unfortunately, it does happen to everyday people."

She said finding out left her with "anger and grief, all mixed up together."
While she said the knowledge provides some closure, it also raises many questions.

"All the food-borne illnesses that are floating around this country of ours ? there's anger toward that, that Canadians have to be subjected to this type of lackadaisical attitude toward food safety.

"I want her death to be counted, and for people to know this is a real hazard out there."

Dr. Gerry Predy, Alberta's chief medical health officer, said Woboditsch had other health problems and added he couldn't pinpoint whether listeriosis was the direct cause of death or just a contributing factor.

"Whether listeria was the actual cause or the underlying cause is very difficult to determine," he said.

Six other deaths ? four in Ontario and one each in Saskatchewan and Quebec ? remain under investigation for possible links to the outbreak.

In total, 31 cases across the country have been conclusively linked to the outbreak, and an additional 32 suspected cases remain under investigation.

Health officials have linked the outbreak to meat products from Maple Leaf Foods, the company that launched a massive recall of products from a Toronto plant earlier this month.

Maple Leaf took out full-page ads in newspapers Saturday, in which president Michael McCain said it was the company's expectation that all recalled products had been removed from store shelves.

Meanwhile, health officials added more products to the list of recalled items Friday night.

Dr. Brian Evans, execute vice president of the Canadian Food Inspection Agency, said while it may seem that the list of recalled products is growing, the additional recalls reflect the fact that several different products were made from the recalled meat.

"Many of our recalls relate to products such as sandwiches and pre-packaged meats carrying best-before dates that have now already expired," Evans said at a news conference Saturday afternoon.

"Nevertheless, in the public interest and in the interest of openness, we feel it is important that such info is visible."

A complete list of the recalled products is available at www.inspection.gc.ca
-
http://www.thestar.com/article/488249
------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 9 Confirmed Dead - Other Deaths Suspected - Food Recalled

Listeria monocytogenes outbreak

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Update: August 30, 2008 - 16:00 (EST)

The Public Health Agency of Canada (PHAC) continues to collaborate with provincial and local health authorities in Quebec, Ontario, Saskatchewan and British Columbia, Health Canada and the Canadian Food Inspection Agency (CFIA) to investigate an increase in cases of Listeriosis with the same genetic fingerprint (strain).

The following table indicates the latest number of confirmed and suspected cases of Listeriosis broken down by province.

Note: The numbers below are current as of mid-afternoon on Aug 30, based on reports to the Public Health Agency of Canada from the provinces and territories. There may be some variance with numbers from provinces and territories released later in the day.

Confirmed and suspected cases:

<TABLE class=widthFull cellSpacing=0 cellPadding=1 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>
Province
</TD><TD class=bg-colour-grey-light vAlign=top>
Confirmed Cases
</TD><TD class=bg-colour-grey-light vAlign=top>
Suspected Cases
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
22​
</TD><TD vAlign=top>
21​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
4​
</TD><TD vAlign=top>
2​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
2​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Manitoba​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
2​
</TD><TD vAlign=top>
7​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
31
</TD><TD vAlign=top>
32
</TD></TR></TBODY></TABLE>

The following table indicates, of the confirmed cases, the number of deaths where Listeriosis was the underlying or contributing cause, and the number of deaths currently under investigation.

<TABLE cellSpacing=0 cellPadding=0 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>Province
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths where Listeriosis was the underlying or contributing cause
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths under investigation
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
8​
</TD><TD vAlign=top>
4​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
10
</TD><TD vAlign=top>
6
</TD></TR></TBODY></TABLE>

For most people, the risk posed by listeria is very low. Healthy people who are exposed to listeria are rarely affected by the bacteria. However, there are certain people who are at higher risk for listeriosis ? the very young, the very old, pregnant women, and people with weakened immune systems.

People from these at-risk groups who may have eaten contaminated products and have experienced symptoms, such as persistent fever, severe headaches, neck stiffness, nausea and vomiting, should consult their health care provider.

We recommend that those at greater risk take precautionary measures when preparing food by avoiding the recalled products, avoiding raw, unpasteurized milk and dairy. products, and ensuring that raw vegetables are washed thoroughly before they are eaten.

Media Enquiries:

Public Health Agency of Canada
Philippe Brideau, Media Relations
(613) 948-7970
Canadian Food Inspection Agency
Media Relations
(613) 228-6682

http://www.phac-aspc.gc.ca/alert-alerte/listeria/listeria_2008-eng.php
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Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

Listeriosis death toll rises to 11 in Canada

Sep 01, 2008 04:30 AM

The Canadian Press

OTTAWA?The number of confirmed deaths from the listeriosis outbreak has increased to 11.

Dr. Mark Raizenne of the Public Health Agency of Canada says the latest death is from Ontario and "likely occurred in the past several weeks."

The outbreak so far is either responsible for or played a contributing factor in nine deaths in Ontario, one in Alberta and one in B.C.

Another six deaths are suspected and still under investigation ? four victims are from Ontario with one from Quebec and one from Saskatchewan.

The number of confirmed listeriosis cases climbed yesterday to 33 from 31 the previous day, but the number of suspected cases has dropped from 32 to 25.

Health officials have linked the outbreak to processed meat products from a Maple Leaf Foods plant in Toronto.

Maple Leaf recalled virtually all the products produced at the plant and that, in turn, sparked dozens of recalls of ready-to-eat sandwiches made from the Maple Leaf products.

Those most at risk are the young, the elderly, pregnant women and anyone with a compromised immune system, according to the public health agency.

A complete list of the recalled products is available at
www.inspection.gc.ca.

Agriculture Minister Gerry Ritz said the government and Canadian health agencies are working around the clock to keep the public informed.

Earlier yesterday, Canada's food inspection agency issued a warning to people in New Westminster, Surrey and Langley, B.C., not to eat certain sandwiches that may contain tainted meat.

King Bean Wholesalers is recalling its roast beef subs or kaisers sold in these locations.

So far, there have been no illnesses linked to the sandwiches from King Bean.
-
http://www.thestar.com/article/488512
------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

Listeria monocytogenes outbreak

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Update: September 1, 2008 - 16:00 (EST)

The Public Health Agency of Canada (PHAC) continues to collaborate with provincial and local health authorities in affected provinces, Health Canada and the Canadian Food Inspection Agency (CFIA) to investigate an increase in cases of Listeriosis with the same genetic fingerprint (strain).
The following table indicates the latest number of confirmed and suspected cases of Listeriosis broken down by province.

Note: The numbers below are current as of mid-afternoon on Sept. 1, based on reports to the Public Health Agency of Canada from the provinces and territories. There may be some variance with numbers from provinces and territories released later in the day.

Confirmed and suspected cases:

<TABLE class=widthFull cellSpacing=0 cellPadding=1 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>
Province
</TD><TD class=bg-colour-grey-light vAlign=top>
Confirmed Cases
</TD><TD class=bg-colour-grey-light vAlign=top>
Suspected Cases
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
29​
</TD><TD vAlign=top>
9​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
4​
</TD><TD vAlign=top>
2​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
2​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD></TR><TR><TD vAlign=top>
Manitoba​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
2​
</TD><TD vAlign=top>
7​
</TD></TR><TR><TD vAlign=top>
PEI​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
38
</TD><TD vAlign=top>
21
</TD></TR></TBODY></TABLE>

The following table indicates, of the confirmed cases, the number of deaths where Listeriosis was the underlying or contributing cause, and the number of deaths currently under investigation.

<TABLE cellSpacing=0 cellPadding=1 border=1><TBODY><TR><TD class=bg-colour-grey-light vAlign=top>Province
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths where Listeriosis was the underlying or contributing cause
</TD><TD class=bg-colour-grey-light vAlign=top>Deaths under investigation
</TD><TD class=bg-colour-grey-light vAlign=top>Total
</TD></TR><TR><TD vAlign=top>
Ontario​
</TD><TD vAlign=top>
10​
</TD><TD vAlign=top>
5​
</TD><TD vAlign=top>
15​
</TD></TR><TR><TD vAlign=top>
BC​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Alberta​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Saskatchewan​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Quebec​
</TD><TD vAlign=top>
0​
</TD><TD vAlign=top>
1​
</TD><TD vAlign=top>
1​
</TD></TR><TR><TD vAlign=top>
Total
</TD><TD vAlign=top>
12
</TD><TD vAlign=top>
7
</TD><TD vAlign=top>
19
</TD></TR></TBODY></TABLE>

For most people, the risk posed by listeria is very low. Healthy people who are exposed to listeria are rarely affected by the bacteria. However, there are certain people who are at higher risk for listeriosis ? the very young, the very old, pregnant women, and people with weakened immune systems.

People from these at-risk groups who may have eaten contaminated products and have experienced symptoms, such as persistent fever, severe headaches, neck stiffness, nausea and vomiting, should consult their health care provider.

We recommend that those at greater risk take precautionary measures when preparing food by avoiding the recalled products, avoiding raw, unpasteurized milk and dairy. products, and ensuring that raw vegetables are washed thoroughly before they are eaten.

Media Enquiries:
Public Health Agency of Canada
Philippe Brideau, Media Relations
(613) 948-7970

Canadian Food Inspection Agency
Media Relations
(613) 228-6682

http://www.phac-aspc.gc.ca/alert-alerte/listeria/listeria_2008-eng.php
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Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 10 Confirmed Dead - Other Deaths Suspected - Food Recalled

13 confirmed dead in listeriosis scare

Paola Loriggio
Staff Reporter

Health officials have confirmed a 13th death in the nationwide listeriosis outbreak linked to Maple Leaf cold cuts from the company's Toronto plant.

The bacteria were deemed to play a role in the death of an Ontario resident, previously considered a suspected case, said Philippe Brideau, spokesperson for the Public Health Agency of Canada.

The number of listeriosis cases under investigation also rose by one today, reaching a total of 15.

But Brideau said it's unclear whether the Quebec resident fell ill from the Maple Leaf meat or from another strain of the bacteria, such as the one tied to two brands of cheese recalled in the province last week.

So far, some 220 products have been pulled since Maple Leaf launched the recall last month, including fast-food and supermarket sandwiches made with the cold cuts. The Canadian Food Inspection Agency says it doesn't expect to expand the list any further.

Health officials seemed optimistic about the outbreak earlier this week.

"And so, looking forward as we are seeing a diminution of the number of cases, we're anticipating that we're probably through the worst of it," Dr. David Butler-Jones, Canada's chief medical officer, said yesterday.

Butler said the incubation can last up to 70 days, and since most of the exposure likely occurred at the end of June, he expects the number of new cases will dwindle.

To date, there have been 38 confirmed cases of listeriosis. Aside from the 13 confirmed deaths, another six deaths are under investigation.


The federal government is promising a "broad" independent investigation into the outbreak. Prime Minister Stephen Harper pledged to hold the probe while in southwestern Ontario, saying the outbreak was causing him great concern.

"I know the company has said they take full responsibility, but I'm very troubled by this," Harper said without being prompted during a news conference at an auto plant in Windsor, Ont.

"When we're done with this particular outbreak and we're certain that it's clear, we will be appointing an . . . independent investigation, an arms-length investigation to make sure we get to the bottom on the government side."

In Ottawa, Agriculture Minister Gerry Ritz told a news conference the investigation will be far reaching, although he provided no details.

"The mandate will be fairly wide and broad," Ritz said.

The minister added that he'd like to see it begin quickly, but not before the Toronto meat plant tied to the outbreak is reopened.

"I would like to see it begin sooner rather than later," he said.

"A lot of it will depend on when the affected plant decides to start up again."

Investigations already underway through Health Canada and the Canadian Food Inspection Agency will continue separately while the independent investigation is underway, Ritz added.

The ultimate result of the probe would be a safer and more accountable and transparent food system, he said.

With files from the Canadian Press
-
http://www.thestar.com/article/490188
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Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Maple Leaf identifies likely source of listeria

06 Sep 2008 02:23:40 GMT - Source: Reuters

TORONTO, Sept 5 (Reuters) -

Maple Leaf Foods <MFI.TO> said on Friday that two meat-slicing machines at its now-closed Toronto plant were the likely source of listeria contamination that has been linked to 19 deaths.

The company, Canada's largest meat processor, said experts pinpointed the likely source of the bacteria after careful inspection of the plant and product tests by the Canadian Food Inspection Agency, or CFIA.

The listeriosis outbreak led Maple Leaf last month to pull more than 200 products from store shelves in one of Canada's largest food recalls, while the affected Toronto plant was shut down.

The company said on Friday that testing showed no listeria contamination in any products except three that were processed at the two suspect production lines.

Other environmental factors, such as a drain and the location of a freight elevator, may have contributed to the contamination, the company said.

"The plant will not reopen and no products will be released until the CFIA and Maple Leaf are confident in the effectiveness of the enhanced food safety protocols in place," Michael McCain, the company's chief executive, said in a statement.

Prime Minister Stephen Harper said on Wednesday the federal government would hold a public inquiry into the outbreak after a general election expected on Oct. 14.

The opposition Liberals said Harper made the announcement about the public inquiry to deflect questions during the run-up to an election campaign.

The bacteria has been linked to 19 deaths, 13 in which it was a contributing or underlying cause and six where its role was being investigated.

(Reporting by Frank McGurty; Editing by Peter Cooney)
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http://www.alertnet.org/thenews/newsdesk/N05303467.htm
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Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Woman with listeriosis dies in N.B.

Last Updated: Monday, September 8, 2008

The New Brunswick Health Department has confirmed a woman with listeriosis has died in the province.

A woman in her 80s, who was a nursing home resident and who had listeriosis, died in a New Brunswick hospital, officials said.

It is the first case to be confirmed in the province since Maple Leaf Foods issued a recall of virtually all the products produced at a Toronto plant after a deadly listeria outbreak. Officials have identified 13 deaths directly linked to listeria found in meat from the Maple Leaf plant.

The New Brunswick case is currently being labelled as a suspect case and officials have not confirmed whether the death is linked to the Maple Leaf recall.

Listeria monocytogenes can be found in unpasteurized dairy products, raw vegetables and meats, and processed foods including deli meats and hot dogs. Ingesting the bacteria can cause serious illness including brain and blood infections that can lead to death.

Those who are most vulnerable are the elderly, infants and people with compromised immune systems.

Some of the flu-like symptoms of listeriosis are nausea, vomiting, diarrhea, severe headaches, stiff neck and fever. It can take up to 70 days for symptoms to appear after the contaminated food is consumed.

http://www.cbc.ca/health/story/2008/09/08/nb-listeriosis-case.html
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead - Other Deaths Suspected - Food Recalled

Manufacturer of Maple Leaf meat slicers says its machines are safe

Sep 09, 2008 12:15 PM - THE CANADIAN PRESS

The manufacturer of meat slicing equipment cited by Maple Leaf Foods (TSX: MFI) as the possible cause of its deadly listeriosis outbreak insists there has never been a serious food safety issue with its machines.

A spokesman for Illinois-based Formax, Inc., says there are nearly 300 Formax S-180 meat slicing machines installed at processing plants around the world, and an estimated 2.3 billion kilograms of sliced meat have been produced over the last 13 years without any safety concerns.

But company spokesman Brian Sandberg says technical experts are reviewing the machines and manuals as a precaution, to confirm that "all instructions are clear and effective for the operation, maintenance and sanitation of these machines."

At a news conference on Friday, Maple Leaf Foods CEO Michael McCain said the Listeria bacterium may have accumulated deep inside two of its Formax S-180 machines, spawning the listeriosis outbreak that has caused 13 deaths.

He said the discovery of the possible accumulation wasn't made until the machines were fully dismantled, which went beyond the equipment's normal cleaning procedures.

McCain said the company followed the machine's sanitization instructions to the letter, which included cleaning the equipment on a daily, weekly and monthly basis.

The large machines, which measure roughly four metres in length and three metres in height, will now have to be disassembled regularly to ensure bacteria doesn't accumulate inside, McCain said.

"We will build that disassembly process into the normal protocol, which is really not that practical on an ongoing basis," McCain said, as he acknowledged the difficulty in taking apart the cumbersome machines.

"Long term, if that can't be sustained then we'll replace the equipment," he said.
But McCain also said results of the investigation are not definitive, since the pervasiveness of listeria "makes an absolute determination (of the outbreak) impossible."

Other contributing factors may include the location of a service elevator, floor drain and bins ? although the product likely did not come into contact with those surfaces.

The plant has remained closed since Aug. 20 and will not open until a comprehensive investigation has concluded, a "deep sanitization" of the plant has been completed, and the Canadian Food Inspection Agency is satisfied no safety issues are outstanding, the company said.

In addition to the 13 deaths connected to the outbreak, another six deaths are under investigation.
In all, 38 cases of listeriosis have been confirmed and 22 more are suspected.

Prime Minister Stephen Harper has pledged to conduct a "broad" independent investigation into the listeriosis outbreak.

Federal officials have said they believe the worst of the outbreak may be over and few new cases are now expected.
-
http://www.thestar.com/article/495982
-------
 
Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead

Re: CANADA: Deadly listeriosis outbreak - Maple Leaf's Toronto Plant - 13 Confirmed Dead

Listeria found in nursing homes, hospitals

Contaminated meat found in two-thirds of Toronto samples taken before recall

Oct 09, 2008 04:30 AM

)
Robert Cribb
Staff reporter

Two-thirds of Maple Leaf meat samples collected from Toronto hospitals and nursing homes tested positive for a virulent strain of listeria just before the country's largest food recall, according to confidential data obtained by the Toronto Star and the CBC.

The test results show a dramatically high percentage of bacteria-laced ham, corned beef, turkey and roast beef was being served to hundreds of vulnerable hospital patients and seniors. Experts say it's more contamination than they have seen and further evidence of a health risk that should have been known to the public sooner.

"There shouldn't be any positives," says Rick Holley, a food safety expert at the University of Manitoba. "The reality is if you did a survey in the market, you might find one or two at most out of this sample that are positive ... And it is a particularly virulent strain of listeria. It's one of the bad ones."

The lab tests, conducted by the Canadian Food Inspection Agency and compiled in a document labelled "confidential," reveal 17 of 26 samples collected on Aug. 14 and 15 tested positive for the pathogen.

Some samples showed contamination of more than 20,000 "listeria monocytogenes," or individual bacterium, per gram of meat. Experts say anything above zero is dangerous because the bacteria, once present, multiply. These tests prompted the national recall of various Maple Leaf meat products.

The listeria outbreak has killed 20 people. Seniors are more vulnerable because of their weaker immune systems.

The samples were collected by Toronto Public Health inspectors from 13 Toronto nursing homes, hospitals and an HIV/AIDS hospice on orders from the provincial Ministry of Health and the CFIA as part of their probe into the outbreak.

Public health units from across the province were also ordered to collect samples. A federal government source confirmed yesterday that half of the provincial samples tested positive for listeria.

But the results in Toronto were worse.

"I'd never seen anything like this
," said Dr. Vinita Dubey, Toronto's associate medical officer of health. "The fact that so many came back positive shows how contaminated the source was."

She said the samples of meat were unopened, ruling out any contamination from food handlers in the institutions.

"From a public health perspective, it means that someone could open the package and eat and it would have already had that level of contamination in it without (the) impacts of dirty hands or knife."

Positive tests show up on meat with "best before" dates ranging from early August to Oct. 1, which suggests the meat from the North York plant was being contaminated over nearly two months, said the University of Manitoba's Holley.

"Whatever the defect was here, it had to be a continuing source of contamination. There had to be a reservoir of the bacteria growing."

The particular strain listed in the test results ? 1/2a ? is considered one of the most dangerous because of its ability to survive in vacuum packages and because of its ability to resist digestion by white blood cells. This strain, along with strains 1/2b and 4b, are responsible for about 98 per cent of human listeriosis cases involving food.

The test results from mid-August are actually the second round of meat samples that Toronto Public Health collected during the course of the expanding investigation.

In late July, inspectors collected meat samples from a North York nursing home where two people were reported as ill with listeriosis ? a highly unusual event.

Samples from that home were collected July 21, says Toronto Public Health's Dubey. But the testing process ? which included sending the meat to a lab in Ottawa and then to a second federal lab in Winnipeg ? took more than two weeks.

Results didn't come back until Aug. 5. They showed five of the 11 samples were positive for the listeria bacterium. Experts say, on average, no more than 3 to 5 per cent of samples should test positive.

Yet it would be another 12 days and another round of meat tests before a public recall was announced by the CFIA, on Aug. 17; it was vastly expanded a few days later.

Linda Smith, a spokesperson for Maple Leaf, said the company was informed of the second batch of test results on the evening of Aug. 16.

"On the basis of (the test results) we did a recall. When we looked at that we felt it was important to do more and that's why we closed the plant and recalled 191 products."

Dubey and many of her colleagues in the public health community say the delay in testing meat samples ? and getting word to the public about the threat ? was too lengthy.

"The CFIA needed a different level of evidence to go public compared with public health," she said. "Their methods are different from ours."

CFIA officials have vigorously defended their response to the outbreak, saying recalls must be based on science and that it takes time to identify the source of such an outbreak. Asked this week for comment on the results, the agency did not respond.

Maple Leaf officials have pinpointed the outbreak to meat slicers in the company's North York plant. The test results show the slicers must have been "heavily contaminated to make the results come back this positive," Dubey said.

Dubey says her health unit ordered nursing homes, hospitals and institutions to stop serving the Maple Leaf meat Aug. 14, when they believed there was sufficient evidence to suggest a link between the cold cuts and sickness.

The CFIA waited several more days for definitive test results before announcing the risk.

The test results show contaminated samples were sitting in kitchens across the city where meals for elderly, highly vulnerable residents were prepared.

"In an environment where these products are going to be consumed by that minority of the population that has some predisposition to some serious infection, this would represent a significant challenge for those people," says the University of Manitoba's Holley.

The tests were conducted on meat from sites that had a range of products. Each institution tested had purchased Maple Leaf products in large commercial-sized packages.

Among the results:

At The Village of Humber Heights seniors' home in Etobicoke inspectors found listeria-tainted turkey and roast beef in the kitchen.

A resident of the home who died in July tested positive for listeriosis, said Bob Kallonen, vice-president of operations for Oakwood Retirement Communities, which owns the home. But he says that person had other ailments that contributed to their death.

Two samples of Black Forest ham collected from Central Park Lodge nursing home in Toronto tested positive for the bacteria, the data shows. The company did not return a request for an interview.

Six of the seven roast beef samples collected in Toronto were positive for listeria, the data shows, including two from St. Joseph's Health Centre.

Carolyn Baker, president and CEO of St. Joseph's, says she's unaware of any illnesses from the meat that was being served in the hospital cafeteria when inspectors showed up Aug. 14 to take samples.

"At the end of the sampling, they indicated to us we should remove the meat from service," she said, adding the hospital was pleased Toronto Public Health advised them to remove the meat immediately.

She declined to comment on the delay it took for a federal recall to be announced three days later.

Six of seven turkey samples contained listeria, two of which were taken from Casey House, a Toronto hospice for people infected with HIV/AIDS.

A Casey House spokesman could not be reached for comment.

The Toronto plant where the listeria was found closed on Aug. 20 for deep cleaning and reopened four weeks later. The recall has cost the company an estimated $20 million.

In all, more than 220 products were recalled from stores across the country and consumers were advised to discard any they had. A Maple Leaf spokesperson said early last month the firm would store the recalled meat at four freezer facilities before disposing of it. Generally, recalled food is not tested.

CFIA inspectors interviewed by the Star and the CBC say the agency's recent move toward self-regulation of meat safety has compromised public safety. They say policy changes imposed earlier this year have shifted the responsibility for inspection to profit-driven companies while inspectors are left to review paperwork.

"We shouldn't be called inspectors any more. We should be called auditors," said one veteran CFIA inspector who spoke on the condition of anonymity. "The amount of time my butt is glued to a chair has increased ... it's a travesty to the Canadian public that your grandmother could eat a sandwich and die."

Robert Cribb can be reached at rcribb@thestar.ca or (416) 869-4411

http://www.thestar.com/article/514527
 
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