Just When You Thought it Was Safe…
By: Rob Ralyea
Every morning around 7 AM I get the morning Food Safety News delivered to my Inbox. Usually about then, my coffee is done, I’ve piled through some of the more pressing stuff from the night before and I settle in to read the snippets of the goings-on in the Food Safety world. For those who know me, I am all about vomiting (aka puking) and diarrhea and all the things that go with a good foodborne illness (obviously except when I have it, which knock on wood has been pretty rare so far during my tenure on planet Earth). My most recent personal event was a few years ago when my better half got a case of what we’ll call the ‘two-bucket blues’… that’s when you get a foodborne disease that affects both ends of your body at the same time (take a moment and insert your own visual image here). That’s not a trademarked term by the way, so feel free to use it! She was even less impressed when I told her what she had, how it would progress and about how long it would last. I even told her where she probably had acquired the Staphylococcus aureus food poisoning that she was suffering with, which at the time also did not impress her (for some reason). The difference between Staph and Norovirus is somewhat subtle, in that Staph food poisoning will start about 3-4 hours in after you’ve eaten the contaminated food, and Norovirus takes roughly a day. Staph also is a bit shorter lived. Ah, such is the curse of being a food safety professional… let me also insert here that there is no such thing as the ‘intestinal flu’. The ‘flu’, short for influenza is a respiratory disease. While flu’s are in fact caused by viruses, Norovirus is not a cause of influenza. If you have diarrhea and/or vomiting and have been diagnosed with Norovirus, you have foodborne illness (which may have been contracted by merely contacting a surface that was contacted previously by an infected individual), not the ‘flu’.
As I digress back to the beginning, the tale being unfolded in my morning edition of Food Safety News, a disaster of epic proportions occurs. The headline is “Doughnut shop norovirus outbreak victim count nears 250”… NOOOOOOOOOooooooooooooo!!!!!!! Not doughnuts!!!!!!! Yes, now doughnuts. Just when you thought something was ‘safe’, it turns out just as liable to cause foodborne disease as anything else. I mean, come on, doughnuts are fried and are beloved by most everyone around the world in one shape or another. There are the glazed, the jelly filled, the crème filled, the chocolate covered, cinnamon….gee I could go on and on. (Now you want a doughnut don’t you?). Prior to last year we also thought ice cream was virtually safe. After all, nothing can grow in the freezer, right? Well, we do know that nothing will survive a deep fryer, so this doughnut outbreak is a case of contamination after the fact by a food handler. In fact, I surmise one of the employees was probably returning to work after suffering from Norovirus and was still carrying the virus, thereby causing this outbreak. This highlights the need for plant management to fully understand the risks associated with people returning to work after being ill and how these people need to be managed. A person suffering from Norovirus, for example, can still shed the virus for up to 2 weeks after they’ve recovered and are showing no more symptoms. The virus is also highly transmissible in that it is estimated that it takes less than 100 virus particles to make a person sick. This little gem (Norovirus) was discovered after it caused its first recognized outbreak in 1968 in Norwalk, Ohio, infecting 150 elementary school children. My last fun fact on Norovirus is that it causes more than half of the foodborne illnesses in the United States.
The real point to the matter is we don’t typically give much sick time to food handlers or food processing employees annually. People who get sick generally either try to work through it, or if they take time off, try to take the minimum time off they possibly can, often coming back to work while still suffering some effects of the disease. In the case of Norovirus, they are in all likelihood still shedding the virus. As food safety professionals we need to be vigilant and place individuals who may have had this type of illness in non-food contact areas. Ideally they wouldn’t return to work for an extended period of time. However, we all know that even when you’re sick, the house payment, the car payment and the electric bill all still show up in the mailbox. Norovirus can live in the wild (outside of a host) for a decent amount of time so having a person in your food facility is also jeopardizing the health of your other employees. Another illustration of how transmissible the virus can be- a person vomited on a New Zealand airliner and a flight attendant cleaned it up (lucky person). During the next 5 days 43% (27 of 63 flight attendants who worked on that plane, including the one who cleaned up the vomit) came down with Norovirus. (https://www.ncbi.nlm.nih.gov/pubmed/21836128).
As food safety professionals, we need to take this disease seriously and maybe start thinking of better ways to manage people who have the disease and work in the food industry. The next time you’re out at a restaurant, I want you to envision the cook in the back, the bartender handling your drink order, or even the waiter/waitress who is bringing out your food, had been out sick for the past few days. Chances are, if that’s the case, you might be missing a few days too…give it a day or two to manifest itself. Then, CALL ME!!!! I’m always looking for new pictures of people with the ‘two-bucket blues’!! It’s my hobby J
In other news, the FDA recently released their Food Safety Plan Builder. If you already have put a Food Safety Plan together, I wouldn’t reinvent the wheel. You might take a look at it though and see if it’s of use to you. It’s located at https://www.fda.gov/Food/GuidanceRegulation/FSMA/ucm539791.htm
And as always, the Cornell resources are available online at https://dairyextension.foodscience.cornell.edu/. Here you will find a clearinghouse of information related to Food Safety programs, upcoming workshops, dairy extension contacts and other information that may be of use to you.