Pros and Cons of Commercial Irradiation of Fresh Iceberg Lettuce and Fresh Spinach: A Literature Review

This is the first part of a multi-part series on the Pros and Cons of Commercial Irradiation of Fresh Iceberg Lettuce and Fresh Spinach.  Given the recent outbreaks, hopefully this is timely.

On August 22, 2008, FDA published a final rule for the safe use of ionizing radiation (also termed irradiation, irradiation pasteurization, cold pasteurization) of fresh iceberg lettuce and fresh spinach for control of foodborne pathogens, and extension of shelf-life. A few weeks later, the US Government Accountability Office (GAO) released a report entitled, “Improvements Needed in FDA Oversight of Fresh Produce.” This report states that FDA’s intervention efforts for reducing the risk of contamination during the processing of fresh-cut produce have been limited. Interestingly, the GAO reviewers only briefly mention irradiation, and brought little context to the implications of introducing irradiation as a potential control (“kill”) step during produce processing.

Currently, a serious outbreak of E. coli O157:H7, possibly linked to iceberg lettuce, is unfolding in Michigan and other parts of the United States. Since 1995, the FDA has documented at least 22 other E. coli O157:H7 outbreaks traced to leafy greens likely contaminated before retail distribution, including a number of outbreaks involving fresh iceberg lettuce and spinach. Clearly, there is a need for improved methods to prevent contamination of produce before it reaches the consumer.

Most food safety experts would agree that there is no silver bullet (defined by Webster’s dictionary as “a magical weapon ; especially : one that instantly solves a long-standing problem”) to guarantee protection of any food from contamination. The use of comprehensive “farm-to-table” approaches is well accepted as the best way to combat the complex problems in food safety.

Where does irradiation of food fit into this evolving continuum including the new rule in the United States for lettuce and spinach?

Irradiation is probably the most studied, and the most controversial, food processing method in history. Several years ago, two renowned food safety leaders, Drs. Robert Tauxe (2001) and Michael Osterholm (2004), published elegant summaries describing the role of irradiation in food safety and protecting the public health. They did not promote irradiation as a silver bullet, but their commentaries suggested the process is one tool in the toolbox, and may be a silver lining (defined as “a hopeful side of an otherwise desperate or unhappy situation”) in the burgeoning problem of foodborne disease.

To better understand the implications of FDA’s new rule, I hit the books with the goal to examine the “pros and cons,” (perhaps more appropriately described as “advantages and limitations”) of using irradiation as a control step during fresh lettuce and spinach processing. The following is the first in a series summarizing the findings.

Part I. Historical Perspective and Definitions

Continue Reading...

Sanlu Fonterra Melamine Baby Formula Disaster - What is Needed is a Free Press and a Functioning Legal System

I am catching up on both sleep and US News reports. This morning I read the New York Times summary of the events so far in the Sanlu Fonterra Melamine Baby Formula Disaster – “Despite Warnings, China’s Regulators Failed to Stop Milk,” and the Washington Posts summary – “China's Tainted-Milk Crisis Grows Despite Official Claims.”

Since I left China, the recalls have mounted.  Now, not only is powdered milk being recalled, but various other products, including White Rabbit candy, are being pulled from store shelves throughout the world.  More than 50,000 children, most aged under three, have fallen ill after drinking China's top-selling infant formula, made by the Sanlu Group, a joint venture with New Zealand dairy giant Fonterra.  At least four children have died and almost 13,000 are still in the hospital, at least 100 of them in critical condition from kidney failure.  After spending a week in China, my guess is that those numbers are grossly under reported.   Here are some more startling facts:

December 2007 - Sanlu Fonterra had first received complaints about its powdered baby formula.

March 2008 - Sanlu Fonterra had hired private companies to test its milk powder for contaminants.  Sanlu Fonterra never issued any public warnings and never stopped promoting its products.

May 18 - After the devastating earthquake in Sichuan Province, the Sanlu Fonterra made a much-publicized donation of $1.25 million worth of baby formula for infants orphaned or displaced by the catastrophe.

June 30 - A mother in Hunan Province had written a detailed letter pleading for help from the food quality agency, the General Administration of Quality Supervision, Inspection and Quarantine (organization that sponsored the Food Safety Conference I attended).  The letter, posted on the agency’s Web site, described rising numbers of infants at a local children’s hospital who were suffering from kidney stones after drinking powdered formula made by Sanlu Fonterra.  The watchdog agency's director, Li Changjiang, and several Communist Party officials in Hebei province, where Sanlu Fonterra is based, lost their jobs.

August 2 - Sanlu Fonterra officials informed the board about the melamine problem.

September - The New Zealand government, after discussions with Fonterra executives, contacted authorities in Beijing.  Beijing officials say they knew nothing about the scandal until September, though a Fonterra company spokesman said the company believed the central government knew in August.

September 9 – Recall announced.

Chinese Premier Wen Jerboa (did not meet him while I was there, but I did tour the “Hall of the People.”) yesterday reassured the world that China was serious about bettering its food safety record:

"We plan not only to revitalize the food industry and the milk powder industry, we will try to ensure that all China-made products are safe for consumers and consumers can buy with assurance."

Empty words? Likely. Here are the real problem and until there are changes, “Made in China,” still will mean, “Buyer Beware."

  • The Chinese Central Propaganda Department had been issuing broad reporting guidelines that were distributed in Internal Digest, a classified bimonthly Communist Party bulletin.  The emphasis was on promoting good news about the Olympics.  Propaganda officials responded by issuing rules that required domestic publications to obtain permission before publishing any articles about food safety and other politically delicate subjects.
  • On Friday, 20 lawyers in 15 provinces received threatening visits or calls from their local legal affairs bureaus warning them not to join a group to help the victims of tainted milk. They were told they could lose their licenses if they did not withdraw from the effort. As one lawyer said:  "Our goal is not to help the victims sue the dairy companies. We just want to help them with advice," the lawyer said, speaking on the condition of anonymity for fear of reprisals. "We believe the government will eventually have a solution, so it's important to preserve the evidence. We don't understand why we are being stopped."

A free press and the right to legal advice is a must to keep corporations like Sanlu Fonterra and the Chinese Government honest.  Frankly, that is true whatever country you are in.  The world's media and legal associations, especially in the US, need to speak out in support of our chinese collegues.  Until there is a free press and a functioning legal system in China, expect to see more outbreaks, illnesses and cover-ups.

For a bit more information on the Chinese legal system (or lack thereof) see "What China's Tainted Milk May Not Bring - Lawsuits" and a very good early analysis in "China Says 432 Infants Have Kidney Stones From Sanlu Formula" of why the outbreak happened in the first place.

Live Blogging at The China International Food Safety and Quality Conference

Well, there are several Chinese delegates missing at today’s opening session. However, all of the speakers thus far have all mentioned the ongoing and growing crisis in China infant formula. The numbers still are shocking – 55,000 sickened, 13,000 hospitalized, hundreds with acute kidney failure and four deaths (assuming these numbers are close to accurate).  Perhaps we really should have the parents of the victims here speaking to the esteemed panelists? I found this quote in the last few moments on AP wire:

"I'm just disappointed because the government should have done more to protect its citizens," said Liao Yanfang, a migrant worker whose 1-year-old son was found to have kidney stones Tuesday at Beijing Children's Hospital. Since birth, her only child had been drinking infant formula made by the company at the center of the scandal, Sanlu Group Co., she said.

"I fed my baby powdered milk because ads said it was more nutritious than breast milk. We trusted that the government would provide adequate tests to ensure food quality," she said.

Like the cause of food safety problems in the US, my strong suspicion is that milk suppliers find themselves squeezed between the farmers asking for more money and the processors who demand that prices be held down. That squeeze gives suppliers incentives to tamper with the raw milk - adding ingredients like melamine - a relatively cheap binding agent used in plastics and as a flame retardant, is rich in nitrogen, fooling widely used tests that check for protein. When mixed with formaldehyde, it dissolves in water. When mixed with milk and fed to babies, well, you see the result.

While I blogged, I also had some time to talk to the media.

I talked to the Seattle Health Examiner:

Seattle food contamination expert in China as tainted milk sickens thousands of kids

ABC hot reporter Stephanie Sy:

Chinese Tainted Milk Company Accused of Cover-up

And, it is good to see the Haphazard Gourmet Girls spin on:

China Food Safety

It is Hard to Ignore 4 Deaths, 6,300 Illnesses, 1,300 Hospitalized and 158 Babies with Acute Kidney Failure

I got this email today from the Chinese Government:

Dear Bill,

Thank you for accepting to speak at the upcoming China International Food Safety & Quality Conference, September 24 - 25, 2008, Landmark Hotel & Tower, Beijing. We are honored to have you as a speaker on the program and look forward to your speech.

As a reminder, all speakers are expected to exercise diplomacy during your presentation. The CIFSQ Conference is intended to encourage healthy constructive dialogue and information exchange amongst industry players, government regulators and the scientific community to enhance food safety for all consumers.

Once again, welcome and I hope you have a productive and meaningful week ahead.

Sincerely,

Benny Sun
Program Manager
CIFSQ 2008

I wonder if they do not want me to talk about the tainted baby formula that has been blamed for killing four infants and sickening 6,200 in China since the scandal broke last week.  About 1,300 babies, mostly newborns, are in hospitals and 158 of them are suffering from acute kidney failure.  Thousands of parents across China are bringing their children to hospitals for health checks.  Assuming that all these numbers are even close to being accurate.

Hard not to notice – impossible not to talk about.

Product Quality Law of The People's Republic of China

Thought I would get a bit more prepared for my trip to China.  I might find something to do there other than climb the Great Wall.

China Manufacturers' Duties (1)

China's Product Quality Control Law (2), which went into effect in September 1993, holds manufacturers—or producers—responsible for product quality. Article 14 of the Quality Control Law requires producers to manufacture products that:

• comply with national and industry standards;
• do not pose an "unreasonable danger" to people or property;
• have the "properties that should be possessed by such products," except where explanations about defects have been provided; and
• conform with standards carried on the product or its packaging, or with the quality indicated by a sample.

Producers are liable for physical injury or damage to another's property caused by a defective product. Article 31 stipulates that a victim may claim compensation directly from a liable producer, as well as from the seller of a defective product. While the law defines "defect" (3) as an "unreasonable danger" that "threatens personal safety or another's property," the phrase "unreasonable danger" is not further defined. Additionally, while the requirement that products have the properties they should possess is not clearly explained, the law expressly prohibits adding improper ingredients or elements, or selling imitation or low-grade products as genuine or high quality.

Producers are also subject to several labeling and packaging requirements. All product packages must contain:

• product quality inspection certificates;
• product name, producer name and address, in Chinese;
• the primary ingredients;
• expiration date; and
• warnings in Chinese if the product is potentially dangerous.

Distributors' Duties

Sellers or distributors under the Chinese law have the same responsibilities as producers plus additional obligations relating to marketing. For example, distributors must inspect products to make sure they are properly labeled, and make sure that their expiration dates have not passed. Moreover, while distributors are not responsible for compliance with industry standards, a distributor who knows that a product does not comply with the necessary standards may be subject to liability for personal injury or property damage caused by that product.

Defenses

Compared with its counterpart in Taiwan, the Chinese law is more favorable to manufacturers and distributors because it provides defenses. A manufacturer will not be held liable if it can establish that (1) it did not put the product on the commercial market; (2) the defect did not exist at the time the product was put on the market; or (3) the defect could not have been detected at the time it was put on the market, because of limited scientific or technical knowledge.

The one defense available to a distributor is to demonstrate that another party, such as the manufacturer, was responsible for the defect. If the seller or distributor cannot locate the manufacturer, the seller must bear full responsibility for compensating an injured consumer. If the manufacturer can be identified, the product distributor has a recovery right against that manufacturer.

The Chinese law also has a statute of limitations and statute of repose for both manufacturers and distributors. Under the law, a claim must be brought within two years of the date that the defect was or should have been discovered. Moreover, a consumer may not bring a claim more than ten years after the product was delivered to the first consumer, unless, as Article 33 provides, "the clearly indicated period of safe use has not yet expired."

Damages

Injured consumers under the Chinese law can recover:

• medical expenses;
• lost income;
• and cost of living if unable to resume working.

In case of death, the liable party must pay funeral expenses as well as pensions and living expenses of the deceased's dependents. The law also contains a potentially broad provision that requires that the liable party compensate the injured consumer for all other "major losses." See Article 32.

In addition to damage payments, failure to comply with national or industry standards can produce stiff penalties. Authorities will order manufacturers not in compliance to cease production and will seize illegal products and income derived from their sale. Moreover, a non-complying manufacturer (4) will be fined at least two times and as much as five times the illegal income amount. Manufacturers are strictly liable for non-compliance with national or industry standards, while sellers are liable only if they actually knew they were selling non-complying products.  Chinese law does not provide for punitive damages (damages intended to punish the manufacturer). The closest analog in China would be what translates roughly as spiritual or hardship damages. The cap on these damages is RMB 50,000 (5), regardless of severity.

Alternative Dispute Resolution

Article 35 provides that, where a civil dispute concerning product quality arises, the parties concerned may seek a settlement through negotiation or mediation. Additionally, if negotiation or mediation is not feasible, the parties may apply to an arbitration organization for arbitration.

1.  This article is based, in large part, on a portion of Bowman and Brooke LLP’s article entitled “International Product Liability Laws.”  The article can be found at: http://library.findlaw.com/1999/Aug/1/129312.html.

2.  See http://gr.china-embassy.org/eng/kxjs/kjfg/t146182.htm.

3.  “Defect” is specifically defined by Article 34 as “the unreasonable danger existing in [a] product which endangers the safety of human life or another person’s property; where there are national or trade standards safeguarding the health or safety of human life and property, defect means inconformity to such standards.”

4.  This provision includes producers who mix “impurities or imitations into a product.”  See Article 38.

5.  This is $7,314.22 in United States dollars, as of 9/19/08.  See http://www.lehmanlaw.com/resource-centre/faqs/product-liability/damages-caused-by-inferior-and-low-quality-products-are-a-chief-concern-of-consumers-in-china-how-does-chinese-law-protect-them-and-what-is-the-potential-liability-to-manufacturers-and-vendors.html.

 

Here is a great article on how the Chinese Legal System actually works:

Anger in milk scandal forces China’s hand

By Ariana Eunjung Cha, The Washington Post

Monday, September 22, 2008

Continue Reading...

Would the Death Penalty Stop Companies from Poisoning Customers and get the Government to do Its Job, or is a Good Lawsuit the Way to Go?

The milk crisis in China is exploding.  Now there are over 6,200 people ill and at least 4 deaths.  I’ll be landing in Beijing in a few hours (long distance ambulance chasing) and was struck by a quote from Chinese Starbucks customer Cathy Wang who called for the government to take the toughest action possible against those responsible.

"The criminals deserve to be sentenced to death and there should be a public trial.  They are more evil than murderers.  And the supervisory authorities, they should be punished harshly as well for neglecting their duty."

Another milk customer at a Beijing supermarket had a different point of view.  Cui Hongchun, expressed concern and fury over previously buying milk for his eight-year-old son from one of the suspect brands.

"I'm very worried about the milk we bought because it claimed to contain high levels of protein," he said. "I will sue them if the milk causes any problems for my boy.”

Interesting, perhaps we can import, not only food products from China, but also its criminal code?  Perhaps I can help with our balance of trade deficit with China by exporting a lawsuit or two?
 

More Marler Talks on Food Safety

Although I leave for China soon, I spent the day working on a keynote speech for the San Francisco Food HACCP Conference in October.  Here is my PowerPoint:

A Day off Fom Blogging

A new friend sent me this - I wonder what she is trying to say?

Another friend sent me this one:

E. coli Outbreaks still a Risk in Leafy Greens

I spent the day is a well-run, informative, conference sponsored by Fresh Express (never sued them). The science was interesting and well presented. The bottom line however is there is far more research needed and the risks to consumers are still quite real in the consumption of “ready-to-eat” products. Here are some of the highlights from the scientists:

1. Contamination can spread during washing, cutting in the fields and the tumble drying of greens

2. Chlorinated water alone isn't enough to kill the pathogens.

3. Some varieties of spinach with textured leaves have greater potential for harboring pathogens than smooth-leaf varieties.

4. E. coli can paralyze pore closures (somata) on spinach leaves and allow bacteria into the plant.

5. Compost used inorganic operations can retain traces of live E. coli cells that can reconstitute under the right conditions.

6. Spinach and lettuce harvested on hotter days are more likely to create an environment for pathogen growth.

7. Lower product temperature, especially during transportation, lowers risk of bacterial growth.

8. Flies or other insects can excrete bacteria in their fecal droplets.

9.  It seems apparent that the E. coli bacteria is not absorbed by the roots into the plant structure.

OK, not much good news here. The only two areas that seemed hopeful was that some research on E. coli transmission found ozone gas is faster and more effective than chlorinated water at sanitizing leafy greens. And, although not mentioned until the last hour, irradiation of leafy greens can make food safer.

Bottom line – more work to do.
 

A New US Court of Appeals Decision Preserves a Consumer's Right to Sue the Producer of Contaminated Tuna

In Kreifall v. Excell, Excell’s “Preemption argument” was tried and soundly rejected by the Wisconsin State Supreme Court and then was denied review by the US Supreme Court in Kreifall v. Excell (Cargill subsidiary).  See online version.

Guest Blogger - Andy Weisbecker

In the Deborah Fellner v. Tri-Union Seafoods d/b/a Chicken of the Sea opinion, issued by the US Court of Appeals, Third Circuit, on August 19, 2008, the court protected the right of the consumer plaintiff to pursue her claim against the manufacturer of contaminated tuna products. The defendant tuna producer had argued that the federal regulatory approach by the US Food and Drug Administration (FDA) related to the risk of mercury in tuna products had preempted the consumer’s right to proceed with her claim for damages against the producer based on New Jersey’s product liability laws. The Court of Appeals however, found that the FDA’s related activity was not sufficient to warrant the preemption of the state personal injury claims, and allowed the consumer to proceed with her action against the producer.

Continue Reading...

China International Food Safety & Quality Conference + Expo in 2008.

I am off to China to the International Food Safety & Quality Conference and Expo in a few weeks.  I am proud to be the lead sponsor of the event and am glad that I was able to convince our former Governor, Gary Locke, to attend as well.  China will become over the coming decades an even greater trading partner in food.  Coming up with strategies to help create an environment and culture where safe food is important is important to me.


Food safety is a worldwide issue that can benefit greatly from collaboration, standardized approaches, and common solutions. In many countries, food safety awareness is at an all-time high. New and emerging threats to the food supply are constantly being discovered, and our food supply is becoming increasingly global. Achieving food safety success in this changing environment requires novel prevention strategies, greater harmonization and more collaboration at the international level than ever before. As a responsible partner in the international food safety community, the General Administration for Quality Supervision Inspection & Quarantine (AQSIQ) is once again hosting the China International Food Safety & Quality Conference + Expo in 2008.

Grass-Fed vs Grain-Fed Beef and the Holy Grail: A Literature Review

Several people have commented that switching from grain to grass feeding could be one of the solutions to the problem with foodborne pathogens in cattle and other livestock. Quotes like these are becoming more common on the Internet and in recent media reports:

“Products from grass-fed animals are safer than food from conventionally-raised animals.”  Eatwild, 2008

“Research has shown that the strains of E. coli most devastating to humans are the product of feedlots, not cows. This is due to the animals being forced to eat an unnatural diet, and not their natural choice, grass.”  Grass-Fed Beef: Safer and Healthier, Animal Welfare Approved, June 15, 2008


If true, changing the cow’s diet would be such a simple and cheap management practice to implement. Have we found the Holy Grail for food safety? Below is some research I did on the topic.

OVERVIEW

• Identification of on-farm management practices that would reduce or eliminate foodborne pathogens in cattle and other livestock (including diet changes) is an active area of research, but many study results are inconclusive. E. coli O157:H7, Campylobacter, Salmonella, and other dangerous pathogens have been repeatedly isolated from both grass and grain fed livestock, and the studies show conflicting results regarding whether the levels of pathogens are higher, lower, or the same when animals are fed grass- or grain-based diets.

• There is no clear and consistent definition in the literature of “grass-fed,” but the majority of papers describe animals that are on pasture or confined, but receiving only hay-based diets. Last year, the USDA Agricultural Marketing Service issued a standard for grass (forage) fed marketing claims. More research on this topic is needed that compares rates of foodborne pathogens among grain and grass fed animals using a specific definition such as the USDA standard or other accepted definition.

• The original study by Diez-Gonzalez published in Science in 1998, and since cited numerous times in the literature and media, suggested that cattle could be fed hay for a brief period before slaughter to significantly reduce the risk of foodborne E. coli infection. They based this conclusion on a hypothesis that grain feeding increases acid resistance of E. coli in cattle. Although they showed increased acid resistance in E. coli from grain-fed cattle, but the sample size was small, and they used “generic” E. coli stains, not E. coli O157:H7.

• Studies by other researchers worldwide have since found little difference in acid resistant E. coli O157:H7 among grain- verses grass-fed cattle, and some even found more E. coli O157:H7 shed by grass-fed animals.

• It has been discovered that E. coli O157:H7 and Salmonella can rapidly switch from being “acid sensitive” to “acid resistant” within minutes after entering an acidic environment (such as the human stomach). Thus, even if the grass-fed/E. coli acid-resistance hypothesis were true, manipulating the diet may not have any effect since pathogens can adapt quickly to new environments like the human stomach.

• Outbreaks have traced back to grass-fed and pastured animals, as well as animals in feedlots. Notably, the E. coli O157:H7 spinach outbreak strain in 2006 was isolated from grass-fed cattle. Another outbreak of E. coli O157:H7 was linked recently to raw milk and colostrum from cattle raised organically on grass.

• In summary, the scientific evidence at this time does not support a broad conclusion that grass feeding significantly and consistently reduces the risk of E. coli O157:H7 or other dangerous foodborne pathogens entering the food chain. However, more research is needed into the influence of food animal diets. For example, preliminary experimental data shows a possible association between feeding dried distiller’s grains and shedding of E. coli O157:H7 in cattle feces.

INTRODUCTION

A systematic approach is necessary to combat the emerging challenges in food safety such as the unexplained “uptick” of E. coli O157:H7 outbreaks and recalls linked to beef products. Interventions to protect the food supply should ideally occur across the continuum from “farm to fork.” The “Holy Grail” of pre-harvest (farm-level) food safety would be to find an effective, affordable, and practical means to prevent or reduce food animals from shedding foodborne pathogens in the first place so the dangerous bacteria never enter the human food chain. Since cattle or other livestock may be located near drinking water sources or vegetable crops, a farm-level intervention could also help to protect nearby water and crops from contamination by manure via runoff, transport by wildlife/insects, or other mechanisms.

Oliver et al (2008) published a comprehensive review of developments and future outlooks for pre-harvest food safety this month. Examples of potential farm-level management practices that have been studied for E. coli O157:H7 and other foodborne pathogens in livestock include:

• Antibiotics
• Bacteriophages (viruses of bacteria)
• Dietary changes
• Immunization
• Probiotics or prebiotics in animal rations
• Sanitation/hygiene (feed, water, environment)
• Wildlife and insect control

Unfortunately, the best approaches for on-farm control of foodborne pathogens in livestock remain elusive. No single management practice, or even a combination of methods, has proven to be very effective or reliable in preventing foodborne pathogen colonization in livestock. Clearly, sanitation including clean feed/water sources and insect control are important, but difficult to maintain in a farm environment. Livestock immunizations are not available for most foodborne pathogens with the exception of an E. coli O157:H7 vaccine under development (and some ask “who would pay for such a program?” since cattle do not become ill from E. coli O157). Use of antibiotics is problematic because it can lead to resistance.

GRASS VERSUS GRAIN FEEDING

Definition of “Grass-Fed”


The majority of cattle are fed grass or other forage at some time during their lives. For the purpose of marketing, the USDA Agricultural Marketing Service issued a voluntary standard for grass (forage) fed marketing claims last year that states: “grass fed standard states that grass and/or forage shall be the feed source consumed for the lifetime of the ruminant animal, with the exception of milk consumed prior to weaning. The diet shall be derived solely from forage and animals cannot be fed grain or grain by-products and must have continuous access to pasture during the growing season.”

Note that most papers in the literature do not specifically define grass-fed using this new standard or any other specific definition, but differentiate, in general, between animals on forage (grass) only verses diets containing grain.

The Study that Started the Controversy


The original study that launched the controversy over grain feeding was published in Science in 1998 by researchers from Cornell (Diez-Gonzalez et al). They described potential dietary effects on the acid resistance of E. coli in cattle fed grain- versus hay-based diets. This study has since been cited numerous times in the literature and media, but later studies have not been able to reproduce the findings. This may be due, in part, to several limitations in the original study design including: 1) small sample size and 2) “Generic” E. coli levels were measured, not E. coli O157:H7.

In 2006, Hancock and Besser wrote a summary of the evidence surrounding the hypothesis that feeding hay instead of grain would reduce the problem with E. coli O157:H7, purportedly because the stomachs of grain-fed cattle are more acidic. They concluded: “while one cannot rule out a role of cattle diet on affecting exposure and infectivity of E. coli O157:H7 to humans, the data available at present demonstrate that cattle on a wide variety of diets (including 100% forage diets) are regularly and similarly colonized with this pathogen.”

Another interesting study from a research group in The Netherlands discovered that E. coli O157:H7 and Salmonella can rapidly switch from being “acid sensitive” to “acid resistant” within minutes after entering an environment with reduced pH (such as the human stomach). Thus, even if the grass-fed hypothesis were true, manipulating the diet may not have any effect since E. coli O157:H7 can adapt quickly to new environments like the human stomach.

Recent Findings in the Literature

In searching through the literature since Hancock and Besser’s review, several new papers relevant to the discussion were found.

1. Nutritional aspects of grass-fed beef.

Leheska, J. M., L. D. Thompson, J. C. Howe, E. Hentges, J. Boyce, J. C. Brooks, B. Shriver, L. Hoover, and M. F. Miller. 2008. Effects of conventional and grass feeding systems on the nutrient composition of beef. J Anim Sci.

• This paper explores the question about whether there are differences in nutrient composition of grass-fed beef compared with conventional (grain)-fed beef. Researchers have previously found higher omega-3 fatty acids and CLA (conjugated linoleic acid) in forage-fed beef, and lower fat content overall. Some consumers prefer eating grass-fed meat because they believe it is “healthier,” and/or tastes better than conventional beef.

• The authors of this study enrolled only producers that were marketing grass-fed beef and confirmed that “100% of the diets were made up of native grasses, forages, or cut grasses or forages.”

• Fatty acid composition of grass-fed and conventional-fed beef was found to be different, but the authors conclude “the effects of the lipid differences between grass-fed and conventional raised beef, on human health, remains to be investigated.”

2. Papers continue to be published about possible effects of diet on E. coli O157:H7 prevalence and concentration.

For example, a research team from Kansas State University reported that feeding distillers grains, a co-product of ethanol production, to feedlot cattle may have a positive association with fecal shedding of E. coli O157. The mechanism is unknown, but they hypothesize that the grains change the ecology of the hindgut where E. coli O157 is most likely to colonize cattle. The authors report that larger studies are underway to investigate this possible link.

CONCLUSIONS


In summary, the scientific evidence at this time does not support a broad conclusion that grass feeding significantly reduces the risk of E. coli O157:H7 or other dangerous foodborne pathogens from entering the food chain. However, more research is needed to better understand the influence of diet, especially the use of different types of grains in animal feed.

REFERENCES BELOW

Continue Reading...

E. Coli O111 Found in Oklahoma Outbreak

The food borne illness outbreak in northeastern Oklahoma that has sickened more than 115, hospitalized 50 and taken one life is the latest emergence of the virulent and highly toxic E. coli bacterium. Most E. coli outbreaks in North America are subtypes of E. coli O157:H7, but the CDC has just revealed that this outbreak is a rare serotype: E. coli O111.

“This is highly unusual,” said food borne illness attorney William Marler. “We have been involved in every major US outbreak in the last 15 years, and we have only seen this serotype twice before—once traced to apple cider in New York, and once connected to water or salad in Texas.”

Although many strains of E. coli can be present in the body with no ill effects, strains like E. coli O111 and E. coli O157:H7 produce a deadly shiga toxin (stx) which ravages the digestive system and kidneys. By the time symptoms emerge—abdominal cramping, vomiting, and bloody diarrhea—the bacteria is already entrenched. Although there is no cure or antidote, immediate health care is critical to support the systems under attack, keep the patient hydrated, and try to alleviate the intense pain that accompanies the illness as the body works to rid itself of the toxic bacteria.

In those with compromised or immature immune systems, E. coli can progress to Hemolytic Uremic Syndrome, or HUS. Children, whose immune systems are not as developed as adults’, are especially vulnerable. HUS is a cascading complication resulting in kidney failure; at the moment several children in Oklahoma are on dialysis. Even when they are able to recover from the potent E. coli toxin (considered by the CDC to be one of the most toxic substances known to man), victims often have permanent kidney damage. It is not unusual for E coli victims infected as children to need multiple kidney transplants over their lifetime.

“Regardless of the strain of toxic E. coli, it produces a devastating illness.” continued Marler. “Under the best circumstances, it can take months to recover. Some victims are affected for the rest of their lives. We need to support the families going through this nightmare, and do everything we can to help them.”

USDA Does a "No Brainer"

It is good to see an Agency do something that makes sense.

The U.S. Department of Agriculture announced a proposed rule to amend the Federal meat inspection regulations to initiate a complete ban on the slaughter of cattle that become non-ambulatory after initial inspection by Food Safety and Inspection Service (FSIS) inspection program personnel. This proposed rule follows the May 20 announcement by Secretary of Agriculture Ed Schafer to remove the provision that states that FSIS inspection program will determine the disposition of cattle that become non-ambulatory disabled after they have passed ante-mortem, before slaughter, inspection on a case-by-case basis. Under the proposed rule, all cattle that are non-ambulatory disabled at any time prior to slaughter, including those that become non-ambulatory disabled after passing ante-mortem inspection, will be condemned and properly disposed of. 

Good job.

Raw Milk Debate Continues with SB201

Dear Senator,

I am writing to you because I have grave concerns with a bill currently before you – SB201. I urge that you vote against the bill as written.

Raw milk is at the center of a nationwide controversy over its potential value as a nutritional food versus the severe illnesses that can result from contaminated product. Pasteurization was developed to rid dairy products of pathogens like toxic E. coli as well as to assure a longer, safer shelf life (see attached History of Raw Milk). Raw milk tainted with E. coli O157:H7 has already sickened children in this state. Today a woman lies in a hospital in Northern California on a ventilator after consuming raw milk contaminated with Campylobacter. If a product as potentially dangerous as raw milk is to be legally sold to the consumer, regulation must be air-tight, and penalties for violations must be enforceable by regulators charged with protecting the public health.

SB 201 as currently written has the following fatal flaws:

1) HACCP - The bill proposes that raw milk be regulated by a HACCP protocol. HACCP—Hazard Analysis Critical Control Point—is a food safety and self-inspection system that describes procedures for producing potentially dangerous foods. There are national HACCP protocols in place for juice, meat, poultry, and seafood processing, but none for raw milk. Developing a HACCP protocol can take years, even when the industry being regulated agrees with the government assessments of risk. Companies will be free to produce raw milk under minimal regulation until the HACCP plan is ready. Further, the bill specifically precludes CDFA from taking action on high coliform counts even if coliform testing was determined to be part of the approved raw milk HACCP plan.

2) SSOP – HACCP plans do not necessarily include sanitation procedures and environmental monitoring. This is the purview of the SSOP (Sanitation Standard Operating Procedure), which is absent from SB201. Mandating HACCP without mandating SSOP is a half measure, at best.

3) Enforcement is not spelled out in the current version of the bill. Not what would happen to a producer who broke the HACCP protocols (when in place) nor to repeat violators.

4) Colostrum (Also called first milk, this is the milk produced in pregnancy and right after birth. It is high in carbohydrates, protein, and antibodies and low in fat.) The current bill does not even address this ‘growth area’ of raw products. Under the bill, unregulated colostrum could be sold and marketed as a stand-alone product, in a raw colostrum/milk mixture, or as an ingredient in other foods.  There is no scientific reason to treat colostrum differently from raw milk. Omitting colostrum from SB 201 would allow a producer to add a small amount of colostrum to raw milk, label the product as colostrum, and sidestep the intent of the new law. (At least one California raw milk company has already used this work-around to circumvent federal law prohibiting interstate shipment of raw milk to consumers. http://www.organicpastures.com/faq.html - item #14.)

5) Pathogen Regulation – the bill prevents CDFA from taking regulatory action on the detection of pathogens unless the amount is “sufficient to cause illness in humans.” This leaves the door wide open for argument about what level of verotoxigenic E. coli, Salmonella, Campylobacter or Listeria is necessary to cause disease.  Legislators must not tie the hands of CDPH and CDFA by limiting their enforcement powers to an undefined amount “sufficient to cause illness in humans.”

• The minimum infectious dose for many pathogens depends on several factors including (a) the infectivity and virulence of the specific strain, (b) the size, age, and immune-competent status of the victim, (c) foods ingested along with the pathogen, and (d) compounding factors such as the use of antacids.

• It is often technically difficult to detect the presence of a pathogen in a random sample of ‘finished product.’ Even in a fluid like raw milk, the pathogens are not likely to be uniformly distributed throughout a production lot. The probability that a certain level of pathogen will be found by product testing is very low—unless the contamination is very high. Rather than a vague standard of sufficient to cause illness in humans,” SB 201 should mandate a zero tolerance rule for any level of infectious bacterial pathogen.

6) Ban the sale of raw milk from cows with symptoms of clinical mastitis – Milk and colostrum are virtually bacteria free when they leave the udder, except in the case of an animal suffering from clinical or sub-clinical mastitis. Cows with mastitis shed bacteria—E. coli and Staphylococcus aureus, among others—into their colostrum and milk, and no raw milk should be sold from them. This is not addressed in SB201.

7) Standard plate count – SB 201 should not eliminate the mandated 15,000 per milliliter standard plate (or bacteria) count limit for grade A raw milk. The existing law, AB1735, mandates both coliform limit and a bacterial count limit for raw milk. SB201 not only offers a way for raw milk dairies to opt out of the total coliform limit, but in doing so, it emasculates the standard plate count provision of AB1735 by prohibiting the use of standard plate counts for enforcement purposes.

• Most pathogens –E. coli O157:H7 being a notable exception—are not coliforms, and most coliforms are not pathogens. At best, the coliform group of bacteria can be viewed as an indicator of possible environmental contamination or temperature mishandling of raw milk.

• Coliforms began their role as “indicator” bacteria as a stand-in for direct detection of pathogens in potable water. This test was chosen for convenience. When drinking water monitoring began, direct enumeration of E. coli – a surrogate for potential Salmonella contamination – was a long and costly process.

• Dairy microbiologists adopted coliforms – a group of microbes that are both prevalent in the environment and are heat-sensitive – as a convenient indicator of inadequate pasteurization and of post-process contamination. The ease, convenience, and low cost of coliform enumeration also added to the popularity of this test. Nevertheless, the presence of coliforms in pasteurized milk was not viewed as direct indicator of the presence of a pathogen; rather, an elevated coliform count was looked upon as an indicator of something having gone wrong in the manufacturing process.

• While a coliform standard makes sense in pasteurized milk, the decision to apply a coliform test to raw milk is questionable, at best. Many of the bacterial contaminants and most of the pathogens that have been reported in raw milk are non-coliforms. An elevated “total” bacterial count would be at least equally effective as an indicator of unsanitary practices or poor temperature control.

8) SB201 does not reiterate requirements carried forward from existing laws.

• SB201 does not provide guidance on what requirements must be met for retail raw milk and raw colostrum under the follow circumstances: (a) while a dairy’s HACCP plan is under development or under revision as the result of a suspension or revocation of approval, (b) while a dairy’s HACCP plan is under initial review by CDFA and/or CDPH, (c) in the event that CDFA and/or CDPH suspends or revokes its approval of a dairy’s HACCP plan, or (d) while a suspension or revocation of a dairy’s HACCP plan is under appeal. Under these circumstances, a dairy that has opted for the HACCP alternative might be considered to be exempt from the coliform rule even when an approved HACCP plan is not actively in place.

• SB201 should be amended to incorporate explicitly all of the provisions Sections 33527, 35783, 35783.1, 35861 and 35891 of the Food and Agricultural Code, and should state unequivocally that the standard plate count, somatic cell count and coliform count limits are enforceable unless an approved HACCP plan is in place and has been implemented by a dairy farm that produces and processes raw milk.

9) Unanswered questions – critically important issues which are either not addressed or not clearly spelled out:

a) What tests would be used? Screening, confirmatory, or both?

b) How sensitive and specific are the tests to be used?

c) Do the tests need to be approved by the AOAC or other equivalent certifying body?

d) Why only test bi-weekly for E. coli O157:H7? The last raw milk recalls were due to Campylobacter and Listeria contamination.

e) What happens if no quick test is approved to detect E. coli O157:H7 in raw milk?

f) Is the tested product held until the results are in? If not, why not?

g) What happens if a test is positive? Total product recall? What protocol?

Senator, I urge you to vote against this bill. It is vitally important to have regulation in California on raw milk, but approving this bill will set flawed and unfinished processes into law. We urge you to press for clarity, detail, and precision in a final version that will regulate the raw milk industry from the moment it is signed into law, rather than the current version, which only passes the difficult decisions into other, unknown hands.

Attachments:

•    Peer-reviewed literature - Pro
•    Peer-reviewed literature – Con
•    CDC list of outbreaks associated with unpasteurized milk or cheese, 1973-2007
•    History of Raw Milk
•    Escherichia coli O157:H7 Infections in Children Associated with Raw Milk and Raw Colostrum from Cows – California, 2006  (CDC-MMWR)

References:

1.    Barbano, D.M., Y. Ma, M.V. Santos. 2006. Influence of Raw Milk Quality on Fluid Milk Shelf Life. J. Dairy Sci. 89(E. Suppl.):E15-E19.

2.    Berriatua, E., I. Ziluaga, C. Miguel-Virto, P. Uribarren, R. Juste, S. Laevens, P. Vandamme, J.R.W. Govan. 2001. Outbreak of Subclinical Mastitis in a Flock of Dairy Sheep Associated with Burkholderia cepacia Complex Infection. J. Clin. Microbiol. 39:990-994.

3.    Christen, G.L., P.M. Davidson, J.S. McAllister, L.A. Roth. 1992. Chapter 7. Coliform and Other Indicator Bacteria. In: Standard Methods for the Examination of Dairy Products, 16th edition (R.T. Marshall, ed.). American Public Health Association, Washington, DC.

4.    Corlett, D.A., Jr. 1998. HACCP User’s Manual. Aspen Publishers, Inc., Gaithersburg, MD.

5.    Entis, P. 2007. Appendix A. A Microbial Who’s Who. In: Food Safety: Old Habits, New Perspectives. ASM Press, Washington, DC.

6.    Holm, C., L. Jepsen, M. Larsen, L. Jespersen. 2004. Predominant Microflora of Downgraded Danish Bulk Tank Milk. J. Dairy Sci. 87:1151-1157.

7.    Hutchison, M.L., D.J.I. Thomas, A. Moore, D.R. Jackson, I. Ohnstad. 2005. An Evaluation of Raw Milk Microorganisms as Markers of On-Farm Hygiene Practices Related to Milking. J. Food Prot. 68:764-772.

8.    International Commission on Microbiological Specifications for Foods. 1986. Microorganisms in Foods. 2. Sampling for Microbiological Analysis:Principles and Specific Applications, 2nd ed. University of Toronto Press, Toronto, Canada.

9.    Jay, J.M. 2000. Chapter 20. Indicators of Food Microbial Quality and Safety. In: Modern Food Microbiology, 6th ed. Aspen Publishers, Inc. Gaithersburg, MD.

10.    Jay, J.M. 2000. Chapter 25. Foodborne Listeriosis. In: Modern Food Microbiology, 6th ed. Aspen Publishers, Inc. Gaithersburg, MD.

11.    Jay, J.M. 2000. Chapter 28. Foodborne Gastroenteritis Caused by Vibrio, Yersinia, and Campylobacter Species. In: Modern Food Microbiology, 6th ed. Aspen Publishers, Inc. Gaithersburg, MD.

12.    Jayarao, B.M., and L. Wang. 1999. A Study on the Prevalence of Gram-Negative Bacteria in Bulk Tank Milk. J. Dairy Sci. 82:2620-2624.

13.    Kornacki, J.L., and J.L. Johnson. 2001. Chapter 8. Enterobacteriaceae, Coliforms, and Escherichia coli as Quality and Safety Indicators. In: Compendium of Methods for the Microbiological Examination of Foods, 4th edition (F.P. Downes & K. Ito, eds.). American Public Health Association, Washington, DC.

14.    Murphy, R.Y., and R.A. Seward. 2004. Process Control and Sampling for Escherichia coli O157:H7 in Beef Trimmings. J. Food Prot. 67:1755-1759.

15.    Stewart, S., S. Godden, R. Bey, P. Rapnicki, J. Fetrow, R. Farnsworth, M. Scanlon, Y. Arnold, L. Clow, K. Mueller, C. Ferrouillet. 2005. Preventing Bacterial Contamination and Proliferation During the Harvest, Storage, and Feeding of Fresh Bovine Colostrum. J. Dairy Sci. 88:2571-2578.

16.    Tamplin, M.L. 2005. Inactivation of Escherichia coli O157:H7 in Simulated Human Gastric Fluid. Appl. Env. Microbiol. 71:320-325.

Who Poisoned our Peppers?

What if the great 2008 Tomato, right Pepper, Salmonella Outbreak actually happened this way?

At 10:00 PM last May 30th, on the same day New Mexico asked for help from the Centers for Disease Control and Prevention (CDC) and the U.S. Food & Drug Administration (FDA) with a growing outbreak of Salmonella Saintpaul, a foreign Network begin airing a video taken inside a fresh produce distribution center showing workers treating peppers with an unknown liquid. There is a claim that this is a terrorist act.

In the next 15 minutes, every network news operation is playing the video. The broadcast networks break into regular programming to air it, and the cable news stations go nonstop with the video while talking heads dissect it.

Coming on a Friday afternoon on the East Coast, the food terrorism story catches the mainstream Media completely off guard. Other than to say the video is being analyzed by CIA experts, and is presumed to be authentic, there isn’t much coming out of the government.

Far-fetched? Don’t count on it. I have been saying for years that a foodborne illness outbreak will look just like the terrorist act described above, but without the video on FOX News. Far-fetched?

Tell that to the 751 people in Wasco County, Oregon—including 45 who required hospital stays---who in 1984 ate at any one of ten salad bars in town and were poisoned with Salmonella by followers of Bhagwan Shree Rajneesh. The goal was to make people who were not followers of the cult too sick to vote in county elections.

Tell that to Chile, where in 1989, a shipment of grapes bound for the United States was found laced with cyanide, bringing trade suspension that cost the South American country $200 million. It was very much like a 1970s plot by Palestinian terrorists to inject Israel’s Jaffa oranges with mercury.

Tell that to the 111 people, including 40 children, sickened in May 2003 when a Michigan supermarket employee intentionally tainted 200 pounds of ground beef with an insecticide containing nicotine.

Tell that to Mr. Litvenenko, the Russian spy poisoned in the UK with polonium-laced food.

Tell that to Stanford University researchers who modeled a nightmare scenario where a mere 4 grams of botulinum toxin dropped into a milk production facility could cause serious illness and even death to 400,000 people in the United States.

The reason I bring this up is not only because we are about to mark the seventh anniversary of 9/11, but because I wonder if food terrorism really had been the cause of this year’s Salmonella Saintpaul outbreak, would it have made any difference in our government’s ability to figure out there was an outbreak, to figure out the cause, and to stop it before it sickened so many.

Would the fact of terrorists operating from inside a fresh produce distribution center somewhere inside the United States or Mexico brought more or effective resources to the search for the source of the Salmonella Saintpaul? If credit-taking terrorists were putting poison on our peppers, could we be certain Uncle Sam’s response would have been more robust or effective then if it was just a “regular” food illness outbreak?

After 9/11, Health & Human Services Secretary Tommy G. Thompson said: “Public health is a national security issue. It must be treated as such. Therefore, we must not only make sure we can respond to a crisis, but we must make sure that we are secure in defending our stockpiles, our institutions and our products.”

Before Thompson’s early exit from the Bush Administration, he did get published the “Risk Assessment for Food Terrorism and Other Food Safety Concerns.” That document, now 5-years old, let the American public know that there is a “high likelihood” of food terrorism. It said the “possible agents for food terrorism” are:

• Biological and chemical agents
• Naturally occurring, antibiotic-resistant, and genetically engineered substances
• Deadly agents and those tending to cause gastrointestinal discomfort
• Highly infectious agents and those that are not communicable
• Substances readily available to any individual and those more difficult to acquire, and
• Agents that must be weaponized and those accessible in a use able form.

After 9/11, Secretary Thompson said more inspectors and more traceability are keys to our food defense and safety. To date, we’ve made no movement to ensure this.

So would the fact of a terrorist group operating from a produce distribution center inside the United States or Mexico have brought more or effective resources to the search for the source of Salmonella Saintpaul? If credit-taking terrorists were putting poison on our peppers, could we be certain that Uncle Sam’s response would be more robust, more effective than if it was just a “regular” food illness outbreak?

Absolutely not! The CDC publicly admits that it manages to count and track only one of every forty foodborne illness victims, and that its inspectors miss key evidence as outbreaks begin. The FDA is on record as referring to themselves as overburdened, underfunded, understaffed, and in possession of no real power to make a difference during recalls, because even Class 1 recalls are “voluntary.” If you are a food manufacturer, packer, or distributor, you are more likely to be hit by lightening than be inspected by the FDA. You are perfectly free to continue to sell and distribute your poisoned product, whether it has been poisoned accidentally or intentionally.

The reality is that the Salmonella Saintpaul outbreak is a brutal object lesson in the significant gaps in our ability to track and protect our food supply. We are ill prepared for a crisis, regardless of who poisons us.

Somewhere between the farm and your table, our Uncle Sam got lost.

Who Does the USDA Really Protect When It Comes to Deadly E. coli?

Guest Blog by Denis W. Stearns:

On October 3, 2002 I submitted a petition to the USDA in which I asked the agency to explicitly clarify whether a USDA policy that appeared to allow the deadly pathogen E. coli O157:H7 on so-called “intact meat” applied to meat sold to retail outlets like grocery stores and restaurants. Even now it is a near-universal practice for retail outlets to use this meat—commonly called “boxed beef” because the cuts of meat are individually shrink-wrapped and then boxed—to make ground beef. Sometimes the meat is directly used to make ground beef, and sometimes only trimmings are used—that is, the pieces left over after roasts and steak are cut and trimmed. Either way, there has never been any doubt that tens of thousands of grocery stores and restaurants use tons of intact meat every day to make ground beef. To my mind it makes absolutely no sense that the USDA would allow meat companies to sell intact meat contaminated with E. coli O157:H7. Why allow a loophole so large that it essentially moots USDA policy on this deadly pathogen?

Interestingly, the USDA responded to my petition with a letter from Philip Derfler, Deputy Administrator of the Food Safety and Inspection Service. In the letter, Mr. Derfler acknowledged that USDA policy was unclear, and stated that my petition would be treated as a public comment and referred to the Regulations and Directives Development Staff. That was six years ago, and USDA policy is less clear today than it was back then, and just as indefensible.

We are now in the midst of yet another outbreak of heartbreaking illnesses and likely deaths caused by contaminated meat that the beef industry claims the USDA authorizes it to sell. This claim is hardly new either. In 2004, the American Meat Institute and other meat industry trade groups fought all the way to the United States Supreme Court trying to overturn a Wisconsin Court of Appeals decision. The decision held that USDA policy on intact meat did not immunize meat companies from lawsuits based on allegations that E. coli-contaminated meat was unreasonably dangerous as a matter of state law. In other words, the meat industry was fighting for the right to sell E. coli-contaminated meat, claiming that USDA policy said that it could. It lost, but that did not prompt the USDA to change or clarify its policy.

Putting legal arguments aside, common sense alone clearly demonstrates why an exception for intact meat makes no sense. While the meat industry can cleverly argue that its intact meat is not intended for ground beef, and that cooking always makes it safe, neither statement is true. As the recent Nebraska Beef outbreaks make tragically clear, most intact meat does not reach consumers still intact. Furthermore, if each shrink-wrapped cut of meat had “DO NOT USE FOR GROUND BEEF; E. COLI O157:H7 PRESENT” printed in bold letters on it, there is not a grocery store in the country that would buy it. Indeed, commenting on the current outbreak, a representative of Whole Foods explained that it was using intact meat to make its own ground beef “in an attempt to assure quality and safety.” I guess the joke was on them then.

The current USDA policy on E. coli and intact meat is indefensible because it protects the interests of the meat industry instead of the public health. A policy that is based on the demonstrably false assumption that intact meat is not being used to make ground beef at a retail level is a policy that has no basis in fact or reason. It also entirely ignores the incredible risk of cross-contamination, which is what caused the 2000 outbreak at a Milwaukee-area Sizzler restaurant that killed one child and sickened scores of others. The Sizzler outbreak also recently resulted in a $7.1 million verdict against the same meat company that fought to the Supreme Court (with industry trade groups) for the right to sell the deadly stuff. Meanwhile, all these years later, the USDA says it is continuing to consider its options. Well, I have a suggestion: How about putting the interests of the public first for a change and sticking to a real zero-tolerance policy for this deadly pathogen?

A Recent View of Nebraska Beef from the Younger Generation

A bit of art from my young friend Fredrick the Artist:

I think this drawing/painting has something to do with the "End Time" - not to be confused with Bankruptcy.  So, from Frederick's Mom's blog:

... Frederick was incensed that not only would pathogens find its way into beef and deprive me of burgers, but that the company providing the beef would actually blame others for resulting illnesses. Back in June, Nebraska Beef sued members of the Salem Lutheran Church for not preparing their meatballs properly for a church dinner. Had those ladies used better food safety measures, the pathogen that was illegally present in the food in the first place would have made no one sick.

The dinnertime discussion was made more interesting by Frederick's recent fascination with Old Testament stories. Could God be punishing Nebraska Beef for its behavior earlier this summer with even more recalls? Would locusts swarm Omaha? Would the Missouri River turn to blood? Probably not, but perhaps some figurative lightning was striking the Omaha area nonetheless...

E. coli, Nebraska Beef, the number 666 and Kroger Finally puts up Warning Signs - What is Whole Foods Doing?

A friend of mine, who is a bit too much on the religious side, noted that with the recent recall of 160,000 pounds of meat, Nebraska Beef has now recalled 6.66 million pounds on meat – the sign of the Beast - in the past month.  Well, Nebraska Beef did sue a church once - payback is a bitch. 

I’ll leave the numbers up to my friend and others to interpret.  One good thing is that Kroger finally says it has placed signs in its meat departments in the Cincinnati and Dayton areas with information on the latest Nebraska Beef recall - like, "do not eat our meat?"  What about other retailers?

By the way, does anyone know who is still buying Nebraska Beef?

It really is time for retailers, like Kroger and Whole Foods, to step up and be responsible for what they purchase (and from whom) to grind and sell to the public.  Retailers need to have strong specifications - like "no cow shit on our meat" - a tough one?  Those specifications then need to be audited - hmm, so how many times did Kroger or Whole Foods visit Nebraska Beef?  Retailers also need to pay more for the meat - with no cow shit on it  - and stop squeezing suppliers like Nebraska Beef to the point where they throw food safety out the window.  Customers will pay more for meat with no cow shit on or in it - no parent should have to worry that the meat they are buying has E. coli, Salmonella, Campylobacter, Listeria, or other fecal bacteria or viruses contaminating it.

Kroger and Whole Foods, and other retailers who grind intact cuts of meat in stores, are clearly in my legal sights.  Not only because Nebraska Beef has limited insurance and assets, but also because these retailers are also manufacturers under the law and are therefore strictly liable for poisoning their customers and others as well.

FDA Food Safety Modernization Act - What about USDA?

I was encouraged to see this mornings Statement of CSPI Food Safety Director Caroline Smith DeWaal  regarding:

The bipartisan FDA Food Safety Modernization Act would help refocus the Food and Drug Administration (FDA) on preventing, rather than just reacting to, food-borne disease outbreaks. Senators Richard Durbin, Judd Gregg, Christopher Dodd, Richard Burr, Tom Harkin, and Lamar Alexander have developed constructive legislation in a bipartisan manner, proving that the safety of the food we serve our families is not a partisan political issue.

The bill would require domestic and foreign food companies to assess potential hazards, develop food safety plans, and take steps to prevent contaminated foods from being marketed. It also would require FDA to issue regulations for ensuring safer fresh produce. Those are positive reforms that CSPI identified in its "White Paper on Building a Modern Food Safety System for FDA Regulated Foods" as being essential to reforming the nation’s food safety system.

The bill could be strengthened by modernizing FDA’s outdated 1938 enforcement tools with stronger civil penalties, better traceability and oversight, and broader recall authority. The bill also needs to provide for new resources to implement these programs and hire more inspectors at the FDA. Hopefully, these issues will be addressed in legislation currently being drafted in the House of Representatives.

Passage of comprehensive legislation to modernize FDA’s food safety authorities this year would be an important step to modernizing our nation’s food safety system. It is only the first step however. In the next Administration, Congress should enact legislation that will bring our entire food regulatory system into the 21st century by creating a unified food agency with a single leader and a firm budgetary foundation. The FDA Food Safety Modernization Act is an important step towards this goal. 


More Companies Joining the 2007-2008 E. coli Recall Club

I'm having trouble keeping up with all the companies, mostly retailers, recalling E. coli-contaminated beef, mostly from Nebraska Beef.  Say, who is still buying from them?  The most recent list is:

Whole Foods

City Markets

King Soopers

Fred Meyer

Renna's Meat

Cub Foods

Bigg's Markets

Stater Brothers

So, to recap, since Spring of 2007, over 44,000,000 pounds of E. coli-tainted meat has been recalled.  And, I did not think the Beef Industry liked me.  Click on the Picture above for a spreadsheet on 2007 and 2008 recalls - right off the FSIS website.

Marler Clark Calls on S&S Foods to Pay E. Coli Boy Scouts' Medical Bills and Parents' Lost Wages

"Blog Release"

Bill Marler, food safety advocate and E. coli attorney, whose Seattle law firm, Marler Clark, has been contacted by victims of the E. coli outbreak traced to the S&S’s hamburger recall and outbreak that has sickened at least 80 Boy Scouts, called today on S&S to pay the medical bills and lost wages of all individuals who became ill with E. coli infections as part of the outbreak.

“We know that at least eight became ill with E. coli infections after eating S&S hamburger,” Marler said. “The cost of treating victims of E. coli infections can run in the tens of thousands of dollars, or in a severe case, even in the hundreds of thousands of dollars,” Marler continued. “These families need S&S to do more than promise to cooperate in the investigation into this outbreak. They need to know that S&S intends to fulfill its corporate responsibility by looking out for its customers.”

Marler noted that in other outbreak-situations companies such as Chi-Chi’s, Dole, Jack in the Box, Con Agra, Odwalla and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

Since the Jack in the Box E. coli outbreak in 1993, Bill Marler has represented thousands of E. coli victims against corporations such as AFG, Bauer Meats, BJ’s Wholesale Club, Byerly’s, ConAgra, Cub Foods, Dole, Emmpak, Excel, Finley School District, Fresno Meat market, Gold Coast Produce, Habaneros, Interstate Meats, Jack in the Box, Karl Ehmer, Kentucky Fried Chicken, King Garden, Kroger,  Lunds, McDonalds, Odwalla, Natural Selections, Nebraska Beef, Olive Garden, Peninsula Village, Pat & Oscar’s, PM Beef Holdings, Sam’s Club, Sizzler, Spokane Produce, Sodexho, Supervalu, Taco Bell, Taco John’s, Topps, United Food Group (UFG), Walmart, Wendy’s and Whole Foos. Total recoveries on behalf of victims are in excess of $300,000,000.

Several times a month Bill, through the non-profit OutBreak, Inc., speaks to industry and government throughout the United States, Canada, China and Australia on why it is important to prevent foodborne illnesses. He is also a frequent commentator on food litigation and safety.

I call on Congress, the CDC, FSIS, Local and State Departments of Health, the Beef Industry, Retailers, Consumer Groups and University Experts to Summit on this E. coli Crisis

Since the spring of 2007, the following E. coli O157:H7, Class I Recalls have been announced - amounting to over 39,000,000 pounds – 19,500 tons - of E. coli-tainted meat being recalled. Hundreds have been sickened, many seriously.  The latest recall by S&S Meats of 153,630 pounds has been linked to as many as 70 Boy Scouts’ illnesses. The list of recalls:

Tyson Fresh Meats 3/2/07 16,743 FSIS Recall - E coli
Richwood Meat Company 4/20/07 107,943 FSIS Recall - E coli
HFX, Inc 4/20/07 259,230 FSIS Recall - E coli
PM Beef Holdings 5/10/07 117,500 FSIS Recall - E coli
Davis Creek Meats 5/11/07 129,000 FSIS Recall - E coli
Tyson Fresh Meats 6/8/07 40,440 FSIS Recall - E coli
United Food Group 6/3-6/9/07 5,700,000 FSIS Recall - E coli
Abbott's Meat Inc 7/21/07 26,669 FSIS Recall - E coli
Custom Pack 7/25/07 5,920 FSIS Recall - E coli
Interstate Meat 8/30/07 41,305 FSIS Public Health Alert - E. Coli
Fairbank Farms 9/5/07 884 FSIS Recall - E coli
Impero Foods 9/29/07 65 FSIS Recall - E coli
Topps Meat Company 10/6/07 21,700,000 FSIS Recall - E coli
Cargill 10/6/07 845,000 FSIS Recall - E coli
J&B Meats 10/13/07 173,554 FSIS Recall - E coli
Arko Veal Co 10/13/07 1,900 FSIS Recall - E coli
Blue Ribbon Meats 10/24/07 8,200 FSIS Recall - E coli
Del Mar Provision Company 10/27/07 50 FSIS Recall - E coli
Totinos/General Mills 11/1/07 3,300,000 FSIS Recall - E coli
Cargill 11/3/07 1,084,384 FSIS Recall - E coli
American Foods Group 11/24/07 95,927 FSIS Recall - E coli
Snapps Ferry 12/17/07 102 FSIS Recall - E coli
Fresh Brands 12/27/07 14,800 FSIS Public Health Alert - E. Coli
Mark's Quality Meats 1/5/08 13,150 FSIS Recall - E coli
Rochester Meats 1/12/08 188,000 FSIS Recall - E coli
Palama Holdings 5/8/08 68,670 FSIS Recall - E coli
Fairbank Reconstruction Co 5/12/08 22,481 FSIS Recall - E coli
JSM Meat Holdings 5/16/08 undetermined FSIS Recall - E coli
Dutch's Meats 6/8/08 13,275 FSIS Recall - E coli
Kroger 6/25,7/3 2008 undetermined FSIS Recall - E coli - current
Nebraska Beef 6/30, 7/3 2008 5,300,000 FSIS Recall - E coli - current
S&S Meats 8/6/08 153,630 FSIS Recall - E coli – current

What will it take to get someone to do something to fix a food safety system in the beef industry that is clearly broken?  More illnesses and deaths?  Grandma's in ICU's in Georgia and sick Boy Scouts not enough?  What will it take?  One thing for certain, the only person to benefit from this is me!  We have never had more E. coli cases linked to contaminated beef in our office since the Jack in the Box outbreak of 1993.  And, I thought the meat industry did not like me.

American Food Safety System a "Train Wreck"

In just a year and a half, the American meat industry has experienced a whiplash of beef recalls. 40 million pounds of meat tainted with highly toxic E. coli O157:H7 has been publicly recalled, up by a staggering factor of two hundred from the 2006 amount of only 181,900 pounds.

“This is beyond the ‘wheels coming off’ of the meat supply system,” said food borne illness attorney William Marler. “It’s the entire train in a tangled heap. And the people caught in the train wreck are you and me and all of our neighbors. When reports say that there is a one in 400 chance that the package of ground beef you pick up at the supermarket will be tainted with a lethal bacterium, the food safety system is no longer functioning, and immediate, radical steps must be taken.”

In more than thirty recalls ranging from a few hundred to millions of pounds, the Food Safety Inspection Service (FSIS) has deemed E. coli contaminated meat a class I (one) health hazard to consumers. (A class I recall involves a health hazard situation in which there is a reasonable probability that eating the food will cause health problems or death.)

“There are many theories as to why there has been such an unprecedented jump in E. coli,” said Marler. “It could be regulatory complacency, better reporting, or immigration sweeps that have left slaughterhouses empty of skilled workers. Global warming may be spreading fecal dust. High oil prices may have led to an E. coli-producing diet for cattle. The microbe itself may even be evolving to elude capture. Another possibility is that the higher costs of slaughterhouse inputs (beef cattle) have collided with retailer’s low price pressures on outputs (hamburger) from those same slaughterhouses. These ideas need investigation and research, so that real change can begin.”

To advance that change, Marler reached out to the food safety community and asked for ideas from experts, scientists, regulators, and food agency brass. He distilled the volumes of submitted suggestions into ten action items:

1.   Improve surveillance and reporting of bacterial and viral diseases.
2.   Require real training and certification of food handlers at restaurants and grocery stores.
3.   Stiffen license requirements for large farm, retail, and wholesale food outlets.
4.   Increase food inspections.
5.   Reorganize federal, state, and local food safety agencies to increase cooperation and reduce wasteful overlap and conflicts.
6.   Establish tax credits for companies with good food safety records, and greater legal consequences for sickening or killing customers with tainted food.
7.   Use our technology to make food more traceable
8.   Promote university research
9.   Improve consumer understanding of the risks of food-borne illness
10. Provide Presidential leadership on a topic that impacts every single one of us.

“There are a lot of very smart, very dedicated professionals in the food safety community,” Marler concluded. “They have spent their careers working toward a better food supply, and that collective knowledge is available to design and implement change. We need our leaders to get on board, and get the food safety train back on track.”

PR Industry Insight: Leading food-borne illness plaintiffs' litigator Bill Marler, of Marler Clark Tells All

My phone rings – I pick it up. I had a nice chat with the folks at Levick about the PR nightmare that companies get themselves into during a foodborne illness outbreak:

Attorney Bill Marler, of the Seattle-based firm Marler Clark, LLP, PS, is an accomplished personal injury lawyer and a major force affecting food safety policy in the United States and abroad. He and his partners have represented thousands of individuals in claims against food companies whose products have allegedly caused serious injury and death. During a career spanning three decades, Bill Marler has secured more than $300 million for his clients. He’s written for numerous legal publications and speaks on food safety issues around the world.

Here’s what he had to say about what class actions do to brands and how companies can best can move forward once they’re resolved. Key lessons from the other side… Continue Reading...

Excel Slaughter House Must Pay Sizzler for Business Loss Says Jury

Under the category, “when it rains it pours,” the meat packing industry took a hard hit – or, was it a stun gun to the head? The Milwaukee Journal Sentinel reports this morning on the “stunning” victory of my friends, Fred Gordon and Ron Pezze, over “big beef” and the lawyers and insurance corporations that protect them.

Meatpacker Excel must pay Sizzler $7.1 million for E. coli outbreak

The Jury of Milwaukee citizens set a strong message to the industry to clean up their sh*&:

A jury Wednesday found that meatpacker Excel Corp. will have to pay Sizzler USA, a national restaurant chain, more than $7.1 million for lost revenue resulting from publicity surrounding the outbreak of a food-borne illness that killed a child and sickened scores of others at restaurants here eight years ago. The jury award brings the cost to Excel to $18.5 million plus lawyer fees.
Here is the kicker:
The jury was told that Excel had not admitted that its meat from its Colorado plant was the source of the deadly bacteria until just weeks before the settlement with the Kriefall family and that E&B had settled to the maximum of its insurance policy years ago.

“What took Excel so long was the fear of facing you,” Fred Gordon, a lawyer for the chain, told the jury.

Gordon and Pezze painted a bleak picture of the operation of the plant where the tainted meat was produced. They pointed to a high annual turnover in employees — 1,200 of the 2,000 — most of them immigrants; that the plant had been cited 17 times in three months for violations; and that some employees “harassed” federal inspectors by following them around.

Gordon noted that every 12 seconds an animal was killed at the plant, and that a retired federal inspector had testified that the plant could be made safe by slowing down the operation.
The jury system works.  "Big Beef," see ya in court.

Well I See Obama Is Interested in Food Safety

So, Senator Obama's Food Safety Bill landed in my inbox about a minute ago.  I have not read it, but thought I would get it out to my avid blog readers.  I'll comment on it between dealing with more meat and produce recalls.  The Bill is S. 3358 - “A bill to provide for enhanced food-borne illness surveillance and food safety capacity.”
Click on the above.  If that does not work, email me at bmarler@marlerclark.com.  After a quick read, my thoughts are that Obama is right on the mark - a very great start.  However, at a funding level of only $25,000,000 per year, perhaps a bit light on funding.  Highlights of the Bill are:
  • Enhance Food-borne Illness Surveillance
A.  Inform and evaluate efforts to prevent food-borne illness
B.  Enhance the identification and investigation of, and response to, food-borne illness outbreaks
       1.  Coordinate and improve food-borne illness surveillance systems between local, state and federal governments to more rapidly support outbreak investigations.
       2.  Share data, stool and food isolates between local, state and federal governments AND the public.
       3.  Improve epidemiological tools, expand genetic fingerprinting capacity, annual reports on food-borne illness surveillance and outbreaks.
       4.  Establish long-term follow-up of late complications of food-borne illnesses.
       5.  Support scientific research.
  • Establish Food Safety Working Group
A.  Consisting of local, state and federal government food safety AND industry AND consumers to make recommendations for:
       1.  Prioritizing needs to prevent food-borne illnesses.
       2.  Improving access to food-borne illness surveillance data.
       3.  Reducing barriers for improvements for reducing food-borne illness.
  • Improve Food Safety Capacity
A.  Strengthen oversight of food safety at retail level.
B.  Strengthen capacity of state and local agencies to carry out inspections of food processing establishments.
C.  Survey state and local capacities and needs for enhancement with respect to:
       1.  Staffing levels and expertise.
       2.  Laboratory capacity.
       3.  Information systems.
       4.  Legal authority for roles in national food safety system.
  • Implement Food Safety Plan
A.  Assess adequacy of capacity to perform food safety functions of government.
B.  Action plan to meet highest priority capacity needs.
C.  Improve coordination and information between local, state and federal food safety agencies.
D.  Grants to local and state government to enhance food safety capacity and programs.


OK, he had me at hello.  My thoughts on the topic can be found at "Tainted Food: How To Combat Food Poisoning in the United States? Mr. McCain, Mr. Obama, are You Paying Attention?"

Obama Interested in Food Safety?

According to Jane Zhang of the Wall Street Journal, "the issue of food safety is also gaining attention on the campaign trail. Tuesday, Sen. Barack Obama, the presumptive Democratic nominee for president, introduced legislation that, among other things, aims to identify the needs of state health departments and increase the sharing of information among public-health and regulatory agencies."  I have been unable to find a link to the legislation.  I assume he did do it.

Perhaps he has been reading my posts between waffles:

It is time for politicians to notice that consumers are less and less confident in our food supply

Tainted Food: How To Combat Food Poisoning in the United States? Mr. McCain, Mr. Obama, are You Paying Attention?

Obama - Where is the Beef?

As I have said before, with 76,000,000 million Americans being sickened, 325,000 hospitalized and at least 5,000 deaths every year due to food poisoning, I am sure that politicians can not avoid this issue.

Haphazard Gourmet Girls - What's Bill Marler Eating During The Chowpocalypse?

I had a nice chat last week with one of the three “Haphazard Gourmet Girls.”

The Haphazard Gourmet Girls are big fans of Bill Marler, the foremost food poisoning attorney in the United States. Mr. Marler, of Seattle's Marler Clark law firm, has made a career of very successfully suing high-profile Food Industrial Complex corporations, and also writes the excellent, erudite, highly informative Marlerblog, which covers all kinds of foodborne illness issues.

I usually am a bit shy when interviewed.  However, Eddie/Chef Couture – “Editor in Beef,” got the better of me.  Some of my best quotes from her post:
  • Many people--including me--think Bill Marler is a modern-day superhero for his tireless work fighting Foodie crimes of poisonings, but his closest friends won't have him over for dinner, and his wife worries, only half-jokingly, that one day he'll wind up "crushed into meat patties somewhere in Omaha."
  • What else happens when you’re brutally aware that one of the most fundamental human behaviors can also, accidentally and haphazardly, have profound mortal consequences?  "I drink a lot," Mr. Marler says, dryly, and chuckles.
  • "I'm probably the only guy in America who walks down the meat aisle in a supermarket and thinks cowsh*t, cowsh*t, cowsh*t," Mr. Marler says, almost gleeful.
  • “It really does drive me insane when I see the food-channel types extolling the virtues of raw milk without making it clear there’s a risk," Mr. Marler says. “If you’re a little kid or an elderly person or pregnant, raw milk can be deadly. There's got to be that balance between the food pornographer side of us and the safety side, and the raw milk people just ignore that.”
  • "Beijing is not a bland place," Mr. Marler says. "You can get bull penis in a restaurant made five different ways. I went to a lot of banquets where they were serving just nasty stuff--I still have no idea what it was."
  • So, given the huge amount of time Mr. Marler spends traveling by air, does he eat on planes?  "I have a couple of Scotches every time I'm on a plane, and I've never gotten sick," Mr. Marler says.
  • Did Mr. Marler eat tomatoes during the most recent two-month recall extravaganza?  "Yes. I just got lucky,” he says. “And I only ate tomatoes with wine....dip a jalapeno in Scotch, and you can probably eat one with no problem."
There seems to be a common thread in my quotes.

One of my favorite pictures


This was taken by my oldest daughter, of my middle daughter, last summer when we were on the Great Barrier reef searching for our relatives.  The scientific classification of sharks:
Kingdom: Animalia - Phylum: Chordata - Sub phylum: Vertebrata - Class: Condrichthyes - Subclass: Elasmobranchii - Super order: Selachimorpha

This summer, with Tomatoes or Peppers with Salmonella and E. coli once again in Nebraska Beef, there is little time for family reunions.

Food Safety in the United States - A Letter to Congress

Here is a letter that I sent to all members of the US Senate and House Agriculture Committees

RE: Food Safety in the United States

Dear U.S. Congress Member:

I am writing to you because the American people are losing confidence in the U.S. government’s ability to keep our food supply safe.

As you know, there is presently an outbreak of a Salmonella strain known as Saintpaul that has made more than 1,250 people sick in forty-three states, put 228 in hospitals, and contributed to the deaths of two elderly men. It is the largest fresh produce outbreak in two decades. The source of the outbreak remains, in part, a mystery. A two-month-long federal investigation has been able to tell us only that jalapeño peppers (and possibly tomatoes and cilantro) are causing part of the outbreak.

However, the present multi-state E. coli O157:H7 outbreak is even more dangerous and demands the Agriculture Committee’s full attention. Omaha’s Nebraska Beef Ltd. has spread E. coli contaminated beef across the country to its various suppliers, all under the guise that existing USDA policy supposedly states that it is all right to sell tainted meat as long as it was ‘intact’ when it left the plant. So far, there are nearly sixty ill in Michigan, Utah, Georgia, New York, Indiana and Ohio. Some women in Georgia and Michigan have been in the hospital for over a month. 5.3 million pounds of meat has been recalled.

From 2003 until 2007, E. coli illnesses from fresh produce - spinach, lettuce, and sprouts - dominated my practice. After ConAgra recalled 19.3 million pounds of hamburger in 2002, I thought that E. coli in beef had been brought under control. In 2006, federal recalls involved just 181,000 pounds of meat, down from 23 million pounds in 2002. However, since the spring of 2007, we’ve seen an explosion of nearly 40 million pounds of beef recalled because it was contaminated with E. coli O157:H7. That’s nearly twenty thousand tons. Hundreds have been sickened and I am back in the beef business.

I fear we are at a tipping point. If this situation is allowed to further deteriorate, the public harm is going to be immeasurable – both in terms of lives damaged and businesses lost.

After the 1993 Jack-in-the-Box outbreak that killed four children and sickened nearly 700 in several states, the Food Safety & Inspection Service responded by creating and aggressively enforcing the Mandatory Risk Management System. Based on the research and practices of the U. S. space program, the new risk management system established check points at every phase of meat processing. And more importantly, the presence of E. coli was defined as an adulterant under the Federal Meat Inspection Act. It took years for those changes to be adopted and accepted, but progress - significant progress - was made. Until the spring of 2007, E. coli-related illnesses were falling and recalls became a rarity.

We need immediate and aggressive Congressional oversight and support of the Food Safety & Inspection Service of USDA, the U.S. Food and Drug Administration, and the Centers for Disease Control. Here are my suggestions for where Congress should focus its efforts:

Improve disease-surveillance so that we can better identify and trace what foods are making people sick. The frontlines of the medical community need to be encouraged to routinely test for foodborne pathogens and promptly report findings to local and state health departments and the CDC.

Government agencies, at all levels, need to learn to “play well together.” Turf battles like those we see between state health departments and the USDA need to stop so we can track illness to its source. Without effective traceback, companies are not held responsible, and thus have no incentive to stop selling tainted food.

Increase inspections. While domestic production remains a problem, imports pose an increasing risk, especially if terrorists get into the act. Food must be inspected before it enters our country, and we need more inspectors, better technology, and better training to do this effectively.

Reform federal, state and local agencies to be more proactive, and less reactive. This will require agencies to be properly funded, and also held accountable.

Modernize food safety statutes by replacing the present conflicting laws and regulations with one uniform food safety law that puts public safety first.

Increase legal consequences for causing foodborne illness and death. We don’t need to impose the death penalty, as China did recently. But we should impose serious consequences for companies who don’t do enough to keep their products safe, especially if they are repeat-offenders.

Use advanced technology to make food traceable from farm-to-table. Then, when an outbreak occurs, authorities can quickly identify the source, limit the numbers of people injured or killed, and stop the disruption to our economy.

Promote university research to develop better technologies to make food safe, and for testing foods for contamination.

Provide economic incentives, like tax breaks, to companies that push food safety, and invest in research and training.

Improve consumer understanding of the risks of food-borne illness.

I hope that you will act upon these recommendations. The 76 million Americans who suffer from food-borne illnesses annually—including 325,000 who require hospitalization, and the families of the 5,000 who die—would all be grateful.

Sincerely,

William D. Marler

Food Safety Advocate William Marler Calls for Public Meat Inspection Records

Food safety advocate and attorney William Marler is calling on the Meat Industry and the USDA Food Safety Inspection Service (FSIS) to make the inspection reports from meat processing facilities visible and easily available to the public so that consumers—in including grocery stores and restaurants—can make informed choices on which products they want to purchase.

“During the last decade, the number of city and state health departments that post restaurant inspection results online has increased significantly, said Marler from his office in Seattle. “Moreover, in places like Los Angeles County, all restaurants regularly receive either a letter-grade or inspection-score, and these must be prominently posted near the entrance to the restaurant. The primary goal of these efforts is to motivate restaurants to improve sanitation and food-handling practices so that fewer people get sick. The more customers know about the relative safety of a restaurant’s operation, the better informed their choice to dine at a given place can be. When faced with a choice between dining at a restaurant that received a C-grade versus an A-grade, it is pretty much a no-brainer that people are going to be more inclined to spend money at a restaurant with a higher grade!

“But if making this kind of information easily available online is such a no-brainer, why then does the FSIS make it so difficult for the public to find out the results of thousands of inspections it performs everyday in meat plants across the country? In 2005, FSIS employed over 7,600 inspection program personnel in about 6,000 federally inspected establishments nationwide with an annual cost of $815.1 million. That is a lot of money to spend on inspections given that the public does not currently have any way by which to gain easy and timely access.

“Right now, for all meat products made in a USDA-inspected plant, the plant’s establishment number must appear on the label with the mark of inspection. But if a consumer trying to decide what brand of frozen hamburgers to buy wants to compare one plant’s inspection records with another, the only way copies of the inspection reports (called Noncompliance Records, or NR’s) can be obtained is by making a request under the Freedom of Information Act (FOIA) (Here are some examples).  These FOIA requests can, however, take years to be processed. And so usually it is only after there has been a big outbreak and recall—like the recent ones involving Topps or Nebraska Beef—that the public learns about how many times a plant has failed an inspection, or been found to be in violation of safety regulations.

“Consumers should know the record of the company responsible for any meat they purchase,” sums up Marler. “We’ve paid for the inspections—we’re owed that much, at least.”

Over the last few days I have had several interviews with the media - here are a few:

Food Litigation Lawyer Bill Marler Is Careful about What He Eats News


“It is only companies that don’t stay focused on food safety, that I get repeat business from.”

More suits to come

“It’s frustrating to me to be getting all of this business,” Marler said. “We thought we were out of the E. coli business in 2002. Congress needs to get into the middle of this.”

It is time for politicians to notice that consumers are less and less confident in our food supply

It is time politicians take notice – a recent poll found:

  • Nearly half (46 percent) of consumers have changed their eating and buying habits in the past six months because they're afraid they could get sick by eating contaminated food.
  • An overwhelming number (80 percent) support setting up a better system to trace produce in an outbreak back to the source, the poll found.
  • Three in four people remain confident about the overall safety of food.
  • The survey found gender, racial and economic gaps on attitudes about food safety. Women, who do most of the shopping, were more concerned than men. For example, 39 percent of men said they were "very confident" that the food they buy is safe, but only 23 percent of women said they felt that way. However, men and women agreed on the need for better federal oversight.
  • 80 percent of Americans would support new federal standards for fresh produce.
  • 86 percent said produce should be labeled so it can be tracked through layers of processors, packers and shippers, all the way back to the farm.
Well at least “The Haphazard Gourmet Girls” are paying attention:  "Bill Marler: The Avenging Angel Of The Chowpocalypse:"
Once again, Bill Marler, the leading genius watchdog of the Food Industrial Complex and an incredibly even-handed analyst, parses the where, how & why of contamination outbreaks with an excellent summation of E. coli issues.
And, the “Food Law Guy:”  Improving Food Safety: Insights from Intensive Care

Paraphrasing Tom Sawyer, a person who takes a bull by the tail once, learns sixty or seventy times more than a person who hasn’t.  Perhaps no one has seen the inside of as many intensive care units for foodborne illness as Bill Marler.  Gain some of Marler’s insight on improving food safety by reading his latest commentary, “E. coli O157:H7 is a powerful and deadly bacterium.”

“You cannot see it, taste it, or smell it. 250,000 E. coli O157:H7 (E. coli) bacteria will fit on the head of a pin. Ten to 50 will kill your child or your grandmother."
And, the “Food Snark:”  Bill Marler, Food Czar, Cries Out (Again)
Some lawyers want better BMWs, food poisoning lawyer Bill Marler wants to see fewer kids die from E. coli O157:H7.  He does everything he can to raise awareness of the powerful deadly bacteria in hope to see fewer kids lose their kidneys, even when that means driving around in an ugly VW bug with ECOLI on his license plates and taking shit from Tort Deformists who have dubbed him an ambulance chaser.

I’ve called Bill Marler “Batman” for a while now, partially because he could use a bat-plane for all the traveling he does, but also because he truly is a superhero to the children whose lives would be lost without him.  However, I think it’s about time to upgrade him to Food Czar, because he’s already king of the industry, and he’d look good in a crown.

Honestly, Bill Marler is the only lawyer I know who works so hard every day to try to put himself out of business.
And, Jane Genova of “Law and More:”
... I don't hear a peep from presidential candidates Barack Obama and John McCain about making sure what children wind up putting in their mouths is safe - whether that's food, milk, or a toy imported from China. Is it true, as the article in FORTUNE by Marc Gunther claims, that government is increasingly less in the loop on consumer safety issues? Replacing it, documents Gunther, are the new watchdogs: Industry, plaintiff lawyers, and citizen activists....

I envision a cabinet-level position. We can call its head The Food Safety Czar. Right now the best-qualified pro in that field seems to be Bill Marler of Marler Clark. Google his name and you'll see what I mean. Or you can read some of the testimony he delivered on Capitol Hill - Download Testimony here.
And, the Food Law Prof Blog, “Food Czar Bill Marler on E. coli and Food Safety”

And, the Fanatic Cook, "For His Work In Food Safety, Bill Marler Deserves A Spot In The Next Administration"
There are times when a man would do well to win a certain job. And there are times when a job would do well to win a certain man.

The job of Food Safety Czar in this country would do well to win Bill Marler.

This country does not currently have a Food Safety Czar. It needs one. Someone to cut through the muck that swaddles numerous, discrete food-related government agencies. Someone with a history of going to bat for consumers, a successful history. Someone with a tireless passion for this work.

To the next President: If you intend to make food safety a priority, you'll want Bill Marler in your cabinet.
Efoodalert weighs inI propose that the next President form an independent Food Safety Commission. The Commission should be non-political (as opposed to by-partisan), and should receive testimony, briefs and proposals from industry, academia, consumers and regulators. The mandate should include:

1. Determine a current estimate of food-borne disease in the United States;
2. Recommend improvements to the current methods for reporting illnesses and detecting incipient outbreaks;
3. Review the present US food safety regulatory structure and compare its effectiveness with food safety regulatory structures adopted by other countries; and
4. Propose a new US food safety regulatory structure designed to respond more effectively to the current state of the US domestic and imported food supply.

It is vital that such a Commission be headed by an individual who does not owe loyalty to industry, regulators, or lobbying organizations. An individual who has no political axe to grind. An individual whose primary goal is to do whatever it takes to improve the safety of the country's food supply.

Bill Marler, are you listening?

Loud and clear.



E. coli O157:H7 is a powerful and deadly bacterium

You cannot see it, taste it, or smell it. 250,000 E. coli O157:H7 (E. coli) bacteria will fit on the head of a pin.  Ten to 50 will kill your child or your grandmother.

More likely due the expertise of Children’s Hospitals, and other top medical centers around the country, deaths at times are avoided, however, often not before Hemolytic Uremic Syndrome (HUS) nearly kills.  HUS, a complication from an E. coli infection, can cause severe damage to kidneys, intestines, and pancreas.  Falling into a coma and suffering further from cognitive impairment are all too common.

I’ve seen the inside of too many of those Intensive Care Units with families who are scared senseless as they watch their children or mother shutdown.  For 15 years, this has been my world.   When I was an undergraduate, I read Upton Sinclair’s, The Jungle.  That book took the American public on a tour of the contaminated underbelly of the meat industry and they were sickened.  It led to the Pure Food & Drug Act and the Federal Meat Inspection Act, versions of which are still in place today.

Until 1993, I thought—because of those laws—that the United States had a safe and secure food supply. But, then came the Jack-in-the-Box E. coli outbreak.  It killed four, and sickened hundreds, including many who were gravely ill with HUS and related complications.  Many of those victims became my clients.

Once again, there was a public outcry for safe meat.  The Food Safety & Inspection Service responded by creating and aggressively enforcing the Mandatory Risk Management System.  Based on research and practices of the U.S. Space Program, the risk management system established checkpoints at every phase of meat processing.

The presence of E. coli was defined as an adulterant under the Federal Meat Inspection Act.  I continued to sue “Big Meat” as most of my clients up to 2002 were children who were made sick by eating E. coli contaminated meat.  I recovered over $350 million during this period from the meat industry and the restaurants they supplied in verdicts and settlements on behalf of those clients.  In 2003 recalls of meat laced with E. coli began to decline.  After 24 million pounds of contaminated beef were recalled in 34 separate incidents in 2002, recalls dropped off to just over a million pounds a year for the next three years, and then to just 181,900 pounds in 2006.  The Centers of Disease Control and Prevention saw E. coli – related illnesses drop 48%.

But then came Spring 2007. E. coli, which begins its life in the hindgut of a cow, mounted a surge on its home court.  And, it came back with a vengeance.  Thirty-three million pounds of beef would be recalled in 22 incidents.  All over the country, slaughterhouses, packing and distribution centers, retail outlets, and restaurants were once again testing positive for E. coli and people-mostly children-were getting seriously sick.

The American meat supply, which had again been touted as safest in the world, tumbled back into disarray.  But, why?

As with any unexplained mystery, theories abound.  Could it really just be meat industry complacency?  Did everyone respond to the good numbers in 2006 by taking a long nap?  Did meat processors slack off—consciously or unconsciously—and relax their testing procedures?

Or could it be better reporting?  Doctors are more aware of E. coli now, and perhaps when patients present symptoms of food poisoning; tests are more likely to be ordered.  When the presence of E coli is found and reported, a recall is triggered.

There’s always global warming.  Seriously though – very smart people have posited that droughts in the southeast and southwest have launched more fecal dust into the air, which then finds its way into beef slaughtering plants.  It has also been suggested that the deluging rainfall in other areas created muddy pens—an ideal environment for E. coli.

While we’re at it, why not blame high oil prices?  High gas prices have fueled (sorry) the growth of ethanol plants.  These plants are often built next to feedlots, and a byproduct of the ethanol production process—distiller’s grains—is considered an excellent (and cheap) alternative to corn for cattle feed.  Unfortunately, research at Kansas State University associates the use of distiller’s grains as feed with an increase in the incidence of E. coli in the hindguts of cattle.

Another controversial issue may affect the meat supply.  The New York Times reported that immigration officials began a crackdown at slaughterhouses across the country in the fall of 2006.  Experienced—albeit undocumented—workers have been cleared out and replaced with unskilled, inexperienced labor.

And then there’s Darwin.  Another theory holds that interventions have caused the wily E. coli microbes to adapt, selecting pathogens that are more resistant to detection or intervention.  E. coli back in our meat cannot be tolerated.  We’ve got a lot of summer of 2008 left. Summer has always been kind to the E. coli bug.  More than 5.6 million pounds of E. coli contaminated beef has been recalled so far in 2008, most supplied by Nebraska Beef Ltd., via the Kroger Grocery chain.  All of which is responsible for a multi-state outbreak of E. coli that again is filling up the ICU’s in Hospitals in the seven states.

What is being done?  Not much.

Congress has held some hearings, but the only new reform is that the names of retail stores that received meat and poultry involved in recalls with high health risk will be made public.  Good as far as it goes.

However, despite 76,000,000 American’s being sickened, 325,000 hospitalized and 5,000 deaths each year, food safety has not made it as a Presidential campaign issue.  Congress, Democrats and Republicans, have about run out its clock.  But E. coli is back in our meat and we better care.

Solutions?
Continue Reading...

One Step Forward for a Better Food Safety Policy

On a day that another politician, this time the Florida Governor, said: "we continue to have the safest food supply in the world;" on a day that I finally get one of my Op-eds published, thanks goes to Undersecretary for Food Safety (FSIS) Richard Raymond, and Agriculture (USDA) Secretary Ed Schafer for announcing plans to tell the public which grocery stores and other retailers have received tainted meat during “Class I” recalls.  Consumers now can finally be told if their local grocery store got tainted meat during a recall.  Under the new rule, which is expected to be published next week and take effect 30 days later, retailers' names will be posted on the Agriculture Department Web site during so-called "Class I" meat and poultry recalls - those deemed to pose a definite public health risk.

So, Secretaries, I have one more idea - why not make "Non-compliance Reports" ("NRs") public and online.  Let the public see how well, or badly, some of your inspected facilities are operating.  I think if you had on line Establishment 19336's (a.k.a Nebraska Beef, Ltd) NRs from 2002, perhaps the illnesses and deaths from 2006 and 2008 would not have happened.

OK, one more "beef."  A few days ago USDA spokesman Amanda Eamich said that Nebraska Beef's plan "satisfies concerns raised after the meat was linked to an E. coli outbreak."  However, "she would not discuss the details of the changes Nebraska Beef had proposed."  Boy, given that a few days before that she said that "Nebraska Beef responded slowly to indications that its products might be tainted with E. coli," and that "Nebraska Beef was notified in the first half of June that two samples of its trim to be used in ground beef had tested positive for E. coli," and that "the establishment didn't take appropriate actions when positives were found," you would think that this whole process would be a little more transparent?

Perhaps we need another press conference? Or, two?

Perhaps the presidential candidates need to read:  "Tainted Food: How To Combat Food Poisoning in the United States? Mr. McCain, Mr. Obama, are You Paying Attention?"

Off to Omaha in the Morning to Meet with ConAgra

I have the honor of speaking to ConAgra's Food Safety Council on Wednesday.  I always find it a bit odd that I get asked to speak to corporations that I have sued, or are suing, on behalf of victims of food poisoning.  But, if they are willing to listen, I am willing to talk.

Tainted Food: How To Combat Food Poisoning in the United States? Mr. McCain, Mr. Obama, are You Paying Attention?

Once again, hundreds of Americans have been sickened by outbreaks of foodborne illness.  This time it is nearly 1,000 (and counting) in 40 States put down by salmonella in fresh tomatoes (or is it the salsa?), and nearly 50 in Ohio and Michigan (possibly Georgia) stricken by the deadly E. coli O157:H7 bacteria, again in hamburger.  Tomatoes have been recalled nearly every year for the last 10, with hundreds ill.  Hamburger, well, since the spring of 2007, we have recalled over 30 million pounds after it was linked to ill people, mostly children in nearly every state.  Consumers (hint candidates - voters) have lost confidence in the businesses that feed them and a government that is supposed to protect them.

After a brief lull a few years ago, we’re seeing a sweeping increase in outbreaks of salmonella, E. coli and other foodborne contaminates.  There are many reasons for this ugly trend – businesses more focused on sales than safety, fragmented government agencies with conflicting missions, inadequate inspection of foods, poorly educated food handlers and lack of consumer awareness, to name a few.  The reality is that we now live in a global food supply, like it or not, and we need to come up with global solutions that leverage our scientific and technological capabilities to prevent human illness and death.

These outbreaks should be good news to a lawyer like me, since I specialize in representing people sickened by tainted food.  But it isn’t, because it means I’ll be seeing more four and five-year-old kids hooked up to kidney dialysis machines, their lives hanging by a thread because they ate a tainted burger topped by contaminated tomatoes.

In the last few months, I’ve asked some of the leading experts in the field – doctors, researchers, food safety consultants and governmental officials - to suggest what the next President - be it McCain or Obama - could do to combat this recurring epidemic. Here are the “top eleven” of what they (with a few edits and additions by me) suggest:
  • Improve surveillance of bacterial and viral diseases.  First responders - ER physicians and local doctors - need to be encouraged to test for pathogens and report findings directly to local and state health departments and the CDC promptly.  Right now, for every person counted in an outbreak there are some 20 to 40 times those that are sick but never tested.  The more we test, the quicker we know we have an outbreak and the quicker it can be stopped.
  • These same governmental departments, whether local, state or federal, need to learn to “play well together.”  Turf battles need to take a back seat to stopping an outbreak and tracking it to its source.  That means resources need to be provided and coordination encouraged so illnesses can be promptly stopped and the offending producer - not an entire industry - are brought to heal.
  • Require real training and certification of food handlers at restaurants and grocery stores.  There also should be incentives for ill employees not to come to work when ill.  We should impose fines and penalties on employers who do not cooperate.
  • Stiffen license requirements for large farm, retail and wholesale food outlets, so that nobody gets a license until they and their employees have shown they understand the hazards and how to avoid them.
  • Increase food inspections.  While domestic production has continued to be a problem, imports pose an increasing risk, especially if terrorists were to get into the act.  Points of export and entry are a logical place to step up monitoring.  We need more inspectors - domestically and abroad - and we need to require that they receive the training in how to identify and control hazards.
  • Reorganize federal, state and local food safety agencies to increase cooperation and reduce wasteful overlap and conflicts.  Reform federal, state and local agencies to make them more proactive, and less reactive.  This too requires financial resources and accountability.  We also need to modernize food safety statutes by replacing the existing collection of often conflicting laws and regulation with one uniform food safety law of the highest standard.
  • There are too few legal consequences for sickening or killing customers by selling contaminated food.  We should impose stiff fines, and even prison sentences for violators, and even stiffer penalties for repeat violators.
  • We need to use our technology to make food more traceable so that when an outbreak occurs authorities can quickly identify the source and limit the spread of the contamination and stop the disruption to the economy.  When I buy a book on line I can track it all the way to my mailbox.  However, we have yet to find the source of a tomato (or salsa) outbreak after months of sickening hundreds.
  • Promote university research to develop better technologies to make food safe and for testing foods for contamination.  Provide tax breaks for companies that push food safety research and employee training.  Greatly expand irradiation of raw hamburger and other high-risk products.
  • Improve consumer understanding of the risks of food-borne illness. Foster a popular campaign similar to Mothers Against Drunk Driving, which uses consumer power to promote a no-tolerance policy toward growers and companies that produce tainted food.
  • Provide Presidential leadership on a topic that impacts every single one of us.
Perhaps this is a bit too much to ask the presidential candidates to chew on?  However, they should think about it at least politically, if not morally.  In America in 2008 it is criminal, that according to the CDC, ever year nearly a quarter of our population is sickened, 350,000 hospitalized and 5,000 die, because they ate food.  People who eat food and get sick also vote.  Mr. McCain, Mr. Obama, do the math.

Well, at least one person read what I wrote:  See, Seattle PI - "secret ingredients."

Who Is Minding The Store?

If you weren't able to join us in Seattle for the conference Marler Clark sponsored in April, here's the next best thing.  We've posted the power point presentations from "Who's Minding the Store: The Current State of Food Safety and How it Can Be Improved" on Marler Clark.

As you'll recall, we had a tremendous array of speakers from the local, national, and international food safety communities - the power points are clickable from the speaker names, so you can browse through by panel and topic.

Thanks again to all of the speakers who shared their time and expertise.  We are considering making this an annual event.  I will keep you posted.

Raw Milk Cons: Review of the Peer-Reviewed Literature

A summary of the peer-reviewed literature relating to the “pros” of raw milk consumption was posted earlier this month. What about the “cons?” The overwhelming “con” of drinking raw milk according to the literature relates to food safety hazards. The following is an overview of the literature describing pathogens found in raw milk and outbreaks associated with consumption of raw milk and products made from raw milk.

Another possible “con” not well-documented in the literature is cost. First, commercial raw milk demands a premium price in the US with a gallon costing the consumer ~$12 compared with ~$7 for a gallon of organic pasteurized milk and ~$3-5 for a gallon of traditional pasteurized milk depending on the region and other factors. Second, the outbreaks, illnesses, and recalls resulting from raw milk consumption also incur costs for individuals and society:

• Medical expenses for acute care and long-term health problems
• Lost productivity and other indirect costs
• Costs to public health for investigation and control of outbreaks
• Losses to the dairy industry as a whole due to reduced consumer confidence following publicized outbreaks and recalls Continue Reading...

Bar Association Annual Awards Dinner 2008


Well, just made it back from London and Louisiana for dinner in Seattle.  Should be fun if I can remember what time zone I am in.  Congratulations to all the award winners (including me):

Outstanding Lawyer: William D. Marler, Marler Clark LLP
Outstanding Judge: Hon. Charles J. Delaurenti, II, King County District Court
William L. Dwyer Outstanding Jurist: Hon. H. Joseph Coleman, Washington Court of Appeals
Friend of the Legal Profession: Dean Kellye Y. Testy, Seattle University School of Law
Helen Geisness Award: Charles S. Burdell, Jr., Judicial Dispute Resolution
Outstanding Young Lawyer: Karolyn A. Hicks, Stokes Lawrence, P.S.
Pro Bono Award - Individual: Carl Palmer, McCune, Godfrey & Emerick
Pro Bono Award – Firm: Curran Law Firm
President’s Award: Alene Moris, Social justice advocate

Kroger, Recall Your E. coli Contaminated Meat and Tell The Public Who Supplied It, Says William D. Marler, Food Safety Attorney

With the Michigan State Health Department linking Kroger ground beef to many of the illnesses in Michigan (which have also been linked to illnesses in Ohio), Kroger must recall all possibly contaminated ground beef said Seattle food safety attorney William D. Marler.

In 2007 companies voluntarily recalled ground beef products 21 times. The amount of recalled meat was more than 33 million pounds. The goal of a recall is to get the contaminated meat out of people’s homes, especially freezers. According to Marler, with nearly 50 people sickened in Ohio and Michigan E. coli outbreaks, it is irresponsible for a company like Kroger to not recall all potentially contaminated ground beef sold through their stores.

"Frankly, Kroger should recall the ground beef first and foremost for the safety of its customers, but also for self-preservation. If people become ill after Kroger could have recalled its ground beef products, it is exposing itself to a claim for punitive damages for having consciously ignored a known health risk to its customers," said Marler.

Interestingly, within a few hours of the above, this article appeared in the Toledo Blade:

Kroger recalls ground beef over E. coli fears; 32 stricken in Ohio, Michigan
Bill Marler, a Seattle attorney who specializes in E. coli litigation, said it took the USDA and Kroger too long to announce the recall. He said it’s rare for this many people to get sick before the announcement of a recall.

“They have certainly known for days, if not a week, that the epidemiological evidence was very strong that it was hamburger,” he said. “They should have done everything they could to get these products off the market.”

For full recall information visit FSIS.

Andy Warhol and I Have Something in Common?

We both have made too much money off of hamburgers.  In his case a "Double Hamburger" hanging at the Tate Modern Museum in London (I know, no cameras allowed).

With E. coli O157:H7 sickening over 50 people in Ohio and Michigan in the last months tied to meat recalled in New Jersey, we are seeing in 2008 the "uptick" in E. coli cases that started in 2007.  Frankly, after taking $500,000,000 for the food industry (most of that from the beef industry and restaurants serving beef since 1993, you would think that they would stop allowing me to afford original works of art.

So, are Tomatoes and Hamburger Safer in London than in USA?

Although a few thousands of miles away, I could not help thinking about the salmonella Saintpaul outbreak that has sickened over 500 in the US linked to tomatoes grown in Florida and perhaps Mexico (although with one genetic pattern (PFGE) to this outbreak, I am not sure two places sourced the contaminated tomatoes) and an E. coli O157:H7 outbreak that has sickened over 50 in Ohio and Michigan linked to hamburger produced in New Jersey.  I wonder how safe the tomatoes and hamburger are here in London on the Nottingham Street Markets?

Between speeches at the Royal Institute of Public Health here in London and the University of Cardiff in Wales, I have been in contact with the office.  We have had dozens of calls from people both sickened by salmonella and by E. coli - more work to come back to.

Cardiff Castle - Marler Clark Europe?

Speech at the University of Cardiff went well.  Weather is like being home in Seattle.  I had time to visit a few castles today that date back well over 1,000 years.  I am thinking this one might well be a good base of operations for Marler Clark - especially if under siege from Corporations, Insurance Companies and their minions.

Greetings from Stonehenge

I finished my lecture at the Royal Institute of Public Health in London where I received a John Snow tie, coffee mug and label pin (also inducted into the John Snow Society).  On the drive to Cardiff, Wales we stopped to see some rather interesting rocks:

I found the Pub.... I mean Pump.

In Search of the Broad Street Pump

I am in London today (Sunday 5:00 AM - a bit jet-lagged) and am off to see if I can find the Broad Street Pump - famous because John Snow (a.k.a., father of Epidemiology) figured out that is was the water from the pump that was the vector in the 1854 Cholera outbreak.  Inside the cover of Steven Johnson’s “The Ghost Map” reads:
It is the summer of 1854. Cholera has seized London with unprecedented intensity. A metropolis of more than 2 million people, London is just emerging as a one of the first modern cities in the world. But lacking the infrastructure necessary to support its dense population - garbage removal, clean water, sewers - the city has become the perfect breeding ground for a terrifying disease no one knows how to cure.

But for John Show, my job tracking foodborne illness outbreaks would be a bit harder.  In the map above, I am staying about two blocks North of the intersection of Regent and Oxford - right across the Street from "All Souls Church" (and a Starbucks) on Langham.  I also saw press reports of the final settlement in the Sizzler case from 2000.  A great result on a very sad case.

Off to England in the Middle of a Tomato Salmonella Outbreak and a Lettuce E. coli Outbreak - Well, I'll be busy when I get back.

Click on the below and you should be able to download my presentation:

A Must Read


At least pages 182-83, 188 and 196.

Salmonella Tomato CSI - Mexico, Virginia or Florida?

As our Local, State and National Health authorities stumble to find the source of the Salmonella tainted tomatoes, I got an email from some nice person who found the following article about research our government has been doing on Salmonella and Tomatoes - Interesting read:

Animal and Environmental Impact on the Presence and Distribution of Salmonella spp. in Hydroponic Tomato Greenhouses

Submitted to: Journal of Food Protection
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: December 19, 2007
Publication Date: April 30, 2008
Citation: Orozco, L., Iturriaga, M., Tamplin, M., Fratamico, P.M., Call, J.E., Luchansky, J.B., Escartin, E. 2008. Animal and Environmental Impact on the Presence and Distribution of Salmonella spp. in Hydroponic Tomato Greenhouses. Journal of Food Protection. Vol.71(4) pg. 676-683.

Interpretive Summary: Tomatoes contaminated with Salmonella, a pathogenic food-borne bacterium, have been identified as vehicles of human diarrheal illness known as salmonellosis. Contamination of tomatoes can occur at several points from farm to table. Therefore, an investigation examining the sources of Salmonella contamination of tomatoes grown in hydroponic greenhouses in Queretaro Mexico was conducted. The presence of Salmonella was determined on samples of tomatoes, water, soil, sponges, gloves, animal feces, and from the hands and shoes of farm workers. Salmonella was detected in all types of samples, except workers¿ gloves and hands. Methods were used to determine the characteristics of the Salmonella bacteria isolated from the various sources, and a method known as pulsed field gel electrophoresis was used to track the spread of Salmonella contamination from the different sources to the tomatoes. Several types of Salmonella bacteria that have been associated with human illness were identified. Animals, including opposums, mice, and goats and workers' shoes were identified as important sources of contamination of the tomatoes. Furthermore, there was a higher incidence of Salmonella in the greenhouses and on tomatoes during and after a flood, which resulted in water runoff entering the greenhouses. The study demonstrated that contamination of tomatoes grown in hydroponic greenhouses can occur from various sources, and critical control points from farm to table need to be identified to develop strategies to prevent contamination.

As I said before:

"Salmonella and tomatoes have an ongoing relationship," Marler said. "Sadly, it's a long list of outbreaks. We've gotten better at tracing the serotypes and finding the source of the tainted food, but we have to do more: we have to prevent contaminated food from entering the food supply in the first place."

In 1990, a reported 174 salmonella javiana illnesses were linked to raw tomatoes as part of a four-state outbreak. In 1993, 84 reported cases of salmonella montevideo were part of a three-state outbreak. In January 1999, salmonella baildon was recovered from 86 infected persons in eight states. In July 2002, an outbreak of salmonella javiana occurred associated with attendance at the 2002 U.S. Transplant Games held in Orlando, Florida during late June of that year. Ultimately, the outbreak investigation identified 141 ill persons in 32 states who attended the games. All were linked to consumption of raw tomatoes.

During August and September 2002, a salmonella newport outbreak affected the East Coast. Ultimately, over 404 confirmed cases were identified in over 22 states. Epidemiological analysis indicated that tomatoes were the most likely vehicle, and were traced back to the same tomato packing facility in the mid-Atlantic region.

In early July 2004, as many as 564 confirmed cases of salmonellosis associated with consumption of contaminated tomatoes purchased at Sheetz Convenience Store were reported in five states: Pennsylvania, Maryland, Ohio, West Virginia, and Virginia. Seventy percent were associated with tomatoes in food prepared at Sheetz convenience stores. In 2006 two outbreaks of salmonella-tainted tomatoes where reported by the FDA. One was blamed for nearly 100 illnesses in 19 states. FDA also traced tomatoes involved in another outbreak involving 183 people in 21 states.

The Inaugural British Food Journal Annual Lecture

Off to England and Wales later this week after a stop in lovely Sacramento, California to continue the ongoing battle over the 2006 Dole Spinach E. coli cases.  Here are some of the details of the trip to the "mother land."

Dear Colleagues:

We are delighted to invite you to attend: ‘Caused Food Poisoning? : See you in Court?

What every business should know about the costs of food poisoning’ - the Inaugural British Food Journal Annual Lecture, to be held at the Royal Institute of Public Health, London, on the 17th June 2008 from 11.00 am.

The Keynote Address will be given by Bill Marler.

Bill Marler is the world’s foremost lawyer in the recovery of compensation following outbreaks of food poisoning, and to date has recovered over $0.5 billion for his clients. Bill Marler is the managing partner in the law firm of Marler Clark and has represented thousands of victims of food poisoning. He frequently speaks on food safety around the world and has helped to form Outbreak, a non profit making business dedicated to training companies on how to avoid food borne illness.

An introduction will be provided by Professor Chris Griffith, Editor of the British Food Journal and Head of the Food Research and Consultancy Unit at the University of Wales Institute, Cardiff, followed by the lecture. Refreshments will be provided during which time delegates will have the chance to network and talk to the world‘s foremost authority on the financial consequences of food poisoning. This is a unique UK opportunity for delegates to both learn and potentially save lives, money and businesses. The lecture will be of interest to anyone involved in food safety including businesses, trainers, environmental health practitioners and many others.

I will also be doing a similar lecture in Cardiff, Wales the following day - 'Hot Topics in the Agri-Food Industry."

Raw Milk Pros: Review of the Peer-Reviewed Literature

I thought it might be helpful to bring a bit of rationality to the "raw milk debate."  Here is a summary of the findings of a review of peer-reviewed literature on the topic of the consumption of raw milk at least the pros:

•    There is substantial epidemiological evidence from studies in Europe that consumption of raw milk products in childhood has a “protective” effect for some allergic conditions (e.g., asthma, hay fever, eczema); other factors associated with living on a farm such as contact with animals and barns showed a similar effect in these studies.  Plausible explanations for these observations exist including the “hygiene hypothesis” and modulation of the immune system early in life.  At the same time, no author recommends raw milk as a preventive measure for allergies at this time because of the potential hazards due to foodborne pathogens such as EHEC and Salmonella  known to occur in raw milk.  The body of literature suggests that further studies are needed to identify the specific factors in raw milk (and other farm exposures) that lead to a protective effect for allergic conditions.

•    No articles could be found substantiating an increased risk of autism due to pasteurized milk or a protective effect from raw milk consumption, respectively.

•    Probiotics are increasingly recognized in the literature as an effective approach for managing some gastrointestinal and allergic conditions.  Specific criteria that define “probiotics” have been published and raw milk does not fit this definition.  No articles suggested that raw milk should be used as a probiotic.

•    Raw milk and cheeses may contain microflora (“beneficial bacteria”) that produce metabolites and other antibacterial compounds that may be toxic to foodborne pathogens.   The presence and quantity of these specific compounds, the bacterial species involved, and the log reduction for different foodborne pathogens from these bacteria/compounds has not been defined in raw milk; therefore, these properties cannot be considered a substitution for a “kill step.”

•    Although studies have shown modest reductions in some vitamins and other nutrients after pasteurization of milk, these changes are insignificant according to a review by Potter et al (1984), human nutrition studies have shown no advantage of raw over pasteurized milk.  A review of more recent literature did not reveal any changes in this position.

•    No references could be found to support some benefits reported by raw milk advocates such as promotion of tooth development/reduction of dental caries; enhanced fertility; or existence of an undefined substance to protect against arthritis (“anti-stiffness” factor)

Detailed Literature Review of the “Pros” of Raw Milk Consumption: Continue Reading...

Outstanding Lawyer: William D. Marler

King County Bar Association
By: Karen Sutherland

Bill Marler, a founding partner of Marler Clark, LLP, is being recognized by the KCBA as this year’s Outstanding Lawyer for his efforts to educate health officials, the community and the food service industry on how to avoid outbreaks of food-borne illnesses and the lawsuits that result from them. Marler’s efforts are unusual in that his practice focuses on representing individuals who have suffered the effects of food-borne illnesses such as E.coli, shigella, listeria and Salmonella, which means that if he is effective in his mission, he will put himself out of business.

Marler first became well known for his legal work involving food-borne illnesses with his representation of Brianne Kiner and other plaintiffs in the Jack in the Box E. coli litigation, which started in 1993. In 1998, he represented three children who became ill after drinking Odwalla juice. Since then, he and his firm have represented many more individuals, who have suffered from a variety of food-borne illnesses, caused by an equal variety of sources, since then.

Marler’s outreach efforts are far beyond what one would expect from an attorney. He is widely quoted in the media, from publications such as The Wall Street Journal and the Puget Sound Business Journal to broadcast media such as CNN’s American Morning. In 1998, Marler and his partners formed Outbreak, which is a non-for-profit consulting company. Outbreak shares its expertise in food-borne illnesses and related legal topics with public health departments, physicians and the food service industry.

Marler speaks at conferences and seminars around the world, including such varied venues as the North Dakota Environmental Health Conference, the Australian HAACCP Conference, the American Association for Justice Annual Convention in Chicago, and Ag Forum luncheon in the Salinas Valley’s national Steinbeck Center and the Minnesota Environmental Health Association in St. Paul – and that list of speaking engagements only covers part of 2007. It’s a wonder he finds time to practice law.

The internet has also been well used by Marler in his educational efforts. He and his partners have developed several Web sites devoted to providing information about food-borne illnesses, including symptoms, detection and prevention, and information about recent outbreaks. The Marler Clark firm also sponsors numerous blogs on issues ranging from Norovirus (previously called Norwalk Virus), which is the bane of the cruise industry, to Mad Cow Disease (BSE). Marler writes on topics such as “What to do about the ‘Mad Cow’” and opinion pieces calling upon the FDA to require sprout labeling and a ban on unpasteurized juices following outbreaks of Salmonella involving both products.

Hot Topics in Food Illness Litigation

I (www.billmarler.com) am off to Eastern Washington a bit later this morning to give a talk at the “Farm-to-Table” Conference. My talk is on “Hot Topics in Food Illness Litigation.” It is also a bit of a homecoming – I spent six years at WSU getting three bachelor degrees, four years on the Pullman City Council and eight years as a WSU Regent. The Conference topics are:

The Food Safety: Farm-to-Table Conference is back! The conference was initiated in 1991 and is offered through a collaborative effort between Washington State University and the University of Idaho. National and regional speakers present information on a variety of food safety issues, offering a professional development opportunity for state and local health authorities, Extension employees and food industry professionals. The conference offers networking opportunities to strengthen food safety partnerships in the Pacific Northwest. Topics reviewed at previous conferences include the following:

* Foodborne pathogens, such as Salmonella, E. coli O157:H7 and Campylobacter

* Food safety management programs, such as HACCP and Good Agricultural Practices (GAPs)

* Food-specific food safety concerns, including produce and seafood

* Regulatory aspects of food production

* Foodborne outbreaks

Where in the World?

Someone sent me this photo and asked me to guess where it is?  Other than heaven?  Where?

Another friend/attorney's kid just got elected President of his High School class - great to see he took after his mom.

Speaking in Minnesota about Food Poisoning Law

Next week I (www.billmarler.com) will be speaking at the University of Minnesota College of Agriculture, Food, and Environmental Sciences on Tuesday, May 6 at 3:00 PM.  (PowerPoint).  I am a guest lecturer in the Food: Safety, Risk, and Technology class taught by distinguished professor Dr. Ted Labuza.

As those who frequent my blog, I travel widely to address industry, government, and consumer groups in an effort to improve food safety nationwide thought Outbreak Inc.  Next week I will be speaking to the class on the litigation aspects of food safety, including when a person can sue for dangerous or defective goods, federal vs. state litigation, how I choose cases to take on, and what guidance I give to industry on avoiding food borne illness outbreaks.  This is the second time I have traveled to the Twin Cities to address the students of Dr. Labuza’s class.

Marler Clark
, is involved in food borne illness cases around the country and represent a number of Minnesotans who have become ill from eating contaminated food.  Several Salmonella outbreaks have infected Minnesota residents, including ConAgra’s Banquet Pot Pies, Veggie Booty snacks, and food consumed at a Rochester Quiznos.  In addition, the firm represents Minnesotans who have been infected with E. coli O157:H7 in cases against Dole, Nebraska Beef, PM Beef Holdings, AFG/Supervalu, Cargill Meat Solutions, as well as Taco John’s and China Buffet restaurants.

Go Golden Gophers.

Acceptance Speech for WSTLA Public Justice Award

Thank you Governor Locke and thank you WSTLA for this honor.  For those who know me well, know that this honor is not mine alone. It is an honor shared with my law partners, Bruce Clark, Denis Stearns and Andy Weisbecker and associates and staff who have all long suffered in my presence.  Thanks to my wife of 20 years, Julie, who kept food on the table and the mortgage nearly always paid before the Jack-in-the Box case settled in 1995.  Thanks to my beautiful, talented and strong daughters, Morgan, Olivia and Sydney. Thank you for not making me feel too guilty for missing more than my fair share of your events.  A very special thanks and honor to my Mom and Dad. Dad, I am glad that you have tolerated me for nearly 51 years.  In closing, I want to share with you a letter I recently received from the daughter of a Nebraska woman who died of an E. coli infection after eating something as simple as a spinach salad in 2006:
“Dear Bill:

As we approach the conclusion of Ruby’s case, I wanted to thank everyone there for your work on behalf of my family. Though this letter is addressed to you, it is meant for everyone at the firm. It takes a dedicated and very hardworking team to collect, sort, file, retrieve, assemble, analyze and present all the material involved in an action such as this. Though I know this case came at an extremely busy time for Marler Clark, each of you accomplished your work with seeming ease, all the while making us feel as though we were your only client.

However, the real joy in our association with Marler Clark was the tremendous effort each of you exerted in trying to effect positive change within the food industry. Your work to assure food purity along the entire food chain, from production, packaging, shipping and preparation, really sets the Marler Clark team apart from the crowd.

Though nothing will bring my mother back and no amount of money could ease the heartache of losing her, your efforts have been very fruitful. Having her illness and death held up to the light, for all to see, has done a great deal to create awareness and remedy the problem of leafy green E. coli illness and death. Television programs from both Dateline and CNN were viewed by millions, California continues to move toward adoption of three critical pieces of food purity legislation, the Federal Government is aware of the problem, Natural Selection Foods conducts pre-packaging purity testing and hopefully, we are a few steps closer to the acceptance of irradiation. I am confident that these changes were initiated or greatly accelerated because of Marler Clark’s proactive crusade for safer food supply.

At the end of the game each of you can be glad of the legal victories you achieve on behalf of your clients. But your real pride should come from the knowledge that you have helped make the world a better place and saved many from the ravages of poisoned food. My family hopes that no one should go through what my mother did; each of you has helped bring that dream closer to reality. We give our thanks to each and every one of the Marler Clark team!”

As you can well imagine, I am proud to be associated with the people in my firm. I am proud to be a trial lawyer. I am proud that as trial lawyers we all give voice to people like Ruby. Thank you.

The bust is of Justice Louis Brandeis and the inscription reads:  "In recognition of your trail blazing efforts to keep our nation's food supply safe for consumers."

Also, just revamped www.billmarler.com.

Attorney William Marler Recognized for Public Health Advocacy

William Marler, managing partner of Seattle-based Marler Clark, has been selected for a prestigious law award recognizing his work on behalf of a safer food supply. The Washington State Trial Lawyers Association (WSTLA) has selected him for the 2008 Public Justice Award, which is bestowed upon "an individual or organization whose efforts, courage, litigation, or innovative work results in the creation of a more just society." The award will be presented to Mr. Marler at the May 1, 2008 Law Day Dinner.

An accomplished personal injury lawyer and national expert in foodborne illness litigation, William Marler has been a major force in food safety policy in the United States and abroad. His advocacy for better food regulation has led to invitations to address local, national, and international gatherings on food safety, including recent testimony to US Congress Committee on Energy and Commerce.

Mr. Marler and his firm, Marler Clark, recently sponsored a two-day conference on food safety titled "Who's Minding the Store: The Current State of Food Safety and How it Can be Improved." The Seattle conference brought together national and local representatives of government, industry, consumer organizations, scientists, and the media. In addition, the conference featured a panel of international experts from China, New Zealand, the UK, and the European Union in a discussion of food safety in the global marketplace.

Mr. Marler was also recognized this year by the King County Bar Association (KCBA), which has selected him for the 2008 Outstanding Lawyer Award. The KCBA will present Mr. Marler with the award on June 26, 2008 at their annual awards dinner.

Two Law Awards in a Month - It is Hard to be Humble

Goodness, I have been selected for two prestigious law awards. The Washington State Trial Lawyers Association (WSTLA) has selected me for the Public Justice Award, and the King County Bar Association will give me the 2008 Outstanding Lawyer Award.

WSTLA bestows the Public Justice Award to “an individual or organization whose efforts, courage, litigation, or innovative work results in the creation of a more just society”. The award will be presented at the May 1st Law Day Dinner. The Washington State Trial Lawyers Association represents attorneys and professionals in the legal field committed to champion the cause of those who deserve redress for injury to person, property or civil rights. Established in 1953, the association conducts legal education, compiles research, facilitates the sharing of resources, and implements the public affairs as well as government relations programs.

The King County Bar Association will present  me with the 2008 Outstanding Lawyer Award on June 28th at their annual awards dinner. The King County Bar Association provides support to its diverse membership; promotes a just, collegial, and accessible legal system and profession; works with the judiciary to achieve excellence in the administration of justice; strives to benefit the community through its own efforts and those of its Foundation; and offers opportunities for public service and input into matters of public policy. Founded in 1886 and incorporated in 1906, the King County Bar Association is the largest voluntary bar association in the state of Washington, with approximately 6,000 members.

www.outbreakinc.com updated too



OutBreak is a unique not-for-profit consulting company based on a radical notion: that the same lawyers who sue on behalf of victims of foodborne illness are best suited to help responsible companies with their food safety challenges.

In 1998, the Marler Clark attorneys formed OutBreak, a not-for-profit consulting firm dedicated to training companies how to prevent foodborne illness outbreaks among their customers. Since that time, the lawyers have given speeches at meetings and annual education conferences for a long list of industry groups, including the National Restaurant Association and the American Meat Association.

In recent years, OutBreak presenters have expanded the scope of their talks to include topics appropriate for meetings of organizations such as environmental health associations and FDA-sponsored Regional Retail Food Seminars. Members of these groups have learned about such topics as potential liability for negligent inspections and the intersection between the law and public health.

www.marlerclark.com relaunched

Since 1993, Marler Clark has represented thousands of clients in litigation against restaurants and food companies whose food was identified as the source of illness. We strive to obtain full and fair compensation for our clients’ injuries by ensuring that our clients are compensated for their physical and emotional injuries, as well as for medical expenses and missed time from work. We often represent children who will require medical monitoring and surgical procedures throughout their lives, and we work to secure settlements or verdicts that will provide for their long-term medical needs.

China Proposes Life in Prison for Food Poisoning Customers

Reuters reports that China is considering a food safety law that provides for penalties of up to life imprisonment for people responsible for the production of substandard food.  Lesser violations of the law could incur fines, confiscation of income from sales of substandard products, or revocation of licenses.  See full article - China food safety law to allow for life in jail.

You have to admit that if US food corporate executives faced prison time for sickening customers, perhaps food safety would be a bigger part of the corporate agenda.

I look forward to attending (and co-sponsoring) the following Conference in China:



The description of the conference is:
Food safety is a worldwide issue that can benefit greatly from collaboration, standardized approaches, and common solutions. In many countries, food safety awareness is at an all-time high. New and emerging threats to the food supply are constantly being discovered, and our food supply is becoming increasingly global. Achieving food safety success in this changing environment requires novel prevention strategies, greater harmonization and more collaboration at the international level than ever before.
Picture from last year's Conference (I'm in the middle, back row):

Who's Minding the Store?

Andrew Schneider, crack investigating reporter and ubber-blogger, posted today on his coverage of the Seattle University Law School Food Safety Conference – “Who’s Minding the Store?  See his coverage at:

Secret Ingredients - Experts in food safety describe a problem that's hard to control, misunderstood by the public and too dangerous to ignore.

Me, I liked this point the best:
Seattle lawyer and national expert in food borne illness litigation, William Marler, hosted and organized the conference. When I asked three of the high-ranking national and international officials why they agreed to speak at a continuing education program for lawyers, they all said that Marler has been a major force in changing food safety policies in the United States and abroad.
Hopefully for the better.

Food Safety Conference at Seattle University Draws Experts from the US and Abroad

Seattle University School of Law hosts an in-depth conference titled “Who’s Minding the Store: The Current State of Food Safety and How It Can Be Improved” on April 11th and 12th, 2008. Participants include international, national and local representatives of government, the food industry, consumer organizations, scientists, and the media.

Recent years have seen a plethora of food warnings and recalls, raising new questions about the quality and integrity of our existing system for assuring food safety. Seattle was the epicenter of the Jack in the Box E. coli outbreak that sickened 600 and killed four 15 years ago. In addition to explaining how the present system works, this program is intended to discuss how changing consumer preferences are affecting the development and distribution of food, examine whether federal, state and industry oversight roles are changing, and discuss how the regulatory and judicial processes can be most efficiently balanced.

Washington Governor Christine Gregoire will present the keynote address. Featured speakers include Dr. Richard Raymond, Under Secretary for Food Safety, United States Department of Agriculture, and Dr. Patricia Griffin, Chief; Enteric Diseases Epidemiology Branch, Centers for Disease Control & Prevention.

In addition, the conference brings together international experts, including Jorgen Schlundt of the World Health Organization, Qiu Yueming of the China National Institute of Standardization, Deon Mahoney of Food Standards Australia New Zealand, Chris Griffith of University of Cardiff Wales, and Dr. Canice Nolan, of the EU.

For a detailed agenda and registration, visit:
http://www.law.seattleu.edu/cle/archive/2008/foodsafety.

So, I leave home and look what happens:

While I have been gone the State Health Department has found high levels of E. coli bacteria along Bainbridge Island beaches.  Dozens of sites on the south end and in Eagle Harbor also showed elevated levels of E. coli, a type of fecal coliform bacteria.  And, it looks so clean.

What Makes "Batman" Tick?


Another day on the road.  I have taken to emailing pictures of myself to my family and have learned how to text with my 16 year old. 

This trip was a nearly a two and a half hour drive south of Salt Lake City to attend a hearing to request that the Court approve a settlement in the case of a fourteen year old girl (halfway between my 12 and 16 year old daughters) who contracted an E. coli O157:H7 infection as a result of eating Dole’s contaminated spinach product in the Fall of 2006.  This beautiful young woman subsequently developed hemolytic uremic syndrome (HUS) and endured a lengthy hospitalization marked by multiple, prolonged seizures, hemodialysis, and blood transfusions.  It was great to see my client and her wonderful family.  The settlement was approved by the Court with all of the money being placed into a Trust for my client's educational and medical needs for the rest of her life.

After several handshakes and hugs, I turned to leave when my client presented me with a gift.

This is why I go to work.

More Money For Food Safety?

An amendment to the Senate's 2009 budget resolution, which passed Friday, has implications for food safety. Sen. Chuck Grassley (R., Iowa) and teamed up with Sens. Bob Casey (D., Pa.), Dick Durbin (D., Ill.) and Sherrod Brown (D., Ohio) to create a "reserve fund" to allow for legislation that enhances the protection and safety of the nation's food supply. Durbin said, "We have to do better. Our food safety system needs more resources, and the creation of this fund will make those resources available."

Their statement noted the reserve fund would allow for congressional legislation that, among other purposes, would:
  • Expand both the Food & Drug Administration and U.S. Department of Agriculture food inspection field forces;
  • Develop risk-based approaches to the inspection of the food supply;
  • Develop the necessary infrastructure, including information technology systems, to ensure a coordinated approach to enhancing the protection and safety of the food supply;
  • Improve scientific capacity by establishing science-based training programs and investing in improved surveillance and testing technologies;
  • Enhance FDA's recall authority, and
  • Expand foodborne illness awareness and education programs.

King County Bar Association's 2008 Outstanding Lawyer Award

In the last four weeks I have been home in Seattle a total of about four days.  I have crossed the country several times testifying before the US House and the CA Senate about food safety, as well as talking to industry groups.  I have also been spending too much time with lawyers.  I did make some progress on the 2006 Wendy’s E. coli outbreak in Utah and was able to resolve three more HUS cases from the 2006 Dole Spinach E. coli outbreak.  A bit ragged, I was heartened by a letter I received from the King County Bar Association today announcing that they had selected me for their “2008 Outstanding Lawyer Award.”  Will wonders never cease?

According to their website, the King County Bar Association provides support to its diverse membership; promotes a just, collegial and accessible legal system and profession; works with the judiciary to achieve excellence in the administration of justice; strives to benefit the community through its own efforts and those of its Foundation; and offers opportunities for public service and input into matters of public policy.  Founded in 1886 and incorporated in 1906, the King County Bar Association is the largest voluntary bar association in the state of Washington, with approximately 6,000 members.

Hmmm, there certainly must be many more outstanding lawyers here in Seattle.  Perhaps they felt sorry for my travel schedule?  Who would want to leave?

Test the Westland/Hallmark Recalled Meat.

Once again, Stephen J. Hedges of the CHICAGO TRIBUNE is on top of the issues surrounding the slaughter of “downer” cows, and the risks (or not) to our food supply.  His article, “The Last Roundup” appeared in the BUFFALO NEWS yesterday morning. It is a must read for those thinking about the safety and financial implications of using “downers” to feed school kids.  I have written on the topic a few times – see, “Should all downers be banned from the food supply” and “The raw economics driving the use of downers.”

I can not tell you how many phone calls I have received since the story of the abused cows caught on video broke.  Parents and School Administrators are concerned about the meat they received as 37 million of the 143 million pounds of meat recalled were bought by the USDA for nutrition and school lunch programs.  E. coli, Salmonella and Mad Cow are the primary worries.  Although there have been no reported illnesses, and the risk of contracting Mad Cow Disease is remote, parents are rightly concerned.

Here is a thought.  Although most, if not all, of the meat has either been consumed or destroyed at this point, would in not be interesting to test what can be found?  Frankly, I do not know what the test results would show, but if tests were negative, it would certainly ease parents concerns.  On the other hand, if positive, it would certainly reinforce concerns already raised on the use of “downers.” So, USDA, “WHERE IS THE BEEF?”

The Raw Economics Driving the Use of Downers

This is the land of capitalism.  So, we all know that when it comes to using Downers, or non-ambulatory cows, there has to be that raw underbelly of profit or, perhaps more accurately, the illusion of profits.  Let’s examine if the use of downers makes good economic sense.

First some background: In the U.S., we both import and export slaughtered beef and dairy cattle. According to USA Today, some 35 million U.S. cattle are slaughtered each year in the U.S.  According to a recent report by JAVMA, the exact number of nonambulatory cattle on US farms or feedlots or sent to slaughter facilities is difficult to ascertain. However, estimates may approach 500,000 animals per year according to a recent JAVMA report.

According to that same report, the incidence of nonambulatory cattle is greater among dairy than among beef breeds.  There are limited data on the food safety of beef produced from nonambulatory cattle sent to slaughter facilities.  However, the prevalence of E. coli O157:H7 and Salmonella was greater in nonambulatory than in ambulatory dairy cattle.  The causes for nonambulatory cattle range from loss of calcium due to milk production, calving injuries, broken legs or neurological conditions.

Certainly, some of these downer animals could be safe additions to the food supply.  Would it make sense to have more rigorous inspection as animals arrive to slaughter by qualified inspectors to exclude animals that pose a risk?  Or, is it simply better to exclude them all?

Continue Reading...

Off to California Agribusiness Executive Seminar


I leave for Monterey in the morning to attend Tuesday's General Session – Food Safety.  The instructor is Roberta Cook who wrote a brilliant paper for the session.  I will be on the Panel Discussion with:
  • Dr. Robert Brackett, Senior Vice President and Chief Science and Regulatory Officer, Grocery Manufacturers Association
  • Joe Pezzini, Vice President of Operations, Ocean Mist Farms, and Chairman of the Board of Directors, California Leafy Greens Marketing Agreement
  • Dr. Trevor Suslow, Affiliate Scientist, Western Institute for Food Safety and Security, and Cooperative Extension Specialist, Department of Plant Sciences, UC Davis
The Full Brochure and Schedule are linked here.

Should ALL "Downers" be banned from the food supply?

I am thinking about the reasons, ethically, medically and financially why we allow "downer" cattle into our food supply - at any level.  Over the next few days I will give you my thoughts.  Please feel free to weigh in. 

To put things in context, The USDA suggested, and Westland/Hallmark issued, the largest beef recall in history (143 million pounds of meat and now recalls have been issued for retail food items containing traces of the banned beef) just a few weeks ago. This all after the Humane Society released undercover video showing workers at Westland/Hallmark shoving sick or crippled cows (a.k.a. “downers”) with forklifts to get them to stand. So, what is a “downer?”
9 CFR 309.2(b) permanently replaces the term “downer” with non-ambulatory disabled livestock. 9 CFR 309.2(b) continues to define “non-ambulatory disabled livestock” as livestock that cannot rise from a recumbent position or that cannot walk, including, but not limited to, those with broken appendages, severed tendons or ligaments, nerve paralysis, fractured vertebral column, or metabolic conditions.
So, what’s the beef?  In 2004, the USDA tightened regulations to prohibit the slaughter of all "downer" cows — animals that cannot stand (non-ambulatory) — after a case of bovine spongiform encephalopathy (BSE), or mad cow disease was discovered in Washington State.  After that the U.S. Department of Agriculture's Food Safety and Inspection Service (FSIS) prohibited the slaughter of cattle that were unable to stand or walk when presented for pre-slaughter inspection.  The inability to stand or walk could be a clinical sign of Bovine Spongiform Encephalopathy (BSE).  The New York Times has recently reported that the disease is extremely rare in the United States, but of the 15 cases documented in North America, most in Canada, the majority has been traced to downer cattle.  Seems another reasonable rationale for keeping downers out of the food chain?

Another positive effect of the 2004 incomplete downer ban was that it might reduce other illnesses as well.  A USDA study published in August 2004 found that downer cows had three times more of the deadly bacterium E. coli O157:H7 than other cows.  Salmonella also seemed to be more prevalent.  According to a recent report by the Chicago News Tribune, downer cows typically have often have been milked for several years, leaving their bodies without the muscle, fat and calcium of grazing, well-fed beef cattle.  In addition, dairy cows also can carry some common maladies, including mastitis, a bacterial infection of the udder; foot rot, which they can develop standing for long periods in manure, mud and damp straw; and Johne’s (pronounced yo-neez) disease.  Scientists think these diseases are not carried into the human food chain, with one exception.  Health and animal scientists are currently debating whether the traits of Johne’s are responsible for Crohn’s disease in humans.  Crohn’s disease is an intestinal disorder that can cause inflammation of the colon, severe abdominal pain, diarrhea and weight loss.  Hmm, seems like another good rationale for keeping downers out of you hamburger?

But have downers been excluded from our meat supply?  In addition to the recent “caught on video moment,” the GAO has found instances where slaughter facilities have in fact put downers through the system.  A 2006 audit (PDF) by the USDA's inspector general found downer cows were still being processed for food and that USDA's policy was inconsistent.  At two of 12 plants visited from June 2004 to April 2005, downer cattle were slaughtered for food.  One facility processed 27 of them, the other slaughtered two.  There are those instances where both the animals and the rules have been abused.  A U.S. Department of Agriculture rule change made in July 2007 specifically allows some sick or crippled cows into the food supply.  Under the rule, cattle that are injured after they pass pre-slaughter inspection will be reevaluated to determine their eligibility for slaughter.  Also, veal calves that cannot stand because they are tired or cold may be set apart and held for treatment and re-inspection.  The basis for the rule change/clarification is that cows that fell down after an initial veterinarian inspection but appeared otherwise healthy could still be slaughtered. The Humane society alleges in lawsuit filed in U.S. District Court in Washington, D.C. to block the usage of all downer cattle.

So, ethically (from the cows' perspective at least) appropriately dealing with sick, injured and dying cows need to be considered.  Protecting the food chain from BSE, E. coli, Salmonella and Crohn's also seems to make sense.  So, what's the problem?  The economics of this all to follow.

I may take a break from blogging for a day or so - no way

Taking a "break" from the testimony, food safety conferences and upcoming legal work in California and Utah, I took a great hike today to a "falls" outside of Phoenix in the desert.  Well, you should all be thankful that I am a far better lawyer that walker.  Thankfully, there was a great Urgent Care Center to take care of this clumsy lawyer.  Thanks to PA Dan - a.k.a. "Doogie Houser" - the fellow looked 16 years old but did a great job of setting the below:

Mr. Bill Goes to Washington - Again

NEWS RELEASE
Committee on Energy and Commerce
Rep. John D. Dingell, Chairman

For immediate release: February 19, 2008
Contact: Jodi Seth or Alex Haurek, 202-225-5735

MEDIA ADVISORY:
Oversight and Investigations Subcommittee
Hearing on Food Safety

Washington, DC – On the heels of the latest major meat recall, the Committee on Energy and Commerce’s Subcommittee on Oversight and Investigations announced today that it will hold a hearing next week on food safety with the Chief Executive Officers (CEOs) of major food producing companies testifying.

The hearing, entitled “Contaminated Food: Private Sector Accountability,” will be held on Tuesday, February 26th at 10:00 a.m. in room 2322 of the Rayburn House Office Building.

“As the Committee moves forward with legislation to address the food safety crisis in the United States, it is important that we understand the effect of lax regulation,” said Rep. John D. Dingell, the Chairman of the Committee on Energy and Commerce. “I’m pleased that we will have before us the presidents and CEOs of some of the companies that have produced contaminated food in the past year, and I look forward to not only asking them why the incidents involving their products occurred, but also what our regulators were doing during these incidents.”

The Subcommittee has issued invitations to the witnesses listed below. Should witnesses refuse to testify voluntarily, the Committee may be compelled to subpoena them. Invited witnesses include:

        Panel I
Mr. William D. Marler, Managing Partner of Marler Clark, LLP, PS - CONFIRMED
Mr. Jerome Campbell, Assistant Director California Department of Pesticide Regulation - CONFIRMED
Mr. John Williams, Executive Director of the Southern Shrimp Alliance - CONFIRMED
A Representative from the Humane Society is also expected to testify on the first panel.
        Panel II
Mr. Gary M. Rodkin, CEO of ConAgra Foods, Inc.
Mr. Keith Shoemaker, President and CEO of Butterball, LLC.
Mr. Christopher D. Lischewski, President and CEO of Bumble Bee Foods, Inc.- CONFIRMED
Mr. Rick Ray, President and CEO of New Era Canning Company.- CONFIRMED
Mr. David DeLorenzo, President and CEO of Dole Food Company
Mr. Steve Mendell of Westland/Hallmark Meat Company
        Panel lll
Mr. David Eisenberg, ANRESCO Laboratories - CONFIRMED
Dr. Robert E. Brackett, PhD, Senior Vice President and Chief Science and Regulatory Affairs Officer for the Grocery Manufacturers Association - CONFIRMED

CDC Long-term Study of Nation's School Children and Congressional Hearings on Safety of United States Beef Supply Needed

The largest recall of beef in U.S. history – over 143 million pounds - and the solid evidence that USDA has failed to enforce its own ban against downer cattle being used in the nation’s school lunch program, demand immediate action by Congress says food safety attorney William D. Marler.  As I said to USA Today:
The huge recall will put the safety of the U.S. beef supply "front and center" in Congress, said William Marler, a prominent food-safety lawyer.
Marler says Congress should call hearings on the safety of the beef supply in the United States and provide funds to the Centers on Disease Control to study children for bovine spongiform encephalopathy (BSE or mad cow disease) who consumed the meat supplied to the National School Lunch Program.

“The link between cattle that are too sick or injured to stand or walk, and bovine spongiform encephalopathy (BSE or mad cow disease) has been clearly established.” Marler said. “We were promised that the procurement specifications eliminated “downer” cattle from the National School Lunch Program and the USDA fully banned “downer “cattle from the human food chain in 2003.”

“In light of the Hallmark/Westland Meat Packing Company, which was caught on film processing “downer” cattle, in violation of U.S. law, we now know that USDA ban was a lie,” added Marler. “Since BSE typically will not show symptoms for years, we need the CDC to track school children who might have been exposed.”

“And let’s not forget the risk of E. coli O157:H7. Since April of 2007 until this morning, another 30,000,000 pounds of red meat, mostly hamburger, had been recalled. E. coli illnesses once on a downturn have spiked. Kids are getting sick; seriously sick again,” said Marler. According to a USDA study published in August 2004 “downer” cows had three times more E. coli O157:H7 than other cows.

“One would think that with hundreds of Americans poisoned that Congress would ask one simple question – “What is going on?” Congress needs to act now. It is time for Congress to accept a leadership role and call hearings, not only to explore the reasons for the past months’ E. coli outbreaks, but also to help prevent the next one. Congress needs to fulfill its role of providing oversight to the other branches of government, especially investigative oversight,” added Marler.

It Is Easier To Catch The Small Fry

Meet Michael A. Ramos, San Bernardino County District Attorney. He has just filed criminal charges in the Westland/Hallmark Meat Company's mistreatment of downer cows.

We are not, at least at this point, going to see Westland/Hallmark President Steve Mendell being taken away in handcuffs. No, neither Mendell nor any other Westland/Hallmark corporate officials being "frog-marched" passed the media.

No, but according to the Los Angeles Times "Daniel Ugarte Navarro of Pomona faces up to eight years and eight months in prison if convicted of five felony counts of animal cruelty and three misdemeanor counts of illegal movement of a non-ambulatory animal. Navarro, who was a head pen manager at Hallmark Meat Packing, was fired last month after the release of the video by the Humane Society of the United States.

A pen manager? The LA Times also reports "authorities today also filed three misdemeanor counts against 32-year-old Luis Sanchez of Chino, who worked directly under Navarro and was also fired last month. Sanchez faces up to three years in prison if convicted.  Here is a great quote from the LA Times:
Neither Navarro nor Sanchez appeared at their arraignments Friday afternoon at a Chino courthouse. Warrants were issued for their arrest.

Reached at his home Friday, Sanchez, a father of two, said he regretted his actions and that he was only following orders.  "I did it because they ordered me to. I obeyed them; if not, I lost my job," Sanchez said in Spanish. "I knew it was illegal but they obliged me to do it." Sanchez said he is an undocumented immigrant from Mexico and that he worked at Hallmark for six years before he was fired last month. He is not represented by an attorney.

Perhaps we should hire one for them.  We guess Sanchez was trying to work his way up to "pen manager." He was probably the other guy fired immediately by Westland/Hallmark after the Humane Society went public with its videotape.

"Downer" cows, which are many more times more likely to spread Mad Cow disease, were being routinely mistreated at the Westland/Hallmark Chino slaughterhouse. Are we to believe that responsibility for these practices stop with a "pen manager" and his trusty companion?

Schools nationwide have been forced to pull beef from their menus and leave it stacked in their freezers until this mess is cleaned up. On one hand, we have to give D.A. Ramos credit for filing at least some criminal charges in this matter. However, one has to wonder where is the U.S. Justice Department?

Or how about Homeland Security? What's more important than protecting the security of the food supply going into every school lunch program in the country.  There really are better ways to humanely deal with sick and injured cows.

Maybe if the feds would put their considerable resources to work they could find away to charge someone higher up than a "pen manager." D.A. Ramos says "We want to send the message that this kind of behavior will not be tolerated."

That message Mr. Ramos would be better sent by charging those in charge.

Seattle Spring Food Safety Seminar - April 11-12, 2008

I must admit this Seminar is coming together nicely.  Registrations are pouring in.   Click below and download the Brochure and Registration Form.

USDA Extends Meat Ban at Westland Meat

USDA officials extended a ban on use of meat from a Chino slaughterhouse shut down last week for mistreating cattle. It also said the Westland plant had been cited in 2005 for using electric prods on animals. This was the same year that Westland Meat Company was awarded “The Supplier of the Year for 2004-2005 for the National School Lunch Program.”

Shocking?

According to AP reports, USDA officials insisted Friday that investigations have found no evidence that meat from disabled animals has entered the food supply despite video to the contrary. Humane Society President and Chief Executive Wayne Pacelle disputed that claim by USDA.

"There's no ambiguity in our mind that this plant was accepting downers, abusing downers and slaughtering downers."

Why is this all important?  Federal regulations call for keeping downer cows out of the food supply because they pose a higher risk of E. coli, salmonella contamination, or mad cow disease since they typically wallow in feces and their immune systems are often weak.  Yummy!

A Silver Bullet for E. coli?

According to Bioniche and press reports, the USDA has agreed to grant a conditional license to Bioniche for its E. coli O157:H7 Cattle Vaccine.

Is this the “silver bullet” to solve the recent uptick in E. coli recalls and human illnesses? I have had the opportunity to meet with Bioniche scientists and executives over the years and am pleased to see a potential weapon against these deadly bacteria. The Bioniche vaccine prevents the E. coli O157:H7 bacteria from attaching to the intestines of vaccinated cattle, thereby reducing their reproduction within the animal, and reducing the amount of bacteria that can be released through cattle manure in the environment.

I am looking forward to the continued study of this promising vaccine.  Clearly we need it.  I found this great chart on the Ethicurian about the increases in recalls:

In the last 15 years here are a few of the defendants we have sued on behalf of E. coli victims:

AFG, AgVenture Farms, Bauer Meats, BJ's Wholesale Club, Byerly's, Cargill, Carneco, China Buffet, ConAgra, Crossroads Farm Petting Zoo, Cub Foods, Dole, Emmpak, Excel, Finley School District, Fresno Meat Market, Gold Coast Produce, Golden Corral, Habaneros, Interstate Meats, Jack in the Box, Karl Ehmer, Kentucky Fried Chicken, Kids Korner Day Care, King Garden, Lane County Fair, Lunds, Odwalla, Natural Selections, Olive Garden, Organic Pastures, Peninsula Village, Pat & Oscar's, PM Beef Holdings, Robeson School District, Sam's Club, Sizzler, Spokane Produce, Sodexho, Supervalu, Taco Bell, Taco John's, Topps, United Food Group (UFG) and Wendy's

I guess they all could have used a bullet or two?

Who's Minding the Store? - The Current State of Food Safety and How It Can Be Improved - Friday & Saturday, April 11 & 12, 2008



"Seminar in Seattle" - Registration Below.  Few subjects draw more immediate attention or concern than the safety of the food we eat. Recent years have included a plethora of food warnings and recalls, raising new questions about the quality and integrity of our existing system for assuring food safety. Seattle was the epicenter of the Jack in the Box E. coli outbreak that sickened 600 and killed four 15 years ago. In addition to explaining how our present system works, this program is intended to discuss how changing consumer preferences are affecting the development and distribution of food, examine whether Federal, state and industry oversight roles are changing, and discuss how the regulatory and judicial processes can be most efficiently balanced. Participants include international, national and local representatives of government, the food industry, consumer organizations and scientists.

FRIDAY, April 11th
 
8:30-9:15 AM                 Opening  Remarks:  Dean Kellye Testy

9:15-10:45 AM               Defining the Problem:  How the concerns about food safety are viewed by physicians, disease experts, state regulators, and consumers.

Barb Kowalcyk
Carlota Medus
Richard Seigler
Tom Billy
Sandra McCurdy


11:00-12:30 PM             How the Regulation of Food Safety Works:  The roles and responsibilities as seen by Federal and State regulators, industry and consumers.

Bob Brackett  
Mansour Samadapour
Christine Bruhn  
David Goldman  
Bala Swaminathan

 
12:30-1:45 PM               Lunch Speaker:  Governor Christine Gregoire

1:45-3:15 PM                 Zones of Responsibility: Grower/Producer; Seller; Government; Consumer.

John Munsell
Craig Wilson
Scott Rickman
Caroline Smith DeWaal
Andy Benson
Devon Zagory  

 
3:30-5:00 PM                 Roles of the Civil/Criminal Justice Systems: Perspectives of plaintiffs, respondents, and prosecutors.

Sarah Brew
Neal Fortin
Al Maxwell
Denis Stearns
Brad Sullivan

 
6:30-8:30 PM                 Dinner Speaker:  Richard Raymond
                    
SATURDAY, April 12th

8:30 -9:00 AM                Opening Speaker:  Patricia Griffin

9:00-10:30 AM               How is Food Protected Overseas?  International Perspectives on Food Safety.

Chris Griffith
Deon Mahoney
Canice Nolan
Jørgen Schlundt
Ge Zhirong


10:45-12:15 PM             Role of the Media in Public Health and Food Safety:  The contributions of media and science writers to Food Safety.

Phil Brasher
Steve Hedges
Doug Powell
James E. Prevor
Andy Martin


12:15-1:30 PM               Closing Remarks:  John Kobayashi

Do not miss this.  For more information and to register or PDF (Titles for all speakers, who frankly do not need them, to be added).

E. Coli Lawyer Is Busier Than Ever

SAN FRANCISCO (AP) — A girl fell into a 40-day coma after eating a bad Jack in the Box hamburger. Fifteen years later, she is still suffering ill effects. That doesn't bode well for a toddler who spent six weeks in the hospital in 2006 after eating E. coli-tainted spinach from California.

But both have lawyer William Marler in their corner — and that's no small consolation.

The Seattle-based Marler is the undisputed king of food poisoning litigation. He has made good money from bad food, ringing up more than $300 million in settlements for his clients in the rapidly growing legal field of food safety.

"There is a sense of complacency in the meat industry that believes, `Hey, we solved that problem and we don't have to watch it so much,'" says Marler, whose career has proved otherwise.

The Centers for Disease Control and Prevention estimates that food poisoning each year afflicts some 76 million Americans; 300,000 require hospitalization and 5,000 die.

Many victims end up hiring Marler, who took his first food poisoning case in 1993, during the Jack in the Box E. coli outbreak in the Pacific Northwest that sickened hundreds and killed four children.

"Bill was certainly at the right place at the right time entering the field of food safety litigation," says Caroline Smith DeWaal, who is in charge of food safety at the nonprofit Center for Science in the Public Interest in Washington. "I see him in kind of a private attorney general role."

Marler, 50, operates three dozen Web sites dedicated to food-borne illnesses. He is a tireless blogger on all things food safety and appears in front of federal and state lawmakers and regulatory boards. The license plate on his wife's Volkswagen reads ECOLI.

In all these cases, Marler has gone to trial just once, winning a $4.6 million verdict against a Washington state school district where 11 children got E. coli poisoning in the cafeteria.

Instead, he adroitly uses his sympathetic clients — and the media — to shame food producers into settling.

"I don't apologize for that," he says. "The publicity helps generate change."

The past year has been a busy one for Marler's six-lawyer firm, which has about 1,000 active cases in all 50 states. The clients typically pay their lawyers 25 to 35 percent of their settlements.

The targets of Marler's lawsuits include the Topps Meat Co., which recalled 21.7 million pounds of its hamburger patties in September — the second-biggest U.S. beef recall ever — then went out of business. When Cargill Inc. recalled 840,000 pounds of beef patties the following month, it brought more lawsuits by Marler.

He is also suing ConaAgra Foods Inc., which recalled its Banquet chicken pot pies and Peter Pan peanut butter last year after they were found to be contaminated with salmonella.

"He's a good lawyer and he does a fine job for his clients," says Leo Knowles, ConAgra's top lawyer. "He's passionate about food safety. At times he's a little bit overly dramatic, but I think he's genuine."

Marler continually implores the food industry to "put me out of business" by adopting more stringent safety procedures. He sent the lettuce industry a letter in 2006 in which he called on growers to stop using irrigation water contaminated with cattle and human feces, to wash fruits and vegetables more thoroughly, and to provide field hands with bathrooms.

"These steps will help make our food supply safer and will enable us to keep our most vulnerable citizens — kids and seniors — out of harm's way," he wrote. "And, with a little luck, it will force one damn trial lawyer to find another line of work."

Marler holds degrees from Washington State University and the Seattle University School of Law. He has no formal scientific training but has immersed himself in microbiology and DNA tracing, and his firm has a scientist on staff on whom he relies.

Marler handled about 150 cases from the deadly 2006 E. coli outbreak involving California spinach, settling roughly half those cases so far with companies such as Dole Foods. Among the clients whose cases are still unresolved is 3-year-old Ashley Armstrong of Indianapolis, whose kidneys were so damaged she will have to take medication for the rest of her life and will probably need a transplant, according to her mother.

He also has been settling dozens of cases against Taco Bell stemming from a 2006 E. coli outbreak that sickened 71 people in five states.

Marler fell into food safety litigation almost by accident.

Brianne Kiner, 9, of Seattle was the first among hundreds who fell ill in the Jack in the Box outbreak. Six lawyers trekked to her bedside during the six months she spent in the hospital, hoping to represent the family. The Kiners hired Marler, a young associate at a mid-size law firm who had never worked on a food case.

"I wanted a young, hungry lion," recalls Suzanne Kiner, Brianne's mother. "He was also the only one who looked at her and teared up."

Against all odds, Brianne survived and lives in a house bought with some of the $15.6 million Marler extracted from the restaurant chain for the Kiners. But Brianne, now 25, still suffers from high blood pressure and immune system damage that makes her prone to colds and flu.

"I call him Uncle Bill," the young woman says. "I think it's incredible what he did, and I'm very thankful that he helped me."

Marler says: "When I started doing the Jack in the Box case in 1993, I never dreamed that I would be doing this in 2008. Unfortunately, it never seems to slow down."

"Bug Sites" Updated

In 1998 when I started Marler Clark, Al Gore had only recently invented the internet (only kidding).  Search Engines were new and Google was probably being run out of someone's basement.   Because I was in the middle of many of the earliest food poisoning battles, like Jack in the Box and Odwalla, I had a lot of research collected on most of the nasty bugs that plague our food supply and the illnesses caused by contracting them.  I decided to put the research up on the internet as a way of sharing the information.  Over the years we have kept them up to date with the latest research and have now completely redesigned the look, and hopefully their usefulness.  I would love any comments.  Feel free to ad them as a link on your site.

* Campylobacter

* E. coli

* Hepatitis A

* Listeria

* Norovirus

* Salmonella

* Shigella

* Foodborne Illness

* Guillain-Barre Syndrome

* Hemolytic Uremic Syndrome

* Reiter's Syndrome


Other "bugs" of interest:

Cryptosporidium, Cyclospora, Mad Cow, Botulism and Enterobacter Sakazkii

From our Press Release:

“We have heard time and again how valuable the information provided on these sites is to parents whose children are in the hospital. When your kid is sick, you arm yourself with as much information as you can, and these sites provide a comprehensive look at these ‘bugs’ and the illnesses they cause,” commented William Marler, managing partner of Marler Clark.

The sites also provide information related to high-profile food poisoning outbreaks that have occurred in the last 15 years. “Since Marler Clark has represented victims of nearly every major foodborne illness outbreak in the last fifteen years, we felt it was important to share the details of these outbreaks with anyone doing research on a particular pathogen,” Marler continued.

Marler Clark has represented thousands of victims of foodborne illness outbreaks since the 1993 Jack in the Box E. coli outbreak. The firm has resolved $300 million worth of cases on behalf of food poisoning victims, bringing claims against such food-companies as AFG, BJ’s Wholesale Club, Blimpie’s, the Brook-Lea Country Club, Byerly’s, Cargill, Carl’s Jr., Carneco, Carrabba’s Italian Grill, Chi-Chi’s, Chili’s, China Buffet, ConAgra, Cub Foods, Dole, Emmpak, Excel, Filiberto’s, Finley School District, Friendly’s, Gate Gourmet, Gold Coast Produce, Golden Corral, Habanero’s, Harmony Farms, KFC, King Garden Restaurant, Lund’s, Malt-O-Meal, McDonalds, Natalie’s Orchid Island Juice Co., Natural Selections Foods, Odwalla, Olive Garden, Paramount Farms, Pat & Oscar’s, PM Beef Holdings, Quality Inn, Quizno’s, Regent Beverly Wilshire Hotel, Robert’s American Gourmet (Veggie Booty), Sam’s Club, San Antonio Taco, Senor Felix, Sheetz, Silver Grill Location Catering, Sizzler, Sodexho, Spokane Produce, Subway, Sun Orchard Juice Co., Supervalu, Sushi King, Susie Cantaloupe, Taco Bell, Taco John’s, Topps, United Food Group (UFG), Viva Cantaloupe, Wal-Mart, and Wendy’s.

Seattle Morning Sky

I donate to International Food Safety Network, or is it "Barfblog?"

From the pages of "Barfblog:"
Fifteen years ago this week, Seattle lawyer Bill Marler and Kansas State University professor Douglas Powell were drawn into the food safety arena when the Washington Department of Health announced that Jack in the Box restaurants were the source of a multi-state outbreak of E. coli O157:H7 infections. Now, the two are teaming up to further promote awareness of food safety.

Marler, who has represented thousands of victims of E. coli and other foodborne illness outbreaks since representing more than 100 victims of the Jack in the Box outbreak, has pledged to donate $25,000 to Powell's group, the International Food Safety Network -- iFSN -- at Kansas State University. The group, which was formed in 1993 when Powell began researching the impact and influence of food safety information on farmers, processors, retailers, consumers and regulators, produces several electronic mailing lists to disseminate food safety information across the globe. In addition, Marler has pledged to match all other donations made to iFSN in 2008, up to $25,000.

In thanking Marler for the donation, Powell said, "All money donated to iFSN will be used to fund students in developing and carrying out a variety of projects. These will focus on the use of new media and new messages to compel individuals from farm-to-fork to take steps to reduce the incidence of foodborne illness.

"Bill Marler is an outstanding advocate for food safety and understands that microbiologically safe food just doesn't happen," said Powell. "Any lawyer can talk the talk. Bill walks the talk."

The U.S. Centers for Disease Control and Prevention estimates that 76 million Americans get sick and 5,000 die each and every year after consuming contaminated food and water. The Jack in the Box outbreak in the Pacific Northwest, which killed four and sickened over 600, was the tipping point for American public awareness of the risks posed by dangerous microorganisms in food.

I actually did it for the t-shirts.

Food-Borne Illness Litigation

Advanced Strategies for Managing and Defending Food Contamination Claims

Thursday, February 28, 2008 to Friday, February 29, 2008
Millennium Resort, Scottsdale McCormick Ranch, Scottsdale, AZ, United States

Overview

2007 was the year of the recall, with E. coli contamination increasing sharply in 2007 over the previous two years. And it's not just beef recalls and E. coli contamination that are making the news... Peanut butter, spinach, pot pies and pizza; salmonella, listeria and other toxins... All kinds of food-borne illnesses and the ensuing litigation are on the rise, as experts point fingers at increased use of offshore food sources, a largely self-regulated industry, and other factors in an attempt to explain the sudden surge. It's clearly a critical time for food companies, and the lawyers who advise them, to get valuable, practical information to enable you to minimize the likelihood of these situations and the ensuing litigation from occurring - and to manage the litigation appropriately when it arises.

To address these growing concerns, American Conference Institute has developed this critical conference on Preventing and Managing Food-Borne Illness Litigation. For this unique event, we've assembled a multi disciplinary faculty of epidemiologists, microbiologists, key regulators and top litigators in the area, and an agenda that covers all the issues that arise in litigating and settling these complex cases. Get strategic and practical insights into:

*Understanding the science behind tracing and identifying a pathogen - so you can make or refute the causal link in your case

*Getting back on track with consumers after a crisis:getting out the right message

*Using Freedom of Information Act (FOIA) requests:why they are such an effective discovery tool in food borne illness cases

*Deposing food-borne illness experts: tips and techniques

*Effect of insurance coverage issues on how you proceed in a third party action

*Analysis of where plaintiffs been most successful in food-borne illness class actions and MDL proceedings

Don't miss this unique opportunity to hear what others are doing in response to this growing, highly-specialized litigation. Get your questions answered and get valuable tips and practice points you can use in your own cases. Spaces will go quickly, so register now for this important event. We look forward to seeing you in Scottsdale in February.

To register, visit www.americanconference.com/foodlit, or call 1-888-224-2480. Hope to see you there!

A Room With A View

Marler Clark to Test Retail Hamburger for Non-O157:H7 Pathogenic Shiga Toxin Producing E. coli

2007 was a record year for hamburger-related food safety recalls - over 20 individual recalls involving over 33 million pounds of meat. Because of the failure of the beef industry and government to protect the public, the law firm of Marler and Clark has approved a project to commission a baseline study to determine the prevalence of non-O157:H7 pathogenic shiga toxin producing E. coli (STEC) in retail ground beef.

Non-O157 STEC are capable of causing the same debilitating triad of diseases as E. coli O157:H7, including hemorrhagic colitis, hemolytic uremic syndrome, and thrombotic thrombocytopenic purpura. Infection with the non-O157 STEC can result in death in children, the elderly and the immunocompromised. According to the U.S. Centers for Disease Control and Prevention, the number of reported cases of illnesses caused by this group of pathogenic E. coli has been steadily increasing over the past several years. Despite this, Non-O157:H7 STEC is not considered an adulterant under current law in the U.S.

Non-O157:H7 STEC are also known to occur in imported beef from several trading partners, yet the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS) has not required that imported beef be free of these pathogens. The Agency has also failed to devise steps to measure and control the presence of these pathogens in domestic beef production and the ground beef supply, at the slaughterhouse or the grocery store.

The law firm of Marler and Clark will take the unprecedented step of commissioning a baseline study to determine the prevalence of these organisms in the United States ground beef supply. During the one-year course of the study a total of 5,000 samples will be analyzed for the presence of these organisms. Positive samples will be archived and the genetic fingerprints of the isolates will be provided to the Centers for Disease Control and Prevention, along with the relevant sample information including the type of ground beef, place of purchase and date of purchase.

Since the 1993 E. coli O157:H7 outbreak tied to the Jack-in-the-Box restaurant chain, the Attorneys at Marler Clark have been at the forefront of foodborne illness litigation in the Untied States. In addition to representing victims of foodborne illness, several times a month the attorneys at Marler Clark, through the not for profit www.outbreakinc.com, speak to industry and government throughout the United States, Canada, China, England and Australia on why it is important to prevent foodborne illnesses. They are also frequent commentators on food litigation and food safety on www.marlerblog.com and they also sponsors several websites related to E. coli, including www.about-ecoli.com, www.about-hus.com, www.ecoliblog.com and www.ecolilitigation.com.  For further contact: Bill Marler, bmarler@marlerclark.com, 1-206-346-1890.

Mao Would Be Proud

I was reading The China Daily (my source of “real news”) and stumbled across this article by Zhu Zhe – “Beijing food, drug safety drive 'complete success.’”  Unlike Food Safety Authorities in every other part of the world, Chinese “[a]uthorities in Beijing Wednesday declared the city's four-month campaign against unsafe food and drugs a "complete success". The campaign, which was part of a nationwide drive launched in August, resulted in 120 tons of substandard food products being either destroyed or removed from shelves, Vice-Mayor Lu Hao told a work conference that was broadcast live on the central government website www.gov.cn.

Other achievements included:

- The confiscation of 7,335 kg of illegally produced salt products and 2,115 kg of meat products that had not gone through proper quarantine checks.

- The destruction of 5,860 tons of fake or highly poisonous pesticides.

- The investigation of 18,000 cases involving the illegal sale of food products.

- The revocation of 15 food exporters' licenses and destruction of 4,000 kg of unsafe imported aquatic products.

- The removal from shelves of 309 kinds of drugs, and orders issued to 165 producers of drugs and medical devices to make corrections, 60 of which had their licenses revoked.

Lu said the safety of food and drugs in the city has been greatly improved following the four-month effort.  Wow, we need to start importing, not only more Chinese food, but Chinese Food Safety Authorities.

We Don't Cover Norovirus Enough

I don't talk about norovirus much on the pages of my blog despite the fact that norovirus is estimated to cause 23 million cases of acute gastroenteritis (commonly called the "stomach flu") in the U.S. each year, and are the leading cause of gastroenteritis. Of viruses, only the common cold is reported more often than viral gastroenteritis (norovirus).  Norovirus may cause more outbreaks of foodborne illness than all bacteria and parasites. They can cause extended outbreaks because of their high infectivity, persistence in the environment, resistance to common disinfectants, and difficulty in controlling their transmission through routine sanitary measures.  I was therefore glad to see the Orlando Sentinel's report on "83 guests suffer norovirus outbreak at Palm Beach resort."


Florida Health officials identified the highly contagious norovirus as the cause of an outbreak that sickened at least 83 people at the Hilton Singer Island Resort. Health officials were called in after three people were hospitalized. Test results confirm that the outbreak was norovirus, a highly contagious virus that causes diarrhea, vomiting, nausea, cramps and other symptoms, officials said.
"It spreads easily and quickly," said Tim O'Connor, spokesman for the Palm Beach County Health Department. "We've asked (the hotel) to completely disinfect everything." The hotel shut down its kitchen Saturday, threw out food and cleaned, so health officials are unable to determine whether the virus outbreak began in the restaurant. "We didn't know what we were looking at," said hotel manager Stan Turner. "If it is food-borne, you know that it's this plate, this salad. But if it's norovirus, it comes from everywhere, so that's unnerving. "The hotel restaurant reopened after staff cleaned the entire property, Turner said. "It has been a floor-by-floor, room-by-room, surface-by-surface process," he said. "We are not resting. We are still cleaning." The hotel restaurant was cited for more than a dozen violations during a December state inspection, but the report noted there was no "immediate threat to the public."
We have taken on several hundred cases of norovirus-caused illnesses over the years.  However, showing how the virus is transmitted is hard.  Was it foodborne?  Was it an ill worker?  Ill patron?

The Missoulian newspaper also reported on the spread of norovirus in the Montana local schools:
It hits fast and hard, and can spread like the latest Britney Spears story. Its symptoms aren't something you want to read about over breakfast.
Health officials Friday stressed the following ways to prevent norovirus infection:

1. Stay at home and away from others if you are ill, and for at least two days after you start feeling better. Food workers should stay home 72 hours.

2. Wash hands thoroughly with soap and water. “Sing happy birthday,” one expert said. “That's about how long you should scrub.” Alcohol-based sanitizers are not effective against norovirus.

3. Clean all possibly contaminated surfaces with a chlorine bleach solution. Use 1/3 cup of bleach in 1 gallon of water for non-porous surfaces (toilets, sinks, countertops). Use 1 2/3 cups of bleach in 1 gallon of water for wooden floors and other surfaces that could absorb vomit splatters.

And, it even ruins weddings - Iowa Couple Sues Restaurant After Rehearsal Dinner Sickens Wedding Party - A central Iowa couple is suing the restaurant where they held their rehearsal dinner the night before their November 2006 wedding. A Polk County Health Department investigation concluded the man who prepared the salad served at dinner that night had stomach flu. The official cause was determined to be norovirus. A total of 71 people became sick. Restaurant owner Paul Trostel said his insurance company has settled with many of the customers who fell ill.

"I feel very terrible about this situation that happened once in 20 years," he said. "It could have happened to any restaurant, but unfortunately it happened at the Greenbriar."

Johnny Depp Gives Two Million to Hospital That Saved His Daughters Life from E. coli O157:H7



According to press reports, Johnny Depp donated two million dollars to the London hospital that saved his daughter's life from E. coli O157:H7. The star wanted to make sure others were helped with his donation and he directed the money to the center for treating eight-year-old Lily-Rose last year. Lily-Rose was admitted to the medical center last March after contracting the life-threatening bacteria which caused her kidneys to fail.


Good for you Captain Jack.

Want Safe Food - Move to China?

China has a population of 1,321,851,888, the United States has 301,139,947. In the United States the Centers for Disease Control and Prevention (CDC) estimates that 76 million foodborne illness cases occur in the United States every year. That is one in four Americans becoming ill after eating foods contaminated with such pathogens as E. coli O157:H7, Salmonella, Hepatitis A, Campylobacter, Shigella, Norovirus, and Listeria. On an annual basis in the United States, approximately 325,000 people are hospitalized with a diagnosis of food poisoning, and 5,000 die.

I know, I know, your thinking Bill is going to talk about his trip last year to China, again. OK, just the facts. Despite have a population over four times ours, China appears to have done what the United States fails to do – make the food supply the “safest in the world.”

According to reports in the Xinhua News service:

The number of reported food poisoning cases in China fell to 177 from the end of August to the end of December, 15.3 percent down from the same period a year earlier, the Ministry of Health said Monday. The number of people affected by food poisoning dropped 40 percent to 4,047 over the past four months, the ministry said in a teleconference on catering safety. It attributed the decline to a nationwide campaign initiated in August on catering sector food safety.

Reuters also weighed in:

China declared on Monday that its four-month campaign to ensure food and product safety had been a total success, with all goals being met months before Beijing hosts the Olympics…. Deputy quality watchdog chief Pu Changcheng was quoted as saying:

"The tasks of the rectification campaign have been fulfilled completely and its objectives have all been reached," Pu told a news conference.

"The illegal practice of using non-food materials and or recycled food to produce and process food has been basically eliminated. The illegal practice of abusing food additives such as preservatives and coloring has been effectively held back."


They really must have been paying attention when I spoke at last year’s Beijing Food Safety Conference. I’m surprised they invited me back.

Marler Clark to Again Sponsor Annual Chefs' Dinner to Benefit Bailey-Boushay House

Event will feature Chef Joseba Jiménez de Jiménez of The Harvest Vine and Txori

Too many cooks in the kitchen will be a good thing on Sunday, Jan. 13, 2008, as more than a dozen of Seattle's best and brightest chefs unite for the 16th annual Chefs' Dinner to benefit Seattle's Bailey-Boushay House, a skilled nursing facility for people living with HIV/AIDS and other complex, life-threatening diseases. Guests will enjoy the best Seattle chefs have to offer at the hors d'oeuvres reception and silent wine auction. An exclusive multi-course dinner featuring entrées by leading culinarians will follow the reception.

Bell Harbor International Conference Center hosts the event. Organizers hope to raise $200,000 to directly support the nutrition program at Bailey-Boushay House.  Last year we raised over $230,000.

"AIDS is not over," said Brian Knowles, Executive Director of Bailey-Boushay House. "The complex nature of the disease requires that our residents and clients receive special care. The need for a facility like Bailey-Boushay House is greater than it ever has been. We owe many thanks to these culinary masters for putting on such a wonderful celebration of our work."

This year's honorary chef, Joseba Jiménez de Jiménez, began his career in Madrid, Spain in 1979. He studied in San Sebastian and Paris and worked for the U.S. Embassy in Spain catering special events. He worked as a consulting chef for 10 years opening more than 20 restaurants in New York and throughout the country before moving to Seattle in 1997. Here he opened a catering company with his wife called The Harvest Vine and later opened a restaurant by the same name. The Harvest Vine was selected by Seattle Magazine as one of Seattle's 10 Very Best Restaurants of 2007.

Featured Area Chefs:

Eric Banh, Baguette Box & Monsoon
Daniel Molina, Bailey-Boushay House
Jay Bartleson, Bell Harbor International Conference Center
Janine Doran, Cafe Flora
Thomas Hurley, Coupage
Peter Kuang, Green Leaf
Byron Schultz, Ivar's
Jim Drohman, Le Pichet & Café Presse
Brock Johnson, Lola
Bo Maisano, Madison Park Café
Michael Barnhouse, Rosebud Restaurant & Bar
Peter Birk, Ray's Boathouse
Walter Pisano, Tulio

About Bailey-Boushay House:

Bailey-Boushay House, opened in 1992, is America's first skilled nursing facility that was planned, funded, built and staffed to meet the needs of people living with AIDS. The nationally-recognized facility provides care for people living with HIV/AIDS and other complex, life-threatening diseases promoting their health, well-being and functional independence. Bailey-Boushay is operated by Virginia Mason Medical Center.

The Cleaner Plate Club Blog - 2007 Food Quiz

I love a late night food quiz when I'm on the road and can not sleep.  Thanks to the folks at the Cleaner Plate Club Blog.  It was sad that I was able to answer most of the questions correctly.  Click on the photo below from the Cleaner Plate Blog to try it yourself:

I especially liked the questions about Topps and Nebraska Beef.  More on those in 2008.

Food Poisoning Lawyer to Talk About How to Avoid Being Sued

I am in Reno (no, I’m not gambling) attending a food safety conference sponsored by the Institute of Food Technologists and the Food Safety Research and Response Network. My talk in the morning is “Minimizing Your Liability Risk and Foodborne Illness Lawsuits.” The PowerPoint is below. Also, for some additional information about how we approach the investigation of an outbreak, please see an earlier paper I wrote “Separating the Chaff from the Wheat : How to determine the strength of a foodborne illness claim.”  You can find it at www.billmarler.com.

A LEGAL HISTORY OF RAW MILK IN THE UNITED STATES

Winston Churchill once said, “There is no finer investment for any community than putting milk into babies.” Perhaps he was right, but at the turn of the 20th century, the process of pasteurizing milk was still in its infancy, and the safety of milk was a preeminent public health challenge. As people in the United States moved from the countryside into cities, their milk supply became increasingly unhealthy. Milk from cows in the country was transported further and stored at higher temperatures than in the past. Milk produced closer to cities came from cows kept under crowded and unsanitary conditions, and as a result, many city residents, especially children, were increasingly getting sick and dying after consuming contaminated milk. (1)
Continue Reading...

Made the WSJ "Law Blog" Again

The Law Blog 2007 Year-End Quiz!

14. What does the wife of foodborne-illness lawyer Bill Marler have on her vanity license plate?

a. RAWMEAT?
b. SALMNLLA?
c. ECOLI?
d. HEPATITIS

Seattle and Ferry Ride Home Tonight

Not much really to say other than thanks to my daughter Morgan for taking the pictures.

Poultry Workers and Pig Farmers May Spread Bacteria Too

Well, the stocking are hung and the presents are all wrapped, and I am surfing the net to see what there is to blog about (my version of the “Night Before Christmas”) when I found this quote:
“Nine billion food animals are produced and slaughtered in the United States annually, and all of those animals are defecating and shedding bacteria, including drug-resistant bacteria…. We are running out of antibiotics to treat human infections.” Lance Price
Antibiotic-resistant bugs have been in the news recently. Some, like Salmonella Newport, have caused illness in consumers of Safeway ground beef.  Newsday recently reported - "Poultry Workers may spread E. coli" – No, not E. coli O157:H7, but gentamicin-resistant E. coli.

Public health investigators at Johns Hopkins University estimate that workers in poultry factories in the United States are 32 times more likely to be colonized with E. coli that repels the antibiotic gentamicin than other people. The drug is used to treat both poultry and humans.

Recently, in a new study, “MRSA prevalent in Canadian pig farms and pig farmers,” published in Veterinary Microbiology found methicillin-resistant Staphylococcus aureus (MRSA) prevalent in Canadian pig farms and pig farmers, pointing to animal agriculture as a source of the deadly bacteria.

The US Government seems concerned enough to at least study the problem of antibiotic resistant bugs in our food supply.  It created the National Antimicrobial Resistance Monitoring System (NARMS) in 1996 as a collaborative effort between the United States Department of AgricultureFood and Drug Administration's Center for Veterinary Medicine and the Centers for Disease Control and Prevention.

The NARMS program monitors changes in antimicrobial drug susceptibilities of selected enteric bacterial organisms in humans, animals, and retail meats to a panel of antimicrobial drugs important in human and animal medicine.  Animal and human isolates currently monitored in NARMS include Salmonella, Campylobacter, E. coli, Listeria and Shigella.  Some selected articles on antibiotic resistance:

Antibiotic Resistance in Listeria, Antibiotic Resistance in Shigella, Antibiotic Resistance in Escherichia coli, Antibiotic Resistance in Campylobacter, Antibiotic resistance in Salmonella

Well, looks like it will be a far too busy and profitable New Year.

Washington Post (finally) weighs in on the E. coli Uptick

Annys Shin, Washington Post Staff Writer, weighed in an article she authored a few days ago - Beef's Wake-Up Recall - A Year of Problems Has USDA Rethinking Safety Rules.  And, here, in part is why the concern:
USDA officials did not learn that Topps had begun testing its ground beef less frequently until the recall. Recurring sanitation problems at a United Food Group plant in Vernon, Calif., that later recalled 75,000 pounds of ground beef did not trigger further enforcement actions because the agency had not told inspectors what to do about repeat violations…. The department has postponed plans to target inspections at plants that had a record of problems because officials do not know which plants pose the greatest risks.
On June 9th of this year I wrote:   From 2002 until a few weeks ago … E. coli illnesses, especially those tied to red meat consumption were down - way down. A report in 2005 released by the CDC, in collaboration with the FDA and USDA, showed important declines in foodborne infections due to common bacterial pathogens in 2004. From 1996-2004, the incidence of E. coli O157:H7 infections decreased 42 percent.  Now that was, and still seems, significant. We saw the same results in our law firm. From 1993 (Jack in the Box) to 2002 (ConAgra), 95% of the cases in our office were E. coli cases tied to red meat consumption. After 2002, we saw enormous drop in clients, and more importantly, ill people nationwide. Recalls fell to nothing. That is until six weeks ago. The last six weeks look like the late springs and summers from 1993 to 2002, when hamburger recalls and E. coli illnesses were a large part of every summer – much like vacations and baseball season. 

That was written before - now bankrupt - Topps recalled 21,000,000 pounds of meat and food giant, Cargill, recalled another 1,000,000.  I then posted, "Why the Uptick in E. coli cases” and “Uptick in hamburger E. coli contamination and recalls.  My last post on the "Uptick" was "E. coli O157:H7 back with a vengeance."  Hopefully, now that the Washington Post has jumped in, maybe our politicians will read their local newspaper - assuming they know how to read.

World's Greatest Commute

This is a view from the back of the ferry commuting to Seattle this morning.  The snow-covered mountains you see are the Olympics - height - 7,500 feet.

My interview on Progressive Talk Radio

Marler Radio InterviewI recently did an interview with Don Riggs, the host of Introspect Northwest, which airs on KMPS-FM 94.1 at 6:00 a.m. on Sunday, and on KPTK-AM 1090 at 9:00 a.m. on Sunday.  Don and I talked about food poisoning lawsuits during our interview.  You can listen in on Sunday at 9 a.m. here:  radiotime.com

China to meet lowly US Standards?

I read this morning that China and the United States have signed an agreement that aims to ensure Chinese food, drugs and other exports meet US standards – now I’m worried. What concerns me is not that Chinese producers of the affected products must register with local authorities and submit to annual inspections, but the purpose is to ensure US standards are met. Given that US Corporations do such a terrific job of poisoning our own citizens, I am worried that China is only trying to meet US standards.  That is not a lofty goal.

Getting China down to our standards - that’s the goal I guess.  Also, the New York Times reported – “China and U.S. in Food Safety Accord” – according to the article:
Michael Leavitt, secretary of health and human services, said he expected that officials of the United States Food and Drug Administration would eventually be embedded in China’s food safety bureaucracy to help train Chinese officials and keep records on their inspections.
So, let me get this right – last week we heard that the FDA did not have enough inspectors to deal with manufacturers in this country, or at the border, but we can loan inspectors to China to lower their standards to ours – that’s brilliant.

Marler Family Science Project

Olivia worked on her Science Project yesterday.  No, it was not a food project, it is a representation of a plant cell and a few of the key parts. 

Chloroplasts (green stringy thing) are found in plant cells. They capture energy from the sunlight and use it to produce food for the cell (photosynthesis).

Mitochondria (red stringy thing) provide the energy a cell needs to move, divide - in short, they are the power centers of the cell.

Cell Membrane (inner part of the Tupperware) protects the cell and regulates the substances that enter and leave the cell wall (Tupperware).

Golgi Bodies (white wormy things) primary function as the cell’s mailroom. They receive proteins and send them to other parts of the cell.

Ribosomes (red balls) function is to transfer proteins from the endoplasmic reticulum to the golgi bodies.

Vacuole (big rubber ball) is found in the cytoplasm (Jell-O) of most plant cells and some animal cells. In general, vacuoles functions include:

1. Removing unwanted structural debris
2. Isolating materials that might be harmful or a threat to the cell
3. Containing waste products
4. Maintaining internal hydrostatic pressure within the cell
5. Maintaining an acidic internal pH
6. Containing small molecules
7. Exporting unwanted substances from the cell
8. Enabling the cell to change shape

Endoplasmic Reticulum (stringy things that sunk) are passageways that carry material from one part of the cell to the other.

Nucleus (small rubber ball that also sunk) directs all of the cell’s activities, including reproduction.

Cytoplasm (green Jell-O -- edible, sort of) is a gelatinous, semi-transparent fluid that fills most cells.

China Cracks Down on Food Safety Violators

David Barboza of the New York Times wrote in "China Cracks Down on Food Safety Violators" that “Beijing has been moving aggressively in recent months to complete a six-month long campaign to root out fake and substandard food, drugs, toys and other consumer goods….” He also noted that last year, Zheng Xiaoyu, the former head of the State Food & Drug Administration, was executed for accepting bribes and failing to properly supervise the food and drug market…. Now, Beijing is drafting legislation that could mete out the ultimate punishment for drug companies or others whose products harm or kill large numbers of people — the death penalty.”

One wonders if the US Food Supply would be safer if “the ultimate punishment” was levied against the heads of USDA and FDA who fail to protect the public, and the heads of corporations who sicken and kill their customers? I guess it would give a different meaning to “heads will roll?”

E. coli's Comeback: What's up with that?

So let’s review: So far this year, in some 20 recalls, ground beef companies have recalled more than 30 million pounds of E. coli O157:H7-contaminated meat.  Hundreds have been sickened, including dozens of children who have undergone kidney dialysis as a result.  This compares with just eight recalls and a total of 156,235 pounds in 2006.  And chances are, this year’s recalls are the tip of the iceberg.  Realistically, it is possible that hundreds more were sickened as a result of these recalls but simply misdiagnosed.  It’s the microbial equivalent of Genghis Khan marching across Asia, except the violence is silent and insidious.  All this after some 5 previous years of marked decline in outbreaks of E. coli.  What’s going on?  What’s changed out there?

There are as many theories as there are authorities, researchers, and meat packers.  Over the past couple of weeks, we’ve talked to a number them, and theories abound.  Here are a few:

Complacency:  After five years of progress with the E. coli problem, one wonders if meat processors have consciously or unconsciously slacked off, relaxing their testing procedures so that they are less likely to detect tainted meat.  That or, possibly, the processors designate their meat that tests positive for E. coli for further processing, rather than discarding or destroying it.  Diverting poisoned meat to another processing line inevitably creates new possibilities for microbes to reach consumers.  If that’s the case, then the recent outbreaks, which led to the bankruptcy of two major meat-processing companies, should serve as a harsh reminder to the food industry that complacency does not pay.

Better Reporting:  When you deal with statistics, there is always some risk that a change in data collection will create false impressions.  For example, police might emphasize thefts from cars, therefore encouraging people to file police reports, which in turn will affect the next statistical report.  One of my associates believes that more doctors are more likely to recognize the symptoms of E. coli poisoning, thereby increasing the chances that an outbreak will be detected, leading to a recall. This may be a factor, but the effects of improved reporting would be gradual. This year’s increase in outbreaks and recalls is far too dramatic and sudden to be explained by a statistical quirk.

Global Warming:  Too dry?  One theory has it that drought through much of the southeast and southwest has led to more fecal dust wafting in the breezes through beef-slaughtering plants, creating new avenues for beef to become tainted.  How’s that make you feel about that ground sirloin?  Too wet?  This theory focuses on excessive rainfall in other regions, which leads to muddy pens that serve as an ideal vehicle for E. coli at meat-processing plants.  Too dry or too wet?  The problem with both of these theories is that the government does such a poor job of tracing the origin of any given lot of beef that it’s next to impossible to determine whether tainted beef came from a plant that was too wet, too dry, or just right.

High oil prices:  They get blamed for everything else, so why not food-poisoning?  The theory is that $3 gas has fueled the growth of ethanol plants.  Those plants tend to be built next to feedlots, because the plants produce a byproduct called distiller’s grains, which serves as an excellent feed for livestock.  Problem is, according to research at Kansas State University, the distillers grain also increases the incidence of E. coli in the hindguts of cattle.  Researchers aren’t sure how that happens, but there is clear evidence of a relationship.  So, to review, high gas prices lead to more ethanol plants which lead to more distiller’s grains, which help breed E. coli in cattle.

Illegal Immigration:  Wait, perhaps not.  The New York Times reported that immigration officials began a crackdown at slaughterhouses across the country last fall.  Some now are hiring men from homeless missions and providing free transportation to many of them.  Hmmm, a influx of unskilled, but US workers, with no experience and high turnover.

The Darwinian explanation:  Another theory has it that previous interventions – from Jack in the Box to Odwalla and ConAgra – have forced the E. coli microbes to adapt, selecting pathogens that are more resistant to detection or intervention.  As one of our sources puts it, Darwin would be proud.  But this seems unlikely because beef comes from a huge and diverse geographic range – literally coast-to-coast and border-to-border.  While the climate and geography varies, the feedlot practices and the manner of slaughtering and processing do not vary much, if at all.

In short, cows have not changed.  Feedlots have not changed.  Slaughterhouses have not changed.  Inspections and government regulations have not changed.  Supermarkets have not changed.  All that has changed is that kids are getting sick again.  And that has to change.

Increased Ethanol Production Part of E. coli "Uptick?"

A few weeks ago I continued my posts on the question of the “Uptick” in E. coli O157:H7 cases by asking this question:
Is this an explanation? What is the change? I understand that perhaps with the increase in the price of oil there has been an increase in ethanol production and waste products – eaten by cows?
I found this interesting article put out by Kansas State University - Feeding cattle byproduct of ethanol production causes E. coli O157:H7 to spike.

According to the K-State Press Release - Ethanol plants and livestock producers have created a symbiotic relationship. Cattle producers feed their livestock distiller's grains, a byproduct of the ethanol distilling process, giving ethanol producers have an added source of income. But recent research at Kansas State University has found that cattle fed distiller's grain have an increased prevalence of E. coli O157:H7 in their hindgut. The growth in ethanol plants means more cattle are likely to be fed distiller's grain, therefore harboring E. coli O157:H7 and potentially a source of health risks to humans. Research by K-State in the next few years will focus on finding out why E. coli O157:H7 is more prevalent in cattle fed a distiller's grain diet. It could be something that changes in the animals' hindgut as a result of feeding distiller's grains, or maybe the byproduct provides a nutrient for the bacteria.

Perhaps the increase in the price of oil, leading to more ethanol production, leading to more E. coli O157:H7 in cow’s guts, in combination with a less experienced slaughterhouse workforce, has increased the prevalence of E. coli O157:H7 in hamburger, leading to the increased recalls and illnesses?  See - Crackdown Upends Slaughterhouse’s Work Force.  Go, K-State!

As good colleges do, there seems to be a bit of a rivalry between K-State and Big Red.  BILL HORD? of the WORLD-HERALD BUREAU reported that, ?” Kansas E. coli research is puzzling to UNL.”
A Nebraska research team studying E. coli contamination reported Thursday that its studies do not support Kansas findings that byproducts from ethanol contribute to the prevalence of a toxic strain of the pathogen in cattle.  The team of scientists at the University of Nebraska-Lincoln has seen no increase in the prevalence of E. coli O157:H7 in cattle fed distillers grain, the byproduct, said Terry Klopfenstein, an animal science professor at UNL.
In football this year the score was 73 to 31 - Nebraska won
A KSU press release on the research was met with nationwide media attention, said KSU pathobiologist T.G. Nagaraja, whose voice mail box was full Thursday.  "I knew it would generate some attention, but I did not realize the extent to which it has," Nagaraja said in an interview Thursday.
Jerry W. Kram of Ethanol Producer’s Magazine wrote: "Study finds DDG-E. coli link.”  Although the post was on December 7, the interview appears to have been done before the controversy over the findings surfaced.  In the conclusion:
The paper discussed two hypotheses to explain the increased prevalence of the pathogenic bacteria. One is that using distillers grains lowers the amount of starch and increases the amount of fiber in the cattle rations. That changes the environment of the cattle’s digestive tract which allows the pathogen to gain a competitive advantage over other intestinal flora. Another hypothesis is that there is some component of distillers grains that promotes the growth of E. coli O157. There is some evidence supporting this idea from in vitro experiments.

The conclusions of the paper stated that the implications of these observations were very serious because of the increasing role of distillers grains in the cattle industry due to the rapid expansion of ethanol production.
I can hear the grass-fed organic group crowing about this too, but PLEASE, not too fast.  As was posted on www.barfblog.com a few weeks ago:

Chef and restaurateur Lenny Russo joins other food pornographers such as Mark Bittman and Nina Planck in promoting fashion over facts by recycling the claim that grass-fed cattle have significantly lower levels of dangerous E. coli than grain-fed cattle.

Mike Osterholm, director of the Center for Infectious Disease Research and Policy and professor in the School of Public Health at the University of Minnesota and Russo's target, does a nice job of, um, crushing Russo's assertions in today's Minneapolis-St. Paul Star Tribune:

"Russo cited conclusions from a 1998 study from Cornell University that cattle fed a diet of grass, not grain, had very few E. coli, and that those bacteria that survived in the cattle feces would not survive in the human when eaten in undercooked meat, particularly hamburger. This statement is based on a study of only three cows rotated on different diets and for which the researchers did not even test for E. coli O157:H7. Unfortunately, the authors extrapolated these incredibly sparse results to the entire cattle industry. The Cornell study is uncorroborated in numerous published scientific papers from renowned research groups around the world. Finally, work conducted by the Minnesota Department of Health as part of a national study on foodborne disease recently showed that eating red meat from local farms was a significant risk factor for E. coli infection. ...

"Russo would understand this issue in an entirely different light if he had been with me when I had to explain to distraught parents that their young daughter's death was due to eating an undercooked hamburger, prepared by them, and the E. coli that caused her illness came from meat from a cow raised only on pasture grass and processed by the local meat packer. The cow also came from Grandpa's farm down the road."

   

E. coli O157:H7 -- It's back, with a vengeance

Not too long ago, I wondered if the beef industry had actually wised up, and was about to put me out of the business of representing the people they make sick.  After a decade of nearly continuous outbreaks of deadly E. coli O157:H7, from Jack in the Box to ConAgra, the beef industry seemed to suddenly clean up its act.  Earlier this year, the American Meat Institute claimed the incidence of E. coli in meat had dropped by 80 percent.  That would have been good news for millions of Americans, especially young children, who are most vulnerable to food-borne illness.  It would have been good news for the beef industry.  And, believe it or not, it would have been good news to a lawyer who would prefer to never see another three-year-old child hooked up to a kidney dialysis machine.  But, of course, it was too good to be true. In the last few months, E. coli O157:H7 has returned – perhaps literally with a vengeance. 

I spent the last few days looking at as many resources that track red meat – primarily hamburger - recalls and the Illnesses stemming from them.  Here is what I have found – somewhat in chronological order.  2007 has had a substantial increase in the volume of recalls and illnesses in any year since 2002. By way of comparison, the amount of ground beef recalled in all of 2006 was 156,235 pounds in only 8 recalls. To date in 2007, over 29,248,167 pounds of meat have been recalled in 20 recalls. Well over 100 people have been sickened, some developing acute kidney failure – many have contacted me. There are several E. coli-related deaths that may be linked to consumption of hamburger. Here is the 2007 list of recalls (some do not list pounds recalled):

1. Tyson Fresh Meats of Wallula, Washington shipped 16,743 pounds of E. coli suspect meat to distributors in Oregon, Washington, Idaho and Utah.

2. More than 100,000 pounds of frozen ground beef patties processed by a Merced company were recalled after three Little League teammates fell ill with E. coliRichwood Meat Co. issued a recall of the year-old frozen beef, which was produced in late April and early May 2006. The Merced plant distributed meat in California, Arizona, Idaho, Oregon and Washington.

3. HFX Inc., recalled 259,230 lbs of beef products due to contamination with E. coli. USDA's Food Safety and Inspection Service and the Pennsylvania Department of Health found several illnesses tied to steak products produced by HFX Inc. for Hoss's Family Steak and Sea Restaurants, a chain based in Pennsylvania.

4. The Fresno County Health Department said that there were confirmed cases of E. coli in Fresno County. The Health Department has inspected the “Meat Market” in Northwest Fresno. Meat from the company may have been served at several private parties where 20 guests later became sick.  We represent several victims.

5. Davis Creek Meats of Michigan issued a beef recall because of E. coli contamination. The recall was for 129,000 pounds of beef products produced between March 1st and April 30th, and included the states of Illinois, Indiana, Iowa, Missouri, Wisconsin, Arkansas, Florida, Kansas, Kentucky, Michigan, Ohio, Pennsylvania, Tennessee, Virginia and West Virginia.

6. Lund’s and Byerly’s of Minnesota issued a ground beef recall prompted by the sickness of at least seven people who ate E. coli-contaminated ground beef produced by PM Beef Holdings and sold at Lund’s and Byerly’s stores in several states including Illinois, Iowa, Wisconsin, Arizona, Michigan, Minnesota, Ohio and Virginia. PM Beef, the meat company responsible for supplying tainted trim, withdrew nearly 117,500 pounds of beef it had shipped to eight states.  We represent several victims.

7. United Food Group, LLC, expanded its June 3 and 6 recalls to include a total of approximately 5.7 million pounds of both fresh and frozen ground beef products produced between April 6 and April 20 (the largest recall since 2002) because it was contaminated with E. coli. An investigation carried out by the California Department of Health Services and the Colorado Department of Health, in coordination with the Centers for Disease Control and Prevention, preceded the recall of June 3. Illnesses occurred in Arizona (6), California (3), Colorado (2), Idaho (1), Utah (1) and Wyoming (1). Illness onset dates ranged between April 25 and May 18.  We represent several victims.

8. Tyson Fresh Meats, Inc., recalled 40,440 pounds of ground beef products due to possible contamination with E. coli.

9. Custom Pack, Inc., recalled 5,920 pounds of ground beef and buffalo products because it may be contaminated with E. coli.

10. Abbott's Meat Inc., recalled 26,669 pounds of ground beef products because it may be contaminated with E. coli.

11. Nine people have gotten sick in Washington, Oregon and Idaho from E. coli contaminated Interstate Meat beef. Federal and state health officials issued a consumer alert after contaminated beef produced by Interstate Beef of Oregon sickened nine people. Interstate recalled 41,205 pounds (approximately 20 tons) of beef.  We represent several victims.

12. Topps Meat Company expanded a recall of frozen hamburgers to 21.7 million pounds of patties because it was contaminated with a deadly type of E. coli, making it the second-largest ground beef recall in U.S. history. The largest ground beef recall in U.S. history was the 1997 Hudson Foods Company recall of 25 million pounds of ground beef. The third largest was the ConAgra Foods recall of 2002, which covered 19.7 million pounds of ground beef. The Centers for Disease Control and Prevention had identified 40 cases of E. coli in eight states. While this is the first recall in Topps' 65-year history, it is not the first time the company has had problems with E. coli. In 2005, a 9-year-old girl in Glenmont, N.Y., went into kidney failure after being infected with bacteria linked to a Topps beef patty. Ill persons reside in 8 states - Connecticut (2), Florida (1), Indiana (1), Maine (1), New Jersey (9), New York (13), Ohio (1), and Pennsylvania (12).  We represent several victims.

13. Impero Food and Meats, Inc., recalled 65 pounds of ground beef products because it may be contaminated with E. coli bacteria. The company's president said the meat was distributed to five pizza restaurants in the Maryland area.

14. Fresh Brands Distributing Inc., recalled ground beef products sold by some of its Piggly Wiggly stores in Illinois after E. coli infections in two people may have been associated with beef bought in Wisconsin, the company said. Sheboygan-based Fresh Brands operates Piggly Wiggly stores throughout Wisconsin and in Antioch, Galena, Grayslake and Zion, Illinois.

15. Fairbank Reconstruction Corp., doing business as Fairbank Farms recalled 884 pounds of ground beef products because it may be contaminated with E. coli.

16. Del-Mar Provision Co., Inc., recalled 50 pounds of ground beef products because it may be contaminated with E. coli.

17. Arko Veal Co., recalled 1,900 pounds of ground beef products because it may be contaminated with E. coli.

18. J & B Meats Corporation Inc., recalled 173,554 pounds of frozen ground beef products because it may be contaminated with E. coli.

19. Cargill Meat Solutions Corporation recalled 845,000 pounds of frozen ground beef patties produced at its Butler, Wisconsin location because it was contaminated with E. coli. A search through Health Department websites and news has shown at least 13 people ill, and probably 14, 3 still hospitalized - 2 still in critical condition.  We represent several victims.

20. American Foods Group, LLC (AFG), recalled 95,927 pounds of various coarse and fine ground beef products because it was contaminated with E. coli. The problem was discovered through an investigation into two illnesses that was initiated by the Illinois Department of Public Health. A death may be linked to the product in Kentucky.

I expect to hear that the above is just better reporting  - tell that to the families and the kids.  I have posted twice on the "uptick" in E. coli related outbreaks - See 1 and 2 - more to follow.  Also read today's article from USA Today, "Most recalled meat is never recovered, likely is eaten."
As I have said before, "Safe Food in the US is a Train Wreck."

My Blawg Did Not Make It - Yet


I checked, I paid my dues to the ABA - American Blawg Association, but I did not make it into the ABA top 100 Blawgs - thats legal speak for Blogs.  I'm bummed, and I know my 32,437 readers from November are too.  No worries, I just need to work a bit harder.

Government Puts Consumers At Risk

According to press reports, an FDA requested panel says food safety in particular is in crisis. (Full Report) Questions about the FDA's effectiveness have been underscored by alarming headlines in recent years -- including E. coli in spinach, deadly chemicals in pet foods, toxic toothpaste and the heart-damaging side effects of drugs.  The report says Congress has given the FDA more responsibilities over the past two decades, but no funds to cover the extra work. Meanwhile, the agency hasn't been able to recruit the sophisticated scientific expertise needed to oversee complex medicines and food.  The report says the FDA needs at least an extra 350 million dollars to address drug safety, and 450 million more dollars to improve food safety.  Actually, the same holds true for the USDA.  Just in the last two months we have seen the USDA move slowly on the Topps recall, putting people at risk, and then we see them announce one day that the USDA is getting tough on Canadian E. coli imports, only to turn around quietly and stop testing a week later.

Peanut Butter and the Ninth Ward

Well, I can’t say we made much progress with ConAgra in trying to find a path towards resolving customer illnesses from ingesting Salmonella-tainted Peanut Butter. What both sides are still trying to figure out is less what the value of a Salmonella cases is (just ask me, after settling over 2,500 in the last few years, I know what juries and insurance companies will pay), but what is in fact a case. We know that in this outbreak the CDC “officially” counts 714 people as ill, but it also statistically projects nearly 27,561 people total as likely ill from consuming Peter Pan or Great Value peanut butter. Of course, we also know that there are Salmonella cases from 2005 and early 2006 linked to ConAgra Peanut Butter that have not yet been “officially” counted by the FDA or CDC. The question is how do you figure out who was actually ill from eating poisoned peanut butter from the people who consumed nearly 180,000,000 jars of the stuff during the recall period (October 2004 to February 2007)? Well, that is why we have the jury system to resolve disputes like that - more on that in the years to come.

I decided to stay a bit in New Orleans and walked through the French Quarter - an amazing place, and a place unlike any city in the United States. Sitting in a sidewalk café in 80 degree weather while sipping a beer, eating gumbo and listening to Jazz is not so bad. I did drive out to the 9th Ward – one of the areas hit the hardest during Katrina – to see for myself, what if any, progress has been made in the rebuilding of that once vibrant neighborhood. Honestly, other than some hardworking pioneers rebuilding their own homes and various church groups and Habitat for Humanity helping, nothing, nothing exists. Most blocks are vacant – filled with overgrown plants, or houses like this one that beg, "DO NOT DEMO."  It is sad. It is Embarrassing. Where is the help we promised?

Topps - Lessons America Forgot from Upton Sinclair's "Jungle"

In October Topps Meat Company, founded in 1940, went out of business. That was after Topps had recalled nearly 22 million pounds of frozen hamburger contaminated with E. coli and 40 people across the U.S. had become ill.

Tort deformers decried the “tragedy” that is this Topps’ collapse - that a business went under and employees had lost their jobs. Yes, a company bankrupt and unemployment are tragic. What makes it more so is that the catastrophic breakdown in the food-safety chain at Topps could have and should have been prevented by Topps management.

It’s been a century since Utpon Sinclair published the “Jungle," which exposed the contaminated underbelly of the American meat industry. Reform quickly followed. America got the Pure Food and Drug and Meat Inspection Acts. In the early 1990s, when these safeguards failed – e.g. Jack in the Box E. coli outbreak – again there was a public push for improving food safety.

The U.S.D.A. Food and Inspection Service responded with creating and aggressively enforcing the mandatory Risk Management System. Derived from research and operations in the American space program, this approach [HACCP] prevented new outbreaks by establishing check-points at every phase of meat processing. In addition, the agency classified the presence of E. coli O157:H7 as an adulterant under the Meat Inspection Act. Until recently, the meat contamination problem seemed fixed.

Had Topps complied with the letter and spirit of HACCP, it would not have processed contaminated meat in 2005 and again in 2007. So, why hadn’t Topps done what was the right thing to do for it and its now unemployed? We will be researching that question for years.

My theory is that Topps’ leadership might have chosen to take short-cuts on systemic food-safety procedures. Therefore, contamination which should have been detected early in meat processing wasn’t. The result wasn’t pretty: Food-poisoned consumers went through the agony that E. coli inflicts. They had incorrectly trusted that label “Inspected by the U.S.D.A.” as guaranteeing safety.

Over a century, two waves of reform in ensuring the safety of the American food supply chain have given business a total systems approach. That approach works if management follows the rules. Unfortunately, employees at Topps who lost their means of making a living were among those punished - severely.

Will other businesses be able to learn that century-old lesson: Inattention to proper food processing will be the kiss of death for their brandname, profitability and, yes, very existence.

Food Porn, Food Fight and the Quest for Food Safety - Is Irradiation the Silver Bullet?

Last week Lenny Russo, a St. Paul chef and restaurateur (my guess is that food porn would apply here - "Lenny Russo is passionately dedicated to Midwestern cuisine") posted the following Op-ed: Tainted food calls for changes in farm practices for contamination - To fight E. coli contamination, start by looking at the environment of animals.

Chef Lenny’s solution to the nearly 30,000,000 pounds of E. coli-contaminated meat recalled in 2007, and the hundreds sickened, is to feed cows grass and have them live in more healthful environments.  His feelings on irradiation of meat - “It is somewhat akin to the cigarette smoker who would rather wait to develop cancer and then undergo treatment for it rather than just quit smoking.” Come on Chef Lenny - Really?

Michael Osterholm’s clubbed (Food Fight!) Chef Lenny in his Op-ed in today’s paper - E. coli is simply the enemy; we should treat it as nothing less - Irradiation is the only way we can confidently say the meat we eat is safe.

Dr. Osterholm makes the solid points – “While maintaining good agricultural practices is important for animal health and environmental reasons, no credible research has identified a magic wand that a farmer can use to significantly lower the E. coli in our meat supply. And there is never a justification for failing to meet the highest sanitation standards possible in our meat processing plants. But we must realize that there is simply no way to ensure that microscopic contamination of feces on the carcass doesn't happen when the animal is disemboweled.”

So, what are the facts?


Irradiating food can make it safer by killing disease-causing bacteria, but most shoppers still shy away from these products. However, experts in 2004 made the case for irradiated foods in The New England Journal of Medicine. Linda Greene, testing director for Food & Sensory Sciences at the Yonkers, N.Y.-based Consumers Union, the publisher of Consumer Reports, summarizes what you need to know about this process.

What does irradiating meat do? - Bombarding meat with high-frequency energy inactivates the DNA of any illness-causing microorganisms that may be present. As a result, they can't reproduce and make you sick. So, exactly what is Irradiation?
Does the meat become radioactive? - No, it does not.

To be safe, do I need to buy irradiated meat? - Choosing irradiated meat reduces but does not eliminate the risk of food-borne illness.

Does irradiated meat taste different? - When presented with pairs of food, our trained tasters were able to detect the irradiated beef or chicken 66 of 72 times because it had a very slight "off" taste. But the average consumer may not notice the difference.

So, here in my view is what is really important.  In a CIDRAP article - Food Irradiation - An Underused Boon to Food Safety

An estimated 76 million cases of foodborne illnesses are recorded each year, resulting in more than 325,000 hospitalizations, and 5,000 deaths. About 73,000 people, many children, get E. coli infection every year and 61 die from it. About 5 to 10 percent of school-age children infected with E. coli develop hemolytic uremic syndrome (HUS), the principal cause of kidney failure in children. E. coli infection is often linked to undercooked ground beef. Here is the kicker:
  • When ground beef is irradiated, at least 99.99 percent of E. coli and other harmful foodborne bacteria are killed.
  • Nearly every major science and health agency supports the consumption of irradiated food. These include the World Health Organization, the Centers for Disease Control and Prevention (CDC), the American Medical Association, and the American Dietetic Association. More than 40 years of research on food irradiation has repeatedly shown it to be safe.
  • The CDC estimates that if just 50 percent of the meat and poultry consumed in the United States were irradiated, the number of foodborne illnesses would be reduced annually by 900,000 and deaths by 352.
More support for irradiation of meat can be found at the Journal of Infectious Diseases - Irradiation Pasteurization of Solid Foods: Taking Food Safety to the Next Level. And at the CIDRAP website on Irradiation.

  Those facts aside, my friend Wenonah Hauter, Director, Public Citizen’s Critical Mass Energy and Environment Program weighed in - New England Journal of Medicine Article on Food Irradiation Ignores Scientific Uncertainty

She calls irradiation “this controversial food technology uses ionizing radiation to kill bacteria and extend shelf life.” Her concerns seem to stem from “the lack of conclusive evidence that irradiated food can be consumed without long-term detrimental health effects….” And, that “Osterholm’s glowing endorsement of irradiation should not be considered without a note about his sources of funding. Two of the three major irradiation companies, SureBeam and Ion Beam Applications, have financially supported his research center. And Donald Thayer, author of an accompanying pro-irradiation column, has financial ties to CFC Logistics, which runs an irradiation facility in Pennsylvania, and Zero Mountain, which once planned to build an irradiation facility.”

You know when a consumer group (that lives on controversy to feed donations) complains that a public servant is somehow tainted by research dollars, all complaints need to be questioned.

So where are we? Against irradiation – 1) some people do not like the taste, 2) might have harmful effects that we do not know about, and there is no research to suspect there is any.  For irradiation – 1) lives can be saved now.  I choose saving lives now.  For more information on irradiation, see CIDRAP’s response to Public Citizen.

Have an Extra Helping of Cranberries Today

Cranberry Sauce May Be Healthy Treat

Compounds in cranberries may be able to protect against E. coli bacteria, -- which cause a number of human health problems, including gastroenteritis, kidney infections and tooth decay -- say researchers at Worcester Polytechnic Institute in Massachusetts.  Among their findings:
  • Chemical changes caused by cranberry juice create an energy barrier that prevents bacteria from getting close to the urinary tract lining.
  • Cranberry juice causes compression of tiny tendrils on the surface of the type of E. coli that causes the most serious types of UTIs. Compression of these tendrils reduces the bacteria's ability to attach to the urinary tract lining.
  • E. coli grown in cranberry juice or in PACs can't form biofilms, which contain high concentrations of bacteria and are required for infections to develop.
So, today, have an extra helping of cranberries with your well-cooked turkey.

Symposium in Seattle

Fellow Bloggers and Readers:  I’m thinking about helping organize/sponsor a seminar at Seattle University School of Law here in Seattle in the Spring (less rain then) - April is most likely. Thoughts as to content and speakers would be most appreciated. Please feel free to pass this around to folks who are not avid readers of my blog (can't imagine that). Happy Thanksgiving – and, cook that turkey well.

Who’s Minding the Store: The Current State of Food Safety and How It Can Be Improved

Few subjects draw more immediate attention or concern than the safety of the food we eat. Recent years have included a plethora of food warnings and recalls, raising new questions about the quality and integrity of our existing system for assuring food safety. Seattle was the epicenter of the Jack in the Box E. coli outbreak that sickened 600 and killed four 15 years ago. In addition to explaining how our present system works, this program is intended to discuss how changing consumer preferences are affecting the development and distribution of food, examine whether Federal, state and industry oversight roles are changing, and discuss how the regulatory and judicial processes can be most efficiently balanced. Participants include national and local representatives of government, the food industry, consumer organizations and scientists.

Time Event/Topic - (Two or more days might be better?)

8:00 – 8:45  AM Sign-in and Continental Breakfast

8:45 – 9:00  AM Welcome and Overview

9:00 – 10:15  AM Session 1: Defining the Problem – How the concerns about food safety are viewed by physicians, disease experts, state regulators and consumers.

10:15 – 10:30  AM Refreshment Break

10:30 – Noon  Session 2: How the Regulation of Food Safety Works / Imports and Home Grown – The roles and responsibilities as seen by Federal and state regulators, industry and consumers

Noon – 1:00  PM Luncheon and Speaker

1:15 – 2:15  PM Session 3: Zones of Responsibility – Grower/Producer; Seller; Government; Consumer

2:15 – 3:15  PM Session 4: Roles of the Civil/Criminal Justice Systems – Perspectives of plaintiffs, respondents, prosecutors?

3:15 – 3:30  PM Refreshment Break

3:30 – 4:30  PM Session 5: What Is the Best Way to Assure Food Safety? The contributions of media, science and public health monitoring

4:30 – 5:00  PM Closing Remarks

Speakers to be announced

USDA - you must be kidding - No test and hold?

Robert Roos, CIDRAP News Editor caught the USDA ones again saying that it is interested in public safety, but when no one is looking changes the rules.  Mr. Roos' article entitled, “USDA modifies E. coli testing rules for Canadian beef,” is frankly shocking. According to the story, the “USDA has modified its program of increased testing and inspection of Canadian meat, after finding no problems in the first week or so, a USDA official said today.” Wow, after nearly killing 40 people in the US in the Topps E. coli outbreak (and, no one is counting the 44 sick and 1 dead Canadian), and after one whole week of testing, our government decreases testing AND allows meat to be shipped to consumers BEFORE test results even come back.

Mr. Roos also reported that, despite hundreds of people sickened in the US in 2007 and over 30 million pounds of meat recalled, the “USDA is not considering requiring American meat companies to hold meat until pathogen testing is completed, contrary to a recent news report…. the USDA has long had guidelines recommending that companies hold meat until test results come back, "but it's not something we require."

Does anyone wonder why people think government is useless?

Legally Speaking: The food poisoning lawyer

I had a great chat with Texas attorney and writer, John G. Browning, while on a layover in the Dallas airport several weeks ago. We have talked several times since.  I pulled some excerpts.  Mr. Browning just published the interview today:
Legally Speaking: The food poisoning lawyer


For Bill Marler, it's about more than money or even reform - it's about the client.
Who is Bill Marler? He's simply the preeminent lawyer in the country in a rather specialized practice area - representing victims of food poisoning. Judging by the headlines the past few months, Mr. Marler will be very busy for quite some time to come....

But Marler is no Johnny-come-lately to the world of foodborne illness litigation. After starting out in a defense firm, Marler went to a small plaintiff's firm, where he landed one of the first cases in the 1993 Jack in the Box E. coli outbreak. Marler recovered a $15.6 million settlement on behalf of Brianne Kiner, the most seriously injured of the Jack in the Box victims; after that success, he says, "I went from one client to 300 clients within a few weeks."

Since 1993, Marler has been involved in virtually every major food poisoning lawsuit in the U.S. He secured a reported $12 million settlement on behalf of five children severely injured after drinking E. coli contaminated Odwalla apple juice in 1996. In 1998, he won a $4.6 million jury verdict on behalf of 11 children who fell ill with E. coli-induced food poisoning from school lunches in Washington State. In 2003, Marler obtained a $6.25 million settlement for a man forced to undergo a liver transplant after contracting hepatitis A due to food poisoning traced to tainted green onions at a Chi-Chi's restaurant in Pittsburgh.

Between 1993 and 2006, Marler estimates that 90 percent of his law firm's revenue was derived from E. coli/tainted hamburger meat cases. Marler estimates that insurance giant AIG "has paid me $100 million over the past 10 years."

Marler attributes his success to a number of factors, not the least of which is the level of preparation he brings to every case.

"Just because you have a high dollar damages case doesn't mean ConAgra's going to cut you a check, because of the problem of proving causation," Marler cautions.

Since starting Marler Clark in 1998, the attorney has made a point of spending a lot of time up front on proving causation. "Having the right expert is crucial," according to Marler, who keeps an epidemiologist and nurse on staff and who regularly consults with microbiologists and specialists in emerging areas like pediatric nephrology (the study of kidneys and kidney failure in children).

He points out that "you won't find a more prepared case at the time we file suit." Marler also attracts topnotch legal talent as well: his firm includes partners Bruce Clark and Denis Stearns, the lead defense attorneys for Jack in the Box who went from opposing Marler in the courtroom to joining his food poisoning crusade.

Crusade is an apt term for the approach Marler has adopted, whose dedication to the issue of food safety goes beyond representing his clients and earning a handsome living. Marler, whose commitment to public service manifested itself early when he was elected to the Pullman, Wash., City Council at the age of 19, has started a nonprofit food safety consulting firm called Outbreak, Inc. The group provides recommendations to food industry companies on how to prevent foodborne illness outbreaks among their customers.

At least once a week, Marler estimates, someone from his firm is speaking at a food safety conference or a health department seminar.

"It's become a way to give back; I think especially as lawyers, we have an obligation to give back," he says....

Marler has also taken his campaign for better food safety to the legislature. He's testified before state and federal legislators, and written such op-ed pieces as the provocatively titled "Put Me Out of Business-Please."

Continue Reading...

Holiday Food Safety Tips - From A Lawyer?

Thanksgiving is a few days away.  It might be good to review my safety tips from last year's blog.
Cheers!    As I said last year:  "So, wash you vegetables well before you cook them and/or before you serve them raw.  Me, I go right to red wine (no scientific basis for it).  Foods I avoid - unpasteurized juices and milk, sprouts, bagged, pre-washed produce of any kind, raw shellfish and other raw meats or cheeses.  Everything else I wash, wash and wash, if it is produce, and I cook all meat products a bit more that the directions above.  Also, be careful about cross-contamination between raw uncooked or unwashed foods and counter-tops, utensils and other ready to eat foods.  And, WASH YOUR HANDS.  Happy Holidays." 

I have been asked a lot what I do eat given my job.  I used to say (tongue in cheek), "pizza and scotch" - now pizza isn't even safe.

MRSA and the Food Connection



Methicillin-resistant Staphylococcus aureus (MRSA) (usually pronounced in short as "Mursa" or spelled out as MRSA), is a bacterium responsible for some difficult-to-treat infection in humans.  Heather Moore Heather Moore, senior writer for People for the Ethical Treatment of Animals, wrote a concerning Op-ed “Your supper & superbugs” on MRSA and its relationship with antibiotics fed to animals. A couple of the more concerning point:
  • Approximately 70 percent of the antibiotics used in the United States aren't given to human patients -- they are fed to farmed animals. The filthy, crowded conditions on factory farms are breeding grounds for disease.
  • One USDA study showed that 66 percent of beef samples were contaminated with antibiotic-resistant bacteria, and scientists at the Johns Hopkins Bloomberg School of Public Health have reported that 96 percent of the chicken flesh they tested was contaminated with antibiotic-resistant campylobacter bacteria.
  • Another study conducted by the CDC indicated that chicken sold in supermarkets is often tainted with potentially fatal bacteria called Enterococcus faecium. This bacterium was not even affected by Synercid, a drug commonly used to treat antibiotic-resistant bacteria.
  • A recent Belgian survey showed that MRSA has been found in 68 percent of the pig farms in that country. In 37 percent of the cases, the farmer and the farmer's family carried pig MRSA -- a variant of human MRSA.

Journal of Food Protection Publishes Two Articles on Bioniche E. coli O157:H7 Vaccine Efficacy


According to a press statement by Bioniche Life Sciences Inc., the two articles in the Journal of Food Protection relate to field challenge studies conducted at the University of Nebraska-Lincoln involving close to 900 animals in 2002 and 2003.

The first article, “Efficacy of dose regimen and observation of herd immunity from a vaccine against Escherichia coli O157:H7 for feedlot cattle” (R.E. Peterson, T.J. Klopfenstein, R.A. Moxley, G.E. Erickson, S. Hinkley, D. Rogan, and D.R. Smith), supports the hypothesis that use of the Bioniche vaccine effectively reduces the likelihood of cattle shedding E. coli O157:H7. After a three-dose treatment, vaccinated cattle were significantly less likely (73%) to shed the organism than unvaccinated cattle (P<0.0001). The same study noted that there was no indication of affect on (feed conversion) performance or carcass quality, and that vaccinating a majority of cattle within a pen resulted in a significant protective effect to unvaccinated cattle in the same pen. This effect is called “herd immunity”.

The second article, “Effect of a vaccine product containing type III secreted proteins on the probability of Escherichia coli O157:H7 fecal shedding and mucosal colonization in feedlot cattle” (R.E. Peterson, T.J. Klopfenstein, R.A. Moxley, G.E. Erickson, S. Hinkley, G. Bretschneider, E.M. Berberov, D. Rogan, and D. R. Smith), highlights the results of a study that looked at the effect of vaccination on the shedding of E. coli O157:H7 by cattle and their colonization by the organism. Vaccinated cattle were 98.3% less likely to be colonized by E. coli O157:H7 at the terminal rectum (where the bacteria are known to collect and reproduce in large quantities). Specifically, the authors were able to isolate E. coli O157:H7 from only one of 140 vaccinated cattle, versus 38 of 141 non-vaccinates (P<0.0001).



The Color of Hope Benefit Breakfast



We were proud to be the “Purple Heart Presenting Sponsor” at the Color of Hope Benefit Breakfast on October 25, 2007. Contributions went towards helping children and youth struggling to overcome profound challenges such as serious illness, homelessness, poverty and trauma.

Methicillin-resistant Staphylococcus aureus - MRSA - found in Canadian Pigs and Farmers - Do MRSA Illnesses have a food connection?

More on the Super Bug

According to a report I read on All Headline News, A new study published in Veterinary Microbiology found methicillin-resistant Staphylococcus aureus (MRSA) is widely common in Canadian pig farms and pig farmers, signaling to some that animal agriculture as a source of the deadly bacteria. The Veterinary Microbiology study (Khanna et al. Veterinary Medicine 2007) is the 1st to show that North American pig farms and farmers commonly carry MRSA.

Researchers looked for MRSA in 285 pigs in 20 Ontario farms and found MRSA at 45 percent of farms (9/20) and in nearly one in 4 pigs (71/285). One in 5 pig farmers studied (5/25) also were found to carry MRSA, a much higher rate than in the general North American population. The strains of MRSA bacteria found in Ontario pigs and pig farmers included a strain common to human MRSA infections in Canada.

A study published last month [October 2007] in the Journal of the American Medical Association (JAMA) (Klevens et al: Invasive methicillin-resistant Staphylococcus aureus infections in the United States JAMA 2007; 298: 1753-1771) estimated almost 100,000 MRSA infections in 2005, and nearly 19,000 deaths in the United States. In comparison, HIV/AIDS killed 17.000 people that year.

With the recent outbreak of the deadly disease researchers generally believed MRSA as an opportunistic infection occurring mainly in hospitals. However more information is coming to light that finds even healthy people are developing MRSA infections and pig farms may be a possible culprit. Now some experts in the in the medical, agriculture, and environmental industries are calling for Congress to compel the US Food and Drug Administration (FDA) to study whether the use of human antibiotics in animal agriculture is contributing to the reported surge in MRSA infections and deaths in the United States.
"Identifying and controlling community sources of MRSA is a public health priority of the 1st order," said Richard Wood, Executive Director of Food Animal Concerns Trust and Steering Committee Chair of Keep Antibiotics Working. "Are livestock farmers and farms in the United States also sources? We don't know for sure, because the US government is not systematically testing US livestock for MRSA."

$200,000 raised for land mine victims

Marler Clark was proud to sponsor the recent Clear Path International Evening of Hope, which was held at the College Club in Seattle.  The event benefits landmine accident survivors - mostly from Vietnam. 

Imbert Matthee commented on the Evening of Hope on the Clear Path International blog:
Our third annual Seattle fundraiser, generously underwritten by the law firm Marler Clark, brought in more than $50,000 for our direct assistance work. That amount is a 43 percent increase over last year’s $35,000.

For central Vietnam, the $50,000 will be doubled through a matching grant from the U.S. State Department and then doubled again by the International Trust Fund for Demining & Victims Assistance.

In short, the evening raised a total of $200,000!

Why the "Uptick" in E. coli cases in 2007?

I have been pressing everyone I know in food safety and the meat industry about the “uptick" in E. coli cases in 2007.  Here are some ideas from recent press reports:

USDA says has enough legal authority to do recalls


“Raymond said there are several factors USDA is investigating that could be responsible for the uptick in E. coli discoveries.  Among them include the pathogen becoming resistant to drugs and changes in weather or diet that can lead to stress in the animal. He assured lawmakers it was not because companies are being careless or inspectors sloppy in their work.  "I think it's starting with the animal's environment," said Raymond. "There is a change in what we feed cattle and I don't know if that has created a problem."

Is this an explanation?  What is the change?  I understand that perhaps with the increase in the price of oil there has been an increase in ethanol production and waste products – eaten by cows?  Anyone have any other ideas?  How about this:


Crackdown Upends Slaughterhouse’s Work Force

“Last November, immigration officials began a crackdown at Smithfield Foods’s giant slaughterhouse here, eventually arresting 21 illegal immigrants at the plant and rousting others from their trailers in the middle of the night.  Since then, more than 1,100 Hispanic workers have left the 5,200-employee hog-butchering plant, the world’s largest, leaving it struggling to find, train and keep replacements.  Across the country, the federal effort to flush out illegal immigrants is having major effects on workers and employers alike. Some companies have reluctantly raised wages to attract new workers following raids at their plants.  After several hundred immigrant employees at its plant in Stillmore, Ga., were arrested, Crider Poultry began recruiting Hmong workers from Minnesota, hiring men from a nearby homeless mission and providing free van transportation to many workers.”

Hmmm, a influx of unskilled US workers with high turnover – sound interesting.  What other ideas?

Bush backs tougher product safety measures



WOW – what a headline. I almost dropped my laptop as I read CNN MONEY last evening. According to the CNN report, President Bush said he backed tougher product safety measures that would give mandatory recall authority to the Food and Drug Administration and increase penalties on companies that import unsafe products into the United States. However, let’s be honest, although the media hype has warned us against the risk of evil “imported food,” guess how many food poisoning cases I have done out of thousands in 15 years that involved imported food – a handful. The reality is the nearly every major foodborne illness outbreak has been “home grown.” USA food companies do a great job of poisoning fellow countrymen – 76,000,000 a year according to the CDC.

As for recall authority, is it really real?  Will it apply to US companies and domestic products?  As the President said:
"The FDA will be empowered to order a recall when a company refuses to recall their product voluntarily, or moves too slowly in removing an unsafe product from the market," he said. "With this authority, the FDA will be in a position to act quickly when the problem occurs."
Hmmm, how exactly does this differ from the system we have now? What about recalls of domestically produced poisoned products?  Well, let’s see what happens with this all gets in front of Congress and the hordes of lobbyists.

Guest Commentator in November's Prairie Farmer

I was proud to be asked to be a guest commentator in this month's Prairie Farmer.  Click on the below to download the PDF of my Op-ed.

Cargill has yet to pay Minnesota, Wisconsin, Tennessee, and North Carolina Victims' Medical Bills - Stephanie Smith and John McDonald still hospitalized



Weeks ago, I asked Cargill to pay the medical bills of the children sickened by its first E. coli outbreak of 2007 - it has now had two - in a month. The entry on Caring Bridge today on Stephanie makes it hard to understand a corporation's indifference:
Steph had dialysis again today. As of now she will continue to have dialysis every other day. The idea of discontinuing the coma-inducing drug has changed. The neurologists have decided to switch her from pentobarb (coma inducing drug) to phenobarb (a different coma inducing drug). Phenobarb is administered differently and hopefully will not need as much adjusting each time dialysis is done.
Friends and family have started two funds to help Stephanie Smith with medical expenses. Donate to the State Bank of Cold Spring, P.O. Box 415, Cold Spring, 56320, 685-8655, or at any Wells Fargo Bank location, 259-3182.  And, as Marti Davis of the Knoxville News reported about my clients last week:
4-year-old John McDonald, [who contracted HUS], is in serious condition in UT’s pediatric intensive care unit. Surgeons removed part of the boy’s colon and lower bowel Tuesday night. John’s sister, 18-month-old Michaela, and an unrelated and unidentified teenager, all of Knox County, also became ill. Michaela was still hospitalized Wednesday, though doctors believe she may be able to go home as soon as today.
As I said:
“Without assistance in the form of monetary compensation for medical expenses and lost wages, many of the families with members in the hospital will face financial hardship in the coming months when the bills start coming in.  Cargill should do the right thing and begin compensating victims of this outbreak for those most basic needs now. Of course, Cargill will still be responsible for the costs of long-term medical care for victims, but it is better to step up now. The question is, since they know their product was the cause of these kids’ illnesses, why wait?”
Perhaps Cargill simply does not get it and the only thing it understands is another lawsuit.  So be it.

Safe Food in the US is a Train Wreck


I missed a call from Josh Funk of Omaha AP and he figures out why our food safety net has so many holes in it without me - go figure.  This quote may say it all:
"I think the food industry has a very long history of not doing anything on food safety unless it has to," said Marion Nestle, a New York University professor who wrote a book on the subject.
Josh’s full article is here and some quotes below show the problems with Food Safety in the US.

Critics decry U.S. food safety system

Peanut butter is regulated by the Food and Drug Administration. But chicken pot pies are the U.S. Department of Agriculture's responsibility. Frozen cheese pizzas - FDA. But if there's pepperoni on them, USDA has jurisdiction, too. Peanut butter is regulated by the FDA, while pot pies are regulated by the USDA, because USDA has long had authority over meat and poultry.

When Peter Pan peanut butter was linked to a salmonella outbreak in February, ConAgra Foods Inc. recalled it as soon as federal health officials raised questions. But when ConAgra's Banquet-brand chicken and turkey pot pies were tied to a similar salmonella outbreak in October, the Omaha company waited two days to recall them, first issuing only a consumer health warning.

Neither the FDA nor the USDA had the authority to order ConAgra to recall the products. In fact, all food recalls, except for those involving infant formula, are voluntary. Often, the government gets a product recalled by warning the company it could face bad publicity if it does not withdraw the food.
Frankly, I am not sure a single agency, or the government for that matter (remember how well it did in Hurricane Katrina), will solve the problem of companies selling poisoned products to customers.  Perhaps when farmers, ranchers, shippers, middlemen of all sorts, manufacturers, wholesalers, retailers and restaurants all recall that customers could be their kid, they would put safety before profits.  Perhaps when politicians, governmental officials, regulators, health departments, et al, realize that they work for the people and not business, and their duty is to protect the people, Josh will have less to write about and I will be out of a job.  As I recently wrote in FOOD SAFETY MAGAZINE:

Food Safety & the CEO - Keys to Bottom Line Success
Ultimately, dedication to food safety must go beyond the company's HACCP programs in terms of compliance, implementation, testing and auditing. This commitment starts at the top of the organization with the CEO, president and senior management team. Managing the business in a way that pays more than lip service to food safety will produce high-quality, profitable products that don't make people sick, and is essential to the continued health of your bottom line and the health of your consumers.


One interesting thing - of the top ten recent visitors to my blog today, four of them, ConAgra, General Mills, Cargill and Tysons are food companies - three who I have sued, some repeatedly.

The bloggers at "barfblog" quoted some of my above ramblings this afternoon in a post entitled:

Will more inspectors make food safer?

Doug Powell expressed a similar notion this morning, "You can't inspect your way to a safe food supply," said Douglas Powell, scientific director at Kansas State University's International Food Safety Network. "You can't have an inspector on every site 24/7 to inspect every piece of food that goes to market. You have to create a culture where everyone from the farm to the processing facility, people at restaurants, consumers at home are more in tune with the culture of food safety. People need to get really religious about this. Food safety is everyone's responsibility."

To drive the point home that our food is at risk, see Dave Savini, Investigative Reporter of CBS 2 Chicago WBBM TV report called - "What's for Dinner?"

China Struggles with Food and Environmental Safety

Like the USA, China struggles with food and environmental safety too.  While we here seem to face recalls, and illnesses stemming from them, on a daily basis - hamburger, pot pies and pizzas over just the last few weeks, China has its own set of challenges - And, four times the number of people.



China approves food safety law

The Chinese government approved in principle on Wednesday a new food safety law aimed at raising standards at every level of production, a senior official said. "This law totally covers how to standardize our food products' production, processing, sale and supervision," Li told reporters. "I believe that the promulgation of this law will certainly effectively raise China's food safety situation and guarantee food safety and people's health," he said, but gave no timetable. The law mandates better release of information about food safety issues, higher fines for wayward firms and punishment of officials who act irresponsibly, and guarantees the public's right to compensation and to sue, the central government said on its Web site (www.gov.cn). Food imports and exports will also be more closely examined, it added.


Polluted harbor hits Batman stunt

Batman may have a body of steel, but the caped crusader is no match for the pollution in Hong Kong's iconic harbor. A scene in which Batman was to drop from a plane into the harbor has been axed after the movie's producers found the water quality could pose a potential health risk, the South China Morning post reported. "But when they checked a water sample, they found all sorts of things, salmonella and tuberculosis, so it was cancelled. Now the action will cut to inside a building."

And, it gave me another excuse to show some more photos of my last trip to China.  There is also next years Food Safety Conference in Beijing - September 2008.


Marler Clark Calls on General Mills to Recall All E. coli-Contaminated Totino's and Jeno's Pizza and to Pay the Medical Bills of All 21 Victims



General Mills is the “sixth largest food company in the world” with revenues for 2007 estimated to be nearly $12,500,000,000. General Mills announced today that since July 1 of this year, it had distributed more than 120 million Totino's and Jeno's pizzas nationwide. Surprisingly, in light of 21-reported E. coli illnesses tied to these products, General Mills has only recalled 5 million of the 120 million pizzas produced. “General Mills should immediately expand the recall to all 120 million pizzas produced during the time-frame that people were sickened,” said Bill Marler, the Seattle attorney who has dedicated his law practice to representing victims of E. coli outbreaks. According to the CDC, the earliest case was reported on July 20, and the latest was reported on October 10. The ten states reporting illness are, Illinois (1), Kentucky (3), Missouri (2), New York (2), Ohio (1), Pennsylvania (1), South Dakota (1), Tennessee (8), Virginia (1), and Wisconsin (1).

Marler also called on General Mills to immediately pay medical costs for the victims of the E. coli outbreak. “Without assistance in the form of monetary compensation for medical expenses, many of the families with members who were hospitalized will face financial hardship in the coming months when the bills start coming in,” said Marler. “General Mills should do the right thing and begin compensating victims of this outbreak for those most basic needs now,” Marler added.

Marler noted that other companies like Dole, Odwalla, ConAgra and Jack in the Box willingly paid medical bills when their products were identified as the source of E. coli outbreaks. “General Mills knows it’s going to pay those medical expenses in the end in the form of a settlement or jury verdict,” Marler continued. “The question is, since they know their product was the cause of these illnesses, why wait?”

Several times a month Bill speaks to industry and government throughout the United States on why it is important to prevent foodborne illnesses. He is also a frequent commentator on food litigation and safety on www.marlerblog.com. Bill also sponsors several websites related to E. coli, including www.about-ecoli.com, www.about-hus.com and www.ecoliblog.com.  Bill can be reached at bmarler@marlerclark.com or 1-206-346-1890

Cover Story - Food Safety Magazine - What I tell Food CEO's

From the October/November 2007 of Food Safety Magazine:

Food Safety & the CEO - Keys to Bottom Line Success

By William Marler (that's me)

Foodborne illness has, of course, been around as long as there has been food. But the identification and diagnosis of these diseases is an emerging science that is changing all sectors of the food business, and those chief executive officers (CEOs) and senior level directors and managers who do not keep up are bound to be at a significant disadvantage when making critical decisions about their businesses.

It is one thing to read or view media reports on the latest foodborne illness outbreaks and brand-damaging product recalls; it is quite another to really understand the widespread, adverse impact these incidents have on your consumer base, on your employees, on the efficiencies of your operations, and ultimately, on your bottom line. In other words, today's food company CEO needs to know a lot more than producers in the fresh-cut produce industry initiated massive recalls last week, or that a regional restaurant chain closed down, or that a recent spate of pet fatalities due to the inclusion of a banned substance on an international scale means his or her company should look more closely at imported ingredients for awhile.

What you, the CEO, should know about food safety comes down to a few key concepts. First, all companies along the food supply chain need to go beyond managing the business: To be successful, food companies are now in the business of managing risk. This means garnering a good understanding of why food safety is important to your business, what risks there are to the business, how you can mitigate or eliminate those risks, and how in doing so the food safety program will provide a return on your investment. Continue Reading...

Fanatic Cook keeps track of sponsors of Safe Food Act 2007



A fellow blogger, the Fanatic Cook, both mentioned my Blog (thanks to Law Professor Blog) and the Safe Food Act of 2007.  She has set up a Blog to track Congressional sponsors and a way to email those who have not yet to encourage sponsorship.  We also just updated our Foodborne Illness site.

ABA (American Bar Association) Food Poisoning Lecture

No, sorry, this is not a lecture on how to poison lawyers.  On Wednesday I get the opportunity to discuss how to determine the strengths and weaknesses of a foodborne illness claim by phone.  The below PowerPoint and Paper may be helpful.

Bill Marler: Food Safety Czar?

Food Safety CzarSpeechwriter/Ghostwriter Jane Genova recently posted on her blog that she thinks Hillary Clinton will win the Whitehouse and when she does, I should be appointed Food Safety Czar: 

I have someone in mind for the job of food-safety czar.  It's Bill Marler of Marler Clark Law firm. Actually Hillary might already know Marler, a plaintiff attorney specializing in food-borne diseases.  Marler was among the coalition of experts who helped create a new system after the E-Coli outbreak early in Bill Clinton's first administration.  The new president was delivering a televised town meeting when a couple whose child ate some of that contaminated meat spoke up. That child later died.

I worked with former President Bill Clinton to arrange congressional hearings and victim testimony after the Jack in the Box E. coli outbreak in 1993. What we needed – and still need – was change in our food safety system. Significant change. 

What we got then was a classification of E. coli O157:H7 as an adulterant in meat products. A good step in the right direction. What we need now is a single agency responsible for food safety – one that has the power to shut down processing plants and recall contaminated food products, among other things.

“Bill Marler: Food Safety Czar” does have a nice ring to it, but since I don’t think my wife and kids would let me move them to Washington, D.C. here’s my offer: When the Democrats win the Whitehouse and create a single food safety agency, and when companies stop poisoning people, I’ll stop calling for Congressional hearings on food safety and asking the food industry to “put me out of business.” 

William Marler, food safety attorney, urges Con Agra to recall all Banquet Pot Pies immediately to protect the public.

From a Press Release this morning:

SEATTLE--(BUSINESS WIRE)--Oct. 10, 2007--William Marler called on ConAgra this morning "to do the right thing for its customers and to immediately recall all of its Banquet Pot Pies without question and without hesitation." According to a press release this morning, the CDC announced, "The outbreak appears to be ongoing." Marler added, "As of last night these products were still on store shelves and in fact were on sale -- 2 for $1.00. ConAgra, the USDA and all health authorities, should put people's safety above sales."

The Center for Disease Control (CDC) reported 139 people in 30 states have been linked to the consumption of ConAgra's Banquet Pot Pies. The states with ill persons are: Arizona (1 person), California (5), Connecticut (3), Delaware (5), Georgia (2), Idaho (2), Illinois (3), Indiana (3), Kansas (2), Kentucky (7), Massachusetts (5), Maryland (5), Maine (1), Minnesota (5), Missouri (11), Montana (4), Nevada (6), New York (6), Ohio (6), Oklahoma (1), Oregon (2), Pennsylvania (13), Tennessee (5), Texas (4), Utah (2), Virginia (6), Vermont (2), Washington (1), Wisconsin (19), Wyoming (2). At least 20 people have been hospitalized. No deaths have been reported.

BACKGROUND: Marler’s Seattle-based law firm, Marler Clark (www.marlerclark.com) has represented thousands of victims of E. coli, Salmonella, Hepatitis A, Listeria, Shigella, Campylobacter and Norovirus illnesses in over thirty states. In 1998, Marler and his current law partners formed www.outbreakinc.com, a non-profit food safety organization. Marler dedicates a significant amount of his time to travel to food-industry and public health conferences, giving speeches about how to prevent food poisoning and the consequences of foodborne illness outbreaks. Marler comments on foodborne illness outbreaks and litigation at www.marlerblog.com. For more information about Salmonella, see www.about-salmonella.com. Mr. Marler can be reached on his mobile phone at 206-719-4705 or by email at bmarler@marlerclark.com.

Cargill and its subsidiaries have had E. coli problems in the past, and I am really not that old

It was a bit cold and rainy on Bainbridge Island today as I watched my eight-year-old daughter, Sydney’s, soccer game. You see at 50 I don’t feel old - my wife is younger and my three daughters are very young. So, I was a bit disturbed that the AARP (American Association of Retired Persons) would send me a membership card in the mail today. As I cut the card into several dozen pieces and burned it in the fireplace, I smiled to myself and thought – well, at least I am not Cargill. I might be getting older, but at least I did not sicken four little kids in Minnesota over the last month and have to recall nearly 1 million pounds of meat even after it proclaimed in 1995 that the “End to E coli is found.”

Really, Cargill did. In an article in the New York Times, Cargill and Frigoscandia announced that they “had developed a method to eliminate virtually all disease-causing bacteria in beef, pork and poultry. The process was to use a blanket of steam to pasteurize the surface of carcasses and could be easily inserted into meat-processing lines, the two companies said. The main target of the new technology was E. coli O157: H7.” What the hell happened?

August 2000 – Cargill Implicated In 1993 and 2000 Sizzler E. coli Outbreaks - Lawsuit filed

In the summer of 2000 Cargill meat was found to be the source of the Milwaukee Sizzler E. coli outbreak that sickened 62 people and killed one child. We represented many of the victims. In 1993 Cargill was also implicated in an E. coli outbreak in Oregon that sickened nearly 100. In both instances the contaminated beef originated at Cargill’s meat plant located in Fort Morgan, Colorado.

July 2001 - E. coli lawsuit filed against Cargill on behalf of injured child

We filed suit against Cargill on behalf of a young child who became seriously ill after eating a hamburger patty contaminated with E. coli.  A month earlier, Cargill issued a voluntary recall of 190,811 pounds of ground beef and ground pork it manufactured at a Newnan-based meat packaging plant and then supplied to Kroger supermarkets in southeast Georgia. According to a Washington Post-Dateline NBC Report, an Excel plant located in Fort Morgan, Colorado, was cited 26 times from September 1999 to July 2000 for fecal contamination of meat. Also, according to a June 26, 2001 story in the Atlanta Journal-Constitution, “Excel’s parent company, Cargill, recalled 16.7 million pounds of cooked, ready-to-eat turkey and chicken products in December to safeguard against potentially fatal Listeria contamination.”

2002 - Lawsuit filed against Cargill

We filed another E. coli suit against Cargill. This time on behalf of several women who were sickened along with 57 others traced to Cargill’s Peck Meats Packing division in Milwaukee, Wisconsin. These illnesses led to a 400,000-pound ground beef recall on October 1. That recall was expanded to 2.8 million pounds on October 3. Cargill closed its Peck Meats plant on October 3, but issued a new recall of 568,000 pounds of fresh beef on October 10.

So, you see I might be getting older, but at least I am not Cargill.

The US Beef Supply is Safe?

William D. Marler
Op-ed


Dr. Richard Raymond, Under Secretary for Food Safety at the USDA/FSIS told us last week: “our meat supply is the safest in the world.” This when in the past days Topps, a company in operation for nearly 70 years closes its doors and recalls 21 million pounds of ground meat after sickening 30, and Cargil, one of the largest food producers in the US, recalls hamburger after sickening 4 children in Minnesota. ”The US beef supply is safe?” Well, I suppose the thought is that if the lie is big enough we will not notice?

Earlier this year J. Patrick Boyle, President and Chief Executive of the American Meat Institute, wrote in part in the New York Times: “Since 1999, the incidence of E. coli in ground beef samples tested by the Agriculture Department has declined by 80 percent to a fraction of a percent, a level once thought impossible.” In January 2007 I agreed with Mr. Boyle. In fact, according to the Centers for Disease Control and Prevention, E. coli outbreaks linked to tainted meat declined by some 42 percent over the last five years. Perhaps our beef was safer in January but something has changed, and it has not changed for the better.

A decade ago most of my clients were sickened by E. coli-tainted meat. In fact, between 1993 and 2002 I represented hundreds of children with acute kidney failure caused by consuming E. coli-tainted ground beef. And, then it nearly stopped. For the last five years there were few recalls or illnesses tied to ground beef. I touted the meat industry as a model of what an industry could do that was right to protect consumers.

But then it changed this spring. Since April of this year, 30 million pounds of red meat, mostly ground beef products, has been recalled. To put that in perspective, that is enough red meat to make 120 million hamburgers. E. coli illnesses once on a downturn have spiked. Kids are getting sick, seriously sick, again – nearly 100 since April. Topps Meat Company expanded its 300,00-pound recall to include 21 million pounds of ground beef. This recall tops the Con Agra recall of 19 million pounds in 2002 that sickened over forty and killed one and is just under the 25 million pounds recalled by now-bankrupt Hudson Foods in 1997.

We also learned in the past few days that Dr. Raymond’s food safety bureaucracy knew weeks in advance that our meat supply might be tainted by Topps meat and did not alert the public until dozens of children had already become ill. And he tells us: ”the US beef supply is safe?”

One would think that with hundreds of Americans poisoned that Dr. Raymond would not be acting as the “cheerleader in chief” for the beef industry, but would be asking one simple question – “What is going on?” Clearly, the USDA/FSIS seems incapable of asking simple questions.

Congress needs to act now. It is time for Congress to accept a leadership role and call hearings on “How safe is our meat supply, really?” Hearings need to not only explore the reasons for the past months’ outbreaks, but also to help prevent the next one. Congress must reach out to all facets of the meat industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators to find reasonable, workable solutions to prevent the next meat-related illnesses. More regulation may not help. Testing all products may not be feasible. More funding for the CDC and USDA may not be enough. And, more research at universities may not find all of the answers. But, getting everyone concerned to the same table is a start.

Several times a month Bill Marler, a Seattle lawyer, through his non-profit, Outbreak Inc., speaks to industry and government on why it is important to prevent foodborne illnesses. He is also a frequent commentator on food litigation and food safety on www.marlerblog.com.

William Marler, E. coli Lawyer, calls for Congressional Hearings on the Safety of the US meat supply.

Earlier this year J. Patrick Boyle, President and Chief Executive of the American Meat Institute, wrote in part in the New York Times: “Since 1999, the incidence of E. coli in ground beef samples tested by the Agriculture Department has declined by 80 percent to a fraction of a percent, a level once thought impossible.” At the time I agreed with Mr. Boyle. In fact, according to the Centers for Disease Control and Prevention, E. coli outbreaks linked to tainted meat declined by 42 percent. But something has changed, and it has not changed for the better.

Here are the facts. A decade ago most of my clients were sickened by E. coli-tainted meat. In fact, between 1993 and 2002 I recovered over $250 Million from the meat industry and restaurants in verdicts and settlements on behalf of those clients, mostly children with kidney failure caused from consuming E. coli-tainted hamburger. And, then it stopped. From 2003, 2004, 2005, and 2006 and through the spring of 2007 there were few recalls or illnesses tied to hamburger. I did not sue the meat industry often and I touted it, as a model of what an industry could do that was right to protect consumers.

But then it changed this spring. Since April of this year, nearly 30,000,000 pounds of red meat, mostly hamburger, has been recalled. E. coli illnesses once on a downturn have spiked. Kids are getting sick; seriously sick again. For example, at 2:00 this morning, Topps Meat Company expanded its 300,000-pound recall to include 21,700,000 pounds of ground beef; as of this morning 25 people are sickened in eight states. This recall tops the Con Agra recall of 19,000,000 pounds in 2002 that sickened over forty and killed one and is just under the 25,000,000 pounds recalled by now-bankrupt Hudson Foods in 1997. And, this is not the first time Topps was caught selling E. coli contaminated meat.

Other outbreaks and recalls in the last few months include: (1) six people in Washington, two people in Oregon and one in Idaho who became sick from E. coli-tainted organic beef ground by Interstate Meat. 42,000 pounds of meat was recalled. (2) Thirteen people have been confirmed ill with E. coli infections after eating ground beef produced by United Food Group sold in Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming and Montana. Over 5,700,000 pound of meat have been recalled. (3) Tyson Fresh Meats recalled 40,440 pounds of ground beef products due to possible contamination with E. coli. (4) Seven Minnesotans were confirmed as part of the E. coli outbreak that prompted PM Beef Holdings to recall 117,500 pounds of beef trim products that was ground and sold at Lunds and Byerly’s stores. (5) Twenty-seven people have been confirmed ill with E. coli infections in Fresno County. The Fresno County Department of Community Health inspected the “Meat Market” in Northwest Fresno, the source of the outbreak. (6) At least two people were confirmed ill with E. coli infections in Michigan after eating ground beef produced by Davis Creek Meats and Seafood of Kalamazoo, Michigan. The E. coli outbreak prompted Davis Creek Meats and Seafood to recall approximately 129,000 pounds of beef products that were distributed in Arkansas, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia, and Wisconsin. (7) Three Napa Valley children became sick from hamburger patties sold at a St. Helena Little League snack shack. 100,000 pounds of hamburger (that was a year old) was recalled. And, (8) Several people were confirmed ill with E. coli infections in Pennsylvania after eating E. coli-contaminated meat products at Hoss’s Family Steak and Sea Restaurants, a Pennsylvania-based restaurant chain that purchased its meat from HFX, Inc., of South Claysburg, Pennsylvania. As a result of the outbreak, HFX recalled approximately 4,900 pounds of meat products.

One would think that with hundreds of Americans poisoned that Congress would ask one simple question – “What is going on?” Congress needs to act now. It is time for Congress to accept a leadership role and call hearings, not only to explore the reasons for the past months’ outbreaks, but also to help prevent the next one. Congress must reach out to all facets of the meat industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators to find reasonable, workable solutions to prevent meat-related illnesses. More regulation may not help. Testing all products may not be feasible. More funding for enforcement for the CDC and USDA may not work. And, more funding for university research may also not be the answer. However, getting all to the same table is a start. Congress needs to do the inviting.

Hey, this post made it on to BARFBLOG and Jane Genova's Law and More.

William Marler Comments on E. coli Outbreak Traced to Topps Meats

Marler Clark attorney William Marler commented on the USDA’s Food Safety and Inspection Service announcement that Topps Meat Company of Elizabeth, New Jersey, was recalling 331,582 pounds of frozen ground beef products that may be contaminated with E. coli O157:H7. The recall was prompted by a combined New York Department of Health and Centers for Disease Control and Prevention investigation into an E. coli O157:H7 outbreak that was determined to have been caused by consumption of Topps ground beef products.

New York is not the only state impacted by the beef recall and E. coli outbreak. The Associated Press reported today that residents of Connecticut, Indiana, New Jersey, Ohio, and Pennsylvania were part of the outbreak.

“We have a lawsuit pending in Albany County Superior Court that is the result of a 2005 E. coli case traced back to ground beef produced by Topps and sold at Price Chopper,” said Marler, the nation’s foremost attorney representing victims of foodborne illness. “What we’re seeing here is that lightning does strike the same spot twice.”

Marler noted that for the first time since 2002, the number of meat recalls and E. coli outbreaks connected to ground beef has been increasing. “The CDC and USDA’s numbers have shown significant declines in E. coli outbreaks traced back to contaminated ground beef since 2002, and our client-base was backing those numbers up,” Marler continued. “Most of our E. coli cases in the last five years have been the result of contaminated produce, but not this year – we’ve filed lawsuits against California, Minnesota, and Oregon beef producers in the last six months.
“To quote Buffalo Springfield, ‘Something’s happening here.’”
BACKGROUND: Marler’s Seattle-based law firm, Marler Clark (www.marlerclark.com) has represented thousands of victims of E. coli, Salmonella, Hepatitis A, Listeria, Shigella, Campylobacter and Norovirus illnesses in every states. In 1998, Marler and his current law partners formed OutBreak, a non-profit food safety organization. Marler dedicates a significant amount of his time to travel to food-industry and public health conferences, giving speeches about how to prevent food poisoning and the consequences of foodborne illness outbreaks. Marler comments on foodborne illness outbreaks and litigation at www.marlerblog.com.

China needs a few good lawyers


WILLIAM D. MARLER
GUEST COLUMNIST


Tainted pet food. Toothpaste laced with antifreeze. Toys coated with lead paint. Judging by the news reports, one might conclude the Chinese economic boom is about to collapse of its own weight.

Or, as Chi-Dooh Li concluded in Sunday's Focus ("In trade, China's moral compass is off course"), to veer off into some sort of amoral oblivion, where the safety of food and other products is blithely sacrificed at the altar of the Free Market and the Almighty Dollar.

But maybe not. Perhaps all China needs is a few good lawyers, and a body of civil law.

I thought of this earlier this month, as my cab inched through downtown Beijing, taking me to China's first International Food Safety and Quality Conference.

Nothing could have prepared me for what I saw. My car was virtually frozen in traffic, leaving ample time to gawk at the rising skyscrapers, stretching as far as the smoke-filled air allowed me to see. My hotel was a gaudy parody of a Las Vegas casino. Yet, just a block away was a hootong, one of the bleak, yet clean and serviceable residential communities carefully fenced off from prying tourist eyes.

Nothing, it seems, is left of the Maoist society I studied in college 30 years ago, a point driven home when I strolled past a Porsche dealership a few blocks away from Mao's tomb facing the Forbidden City.

As a lawyer who represents people sickened by food-borne illness, I had bought my way into being asked to speak to the conference hastily organized in the wake of the epidemic of unsafe products traced to Chinese factories. The Chinese are clearly baffled and nervous about what has become an international health scare and public relations nightmare.

The Chinese government responded by executing its top food-safety official, a solution that, to a lawyer who has dealt with scores of such bureaucrats, sounds a bit tempting. But I was there, along with officials from the U.S. Food and Drug Administration and the World Health Organization, to suggest some less drastic solutions.

Clearly, China has a big problem. But how big? Pets died after eating melamine-contaminated dog and cat food. But China is merely joining the club. Corporate America has been killing Americans -- and their pets -- for generations. Where was the conscience of Jack in the Box over a decade ago when it chose to undercook its hamburgers and sickened hundreds with E. coli? Where was Con Agra's moral compass in 2002 when it sickened dozens more by distributing tainted ground beef? Did Odwalla lose sleep over the death of a 2-year-old in 1996? Last year, hundreds were sickened, five died and dozens were left with lifelong kidney problems after eating contaminated spinach. And, guess what? The Chinese had nothing to do with any of this.

Killing regulators will not make food any safer, I told the mostly Chinese audience. Tougher laws and inspections may help, but not by themselves. If consumers are injured by a product, the consequences must fall on those who made it. And, for that, Americans rely on a body of civil law.

The Chinese were clearly puzzled by this. They understand the power of government, and the concept of criminal law. But they do not understand how one person can stand up to a rich corporation and say: "You made my child sick, and you are going to have to make it right."

I explained how our civil laws work. A Chinese company manufactures a product, or a component part of anything from dog food to automobiles or toy parts, and sends if off to Wal-Mart. The product proves to be tainted or faulty. A consumer is injured, and files suit against Wal-Mart, demanding compensation. A court awards damages, and Wal-Mart looks to the Chinese manufacturer, and demands accountability. Their message: China can make things cheaper, but they have to be safe. Lawsuits may make products more expensive, and both American and Chinese firms risk losing business.

Faced with the risk of another product failure, and another lawsuit, the U.S. importer will look for a more reliable manufacturer.

So, I told the Chinese, the issue is not social justice or morality. The issue is something they can understand much more easily -- the bottom line. I could see heads nodding across the room. Ohhhhh, so it is ultimately about making the sale or not making the sale! This they understood.

Whether they operate in China, America or Mars, corporations may talk publicly about their corporate conscience. But back in the boardrooms, the discussion will revert inevitably to the bottom line. They are far more motivated by the ugly prospect of being whacked by somebody like me. A few sick kids may be a minor cost of doing business, but a few civil lawsuits cut into profits.

Too cynical? Maybe. But motives matter less than results. If corporations make the right decisions to make safe products, does it really matter why?

At this point, it is difficult to imagine China developing a body of civil law. It does not seem to mix well with an authoritarian society. Their impulse remains: "Kill the regulator."

But, when it comes to exports, China is learning that its manufacturers are indirectly accountable to our system of civil justice. Once they understand that, they will have to play by the rules. Not because they are moral or immoral. But because they are motivated by the same raw, rational impulse as our corporations. They want to make money. And they will make more if they are not harassed by a bunch of lawyers representing sick kids.

Another Interesting Day in Beijing



The China International Food Safety and Quality Conference started off today in Beijing with a panel discussion from members of the Party, IAFP, WHO and the US Embassy.  It was followed by opening remarks by Robert Brackett of the FDA, Frank Yiannas of Disney and yours truly:



I also was able to have lunch with several delegates from the China Food Safety Authority.



All in all, I am glad that we sponsored the event.

Consumers Are Responsible For Beef Safety Too

Or, the Meat Industry believes that it is the consumer's responsibility to get cow shit out of its product.  Seriously, can you think of one consumer product that the manufacturer expects you to fix it, AFTER they make it, and BEFORE you use it.

I just read an article in "Cattle Networks" about industry irresponsibility and consumer responsibility.  Please read the whole article by clicking on the below photo:

Consumers may take for granted the safety of their beef supply and, therefore, may think it will remain safe until preparation.
- Think how often you see advertising for eating meat and how often you see advertising explaining the dangers of bacterial or viral contamination – right, never

- First, let make this very clear, what the meat industry is trying to say is that it is OK to have cow shit in your meat and you should buy a lot, but just handle it like it is radioactive and may kill you or your children.
Not everyone lives right next to a grocery store, so it is anticipated that beef products will undergo a period of time when storage temperature will be inadequate. Beef can become contaminated with pathogens if it reaches temperatures that support pathogenic growth.
- Does the beef industry really expect consumers to all own refrigerated trunks or carry coolers to the store to handle the toxic substance?

- Again, get the cow shit out of our hamburger and perfect storing temperature, important yes, but less life threatening.
A common place for cross contamination to occur is in the grocery bag. Juices from raw meat products can drip onto other food items.
- I’m sorry; this is the consumer’s responsibility?
Raw meat products stored in the refrigerator can drip onto other food items if not wrapped and stored in the meat compartment of the refrigerator.
- Come on - get the poop out. As the folks at www.donteatpoop.com say – “Don’t Eat Poop."
Although cross contamination of raw meat products can be a problem, most instances can readily be solved with adequate cooking temperatures. Different beef retail cuts have different methods and ways in which they can be prepared. Regardless of retail cut, cooking ground hamburger patties, steaks, or roasts to an internal temperature of 160° F is a sufficient temperature. The majority of consumers who prepare meat at home rely on visual cues to evaluate doneness. This can be deceiving when using a cooking method such as grilling. Grilling can cause beef to turn brown very fast on the outside, which may lead a consumer to think that the proper cooking temperature has been reached. Because color cannot accurately determine temperature, it is not safe to use the color of beef as an indicator of safety. The only way to ensure that an internal temperature of 160° F has been reached is to use a thermometer.
- OK, honestly, who has a thermometer and who uses it?
Since 2002, the number of meat recalls and E. coli outbreaks connected to ground beef had been steadily declining, and our focus shifted from contamination in meat processing facilities to spinach and lettuce fields—until now. Since January, over 6.5 million pounds of meat have been recalled this year for potential E. coli contamination.  Some interesting real facts:

-  In April, Richwood Meat Co. of Merced, California, recalled 107,900 pounds of frozen ground beef products, and HFX of South Claysburg, Pennsylvania, recalled 4,900 pounds of meat products. Both companies’ products had been linked to E. coli outbreaks.

-  In May, PM Beef Holdings of Windom, Minnesota, recalled 117,500 pounds of beef trim products, and Davis Creek Meats and Seafood of Kalamazoo, Michigan, recalled 129,000 pounds of beef products after their products were linked to E. coli outbreaks.

-  In June, the Meat Market of Fresno, California, recalled tri-tip and United Food Group of Vernon, California, recalled 5.7 million pounds of ground beef when the products were identified as the source of E. coli outbreaks, and Tyson Fresh Meats of Sherman, Texas, recalled 440,000 pounds of ground beef for possible E. coli contamination.

-  In July, Custom Pack of Hastings, Neb. recalled 5,920 pounds of ground beef and buffalo products due to potential E. coli contamination after illness was linked to consumption of the company’s products.

-  In August, Interstate Meats issued its ground beef recall after nine became ill with E. coli infections.

-  So far in September, Fairbank Farms of Ashville, N.Y., voluntarily recalled 884 pounds of ground beef products because they may be contaminated with E. coli O157:H7, the U.S.

So, meat industry - get the poop out.  And, consumers, do not eat the industry's shit.

My daughter the blogger

Well, finally made it back from Australia to Seattle and still a bit jet-lagged.  By the way, my middle daughter, Olivia, kept a blog about most of the trip.  The link to it is HERE.  Or, click on the picture of Olivia and Sydney (the youngest) below.  Most photos were taken by Morgan, the oldest.

Marler Clark has made it to the top


Boy, when you get mentioned (well, OK, it only said “that Seattle law firm”) in a defense firm’s PR brochure, you know you have made it.

Paul M. Pohl (Mickey)
, of the Jones Day (2,200 lawyers in 30 offices around the world – must be crowded, we only have six lawyers, but one lawyer per office at Marler Clark) Pittsburgh office, recently wrote an interesting article entitled: “A Smorgasbord of Attacks on the Food Industry.”

One would think in reading the article that the poor, $100s of billions Food Industry is being unfairly attacked for sickening 76,000,000, hospitalizing 325,000 and killing 5,000 Americans annually (CDC).  I shot Mickey and email this morning offering to help write his next piece - we shall see.  I took a "slightly" different approach in an article I produced for the Defense Research Institute  entitled:  "Separating the Chaff from the Wheat : How to determine the strength of a foodborne illness claim."
Also, come to think about it, I do know that Jones Day, or at least their clients, know Marler Clark - they have sent us several large multi-million dollar checks on behalf of customers they poisoned over the years.  But, hey, who can get mad at a grown man named Mickey.

I am proud I went to Washington State University



I just finished giving my second of three talks here in Melbourne and just received an email with a link to an article in the WSU Magazine, by Hannelore Sudermann and photography by Bruce Andre and Robert Hubner.  Sitting in an internet cafe several thousands of miles away, and a day ahead, is an interesting way to read about your life.  It is an interesting read - see below:


The nation's leading food-borne illness attorney tells all

Continue Reading...

Swimming with the Sharks


Well, perhaps I already scarred them out of the water.
I am still in Australia with my family enjoying the Winter weather of Northern Australia (80 degrees).  It is amazing how you can stay connected via email, phone and blackberry - I'm sure my opponents love it.  Right now I am sitting in an Internet cafe on the beach in flip flops answering emails (183 this morning).  Last week I finished up two speeches on food safety to Australian industry and government.  I am working now on talks to be given in Melbourne to the dairy industry and the Keynote address to be given in at a food safety conference in China in mid-September.

People here seem very interested in our recent Botulism outbreak as well as the Con Agra Peanut Butter problem.  They find both outbreaks hard to fathom given the knowledge we should have had of the risks of botulism in canning and salmonella in peanut butter.

The legal and regulatory framework here is quite similar to both England and Canada (no surprise).  It appears that they feel that industry regulation, and criminal sanctions for violations, is a more efficient way of handling food safety issues that using civil lawsuits to both correct behavior and to compensate victims of food poisonings.  The problem, however, is that they seem to have a weak surveillance system, so few outbreaks are ever identified.  Also, although the industry feels that regulation and enforcement are tough, the government investigators I spoke with feel the opposite.

Well, off to a crocodile tour.

China Food Safety Conference



Marler Clark is pleased to be a chief sponsor of this event on Spetember 12 -13 2007.  As China is fast becoming one of the largest US trading partners in food, the safety of our imports are becoming of even greater concern.

Off to "Down Under"

My first talk is next week at the 14th Annual Australian HACCP Conference - I will be giving them a United States perspective on Foodborne Illnesses and Class Actions.

Interestingly, today the press picked up a tentative Class Settlement in a Hepatitis A case we filed.


Tentative agreement reached in Houlihan's hepatitis A case
A tentative settlement has been reached for diners exposed to hepatitis A at Houlihan's restaurant in Geneva Commons. The agreement, reached July 12, turns the lawsuit filed by the Johnson family of Geneva into a class-action lawsuit. The lawsuit is open to anyone who ate or drank in the restaurant between Jan. 8 and 19 and subsequently received immunoglobulin shots from the Kane County Health Department or a private physician. The class-action status is only binding if the settlement wins final approval by the court Nov. 27.

An estimated 3,000 dined at the restaurant during the January time period when an employee infected with hepatitis was working and was potentially contagious. The health department gave shots to more than 2,000 people to minimize the effects of the exposure. Most at risk are patrons who had drinks with contaminated ice.

Food Safety Assignment


This coming Saturday, I am off to Australia to give a series of speeches to government and industry on food safety and the legal implications. My first talk is in Queensland, where I will be speaking on “Class Actions Relating to Foodborne Illness in the USA.” My next series will be in Melbourne – “The Science and Law of Tracking Foodborne Illness” and “Pure and Wholesome: Is Food A Risky Business?”

Being gone for a bit “Down Under” made me think about the obvious and growing crisis in the safety of the US food supply, both domestic and imported. Over the years I have asked repeatedly that I be “put out of business.” Yet, business for my law firm has never been better. For example:
-  In the Fall of 2006, E. coli in lettuce in Utah nearly killed two young women, E. coli in spinach sickened hundreds nationwide and killed at least four, and Salmonella in tomatoes caused two outbreaks of hundreds each that went nearly unnoticed.

-  Valentines Day 2007 brought the recall of 180,000,000 jars of peanut butter and a landslide of lawsuits, including 30 class action lawsuits.

-  Spring 2007 arrived and showed us that recent meat industry efforts at improving meat safety have begun to erode, with 7,000,000 pounds of meat recalled and over 50 ill in several (seemingly) unrelated outbreaks across the country.

-  Then it was Salmonella in Veggie Booty, 700 sickened in Chicago from eating contaminated hummus, and now botulism in canned chili.
It all does make you wonder, as one Congressman quipped: "Who needs Al-Qaeda when you have got E. coli?"

I will not be gone long, and I will—to some folks’ dismay—still be connected. But while I am gone, why doesn’t the entire food chain—from “farm-to-fork”—think about ways to enhance the safety of the food supply, such as:

Growers:
  1. Develop and implement Hazard Analysis Critical Control Point-based systems (and if you can't have HACCP on the farm, say HACCP-based);
  2. Conduct microbial testing on soils, water and product on a routine basis;
  3. Develop a product coding system down to the unit package level (bag, clamshell) allowing rapid trace back;
  4. Support mandatory regulation of the produce industry at Federal, State and local levels; and
  5. Support research to determine the critical values for the safety of food, water, air and soils in farming operations.
Manufacturers:
  1. Improve Hazard Analysis Critical Control Point systems;
  2. Create a culture of food safety and sanitation within the firm;
  3. Institute a profit sharing model to engage employees fully in the health and well-being of the organization;
  4. Require all suppliers of raw materials to have HACCP systems in place; and
  5. Audit yourself and your suppliers.
Restaurants:
  1. Train and certify managers and train employees in food safety;
  2. Create a culture of food safety within the firm;
  3. Provide frontline management with the authority, not just the responsibility, for food safety;
  4. Provide a line item budget for food safety; and
  5. Provide accessible health insurance for employees.
Regulators:
  1. Build win-win industry partnerships while maintaining autonomy to independently protect public health;
  2. Provide an outsourced system to maintain inspection schedules, shift cost to industry;
  3. Require all operators of all food-related businesses to have a valid, verifiable food safety management system;
  4. Develop and implement science-based auditing techniques moving away from the poke-and-sniff inspection models; and
  5. Apply risk assessment to identify high risk operations for more intensive interventions and strengthen surveillance.
Consumers:
  1. Support consumer activist organizations that base their platforms on science and public health protection;
  2. Become more knowledgeable about food safety;
  3. Use a thermometer when cooking and do not undercook or consume raw high-risk foods such as ground beef, seafood, and chicken;
  4. Demand that restaurants be graded for food safety and that the grades be posted; and
  5. Support your Federal, State and local government's efforts in food safety regulation and vote for candidates that value public health protection.
I wish you the best on your assignments. And, remember, I will be 14 hours and 1 day ahead of you.

And, no, it is not a family reunion.

Marler Profile in "The Lawyer"

My Interview with Boston Public Radio



From Boston Public Radio:

Bad Meat

China may not be the only country encountering problems with food quality. Attorney William Marler says that although the meat industry has made recent improvements in quality control, he is still seeing more food poisoning cases.

Listen

Salmonella Death in Florida - Turtles to blame - Again


It what must rank up there with one of the more stupid moves by Congress (I know there are many), on May 2, 2007, according to Senator Mary Landrieu, “in A 93-1 vote, the United States Senate today passed S. 1082, the Food and Drug Administration (FDA) Revitalization Act, which includes a key amendment offered by Senator Landrieu, that would lift the current ban on the sale of baby turtles in the United States.”  She goes on to say:

"My amendment frees Louisiana's turtle farmers from outdated FDA regulations that have crippled them for more than 30 years," Senator Landrieu said. "This is a great success for our agriculture industry, and I am proud that I could work with the Senate leadership to get this key provision passed. I urge the House to follow the Senate and pass this legislation so that the President can sign it and our farmers can have the freedom they need to provide safe and healthy turtles to America's children and families."

Now here is the real issue:

“There are approximately 78 turtle farmers in Louisiana, comprising a $9.4 million industry.”

Check the campaign donations.

Yesterday the CDC published in MMWR reports of illness traced to turtles came from Texas, Alabama, Arizona, California, Florida, Massachusetts, Nevada, New Mexico, New York, Pennsylvania and South Carolina, according to the Centers for Disease Control and Prevention in Atlanta. A strain of salmonella called S. Pomona was found in 19 patients in 11 states who had contact with the reptiles, the CDC said in a report released Thursday. The illnesses occurred from Sept. 30 through April 23.

Tragically, Emily Brown of Bloomberg News reported on the death of a 3 –week-old Florida girl linked to the turtles. The family of the 3-week-old girl was given a small turtle that a friend bought at a flea market in north central Florida, the CDC said. The baby developed poor appetite and lethargy and died March 1 after being admitted to a hospital. Tests showed that the turtle and the child had the same strain of salmonella. Quoting from the CDC report:
Six percent of salmonella infections can be attributed to reptiles, the CDC said, citing a study in 1996 and 1997. Symptoms in humans include stomach cramps, vomiting and bloody diarrhea. Children under 5 and people with weak immune systems are most at risk of serious effects.

Sale of turtles for educational purposes is allowed. The CDC estimated in 1980 that the ban had prevented 100,000 turtle-related salmonella infections and 40 deaths.
What is Congress thinking?  Might I suggest an email campaign to the good Senator?  Here is her press agents email:  scott_schneider@landrieu.senate.gov

See also what my friends at BARFBLOG have to say on the topic.

Cattle Feces and Hamburger do not mix

Let me first say that the meat industry had been doing something right. E. coli illnesses and outbreaks were down, and down substantially, from 2003 to a few weeks ago.  From Jack in the Box outbreak of 1993 through the Summer of the ConAgra outbreak of in 2002, most of the work we did at Marler Clark consisted of E. coli cases tied to the consumption of contaminated hamburger.  In 2002, nineteen million pounds of meat was recalled and 40 people were sickened - one died. In the last two months, nearly 40 people have been sickened in a dozen or more states, some severely, and nearly six million pounds of meat has been recalled. I do not yet know the answer to this new and ominous trend, but I expect a few lawsuits will shake out an answer or two. Those concerning issues aside, I expect to get the following email (I always do when outbreaks happen) from someone upset that I had the audacity to sue a poor supplier of meat contaminated with E. coli O157:H7 (a.k.a “cattle feces”):
"It is not the failure of the Meat Industry in not keeping cattle feces out of hamburger that sickened the child, it is the fault of the parent who handled and cooked the hamburger that was fed to the child."
At first I will calmly try to respond that the Meat Industry that makes a profit off of selling "USDA Inspected Meat" can not blame the consumer if the product actually contains a pathogen that can severely sicken or kill a child. What other product in the United States would a manufacturer expect consumers to fix themselves before they used it for “gawds” sake? The reply to my calm response will be:
"The consumer should know that meat may contain bacteria and they are told to cook it."
My calmness will now fade. Think about the little labels on meat that you buy in the store - the ones that tell you to cook the meat to “thoroughly” - of course they also say USDA inspected too. However, the labels do not say "THE USDA INSPECTION MEANS NOTHING. THIS PRODUCT MAY CONTAIN A PATHOGENIC BACTERIA THAT CAN SEVERELY SICKEN OR KILL YOU AND/OR YOUR CHILD. HANDLE THIS PRODUCT WITH EXTREME CARE." I wonder why the Meat Industry does not want a label like that on your pound of hamburger. It knows that the label would be truthful. Do you think it might be concerned that Moms and Dads would stop buying it?

The day the industry puts a similar label on hamburger is the day that I will go work for them.

The reality is that the Meat Industry seems to be back at the point where it cannot assure the public that the meat we buy is not contaminated. So, instead of finding a way to get cattle feces out of our meat, they blame parents (and presumably all the teenagers that work at all the burger joints in America) when children get sick.

Consumers can always do better. However, study after study shows that, despite the CDC estimated 76 million people getting sick every year from food borne illnesses, the American public still has misconceptions and overconfidence in our Nation's food supply. According to a study by the Partnership for Food Safety Education, fewer than half of the respondents knew that fresh vegetables and fruits could contain harmful bacteria, and only 25% thought that eggs and dairy products could be contaminated. Most consumers believe that food safety hazards can be seen or smelled. Only 25% of consumers surveyed knew that cooking temperatures were critical to food safety, and even fewer knew that foods should be refrigerated promptly after cooking. Consumers do not expect that things that you cannot see in your food can kill you.

Consumers are being blamed, but most lack the knowledge or tools to properly protect themselves and their children. The FDA has stated, "Unlike other pathogens, E. coli O157:H7 has no margin for error. It takes only a microscopic amount to cause serious illness or even death." Over the last few years our Government and the Meat Industry have repeatedly told the consumer to cook hamburger until there is no pink. Yet, recent university and USDA studies show meat can turn brown before it is actually "done." Now the consumer is urged to use a thermometer to test the internal temperature of the meat. However, how do you use one, and who really has one?

Many consumers wrongly believe the Government is protecting the food supply. How many times have we heard our Government officials spout, "The US food supply is the safest in the world.” Remember, however, that just in the last year we have had E. coli outbreaks in spinach and lettuce, Salmonella outbreaks in tomatoes and peanut butter, poisoned animal feed, and now E. coli in meat is back on the front page.

Where is the multi-million dollar ad campaign to convince us of the dangers of hamburger, like we do for tobacco? The USDA's FightBAC and Thermy education programs are limited, and there are no studies to suggest that they are effective. Most consumers learn about food safety from TV and family members - If your TV viewing habits and family are like mine, these are highly suspect sources of good information - I've never heard Simon on American Idol talk about this topic with Paula.

The bottom line is that you cannot leave the last bacteria "Kill Step" to a parent or to a kid in a fast food joint. The industry that makes billions off of selling meat must step up and figure out why outbreaks and illnesses are happening again, and clean up their mess. They can, and someday will, if I have anything to say about it - again. That day will come much faster if they start working on it now, and stop blaming the victims.

Marler named "Super Lawyer"



William Marler is the managing partner of Marler Clark. He began representing victims of foodborne illness outbreaks in 1993, when he represented Brianne Kiner in her $15.6 million E. coli settlement with Jack in the Box. In 1998, Mr. Marler joined his current law partners in a practice dedicated to representing victims of foodborne illness. Since that time, Marler Clark has represented thousands of victims of E. coli, Salmonella, hepatitis A, and other foodborne illnesses in litigation against such companies as ConAgra, Dole, McDonald's, Odwalla, Wal-Mart, and Wendy's. Mr. Marler lives on Bainbridge Island with his wife and three daughters.

Put me out of business - Please - 2007

In August 2002, I wrote an Op-ed for the Denver Post entitled “Put me out of business - please.” That summer, the now infamous ConAgra case, started with a few sick kids in Colorado and quickly spread coast-to-coast, eventually triggering the recall of over 19,000,000 pounds of ground beef tainted with E. coli O157:H7. I asked, no pleaded, that the government and industry adopt measures to prevent illnesses. I asked:

* Actually, inspect and sample meat. At present, the USDA employs thousands of inspectors across the nation to inspect hundreds of plants that produce millions of pounds of beef at processing plants and retail outlets. The GAO has warned that the USDA's food samplings are so scattered and infrequent that there is little chance of detecting microscopic E. coli or any other pathogen.

* Consider mandatory recall authority. This authority is required in Sen. Tom Harkin's Safer Meat, Poultry and Foods Act of 2002 (named Kevin’s law for a young boy who died of E. coli that year).

* Require the meat industry to document where specific lots of food are sold. That way, it can be recalled quickly if a pathogen is detected. In most E. coli outbreaks, there is no recall because retailers do not know where the meat came from and processors rarely step forward.

* Merge the two federal agencies responsible for food safety. Right now, USDA's Food Safety Inspection Service and the inspection arm of the Food and Drug Administration share this mission. The system is bifurcated, which leads to turf wars and split responsibilities. We need one independent agency that deals with food-borne pathogens.

* Finally, large purchasers of meat – fast food industry, grocery store chains, and yes, the USDA – must require the meat industry to produce high quality, pathogen lessened, meat.

From 2002 until a few weeks ago I believed that even though most of the measures above never fully occurred, E. coli illnesses, especially those tied to red meat consumption were down - way down. A report in 2005 released by the CDC, in collaboration with the FDA and USDA, showed important declines in foodborne infections due to common bacterial pathogens in 2004. From 1996-2004, the incidence of E. coli O157:H7 infections decreased 42 percent.

Now that was, and still seems, significant. We saw the same results in our law firm. From 1993 (Jack in the Box) to 2002 (ConAgra), 95% of the cases in our office were E. coli cases tied to red meat consumption. After 2002, we saw enormous drop in clients, and more importantly, ill people nationwide. Recalls fell to nothing. That is until six weeks ago. The last six weeks look like the late springs and summers from 1993 to 2002, when hamburger recalls and E. coli illnesses were a large part of every summer – much like vacations and baseball season. Now here is the concerning reality of 2007:

* At least thirteen people have been confirmed ill with E. coli O157:H7 infections after eating ground beef produced by United Food Group sold in Arizona, California, Colorado, Idaho, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming and Montana. Over 5,700,000 pound of meat have been recalled.

* Tyson Fresh Meats, Inc. recalled 40,440 pounds of ground beef products due to possible contamination with E. coli O157:H7. No illnesses yet reported.

* Seven Minnesotans were confirmed as part of the E. coli O157:H7 outbreak that prompted PM Beef Holdings to recall 117,500 pounds of beef trim products that was ground and sold at Lunds and Byerly’s stores.

* Twenty-seven people have been confirmed ill with E. coli O157:H7 infections in Fresno County. The Fresno County Department of Community Health inspected the “Meat Market” in Northwest Fresno, the source of the outbreak.

* At least two people were confirmed ill with E. coli O157:H7 infections in Michigan after eating ground beef produced by Davis Creek Meats and Seafood of Kalamazoo, Michigan. The E. coli outbreak prompted Davis Creek Meats and Seafood to recall approximately 129,000 pounds of beef products that were distributed in Arkansas, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia, and Wisconsin.

* Following reports of three Napa Valley children who became sick from hamburger patties sold at a St. Helena Little League snack shack, 100,000 pounds of hamburger (that was a year old) was recalled.

* Several people were confirmed ill with E. coli O157:H7 infections in Pennsylvania after eating E. coli-contaminated meat products at Hoss’s Family Steak and Sea Restaurants, a Pennsylvania-based restaurant chain that purchased its meat from HFX, Inc., of South Claysburg, Pennsylvania. As a result of the outbreak, HFX recalled approximately 4,900 pounds of meat products.

I am not sure I know the reason for the new and ominous trend (these are the largest meat recalls in five years), but by anyone’s count these numbers are concerning. What I do know is that these recent outbreaks have all the ugly signs of another national emergency. As a nation - and that includes all federal and local government agencies as well as the private sector – we cannot let the positive tend of the past become another acceptable body count. We need to figure out why this has happened. My suggestion – if Congress was willing to drop everything in order to investigate the deaths of a dozen cats due to contaminated pet food from China – perhaps bringing all the executives of the companies responsible for this recent rash of outbreaks, recalls and illnesses to Washington for a few days of questioning (under oath) might help us get to the bottom of this.

Are we seeing a return of Red Meat E. coli Cases?

Recalls of Red Meat and Illness have been linked to United Food Group in Los Angeles, California, Creek Meats in Kalamazoo, Michigan, PM Beef Holdings of Windom, Minnesota, Richwood Meat Co. in Merced, California, HFX Inc. of South Claysburg, Pennsylvania and the Meat Market in Fresno, California.  I spoke with the Denver Post and the Portland Oregonian yesteerday about the rash of recent recalls and illnesses.

E. coli beef recall expanded
United Food Group says 370,000 more pounds may be tainted

For Bill Marler, a Seattle- based product-liability attorney who represents plaintiffs in E. coli contamination cases, the recall is "cause for concern."

Marler said that up until a few years ago, surges of early- summer E. coli cases from meat were almost an annual occurrence. But from 2003 to 2006, Marler said he had few, if any, meat-related cases. Spinach and lettuce had taken meat's place, he said.

This year, contamination seems to be on the rise, he said.

"If it was just one case, I'd be less concerned that history was repeating itself," Marler said. "But I'm very worried that at least five companies are recalling meat, none of them related to each other, and they're spread out over 60 days."

E. coli again rears its sickening head
Beef handling improved in recent years and outbreaks

Between 1990 and 2004, 171 E. coli outbreaks in ground beef sickened roughly 3,400 people. Seattle attorney Bill Marler built the most prominent foodborne-illness practice in the country primarily on the strength of such cases.

But during the past several years, as the meat industry has adopted handling practices to minimize contamination, Marler said meat-related E. coli legal cases have all but disappeared.

Between 2000 and 2005, microbiological testing of ground beef showed that positive samples of E. coli had fallen 80 percent, according to the federal Centers for Disease Control and Prevention.

"Obviously, we're seeing this issue come up again, and I'm hoping it's an aberration and not a trend," Marler said Thursday. "I'm getting more worried as the numbers keep going up."

E. coli Attorney: Recent outbreaks traced to meat products 'cause for concern'

In April of 2005, the Centers for Disease Control and Prevention (CDC) announced that the incidence of E. coli O157:H7 infection traced to ground beef products had significantly declined. CDC attributed the decline to the implementation of a new set of recommendations from the United States Department of Agriculture’s Food Safety and Inspection Service (FSIS) in 2002 and the beef industry’s subsequent enhancement of food safety systems, including testing and control measures. In a press release issued on April 14, 2005, USDA Secretary Mike Johanns stated:
“The continued reduction in illnesses from E. coli O157 is a tremendous success story and we are committed to continuing this positive trend in the future. These results demonstrate that through innovative policies and strong and consistent enforcement of inspection laws, we are protecting the public's health through a safer food supply.”
It is true that since 2002, there has been a general decline in the number of E. coli cases traced to red meat, and an increase in the number of E. coli cases traced to fresh produce, namely bagged lettuce and spinach. But in the last weeks E. coli outbreaks traced to beef products have underscored the importance of continued efforts to protect the public from E. coli in meat.

1.    On June 4, FSIS warned consumers to discard ground beef products produced by United Food Group, LLC, of Vernon, California, after its products were traced as the source of an E. coli O157:H7 outbreak. United Food Group issued a recall of approximately 75,000 pounds of potentially contaminated ground beef, which was confirmed as the source of at least twelve E. coli O157:H7 illnesses among residents of several Western states and British Columbia. Most of the products were sold under the Moran's label at Albertsons stores in California, Idaho, Montana, Nevada, North Dakota, Oregon, Utah, Washington and Wyoming and Save-A-Lot stores in Arizona, California, and Nevada.

2.    On May 29, the Fresno County Department of Community Health issued a press release stating that it was investigating an E. coli outbreak among Fresno County residents. As of May 31, eleven people had been confirmed ill with E. coli O157:H7 infections as part of the outbreak, and the Health Department had inspected the “Meat Market” in Northwest Fresno, a potential source of the outbreak. The outbreak investigation is ongoing.

3.    On May 11, FSIS announced that Davis Creek Meats and Seafood of Kalamazoo, Michigan, was recalling approximately 129,000 pounds of beef products due to possible contamination with E. coli O157:H7. The recall was issued in response to a Michigan Department of Community Health investigation into the E. coli illnesses of two Michigan residents. The potentially contaminated beef products were distributed in Arkansas, Florida, Illinois, Indiana, Iowa, Kansas, Kentucky, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Virginia, West Virginia, and Wisconsin.

4.    On May 10, FSIS issued a recall notice to consumers who may have purchased ground beef products made with beef trim products produced by PM Beef Holdings, LLC, of Windom, Minnesota. PM Beef Holdings recalled approximately 117,500 pounds of beef trim products, which were sold to distributors and retail outlets in Arizona, Illinois, Iowa, Michigan, Minnesota, Ohio, Virginia, and Wisconsin. The beef trim products were subsequently ground and sold under different retail names. Minnesota and Wisconsin health officials traced at least seven E. coli illnesses to consumption of the ground beef products, which were purchased at Lunds or Byerly’s stores in the two states.

5.    On April 20, FSIS announced the recall of 107,900 pounds of frozen ground beef products produced by Richwood Meat Co., of Merced, California, stating that the California Department of Health Services had discovered E. coli contamination during an investigation. The ground beef products were distributed to stores in Arizona, California, Idaho, Oregon, and Washington.

6.    Also on April 20, FSIS and the Pennsylvania Department of Health warned consumers that steak products produced by HFX, Inc. of South Claysburg, Pennsylvania, and sold at Hoss’s Family Steak and Sea Restaurants, a Pennsylvania-based restaurant chain, were potentially contaminated with E. coli O157:H7. The announcement came after an investigation linked several E. coli illnesses to consumption of the steaks at Hoss’s. HFX recalled approximately 4,900 pounds of meat products.

Marler Clark has been retained by victims of many pf the above-listed E. coli outbreaks, and has been contacted by several more who are seeking legal representation. Bill Marler, managing partner of Marler Clark, commented on the recent outbreaks: “This recent up-tick in E. coli cases traced to meat products is certainly cause for concern. I hope we’re not seeing a reversal in all the progress that has been made in recent years to curb E. coli contamination in meat processing plants.”

Off Wednesday to talk on Safety of "Leafy Greens"

It will be interesting whether the "Leafy Green" industry makes it through this years growing season without another outbreak of E. coli contamination - last year there were at least four that hit the attention of the media.  I'm giving a talk Wednesday night to a public health class in Minnesota.  My PowerPoint can be accessed by clicking on the leafy green:

Career Day

Hi, this is Remy Morritt. I have to keep saying to myself, “Don’t look down!” I am here at MarlerClark law office. Today is career day at my school, Assumption St. Bridget, and I decided I would like to see what a lawyers life would be like. Luckily, Bill Marler is a friend of my dad, and he kindly let me come to his office and bug him. Right now I am sitting 66 floors up, (even higher than the Space Needle!) typing up a passage for Bill’s blog.

I want to be a drummer in a band when I grow up, but I decided to talk to Bill because I want to become a lawyer more. I was thinking of doing damage or crime cases if I become a lawyer, but I like the idea of food poisoning like e.coli and salmonella. I am fascinated on what they are doing now, cases of poisoning from peanut butter. Apparently the peanut butter was in a packet (nasty).

I’m glad I’m doing Bill because my dad knows him, so I feel more comfortable. I also heard that he was the first to come to our house when I was born.  I also love the office, especially the view and the really nice people who work there. The pictures of all the newspaper articles interest me, seeing that there are thousands of cases of e.coli, salmonella, and other poisons. I think if I ever become a lawyer, I will be interested in food poisoning, and it will be all thanks to MarlerClark.

The Science and Law of Tracking Foodborne Illness - Part 10 - Conclusion

Looking to the Future

Following Taylor’s example, notice must be served to producers and other food processors that E. coli, Salmonella, and other foodborne pathogens will be classified and treated as adulterants. In addition, the same kind of comprehensive Risk Management System should be established and implemented, along with criminal and civil penalties for violations.

If these best practices were adopted, firms would have to certify that they are in compliance in every aspect of their supply chain. Branding can and should reflect this certification of both the firms and their suppliers. The result would be a “seal of approval,” which should also apply to such issues as the location of produce fields near livestock, what kinds of procedures are employed and the method of irrigation, as well as the type of water used to irrigate.

Second, government needs a food-safety champion like Michael Taylor, an articulate and highly visible spokesperson for food safety. At the same time, we should consolidate responsibility for food safety into one federal-level agency, which would become the authority on best practices, and the point of contact for state and local regulators and health departments.

Third, the food industry itself needs to take more responsibility for quickly and efficiently warning consumers as soon as it is discovered that contaminated food has entered the marketplace. The recent peanut butter scandal in the U.S. is a classic example of the costs of failing to do this. Federal and state governments should assert their authority in this area – especially at the state or regional level, since most outbreaks are regional, not national.

Fourth, we need to develop an E. coli vaccine for cows. The majority of outbreaks linked to fresh vegetables are caused by contamination by cow manure from adjacent or nearby fields.

Fifth, we need to educate the public about the benefits of irradiation of all mass-produced food, including fresh produce. Resistance to this practice seems to be rooted in perception, not science.

Sixth, attention must be paid to the vulnerability of food-supply systems to acts of terrorism. Denial and lack of common sense seem to dominate thinking at all levels – business and federal and state governments.

Seventh, government must use its economic and political leverage to monitor food imports and enforce the same standards enforced on domestic producers. This is a central trade issue that has been neglected.

And finally, there is an urgent need to improve the resources available to victims of foodborne illness. In the US, where the system relies on private medical insurance, out-of-pocket medical costs are rarely reimbursed by insurance – even if victims have coverage. By the time compensation arrives, victims can be mired in debt. And food processors and retailers whose products sicken their customers should minimally provide, as a gesture of goodwill, reimbursement for lost wages. This is not just the ethical response. It’s also good business practice.

Taken together, all of these recommendations will go a long way toward improving the safety and security of our food supply. In the U.S., one of the major food-safety success stories came as a result of the 1993 Jack in the Box outbreak. According to the CDC, E. coli outbreaks linked to tainted meat have declined by 42 percent. The American Meat Institute puts that figure at 80 percent.

Now consumer confidence in fresh produce has been shaken. Because three-quarters of America’s lettuce and spinach comes from California, the problem has hurt an industry, undermining consumer confidence not just in one supplier, but also in an entire sector, most of which continues to produce a healthy and safe product. More companies, ranging from food processors to retailers, are asking for help to regain their “reputational capital” after foodborne disease problems. It remains to be seen whether the brand names of the fast-food chains involved in the recent E. coli or Salmonella outbreaks will fully recover.

Obviously, the goal of the food-service industry should be to produce high quality products that sell well without injuring customers. With this goal in mind, everyone’s interests are better served by the fair and efficient assessments of claims, by health and food-industry officials alike, rather than by the extreme reaction so often seen.

To that end, any business that produces food should be prepared to respond quickly and wisely to any claim of illness caused by its product. There is a natural tendency to react out of anger, but combative responses almost invariably backfire on the industry. Certainly, if a claim of harm is truly bogus, the industry can and should fight it. But when a claim has merit, it is better to treat a customer fairly and learn from mistakes. A calm and reasoned perspective will help the food industry keep its eye on the bottom line.

The Science and Law of Tracking Foodborne Illness - Part 9

Learning From the Past

So how can we ensure that the gains in food safety already made are preserved and the new problems addressed? Based on my many years of experience with the issues, here are some recommendations:

It took a nationwide crisis, and the horrible deaths of several young children, for the US to begin addressing the issue of E. coli contamination in meat. That crisis occurred in the early 1990s, when undercooked hamburgers containing the deadly strain of bacteria E. coli O157:H7 sold by a U.S. fast-food restaurant chain, Jack in the Box, sickened 650 people and four children died.

After the Jack in the Box tragedy, the head of the USDA’s Food and Safety Inspection Service, Michael Taylor, took a regulatory and systems approach to food safety. Taylor declared that E. coli-contaminated raw ground beef would be classified and treated as “adulterated” within the meaning of the Federal Meat Inspection Act. Taylor also introduced a mandatory Risk Management System that required meat processors to adopt comprehensive precautions that included carcass washes, citric acid sprays, steam pasteurization, and air-exchange systems.

This appears to have worked. Incidents of E. coli poisoning involving ground beef have declined. And there is a lesson here for the broader food industry.

The Science and Law of Tracking Foodborne Illness - Part 8

Case Study: Salmonella poisoning

In 2003, an Illinois health department received multiple reports that people had become ill after eating at Chili’s Grill & Bar in Vernon Hills, Illinois. Investigators visited the restaurant, and soon learned that its dishwashing machine was broken and corroded; the tube that fed chlorine into the machine was plugged, preventing proper sanitization of dishes. They also found that food was not stored at proper temperatures, and those three employees, plus another manager, had called in sick that day. With evidence growing increasingly clear, investigators instructed employees on hand-washing procedures, and collected stool samples from the employees. They discovered 13 employees who had been allowed to work despite suffering from diarrhea and other symptoms. Under pressure, Chili’s closed the restaurant.

But the problem was only beginning to emerge. People who had eaten at the restaurant recently were instructed to seek medical help if ill, and to report their illnesses to the health department. The health department was flooded with telephone complaints. One customer reported there had been no running water while she had been there for lunch – information that management had not thought necessary to share with investigators.

Eventually, investigators identified over 300 individuals who had been sickened as a result of the outbreak. Of those, 141 customers and 28 employees tested positive for Salmonella, while 105 others were deemed probable cases. The health department concluded that infected employees had contaminated food with Salmonella as a result of poor sanitary practices and improper food handling.

Clearly, this entire outbreak could have been avoided by the most simple and obvious of sanitary practices. The company’s shortcuts turned out to be extremely costly

Some Of My Upcoming Food Safety Speeches

12.05.2007 - Almond Board of California

Bill Marler will present at the California Almond Board's 35th Annual Almond Industry Conference in Modesto, California.

11.06.2007 - Food HACCP


Bill Marler will travel to San Francisco for the 2nd International Food HACCP conference. He will present on foodborne illness litigation and strict liability. In addition, Marler Clark is a conference sponsor.

09.20.2007 - Washington Association for Food Protection


Marler Clark managing partner Bill Marler will travel to Chelan, Washington, to present at the Washington Association for Food Protection's annual conference. His speech will focus on how companies can make food safety a priority.

08.29.2007 - Dairy Industry Association of Australia

Bill Marler will travel to Melbourne, Australia, to be the keynote speaker at the Dairy Association of Australia's Dairy Science World Series conference. He will be the lead speaker in a session titled, "Dairy Food Safety - Challenges and Impacts," for a conference themed, "Turning Barriers into Benefits - the Science behind Dairy Regulation."

08.02.2007 - Australian HACCP Conference Series

Bill Marler will present at the 14th Australian HACCP Conference in Gold Coast, Australia. His presentation will be given during a program titled, "Tell us about class actions relating to foodborne illness in USA.

06.19.2007 - National Environmental Health Association

Denis Stearns and Bill Marler will speak during the Handwashing Leadership Forum session at the National Environmental Health Association conference in Atlantic City, New Jersey. Denis and Bill will participate in a mock trial related to a foodborne illness outbreak that was the result of poor hand hygiene.

The Science and Law of Tracking Foodborne Illness - Part 7

Case Study: Ammonia poisoning

The majority of foodborne illnesses arise from avoidable errors—often an accumulation of many errors. In a 2002 case, school children and teachers at an Illinois public school consumed chicken contaminated with ammonia – a poisoning that resulted from the acts and omissions of three separate entities.

In 2001, the State of Illinois contracted with Tyson, a major food company, for processed chicken for school lunches. The chicken was processed at a plant in Pennsylvania. Lanter Refrigeration stored it. But Tyson’s delivery greatly exceeded Lanter’s shipping and storage capacity, so Lanter contracted with Gateway Cold Storage to house the overflow chicken products at its facility in Missouri. The chicken was stored along with large amounts of other food intended for consumption at Illinois schools.

In November, 2001, there was a large ammonia leak at the Missouri storage facility, and massive amounts of food destined for the school lunch program, including the chicken, were exposed to ammonia. Neither gateway nor Lanter notified health authorities or the Illinois State Board of Education. Even more remarkably, Gateway and Lanter continued shipping food from the facility, shipping some 800,000 pounds of product after the leak without any notice to customers. Originally, it was a shipment of potato wedges to Illinois schools that first alerted authorities. Schools began complaining of potatoes that smelled of ammonia, prompting an inquiry, and the companies admitted that a leak had occurred. The state instructed Lanter to place all food connected with the school lunches on hold, pending further evaluation.

The FDA at this time “determined to place all product stored at Gateway at time of ammonia leak on hold until procedures are established for clean up and treatment of products to dissipate ammonia odor.” But the companies decided that, rather than destroy the food and take the loss, they would re-box, re-label, and “re-condition” the boxes, and then send them on to the schools. Apparently the chicken was reconditioned to remove the smell, but nothing was done to actually remove any ammonia. Eventually, the chicken was served to students at the Illinois elementary school. Within minutes, 157 students, roughly half the school, fell ill. The scene verged on total chaos. Students and teachers were running into the halls vomiting, with their throats and noses burning. Students panicked. School administrators called in ambulances, and children were taken to five local hospitals.

Who was at fault? Virtually every entity involved - and, there were criminal charges.

The Science and Law of Tracking Foodborne Illness - Part 6

Laboratory testing, PFGE, and epidemiologic investigations

Health care providers may in some instances order testing of an ill person’s blood or stool to help determine the cause of illness. In many circumstances a positive result in such a test must be reported to the health authorities pursuant to statute or regulation. Many states require reporting of positive tests for a number of pathogens, including E. coli O157:H7, Salmonella, Shigella, Listeria, hepatitis A, Campylobacter, and others. It is the report of such positive results that often triggers health department investigations of outbreaks.

Perhaps the most important scientific advance in tracing food poisoning is in pulsed field gel electrophoresis (PFGE), or DNA “fingerprinting.”
When a sample of bacteria, such as E. coli or Salmonella, is taken from a stool sample or a meat product, it can be cultured to obtain and identify the bacterial isolate. Bacterial isolates can be further broken down into their various component parts, creating a DNA “fingerprint.” PFGE operates by causing alternating electric fields to run the DNA through a flat gel matrix of agarose, a polysaccharide obtained from agar. The pattern of bands of the DNA fragments – or “fingerprints”- in the gel after the exposure to the electrical current is unique for each strain and sub-type of bacteria. By performing this procedure, scientists can identify hundreds of strains of E. coli as well as other pathogenic bacteria. The pattern of bacteria isolated from contaminated food can be compared and matched to the PFGE pattern isolated from infected persons.

When PFGE patterns match, they, along with solid epidemiological work, provide reliable evidence that the contaminated product was the likely source of the person’s illness. This is particularly true where the PFGE pattern has not been reported elsewhere. For example, suppose two unrelated persons both test positive for a genetically identical, unique strain of E. coli O157:H7 in a given town within a matter of days. If the subsequent inquiry into these two illnesses reveals no other common exposures between the two people other than a hamburger from the same restaurant on the same day, it is nearly impossible to find a credible, alternate explanation for their illnesses.

In 1993, a large E. coli outbreak occurred in the western United States. Scientists at the CDC performed DNA "fingerprinting" by PFGE and determined that the strain of E. coli O157:H7 found in patients had the same pattern as the strain isolated from hamburger patties served at a large chain of regional fast food restaurants. Had this source been identified sooner, it might have prevented hundreds of illnesses. As a result, the CDC developed standardized PFGE methods and, in collaboration with the Association of Public Health Laboratories, created PulseNet so that scientists at public health laboratories throughout the country can rapidly compare the PFGE patterns of bacteria isolated from ill persons and determine whether they are similar, thus indicating an outbreak linked to exposure to a common source of bacteria. PulseNet is an early warning system for outbreaks of foodborne disease, a national network of public health laboratories that performs DNA “fingerprinting” on bacteria that may be foodborne. The network identifies and labels each pattern and permits rapid comparison of these patterns through an electronic database at the CDC to identify related strains. At present, PulseNet tracks four foodborne disease-causing bacteria: Campylobacter jejuni, E. coli O157:H7, Listeria monocytogenes, nontyphoidal Salmonella, Shigella, and Yersinia pestis.

With an isolated illness, the lack of a positive stool culture may be problematic for a claimant. In the context of most outbreaks, however, circumstantial evidence may compensate. One such example is where one member of a dining party does not get tested, and others do. If three of four persons who ate together fall ill with the same documented pathogen, and the fourth demonstrates the same symptoms in the same time frame, liability can easily be established without the positive stool culture. In addition, in food poisoning cases there frequently is no food to test because, not surprisingly, it was eaten or discarded. But if leftover food, or uncooked portions, tests positive for the given bacteria or virus, we have powerful evidence that the food is the likely cause of the illness.

Why I love my work

A few weeks ago I turned 50 and in a few months I will have been a lawyer for 20 years.  For those who know me to be "on" 24/7, and always a cell phone or a email away, it should come as no surprise that I actually love my work.  By all measures my legal life has been rewarding, but my obsession with my work,  certainly has impacted my family, including daughters, ages, 15, 12 and 8.  Hopefully, this letter that I received from the family of a child whose case we settled a few weeks ago for $7,000,000 (I changed the child's name), will at least give my kids some understanding of why I do what I do:
Dear Marler Clark and all associates,

I would like to personally thank you for the hard work, dedication, perseverance, sacrifice, love and care that you have shown our family over the last 15 months. Your attention to our family during these hard months is and will always be an extraordinary testimony to our lives and the life of Danny. It is rare that a person can speak fondly of their attorney or any attorney for that matter, and we find ourselves always praising the Marler and Clark team for not only what you have done for our family, but for the awesome people you have working for the firm. A time when our family seemed to be ripping at the seams, we always knew that you were there for us on a level that can never be understood by anyone, but us. A listening ear, a voice of concern, a sincere of heart conversation and many other awesome qualities from your team will always be remembered in our hearts.

Although Danny will never remember these events, we will always be sure to tell him about an amazing team of lawyers and staff from Seattle, Washington who forever changed his life and the dynamics of our family. You will be remembered as the people who gave Danny a voice, when he could not speak for himself, who helped to give him the opportunities that he now has for his life, and who gave hope to a family in their time of trials and tribulation.

We never felt as if we were just any other “clients”, but you made us feel special and that has made all the difference. We truly feel in our souls that God sent you to us not by chance but that is has been an ordained meeting. You and your families will always be in our hearts and prayers. We sill always call you our friends. Thank you again and again.

Sincerely,

Danny’s Family

The Science and Law of Tracking Foodborne Illness Part 5

Health care provider treatment and diagnosis

Medical records are also an important part of making a food-poisoning case. Both stool cultures, and less commonly blood cultures, can identify the particular pathogen causing a claimant’s illness.

As previously discussed, each foodborne pathogen carries with it an expected incubation period – the amount of time expected to pass between exposure to the pathogen and the onset of symptoms. Medical records can help identify the cause and timing of the exposure.

Symptoms are also important. Most common bacterial and viral pathogens found in food cause similar symptoms -- nausea, vomiting, diarrhea, fever, aches, chills, and the like. Various pathogens can have more typical courses. While these cannot be used alone to determine the pathogen affecting a claimant, it can be part of the puzzle. For example, yellow skin and eyes, or jaundice often characterizes hepatitis A infections. E. coli O157:H7 infections are most often characterized by excessively painful stomach cramps and bloody diarrhea.

The Science and Law of Tracking Foodborne Illness - Part 4

Health agency inspections and documentation

One extraordinarily effective tool in establishing the defectiveness of a product that no longer exists is uncovering documentation of the food service establishment’s track record from previous health inspections.  This may include information regarding prior incidents or accusations of food contamination and prior inspections of the facility and the establishment’s food production and service procedures.  Supportive documents can be acquired through the discovery process or through the applicable Freedom of Information Act.  Such documents will help the plaintiff make his case in a variety of ways. Sometimes, there may be documentation of improper food handling procedures that can circumstantially support one’s case.  In other situations, a list of improper techniques and code violations can serve as a tool for limiting a defendant’s trial options, or it can position a case for early and favorable settlement. Finally, particularly egregious or repetitive examples of improper food handling techniques can help build a case for punitive damages,  where such damages are available.

Documentation of improper or inadequate cooking procedures can help make a case for food poisoning.  In 2001, a young girl suffered a particularly severe E. coli O157:H7 infection that left her with permanent kidney damage. She had eaten a hamburger purchased from a California fast-food chain.  By the time health department officials investigated, however, the case of meat from which the girl’s hamburger had been chosen was long gone. The health department did not find any food on site that tested positive for E. coli O157:H7.   But a thorough review of the restaurant’s current and prior inspections revealed a serious flaw in the firm’s cooking method that provided an explanation for the client’s exposure. According to the inspection report:
“Hamburger buns are toasted on the grill immediately adjacent to the cooking patties, and it is conceivable that, early in the cooking process, prior to pasteurization, meat juices and blood containing active pathogens might possibly splash onto a nearby bun.”
In fact, the restaurant had been advised at least six times of the dangers of cross contamination of the buns by hamburger juices. The matter settled shortly after the presentation of this information.

In a 2002 case, a Chinese restaurant in Ohio was the suspected source of an E. coli O157:H7 outbreak. Again, no contaminated leftover food was found. In addition, the restaurant was buffet-style, which complicated the identification of a single contaminated food item. A disproportionate number of ill patrons were children, and it began to appear that the culprit food might in fact be Jell-O. Obtaining the health department investigation report provided the answer to the obvious question:  How would Jell-O become the source of an E. coli outbreak?   A previous inspection report identified a host of food handling errors, including “raw meat stored above the Jell-O in the refrigerator.”  Officials concluded that “the likely source of E. coli O157:H7 in the Jell-O was from raw meat juices dripping on the Jell-O while it was solidifying in the refrigerator.”  Once that report was obtained, the restaurant never seriously contested liability.

Another example:  In 2003, a group of people who had attended a banquet hosted by a restaurant in Washington State fell ill several days later. Many of them tested positive for Salmonella, but leftover food had either been discarded or had tested negative.  Nonetheless, the health department’s subsequent investigation provided the information necessary to establish liability. The restaurant had violated state regulations by “pooling” dozens, if not hundreds, of raw eggs in a single bucket for storage overnight. This process allowed bacterial contamination from a single egg to taint exponentially larger amounts of food, thereby placing many more consumers at risk. The establishment used the raw, pooled, eggs as a “wash” on a specialty dessert. Then, once again in violation of food code, food workers failed to cook the eggs thoroughly.

Improper sanitation is a frequent problem.  In 2000, a producer and distributor of high-end fresh food items were identified as the source of a large Shigella outbreak on the West Coast. The relatively new firm marketed itself as a high-end food business, but health inspections revealed serious problems, including the lack of fully operational bathrooms for employees, insects near food production sites, and evidence of rodents in the facility. We also learned that a major commercial purchaser of the firm’s product had conducted its own inspection, and had refused to purchase any more products until a number of significant upgrades were made to the facility.

In a 2002 case, a Seattle-area restaurant was suspected as the source of a medium-sized outbreak of food poisoning. Even though one of the patrons experienced an unusually severe illness, authorities were unable to pinpoint the particular pathogen. The defendant and its insurer were initially unwilling to concede liability, but previous inspection reports revealed a consistent pattern of poor food handling practices. The repeat occurrences of numerous health code violations led the health department to close the restaurant and temporarily revoke its license. In the end, the restaurant decided not to contest liability.

Documented histories can go a long way toward supporting a claim for punitive damages. In 1996, Odwalla, a well-known California producer of fresh juices, was identified as the source of a major outbreak of E. coli O157:H7 infections on the West Coast. Through the discovery process,  we sought documentation of inspections by governmental agencies, Odwalla itself, and private parties.  After many legal delays, we uncovered previously undisclosed inspection reports, including a report from the United States Department of the Army, revealing that the U.S. Army had inspected Odwalla’s production methods prior to the outbreak and determined not to buy its products. In a letter to Odwalla, Army officials stated:
“We reviewed deficiencies noted in the report, which our inspector discussed with you at the time of the inspection. As a result, we determined that your plant sanitation program does not adequately assure product wholesomeness for military consumers. This lack of assurance prevents approval of your establishment as a source of supply for the Armed Forces at this time.”   
Through further discovery, we obtained internal company emails reacting to the Army’s inspection. One Odwalla employee had suggested a microbiological testing program to address some of the problems uncovered in the inspection. The following is a portion of an email responding to the suggestion:
“…why are we doing it, why now, what do we WANT TO PROVE…IF THE DATA is bad, what do we do about it. Once you create a body of data, it is subpoenable.”
At the time of the E. coli outbreak, the company had not adopted the suggested testing regimen. We filed a motion to apply California law regarding punitive damages due to Odwalla’s prior knowledge that its product was unsafe. With the punitive damages motion pending, we obtained a multi-million dollar settlement for the families of children who sustained permanent kidney damage after developing HUS.

The Science and Law of Tracking Foodborne Illness - Part 3

Health agency investigation

Although statutes and regulations vary from state to state, there are a number of bacterial and viral illnesses associated with food consumption that are monitored by health departments, including E. coli O157:H7, Campylobacter, Salmonella, Shigella, Listeria, Norovirus, and hepatitis A. For most of these pathogens, a positive lab result from a human sample (blood or stool), triggers a mandatory report to the local health authority and some type of follow-up investigation. The length, breadth, and paperwork involved in any investigation varies depending on the pathogen involved, the type of food, the number of persons who may be sick, the local jurisdiction, and other factors.

In the litigation of thousands of food poisoning claims arising out of dozens of outbreaks, food producers frequently take issue with some or all of the health department’s conclusions regarding a given outbreak. In our experience, none of these defendants has successfully avoided liability where the health department has linked a specific product to a specific outbreak. One likely reason for this is that most health departments do good and careful work. Despite the occasional disagreement of the pinpointed member of the food service industry, most would agree that health departments are rather cautious and conservative. In our experience, health departments do not lightly or prematurely label an entity as the source of an outbreak.

In addition, health departments operate with a much higher burden of proof than the civil justice system. Most epidemiologists will not confirm an outbreak without 95 percent confidence in a particular conclusion – a much more difficult threshold than a lawyer faces in convincing a jury.

Finally, it has also been our experience that the jury is simply more likely to accept the “neutral” determinations of a government health department over paid experts. One excellent example arose out of an E. coli outbreak in Washington State in 1998. State and local health officials who investigated the case concluded that the source of the outbreak was a ground beef meal prepared and served at an elementary school. Eleven children were identified as either “confirmed” or “probable” victims of the outbreak. All except one of them attended the school. Four of the children developed hemolytic uremic syndrome (HUS), which resulted in varying degrees of permanent kidney damage.

Interestingly, the child with the most severe injuries was the one who did not attend the school and did not eat the implicated meal. The child’s older sister, however, did attend the school and had eaten the meal. It was our position that this non-student had been infected via exposure to her sister or another student, a phenomenon known as “secondary infection.” The school district took issue with nearly every aspect of the case and, in doing so, attacked the health department’s conclusions. The defendant even contended that the tacos were not the source of the outbreak, that the non-student had not been infected with the bacteria. The jury, however, believed the health department investigation, and issued a multi-million dollar award to the injured children.

Health departments insist on virtual certainty before they declare an outbreak, or pinpoint a restaurant as the “confirmed” source. Without 95 percent confidence in a particular conclusion, health departments are likely to define individuals or outbreaks as “possible.” This is the case even where the confidence in a particular conclusion is well above the legal standard. This works both ways; if health authorities investigate and find a claimant’s illness did not come from a particular source, the plaintiff faces the same uphill battle.

The Science and Law of Tracking Foodborne Illness - Part 2

The Legal Process:  Tools used in evaluating claims of foodborne illness

It is predictable that some people are inclined to issue claims of dubious legitimacy, or that are simply fraudulent. In our work as litigators, we see no shortage of bogus claims.   There are claims that food looked or “smelled funny,” claims of finding foreign objects in one’s food, and other non injury-causing events that we see and dismiss virtually every day.

In our experience, food industry corporations over-emphasize, and thus overreact, to such claims, essentially responding in the same manner to legitimate and illegitimate complaints.  But denying legitimate claims increases the likelihood of failure to enact important measures to improve food safety. Not improving food safety increases the risk of poisoning consumers and resulting litigation. Litigation not only carries its own expenses, but the threat of public relations headaches as well. The industry should understand some of the reliable methods for recognizing suspect food poisoning claims.

Incubation Period


Take, for example, incubation period – the time between ingestion of a foodborne pathogen and the onset of symptoms.  These well-established periods are stated as ranges, not precise periods of time, but they still can be used to identify an improper claim. The claimant who insists that her E. coli O157:H7 illness was sparked by the hamburger she ate an hour before she got sick does not have a winnable case regardless of the damages because the incubation period of E. coli O157:H7 is one to ten days, typically two to five days.
   
Incubation Periods of Common Foodborne Pathogens:

Staphylococcus aureus - 1 to 8 hours, typically 2 to 4 hours
Campylobacter - 2 to 7 days, typically 3 to 5 days
E. coli O157:H7 - 1 to 10 days, typically 2 to 5 days
Salmonella - 6 to 72 hours, typically 18-36 hours
Shigella - 2 hours to 7 days, typically 1-3 days
Hepatitis A - 15 to 50 days, typically 25-30 days
Listeria - 3 to 70 days, typically 21 days
Norovirus - 24 to 72 hours, typically 36 hours

In most situations, bacteria will be undetectable by the consumer, which is an intrinsic risk to consumers in the first place. Therefore, customers who believe they were sickened because food tasted odd are usually wrong, but many consumers with legitimate complaints tend to retroactively assign a negative connotation to a meal once the health department has identified it as a source of an outbreak. This common response doesn’t necessarily eliminate a claim.

The Science and Law of Tracking Foodborne Illness - Part 1

I get asked quite often what I do and how I do it.  Below is the beginning of a ten part series that I have been working on - I hope you find it helpful.

Part 1

Introduction


Each year, about 76 million cases of foodborne illness occur in the United States, according to U.S. Centers for Disease Control and Prevention (CDC). That means one in four Americans contracts an illness each year by eating food that has been contaminated with such pathogens as E. coli, Salmonella, hepatitis A, Campylobacter, Shigella, Norovirus and Listeria. Most of those illnesses are relatively minor. But about 325,000 of these individuals will be hospitalized, and 5,000 will die. Billions of dollars will be spent on medical treatment and billions more lost in decreased food sales and, for the families of sick people, lost wages. When careless business practices poison customers, and when regulatory agencies do not have the manpower or ability to help business perform, people die and market share is lost, nationally and internationally.

Foodborne Illness: A changing landscape

The issue of food safety is not new. A century ago, Upton Sinclair exposed the corruption within the U.S. meat-processing industry that caused federal meat inspectors to turn a blind eye to contamination in his muckraking book, “The Jungle.” But some important changes have occurred since Sinclair’s book.

First, meat and meat processing are no longer the most common source of foodborne illness. Today that dubious distinction belongs to seemingly innocuous and healthful vegetables, including lettuce, spinach, sprouts, tomatoes, spinach, green onions and parsley – even almonds. In the past 10 years, the U.S. Food and Drug Administration (FDA) reported 21 outbreaks related to fresh leafy products. Just last year, 205 people became sick and five died from eating E. coli-contaminated spinach. Late last year and throughout this year, the CDC reported that more than 425 people in 44 states became infected with Salmonella found in peanut butter, all traced to one processing plant in Georgia. More than 70 were hospitalized. From experience, we know cases of Salmonella are under-reported, so that it is likely that the number of people sickened may well have been more than 15,000.

More recently, we’ve seen an increase in the incidence of foodborne illness related to consumption of dairy products. In the Pacific Northwest and around the country, there have been more than 40 outbreaks of E. coli and other pathogens attributed to consumption of unpasteurized milk and other dairy products. In one recent case, 140 people reported consuming raw milk from a small family-owned dairy in Washington State; of these, 18 became ill with E. coli, and five of them were children under the age of 13.

The second new development in food safety is the result of the shrinking world and the global marketplace. Those new variables include the threat of terrorist attacks via the food network – a potential disaster that was probably not seriously contemplated before the horror of September 11. In addition, we are seeing the widespread growth of food imports, leading to problems such as a hepatitis A outbreak traced to green onions from Mexico and the illnesses and deaths of thousands of American pets traced to contaminated wheat gluten from China.

And finally, there’s the scientifically questionable but increasingly popular demand for “natural,” or unprocessed foods, such as raw milk or unpasteurized juice, or “environmentally friendly” practices such as recycling water or planting native grasses. Experience seems to be telling us that the benefits of such practices are often offset by the risks – particularly to children and others with compromised immune systems.

Given these changes, we shouldn’t be surprised that food safety has become, more than ever, a legal and political issue, as well as a question of personal and corporate ethics.

May is Beef Month?

According to a Kansas newspaper – May is “Beef Month.”

The Centers for Disease Control and Prevention (CDC) estimates that 73,000 cases of E. coli O157:H7 occur annually in the United States. Every year, 2,100 Americans are hospitalized, and 61 people die as a direct result of E. coli O157:H7 infections and its complications. A recent study estimated the annual cost of E. coli O157:H7 illnesses to be $405 million (in 2003 dollars). Those costs that contributed to this estimate included $370 million for premature deaths, $30 million for medical care, and $5 million for lost productivity. The CDC’s estimates of E. coli O157:H7 infections recently increased by 50%. In addition, it has been estimated that for every laboratory-confirmed E. coli O157:H7 infection, another 4-8 symptomatic cases are likely missed by current surveillance systems. (http://www.about-ecoli.com/)

I speak frequently on issues of safe food and formed Outbreak (www.outbreakinc.com), a non-profit business dedicated to training companies on how to avoid foodborne illness outbreaks. I also post on food-related issues on Marlerblog (www.marlerblog.com). My firm, Marler Clark has been involved in litigation stemming from the largest E. coli O157:H7 outbreaks across the country since the Jack in the Box outbreak of 1993. (http://www.marlerclark.com/news-ecoli.htm) Since 1993, Marler Clark has recovered nearly $300 Million from food companies on behalf of victims.

I was interviewed recently in – “Companies, government must do more to increase food safety, expert says."

EDITORIAL - CHICAGO TRIBUNE

On May 31st, I have the opportunity to host Senator Durbin in Seattle - here is why I would - Great editorial from the pages of the Chicago Tribune:

Durbin and the 'food czar'

Used to be that the word "czar" conjured up images of dashing Russian royals and their glamorous trappings -- Faberge eggs and glittering jewels.

These days, though, "czar" has morphed into Washington shorthand for a government job with a flashy title but little authority.

So it's appropriate that some people are sneeringly referring to the new senior position created by the U.S. Food and Drug Administration as the "food safety czar."

The new assistant commissioner for food protection, Dr. David Acheson, is charged with guarding against hazards in the food supply. But there is no new muscle behind the title. The food czar has no authority to order a recall of a tainted food product. That, by current rules, is left to the food manufacturers. That can put manufacturers in a tough spot, given the high cost of a recall.

Congress is working to change that. Sen. Dick Durbin (D-Ill.) introduced an amendment -- it passed last week on a 94-0 vote -- to the FDA reauthorization bill.

Durbin's amendment includes promising changes: creating a database of adulterated foods, allowing the FDA to better monitor patterns of problems and better target its scarce inspection dollars; requiring companies to improve their record-keeping, so that key documents are readily available in the case of a food emergency; and drafting uniform standards to govern the pet food industry, instead of relying on a hodgepodge of state regulations. The issue of giving the FDA the power to order recalls will be taken up by the Senate later this year.

The safety of our nation's food supply was called into question recently when pet food ingredients imported from China turned out to be tainted, sickening and killing animals. It's disturbing that the dangerous melamine also made its way into the human food supply when it was used as feed for 3 million chickens raised on Indiana poultry farms.

Last year, spinach contaminated with a toxic strain of E. coli affected consumers in different parts of the country. And five years ago, according to the Los Angeles Times, the U.S. followed the lead of the European Union and temporarily suspended imports of honey from China after it tested positive for a widely banned antibiotic.

By 2006, however, the U.S. was importing $27.3 million worth of honey from China. All told, China said it sent $3.8 billion worth of food exports to the U.S. last year, everything from sausage casings to canned mushrooms to apple juice. As more of our food -- human and animal -- is processed at fewer but bigger sources, the FDA needs the vigilance, competence and power to act quickly if it sees a problem somewhere in the supply chain.

Many food industry officials aren't opposed to that. Some food producers are among the most vocal advocates of increasing FDA funding. They would even support giving the FDA the power to force recalls. After all, they have a financial stake in maintaining consumer confidence in their products.

As Durbin and his counterpart in the House, Rep. Rosa DeLauro (D-Conn.), lead the way toward improving our nation's food supply, they should draw on the expertise of industry and food safety scientists to create a set of laws that are workable, efficient and effective.

The more robust FDA being proposed by Durbin and DeLauro would be better able not just to monitor food safety, but also to respond quickly when that safety is compromised. And it would give Acheson at least a small sliver of the power, if not the pageantry, befitting a czar.

WRITTEN TESTIMONY BEFORE THE COMMITTEE ON ENERGY AND COMMERCE

“A Diminished Capacity: Can the FDA Assure the Safety and Security of the Nation’s Food Supply?”

My name is William Marler. My law firm Marler Clark, located in Seattle, Washington, specializes in foodborne diseases, especially E. coli, Salmonella, Hepatitis A, Campylobacter, Shigella, Norovirus, and Listeria. Unfortunately, we at Marler Clark have been “in business” since The Jack in the Box E. coli outbreak of 1993. I was here in 1994 during the last set of serious hearings about the safety of our food supply. Demand for our litigation services on behalf of witnesses such as Ashley and Isabella Armstrong, Sean Pruden and Terri Marshal’s mother-in-law has continued to grow at an alarming rate.
Today, the U.S. Center for Disease Control estimates that there are 76 million cases of foodborne illness annually. That means one in four Americans will contact a foodborne disease every year. Hundreds of thousands will be hospitalized and thousands will die.

My clients who will testify before this committee are but a small slice of your constituents who will suffer and die needlessly each year and every year unless action is taken. That’s the human suffering part. There is also the business part. Billions of dollars will be spent on medical treatment and many more billions will be lost in wages and in sales of food. When American business poisons its customers and when our regulatory agencies do not have the manpower or the ability to help business perform, people die and market share is lost, nationally and internationally.

My goal in testifying here today is that you put Marler Clark “out of business.” It is time that you help government, help business, help consumers and make me unnecessary. I will do that by presenting best practices and other recommendations that can make that possible. Therefore, I thank this committee for inviting me to help with a dialogue about making the food chain safer for consumers.

The issue of food safety is not new, of course. A century ago Upton Sinclair’s book “The Jungle” exposed both contamination of meat processing and the corruption that lead inspectors to look the other way.

Three-quarters of the nation’s lettuce and spinach come from California. When consumer confidence in the safety of the produce food chain declines, so does the profitability of a key industry. There is also damage to the brandnames of a state’s specific products.  These business implications extend beyond California. More companies, ranging from food processors to retailers, are asking for help to regain their “reputational capital” after foodborne disease problems. Will the brandnames of the fast-food chains involved in the recent E. coli outbreaks fully recover? The jury is out on that one.

What has changed since Upton Sinclair’s “Jungle” are two things.

One, the source of disease has shifted from the meat that Sinclair described to produce. As usually happens, it took a crisis for incidences of E. coli in meat to decline. That crisis occurred in the early 1990s. Undercooked hamburgers containing E. coli from Jack in the Box sickened 650 people, four of them children who died.  Shortly, I will discuss how that problem was fixed, perhaps not completely, and the important lessons we as a nation should learn from that. Incidentally, that has been one of the major food safety success stories of our time. According to the CDC, E. coli outbreaks linked to tainted meat have declined by 42 percent. The American Meat Institute puts that figure at 80 percent.  Currently, the single largest source of food-borne disease is produce such as lettuce, spouts, tomatoes, spinach, green onions and parsley. Here are some figures. In the past 10 years, the Food and Drug Administration – the FDA – reported 21 outbreaks related to fresh leafy products. In 2006, 205 people became sick and five died from eating E. coli contaminated spinach. Late last year and throughout this year, the CDC reported that over 425 people in 44 states have become infected with Salmonella Tennessee found in peanut butter. More than 70 have been hospitalized. From experience, we know cases of Salmonella Tennessee go under-reported. It is likely that the sick may well be over 15,000. In the Northeast there was an outbreak of sickness from milk from a dairy processor that has had recurrent food safety issues.

The second development that’s new in food safety has been the result of changing times. Here are just a handful of new variables we’re dealing with:

1.The threat of terrorist attacks via the food system. Just as too many couldn’t imagine the horror of 9/11, too many cannot envision this kind of disaster.

2.Growth of food imports. The latest problem came from contaminated wheat gluten from China. That affected animals not humans. That might do the trick in getting us to be duly concerned about imports of everything from pesticide-sprayed pea pods to salmonella infection in pigs from the European Union.

3.The well-intentioned but scientifically questionable use of “environmental-friendly practices” such as recycled water and planting native grasses. 

So, how can we ensure that the gains in food safety that have already been made are preserved and the new problems addressed?  From research and experience, here are eight recommendations.

First of all, there exist two “best practices” in meat that should be extended to produce. Following the Jack in the Box crisis, the head of the U.S.D.A.’s Food and Safety Inspection service took a regulatory and systems approach to food safety. That “hero” was Michael Taylor. Taylor declared that raw ground beef that is contaminated with E. coli would be classified and treated as “adulterated” within the meaning of the Federal Meat Inspection Act. Taylor also introduced a mandatory Risk Management System. The required meat processors to adopt comprehensive precautions. Those included carcass washes, citric acid sprays, steam pasteurization and air-exchange systems.  Following Taylor’s example, we must serve notice to produce and other food processors that E. coli, salmonella, etc. will be classified and treated as adulterants. In addition, the same kind of comprehensive Risk Management System must be established and implemented. Penalties must be criminal and civil.  When these best practices are adopted, firms will have to certify that not only they, but that every aspect of their supply chain, also are in compliance. Branding can and should reflect this certification of both the firms and their suppliers. This would be a new kind of “Seal of Approval.” This “Seal of Approval” can also apply to such issues as the location of produce fields near animal farms, what kinds of procedures are used, and the method of irrigation as well as the type of water used.

Two, we need the same kind of food safety champion that Taylor was. This person would be a highly visible symbol of our commitment. Along these lines, it is useful to consider consolidating responsibility in one federal-level agency. That would be the central point for communication about best practices and the point of contact for state and local regulators and health departments.

Three, the track record of business for issuing warnings and recalls rapidly isn’t good.  The federal and state governments should have authority to do this. That means increased funding, particularly at the state level. Most outbreaks are regional, not national.

Four, produce an E. coli vaccine for cows. I would say that the lion’s share of produce problems result from this contaminant passed on through cow feces.

Five, the nation requires education about the benefits of irradiation of all mass-produced food including produce. Resistance to this practice seems to be rooted in public perception, not science.

Six, attention has to be paid to the vulnerability of our food supply system to acts of terrorism. Denial and lack of common sense seem to dominate thinking at all levels – business and federal and state government.

Seven, why haven’t we applied our economic and political muscle to imposing more stringent regulations on food imports? This is a central trade issue that has been neglected.

And, eight, there’s an urgent need to improve the resources available to foodborne disease victims. At the top of the list are the out-of-pocket medical costs. Those are usually not immediately or even eventually reimbursed by medical insurance if victims have coverage. By time compensation comes from litigation, the person could be heavily in debt. Next on the list is the expense of missing work. Marler Clark has been encouraging food processors and retailers to provide this help as a gesture of goodwill.

Let me wrap this up with one thought. Just as the boldness, courage and relentlessness of Michael Taylor made meat safer, these eight recommendations can ensure the integrity of the rest of the food chain. And better care for victims. Let me say again: “I ask this committee to put us at Marler Clark out of business.” Thank you.
Continue Reading...

Hearings for Pets but not for People?

Karoun Demirjian of the Chicago Tribune Washington Bureau reported on a Senate hearing last week:

Pet food recall has lawmakers examining flaws – Senator Durbin calls safety procedures 'broken'

Cans of dog food and anecdotes about the family cat are usually out of place at Senate hearings, but that's what lawmakers talked about Thursday as the agriculture appropriations subcommittee examined the federal response to the nationwide recall of contaminated pet food.

Since mid-March, the deaths of 16 cats and dogs have been officially blamed on contaminated pet food. That figure -- a conservative total in comparison to the unverified toll of more than 3,900 dead and 12,000 sick claimed by the online publication PetConnection.com -- has alarmed pet-owning senators and the estimated 60 million American households that have pets.
Our poisoned animals are important, but for goodness sake, where are the hearings surrounding the hundreds of PEOPLE who have been sickend or died because of poisoned food? As I wrote in part in December of 2006:

One would think that with thousands of Americans poisoned by produce, hundreds hospitalized, many with severe, life-long complications or deaths, that Congress would have asked growers, producers, manufacturers, restaurants, grocers, and consumers to the table to talk about these ongoing outbreaks and how to prevent them in the future. But, Congress has been all too absent, all too willing to sit by and watch consumers become sickened or die from eating produce. Perhaps even more surprising is that Congress has not helped the multi-million and billion dollar corporate growers, producers, manufacturers, restaurants and grocers, help themselves by enacting food safety rules to avoid poisoned produce and sick customers in the future.

Congress needs to act now. What needs to be discussed:

* A thorough, scientifically-based discussion on how these recent outbreaks actually happened and what can be done to prevent or limit the next one.
* Increased funding for university-based research, health department epidemiological surveillance, and prevention of bacterial and viral contamination.
* Consideration of pre-consumption bacterial and viral testing of raw food products, especially those where no “kill step” is expected.
* A discussion of making mandatory good agricultural and food handling practices.
* A review of the proposal to create a single federal agency charged with ensuring the nation’s food safety, whether the food is grown within the United States or in foreign countries.

It is time for Congress to accept a leadership role and call hearings, not only to explore the reasons for the past months’ outbreaks, but also to help prevent the next one. Congress must reach out to all facets of the produce industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators to find reasonable, workable solutions to prevent produce-related illnesses. More regulation may not help. Testing all products may not be feasible. More funding for enforcement for the FDA, CDC and USDA may not work. And, more funding for university research may also not be the answer. However, getting all to the same table is a start. Congress, you need to do the inviting.

See full Op-ed post at www.marlerblog.com.

Farr defends aid for spinach growers

From The Salinas Californian:
Companies implicated in the September E. coli outbreak linked to fresh spinach would not benefit from a proposed $25 million in federal aid to help innocent growers hurt by the scare, U.S. Rep. Sam Farr's office said Thursday.  Farr came under national criticism this week for the relief funding, winning the title "Porker of the Month" from Citizens Against Government Waste, a Washington, D.C., group that has tracked federal spending since 1984.

Bill Marler, the Seattle-based attorney representing 93 people sickened by the spinach E. coli outbreak, said growers shouldn't get any public funding. "My clients haven't gotten a ... penny, but the spinach people get $25 million. That's a pretty good deal," Marler said.
Comments on this story by Salinas readers so "Farr":

"The democratic leadership proclaimed “a new day” in Washington politics when they took charge in November. I am disappointed in what appears to be “a pork barrel filled with spinach” that is now in Washington, but originated from our own backyard. The spinach gift is being attached to an emergency defense-spending bill. I believe most of the outrage is in the attachment of pork to the main bill, which has nothing to do with agricultural bailouts. However, will the spinach growers also pay 75% of the costs to rebuild our houses, if our homes are destroyed by an unintentional fire in our neighborhoods?"

"As pointed out in yesterday’s article by Ken Dilanian, “Farr , an Appropriations Committee member, received $30,600 in contributions from spinach interests during his last campaign, according to the Center (“Center for Responsive Politics, a nonpartisan organization that tracks spending by those seeking to influence federal policy.”) Voters are tired of “politics as usual.”"

That my friend is a hell of a return on your investment in a Congressman - who says politics (or crime) doesn't pay?

My client, Darryl Howard, was on CNN's Anderson Cooper 360 last night.  Darryl's mom, Betty Howard, died after suffering for months from complications related to her E. coli infection. 

More about me

A few weeks ago I was in Monterrey California where I was interviewed by a local TV station.  They were kind enough to give me a copy:

Click on bug above

More of Farr's Misadventures

Ken Dilanian of the Washington DC USA TODAY office wrote in part:
Spinach growers get aid provision as food-safety-standards bill stalls
Darryl Howard's mom, Betty, was among those who died after eating contaminated spinach last fall at her home in Washington state, he says.  He was stunned to learn last week that the emergency bill to fund the Iraq war and Hurricane Katrina relief included $25 million to compensate spinach growers hurt when consumers stopped buying their products.



"They killed my mother, and now they want me to pay for it," Howard says.

Backers of the spinach provision say it is designed to help innocent growers whose businesses took a hit even though their greens weren't contaminated. The insertion into an emergency war funding bill of $3.7 billion to benefit spinach growers, peanut farmers and others in agribusiness underscores a Washington truism: Some interests are more special than others.

While the spinach aid provision was placed in a must-pass spending bill that has been scheduled for a vote Friday in the House, legislation to toughen food safety standards is stalled. A bill to create an independent food safety agency, introduced in February by Rep. Rosa DeLauro, D-Conn., is pending in the Energy and Commerce, and Agriculture Committees, where similar DeLauro proposals have died for years.

"It is unconscionable that when it comes to public safety and the health of the American people, Congress has remained silent," DeLauro said in a statement.
I again call on the Spinach Industry to ask that this money be removed from the War Spending Bill.  Think how you would feel if this was your mother?

I am sickened to be a Democrat


Guess what?  It is business as usual for the U.S. Congress.  Hidden in the $124,000,000,000 Iraq War Spending Bill is Sec. 3103, submitted by Congressman Sam Farr (D-CA), entitled - Spinach - is a $25,000,000 earmark to the same people who poisoned over 200 and killed 4 people in last year's Spinach E. coli outbreak (and there have been other spinach E. coli outbreaks in the past).  One may ask what a spinach subsidy is doing in a war bill - perhaps a biological weapon?  Here is the bill's language:
There is hereby appropriated to the Secretary of Agriculture $25,000,000, to remain available until expended, to make payments to growers and first handlers, as defined by the Secretary, of fresh spinach that were unable to market spinach crops as a result of the Food and Drug Administration Public Health Advisory issued on September 14, 2006. The payment made to a grower or first handler under this section shall not exceed 75 percent of the value of the unmarketed spinach crops.


Congressman Farr, you make me sick.  How can you give s subsidy to an industry when the families of people who died or children who will need kidney transplants have yet to receive a settlement?  You should be ashamed.

My challenge to the Spinach industry - refuse the money.  Ask that the money be used in university research to prevent the next outbreak or to subsidize the FDA or California Department of Health to afford to actually monitor your practices.

By the way - I have been a life-long Democrat and a fundraiser for Democratic politicians.

Food Poisoning Costs

Tainted food leads to an estimated 76 million illnesses, 325,000 hospitalizations and 5,000 deaths in the United States each year. Only a tiny fraction of all food-related illnesses are reported to the government.

$6.9 billion: Annual tax expenditures related to medical costs, hospitalizations and lost work time stemming from foodborne illnesses

$10.8 million: Amount of increased funding for food-safety programs requested by the FDA in its 2008 budget

$1.7 billion: The amount four federal agencies, including the FDA and the Department of Agriculture, spent on food safety activities in 2003

Sources: Centers for Disease Control and Prevention, FDA, Orange County Health Care Agency, Government Accountability Office

More Silly FDA "Voluntary" Guidelines for Industry


FDA Issues Final Guidance For Safe Production of Fresh-Cut Fruits And Vegetables

The Food and Drug Administration (FDA) today published a draft final guidance advising processors of fresh-cut produce how to minimize microbial food safety hazards common to the processing of most fresh-cut fruits and vegetables, which are often sold to consumers in a ready-to-eat form.

The document -- “Guide to Minimize Microbial Food Safety Hazards of Fresh-cut Fruits and Vegetables” -- suggests that fresh-cut processors consider a state-of-the-art food safety program such as the Hazard Analysis and Critical Control Points (HACCP) system, which is designed to prevent, eliminate, or reduce to acceptable levels the microbial, chemical, and physical hazards associated with food production.

The Guide complements FDA’s Current Good Manufacturing Practice regulations for food (21 CFR 110) and provides a framework for identifying and implementing appropriate measures to minimize the risk of microbial contamination during the processing of fresh-cut produce. Specifically, it discusses the production and harvesting of fresh produce and provides recommendations for fresh-cut processing in the following areas: (1) personnel health an hygiene, (2) training, (3) building and equipment, (4) sanitation operations, and (5) fresh-cut produce production and processing controls from product specification to packaging, storage and transport. The Guide also provides recommendations on recordkeeping and on recalls and tracebacks.


Voluntary guidelines have not worked in this industry over the last ten years, twenty-one E. coli outbreaks, over 1,000 illnesses (many quite severe) and at least six deaths.  This is an insult to the public and specifically to the families of people, many children, who have been sickened or died as a result of consuming "voluntarily" controlled fresh fruits and vegtables standards.

Lawyers, Lawsuits and Statistics in the Peanut Butter Wars


The CDC reported in a statement March 7, 2007, that 425 people in 44 states had been infected with the strain of Salmonella Tennessee also found in Peter Pan and Great Value peanut butter products, and that 71 people had been hospitalized and no deaths.  That same Salmonella strain was also found by FDA investigators in the Con Agra plant, but where it was located has not been announced.  Two-thirds of the reported 425 cases began after December 1, 2006.  At last count there were also at least 25 lawsuits filed with at least 13 competing Class Actions.

Putting this in context, the CDC estimates that 76 million foodborne illness, or food poisoning, cases occur in the United States every year (6.3 million per month), which means that one in four Americans contracts a foodborne illness annually after eating foods contaminated with such pathogens as E. coli O157:H7, Salmonella, Hepatitis A, Campylobacter, Shigella, Norovirus, and Listeria. Approximately 325,000 people are hospitalized with a diagnosis of food poisoning, and 5,000 die.

The CDC also reports that 40,000 cases of Salmonella are confirmed yearly in the U.S.  As only about 3% of Salmonella cases are officially confirmed nationwide, and many milder cases are never diagnosed, the true incidence is undoubtedly much higher (approximately 1.3 million per year or 111,000 per month). It is estimated that 1,000 deaths are caused by Salmonella infections in the U.S. every year.

In 2004 only 52 cases of Salmonella Tennessee were reported. Using the same estimate that only 3% of Salmonella cases are every actually reported, it is likely that only 1,500 Salmonella Tennessee cases occur annually.

It is unclear how many tests have been run on jars of peanut butter. It is my understanding that it may be as few as a dozen jars, and that the jars tested may have only come from the homes of people who were actually stool-culture positive for Salmonella Tennessee (some of the 425).  I have no idea why the FDA and Con Agra are not aggressively testing left-over jars of peanut butter.

The FDA and Con Agra made the original recall announcement on February 14, 2007.  On March 9, 2007, the FDA announced that the recall had now been extended back to October 2004 (2 years and 4 months of production). No explanation has been given as to what prompted the temporal expansion. I assume that is was because of a link between a Salmonella Tennessee stool-culture positive person in 2004 to the consumption of Con Agra peanut butter, or a culture-postive jar of peanut butter (it would be interesting to see if it was in plant testing or from someones home).  This certainly is ample evidence of at least an ongoing, but sporadic, contamination in the plant.

I wonder how many jars of peanut butter were produced at the Con Agra Sylvester, Georgia plant during those 28 months? Sales from the Sylvester plant, I understand are $150,000,000 per year.  If you assume that Con Agra sells each jar for $2.00, that is 75,000,000 jars per year with 2111 on the lid.  During that same 28-month period of time, over 177 million Americans became ill from eating food and there were approximately 3 million Salmonella cases. If the statistics for Salmonella Tennessee held during that time frame, we would expect approximately 3,500 cases generally.

So, here is an interesting quandary:

We have received over 4,500 calls and emails from people in the U.S. and from many corners of the world. Most report illnesses consistent with a Salmonella illness. Of those people, nearly 3,500 still have jars with code 2111 (we have started testing). Many, however, did what the FDA and Con Agra advised, and threw the product away. Nearly 1,000 of the people who contacted us sought some level of medical treatment (ER visit to hospitalization), seven families report the death of a love one. Interestingly, only 125 people (part of the 425) report that they are stool-culture positive for Salmonella Tennessee and only 2 are both Salmonella Tennessee positive in stool and peanut butter testing.

Although we have seen 4,500 inquires, lawyers from around the country (without previous foodborne illness litigation experience) report hundreds, if not thousands of additional cases. So, what does this all mean? Are we seeing an enormous increase in Salmonella, specifically, Salmonella Tennessee, illnesses tied to eating Con Agra peanut butter? Or, are we seeing some part of the 177 million Americans who became ill in the last 28 months, who also just happened to eat Con Agra peanut butter?

By the way, this is how you read the lid code – 2111 is the Con Agra plant in Sylvester, Georgia; the next digit, a 6, is the production year, 2006; the next digit, 165, is the day the peanut butter was produced; the next two digits, 00, mean nothing; the next four digits, 2036, is military time for 8:36 PM; and, the last letter, A, is the line that the peanut butter was produced on.

Add muscle to government's watchdog role over produce

Op-ed - Rochester Democrat and Chronicle
William Marler and Paul Nunes
Guest essayists

(February 27, 2007) — In 1906, Upton Sinclair penned his great American novel The Jungle about the corrupt meat-packing industry. He described in shocking detail how dead rats were processed into sausage while bribed inspectors looked the other way. The book inspired great change in the industry.

One hundred years later, the American Meat Institute can boast that since 1999, the incidence of E. coli in ground beef samples tested by the Agriculture Department has declined by 80 percent to a fraction of a percent. The Centers for Disease Control and Prevention reports that E. coli outbreaks linked to tainted meat have declined by 42 percent.

How did this change happen? Michael Taylor, head of the USDA's Food Safety and Inspection in the mid-1990s, introduced a mandatory risk-management system requiring meat processors to adopt precautions such as carcass washes, citric acid sprays, steam pasteurization and air-exchange systems. The U.S. meat industry now staffs in-house microbiologists or contracts with outside labs to test for E. coli and other contaminants before meat is shipped to consumers.

Today, however, the apparent greater risk to the public is not meat, but produce. In recent months as many as 150 people across the Northeast and upper Midwest became ill after eating contaminated lettuce at fast-food restaurants.

A few months ago, 200 people got sick and at least four died from eating E. coli-contaminated spinach. In September 2005, more than two dozen were sickened, including one young girl who suffered acute kidney failure, after eating bagged, pre-washed lettuce. Similar outbreaks occurred in 2002 and 2003.

The Food and Drug Administration reported more than 21 E. coli outbreaks related to fresh leafy produce in the last 10 years with nearly 1,000 sickened. Upstate New York is not immune. The New York Department of Health confirms that many victims of the Taco Bell E. coli outbreak are residents of western and central New York.

To prevent future outbreaks, we need to serve notice to produce processors that E. coli is an adulterant that will no longer be tolerated in our fresh produce supply. The produce industry must adopt the same attitude that meat processors adopted years ago.

Moreover, Congress should conduct hearings to consider the following:

# Producing an E. coli vaccine for cattle.

# Irradiation for all mass-produced foods, including produce.

# Updating our food safety regulations (given post-9/11 risks).

# Granting state and/or federal authority to order product recalls.

# Establishment of a single federal agency responsible for all food safety.

# Clarifying state agencies' role in the network of defense against food-borne illnesses.

# Better funding for state health departments in identifying and stopping foodborne outbreaks.

# Improvement of treatment for victims of E. coli.

Finding solutions will not only help the food industry but will also help prevent innocent people from being sickened by eating what is supposed to be good for them.

Off to New Jersey to talk about spinach and E. coli

Tomorrow I will fly out to Jamesburg, New Jersey, for a seminar put on by The Packaging Group entitled, "E. coli 2007: Understanding, Detecting, and Preventing."  My speech is titled, "E. coli Outbreaks in Fresh Produce: Who has legal responsibility?"

Spinach Speech

Why I still have work

Sen. Florez pursues E. coli agreement
Senator Dean Florez (D-Shafter) is criticizing a new agreement between spinach processors aimed at preventing another E. coli outbreak. Florez, the Chairman of a newly-formed Senate Committee on food-borne illness, is criticizing the agreement because only 24 of 170 processors of spinach and other leafy greens signed it. Florez said even though the 24 processors supply 70 percent of the leafy greens, 30 percent non-compliance with the agreement is unacceptable. "I think there's no other way to view it, that this is not taken seriously by those other than the 24 that said yes," Florez said. "I think they're important players because it only takes one rogue player to put out a bad batch of spinach." A spokesperson for the health department said it believes the marketing agreement is a good first step to address food safety issues. September's E. coli outbreak killed four people and sickened more than 200.

Call for Hepatitis A Vaccinations for all Foodservice Workers


It seems that hardly a week passes without a warning from a health department somewhere that an infected food handler is the source of yet another potential hepatitis A outbreak. Absent vaccinations of food handlers, combined with an effective and rigorous hand washing policy, there will continue to be more hepatitis A outbreaks. It is time for health departments across the country to require vaccinations of foodservice workers, especially those that serve the very young and the elderly.  Over the last several years, I have brought Hepatitis A claims against Carl's Jr., Chi-Chi's, D'Angelo's, Friendly's, Maple Lawn Dairy, McDonald's, Quizno's, Silver Grill Location Catering and Subway.

The Centers for Disease Control (CDC) estimates that 83,000 cases of hepatitis A occur in the United States every year, and that many of these cases are related to foodborne transmission. In 1999, over 10,000 people were hospitalized due to hepatitis A infections and 83 people died. In 2003, 650 people became sickened, 4 died and nearly 10,000 people got Ig shots after eating at a Pennsylvania restaurant. Not only do customers get sick, but businesses lose customers or some simply go out of business.

Hepatitis A continues to be one of the most frequently reported, vaccine-preventable diseases in the United States, despite the FDA-approval of hepatitis A vaccine in 1995. Widespread vaccination of appropriate susceptible populations would substantially lower disease incidence and potentially eliminate indigenous transmission of hepatitis A infections. Vaccinations cost about $50. The major economic reason that these preventative shots have not been used is because of the high turnover rate of foodservice employees. The argument is that why should I vaccinate my employee only to have them leave in a few months to another restaurant? That argument disappears, and eating out becomes a whole lot less of a gamble, if all foodservice workers faced the same requirement.

According to the CDC, the costs associated with hepatitis A are substantial. Between 11% and 22% of persons who have hepatitis A are hospitalized. Adults who become ill lose an average of 27 days of work. Health departments incur substantial costs in providing post-exposure prophylaxis to an average of 11 contacts per case. Average costs (direct and indirect) of hepatitis A range from $1,817 to $2,459 per case for adults and from $433 to $1,492 per case for children less than 18 years of age. In 1989, the estimated annual direct and indirect costs of hepatitis A in the United States were more than $200 million, equivalent to more than $300 million in 1997 dollars.

From this moning's Kane County Chronicle

Hep A shots continue, lawsuit in works

On Thursday, the Seattle-based law firm Marler Clark said in a release that they would be filing a class-action lawsuit against the restaurant on behalf of Geneva resident Rebecca Johnson and her family.

People who ate at the restaurant between Jan. 8 and Jan. 19, especially those who ordered drinks with ice, should call the health department hotline at (630) 444-3300. The department set up a clinic that runs from 7:30 a.m. to 7 p.m. It started Monday and ends Feb. 2 at 1330 N. Highland Ave., Aurora.

Department spokesman Tom Schlueter said that, as 3 p.m. Thursday, the department had given 2,335 shots of immunoglobulin and returned 1,001 calls from the hotline.

Processing may spread E. coli



Mary Engel and Rong-Gong Lin II, Los Angeles Times Staff Writers published an article this morning citing that:

“Some food safety experts say the mixing of greens for packaging may increase the risk of contamination…. In particular, the centralized processing of fresh greens can increase the risk of more widespread contamination, just as tainted beef from one steer can find its way into hundreds of packages of ground meat.”

They interviewed most, but not all of the leading lights in the field.

Dr. David W.K. Acheson, chief medical officer at the U.S. Food and Drug Administration's Center for Food Safety and Applied Nutrition.
"If you have a single head of [tainted] lettuce that winds up in someone's home, makes the family sick, chances are it'll never get on the radar screen," Acheson said. "If you take the same lettuce, process it … one head may contaminate multiple bags. Then you've got an outbreak."
Michael Doyle, director of the University of Georgia's Center for Food Safety, who was recently hired by Taco Bell to review its safety guidelines.
"I quit eating bagged lettuce years ago," Doyle said. "After seeing how bagged lettuce was harvested and prepared, my impression was it's not very sanitary."
Caroline Smith DeWaal, food safety director for the Center for Science in the Public Interest in Washington, D.C.
"Bagged lettuce is facing the same problem that meat grinders faced with E. coli O157…. "They're this linchpin in the safety system because they're taking produce in from a wide variety of sources and mixing it and redistributing it," she said. "The bagged salads are increasing the likelihood that outbreaks will be larger and widespread."
Linda Harris, associate director of research at the UC Davis Western Institute for Food Safety and Security.
"The industry needs to reinvent itself," she said. "What can be done in the field and in the processing unit? Today we don't have all the answers, but look back at the beef industry 10 years ago. It didn't either."
In 2005, before a missed Utah outbreak linked to E. coli-tainted lettuce served at Wendy’s, before the second Dole E. coli outbreak that sickened over 200 and killed 4, before the Taco Bell and Taco John’s E. coli outbreaks that also sickened hundreds, I posted a blog in October 2005 entitled “Bagged, prewashed lettuce – Is convenience worth the risk.” In part, I point to the history of the problem:
At least 23 people in Minnesota sickened with the deadly E. coli O157:H7 bacteria, 8 of them hospitalized and 1 child developing acute kidney failure, all from apparently eating bagged, "pre-washed" lettuce.

In October 2003, 13 residents of a California retirement center were sickened and 2 died after eating E. coli-contaminated "pre-washed" spinach. In September 2003, nearly 40 patrons of a California restaurant chain became ill after eating salads prepared with bagged, "pre-washed" lettuce. In July 2002, over 50 young women were stricken with E. coli at a dance camp after eating "pre-washed" lettuce, leaving several hospitalized, and 1 with life-long kidney damage. The Center for Science in the Public Interest found that of 225 food-poisoning outbreaks from 1990 to 1998, nearly 20 percent (55 outbreaks) were linked to fresh fruits, vegetables or salads.

The FDA and CDC now tell us that there have been over 20 E. coli outbreaks tied to lettuce and spinach in the last 10 years.

So, what should consumers do to protect themselves? What can the industry do to protect its customers? Research, more research - we need to find a way to make sure pathogenic E. coli stays out of products that are not cooked before eaten - like salads. We need to know if washing (repeatedly) is enough, or if other, more invasive procedures are necessary. Is the convenience worth the risk?

In a more recent Op-ed entitled, “The Jungle revisited – 100 years later,” I wrote in part:
To prevent future outbreaks, we need to follow FSIS’ and AMI’s example, and serve notice to produce processors that E. coli is an adulterant that will no longer be tolerated in our fresh produce supply. The produce industry must adopt the same precautions that meat processors adopted years ago.

Here’s the reality: In recent weeks as many as 150 people across the Northeast and upper Midwest have become ill after eating at fast food restaurants. Many of those have landed in hospitals; some attached to kidney dialysis machines. And it wasn’t just fast food that made them sick – it was the lettuce.

A few months ago, 200 people got sick and at least four died from eating E. coli-contaminated spinach. A year earlier, in September 2005, over two dozen were sickened, including one young girl who suffered acute kidney failure, after eating bagged, pre-washed lettuce. Similar outbreaks occurred in 2002 and 2003.

This recent history shows us that E. coli is no longer linked exclusively to tainted meat. The Food and Drug Administration reports over 21 outbreaks related to fresh leafy produce in the last 10 years with nearly 1,000 sickened.

But, putting the burden solely on produce producers will not be the “silver bullet” to control E. coli. We need a broad approach. If I had a vote, I would demand Senate hearings to discuss not only what the produce industry can do but also the following:

- Is the production of an E. coli vaccine for cattle to reduce or eliminate one large reservoir of the nasty germ feasible?

- Is irradiation for all mass-produced foods, including produce, an option?

- Are our food safety regulations up to date given risks we face today from at home and abroad?

- Do we need mandatory State and Federal recall authority, or is industry-based, voluntary recall authority sufficient?

- Is establishing one agency at the federal level responsible for all food safety to work directly with state and local regulators and health departments to help industry prevent viral or bacterial contamination the answer?

- Would an increase in funding for state health departments and CDC help in identifying outbreaks and stopping them early?

- What is the best science available to help the victims of E. coli if they do become ill?
Having this discussion is long past due. There should be no more excuses for finding real solutions. Finding solutions will ultimately help the business bottom line, but most importantly, finding solutions will prevent innocent people from being sickened by eating what is supposed to be good for them.

The Jungle Revisited - 100 Years Later


I agree with the American Meat Institute?

J. Patrick Boyle, President and Chief Executive of the American Meat Institute, wrote in part in the New York Times regarding, "100 Years Later, the Food Industry Is Still ‘The Jungle,’ ” by Adam Cohen (Editorial Observer, Jan. 2), “Since 1999, the incidence of E. coli O157:H7 in ground beef samples tested by the Agriculture Department has declined by 80 percent to a fraction of a percent, a level once thought impossible.” I agree with Mr. Boyle. In fact, according to the Centers for Disease Control and Prevention, E. coli outbreaks linked to tainted meat have declined by 42 percent.

As a lawyer specializing in food-borne illness litigation, I’ve seen this happen, but I’m still as busy as ever. A decade ago most of my clients had been sickened by tainted meat. In fact, between 1993 and 2002 I took over $250 Million from the meat industry in verdicts and settlements on behalf of my clients, mostly children with kidney failure caused from consuming E. coli-tainted hamburger.  Today, my business comes almost entirely from people sickened by lettuce, sprouts, tomatoes, spinach, green onions, and parsley.

To turn this mess with produce around, we need somebody like Michael Taylor, who was head of USDA's Food Safety and Inspection Service in the mid-1990s, when undercooked hamburgers from Jack in the Box sickened 650 people and killed four children. In the wake of that epidemic, Taylor stood before the American Meat Institute and announced, "We consider raw ground beef that is contaminated with E. coli O157:H7 to be adulterated within the meaning of the Federal Meat Inspection Act." Taylor was warning the industry "things were going to be different and there was going to be accountability."

Taylor and FSIS introduced mandatory Hazard Analysis Critical Control Point plans, a risk management system requiring meat processors to adopt precautions such as carcass washes, citric acid sprays, steam pasteurization, and air-exchange systems. Today, the U.S. meat industry staffs in-house microbiologists or contracts with outside labs to test for E. coli and other contaminants before meat is shipped to consumers.

To prevent future outbreaks, we need to follow FSIS’ and AMI’s example, and serve notice to produce processors that E. coli is an adulterant that will no longer be tolerated in our fresh produce supply. The produce industry must adopt the same precautions that meat processors adopted years ago.

Here’s the reality: In recent weeks as many as 150 people across the Northeast and upper Midwest have become ill after eating at fast food restaurants. Many of those have landed in hospitals; some attached to kidney dialysis machines. And it wasn’t just fast food that made them sick – it was the lettuce.

A few months ago, 200 people got sick and at least four died from eating E. coli-contaminated spinach. A year earlier, in September 2005, over two dozen were sickened, including one young girl who suffered acute kidney failure, after eating bagged, pre-washed lettuce. Similar outbreaks occurred in 2002 and 2003.

This recent history shows us that E. coli is no longer linked exclusively to tainted meat. The Food and Drug Administration reports over 21 outbreaks related to fresh leafy produce in the last 10 years with nearly 1,000 sickened.

But, putting the burden solely on produce producers will not be the “silver bullet” to control E. coli. We need a broad approach. If I had a vote, I would demand Senate hearings to discuss not only what the produce industry can do but also the following:

- Is the production of an E. coli vaccine for cattle to reduce or eliminate one large reservoir of the nasty germ feasible?

- Is irradiation for all mass-produced foods, including produce, an option?

- Are our food safety regulations up to date given risks we face today from at home and abroad?

- Do we need mandatory State and Federal recall authority, or is industry-based, voluntary recall authority sufficient?

- Is establishing one agency at the federal level responsible for all food safety to work directly with state and local regulators and health departments to help industry prevent viral or bacterial contamination the answer?

- Would an increase in funding for state health departments and CDC help in identifying outbreaks and stopping them early?

- What is the best science available to help the victims of E. coli if they do become ill?

Having this discussion is long past due. There should be no more excuses for finding real solutions. Finding solutions will ultimately help the business bottom line, but most importantly, finding solutions will prevent innocent people from being sickened by eating what is supposed to be good for them.

Off to Minneapolis

On Thursday I will be speaking at the Minnesota Environmental Health Association (MEHA) on "Liability of Environmental Health Professionals for Alleged Negligent Inspections."  See the PowerPoint below:

I will also be filing another E. coli lawsuit against Taco Johns - this time in Minnesota on behalf of an Albert Lea family.  For more information on the status of the Taco John's litigation see the link below:

Third E. coli Lawsuit Filed against Taco John’s by E. coli Lawyer

ALBERT LEA, MN (January 16, 2006) – On Thursday, Seattle-based Marler Clark (www.marlerclark.com) filed its third lawsuit on behalf of a victim of last year’s E. coli O157:H7 outbreak traced to Taco John’s restaurants in Iowa and Minnesota. The lawsuit was filed against Taco John’s in Minnesota state court in Albert Lea on behalf of Albert Lea resident Julie Johnson and her young son, Mitchell. Mitchell is one of at least 33 Minnesota residents who became ill with E. coli infections after eating contaminated food at Taco John’s restaurants in late November and early December, 2006.

On the heels of investigations into other large E. coli outbreaks traced to California produce, the Food and Drug Administration announced that investigators from FDA and the state of California, working in conjunction with state health officials in Minnesota, Iowa, and Wisconsin, had isolated the Taco John’s outbreak strain of E. coli from dairy farms near California’s Central Valley on January 12.

“It’s time for restaurants to demand more stringent safety standards on the part of their fresh produce suppliers,” said William Marler, attorney for Ms. Johnson. “Taco John’s and companies like Taco Bell need to use their purchasing power as an influence for industry change. This could become a classic economics lesson in supply and demand.”

Marler, who represents 14 victims of the Taco John’s E. coli outbreak, 20 victims of the Taco Bell E. coli outbreak, and 93 victims of last fall’s outbreak traced to contaminated spinach, is in Minneapolis, and will be speaking at the Minnesota Environmental Health Association’s winter conference at the University of Minnesota’s Continuing Education & Conference Center in St. Paul from 10:00 – 11:30 a.m. on Thursday. His presentation is titled, “How to Sue a Health Department: Understanding the risk of legal liability for negligent inspections and other alleged failures.” He also publishes a blog about foodborne illness litigation, www.marlerblog.com.

BACKGROUND: Marler Clark, (www.marlerclark.com) has extensive experience representing victims of foodborne illnesses. Marler represented Brianne Kiner in her $15.6 million settlement with Jack in the Box in 1993. In 1998, Marler Clark resolved Odwalla Juice E. coli outbreak cases for five families whose children developed HUS and were severely injured after consuming contaminated apple juice for a reported $12 million. Since that time, Marler Clark has represented thousands of victims of foodborne illness, and has recovered several multi-million dollar settlements for children who developed HUS. The firm also represented over 50 people who became ill with hepatitis A after eating contaminated green onions at a Pennsylvania Chi-Chi’s restaurant in 2003, including one man who received a liver transplant as a result of his hepatitis A infection.

Bailey-Boushay House Chefs' Dinner


Bailey-Boushay House is a nationally recognized facility offering residential care and day health programs for people living with AIDS. The residential care program also provides care to those suffering from other life-threatening illnesses.  Marler Clark has the honor to have been one of the main sponsors for the annual "Chef's Dinner."  Denis Stearns is on the Board and past President.  This dinner, which had 500 guests tonight is one of the larger fund-raising events for this great non-profit.  I was very proud that nearly our entire office and spouses/significant others attended.

Given the kind of cases we do, it is a bit ironic that we are supporting a dozen chefs feeding 500 people.

Why I hate Insurance Companies

David Dankwa wrote in Best’s Review – January 2007 - Highlights from BestWeek - Briefing

Eateries Lean on Reputation Covers
The E. coli outbreak linked to Taco Bell restaurants has left approximately 70 people sick in five states, creating a major change-control crisis for the fast-food chain.

As with many restaurants or food-service providers that have been linked to food-borne illnesses in the past, the costliest aspect of this crisis is not Taco Bell’s removal of potentially tainted green onions from its 5,800 restaurants nationwide, or the temporary closure of 18 stores, or expenses related to decontamination and cleanup of restaurants; it is the long-term damage to the company’s trade name.

No mention of the sickened.  No mention of the costs incurred for medical treatment, lost wages and the costs of future medical treatment for those who may suffer kidney failure.  Shame on you. Continue Reading...

Ideas for Washington D.C.


I posted a request for ideas to present while I am in Washington D.C. to the Foodsafe listserve.  Foodsafe is an industry-supported discussion group to connect those interested in food safety to each other, and to information. The sender is responsible for content. For archives or to unsubscribe from the list, go to http://www.foodsafetyweb.info/foodsafe. For questions or problems, contact the list owner at FOODSAFE-request@LISTS.FOODSAFETYWEB.INFO.

Here were some ideas:

1. Don't let the Congress get bogged down in the single food safety agency quagmire. However, the Government Accountability Office (GAO) and the National Academy of Sciences have supported it.
2. Place produce (and animal) growing under some food authority (e.g., USDA-APHIS).
3. Make HACCP mandatory for the produce processing industry.
4. Require FDA Risk Assessment for E. coli O157:H7 and Salmonella in produce.
5. Require FDA surveillance of produce with associated recalls.
6. Encourage Congress to seek mandatory post-processing treatment of fresh produce that has been implicated in outbreaks. This could be any effective treatment - irradiation, chemicals, electrolyzed water, etc. Don't try to make it produce-wide, as regulating before a proven problem is tough and widens the opposition.
7. Get money for research into ways of protecting growing crops from contamination caused by wild animals (birds, deer) or nearby livestock (cattle, hogs, chickens).
8. Get money for research that addresses item #6 above. We need to get the effective interventions rapidly approved for use.
9. The FDA is both significantly under funded in the food area and in the midst of a terrible "brain drain." Congress needs to fully fund an expansion of FDA's food activities and urge the Commissioner to try to keep what's left of the Agency's institutional knowledge.
10. Avoid writing a law that would allow defendants to argue Federal Preemption - make sure they preserve the private right of action.
11. That they require all those who import food products into the US to have insurance and to consent to jurisdiction of US courts and to accept service of process by certified mail.
12. Traceability in the food supply is something that Congress could and should mandate.

Any other ideas?  Comments?

Salinas Valley - East of Eden

“From both sides of the valley little streams slipped out of the hill canyons and fell into the bed of the Salinas River. In the winter of wet years the streams ran full-freshet, and they swelled the river until sometimes it raged and boiled, bank full, and then it was a destroyer. The river tore edges of the farm lands and washed whole acres down…”
John Steinbeck, East of Eden

No surprise that the Monterey County Grand Jury found that water is an efficient carrier of E. coli.

“During years of heavy winter rainfall many sloughs, creeks, streams, and other tributaries overflow their banks onto the floodplain depositing contaminated water or material on agricultural land,” the Grand Jury observed.

The county Health Department says feces should be kept off any agricultural floodplain and if not only produce that must be cooked should be grown there.

The Grand Jury says the county Supervisors should fund the necessary floodplain, water, and irrigation water testing to ensure that fresh produce can be grown safely in the Salinas Valley.

Last May, before the big spinach outbreak of ’06, the Grand Jury visited a farm on Santa Rita Creek. “Sheep, horses, pigs, chickens, goats, and cattle were observed on separate parcels of land throughout the survey site,” the Grand Jury reported. “In one instance fecal material was overflowing toward the creek on a parcel containing a pig.”

The Grand Jury’s recommendations, which require responses from both the Monterey County Board of Supervisors and the District Attorney, should remind us all that only effective actions at the local level will ensure safe fresh produce nationally.

Water testing with consequences program laid out by the Grand Jury strikes me as the type of changes that are desperately needed in the Salinas Valley. Funding that program instead of having some advertising agency design some smiley face seal is what is needed and now.

Will a seal be enough?


E.J. Schultz of the Sacramento Bee Capitol Bureau wrote late last year about “Plans could give spinach seal of approval - After E. coli outbreaks, various proposals seek safer produce handling.”
Consumers buying California-grown lettuce and spinach could soon be seeing a safety seal of approval, under an industry-backed proposal formulated in the wake of recent E. coli outbreaks.

Despite industry promises of a mandatory program, the draft proposal shows the initiative to be voluntary and open only to shippers and packers. The plan was designed by the Western Growers Association and other trade groups, with the state Department of Food and Agriculture taking an advisory role.

Spurred on by September's deadly Salinas Valley-based E. coli outbreak, the Western Growers Association in October promised "enhanced and mandatory food safety processes on all aspects of growing, packing, processing and shipping of spinach and leafy greens."

But state Sen. Dean Florez, D-Shafter, criticized the plan as weak. "I don't think it does a thing to make a consumer feel any better about lettuce or spinach in their mouth," said Florez, who plans to hold a legislative hearing on the proposal.
An Op-ed in www.insidebayarea.com recently opined: “Food industry's safety plan needs more teeth.”
The Western Growers Association and other agriculture trade groups have drafted a voluntary plan to address concern about food safety. The system would involve attaching safety seals of approval to packages of such items as lettuce and spinach. Consumers could then ostensibly accept the seals as assurance that the food in it is safe.

It also falls short of Western Growers' promise in October that it would implement "enhanced and mandatory food safety processes on all aspects of growing, packing, processing and shipping spinach and leafy greens."

An all-voluntary system isn't good enough. We need one with some teeth. When public pressure and problems over recent food supply contamination dies down, we need to be confident that better growing, safety and handling standards exist and are being met.
Voluntary compliance has lead to over 20 E. coli outbreaks tied to spinach and lettuce over the last several years.  Clearly, the industry has not been able to police itself and protect consumers.  That being said, unless resources are given to local, state and federal regulators, mandatory compliance will be worthless.  Personally, whatever route is taken, voluntary or mandatory, the industry needs to think of consumers like they would a member of their family - would they feel comfortable feeding the product to their own child?

Mr. Bill goes to Washington


I'm off to Washington D.C. next week to gauge the interest of the new Congress in taking a hard look at Food Safety, specifically, fresh fruits and vegtables, in light of all the recent E. coli outbreaks.  Below is a letter that I had sent to key lawmakers:

During the last four months of 2006, U.S. consumers suffered an epidemic of bacterial contamination in their produce supply. The numbers are staggering. In September, people across the country were struck with the largest E. coli O157:H7 outbreak in history associated with leafy greens. FDA’s official figures reflect 204 confirmed illnesses and three deaths. FDA quickly followed with announcements that two distinct Salmonella outbreaks had been traced to contaminated tomatoes grown in the Southeast and served in restaurants, sickening nearly 400. But there was still more. In early December, several state health departments, along with FDA and CDC, announced another outbreak of E. coli O157:H7. This time, over 70 people were confirmed ill as the result of eating contaminated lettuce in products sold at Taco Bell restaurants. Almost immediately thereafter, it happened again. Nearly 100 more restaurant customers became ill with E. coli O157:H7 infections after consuming lettuce provided at Taco John’s restaurants in Iowa and Minnesota.

Standing alone, the events of the past four months evidence a serious problem. But these outbreaks do not stand alone. In particular, there is a long history of E. coli O157:H7 outbreaks associated with leafy greens. Prior to September’s spinach outbreak, the fresh produce industry and the FDA were aware of what the regular consumer was not aware: that prepackaged spinach and lettuce were potentially risky foods with respect to contamination with E. coli. According to a new article in the New England Journal of Medicine written by Dr. Dennis G. Maki, the latest outbreak is “at least the 26th reported outbreak of E. coli infections that has been traced to contaminated leafy green vegetables since 1993.” FDA counts 20 such outbreaks since 1996, and states “a majority of the outbreaks, including the recent outbreak in September of 2006, traced product back to California, eight of which were from the Salinas Valley.” Among these was an outbreak associated with Salinas Valley spinach that killed two elderly nursing home residents in 2003.

FDA has made past attempts to spur the fresh produce industry into action. In 1998, FDA issued guidance to the industry entitled “Guide to Minimize Microbial FoodSafety Hazards for Fruits and Vegetables.” The guide was specifically designed to assist growers and packers in the implementation of safer manufacturing practices. On February 5, 2004, the FDA issued a letter to the lettuce and tomato industries to “make them aware of [FDA’s] concerns regarding continuing outbreaks associated with these two commodities and to encourage the industries to review their practices.”

Nevertheless, the outbreaks continued, apparently unabated. In the fall of 2005, another E. coli outbreak was traced to lettuce grown in the Salinas Valley, and distributed nationwide. FDA sharpened its rhetoric with growers in its November 2005 “Letter to California Firms that Grow, Pack, Process, or Ship Fresh and Fresh-Cut Lettuce.” Still in the end, FDA was simply “encourage[ing] firms in your industry to review their current operations.”

Encouragement is no longer enough. It is time that growers, producers, manufacturers, restaurants, grocers, and consumers were asked to the table to talk about these ongoing outbreaks and how to prevent them in the future. Congress needs to act now and discuss the following:

- How these recent outbreaks actually happened and what can be done to prevent or limit the next one.
- Increasing funding for university-based research, health department epidemiological surveillance, and prevention of bacterial and viral contamination.
- Pre-consumption bacterial and viral testing of raw food products, especially those where no “kill step” is expected.
- Making mandatory good agricultural and food handling practices.
- The proposal to create a single federal agency charged with ensuring the nation’s food safety, whether the food is grown within the United States or in foreign countries.

It is time for Congress to accept a leadership role and call hearings, not only to explore the reasons for the past months’ outbreaks, but also to help prevent the next one. Congress must reach out to all facets of the produce industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators, to find reasonable, workable solutions to prevent produce-related illnesses. Getting all interested parties at the same table is a start.

As an attorney who has represented hundreds of victims of past produce-related outbreaks, I would like to offer whatever assistance you would find useful in finding solutions to this plague on consumers and farmers. Many of my clients who have suffered acute kidney failure or lost family members to E. coli poisoning would be willing to speak with you directly or at hearings so all can understand the devastation caused by contaminated produce.

I will be in Washington, DC, on Wednesday, January 10, 2007, for the American Association for Justice’s 7th Annual Leaders Forum Legislative Day, and would welcome the opportunity to meet with you in person. Please let me know what I can do to help.

It is always good to have a sense of humor

For those who find humor in the pages of the New Yorker, I thought this was good:

It says: "I'm not a lawyer, I'm just drafting."

cattlenetwork.com reported in a recent posting that “Rates Of Foodborne Illness Are Decreasing”
The Center for Disease Control (CDC) reported that rates of foodborne illness and the incidence of pathogens in food declined significantly between the late 1990s and 2005. The incidence rates of infection for major pathogens declined by the following rates: Listeria, 32% Campylobacter, 30% E. coli O157:H7, 29% and Salmonella, 9%.

The decline in the incidence of pathogens found in beef and other meats have been especially dramatic. E. coli O157:H7 in ground beef has declined by 80% since 1999, and Salmonella in ground beef has declined 75% since 1998 (SOURCE: CDC Foodborne Diseases Active Surveillance Network).
I would agree that E. coli illnesses related to hamburger are down - one wonders if my "ambulance chasing" made a difference?

E. coli Food Fight

Linda Johnson, AP writer for New Jersey wrote over the weekend: “Industry, Government Join E. coli Fight”
“In light of food poisoning outbreaks involving spinach and lettuce, the government and the produce industry are scrambling to make leafy greens safer before the spring planting season.”
In fact, during the last four months of 2006, U.S. consumers have suffered a literal epidemic of bacterial contamination in their produce supply. The numbers are staggering. In September the consumers across the country were struck with the largest E. coli O157:H7 outbreak in history associated with leafy greens. FDA’s official figures reflect 204 confirmed illnesses and 4 deaths. The FDA quickly followed with announcements that not one, but two distinct Salmonella outbreaks had been traced to contaminated tomatoes grown in the Southeast and served in restaurants, sickening nearly 400 - and there had been others.  There was still more. In early December, the FDA announced another outbreak of E. coli O157:H7. This time, over 100 people were confirmed ill as the result of contaminated lettuce in products sold at Taco Bell restaurants. Almost immediately thereafter, it happened again. Nearly 100 more restaurant customers were confirmed ill with E. coli O157:H7 infections after consuming lettuce provided at Taco John’s restaurants in Iowa and Minnesota.
“New guidelines from the industry are due in April on how to prevent contamination throughout the food chain, from before greens are planted until they reach the dinner table… Members of Congress are asking federal agencies to report on what went wrong and how to fix the problem. Some lawmakers want to replace the patchwork system of federal food regulation with a single agency in charge of what people eat… States are active, too. In California, where most of the nation's green leafy vegetables are grown, farmers are poised to approve new labeling by March for farms that follow stricter practices for raising greens.”
However, these new outbreaks are in fact not new at all. In particular, there is a long and full history of E. coli O157:H7 outbreaks associated with leafy greens. Prior to September’s spinach outbreak, the fresh produce industry and the FDA were aware of what the regular consumer was not – prepackaged spinach and lettuce were potentially risky foods with respect to contamination with E. coli. According to a new article in the New England Journal of Medicine written by Dr. Dennis G. Maki, the latest outbreak is “at least the 26th reported outbreak of E. coli infections that has been traced to contaminated leafy green vegetables since 1993.” The FDA counts 20 such outbreaks since 1996, and states “a majority of the outbreaks, including the recent outbreak in September of 2006, traced product back to California, eight of which were from the Salinas Valley.” Among these was an outbreak associated with Salinas Valley Spinach that killed 2 elderly nursing home residents in 2003.

It is time for Congress to get all the parties in a room and have a full discussion on how to move forward rapidly with a solid food safety program for fresh produce. I would suggest:

•A thorough, scientifically based discussion on how these recent outbreaks actually happened and what can be done to prevent or limit the next one.
•Increased funding for university-based research, health department epidemiological surveillance, and prevention of bacterial and viral contamination.
•Consideration of pre-consumption bacterial and viral testing of raw food products, especially those where no “kill step” is expected.
•A discussion of making mandatory good agricultural and food handling practices.
•A review of the proposal to create a single federal agency charged with ensuring the nation’s food safety, whether the food is grown within the United States or in foreign countries.


Taco Bell's having a bad day

Officials say Taco Bell wrapper had human blood

Alex Davis of the Louisville Courier-Journal wrote "A small amount of human blood was found on the outside of a food wrapper on a woman’s order from a Taco Bell restaurant on S. Third Street, according to an investigation by the Louisville Metro Health Department."  One must say Yum, Inc.

Bloody bags and E. coli-tainted lettuce does not help the stock price:

Why Politicians have no, well some, friends

I just saw this headline and excerpt from a Business Wire Press Release:

Pennsylvania Governor Ed Rendell and Taco Bell President Greg Creed Meet for Lunch and Tour of Philadelphia Taco Bell
(Business Wire)-December 27, 2006

As a further demonstration that its food is completely safe to eat, Pennsylvania Governor Ed Rendell will visit a Philadelphia Taco Bell tomorrow to have lunch with Greg Creed, Taco Bell President. The lunch will include a complete tour of the facility, as well as interview and photo opportunities for media.

So, while the good Governor eats tacos and sucks up to corporate interests, bodies are still being counted in Pennsylvania and neighboring States stemming from the Taco Bell E. coli outbreak.  The numbers as of last week were:

New York - 25 confirmed; 333 suspect

New Jersey - 37 confirmed; 11 probable

And in the Governor's home State of Pennsylvania - 10 confirmed; 6 probable

On December 5, 2006 I posted on www.marlerblog.com:

E. coli Attorney Calls on Taco Bell to Pay Victims' Medical Bills

William Marler, a nationally-recognized food safety advocate and attorney, today called on Taco Bell “to do the right thing and immediately pay the medical bills for the victims of this most recent E. coli O157:H7 outbreak traced to Taco Bell restaurants in New York and New Jersey. Marler noted that, in other outbreaks, companies such as Dole, Jack in the Box, Odwalla, Chi-Chi’s and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

Taco Bell is familiar with E. coli outbreaks. 10 people where made ill by the potentially deadly E. coli O157:H7 bacteria in December 1999, including a 5-year-old girl and an 8-year-old girl, who were hospitalized. All but one of the victims recalled eating at various Taco Bell restaurants within eight days of their illness, and all 10 cases have been linked genetically to bacteria likely to have originated at a single source.

So, Governor, perhaps between meals you could do something useful and ask the CEO why no offer to pay the medical bills of the people he poisoned?

This is an actual holiday card I just received

Holiday Food Safety Tips - from a lawyer?



Here are some tips for preparing traditional holiday foods safely from our friends at the Dupage County Health Department:

Raw lamb or beef should be used within three to five days of purchase. Lamb and beef roasts should be cooked to an internal temperature of at 145°F to be medium rare, and 170°F for well done. Use a meat thermometer to be sure the proper internal temperature has been reached. Cut into thin slices and refrigerate promptly after the meal.

Thaw frozen turkey in the refrigerator. Allow one day for each five pounds of turkey. A twenty-pound turkey will take approximately four days to thaw. (Hint: Remove neck & giblets from inside the bird as soon as possible to hasten thawing.) Do not thaw on the kitchen counter. If you do not have time to thaw in the refrigerator, you can thaw the turkey in the kitchen sink, provided you refill the sink with cold water every half-hour. Cook fresh turkeys within two days, thawed turkey within four days. Read and follow the cooking directions on the label. Cook turkey until it is done (165°F). Do not slow cook overnight at low temperatures or partially cook. Some turkeys come with pop-up thermometers. They are to be used only as a guide to doneness; therefore, taking the temperature with a meat thermometer is still important. Stuffing should not be prepared a day ahead and the turkey should not be stuffed until it is ready to cook. A quicker, safer method is to cook the stuffing separately in a casserole, using some of the pan juices to flavor and moisten the stuffing.

Fully cooked, ready-to-eat ham must be kept refrigerated. If heated for a meal, heat to internal temperature of 140°F. Use a meat thermometer to be sure the proper internal temperature has been reached. After the meal, cut the ham into thin slices and refrigerate promptly. Slices will keep up to four days in the refrigerator.


And not to forget Fresh Produce - Helen Branswell of our friends up north wrote an article for the Canadian Press a few months ago - Experts answer questions about contaminated produce

It's unsettling stuff - E. coli-contaminated salad fixings and botulism-laced vegetable juice. What's a health-conscious consumer to think when Popeye's miracle food kills an American toddler and a swig of carrot juice paralyzes two Torontonians?

The fact is that while most people see an undercooked hamburger or chicken breast as the source of most food poisoning incidents, the vegetables and fruits public health experts urge us all to eat can be just as effective at passing along bugs that can make for a few unpleasant hours in the mildest cases and serious, even fatal illness in the most severe.

"In the States, there's a lot of evidence now that fresh produce is the number 1 cause of foodborne illness and has outstripped foods of animal origin," says Mansel Griffiths, director of the Canadian Research Institute for Food Safety at the University of Guelph.

So, wash you vegetables well before you cook them and/or before you serve them raw.  Me, I go right to red wine (no scientific basis for it).  Foods I avoid - unpasteurized juices and milk, sprouts, bagged, pre-washed produce of any kind, raw shellfish and other raw meats or cheeses.  Everything else I wash, wash and wash, if it is produce, and I cook all meat products a bit more that the directions above.  Also, be careful about cross-contamination between raw uncooked or unwashed foods and counter-tops, utensils and other ready to eat foods.  And, WASH YOUR HANDS.  Happy Holidays.

E. coli Op-ed

The Bug that ate the Lettuce
Op-ed

Most Americans would agree with me that fast food is generally unhealthy. They would also agree that lettuce is a healthy food and that eating healthy foods should improve your health – not put you in the hospital.

But, here’s the reality: In recent weeks as many as 150 people across the Northeast and upper Midwest have become ill after eating at fast food restaurants. Many of those have landed in hospitals; some attached to kidney dialysis machines. And it wasn’t just fast food that made them sick – it was the lettuce.

A few months ago, 200 people got sick and at least four died from eating E. coli-contaminated spinach. A year earlier, in September 2005, over two dozen were sickened, including one young girl who suffered acute kidney failure, after eating bagged, pre-washed lettuce. Similar outbreaks occurred in 2002 and 2003.

This recent history shows us that E. coli is no longer linked exclusively to tainted meat. The Food and Drug Administration reports over 20 outbreaks related to fresh leafy produce in the last 10 years with nearly 1,000 sickened.

Despite having no legislative mandate or recall authority, the FDA has been prodding the produce industry to address problems that pose a serious risk to consumers. In August 2006, the agency developed the Lettuce Safety Initiative in an effort to support the goals of its own 2004 Produce Safety Action Plan and to protect public health by preventing further lettuce-related E. coli outbreaks.

According to the Centers for Disease Control and Prevention, E. coli outbreaks linked to tainted meat have declined by 42 percent. As a lawyer specializing in food-borne illness litigation, I’ve seen this happen, but I’m still as busy as ever. A decade ago most of my clients had been sickened by tainted meat. Today, my business comes almost entirely from people sickened by lettuce, sprouts, tomatoes, spinach, green onions, and parsley.

To turn this around, we need somebody like Michael Taylor, who was head of USDA's Food Safety and Inspection Service in the mid-1990s, when undercooked hamburgers from Jack in the Box sickened 650 people and killed four children. In the wake of that epidemic, Taylor stood before the American Meat Institute and announced, "We consider raw ground beef that is contaminated with E. coli O157:H7 to be adulterated within the meaning of the Federal Meat Inspection Act." Taylor was warning the industry "things were going to be different and there was going to be accountability."

Taylor and FSIS introduced mandatory Hazard Analysis Critical Control Point plans, a risk management system requiring meat processors to adopt precautions such as carcass washes, citric acid sprays, steam pasteurization, and air-exchange systems. Today, the U.S. meat industry staffs in-house microbiologists or contracts with outside labs to test for E. coli and other contaminants before meat is shipped to consumers.

To prevent future outbreaks, we need follow FSIS’ example, and serve notice to processors that E. coli is an adulterant that will no longer be tolerated in our fresh produce supply. The produce industry must adopt the same precautions that meat processors adopted years ago.

But, putting the burden solely on produce producers will not be the “silver bullet” to control E. coli. We need a broad approach. If I had a vote, I would demand Senate hearings to discuss not only what the produce industry can do but also the following:

- Is the production of an E. coli vaccine for cattle to reduce or eliminate one large reservoir of the nasty germ feasible?

- Is irradiation for all mass-produced foods, including produce, an option?

- Are our food safety regulations up to date given risks we face today from at home and abroad?

- Do we need mandatory State and Federal recall authority, or is industry-based, voluntary recall authority sufficient?

- Is establishing one agency at the federal level responsible for all food safety to work directly with state and local regulators and health departments to help industry prevent viral or bacterial contamination the answer?

- Would an increase in funding for state health departments and CDC help in identifying outbreaks and stopping them early?

- What is the best science available to help the victims of E. coli if they do become ill?

Having this discussion is long past due. There should be no more excuses for finding real solutions. Finding solutions will ultimately help the business bottom line, but most importantly, finding solutions will prevent innocent people from being sickened by eating what is supposed to be good for them.

Taco Jokes - bad ones

There is nothing funny about people being sickened by going to a restaurant.  However, it will be interesting if Taco Bell and Taco John's listen to the laughs from late night.

Jay Leno


'Did you hear about this story? I guess nearly 30 people in New Jersey have been sickened by an E. coli outbreak that's been traced to a Taco Bell restaurant. So today Taco Bell took action. They finally took the E. coli Taco off the menu.'

“A woman in Fort Wayne, Indiana is suing because she got shot in her car at a Taco Bell drive through restaurant. She said that Taco Bell should have done more to protect her from people. Hey, Taco Bell can’t even protect her from their own food. Bullets are the least of your problems at Taco Bell. Because of this E. coli outbreak, Taco Bell is going to have to make major changes in their sanitation procedures... Or, maybe just lower their price.”

"Taco Bell has had to close several restaurants because an outbreak of E. coli has made customers sick. As a result, Taco Bell is changing their slogan from 'Think Outside the Bun' to 'Puke Outside the Store.'"

Dave Letterman

“A U.N. study has found that methane gas causes more global warming than man. Unless the man has ate at Taco Bell.”

“Something like 30 people have gotten E. coli from Taco Bell. Don’t you remember the good old days when at fast food chains you only had to worry about finding the occasional finger in your food?”

“Actually the Taco Bell in New Jersey has reopened as a cruise ship. They just opened it back up and pushed it out to sea.”

"By the way, Taco Bell has a new menu item: it is the 'chili con coli'... Talk about thinking outside the bun. What? Look out."

“It was so beautiful today, Taco Bell customers were actually walking to the emergency room.”

Letterman's Top Ten

10. "Are my affairs in order?"

9. "Why is the counter kid wearing a hazmat suit?"

8. "Will the hot sauce kill the bacteria?"

7. "Is this how they poisoned that Russian spy?"

6. "Do I really want to succumb to a taco-related death?"

5. "Should I go somewhere safer for lunch like Fallujah?"

4. "Will this help me meet the recommended E. coli daily requirement?"

3. (No number 3 -- writer ate a bad chalupa)

2. "What would Kristie Alley do?"

1. "Wait - when was Taco Bell not tainted with E. coli?"

And likely the worst/best of them all – “Taco Bell Chalupa of Death”

And Web Videos - Taco Bell E. coli

And Google Fearcast - Video

A CNN report from today offers yet another review of late-night comedy about public health issues brought up during the latest E. coli outbreak traced to Taco Bell.  You can find it here.

Food Safety Attorney calls for Congressional Hearings on Poisoned Produce


September was “Food Safety Month.” During September and the ensuing two months there have been at least four reported bacterial outbreaks tied to produce. The bacteria have been the deadly E. coli O157:H7 and Salmonella. The produce: spinach, tomatoes and now green onions. First it was announced that over 200 people were sickened, many with acute kidney failure, and four people died after eating Dole spinach grown in the Salinas Valley. Then the announcements came that not one, but two Salmonella outbreaks had been traced to contaminated tomatoes grown in the Southeast and served in restaurants, sickening nearly 400.

As if the events of the last three months were not enough to warrant action, it must be recognized that the produce and restaurant industries have had plenty of notice of continuing problems through a sad litany of similar outbreaks.  In 2000, Taco Bell food was again to blame for a hepatitis A outbreak involving green onions.  In 2003, green onions were yet again implicated in a Pennsylvania outbreak that left over 600 sick with hepatitis A, causing at least four deaths and one liver transplant.  In 2004, salmonella-tainted tomatoes, again grown in the Southeast, sickened 450 people who had eaten at convenience stores in the Northeast.  And in 2005, Dole lettuce caused dozens more E. coli illnesses, including one young girl who suffered acute kidney failure.  The 2005 Dole outbreak was the nineteenth E. coli O157:H7 outbreak tied to spinach or lettuce since 1995.  In those previous outbreaks, nearly 500 were sickened and two elderly women died. 

One would think that with thousands of Americans poisoned by produce, hundreds hospitalized, many with severe, life-long complications or deaths, that Congress would have asked growers, producers, manufacturers, restaurants, grocers, and consumers to the table to talk about these ongoing outbreaks and how to prevent them in the future. But, Congress has been all too absent, all too willing to sit by and watch consumers become sickened or die from eating produce. Perhaps even more surprising is that Congress has not helped the multi-million and billion dollar corporate growers, producers, manufacturers, restaurants and grocers, help themselves by enacting food safety rules to avoid poisoned produce and sick customers in the future. 

Congress needs to act now. What needs to be discussed:

  • A thorough, scientifically-based discussion on how these recent outbreaks actually happened and what can be done to prevent or limit the next one.
  • Increased funding for university-based research, health department epidemiological surveillance, and prevention of bacterial and viral contamination.
  • Consideration of pre-consumption bacterial and viral testing of raw food products, especially those where no “kill step” is expected.
  • A discussion of making mandatory good agricultural and food handling practices.
  • A review of the proposal to create a single federal agency charged with ensuring the nation’s food safety, whether the food is grown within the United States or in foreign countries.

It is time for Congress to accept a leadership role and call hearings, not only to explore the reasons for the past months’ outbreaks, but also to help prevent the next one. Congress must reach out to all facets of the produce industry, from “farm to fork,” to consumers who bear the burden of illnesses, and to academics and regulators to find reasonable, workable solutions to prevent produce-related illnesses. More regulation may not help. Testing all products may not be feasible. More funding for enforcement for the FDA, CDC and USDA may not work. And, more funding for university research may also not be the answer. However, getting all to the same table is a start. Congress, you need to do the inviting.

Bill Marler is managing partner at the Marler Clark law firm in Seattle.

Op-ed

Op-ed
December 9, 2006

In an opinion piece this morning entitled “Sickened by Fresh Produce” the Editorial Page of the New York Times has weighed into the produce fields and found them contaminated too often with E. coli O157:H7.
“The expanding outbreak of E. coli poisonings in New York, New Jersey and several other states underscores the need for more rigorous regulation of the whole supply chain for fresh produce, from the growing fields to the customer. It is outrageous that fresh vegetables, typically deemed a vital component of a healthy diet, have become a menace because of contamination in their handling….
What’s troubling is the recurrence of such outbreaks in recent years. Contaminated meat used to be deemed the big threat, but strict regulation and strong industrial efforts have reduced that risk considerably.”
The Times editorial writer is correct.  E. coli in meat is down and down substantially.  A recent report (2005) released by the CDC, in collaboration with the FDA and USDA showed important declines in foodborne infections due to common bacterial pathogens in 2004.  From 1996-2004, the incidence of E. coli O157:H7 infections decreased 42 percent.

In my law practice I have seen these statistics in action.  From the Jack in the Box outbreak of 1993 until the 19 million pounds of hamburger recalled by ConAgra in 2002, nearly 100 percent of my clients, mostly kids who had suffered or died from an E. coli illness, had contracted E. coli infections from eating hamburger. E. coli cases tied to hamburger still do exist, but most of the E. coli cases we see now have been tied to consumption of fresh vegetables such as sprouts, spinach, lettuce, parsley, and now green onions. I guess the meat industry took my challenge in 2002 when I argued on the editorial page of the Denver Post to “Put me out of business – Please.”

Although I would like to think that the nearly $250 million I have taken from the food industry has changed behavior, I do not think that is entirely accurate or fair. In thinking about why the meat industry has been successful in poisoning consumers less and getting sued by me less I recalled an article entitled “The Bug That Ate The Burger - E. coli's Twisted Tale of Science in the Courtroom and Politics in the Lab” by Emily Green of the Los Angles Times from June 2001.

What we need is Michael Taylor, who was head of USDA’s Food Safety Inspection Services during and after the Jack in the Box outbreak in 1993, when 650 people were sickened and 4 children died. According to the Times article:
Taylor's first move was legal. Invited to speak at an American Meat Institute conference in San Francisco, he announced, "To clarify an important legal point, we consider raw ground beef that is contaminated with E. coli O157:H7 to be adulterated within the meaning of the Federal Meat Inspection Act." What the day before had been a naturally occurring bacterium now had outlaw status, the same as glass or rodent filth. It was a signal, says Taylor, that "things were going to be different and there was going to be accountability."
Taylor did not stop there. 
Businesses that lagged behind were strong-armed by yet more Taylor legislation: mandatory implementation of HACCP (pronounced "hassip," Hazard Analysis Critical Control Point), a risk management system developed for NASA. In came carcass washes, citric acid treatments, steam pasteurization, air exchange systems and all manner of sterilizing treatments. All U.S. meat processors now either contract routine services of a lab or have an in-house microbiologist.”
So, bring back Michael Taylor or, at a minimum, make it clearer that E. coli O157:H7 on fresh produce is an “adulterant” and that there is “zero tolerance” for this nasty bug to be on the produce that we consume.  The produce industry must willingly or by regulation institute comprehensive HACCP to assure restaurants and consumers that produce is safe.

Lettuce, spinach, and green onions should not kill you. They should not cause kidney failure. The produce industry must do what the meat industry has done.  Frankly, there have been too many produce outbreaks already.  According to Bloomberg News the number of sick people may well be over 200.  To the produce industry – don’t let the “bug that ate the burger” eat your business.  Protect yourself from yourself, clean up your act, stop poisoning your customers, and you too will “put me out of business – please.”

Bill Marler
is the managing partner in the law firm Marler Clark L.L.P., P.S.  Since 1993, Mr. Marler has represented thousands of victims of E. coli, Salmonella, Hepatitis A, Listeria, Shigella, Campylobacter and Norovirus illnesses in over forty States. 

Food poisoning lawsuits against companies responsible for introducing E. coli-contaminated food into our food supply have become the focus of Bill’s professional career as an attorney.  Bill’s first client sickened by E. coli O157:H7 was nine-year-old Brianne Kiner, who fell ill after eating a contaminated hamburger during the now-infamous Jack in the Box E. coli outbreak in 1993.  Bill negotiated a $15.6 million settlement for Brianne’s injuries, a record in the State of Washington for personal injury cases.  He resolved several other cases from the Jack in the Box E. coli outbreak for over $2.5 million each.   
 
Bill, now known as the “E. coli lawyer,” has since represented thousands of people sickened or killed in outbreaks of E. coli O157:H7 and other foodborne pathogens, including Salmonella, Hepatitis A, Shigella, Campylobacter, Norovirus, and Listeria.  In 1998, he negotiated a reported $12 million settlement for the families of children who fell ill after drinking E. coli-contaminated apple juice sold by Odwalla; and in 2001, a jury awarded the families of eleven children Bill represented $4.6 million for the injuries they received during an E. coli outbreak traced to school lunch served at Finley Elementary School in Finley, Washington.  He also resolved dozens of E. coli cases in 2003 related to one of the largest meat recalls in United States.  Bill recently settled an E. coli case for a young girl for $11 million.

Bill is currently representing half of all victims from the recent spinach E. coli case and has represented hundreds of those injured after consuming contaminated produce over that last five years.  He filed suit against Taco Bell yesterday in Pennsylvania Federal Court and has been contacted by over 20 others sickened by E. coli in this most recent green onion outbreak.

Lawsuits are important, but Legislation needed more


Although we have been contacted by a dozen Taco Bell E. coli victims, including those who suffered kidney failure, and will file suit this morning in Pennsylvania Federal Court (others to follow in New York and New Jersey) against:

www.tacobell.com - which is familiar with both past E. coli problems (10 people where made ill by the potentially deadly E. coli O157:H7 bacteria in1999, including a 5-year-old girl and an 8-year-old girl, who were hospitalized) and past Green Onion problems (dozens sickened with Hepatitis A linked by CDC to Taco Bell Green Onions in Florida, Kentucky and Nevada)

www.readypac.com - was one of dozens of companies that recalled prepackaged spinach during an E. coli outbreak in September that killed 4 people and sickened 204 in 26 states.

Although E. coli lawsuits serve the dual purpose of compensating victims fairly and making those who caused the problem take legal responsibility, as the Carol Campbell of the Newark Start-Ledger points out:

Outbreaks of E. coli spur call for safer food Public's health relies on produce oversight


Calls for greater oversight of the nation's fresh produce supply grew louder this week as legislators and food safety experts said government and growers must do more to protect the public.
  • "Things are in motion," said Trevor Suslow, a food safety expert at the University of California at Davis. "This latest outbreak will only give it more acceleration."
  • Many growers say better oversight will strengthen the industry. "If we have the gold standard, that's not good enough. We need platinum," said Tim Chelling, a spokesman for Western Growers, an industry group based in Irvine, Calif. "The spinach crisis was a watershed. Since then our organization has invited the government to come in and regulate. That's big."

E. coli Attorney Calls on Taco Bell to Pay Victims' Medical Bills

William Marler, a nationally-recognized food safety advocate and attorney, today called on Taco Bell “to do the right thing and immediately pay the medical bills for the victims of this most recent E. coli O157:H7 outbreak traced to Taco Bell restaurants in New York and New Jersey. Marler noted that, in other outbreaks, companies such as Dole, Jack in the Box, Odwalla, Chi-Chi’s and Sheetz advanced medical costs for outbreak victims whose illnesses were traced to their food products.

To date, New York and New Jersey health officials have reported that 39 people have been confirmed as victims of this Taco Bell outbreak. At least 2 victims developed hemolytic uremic syndrome (HUS), a potentially lethal complication of E. coli O157:H7 infection and are still hospitalized. “With such devastating injuries, and so many of them,” Marler continued, “I hope that Taco Bell executives step up and do the right thing for their customers.”

Taco Bell is familiar with E. coli outbreaks. 10 people where made ill by the potentially deadly E. coli O157:H7 bacteria in December 1999, including a 5-year-old girl and an 8-year-old girl, who were hospitalized. All but one of the victims recalled eating at various Taco Bell restaurants within eight days of their illness, and all 10 cases have been linked genetically to bacteria likely to have originated at a single source.

Marler’s Seattle-based law firm, Marler Clark (www.marlerclark.com) has represented thousands of victims of E. coli, Salmonella, Hepatitis A, Listeria, Shigella, Campylobacter and Norovirus illnesses in over thirty States. In 1998, Marler and his current law partners formed OutBreak, a non-profit food safety organization. Marler dedicates one-fourth of his time to food-industry conferences, giving speeches about how to prevent foodborne illnesses. Marler comments on foodborne illness litigation at www.marlerblog.com.

Update - 4:00 on the WSJ Law Blog - by Peter Lattman:

"The E. coli bell rings and Bill Marler's on the scene"


Why I will always have a job

Food Inspectors Crack Down On Illegal Cuisine - Some Markets Get Foods From Unregulated Sources


CBS and the Associated Press report that when a food safety inspector walked into a market in Queens, he noticed the store had an interesting special posted on its front window: 12 beefy armadillos.

In Brooklyn, inspectors found 15 pounds of iguana meat at a West Indian market and 200 pounds of cow lungs for sale at another market.

At a West African grocery in Manhattan, the store was selling smoked rodent meat from a refrigerated display case. An inspector quickly seized a couple pounds of it.

All of it was headed for the dinner table. All of it was also illegal.

I have mixed feelings about this:

In today's Washington Post it was reported that a state legislator from Fairfax County said that she plans to introduce a bill that would allow homeless shelters in Virginia to serve home-cooked food. The proposal from Del. Kristen J. Amundson (D-Fairfax) followed a Health Department decision to crack down on the use of such food in county shelters.  See full article - Bill Supports Home-Cooked Food

Under county code, food served in shelters and soup kitchens must come from county-approved facilities. County officials said they aimed to prevent food-borne illnesses in a medically vulnerable population.  But leaders of a coalition of Fairfax churches that plans to start a seasonal shelter program tomorrow said the ban makes it more difficult for volunteers to provide food for evening meals.  The county said yesterday that it has issued a temporary permit to let one church in the program, Bethany Lutheran, serve food from unapproved kitchens. County spokeswoman Merni Fitzgerald said the exception was granted because the church will provide shelter and food for only two days.

I certainly understand the Health Department's concern about having food that is safe served to the homeless population.  However, I can see the point of advocates for feeding the homeless that "home-made" food may be the only food they might get.  Tough policy decisions,  Any thoughts?

Perishable Pundit - Voice of Reason

I am an avid reader of the Perishable Pundit - especially since the recent E. coli-related spinach outbreak.

Jim recently posted an interesting quote from a buyer at www.perishablepundit.com:

Another Naysayer of Buyer-led Food Safety Initiative

I can’t tell you how many times I’ve been asked if spinach is now “safe”, because we are carrying it. My answer is simple: we carry it because the FDA has removed their warning! I don’t get myself in a position to qualify whether or not the product is safe. I expect the government to do their job in that regard. What I have a problem with in Tim York’s approach is that it doesn’t get to the real issue, namely federal regulation in areas of production agriculture. This isn’t a spinach issue, or a California issue. That only happens to be “cause du jour”.

Industry needs to do the heavy lifting with regards to GAPs, and those GAPs may differ between some commodities. But once they are established, the FDA needs to give them the impact of federal regulation. In this way, ALL players need to participate. If you want to grow spinach, these are the things you need to do, period. It’s not about buyers, or groups of buyers, trying to make a statement as to who to buy from or not. Food safety should not be open to discrimination. And the federal government should always be the source of food safety regulation. If not, you get into a situation that exists in Western Europe, namely that the public loses faith in the government to regulate food safety. Not a good place to be!


My feeling is that there is a place for regulation, but companies that grow our food need to make is safe for business and moral reasons - it is not good to poison customers.  Jim points out that regulation may also not necessarily be the way to create safer produce:
  • Perhaps food safety protocols should be mandatory, should be national and should have the force of law — but they don’t right now. Other than vague federal laws related to adulterated food, the FDA has no authority or mechanism for mandating that farms not be operated within a thousand feet of a cow or any of the other minutia that make up food safety protocols. If they did get laws and regulations passed, they have no staff to enforce the rules. And if they did have the rules and did have a police force, that would only mean that people who break the rules are criminals — not that the food is always safe.
  • The notion that it is the FDA’s responsibility to determine what is safe and what is not has to be appealing to both producer and buyer. After all, if the FDA will take that burden off producers and buyers, it will help both.
  • The practical issue is that, so far, we don’t see much evidence that the FDA is willing or able to regulate. The FDA has not made a proposal to Congress requesting regulatory authority. It has not proposed any regulations. So regardless of what is right or a good idea, it doesn’t seem to be happening. The buyers leading this initiative are unwilling to not do anything while we wait, like Godot, for the FDA to do something.
  • The Pundit would add a more philosophical critique: In this particular arena there is no such thing as “safe” — there are only various procedures that make us incrementally “safer”. So the FDA standard, even if established, can only be a baseline. If they require a fence around a property, a more rigorous program installs double fences so if an animal gets past one, he still isn’t on the farm. A still more rigorous one digs the fence five feet underground. One can go on and on.

Marler on Safe Turkey Cooking


The Food Safety and Inspection Service (FSIS) announced a change in the "Single Minimum Internal Temperature Established for Cooked Poultry". The new cooking recommendation is as follows:

"A whole turkey (and turkey parts) is safe when cooked to a minimum internal temperature of 165°F as measured with a food thermometer. Check the internal temperature in the innermost part of the thigh and wing and the thickest part of the breast. For reasons of personal preference, consumers may choose to cook turkey to higher temperatures."

This new cooking temperature is a change from previous 180°F for a whole turkey and 170°F for turkey breast. The single minimum internal temperature change to 165°F was recommended by the National Advisory Committee on Microbiological Criteria for Foods (NACMCF) in a press release earlier this year. All turkey cooking recommendations for this website have been changed to reflect this update (11/06).

To read the press release in its entirety

Who dies from food illness?

Another great article by Scripps Howard on the United States food system:

The actual number of Americans who die from food poisoning is a matter of conjecture. Statisticians at the CDC in Atlanta have estimated that at least 5,000 Americans die every year from something they ate.  According to federal records based on death certificates, only 1,370 Americans died of infectious intestinal diseases in 2000. Food- and water-based deaths rose to 1,586 in 2001, to 2,496 in 2002 and to 3,142 in 2003, the most recent year available.  In an attempt to demystify food-related sickness, Scripps Howard News Service conducted a demographic analysis of the 3,142 Americans who were reported to have died from intestinal infections in 2003.

A majority of those deaths, almost 84 percent, occurred in people over 70 years of age. Women accounted for almost 65 percent of the total.  More than half the people who died were widowed. Married people accounted for 33 percent and people who never married accounted for only 7 percent of the deaths.  Blacks accounted for only 6 percent of the reported deaths, or only half their proportion of the general population. Whites accounted for 93 percent, and other racial minorities just 1 percent.  Of the total, 81 percent of the people died in hospitals, but more worrisome is the fact that 13 percent of people died at home, indicating that they did not seek or receive medical help.  Almost 80 percent of the deaths occurred in metropolitan areas.

What are the chances?



E. coli
(generic variety) was found in the south part of the island water supply.  My neighbors are a bit concerned - see article from Bremerton Sun.

Over 1,000 homes and 1 school are under a boil water order.  The type of E. coli found is NOT the type that can cause severe disease.  However, the finding of it in a public water supply shows that fecal bacteria has infiltrated the aquifer (well) or has found a break in the water lines (or both).

UPDATE - Boli Water Order Lifted Today

Farr (who is an idiot) Hosts Spinach Lunch In Washington

Rep. Sam Farr, D (stands for dumb) - Carmel (although he was right about the outbreak being in part caused by wild pigs), and U.S. Department of Agriculture Secretary Mike Johanns hosted a special "spinach fest" lunch in Washington, D.C. Thursday in hopes of rebuilding consumer confidence in spinach in time for Thanksgiving. More than 300 people, including members of Congress, Capitol Hill staffers, and special guests attended the event - all potential clients.  So, I don't want you to think that I am after all D's, I want to thank Sen Dick Durbin, D (stands for decent) for his letter setting forth a number of realistic proposals to improve food safety.

The Farr event was aimed at boosting consumer confidence and proving what a suck-up to industry Farr really is and how he does not give a ^&#@ about the people who died and nearly died in the latest of 20 spinach and lettuce outbreaks.   See full story at the KSBW CHANNEL NEWS.

I say - DON'T EAT POOP! And, don't eat spinach.

Food Safety Speeches Next Week and Week After

First to San Francisco on November 7:

And, then to Kansas on November 14:

If anyone wants copies, please send me an email at bmarler@marlerclark.com

Evaluating Food Poisoning Cases - How?

I get asked frequently about how we decide which cases to go forward with.  Frankly, how we evaluate cases is quite similair to how Health Departments decide which cases to investigate or not - please see my publication - Separating the Chaff from the Wheat : How to determine the strength of a foodborne illness claim. (PDF).



If you have any questions, please shoot me an email at bmarler@marlerclark.com

The Ripple Effect of Bad Spinach

Over 200 sickened and at least 4 deaths are attributed to eating E. coli contaminated spinach.  Now we are seeing the results as consumers turn away from a product that the Spinach/Lettuce industry could have made safer.

Salad plant will close after spinach scare; 200 out of job
(Associated Press)

A northern Indiana salad-processing plant with about 200 workers is being closed because of what its owner said is a troubled food industry after the nationwide spinach recall stemming from an E. coli outbreak.

Spinach recall tips broker into Chapter 11 (Orlando Sentinel)

A small Brevard County produce broker that is the chief supplier of bagged spinach to the U.S. military has filed for bankruptcy protection, claiming the recent massive recall of the leafy green crippled its business.

Some other interesting facts:


Three-quarters of all domestically grown spinach is harvested in California. Last year's spinach crop in California was valued at $258.3 million. The spinach recall has cost farmers and processors up to $50 million in lost revenue, the Produce Marketing Association estimates. That figure does not include losses to brokers.

Company blaming victims for Botulism poisoning

This company should not be pointing fingers at anyone but itself.  After all, who is more to blame?  The person who sold the juice or the person who drank the juice?  I know where I stand.

Tim Warner, spokesman for Bolthouse Farms, the company whose carrot juice has been traced as the source of botulism and the resulting paralysis of four American citizens and two Canadians, blamed consumers for their "failure to properly refrigerate" Bolthouse Farms carrot juice today. 

On the Bolthouse Farms Web site, the company stated in a press release that, "the company felt it most appropriate to pull our 100 percent carrot juice products off the market in the interest of consumer safety. If you have the product in your possession, please destroy it or return it to the store at which you purchased it for a refund."

But in the Toronto Star, Bolton is quoted as saying:

"It appears that it was consumers that did not take the good counsel to keep the product refrigerated," Bolthouse spokesman Tim Warner said yesterday, pointing to three Georgia residents and a Florida woman who are paralyzed and on ventilators.

Warner wouldn't comment on the paralyzed man and woman in Toronto but said: "We have validated that our process of keeping our juice refrigerated through the distribution channel is a good one and of high quality."

Bolthouse Farms voluntarily recalled all Bolthouse Farms 100 percent Carrot Juice, Earthbound Farm Organic Carrot Juice and President's Choice Organics 100 percent Pure Carrot Juice shipped in North America and Hong Kong after botulism was confirmed to be found in the products.

September - National Food Safety Month?

September was National Food Safety Month.  Aren't you glad it is over? 

Remember, despite the downward trends in food poisonings,  76 million people experience a food-borne disease in the United States each year. In fact, according to the Partnership for Food Safety Education and the United States Department of Agriculture and the Centers for Disease Control, 325,000 people are hospitalized annually because of food poisoning, and 5,000 die each year from it.

All of us have more to do.

IS SPINACH REALLY SAFE?

FDA says spinach is safe!

I have thought about that statement over and over again during the last twenty-four hours – “spinach is safe.”  And, I guess lettuce is too? 

I know, I am being an alarmist, I am a trial lawyer trying to drum up more business, but am I? 

Let’s face facts - both lettuce and spinach has been implicated in hundreds of past illnesses and several deaths over the last ten years.  I have been in the middle of the last four

So, why is it safe to eat now?  What has the industry and the government done to assure moms and dads across this country that getting their kids to east spinach is good for them as opposed to a possible death sentence?  The answer is not a damn thing.

Look at the double-speak from the FDA at yesterday’s press conference when it was proclaimed that Popeye is really on the mend.  This is lifted from the Reuter’s coverage:
  • California's food industry needs to address the issue and tougher regulations may be needed, but consumers can safely eat fresh spinach again, he IAcheson) told reporters in a telephone briefing.
  • FDA said serious concerns remained because so many outbreaks of food poisoning in fresh greens such as spinach and lettuce have been traced to California farms.
  • He (Acheson) said this was the 20th outbreak of E. coli 0157:H7 in leafy greens in 10 years, and half had been traced to central California (Salinas).
  • "The FDA and the state of California have previously expressed serious concerns with continuing outbreaks of foodborne illness associated with the consumption of fresh and fresh-cut lettuce and other leafy greens," Acheson said.
  • "The spinach that is going to come on to the market next week or whenever is going to be as safe as it was before this outbreak," Acheson said. "But ... there are some longer-term issues that need to be addressed."
  • "What it does is it raises concerns about what is going on in that environment," Acheson said.  ?For instance, cattle may need to be kept away from fields where food is grown, and physical barriers may have to be used, he said.  "Having cattle that may or may not be carrying 0157 that are uphill and upstream of a field that is growing a fresh product that is going to be consumed without cooking obviously raises concerns and questions," Acheson said.
Common sense seems to tell me that the government is simply wrong here.  I made a post early last week suggesting several methods to get customers back.

If spinach is “as safe as it was before the outbreak” and “food growers and processors will have to change some of their practices, although it is not yet clear which ones,” that tells me that nothing has changed, and if nothing has changed, why is spinach now safe?

Survival means sometimes fixing the problem and saying you are sorry

Last week we got a hint that the spinach industry feels that spinach is safe - well OK, not from three counties in California.  But, how can the consuming public be sure of that?  Also, when Salinas product does try to make it back on the market, how can the spinach industry in the Salinas Valley of California can assure us that the inputs to bagged spinach are safe – wait, remind me again why lettuce is safe – given that Salinas lettuce (head and bagged) has been implicated in more outbreaks than spinach, and is grown in the same area, with the same water, workers and processes?

So, really what is the industry as a whole, workers, growers, shippers, processors, industry groups and retailers – from “farm to table” going to do?    Although Natural Selection, the manufacturer of some of the contaminated product, and DOLE the owner of the label that consumers trusted, are in my legal cross-hairs, this is an industry problem that demands an industry solution.  If the industry leaves Natural Selection and DOLE “swinging in the wind,” eventually, perhaps not now, but in the next E. coli outbreak, instead of “hanging together” now, they will “hang separately now” and “hang separately later.” Of course the Western Growers Association have a plan, but it may look like a rehashing of old programs that should have been followed in the first place.

So, will the industry simply let Natural Selection and DOLE twist, or will the industry come up with a solution so this does not have to happen again?  How is the industry going to make the public know that the product that they claim to be good for you will in fact not kill you?  Here are some simple steps to fix the problem and get the spinach and lettuce industry back to work:

1.    Implementation - The industry needs people on farms, who know farms, providing producers with information on risk reduction; individuals who are passionate about the production of safe food, and who can share that passion and knowledge with individual farmers.

2.    Verification - Farmers and processors need to demonstrate to consumers they are aware of microbial risks and are taking serious steps to reduce that risk, day-in, day-out, even in the absence of an outbreak. Regulatory or even third party-audits are largely meaningless.  Audits are snapshots, and auditors look for easily viewed visual mistakes and do little to look at what a farmer or staff member does.  Just like restaurant inspections audits are not a good indicator of likelihood of an outbreak. Farmers need food safety resources 24/7 to help guide their production practices, and they need those best practices continually reinforced; an annual audit is hopelessly insufficient, especially since outbreaks keep happening from processors that are audited.

3.    A proactive Communication program - Talk about real risks, talk about real outbreaks, with farmers, buyers and staff - all staff, because, when it comes to food safety, if the industry is only as strong as its weakest grower, than a specific company is only as strong as its front-line staff. Tell everyone what is being done to address the risks.

4.    Not another program - Guidelines, good agricultural practices sound nice, but on their own are meaningless.  The program itself must be:
    
•    Flexible and continuously evolving and improving,
•    Easy to understand
•    Provides support for individual growers to help them understand the  requirements,  documentation, principles
•    Utilizes multiple strategies to reduce knowledge, attitude and behavioral barriers Efficient and inexpensive; provide practical, cheap solutions
•    Well documented
•    Compel farmers, processors and staff to care about illnesses through an open dialogue

I'm not making these solutions up, they've been in print for a year in Book called “Improving the Safety of Fresh Fruit and Vegetables.”  This information is in a chapter by Ben Chapman and Doug Powell called “Implementing On-Farm Food Safety Programs in Fruit and Vegetable Cultivation.”  

Will the industry survive if the focus is only on doing those things it should have done years ago, and is designed solely to draw customers back to its multi-billion dollar industry?  What about the victims of this outbreak?  What of the nearly 200 sickened, 75 hospitalized, 30 with serious complications and as many as three deaths?  Where are the industry groups like United Fresh Produce Association? According to their website, United Fresh Produce Association is the industry's leading trade association committed to driving the growth and success of produce companies and their partners.  You'd think that the trade organization would be interested in fixing this problem so they could get back to promotion.  Every time I check their websites for spinach information I'm asked for to sign up as a member. 

All I'm looking for is an apology. Where has the offer been to help now with medical expenses, wage loss and the risks of severe future complications to this deadly bug the industry let out in “triple-washed” plastic bags?  

Here again, Natural Selection and DOLE are in my legal cross-hairs.  But again, this is an industry problem that demands an industry solution.  Frankly, given the size of this outbreak and the severity
of the illness, if the entire industry does not work together to find a creative financial solution for the victims, one by one these companies may fail under the weight of litigation, liability and damages.  Driving companies into the ground is not something good lawyers do lightly or with any relish.  However, between companies who poison and the victims left as a result, the decision for this
lawyer is easy.
 
In my other life as a principle of Outbreak, I try to teach companies why it is a bad idea to poison people.  What has happened over the last two weeks I think serves as a great example of why that message makes sense.  Despite that the worst scenario has happened, there is now an opportunity for the industry to survive, but it means fixing the problem together and sa