Tuesday 13 September 2011

Cantaloupe warning issued after Listeria outbreak

New Mexico is one of four states affected by the listeria outbreak, here are answers to frequently asked questions about Listeriosis.


Listeriosis, a serious infection usually caused by eating food contaminated with the bacterium Listeria monocytogenes, is an important public health problem in the United States. The disease primarily affects older adults, pregnant women, newborns, and adults with weakened immune systems. However, rarely, persons without these risk factors can also be affected. The risk may be reduced by following a few simple recommendations.
What are the symptoms of listeriosis?


A person with listeriosis usually has fever and muscle aches, often preceded by diarrhea or other gastrointestinal symptoms. Almost everyone who is diagnosed with listeriosis has "invasive" infection, in which the bacteria spread beyond the gastrointestinal tract. The symptoms vary with the infected person:


Pregnant women: Pregnant women typically experience only a mild, flu-like illness. However, infections during pregnancy can lead to miscarriage, stillbirth, premature delivery, or life-threatening infection of the newborn.
Persons other than pregnant women: Symptoms, in addition to fever and muscle aches, can include headache, stiff neck, confusion, loss of balance, and convulsions.


How great is the risk for listeriosis?


In the United States, an estimated 1,600 persons become seriously ill with listeriosis each year. Of these, 260 die. The following groups are at increased risk:


Pregnant women: Pregnant women are about 20 times more likely than other healthy adults to get listeriosis. About one in six (17%) cases of listeriosis occurs during pregnancy.


Newborns: Newborns suffer the most serious effects of infection in pregnancy.
Persons with weakened immune systems from transplants or certain diseases, therapies, or medications.
Persons with cancer, diabetes, alcoholism, liver or kidney disease.
Persons with AIDS: They are almost 300 times more likely to get listeriosis than people with normal immune systems.
Older adults
Healthy children and adults occasionally get infected with Listeria, but they rarely become seriously ill.


How does Listeria get into food?


Listeria monocytogenes is found in soil and water. Animals can carry the bacterium without appearing ill and can contaminate foods of animal origin, such as meats and dairy products. When Listeria bacteria get into a food processing factory, they can live there for years, sometimes contaminating food products. The bacterium has been found in a variety of raw foods, such as uncooked meats and vegetables, as well as in foods that become contaminated after cooking or processing, such as soft cheeses, processed meats such as hot dogs and deli meat (both products in factory-sealed packages and products sold at deli counters), and smoked seafood. Unpasteurized (raw) milk and cheeses and other foods made from unpasteurized milk are particularly likely to contain the bacterium.


Listeria is killed by pasteurization and cooking; however, in some ready-to-eat foods, such as hot dogs and deli meats, contamination may occur after factory cooking but before packaging. Unlike most bacteria, Listeria bacteria can grow and multiply in some foods in the refrigerator.


You get listeriosis by eating food contaminated with Listeria. Babies can be born with listeriosis if their mothers eat contaminated food during pregnancy. However, healthy persons may consume contaminated foods without becoming ill. Persons at risk can prevent Listeria infection by avoiding certain high-risk foods and by handling food properly.


The general guidelines recommended for the prevention of listeriosis are similar to those used to help prevent other foodborne illnesses, such as salmonellosis. In addition, there are specific recommendations for persons at high risk for listeriosis.


The agency said it was the first Listeria outbreak linked to cantaloupe in the United States.


Rocky Ford cantaloupes are famous throughout the country, drawing travelers to roadside stands. Piles of the coveted melons are featured on postcards. W.C. Fields reportedly said bald guys have "a head shaped like a Rocky Ford cantaloupe," and Lucile Ball had the melons delivered to her dressing room.


"This is really silly. You can get Listeria any place. I eat those melons every day," said Kent Lusk, a fifth-generation cantaloupe farmer from Rocky Ford.


Colorado Agriculture Commissioner John Salazar said it might not be the cantaloupes, but a contaminated truck or other source. He said no recalls have been issued, but several Colorado grocery chains pulled their supplies as a precaution.


Listeriosis is a serious infection usually caused by eating food contaminated with the bacterium Listeria monocytogenes. The disease primarily affects older adults, pregnant women, newborns and adults with weakened immune systems.


Colorado health director Chris Urbina said people who are at high risk included people 60 and older, those with weakened immune systems from transplants and people with chronic diseases. Symptoms can include fever, muscle aches, diarrhea, headache, stiff neck, confusion and convulsions. Listeriosis can cause miscarriages and stillbirths.


Urbina said the department was expecting more test results this week that might help identify the specific source of the cantaloupe sickening people.


Lusk said this year's growing season was almost over and that he doesn't believe the outbreak will have a lasting impact.


"I think there were just a few bad ones," said Adela Licano, a Chamber of Commerce board member who added that about a dozen roadside stands were still open.


"This is a major industry. We hope there is no permanent impact. We're going to get to the bottom of this," Salazar said.


In New Mexico, the fatal cases included a 93-year-old man from Bernalillo County, a 61-year-old woman from Curry County and a 63-year-old man from Bernalillo County. State Environmental Health Bureau inspectors were collecting cantaloupe samples from grocery stores and distributors across New Mexico for laboratory analysis.


Mark Salley, spokesman for the Colorado Department of Public Health and Environment, said the person who died in Colorado was not being identified.

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