Health officials probe more deaths, advise tossing suspect meatZT

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Health officials probe more deaths, advise tossing suspect meat

Last Updated: Thursday, August 21, 2008 | 7:47 PM ET

http://www.cbc.ca/consumer/story/2008/08/21/listeriosis.html



tp-maple-leaf-cp-584-537575.jpg
Maple Leaf Foods workers clad in protective clothing clean equipment on one of the suspect food processing lines at the facility in Toronto on Thursday. (Frank Gunn/The Canadian Press)

If you don't know where your deli meat came from, don't eat it, Ontario health officials advised Thursday as they investigated more deaths for links to an outbreak of listeriosis.

The bacterial infection can be caused by eating contaminated food. One person, a woman from Hamilton, has died so far in the outbreak, and officials are investigating whether another four deaths are linked to it.
A total of 13 cases of listeriosis have been confirmed as outbreak-related, including the one death, and another 17 are under investigation to determine whether they, too, were spawned by the outbreak, Dr. David Williams, Ontario's acting chief medical officer of health, told a news conference on Thursday.

While the elderly, pregnant women and those with weak immune systems should avoid consuming ready-to-eat meat, Williams said the "when in doubt, throw it out" messages applies to all consumers.
"I expect some more cases," Williams said.

The incubation period for listeria can be as long as three weeks, and unlike most microbes that can cause food sickness, listeria thrives at cool temperatures.



The Canadian Food Inspection Agency has identified listeria bacteria at a Maple Leaf Foods meat plant in Toronto, but the federal agency is waiting for definitive test results to see whether it is the same strain as the one responsible for the outbreak, Williams said.

While the Ontario health ministry was aware of a surge in the number of cases of listeriosis weeks ago, there was a delay in alerting doctors and consumers.

"You really like to, before you start causing panic among the public, to say, 'Do you have something substantial to deal with?'" said Williams.
Dr. Jim Brunton, an infectious disease specialist with Toronto's University Health Network, treated some of the patients who became sick. He credits public health officials for responding quickly to the outbreak, but acknowledged that doctors who treat ill and elderly people could have been informed sooner.

"We have a lot of interest in severe autoimmune diseases like lupus, and those are patients most likelty to suffer severely from listeria," said Brunton. "So yes, it could've helped us a bit and might've helped our patients."

The Public Health Agency of Canada said there are 17 confirmed cases of Listeria monocytogenes nationwide, including the 13 in Ontario, as well as two in B.C., one in Saskatchewan and one in Quebec.
Two of the Ontario cases were in Ottawa, said the city's medical officer of health, Dr. Isra Levy. One was a woman who lived in a long-term care home and was sent to hospital after she fell ill at the end of July, but she has since recovered and is ready to be released. The other was a man who never grew sick enough to require hospitalization, Levy reported.

Number of cases could grow

"The pattern was people in certain long-term care facilities" across southern Ontario, Williams said.

Maple Leaf Foods was in the process of a $2-million recall on Thursday of packaged meats that might contain the Listeria monocytogenes strain. The company's Toronto plant will be closed until Monday.
"What we're going to do is a comprehensive sanitization, and in fact dismantle the two production lines in question with external supervision to ensure that we can determine the source, do some testing, if in fact it is there," said Linda Smith, a spokesperson for Maple Leaf.
It is difficult to contain an outbreak when food is produced at such a large scale, said Ann Clark, a professor of agriculture at the University of Guelph.

"It's essentially an unavoidable risk that people are taking, and probably don't realize they're taking whenever you have that much stuff going through one facility," said Clark.

Expanded recall

On Sunday, Maple Leaf Foods announced it had discovered the bacteria that causes listeriosis in Sure Slice roast beef and corned beef produced at a Toronto plant, and it issued a recall on those products.
Then on Wednesday, Maple Leaf expanded the recall of its packaged meats and said it was temporarily closing the Toronto plant to re-evaluate its food safety procedures. As of that day, some 23 products, including a variety of turkey, smoked meat and roast beef products, were subject to a recall.

A number of the recalled products are part of the investigation into the outbreak, Canadian Food Inspection Agency official Garfield Balsom said.

The agency said some of the Maple Leaf meat products, which are distributed to nursing homes, restaurants and deli counters across the country — including McDonald's and Mr. Sub — tested positive for listeria bacteria.

Brand names for the recalled products include Schneiders, Sure Slice, Deli Gourmet and Burns Bites. A complete list of affected products is available on both the Maple Leaf Foods website and that of the Canadian Food Inspection Agency.

The 23 products involved in the expanded recall carry an "establishment number" of 97B and have best-before dates ranging from Sept. 30 to Jan. 1, 2009.

Consumers who are concerned their meat products may be part of the recall should check with their retailers, such as deli counters, the Canadian Food Inspection Agency advised.

Consumers and retailers may also call Maple Leaf at 1-800-568-5801, or the Canadian Food Inspection Agency at 1-800-442-2342 ( TTY: 1-800-465-7735) from 8 a.m. to 8 p.m. ET, Monday to Friday.



Product code Description Package size Up to and including Best Before Date
26365 Sliced Cooked Turkey Breast 470 g SE 30
02106 Schneiders Bavarian Smokies 1 kg OC 28
02126 Schneiders Cheddar Smokies 1 kg OC 28
21333 Sure Slice Roast Beef 1 kg SE 30
21388 Sure Slice Combo Pack 1 kg SE 30
60243 Deli Gourmet Roast Beef slices 1 kg SE 30
02356 Seasoned Cooked Roast Beef 500 g OC 07
21334 Sure Slice Turkey Breast Roast 1 kg OC 14
21444 Sure Slice Corned Beef 1 kg OC 14
44938 Montreal Style Corned Beef 500 g OC 14
21440 Sure Slice Black Forest Style Ham 1 kg OC 21
21447 Sure Slice Salami 1 kg OC 21
21331 Sure Slice Smoked Ham 1 kg OC 21
48019 Schneiders Deli Shaved Corned Beef 200 g OC 21
48020 Schneiders Deli Shaved Smoked Meat 200 g OC 21
48016 Schneiders Deli Shaved Smoked Ham 200 g OC 21
48018 Schneiders Deli Shaved Smoked Turkey Breast 150 g OC 21
48017 Schneiders Deli Shaved Fully Cooked Smoked Honey Ham 200 g OC 21
21360 Burns Bites Pepperoni 500 g 09 JA 01
99158 Turkey Breast Roast 1 kg SE 30
71330 Roast Beef Cooked, Seasoned 2.5 kg SE 30
71331 Corned Beef, Smoked Meat 2.5 kg SE 30

26365
McDonald's Sliced Cooked Turkey Breast 6 X 470g SE 30
 
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