Friday, July 31, 2009

Public Health Emergency in Northwestern Montana

This article was recently submitted to the Amherst Health Department as a public service, and we are reproducing it here for our readers' edification and education.

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The small mountain town of Libby, Montana was the world’s main supplier of vermiculite for about 70 years. Vermiculite is an ore that is mined for use in products like insulation, potting soil and packing material. The town of Libby was an ideal place for mining as it is home to the largest natural deposit of vermiculite in the world. Little did the residents of Libby know that the hazy smoke they had become so accustomed to seeing all over town was contaminated with toxic tremolite asbestos.

Exposure to tremolite asbestos has been identified as the main cause of a rare and deadly form of cancer known as malignant mesothelioma. This type of cancer is particularly difficult to treat because it has a latency period of about 20 to 50 years. By the time noticeable symptoms begin showing and a mesothelioma diagnosis is made, it is typically in advanced stages and treatment options are limited.

The mine was officially closed in 1990, but an increasing rate of asbestos-related illnesses in the town prompted an investigation by the EPA that began in 1999. However, it wasn’t until this year that an official public health emergency was declared in Libby and the neighboring town of Troy. Before she took office, new EPA administrator Lisa Jackson promised she would look into the situation in Libby if she was appointed.

“This is a tragic public health situation that has not received the recognition it deserves by the federal government for far too long. We’re making a long-delayed commitment to the people of Libby and Troy. Based on a rigorous re-evaluation of the situation on the ground, we will continue to move aggressively on the cleanup efforts and protect the health of the people,” said Jackson.

The government will spend more than $130 million on asbestos cleanup efforts and improve the health care system for those with asbestos-related illnesses. Approximately $125 million will come from the EPA over the next five years to clean up both Libby and Troy, a nearby town of about 1,000 people. An additional $6 million will be spent by the Health and Human Services Department (HSS) on medical assistance.

Tuesday, July 28, 2009

Salmonella and Salmonellosis

Salmonellosis, or salmonella, is one of the most common foodborne diseases. Overall, salmonella infections are decreasing in the United States, but some types are still increasing.

Salmonella may occur in small, contained outbreaks in the general population or in large outbreaks in hospitals, restaurants, or institutions housing children or the elderly. While the disease is found worldwide, health experts most often report cases in North America and Europe. Every year, the Centers for Disease Control and Prevention (CDC) receives reports of 40,000 cases of salmonellosis in the United States.

Children are the most likely to get salmonellosis. The elderly, infants, and those with compromised immune systems are more likely to have a severe illness. People with AIDS are particularly vulnerable to salmonellosis, often suffering from recurring episodes.

Cause
Many types of Salmonella bacteria cause salmonellosis in animals and people. While the occurrence of different types of Salmonella varies from country to country, S. typhimurium and S. enteritidis are the two most commonly found in the United States.

An antibiotic-resistant strain of S. typhimurium, called Definitive Type 104 (DT104), was first found in the United Kingdom and then in the United States. It is the second most common strain (after S. enteritidis) of Salmonella found in humans. This strain poses a major threat because it is resistant to several antibiotics normally used to treat people with salmonella disease.

Transmission
Salmonella bacteria can be found in food products such as raw poultry, eggs, and beef, and sometimes on unwashed fruit. Food prepared on surfaces that previously were in contact with raw meat or meat products can, in turn, become contaminated with the bacteria. This is called cross-contamination.

In recent years, Centers for the Disease Control and Prevention has received reports of several cases of salmonella from eating raw alfalfa sprouts grown in contaminated soil. You also can get salmonella after handling pets, particularly reptiles like snakes, turtles, and lizards.

Salmonella can become a chronic infection even if you do not have symptoms. In addition, though you may have no symptoms, you can spread the disease by not washing your hands before preparing food for others. In fact, if you know you have salmonella, health care experts recommend you do not prepare food or pour water for others until laboratory tests show you no longer carry Salmonella bacteria.

Symptoms
The following symptoms usually begin from 12 hours to 3 days after you are infected.
  • Diarrhea
  • Fever
  • Abdominal cramps
  • Headache
These symptoms, along with possible nausea, loss of appetite, and vomiting, usually last for 4 to 7 days. Symptoms are most severe in the elderly, infants, and people with chronic conditions such as diabetes or HIV infection.

Diagnosis
Your health care provider can use laboratory tests to identify Salmonella in your stool if you are infected.

Treatment
If you are like most people with salmonella, the disease will clear up within 5 to 7 days and you won’t need to be treated. If you have severe diarrhea, however, you may need intravenous fluids. If the disease spreads from your intestines into your bloodstream, your health care provider can treat it with antibiotics such as ampicillin.

Prevention

  • Don’t drink milk that is unpasteurized.
  • Don’t eat foods containing raw eggs, such as homemade caesar salad dressing, cookie dough, and hollandaise sauce, or drink homemade eggnog made with raw eggs.
  • Handle raw eggs carefully.
  • Keep eggs refrigerated.
  • Throw away cracked or dirty eggs.
  • Cook eggs thoroughly.
  • Cook poultry products to an internal temperature of 170 degrees Fahrenheit for breast meat and 180 degrees Fahrenheit for thigh meat.
  • Wash thoroughly with soap and hot water all food preparation surfaces and utensils that have come in contact with raw poultry or raw eggs.
  • Wash hands immediately after handling raw poultry or raw eggs.
  • Wash hands immediately after handling reptiles or having contact with pet feces.
Complications
Reiter’s Syndrome
While most people recover successfully from salmonella, a few may develop a chronic condition called Reiter’s syndrome. This syndrome can last for months or years and can lead to arthritis. Its symptoms are painful joints, irritated eyes, and painful urination. Unless treated properly, Salmonella bacteria can escape from the intestine and spread by blood to other organs, sometimes leading to death.

Typhoid Fever
S. typhi bacteria can cause typhoid fever, a more serious disease. This disease, which can be fatal if untreated, is not common in the United States. Typhoid fever frequently occurs in developing countries, when people become infected from contaminated water. It’s also a risk in areas where flooding or earthquakes cause sewer systems to overflow.

Appropriate antibiotics usually are effective for treating typhoid fever, although the number of cases of antibiotic-resistant S. typhi are increasing in some parts of the world.

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This article is in the public domain and was reproduced from the website of the National Institutes of Health. The original article can be found by clicking here.

Thursday, July 23, 2009

NIAID Set to Launch Clinical Trials to Test 2009 H1N1 Influenza Vaccine Candidates

Scientists in a network of medical research institutions across the United States are set to begin a series of clinical trials to gather critical data about influenza vaccines, including two candidate H1N1 flu vaccines. The research will be under the direction of the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health.

"With the emergence of the 2009 H1N1 influenza virus, we have undertaken a collaborative and efficient process of vaccine development that is proceeding in stepwise fashion," says NIAID Director Anthony S. Fauci, M.D.

After the isolation and characterization of the virus, the U. S. Centers for Disease Control and Prevention generated and distributed a 2009 H1N1 seed virus to vaccine manufacturers for the development of vaccine pilot lots for testing in clinical trials.

"Now, NIAID will use our longstanding vaccine clinical trials infrastructure — the Vaccine and Treatment Evaluation Units — to help quickly evaluate these pilot lots to determine whether the vaccines are safe and to assess their ability to induce protective immune responses," says Dr. Fauci. "These data will be factored into the decision about how and if to implement a 2009 H1N1 flu immunization program this fall."

Initial studies will look at whether one or two 15 microgram doses of H1N1 vaccine are needed to induce a potentially protective immune response in healthy adult volunteers (aged 18 to 64 years old) and elderly people (aged 65 and older). Researchers also will assess whether one or two 30 microgram doses are needed. The doses will be given 21 days apart, testing two manufacturers’ vaccines (Sanofi Pasteur and CSL Biotherapies). If early information from those trials indicates that these vaccines are safe, similar trials in healthy children (aged 6 months to 17 years old) will begin.

A concurrent set of trials will look at the safety and immune response in healthy adult and elderly volunteers who are given the seasonal flu vaccine along with a 15 microgram dose of 2009 H1N1 vaccine. The H1N1 vaccine would be given to different sets of volunteers either before, after, or at the same time as the seasonal flu vaccine. If early information from those studies indicates that these vaccines are safe, similar trials in healthy children (aged 6 months to 17 years old) will start.

A panel of outside experts will conduct a close review of the safety data from these trials to spot any safety concerns in real time. Information from these studies in healthy people will help public health officials develop recommendations for immunization schedules, including the optimal dosage and number of doses for multiple age and groups, including adults, the elderly, and children. Data may also be used to support decisions about the best recommendations for people in high risk groups, including pregnant women and people whose immune systems are weakened or otherwise compromised.

The trials are being conducted in a compressed timeframe in a race against the possible autumn resurgence of 2009 H1N1 flu infections that may occur at the same time as seasonal influenza virus strains begin to circulate widely in the Northern Hemisphere.

Close collaboration among NIAID, the U.S. Food and Drug Administration (FDA) and the Biomedical Advanced Research and Development Authority (a component of the Department of Health and Human Services) was key to launching the trials quickly while ensuring high standards. Following initial discussions between the agencies on trial design, NIAID prepared the protocols and submitted them to the FDA for review. FDA rapidly completed the necessary reviews and approved the trial protocols.

Since 1962, NIAID’s Vaccine and Treatment Evaluation Units (VTEUs) have been intensively involved in the successful development and clinical testing of vaccines and treatments against many pathogens that threaten the health of people in the United States and around the world. Among the vaccines tested have been those that prevent seasonal influenza, H5N1 avian influenza and pneumococcal pneumonia.

The VTEU network consists of eight university research hospitals and medical organizations across the United States that provide a ready resource for conducting clinical trials that evaluate vaccines and treatments for a wide array of infectious diseases.

An important strength of the VTEUs is their ability to rapidly enroll large numbers of volunteers into trials and to immunize the volunteers in a safe, effective and efficient manner. This rapid-response capability is especially important for testing vaccines designed to counteract emerging public health concerns. Results are expected to be available weeks after the trials begin.

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For more information on H1N1 situation, please visit www.Flu.gov

Tuesday, July 21, 2009

FDA Approves Vaccine for 2009-2010 Seasonal Influenza

For immediate release: The U.S. Food and Drug Administration today announced that it has approved a vaccine for 2009-2010 seasonal influenza in the United States.

The seasonal influenza vaccine will not protect against the 2009 H1N1 influenza virus that resulted in the declaration of a pandemic by the World Health Organization (WHO) on June 11, 2009. The FDA continues to work with manufacturers, international partners and other government agencies to facilitate the availability of a safe and effective vaccine against the 2009 H1N1 influenza virus.

Although this year’s seasonal vaccine is directed against other strains of influenza expected to be circulating and will not provide protection against the 2009 H1N1 influenza virus, it is still important for those Americans for whom it is recommended to receive the seasonal influenza vaccine. No vaccine is 100 percent effective against preventing disease, but vaccination is the best protection against influenza and can prevent many illnesses and deaths.

“The approval of this year’s seasonal influenza vaccine is an example of the FDA’s important responsibility to assure timely availability of vaccine to help protect the health of the American public,” said Margaret A. Hamburg, M.D., commissioner of food and drugs. “A new seasonal influenza vaccine each year is a critical tool in protecting public health.”

The six vaccine brand names and manufacturers are: Afluria, CSL Limited; Fluarix, GlaxoSmithKline Biologicals; FluLaval, ID Biomedical Corporation; Fluvirin, Novartis Vaccines and Diagnostics Limited; Fluzone, Sanofi Pasteur Inc.; and FluMist, MedImmune Vaccines Inc.
Each year, experts from the FDA, WHO, U.S. Centers for Disease Control and Prevention (CDC), and other institutions study virus samples and patterns collected from around the world in an effort to identify strains that may cause the most illness in the upcoming season.

Based on those forecasts and on the recommendations of the FDA’s Vaccine and Related Products Advisory Committee, the FDA determines the three strains that manufacturers should include in their vaccines for the U.S. population. The closer the match between the circulating strains and the strains in the vaccine, the better the protection against the disease.

The vaccine for the 2009-2010 seasonal influenza contains:

  • an A/Brisbane/59/2007 (H1N1)-like virus
  • an A/Brisbane/10/2007 (H3N2)-like virus
  • a B/Brisbane/60/2008-like virus
There is always a possibility of a less than optimal match between the virus strains predicted to circulate and the virus strains that end up causing the most illness. Even if the vaccine and the circulating strains are not an exact match, the vaccine may reduce the severity of the illness or may help prevent influenza-related complications.

According to the CDC, between 5 percent and 20 percent of the U.S. population develops influenza each year. More than 200,000 are hospitalized from its complications and about 36,000 people die. Older people, young children, and people with chronic medical conditions are at higher risk for influenza-related complications. Vaccination of these groups is critical.

Additionally, influenza immunization of health care personnel is important in protecting them and others from influenza.

For more information:

FDA Web Page on Influenza Vaccine Safety & Availabilityhttp://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/VaccineSafety/ucm110288.htm

FDA List of Strains Included in the 2009-2010 Influenza Vaccine http://www.fda.gov/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Post-MarketActivities/LotReleases/ucm162050.htm

U.S. Centers for Disease Control and Prevention Web Page on Seasonal Influenza Resources for Health Professionals http://www.cdc.gov/flu/professionals/vaccination/

U.S. Centers for Disease Control and Prevention Web Page with Key Fact About Seasonal Flu Vaccine http://www.cdc.gov/flu/protect/keyfacts.htm

Friday, July 17, 2009

National Survey Finds Six in Ten Americans Believe Serious Outbreak of Influenza A (H1N1) Likely in Fall/Winter

Some Parents Predict Substantial Financial Impacts

For immediate release: July 16, 2009

Boston, MA--As part of a series about Americans' response to the H1N1 flu outbreak, the Harvard Opinion Research Program at the Harvard School of Public Health is releasing a national poll that focuses on Americans' views and concerns about the potential for a more severe outbreak of Influenza A (H1N1) in the fall or winter. The polling was done June 22-28, 2009.

Click here for the complete survey.
Click here for the charts.

Likelihood of Serious Outbreak
Approximately six in ten Americans (59%) believe it is very or somewhat likely that there will be widespread cases of Influenza A (H1N1) with people getting very sick this coming fall or winter. Parents are more likely than people without children to believe this will occur, with roughly two thirds of parents (65%) saying it is very or somewhat likely compared to 56% of people without children.

"These results suggest Americans are likely to support public health officials in prioritizing preparations for the possibility of a serious H1N1 outbreak in the fall or winter," said Robert J. Blendon, Professor of Health Policy and Political Analysis at the Harvard School of Public Health.

Public Concern About Risk of Getting Ill Personally
Despite a majority believing that a serious outbreak is likely, more than half of Americans (61%) are not concerned about their personal risk-that is, that they or their family members will get sick from influenza A (H1N1) in the next year. This level is unchanged since the previous poll conducted May 5-6, 2009. The current survey further suggests that the World Health Organization (WHO)'s decision to raise the worldwide pandemic alert level to Phase 6 did not dramatically impact Americans' level of concern about their personal risk. Only 22% of Americans knew that the WHO had raised the level, and only 8% of Americans said it made them more concerned that they or their family would get Influenza A (H1N1) in the next 12 months.

Problems for Parents
One approach that has been used in the recent outbreak as a means to slow the spread of Influenza A (H1N1) is the closing of schools. In this survey, substantial numbers of parents who have children in school or daycare report that two-week closings in the fall would present serious financial problems for them. About half (51%) of these parents report that if schools/daycares closed for two weeks, they or someone else in their household would likely have to miss work in order to care for the children. Forty-three percent of these parents report that they or someone in their household would likely lose pay or income and have money problems; 26% of these parents report that they or someone in their household would likely lose their job or business as a result of having to stay home in order to care for the children.

The situation is likely to be worse for minority parents. More African American and Hispanic parents of children in school/daycare indicate that they are likely to lose pay or income and have money problems (56% and 64% respectively), as compared to whites (34%). And, more African American and Hispanic parents of children in school/daycare report that they or someone in their household would likely lose their job or business (40% and 49% respectively), as compared to whites (14%).

Problems Overall
If the outbreak in the fall or winter is serious and leads to large-scale workforce absenteeism, the survey suggests the possibility of substantial difficulties for many people and the economy as a whole. If people had to stay home for 7-10 days because they were sick or because they had to care for a family member who was sick, 44% indicate that they would be likely to lose pay or income and have money problems, and 25% reported that they would be likely to lose their job or business.

"The findings highlight the important role that employers would play during a future outbreak. Flexibility in their employee policies may help minimize some of the problems identified in this survey," said Blendon.

Recent Experience with H1N1
At the time of this survey, 27% of Americans reported that there had been cases of influenza A (H1N1) among people in their community, and 18% reported that schools in their community had closed due to influenza A (H1N1). Since the beginning of the outbreak, roughly two-thirds of people report that they or someone in their household has washed their hands or used sanitizer more frequently (62%).

"Handwashing was a major focus of public health education during the recent outbreak. The results of this survey show that these efforts helped people protect themselves," said Blendon.
This is the third in a series of polls about Americans' response to the H1N1 flu outbreak.

The first survey was released May 1, 2009.
The second survey was released May 8, 2009.

Thursday, July 16, 2009

Update on Recalled Nestlé Toll House Cookie Dough

On June 19, 2009, the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) warned consumers not to eat any varieties of prepackaged Nestlé Toll House refrigerated cookie dough due to risk of contamination with E. coli O157:H7 (a bacterium that causes foodborne illness).

FDA had found E. coli in a sample of the cookie dough, following reports that people had become sick after eating the product. Although DNA tests showed that the type of E. coli found in the sample was not the same type of E. coli found in the people who became ill, FDA’s and CDC’s advice remains the same: consumers should not eat the recalled Nestlé Toll House refrigerated cookie dough.

However, after a plant shutdown, an investigation, and a cleanup, Nestlé is now using main ingredients from new suppliers and is making the cookie dough again. These newly made products are not part of the ongoing recall and are not associated with any illness outbreaks or known contamination.

Consumers can identify the newly made products by looking for labels with shields that say “new batch” on them; these batches are not part of the current recall.
FDA and CDC also continue to warn consumers against eating any raw dough for cookies or other baked goods, at any time, because of potential contamination with Salmonella or E. coli bacteria.
As of July 10, 2009, CDC reported that 76 people from 31 states have been infected with the outbreak strain of E. coli O157:H7. As of that date, 35 people had been hospitalized, including 11 with a serious complication called hemolytic uremic syndrome. No one has died.

Which Products Can Consumers Eat?

Consumers can eat baked cookies made from Nestlé Toll House cookie dough that has not been recalled. Products that carry new labeling with a shield that says "new batch" are not part of the current recall.

Which Products Should Not Be Eaten?

FDA and CDC continue to warn consumers not to eat any varieties of the recalled Nestlé Toll House cookie dough. This includes Nestlé Toll House cookie dough that does not say "new batch" on the labeling. These products should be thrown away. Contact your health care professional immediately if you or your family have recently eaten recalled cookie dough and have had stomach cramps, vomiting, or diarrhea, with or without bloody stools.

Follow Safe Food-Handling Practices
  • Do not eat any raw cookie dough or any raw food product that’s supposed to be cooked or baked.
  • Follow package directions for cooking at proper temperatures and for specified times.
  • Wash hands, work surfaces, and utensils thoroughly after contact with raw products.
  • Keep raw foods separate from other foods while preparing them to prevent any contamination that might be present from spreading.
  • Chill products promptly after purchase and after using them, if they require refrigeration.

About E. coli O157:H7

The bacteria cause stomach cramping, vomiting, and diarrhea, often with bloody stools.
E. coli O157:H7 can cause serious illness or death in anyone, of any age, but most healthy adults recover completely within a week.

Young children and the elderly are at highest risk for developing hemolytic uremic syndrome, which can lead to serious kidney damage and death.

Wednesday, July 15, 2009

Chang Farm Recalls Soy Bean Sprouts Because of Possible Health Risk

Chang Farm, River Road, Whatley, MA is issuing a voluntary recall of Soy Bean Sprouts produced by Chang Farms, with the specific sell-by date of July 17, 2009 because of the possible presence of Listeria monocytogenes (L. Monocytogenes) contamination. Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Although healthy individuals may suffer only short-term symptoms such as high fever, severe headaches, stiffness, nausea, abdominal pain and diarrhea, Listeria infection can cause miscarriages and stillbirths among pregnant women.

The affected product is packaged in 10 lb bags (bulk) and 12 oz plastic bags (retail), labeled under the Chang Farm Brand as Soy Sprouts and have a “Sell By” date of July 17, 2009.

The product has been distributed to retail stores and wholesalers throughout MA, CT, NY and NJ.

No illnesses have been reported to date.

Sample analysis by US FDA confirmed Listeria Monocytogenes.

All retail stores and wholesalers who have this lot in MA, CT, NY and NJ should remove this product from their shelves. Consumers should discard this product or return them to the place of purchase for a full refund.

Consumers should contact their healthcare provider with any illness concerns. Consumers with questions about the warning may contact Chang Farm at 413-665-3341 or 413-222-5519.

Monday, July 13, 2009

General Mills Announces Voluntary Recall of Limited Quantity of ‘Nut Lovers’ flavor of Nature Valley Granola Nut Clusters Product

FOR IMMEDIATE RELEASE - July 8, 2009 - Minneapolis, MN - General Mills announced today a voluntary recall of a limited quantity of “Nut Lovers” flavor Nature Valley Granola Nut Clusters product containing pecans.

No illnesses have been reported in connection with the “Nut Lovers” Granola Nut Clusters product, and no other types, varieties or flavors of Nature Valley products are being recalled.

This action is being taken as a precaution because pecans received from a supplier and used in the product may be tainted with salmonella. No other types of nuts are impacted, and no other flavors or varieties of Granola Nut Clusters products are involved.

This product is a new bite-size cluster sold in a stand-up bag in grocery stores, convenience stores and vending outlets nationally.

Nature Valley granola bar products are NOT involved, and no other General Mills products are impacted.

Only specific Nut Lovers flavor products with five specific “best if used by dates” are being recalled. The five “best if used by dates” are:

07MAR2010 10MAR2010
08MAR2010 11MAR2010
09MAR2010

Consumers who have products covered by this recall are urged to dispose of the product and to contact General Mills for a full refund. Consumers with questions may contact General Mills toll-free at 1-800-231-0308.

Salmonella is an organism that can cause serious and sometimes fatal infections, particularly in young children, the elderly and people with weakened immune systems. Healthy people infected with salmonella often experience fever, diarrhea, nausea, vomiting and/or abdominal pain. For more information, visit the Centers for Disease Control and Prevention's Web site at http://www.cdc.gov/.

Wednesday, July 8, 2009

Traditions Meal Solutions Recalls Non-Fat Dry Milk Packets Because of Possible Health Risk

FOR IMMEDIATE RELEASE July 7, 2009

Traditions Meal Solutions is recalling approximately 104,500 packets of 25 gram non fat dry milk packets because they have the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

The non-fat dry milk packets are components of Traditions Meal Solutions shelf stable meal kits distributed to food distributors and regional nutrition service providers located in Alabama, Arkansas, Florida, Georgia, Iowa, Louisiana, Massachusetts, Michigan, Missouri, Mississippi, Nebraska, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. These meal kits were distributed between January 8, 2008 and June 15, 2009. The meal kits are packaged in small white boxes that have no identifying information and contain single serve food items. These shelf stable meal kits were not available for individual consumer purchase. The only component of the shelf stable meal kit that represents a potential hazard is the non-fat dried milk. The non-fat dried milk packets are white and are approximately 5” by 4” and labeled with lot numbers from 19047 to 21203.

The packet of non-fat dried milk should not be used or consumed. Consumers who have any of the non-fat dry milk packets are urged to destroy them. Traditions Meal Solutions has not received any notification of consumer illness associated with the consumption of its product.

The recall was initiated when Traditions Meal Solutions was notified by its Non fat dry milk supplier, Blendco, Inc., that the non fat dried milk packets included in the shelf stable meal kits contained product supplied by Plainview Milk Products Cooperative, which has issued a voluntary recall because the nonfat dried milk has the potential to be contaminated with Salmonella.

Traditions Meal Solutions has isolated all recalled non-fat dried milk packets located in its facility and ceased the distribution of any shelf stable meal kits containing the recalled non fat dried milk.

Consumers with questions regarding the recall should contact Traditions Meal Solutions Quality Assurance Manager, Marcia Guymon at 601-420-8806 between 8:00 am and 5:00 pm CST. Media inquiries should be directed to Elmer McInnis, Executive Vice President of Procurement at 601-664-3138.

Monday, July 6, 2009

Nestle Voluntarily Recalls all Varieties of Prepackaged, Refrigerated Toll House Cookie Dough

The Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention are warning consumers not to eat any varieties of prepackaged Nestle Toll House refrigerated cookie dough due to the risk of contamination with E. coli O157:H7 (a bacterium that causes food borne illness).

The FDA advises that if consumers have any prepackaged, refrigerated Nestle Toll House cookie dough products in their home that they throw them away. Cooking the dough is not recommended because consumers might get the bacteria on their hands and on other cooking surfaces.

Retailers, restaurateurs, and personnel at other food-service operations should not sell or serve any Nestle Toll House prepackaged, refrigerated cookie dough products subject to the recall.
Nestle USA, which manufactures and markets the Toll House cookie dough, is fully cooperating with the ongoing investigation by the FDA and CDC. The warning is based on an ongoing epidemiological study conducted by the CDC and several state and local health departments. Since March 2009 there have been 66 reports of illness across 28 states. Twenty-five persons were hospitalized; 7 with A form of kidney failure called Hemolytic Uremic Syndrome (HUS). No one has died.

E. coli O157:H7 causes a diarrheal illness often with bloody stools. Most healthy adults can recover completely within a week. Young children and the elderly are at highest risk for developing HUS, which can lead to serious kidney damage and even death.

Individuals who have recently eaten prepackaged, refrigerated Toll House cookie dough and have experienced any of these symptoms should contact their doctor or health care provider immediately. Any such illnesses should be reported to state or local health authorities.

FDA reminds consumers they should not eat raw food products that are intended for cooking or baking before consumption. Consumers should use safe food-handling practices when preparing such products, including following package directions for cooking at proper temperatures; washing hands, surfaces, and utensils after contact with these types of products; avoiding cross contamination; and refrigerating products properly. For more information on safe food handling practices, go to http://www.fda.gov/Food/ResourcesForYou/Consumers/ucm109899.htm.

Consumers who have additional questions about these products should contact Nestle consumer services at 1-800-559-5025 and/or visit their website at www.verybestbaking.com .

For a complete listing of the recalled products go to: http://www.nestleusa.com/PubNews/PressReleaseLibraryDetails.aspx?id=133CC131-A79F-4E84-9C43-C9F99FE5BC99.

North Coast Seafood Recalls Tuna Steaks

Boston, MA, June 30, 2009 – North Coast Seafood has voluntarily removed from sale Fresh Tuna Steaks that were sold at Shaw’s, Star Market and Big Y Stores in New England

The recalled product was sold between June 20th thru June 24th to retail stores throughout New England and was removed from sale on June 24, The product was recalled because of possible elevated levels of histamine that may result in symptoms that generally appear within minutes to an hour after eating the affected fish. The following are the most common symptoms of scombroid poisoning. However, each individual may experience symptoms differently. Symptoms may include: tingling or burning sensation in the mouth, rash on the face and upper body, hives and itching of skin, nausea, vomiting or diarrhea. There have been three reported incidents by consumers.

North Coast Seafood feels that while these were isolated incidents, every precautionary measure should be taken when it comes to consumer safety. This recall does not impact any other fish or seafood sold by Northcoast. Customers who purchased this tuna and may have frozen it, are urged to bring the product back to the store for a full refund or replacement. Customers who have questions or concerns about this issue can speak with Northcoast Seafood at 617-345-4410…ext 260

Stop & Shop Issues A Voluntary Recall of Non-Fat Dry Milk

July 1, 2009, Quincy, MA…Following notification from its manufacturer, The Stop & Shop Supermarket Company has recalled the following Stop & Shop Non Fat Dry Milk products.

Stop and Shop Nonfat Dried Milk, 16 ounce size
UPC - 21120-00056
Code - FEB 0511S

Stop and Shop Nonfat Dried Milk, 32 ounce size
UPC 21120-00052
Code - FEB 1211S

The items were removed from store shelves because they were produced with nonfat dried milk that is part of a national recall by Plainview Milk and may have the potential to be contaminated with salmonella bacteria.

Customers who have purchased the product should discard any unused portions and bring their purchase receipt to any Stop & Shop for a full refund. To date, Stop & Shop has received no reports of illnesses associated with consumption of this product.

Consumption of food contaminated with Salmonella can cause salmonellosis, one of the most common bacterial foodborne illnesses. Salmonella infections can be life-threatening, especially to those with weak immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy. The most common manifestations of salmonellosis are diarrhea, abdominal cramps, and fever within eight to 72 hours. Additional symptoms may be chills, headache, nausea and vomiting that can last up to seven days.

Stop & Shop is committed to the highest standards of food safety. Customers looking for additional information may call Stop & Shop’s corporate brands hotline at 1-877-846-9949, M-F, 9 am-1 pm. Or Stop & Shop’s Customer Service line at 1-800-767-7772,
M-F, 9 am-5 pm.

About Stop & Shop
The Stop & Shop Supermarket Company, based in Quincy, Massachusetts, employs more than 59,000 associates and operates stores throughout Massachusetts, Connecticut, Rhode Island, Maine, New Hampshire, New York and New Jersey.

Wednesday, July 1, 2009

Fit Physical Activity into Your Life, Your Way

The more you do, the more benefits you gain.

Adults gain substantial health benefits from two hours and 30 minutes a week of moderate aerobic physical activity, and children benefit from an hour or more of physical activity a day, according to the new Physical Activity Guidelines for Americans. On October 7, 2008, the U.S. Department of Health and Human Services (HHS) released the 2008 Physical Activity Guidelines for Americans, a comprehensive set of recommendations for people of all ages and physical conditions.

The comprehensive, science-based guidelines were developed to inform policymakers and health providers about the amounts, types, and intensity of physical activity needed to help Americans aged 6 and older improve their health and reduce their risk of chronic diseases.

The Guidelines set achievable goals for everyone and can be customized according to a person’s interests, lifestyle, and goals. Regular physical activity over months and years produces long-term health benefits and reduces the risk of many diseases. The more physically active you are, the more health benefits you gain.

A main message of the Guidelines is that for inactive persons some activity is better than none. Persons who have been inactive for some time are encouraged to start at a comfortable level and add a little more activity as they go along. For most health outcomes, additional benefits occur as the amount of physical activity increases through higher intensity, greater frequency, and /or more time per session. Both aerobic (endurance) and muscle-strengthening (resistance) activities are beneficial and are included as part of the Guidelines.

Resources also are available for the public including the booklet, Be Active Your Way, A Guide to Adults.

For More Information:

Easy-to-use information about the Guidelines is available online at http://www.healthfinder.gov/. To access the guidelines and to find links to other resources for professionals, visit http://www.health.gov/paguidelines and http://www.cdc.gov/physicalactivity.

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This article was reproduced with the kind permission of the Centers for Disease Control and Prevention.