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Emphases below are mine:

ESCHERICHIA COLI O157, RESTAURANT - USA (NORTH CAROLINA): CAPRINE ORIGIN SUSPECTED

Date: Tue 19 Jun 2007
Source: Charlotte (NC) Observer [edited] <http://www.charlotte.com/local/story/165275.html>


Health officials closed a China Grove, NC, restaurant linked to a deadly _Escherichia coli_ outbreak on Mon 18 Jun 2007 after learning some employees slaughtered a goat there in May 2007.

At a news conference, Rowan County Health Director Leonard Wood said that on Fri 15 Jun 2007 a former employee of Captain's Galley Seafood Restaurant in China Grove told health officials a goat had been slaughtered in the kitchen. Wood said the restaurant's owners confirmed the goat slaughter over the weekend. News of the slaughter was "very disturbing" to him and the restaurant's owners, Wood said. "They don't know if or when the restaurant will reopen," he said.

On Thu 14 Jun 2007 an 86-year-old Salisbury resident died at Rowan Regional Medical Center of complications related to an infection of a dangerous strain of the bacterium _E. coli_ [O157:H7]. She was one of 21 people who got sick after eating at the restaurant, Wood said.

Health officials said they interviewed 26 employees and heard conflicting stories. The goat was slaughtered sometime between 11 and 20 May 2007, Wood said. Restaurant patrons got sick between 26 May and 3 Jun 2007, Wood said.

Health officials cannot prove the outbreak of the intestinal disease was caused by the goat slaughter, Wood said. It will be hard to establish a link without finding part of the goat carcass. "I'm not sure we'll ever be able to confirm the goat (as the source of the illness), or anything, for that matter," he said.

Greensboro lawyer David Brown, who represents the restaurant owner, said he believes 2 or 3 employees were involved. One had been with the restaurant for a while and was a person "in whom we had confidence," Brown said. The other 2 employees were recent hires, he said.

Brown said he was told the goat wasn't killed "for some religious or cultural reason, but simply a desire to cook the goat and eat it." Brown also said the employees bought the goat from a local farmer and brought it into the restaurant after hours, Brown said. The employees killed the goat in the kitchen, but took it elsewhere to cook, Brown said. The attorney said the employees didn't use the restaurant's utensils.

Health officials announced the _E. coli_ outbreak on 7 Jun 2007. Officials said they learned of another suspected case of _E. coli_ on 18 June 2007, bringing the total to 8 confirmed cases and 13 suspected cases.

[Byline: Sharif Durhams and Adam Bell]

-- Contributed by: ProMED-mail <promed@promedmail.org>

[The association of _E. coli_ O157 and restaurants is not new and, in fact, undercooked ground beef from a fast food chain caused the initial outbreak of the disease in 1982 (1). Since then, outbreaks have occurred related to ground beef and a variety of other vehicles including unpasteurized cow's milk, contaminated water (for swimming or drinking), petting zoos and contaminated uncooked vegetables.

Other domesticated animals have also been associated with the organism besides bovines, including goats (caprines). Outbreaks have been associated with unpasteurized goat milk (2) and ProMED has previously reported cases associated with goat cheese (20060512.1356). Not surprisingly, goats in petting zoos have been found to carry the organism in the gastrointestinal tracts (3,4).

Although meat from the slaughtered goat was not available for testing (hence, no "smoking caprine"), this outbreak is unique for this possible epidemiologic link.]
(This is ganked from the Pro-Med mailing list, available at <http://www.promedmail.org>)
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  1. Yesterday I ran out of milk. This is a "can't happen" in my household because I put milk in my coffee. Without milk there is no coffee, and a day without coffee is like night. When I staggered into the kitchen I realized how screwed I was. I knew I had some chocolate covered espresso beans in the fridge, but that wouldn't be a complete solution. From experience, I knew that nothing but liquid coffee would do.

    In the carafe was yesterday's leftover coffee. It was tepid and slightly burnt from going the whole two hours before the heat element switched off. There was about a pint of it. I poured it into a pint beer glass, chugged it (blrughggl), and chased it with two of the beans so that the chocolate would sweeten the acrid taste of room temperature slightly burnt coffee.

    Then I realized it. This was the morning that so many alcoholics had described. Bad liquor with no ice, chased with something else, because without the hair of the dog the DTs would start. With the bitter rancid taste of dead coffee on my lips I started to laugh at myself.

  2. I'm taking Vicodin right now for torticollis and focal dystonia of shoulder muscles. I don't take painkillers, haven't since I was 14. I'm always interested in risk, so I read up on the stuff. Obviously one shouldn't take more than what's prescribed, and it's not a long-term solution to anything. And it's well known that mixing the stuff with alcohol is dangerous.

    Of course this stuff is widely abused because doctors and dentists give it out freely and people share and trade and sell it. And the abuse is sometimes just taking many at once, and sometimes washing it down with alcohol. This is clearly risky behavior because of the synergistic effects and the possible coma/breathing problems/brain damage/death.

    But there's something else about Vicodin. It's what used to be called "Tylenol #3," and it's a blend of codeine and acetaminophen (Tylenol). It's recently been noted that Tylenol is a liver toxin in large amounts. For example, people do a suicide gesture with a bottle of the stuff and later feel fine, and then drop dead a week later because their liver has been killed.

    And as you can imagine, Tylenol and alcohol is a very bad mix. Because drunks get a lot of headaches, they sometimes eat handfuls of Tylenol or painkillers that contain it, worsening their liver damage tremendously.

    Since the last 20 years has seen a huge rise in abuse of drugs like Vicodin, particularly mixed with alcohol, one has to wonder: what kind of liver disease wave are we going to see starting in about ten years? Do any of these people know that they're not only rolling the dice with coma, but destroying their livers so fast that it's not so much dice as just suicide?
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The Fish List is gone. Or at least its home page is, and points back to the Seafood Choices site. The list itself remains, but I don't know when it was last updated.

This is weird and sort of disturbing. The Fish List was a project among the various organizations who had been keeping lists of environmentally less stupid fish to buy and eat. The Monterey Bay Aquarium, a couple of environmental groups, and a seafood industry group had managed to cooperate enough to make a good list of which fish were more reasonable to eat and healthier. I can only assume the alliance collapsed for some reason. So now we have competing fish lists. The ones I'd seen recommended as pretty authoritative before have differing objectives.

For now I'd recommend the Monterey Bay Aquarium's Seafood Watch which has lots of good info and also little downloadable cards in .pdf so that you can know what you're doing when buying and eating.

MMWR

Nov. 23rd, 2005 11:28 am
substitute: (asphalt)
Public health dorks and others interested in issues of disease, public health, and complete and utter pants-filling terror may be interested in the [livejournal.com profile] mmwr feed I just created, which is from the Centers for Disease Control's canonical Morbidity and Mortality Weekly Report. The MMWR summarizes various aspects of doom in the U.S. and elsewhere and has other articles of interest.

Profile

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