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Salmonella Typhimurium
Outbreak started Labor Day and it is now almost Inauguration Day – Are we
waiting for “Change to Come?” Source of Article: http://www.marlerblog.com/ According to the CDC, as of Wednesday, January 7, 2009, 388 persons
infected with the outbreak strains of Salmonella Typhimurium
have been reported from 42 states. Among the 372 persons with dates
available, illnesses began between September 3 and December 29, 2008, with
most illnesses beginning after October 1, 2008. Patients range in age from
<1 to 103 years; 48% are female. Among persons with available information,
18% were hospitalized. So, we have a shelf- stable product (like cereal or peanut butter) or a
frozen product (chicken nuggets) or refrigerated product (eggs or cheese)
that are all kept for an extended period and shipped all over the United
States. It is also a product that is consumed by infants and people over
twice my age. Oh yes, and the 388 people thus far counted share the same
genetic finger-print of Salmonella Typhimurium in
their stools. Yet, local and state health departments, and the CDC, have made no
announcement “publically” what product has sickened nearly 400, put 75 in the
hospital and killed a woman in Minnesota. Do they really not know what the
product is? Are they worried that the product identification needs to be
perfect so there is no comparison to last year’s tomato/pepper Salmonella
outbreak? Is public safety in the balance? Or, do we simply need better, more
timely information so an outbreak can be determined early, the correct
product identified and pulled from our shelves. As I have said too many times, we need to 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. “Change is coming” – right? Posted on
January 9, 2009 by Bill Marler
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