Health News

 
 FDA Widens Spinach Warning
            Government advises against eating unpackaged fresh spinach or any 
product containing spinach as number of E. coli cases reaches 102.
            -- Barry Hoffman and Jeff Walsh
                 
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            SUNDAY, Sept. 17 (HealthDay News) -- The U.S. Food and Drug 
Administration has broadened its warning about eating spinach to include 
unpackaged, loose spinach or any product containing spinach as it continues to 
investigate other sources of the E. coli bacterium that has caused one death 
and illness across the nation.

            "FDA advises consumers to not eat fresh spinach or fresh 
spinach-containing products until further notice," the agency says in its 
latest update on its Web site.

            On Saturday, the government identified a California produce company 
as one possible source of the tainted spinach as the outbreak of illness 
widened to 19 states, with more than 100 victims. 

            Natural Selection Foods of San Juan Bautista began recalling all of 
its prepackaged spinach and its salad mix products that contain spinach in all 
brands packed with Best If Used by Dates of Aug. 17, 2006 through Oct. 1, 2006.

            The investigation is continuing, the FDA said in a consumer alert 
on its Web site, and Natural Selection Foods may not be the only source of the 
E. coli O157:H7 that has so far has sickened 102 people. Fourteen of the 
victims have developed a form of kidney failure called Hemolytic Uremic 
Syndrome, the agency reported.

            "We're clearly evolving, and it is very important to keep an open 
mind whether there are other products potentially implicated," Dr. David 
Acheson, the chief medical officer with the FDA's Center for Food Safety and 
Applied Nutrition, told the Associated Press.

            According to the FDA, Natural Selection Foods supplies its spinach 
to the following brands that package it:

            Dole, Earthbound Farm, Natural Selection Foods, Pride of San Juan, 
Bellissima, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, 
Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, 
Jansal Valley, Cheney Brothers, Coastline, D'Arrigo Brothers, Green Harvest, 
Mann, Mills Family Farm, Pro*Act, Premium Fresh, Snoboy, The Farmer's Market, 
Tanimura & Antle, President's Choice, Cross Valley and Riverside Farms.

            Because the tainted spinach could have been included in packaged 
green salads that have spinach, the FDA is now warning that those products also 
might be contaminated.

            Consumers should throw away any fresh packaged spinach they may 
have bought in the past few weeks and not buy more until the warning is lifted, 
the agency said. It also said that washing the spinach won't help because the 
bacteria is too tightly attached.

            The states reporting cases of illness now include: California, 
Connecticut, Idaho, Indiana, Kentucky, Maine, Michigan, Minnesota, Nevada, New 
Mexico, New York, Ohio, Oregon, Pennsylvania, Utah, Virginia, Washington, 
Wisconsin, and Wyoming.

            The affected products were also distributed to Canada and Mexico, 
the FDA said.

            The one death occurred in Wisconsin, which has 29 cases statewide. 
Friday night, the AP reported, the victim was identified as Marion Graff, 77, 
of Manitowoc. Her son said she died of kidney failure Sept. 7.

            "We are very, very upset about this," Natural Selection Foods 
spokeswoman Samantha Cabaluna told the AP Friday. "What we do is produce food 
that we want to be healthy and safe for consumers, so this is a tragedy for us."

            The company has supplied a phone number -- l-800-690-3200 -- for a 
refund or replacement coupons.

            The FDA said the first cases of infection apparently surfaced on 
Aug. 23, and the most recent one was reported Sept. 3. But it wasn't until 
Wednesday that the agency was able to identify bagged spinach as the possible 
cause, Acheson told a press conference Thursday night.

            Dr. Robert Brackett, director of the FDA's Center for Food Safety 
and Applied Nutrition, cautioned that anyone who believes he or she has the 
symptoms of E. coli poisoning should contact a doctor.

            According to the U.S. Centers for Disease Control and Prevention, 
E. coli lives in the intestines of cattle and other animals and is linked to 
contamination by fecal material. It can be found in undercooked meats and other 
foods, such as spinach, sprouts, lettuce, unpasteurized milk and juice. 

            The primary symptom of E. coli contamination in humans is diarrhea, 
often with bloody stools. While most adults recover completely, the bacteria is 
particularly harmful to the very young, the very old, and those with 
compromised immune systems. In more serious cases, potentially fatal kidney 
failure can develop. 

            Dr. Pascal James Imperato, chairman of the department of preventive 
medicine at SUNY Downstate Medical Center in New York City and former New York 
City Health Commissioner, said that normally, people between 20 and 60 years of 
age don't have much of a reaction to E. coli. 

            But, he added in a prepared statement, this outbreak seems to have 
affected people in that age group, indicating it might be a particularly 
virulent strain of bacteria.

            E. coli causes an estimated 73,000 cases of infection, including 61 
deaths, each year in the United States, according to CDC statistics.

            The last publicly reported outbreaks of E. coli were in 2005. In 
October, laboratory tests found the bacteria in two bags of lettuce, suspected 
as the cause of an outbreak in Minnesota that sickened 17 people, eight of whom 
had to be hospitalized. In December, an E. coli outbreak in the state of 
Washington sickened at least eight children. That was traced to unpasteurized 
milk from a dairy.

            More information

            You can read the FDA's latest updates on the E. coli outbreak at 
its Web site.
           
     

http://health.msn.com/healthnews/articlepage.aspx?cp-documentid=100144959&GT1=8506

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