Well-Traveled Fenugreek Seeds Behind E. coli Outbreaks

A single batch of fenugreek seeds from Egypt is the ‘most likely common link’ between the 2011 German and French E. coli O104:H4 outbreaks, according to a Technical Report issued today by the European Food Safety Authority (EFSA).

The European Union has withdrawn Egyptian seeds from the market, and has temporarily banned the import of certain types of seeds and beans from Egypt. Member States have been instructed to insure that all lots of fenugreek seeds obtained from the implicated Egyptian exporter between 2009 and 2011 are withdrawn, sampled and destroyed. Further import of Egyptian seeds and beans for sprouting are suspended until October 31, 2011.

Between them, the two outbreaks have accounted for 896 cases of hemolytic syndrome and an additional 3,241 cases of bloody diarrhea in 16 countries since May 1st, 2011 – 4,137 reported cases in all. Fifty people have died – 48 in Germany, one in Sweden and one in the USA. It’s likely that an unknown number of milder gastrointestinal illnesses also can be blamed on this outbreak strain.

Although the EFSA has concluded that Egyptian fenugreek seeds are the most likely culprit, Egypt’s Ministry of Agriculture was quite correct in stating last week that the implicated seeds were shipped to Holland, not to Germany, France or the UK. Here’s what happened.

On November 24, 2009, a consignment of fenugreek seeds (Lot #48088) departed by boat from the Egyptian port of Damietta. The boat arrived at Antwerp (Belgium) and the consignment – still packed in a sealed customs’ container – was sent by barge to Rotterdam (the Netherlands), where it cleared customs.

The sealed container then was trucked to Germany, where the German Importer (unidentified in the EFSA report) redistributed most of the seeds (now identified as Lot #6832) and retained 75 kg in storage. In October 2010, the German Importer received another lot (Lot #8266) of seeds from the same Egyptian exporter.

The German Importer of the fenugreek seeds supplied approximately two-thirds of the 2009 shipment to a distributor in Germany (also unnamed in the report).

The Distributor, in turn, sold 75 kg of the seeds to the German sprout producer – Gärtnerhof Bienenbüttel – implicated in the German E. coli O104:H4 outbreak. The German Importer also supplied approximately 400 kg of the same batch of seeds to a UK seed supplier/repacker (identified in French reports as Thompson & Morgan).

Thompson & Morgan repackaged the seeds in 50g packages (now identified as Lot #DRG1041132/10) and supplied them to a distributor in France, who resold the seeds to about 200 French garden centers. One 50g packet of the seeds was the source of the contaminated sprouts that caused the French outbreak cluster in the Bordeaux region. In addition to the seeds that were supplied to France, UK-packaged seeds from the implicated lot were also shipped to Luxembourg, the Netherlands and Switzerland.

It’s likely that at least some contaminated seeds are still either on the market or in the hands of consumers who produce their own sprouts. Trace-forward investigations have determined that the seeds were distributed by the German Importer as follows:

  • 10 500 kg were received by a single large distributor in Germany, who redistributed the seeds to 70 companies (54 in Germany and 16 in 11 other European countries;
  • 3 550 kg were received by 9 other companies in Germany;
  • 400 kg were received by one company in the UK;
  • 250 kg were forwarded via an Austrian distributor and received by one company in Austria; and
  • 375 kg were received by one company in Spain.
Contaminated seeds may also have been exported from Egypt to other countries. Play it safe – do not eat raw sprouts.

E. coli O104:H4 – Europe’s Name, Blame and Shame Game

“It really is public health malpractice not to name these companies when they’re involved, particularly when there’s a potential risk to the public as a result of their product still being on the market.”

– Michael T. Osterholm, PhD, MPH, Director of the University of Minnesota’s Center for Infectious Disease Research and Policy, publisher of CIDRAP News

A curious thing has happened on June 29th.

The European Center for Disease Prevention and Control (ECDC), in conjunction with the European Food Safety Authority (EFSA), released a risk assessment on the E. coli O104:H4 cases reported from the Bordeaux region of France. Fenugreek sprouting seeds – supplied by the British firm Thompson & Morgan –  were implicated in the French outbreak.

The report named AGA SAAT GMBH of Dusseldorf, Germany as the supplier both of the seeds packaged and sold by Thompson & Morgan, and of the seeds implicated in the far larger and very deadly German outbreak of hemolytic uremic syndrome and bloody diarrhea.

The seeds, according to the report, originated from Egypt. The Egyptian Ministry of Agriculture has denied that Egypt had exported fenugreek seeds to Germany.

But this isn’t the curious thing that happened. What’s curious is that – several hours after the report was first issued – ECDC quietly replaced its initial report with an edited version that omitted the name of the German company, according to a news story released this evening by CIDRAP News. CIDRAP has posted a link to both the original ECDC report (see page 3 of the report) and the revised version.

Why did ECDC take this action? Here’s what CIDRAP has to say:

In response to a query today about the reason for removing the company’s name, ECDC spokeswoman Caroline Daamen told CIDRAP News by e-mail, “In the initial risk assessment posted on the website, EFSA and ECDC reported information that had been made available to support the ongoing outbreak investigation. However, some key partners involved felt that it may unnecessarily harm the company to publish its name while the investigations are still ongoing. So it was thought more appropriate to remove the name of the company from the final report.

“We hope that this helps to clarify why the name of the company is not included anymore.”

Both CIDRAP News and attorney/blogger Bill Marler – who also reported the story -have received email messages from AGA SAAT’s attorney, “reserving the right” to take legal measures if they do not delete the company’s name from their respective articles.

I have been critical in the past of the EU policy of not naming manufacturers, distributors, or brand names of foods that are listed in its Rapid Alert System for Food and Feed (RASFF). But this back-door removal of the name of an implicated company from an already published report takes the cake.

In contrast to this sorry German saga, Thompson & Morgan – the British company that supplied the packaged seeds implicated in the French outbreak – has withdrawn from sale five varieties of sprouting seeds and sprouting seed mixes, even though the company contends that “…there has been no established link…” between the seeds they supplied and the outbreak cases.

If ECDC and EFSA were uncertain of the validity of their conclusion, they should not have named the company to begin with.

If the agencies have developed new information that invalidates their initial conclusion and clears AGA SAAT, they should say so.

If ECDC and EFSA simply yielded to pressure and altered their initial report for no valid scientific reason, they should be ashamed of themselves.

The primary role of public health and safety agencies is to protect the health and safety of their citizens – not the political safety of the agencies.

For shame!

Recalls and Alerts: June 29, 2011

Here is today’s list of food safety recalls, product withdrawals, allergy alerts and miscellaneous compliance issues. The live links will take you directly to the official recall notices and company news releases that contain detailed information for each recall and alert.

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United States

  • Food Safety Recall: Bavan Food Company (Sacramento, CA) recalls Bavan Brand Sugar Rewari (Santra Goli) Candy (10.5-oz plastic bag; Product of India), due to unacceptable levels of lead. The recalled product was distributed in California.

Europe

  • Food Safety Recall/Outbreak Alert Update (France): France orders the recall of Thompson & Morgan brand Fenugreek, Mustard and Arugula seeds for sprouting, because the seeds are implicated in an outbreak of 16 E. coli O104:H4 illnesses (8 cases of bloody diarrhea and 8 cases of hemolytic uremic syndrome) in the Bordeaux region. The outbreak strain is the same strain as the German outbreak strain, which – as of June 28th – comprises 4,022 cases of HUS and EHEC in 16 countries (including 47 deaths in Germany and one death in Sweden). The European CDC and European Food Safety Authority report that traceback investigations point to fenugreek seeds from Egypt as the likely source of both outbreaks. The seeds were imported into Germany by AGA SAAT GmbH (Dusseldorf) which, in turn, supplied seeds to Thompson & Morgan. The European CDC and individual government agencies in Europe and elsewhere, are strongly urging consumers to avoid eating all uncooked sprouts.

Asia, Africa and the Pacific Islands

  • Pharmaceutical Product Safety Recall (Hong Kong): Welfore Co. Ltd, in response to instruction from the Department of Health, recalls Welfore Senna Forte Tab 17mg, Wei Health Strong Senna Tab 17mg, Legend Senna Extra Tab 17mg, and Senna Forte Tab 17mg (Product of USA), after a sample fails the disintegration test.
  • Outbreak Alert (Hong Kong): The Centre for Health Protection is investigating two suspected food poisoning outbreaks affecting a total of nine people. One group, consisting of two people became ill after dining at a restaurant in Jordan on June 19th. The second group, consisting of seven people became ill after dining at the same restaurant on June 25th. All of the victims complained of abdominal pain, diarrhoea, fever and nausea/vomiting.
  • Outbreak Alert (Taiwan): A 4-year-old boy is in intensive care in a Kaohsiung City hospital after developing symptoms of botulism. Lab tests of the boys serum sample confirmed botulinum Type A toxin; tests of food samples are in progress. This is the third case of botulism reported in Taiwan so far this year. Taiwan CDC reminds the public that any homemade pickled products or vacuum-packaged food should be boiled for 10 minutes prior to consumption in order to inactivate any botulinum toxin that may be present in the food.

Australia and New Zealand

  • Food Safety Recall (Australia): Inghams Enterprise Pty Ltd. recalls Brannans Marinated Whole Chicken (All weights; Use by 27.06.11 to 05.07.11, inclusive), due to the presence of undeclared soy, oat, fish, sesame seeds and sulphite. The recalled poultry products were sold exclusively through Aldi stores in New South Wales, Victoria and Queensland.
  • Food Safety Recall (Australia): McCain Foods recalls McCain Family Pizza Cheese & Bacon frozen pizza (500g cardboard box; Best before Mar 2012 B 090 and Mar 2012 C 090), because the food may be contaminated with metal pieces. The recalled frozen pizzas were distributed nationally to Coles (including Coles online and BiLo), Woolworths/Safeway, Franklins and Independent stores, including IGA and Foodland.

Some supermarket chains post recall notices on their web sites for the convenience of customers. To see whether a recalled food was carried by your favorite supermarket, follow the live link to the supermarket’s recall web site.