09 April 2011

ZAPPOLE: SALMONELLA

SALMONELLOSIS - USA (03): (RHODE ISLAND) PASTRY, FATAL
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A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>

Date: Fri 8 Apr 2011
Source: News Blog [edited]
<http://newsblog.projo.com/2011/04/second-person-90-dies-in-salmo.html>


A 2nd person has died in the salmonella outbreak linked to DeFusco's
Bakery in Johnston, Rhode Island. The Health Department learned Fri 8
Apr 2011 that a man in his 90s died the previous day in a hospital,
said spokeswoman Annemarie Beardsworth. She declined to identify the
hospital.

The man, who lived in Providence County, reported eating a product
made at DeFusco's, which was purchased on 19 Mar 2011. His symptoms
began on 25 Mar 2011, and he was hospitalized 3 days later. A stool
sample tested positive for _Salmonella_. He was one of the cases the
Health Department had been tracking as part of its outbreak
investigation. He also had underlying health conditions.

The count of people who fell ill with laboratory-confirmed infection
or compatible symptoms between 14 and 28 Mar 2011, considered the time
frame for this outbreak, has now risen to 66. Of those, all but one
reported eating products from DeFusco's, including the other man who
died. The 1st death came on 23 Mar 2011, a man in his 80s who lived in
Providence County. Of the 66 people who got sick, 28 were
hospitalized, an unusually high percentage for an outbreak of
salmonellosis. But no cases have turned up since 28 Mar 2011,
indicating the source of the outbreak is not continuing to make people
ill, Beardsworth said.

The bakery closed down, and its products were recalled, on 25 Mar
2011 after a Health Department inspection found many food-safety
violations. They included storing empty, baked pastry shells in
cardboard boxes that formerly held trays of raw eggs. Tests later
found evidence of the outbreak bacterium in the boxes, probably from
an infected egg that broke.

The Health Department was 1st alerted to the outbreak when 11
nursing-home residents became ill after eating zeppole, a
custard-filled pastry, made by DeFusco's. Neither of the men who died
lived in a nursing home, however. In addition to closing down
DeFusco's, the outbreak has affected business at other bakeries, at
least 2 of which have taken ads assuring their customers that their
products are safe.

YERSINIA: Norwegian lettuce.

PRO/EDR> Yersiniosis, lettuce - Norway
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 Reply |ProMED-mail to promed-edr
show details 18:19 (21 minutes ago)

YERSINIOSIS, LETTUCE - NORWAY
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A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
Date: Fri 8 Apr 2011
Source: Health Canal [edited]
<http://www.healthcanal.com/public-health-safety/16010-New-cases-yersiniosis-outbreak.html>

Since February 2011, the Reference Laboratory at the Norwegian
Institute of Public Health has identified identical strains of
_Yersinia enterocolitica_ O:9 in 20 patients living in Norway.
Interviews with the patients with yersiniosis led to suspicion of a
particular pre-packaged lettuce mix that was withdrawn from the
market.
Further investigation led to suspicion of several pre-packaged
lettuce mixes purchased in grocery stores. Preliminary investigations
conducted at the Norwegian Veterinary Institute strengthened this
suspicion. The manufacturer has therefore withdrawn a further 9
lettuce mixes from the market. The Norwegian Food Safety Authority
recommends that consumers should not eat these lettuce mixes. The
Norwegian Institute of Public Health is continuing the investigation
in co-operation with the Food Safety Authority and Veterinary
Institute.
Each year, 50-100 cases of yersiniosis are reported to the Norwegian
Institute of Public Health. Most cases occur sporadically and several
cases with a common source rarely occur in Norway.
Yersiniosis is transmitted primarily through food but can transmit
between people in rare cases. The most common symptoms are diarrhea,
fever and abdominal pain, usually lasting for 1-3 weeks. In most
cases, the disease clears up without treatment.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The 2 species of _Yersinia_ associated with food-borne disease are
_pseudotuberculosis_ and _enterocolitica_. The latter species, as
noted in the posting, can be associated with abdominal pain as a
hallmark symptom. As a mesenteric lymphadenitis, yersiniosis can mimic
appendicitis but may also cause infections of other sites such as
wounds, joints, and the urinary tract.

08 April 2011

MADAGASCAR: 14 dead from poisoned sardines

FOODBORNE ILLNESS, FATAL - MADAGASCAR: (TOLIARA) FISH
*****************************************************
A ProMED-mail post
<http://www.promedmail.org/>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org/>
[1]
Date: Wed 6 Apr 2011
Source: BigNewsNetwork.com [edited]
<http://feeds.bignewsnetwork.com/?sid=765874>

At least 14 people have died in Madagascar from poisoned fish. Around
120 other people are seriously ill, with some in hospitals, after
ingesting the toxic sardines which had been caught in the
south-western town of Toliara.
Samples of the fish have been sent for analysis.
In previous food poisoning incidents the contaminated sardines had
eaten poisonous seaweed, which now proliferates on local reefs.

SCOTLAND: LEGIONELLOSIS

The [Landmark] hotel's leisure club and spa have been off limits
since [17 Mar 2011] after staff and guests reported feeling unwell
with flu-like symptoms that sparked testing for _Legionella_
infection. As of last night [5 Apr 2011] a total of 112 people who
work in or have visited the Landmark are known to have had a flu-like
illness with respiratory infection. One person remains in Ninewells
Hospital, the only confirmed case of legionnaires' disease in a person
who visited the hotel's leisure club. There are no further confirmed
cases.
While legionnaires' disease is potentially fatal, Pontiac fever is a
milder illness caused by _Legionella_ bacteria. It [Pontiac fever]
causes a flu-like illness, which lasts just a few days. An NHS
[National Health Service] Tayside spokeswoman said last night [5 Apr
2011] it was "very likely" a number of the respiratory infections
reported at Landmark could be caused by Pontiac fever, but it would
take some time to establish if that was the case. "No one has yet been
confirmed as having Pontiac fever because it is difficult to diagnose
and can require up to 3 separate blood tests over a period of several
weeks," she said.

GP with SPECIAL INTEREST in OPHTHALMOLOGY

Increasingly, worldwide, GPs are leaving comprehensive high overhead, high legal risk practice for focused medicine. Acupuncture, Anaesthetics, Complementary medicine, Cosmetic medicine, Dermatology, Hospitalist, Musculoskeletal medicine inc manipulation, Orthotics inc Podiatry, Palliative medicine, Psychotherapy, Sports medicine,

Ontario Health Insurance does not pay for eye tests between ages 20y-64y.(Exception are those on welfare or who have eye diseases).

Doctors can bill PRIVATELY, usually between $50 - $100.

Testing can be done quickly (20 minutes) and easily using AUTOREFRACTORS and TRIAL LENSES. Fundus cameras are invaluable for clinical and legal records.

Doctors can own Eye stores and hire Opticians to fit and sell specs and contacts.

Toronto now has a school for training GPs in Eye testing.

For those interested please leave a comment below.

06 April 2011

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SELF-HELP MEDICINE: "CHEMSTRIP 10" urine test strips (ROCHE)

In Toronto multitest urine dip sticks are difficult to buy. Most GPs do not use due to cost. Poor State medicine payment does not cover overhead of urine container, toilet facilities and $0.75 cost of a strip plus`detailed charting.

People can buy personal supplies from old established SURGO SURGICAL SUPPLY in Keswick, a small town North of Toronto www.surgo.com

Urine sent to lab is useless as usually urine stands for longer than TWO hours.

CLEVELAND CLINIC CANADA (Toronto)

LOBLAWS pays $2,500/year for Preventive medicine for 300 Executives.

30,000 sq.ft in BROOKFIELD PLACE.(Home of Hockey Hall of Fame).

PHYSICIAN ENTREPRENEURS

65,000 Canadian doctors: potential Capitalists

$1,000 a year into a Private Equity Fund would mean $65,000,000 a year invested.

At present Canadian doctors have no Professional pension,unlike the UK.

DIVIDE ET IMPERA: "Divide and Conquer" Philip !! of Macedon 382-336 BC

If physicians united financially they could be as successful as the Ontario Teachers' & Public Service Unions.

The Teachers' Union bought Medical laboratories and the Public service union bought REVERA with 400 retirement homes.

At present Ontario physicians are not allowed to form a trades union; although they are fixed-price contract workers of the Ministry of Health. After 35 years of restriction they are now able in to Incorporate.

According to the Canada Health Act they are not allowed to change a penny more than the State fee. The College of Physicians and Surgeons employs hundreds of part- time doctors to "inspect" their colleagues practices, at the same time finding out colleagues' "trade secrets".

Anyone, anywhere in the world can complain about an Ontario doctor. Every complaint has to be investigated by the "College" which is made up of 50% political non-medical appointees.

CLEVELAND CLINIC CANADA (Toronto)

Has`28,000 sq.ft in BROOKFIELD PLACE,Toronto.

$2,500 subscription yearly which includes 5 hour yearly general examination.

The Weston organisation (LOBLAWS) sends its 300 executives to the Cleveland.