Archive for the 'Raw Oysters' Category

Article from Public Health Law Research

Raw Deal: Is protecting consumers from uncooked oysters a rotten plan?

Origin: Slate Nov. 12, 2009

Arthur Allen, author of Vaccine (2007), looks in Slate at the FDA plan to ban consumption of warm weather oysters from the Gulf of Mexico. His conclusion is subtle: the science is good, the outlook for compliance bad. ”The ban seems particularly egregious in Louisiana, the unhealthiest, most obese place in the country. In New Orleans, which I visited last month, attitudes toward pleasure and health are weighted heavily toward the former. No raw oysters during Jazzfest in late April? Seems impossible to imagine. Like people nowhere else, Louisianans smoke, drink, and eat anything that doesn’t eat them first. This is especially true of raw-oyster lovers. The kind of risk/benefit ratios drawn up at the Harvard School of Public Health and the FDA are worthless to them.”He notes that “the FDA has done its scientific due diligence” and approves the pasteurization of warm weather oysters, as implemented in California.

More Tax Payer Money to Waste on Oyster Education

{{w|Charlie Melancon}}, member of the United S...
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Apparently, we still have not learned from the past that wasting more taxpayer money on oyster education does not work.   Charlie Melancon just announced that he secured funding for more oyster education to bring awareness to individuals about the dangers of eating raw oysters.  How about let’s just make oysters safe and then you don’t have to worry about who might know and who might not know and accidentally die?  Just seems like such a backwards way of doing things and yet another way to continue wasting money.

The federal government has previously funded oyster education and has already proven that it did not reduce the number of oyster related deaths … but I guess they want to try it again to see if maybe this time it might work.   Instead, why not look to the example of California and make all raw oysters safe – that has proven to be 100% effective and not cost the state or federal government additional money to educate people about a danger that is completely avoidable.

Here is a portion of the story from the Bayou Perspective

$174,000 to help the Gulf Coast oyster industry reduce illnesses from Vibrio vulnificus in shellfish.

Congressman Melancon secured federal funding for a consumer education campaign led by the oyster industry focused on reducing illnesses associated with Vibrio vulnificus in shellfish, avoiding the need for further restrictions by federal agencies on the sale of oysters. This federal investment will help the Gulf Coast oyster industry fund an education outreach program to at-risk consumers of raw oysters about the risk of eating raw oysters during certain times of the year and introducing them to post-harvest processed oysters that can be consumed with less risk.

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Post from the Post Graduate Medical Journal

  • Self-assessment questions

Diarrhoea, fever, shock and bullous skin lesions after ingestion of raw oysters

  1. A Vaz,
  2. V R Singh,
  3. D B Wisinger,
  4. M Moffitt

+ Author Affiliations


  1. Department of Medicine, Maricopa Medical Center, Phoenix, AZ 85008, USA
  1. Austin Vaz, New England Medical Center, Tufts, 750 Washington Street, Box 406, Boston, MA 02111 USA
  • Accepted 18 February 1999

A 38-year-old man presented to the emergency department with a 2-day history of cramping abdominal pain, severe vomiting, diarrhoea, and fever with chills. He reported eating a large quantity of raw oysters at a local restaurant, one day prior to the onset of symptoms. The patient had a significant history of daily alcohol consumption (12 cans of beer and one bottle of wine) for many years. On examination, the patient appeared toxic, with a systolic blood pressure of 90 mmHg, pulse of 116 beats/min, respiration rate of 22 breaths/min and an oral temperature of 39°C. Right basal crackles were present on auscultation of the chest. Cardiovascular examination showed tachycardia with normal heart sounds. Abdominal examination revealed a tense abdomen without evidence of ascites, with diffuse tenderness and hyperactive bowel sounds. The patient’s skeletal muscles were tender to palpation and movement. Joint examination revealed no evidence of synovitis. A few hours after admission, multiple 1–2 cm skin lesions were noted predominantly on the truncal area (figure). Over the next 24 hours, these evolved into haemorrhagic bullae with purpuric centres.

Laboratory findings were significant for severe leucopenia (1000 cells/mm3), hypo-albuminaemia (1.7 g/dl), abnormal liver function tests (total bilirubin 5.3 g/dl; lactate dehydrogenase 1544 IU/l; aspartate transaminase 615 IU/l; alanine transaminase 465 IU/l), elevated creatine phosphokinase 14 600 IU/l, prolonged prothrombin time 15.9 s, INR 1.6, and lactacidaemia (4.6 mEq/l). Empiric antibiotics using a third generation cephalosporin and doxycycline were started immediately after blood cultures were drawn. However, within 8 hours of admission the patient became diaphoretic, tachypnoeic, hypoxic, and his mental status deteriorated.

Figure Skin showing early target lesions and bullae over the truncal area

Questions

1
What is the diagnosis and what are the predisposing factors?
2
What is the treatment and prognosis?

Answers

QUESTION 1

This patient had Vibrio vulnificussepticaemia after ingestion of contaminated raw shell-fish. Individuals with pre-existing liver disease are at 80 times greater risk for illness and at over 200 times greater risk of death fromV vulnificus oyster-associated infection.1 Patients with cirrhosis of the liver, haemochromatosis and immunocompromised states are especially susceptible.

QUESTION 2

Current recommendations include intravenous administration of doxycycline (100 mg q 12 h) and ceftazidime (2.0 g q 8 h). Early and aggressive treatment is recommended, as the case fatality rate for patients with septicaemia has been shown to increase with greater delays between illness onset and initiation of antibiotic treatment.2 Fatality rates exceed 50% and are greater than 90% in patients who develop shock, even with appropriate treatment.1 3

Outcome

One day after admission, blood cultures grew V vulnificus, although stool cultures were negative. The organism was sensitive to all antibiotics tested, including third generation cephalosporins, tetracycline and gentamicin. Despite immediate resuscitation with intravenous fluids and appropriate antibiotics, the patient rapidly developed fulminant septicaemia, with refractory hypotension requiring vasopressors. He subsequently developed adult respiratory distress syndrome, requiring mechanical ventilation. The patient died on day 16 after a complicated hospital course.

Discussion

V vulnificus, a halophilic, lactose-fermenting, marine organism, is known to cause two distinct clinical syndromes. The first is primary bacteraemia with secondary seeding of the soft tissues. This usually occurs in patients with chronic liver disease and a history of recent ingestion of raw oysters. The disease is rapid in onset with high fever, chills and shock as well as haemorrhagic bullous skin lesions. The second syndrome is characterised by primary wound infection after exposure to sea-water.3 The organism is aptly named ‘vulnificus’ (Latin for ‘wounding’), since it may cause extensive soft-tissue destruction.3

V vulnificus is known to inhabit coastal waters and estuaries throughout the world. This bacteria is found in sea-water as well as contaminated sea-food, particularly oysters, fish, shell-fish and crustaceans. Like other vibrios, V vulnificus is concentrated in filter feeders, such as oysters.3 Studies have found that more than 50% of the oyster lots sampled in the US contain V vulnificus.Infections are seasonal, with the peak onset of the illness from April to October in the Gulf Coast areas of the North American continent.4 V vulnificusinfections occur most commonly in persons exposed to sea-water along the Gulf of Mexico and the Southern Atlantic and Pacific coasts. Infections have also originated from other American coastal waters and from Europe, Asia, Australia and South America.5 A water temperature above 20oC and a saline content of 0.7–1.6% is required for colonisation.6

The organism is the most virulent of the vibrios, which may account for the high mortality in infected patients. The presence of a polysaccharide capsule may increase the organism’s resistance to phagocytosis and to the bactericidal activity of human serum.V vulnificus also produces a cytotoxin–haemolysin, collagenase, phospholipases and a protease that lyses elastin, thus increasing tissue penetration.3 High frequency of infection is seen in elderly men with an underlying liver disease. This is especially true of patients with cirrhosis and haemochromatosis who have an elevated serum iron concentration.7 Iron is essential for bacterial growth, and the ability to obtain iron from the host is essential for pathogenicity.8

Learning points

  • Vibrio vulnificus infection is usually seen in coastal areas, but can occur anywhere with ingestion of raw sea-food, particularly oysters

  • it can cause serious and fatal infection in people with chronic liver disease

  • fever, shock and bullous skin lesions should raise suspicion for the diagnosis

  • fatality rates exceed 50% and are more than 90% in patients who develop shock

  • early institution of appropriate antibiotics and surgical debridement can decrease mortality

  • prevention relies upon educating patients and thorough cooking of sea-food

This patient had primary bacteraemia with secondary seeding of the soft tissues as a consequence of ingesting contaminated raw oysters. The clinical course was characteristic with rapid onset of high fevers, chills and shock as well as the development of haemorrhagic bullae. He also developed myositis which is often seen with this infection. This case displayed many of the classic features seen in primaryV vulnificus septicaemia and had a fatal outcome.

Early treatment with antibiotics, debridement and amputation when necessary may improve survival. The duration of the antibiotic therapy depends on the clinical response of the patient. Surgical debridement and good wound care facilitate the healing of the necrotic lesions.1

Final diagnosis

Fatal Vibrio vulnificus septicaemia after ingestion of raw oysters.

References

    1. Howard RJ,
    2. Pessa ME,
    3. Brennaman BH,
    4. Ramphal R

    (1985) Necrotizing soft-tissue infections caused by marine vibrios. Surgery 98:126–130.

    1. Klontz KC,
    2. Lieb S,
    3. Schreiber M,
    4. Janowski HT,
    5. Baldy LM,
    6. Gunn RA

    (1984) Syndromes of Vibrio vulnificus infections. J Infect Dis, pp 318–323.

  1. (1989) Case records of the Massachusetts General Hospital. N Engl J Med 321:1029–1037.
    1. Bonner JR,
    2. Coker AS,
    3. Berryman CR,
    4. Pollock HM

    (1983) Spectrum of vibrio infections in a Gulf Coast community. Ann Intern Med 99:464–469.

    1. Hlady WG,
    2. Mullen RC,
    3. Hopkin RS

    (1993) Vibrio vulnificus from raw oysters. J Florida Med Assoc 80:536–538.

    1. Kelly MT

    (1982) Effect of temperature and salinity on Vibrio (Beneckea) vulnificus occurrence in a Gulf Coast environment. Appl Environ Microbiol 44:820–824.

    1. Wright AC,
    2. Simpson LM,
    3. Oliver JD

    (1981) Role of iron in the pathogenesis of Vibrio vulnificus infections. Infect Immun 34:503–507.

    1. Kumamoto KS,
    2. Vukich DJ

    (1998) Clinical infections of Vibrio vulnificus: a case report and review of the literature. J Emerg Med 16:61–66.

Post from Dick Destiny Blog

From Dick Destiny Blog

Wednesday, December 16, 2009

ON RARE DISEASE AND POLICY

Many moons ago your host attended grad school in Pennsylvania, dutifully working his way toward a Ph.D. My work was on a microbe few people had heard of at the time: Vibrio vulnificus.

Today, over twenty five years later, all the oystermen and oyster eaters on the Gulf Coast know about it.

The lab I worked in specialized in studying the protein products of marine vibrios. And I chose to work on what was thought to be a novel example of them, looking for a protein — an enzyme — which dissolved collagen.

Why?

Because collagen is present in all the connective tissue in your body.

And Vibrio vulnificus caused a truly catastrophic illness in a small number of people, a systemic infection that punched holes in the body, from the inside out.

To do so, to cause ulcerating holes and sores to form through the flesh, it had to produce something that ate away at human tissue.

Pictures fit for disturbing your lunch are here.

I reasoned, correctly as it turned out, that Vibrio vulnificus had to produce an extracellular collegenase — an enzyme which dissolved collagen. When it was applied to experimental assay plates filled with a flesh-like gel of pure collagen held at body temperature, it created empty pools of peptides — protein fragments — and water. This was one way to quickly check for its presence and relative activity.

The paper I wrote defining the discovery is here should you like to see the hard science of it.

Since it was a human pathogen and it did produce a fatal illness, initially a good bit of thought was given to whether or not to bring it into the lab.

However, the literature that existed on it at the time seemed to indicate that the organism primarily erupted in individuals with pre-exsting severe underlying illnesses, primary diseases which depressed immunity.

But with living things like bacteria, there is always the possibility that when you are exposed to it in a variety of ways, interesting things can happen. Growing large quantities of Vibrio vulnificus so that collegenase could be harvested and characterized, ensured this would happen. I am sure that no matter how careful we were, at one time or another I was exposed to greater than natural concentrations of it.

Here I am, right as rain! Too bad, eh?

In October of this year, oyster fishermen in the United States were given a rude shock when the FDA moved to ban their oyster catch through the summer months.

Vibrio vulnificus, our lab originally found, was surely present in a great many things — including oysters — in inshore Gulf Stream waters, pretty much all the time. But its concentrations were probably greatest during the summer months when the water was warmer and more conducive to fast growth. And this coincided with when vacationers and locals like to eat lots of raw oysters, although one could occasionally contract the infection through cuts or open wounds, too.

In fact, if you’ve vacationed regularly at resorts on the Gulf Stream in the summer you’ve probably come into contact with Vibrio vulnificus .

“The ’safetycrats’ at the Food and Drug Administration were ready to crack down on Vibrio vulnificus, a bacteria that infects oysters, by imposing costly new rules on the oyster industry,” opined the Mobile Register in mid-November.

“Millions of people consume raw Gulf oysters without suffering any ill effects. But people with diseases that weaken the immune system are vulnerable to the bacteria. About 15 people a year die [from V. vulnificus infections] after eating raw oysters.”

The FDA used a magnifying glass on Vibrio vulnificus, said the newspaper.

In the Nineties, restaurants and supermarkets were pressed to display signs about the hazard of eating raw oysters. Although V. vulnificus was not mentioned on these signs in southern California, the organism was the reason for them.

But no one pays attention to such signs in America.

“This prompted the FDA to haul out a regulatory ’sledgehammer’ … and prepare to take a swing at the oyster industry,” continued the Mobile newspaper in mid-November. “The FDA wanted to ban sales of raw oysters from April to October, unless the oysters were sterilized with special equipment.”

The FDA, due to a rather obvious and logical response — a vigorous protest at the state level — backed off on this plan.

“FDA officials [said] that education hasn’t worked,” reported The (Baton Rouge) Advocate, the same month.

“In 2001, the Interstate Shellfish Contamination Conference, formed in 1982 to promote shellfish sanitation, embarked on a campaign to teach consumers about the dangers, said Mike Taylor, an FDA senior adviser …”

Interestingly, when DD published on Vibrio vulnificus, it was the same year as the formation of the Interstate Shellfish Contamination Conference. There was no particularly noticeable interest in the science of the microorganism back then.

“The conference – which is made up of academic, industry and state and federal officials – agreed that if the campaign didn’t work, that the new policy would be the next step, Taylor said,” continued The Advocate, in explaining how the FDA came to its initial — now rescinded — plan to ban.

“The policy would affect about 25 percent of the harvest, Taylor said.”

“There has not been a significant reduction of people getting sick and dying,” Taylor told the newspaper. “There are lives at stake here. It’s not a stomach ache from salmonella. It’s a deadly disease.”

Indeed it is not a stomach ache. But having worked with more Vibrio vulnificus daily than most people will come in contact with in their entire lifetime, I can tell you the FDA man did misrepresent the nature of the risk.

“Taylor pointed to California, which requires the treatment of Gulf oysters. Over a 10-year period beginning in 1991, the state had 40 deaths,” reported the Baton Rouge newspaper. “The number has been reduced to zero, Taylor said.”

That came to about four deaths a year. Stamped out through sterilization.

“Throughout the South, and particularly in Louisiana, where two-thirds of the nation’s oysters are harvested, irate legislators, oyster farmers and connoisseurs told the government to back off: If people want to risk their lives for a plate of cold oysters, fresh lemon juice and just a dash of hot sauce, then that’s their business,” the Los Angeles Times opinion page reasoned, trying to be informative, on November 15. “Processing [oysters], they said, ruins the taste.”

“More to the point, the FDA’s mandate, they said, would jeopardize 3,500 jobs and destroy the livelihood of generations-old family businesses by requiring them to invest in cost-prohibitive technology. Within days, the FDA canceled the ban on untreated oysters. For now.”

However, the Times went on to insinuate that California knew how to do things better, an argument that didn’t hold a shake flask’s worth of Vibrio vulnificus.

“The FDA … plans to study the economics of processing to help the [shellfish] industry adapt,” it continued. “Although treated oysters may alienate some purists, other diners may be reassured and give raw oysters a shot. Also, markets currently closed to warm-weather Gulf Coast oysters because of the dangers may open.

“As for public health, the best case study may be California. In 2003, after 40 deaths over a 10-year period, the state required warm weather Gulf Coast oysters to be processed. Since then, there have been no Vibrio deaths, and some oyster businesses have adapted to the new rules. But one thing is clear: For all the talk of cooperation, the FDA’s ultimate goal is to help the industry ‘transition.’ Because the one argument the Gulf Coast oyster industry has not successfully made is that the deaths of those 15 people a year don’t matter.”

Actually, the degree of risk is what should be argued. There is no way to predict who will contract a very rare but potentially fatal infection from eating oysters containing V. vulnificus, only that it will happen — somewhere — as long as raw oyster eating is something people greatly enjoy. And that in fifty percent of these cases the end will be gruesome.

Eat raw oysters. You might put your guts out, kid, maybe. But from my experience, probably not.

posted by George Smith at 12:41 PM

Lebanon man who lost both legs to bacteria infection dies

From the Dayton Daily News

By Justin McClelland, Staff Writer Updated 10:12 PM Friday, December 18, 2009

Darrel Dishon, the Lebanon man who lost both his legs to a flesh-eating bacteria after eating contaminated oysters, died this week after complications from the infection.

Dishon, 40, had traveled to Panama Springs, Fla., in July with his fiancee, Nicole Copas to marry. Shortly before the planned wedding, he ate at an oyster bar with friends and contracted the bacteria Vibrio vulnificus, a bacteria commonly found in the shellfish. Because Dishon was a diabetic, his immune system was more vulnerable to the bacteria.

The next day he began developing food poisoning-like symptoms and had to be taken to the emergency room. A day later he was in a medically-induced coma, and Copas was forced to give the doctors the OK to amputate his legs in order to save his life. Dishon did not know his legs had been removed for more than a week after the operation.

Dishon returned to Lebanon in October after marrying Copas and spending months in two hospitals in Florida and Alabama.

Brittany Moore, Dishon’s daughter, said an MRI taken the day after Thanksgiving revealed a bone infection in his right leg. Moore said doctors amputated five more inches off his leg, but the infection persisted, eventually causing organ failure.

He died Monday, Dec. 14 and family members held a service for him Thursday, Dec. 17.

“He fought to the end,” Moore said. “He always had a positive outlook about it and never gave up.”

Moore said her father, who was born in Morrow, enjoyed hunting and motorcycling and was an energetic, outgoing personality.

“He never knew a stranger,” Moore said. “He was always more worried about other people than himself.”

When spoken to in October, Dishon was optimistic about the future, working to become ready for prosthetic legs.

He spoke of daily triumphs, such as being able to move from his wheelchair into the bathroom for the first time by himself.

“The support I’ve received from so many people in the past couple of months — I would never say what happened to me was a blessing, but I’ve found a lot of blessings in my life because of it,” Dishon said in an October interview.

Moore said her father had also began working to get the sale of raw oysters regulated or banned to prevent anybody else from contracting the bacteria. The FDA recently asked for such a ban but the measure failed in Congress.

Moore said her family was also establishing a fund to help other families who encounter catastrophic events like the one that befell Dishon. She said they would hold an annual fundraiser at Kings Bar and Grill in Lebanon every August. The bar held a fundraiser for Dishon last August.

Dishon is survived by his wife, son Nick Dishon, daughters Brittany Moore and Jessica Van Praag, and stepson Nick Butler.

The family requested that memorial donations be directed to the Darrel Dishon Fund, c/o Stine Kilburn Funeral Home, 801 Monroe Road, Lebanon, Ohio 45036.

And the Debate Continues …. Money or Lives … Which is More Important??

Raw Oysters And Food Safety Legislation

By Richard J. Arsenault in Food Poisoning Info, Legislation & Regulation
Posted on December 17th, 2009

raw-oystersThe raw gulf oyster has been in the news recently and stirring a rather large dispute about foodborne illness and food safety. The seemingly innocuous mollusk has been center stage in the debate about the extent of the FDA’s control over foods in their effort to control foodborne illness.

The controversy essentially surrounds the FDA’s attempt to mandate that all raw oysters harvested from the gulf coast during the warm months would have to be pasteurized before they could be sold to the consumer. Pasteurization of gulf oysters was proposed in an effort to control foodborne illnesses associated with the bacterium Vibrio vulnificus.

Vibrio vulnificus is a bacterium that lives in saltwater. Filter feeding animals such as oysters and clams ingest the bacterium and the microbe thrives in the shellfish’s tissue. When the oyster is ingested raw, the pathogen can take hold of the intestines and cause illness. For healthy individuals, Vibrio vulnificus is typically mild and can even pass unnoticed. For people with compromised immune systems and preexisting conditions, such as diabetes and liver disease, Vibrio vulnificus poisoning can be deadly.

But a debate ensued about just how likely a person was to die from raw oyster food poisoning versus how much damage the regulations would cause to the $300 million dollars oyster industry.

For supporters of the FDA’s raw oyster regulations, any food consistently tied to food poisoning deaths needs to be tightly regulated. In California, similar raw oyster pasteurization rules eliminated all deaths associated with Vibrio poisoning. Oyster regulation supporters point out that 0% is a success rate that cannot be ignored.

Opponents of the FDA’s oyster regulations claimed that pasteurization changes the texture and flavor of the oyster. They argue that mandated pasteurization would hurt the raw oyster industry.  And the likelihood of contracting a serious foodborne illness from raw oyster poisoning is so remote that guidelines attempting to control Vibrio vulnificus were unnecessary.

Ultimately, it was the pro-raw oyster side that was able to get the needed politicians on their side and the raw oyster guidelines were scraped from the senate’s food safety bill.

I don’t know if the raw oyster guidelines would have been successful. The Gulf States love their raw oysters and would probably have ignored the rules. When the rules are ignored it creates an illegal and unregulated trade. The situation is similar to the raw milk debate. Regardless of the outbreaks associated with raw milk or the legality of selling raw milk in some states, people still sell and trade the product.

It is interesting to note that the drama surrounding raw Gulf oysters continues. The FDA recently issued a warning about consuming oysters harvested from San Antonio Bay because they may be contaminated with norovirus. Even if the FDA guidelines were in place, the oysters would have been out of the date for pasteurization but the warning is a reminder that raw oysters can easily harbor pathogens that can cause foodborne illness.

Persons with weakened immune systems, including those affected by AIDS, and persons with chronic alcohol abuse, liver, stomach or blood disorders, cancer, diabetes or kidney disease should avoid raw oyster consumption altogether, regardless of where or when the oysters are harvested.

Can Raw Oysters Be Safe & Delicious?

LONDON, ENGLAND - SEPTEMBER 02:  Competitors t...
Image by Getty Images via Daylife

They need to be treated through a pasturization or post harvesting process in order to be considered safe

*******

With Avure HPP, Being “Under Pressure” Delivers Both!

While the discussion about the safety of raw oysters and potential new regulations continues, there is one thing for sure: safety and taste are not mutually exclusive for raw oysters!

Some of today’s award-winning raw oyster producers are using High Pressure Processing (HPP) from Avure Technologies – without heat or chemicals – to eliminate the potentially deadly Vibrio vulnificus bacteria, while maintaining the quality, texture and taste that raw oyster lovers demand. Avure, the global leader in high pressure science and technologies, has been keeping oysters, other shellfish and crustaceans safe from Vibrio, while reducing labor costs of shucking.

Read The Pressure Is On – Making Raw Oysters Safe AND Delicious to find out how ultra-high water pressure can solve the challenge of raw oyster safety – keeping safety regulators and customers happy!

Read How Raw Oysters Can Be Safe

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Shell Out the Warnings – State Keeps Close Watch Over Local Shellfish Industry

December 06, 2009 01:04:00 PM
MATT DIXON / News Herald Writer

PANAMA CITY — Since 2005, companies that process shellfish in Bay, Franklin and Gulf counties have been sent nearly 80 letters from the state warning that they were in violation of various industry standards.

The three are the only area counties with processors licensed by the state.

Warning letters are sent after state officials identify a range of “deficiencies” during quarterly inspections. Problems found at area processors over the last three years included shellfish being kept in refrigerators that could not maintain temperatures below 45 degrees, fly tape hung over work tables, and shellfish lying directly on the floor where people walk, according to hundreds of pages of inspection documents reviewed by The News Herald.

The number of warning letters sent to the 29 processors in Bay, Gulf and Franklin counties varied, with some processors receiving none, and one receiving 11 within the last three-year period.

Warning letters are broken into two categories, “critical” deficiencies, which must be fixed before operation can continue, and “key” deficiencies, which must be fixed prior to follow-up inspections. The letters, however, are not enforcement actions. If deficiencies are not remedied by a certain date, fines are levied.

The most common critical deficiency found in the records reviewed by The News Herald was for bags of shellfish that did not have tags indicating they came from a licensed dealer.

Officials stressed that most processors will get a warning letter at some point, and they don’t always mean a poor operation.

“It is a pretty comprehensive inspection. If we see one piece of spider web in a corner, we write that up as a violation,” said Alan Peirce, bureau chief for the Division of Aquaculture.

Because the inspections are conducted quarterly, however, companies continue to process and sell shellfish for months before state inspectors have the opportunity to document both critical and key deficiencies.

For instance, Barber’s Seafood in Eastpoint has received 11 warning letters since 2005, the most of any area processor. In 2007 alone, Barber’s received three letters and 55 total deficiencies. Each deficiency found in 2007 eventually was remedied, but because of the quarterly inspection schedules, untold numbers of shellfish were processed and sold before state investigators were aware of any problems.

Barber’s owner, David Barber, said inspectors can write up a processor for almost anything.

“Sometimes I think if they don’t write you up for something, they don’t think they are doing their jobs,” he said. “If someone leaves a Coke bottle out, or see a fly flying around they can write you up.”

In an Aug. 25, 2006, inspection, state officials found 40 deficiencies at Barber’s, including condensation dripping on shellfish, “rodents, insects, or other vermin, or evidence of their activity (droppings or runs) in the facility,” and shucked shellfish sitting out while workers were on break.

Barber said he does not remember that visit.

In Bay County, Hunt’s Oyster Bar leads the county’s four processors with five warning letters issued since 2005. Hunt’s owner Randy Hunt did not return calls seeking comment.

David Heil, who has been with the Division of Aquaculture for 30 years, said it is difficult to term the number of warning letters received by a processor excessive because there are several factors that come into play.

“It’s important to understand each violation and the severity of each violation, as well as the type of shellfish processing firm,” he wrote in an e-mail.

He did say some companies do a better job than others avoiding warning letters.

“It is a fact that some processing firms do a better job of complying with rules compared with other processing firms,” he wrote.

The Department of Agriculture offers training and education to help companies that receive warnings, he said.

Prevent outbreaks

The Department of Agriculture’s strict inspection guidelines are intended to prevent outbreaks of shellfish-related illnesses.

“That has been the focus,” said Peirce. “We want to prevent instances where you have 10,000 all get sick at once because oysters were tainted.”

Of greatest concern is Vibrio vulnificus, a pathogen found in raw shellfish that is destroyed when they are cooked. Vibrio, a bacterium from the same family as cholera, can cause illness and even death among people who have chronic illnesses and eat raw shellfish.

“Vv is supposed to be in the water, it is there all the time, but it’s in higher concentration during summer months,” Peirce explained.

In 2008, a man Bay County medical examiners said was infected with Vibrio vulnificus died at Bay Medical Center. Doctors said he had a deficient liver, making him vulnerable. His family told The News Herald he had eaten contaminated oysters.

In July, it struck a 40-year-old who was in Panama City Beach for his wedding. He ate raw oysters a few days before the ceremony and awoke from a coma two weeks later. Both of his legs were amputated. He has since returned to his home in Lebanon, Ohio.

The Food and Drug Administration recently floated a ban on the sale of oysters from the Gulf of Mexico during warm months to prevent people from contracting Vibrio-related illnesses, but dropped the proposal after stiff backlash from the industry.

Each year, about 15 people die from consuming oysters, according to the FDA.

Peirce said his department can’t prevent all illness caused from Vibrio.

“If there is a single illness, it was not because of a failure of our program. It is not designed to stop natural occurring illnesses,” he said. “It will stop people

from getting sick from sewage treatment plants leaking or something like that.”

Processed Oysters Have a Niche in National Market

By Chris Kirkham, The Times-Picayune

November 22, 2009, 5:03AM

ameripure_pasteurized_oysters.JPGDavid Grunfeld/The Times-PicayuneAmeriPure Oysters in Franklin uses a pasteurization process to essentially eliminate the vibrio bacteria from oysters. The bands around the oysters prevent the shells from popping open during the bacterial treatment process.

After a whirlwind month for the Gulf Coast oyster industry, with stringent food safety requirements on raw oysters coming and then going nine days ago, restaurant owners, oyster dealers and lovers of the salty raw delicacy are resting easier.

But while the Food and Drug Administration has backed down – for now – from the proposed 2011 bacterial treatment requirements for raw oysters in warmer months, the debate has shed light on a growing segment of Gulf oyster production that has sold treated oysters throughout the country for more than a decade.

Restaurant reviewer Brett Anderson weighs in on the flavor of processed oysters.

Most raw oyster aficionados have likely never come across the processed oysters at any local eateries. The two largest Gulf Coast companies that sell treated oysters on the halfshell during warm months – one in Houma and one in Franklin – have had success mostly with national wholesalers and out-of-state restaurant and hotel groups. Although the technology has been established for years, the process has had its share of controversy, leading to internal industry feuds and disagreements over the dangers of raw oysters.

motivatit_oyster_cylinder.JPGDavid Grunfeld/The Times-PicayuneAt Motivatit Seafoods in Houma, oysters are placed in a cylinder that goes into a high-pressure water chamber that essentially deactivates the vibrio bacteria at the molecular level.

Louisiana bars and restaurants have mostly stuck to traditional raw oysters, with some chefs saying customers in the past have noticed a difference in taste when eating the processed oysters. The outcry from consumers and restaurants over the past few weeks suggested a strong allegiance to traditional raw Gulf oysters, which are more affordable than treated oysters and more bountiful than in any other region of the country.

“The vast overwhelming response we got from Gulf Coast restaurants was that people want the traditional raw oyster to be available in the future, period,” said Kevin Begos, executive director of the Franklin County Oyster & Seafood Task Force in Apalachicola, Fla. “In the Southeast, it’s really the last place in the U.S. where a working man or woman or student can have a dozen oysters for five or six or seven bucks.”

But in the nationwide scheme of oyster consumers, the New Orleans market is only a sliver of the total pie. Large food distributors such as Sysco have sold processed oysters for years, and banquet and buffet spreads at Las Vegas casinos are likely to feature the treated products.

“Post-harvest processing has found a niche, and the niche is not always for health and safety reasons. Some of it is for convenience: It has a longer shelf life. The meat is already shucked from the shell,” said Mike Voisin, president of Motivatit Seafoods in Houma, which has one of two available bacteria-killing processes that can be used for oysters in warm months. “There’s some heritage and culture you miss there, but if you’re in Iowa somewhere, there’s probably not a lot of oyster heritage and culture there. You just want a product you can present.”

On the Gulf Coast, there are currently three methods in use that are recognized to significantly reduce the risk of vibrio vulnificus, a rare but potentially deadly bacteria present in Gulf oysters that is responsible for about 15 deaths each year. The disease mostly affects those who have immune disorders, particularly liver disease.

Only two of the three bacteria-killing processes – low-heat pasteurization and hydrostatic pressure – are applicable to oysters harvested during the warm months from April through October. The other process, individual quick freezing, deep freezes oysters, usually with the top shells removed.

At this point, those processes apply to only about 15 percent to 20 percent of the Gulf’s current production. The Gulf is responsible for about two-thirds of all oyster production in the country.

fahey_tesvich.JPGDavid Grunfeld/The Times-Picayune‘FDA has proposed this for 15 years, and that was the impetus for doing AmeriPure oysters,’ said AmeriPure managing partner Patrick Fahey, left, who teamed up with Plaquemines Parish oyster farmer John Tesvich, right, to test the market in the ’90s.

The freezing process is the most prevalent post-harvest processing technology available in the United States, but most in the industry say it is not applicable to the smaller, thinner oysters harvested during the summer months.

For treated oysters, the end product is markedly different from the sack of live oysters you might see being shucked at one of the area’s raw bars.

For one, the processed oysters are sold with bands around them – a necessary step to prevent the shells from popping open during the bacterial treatment process. That makes them generally easier to pry open, requiring less of the labor-intensive shucking that New Orleanians are accustomed to seeing. Usually the oysters have been washed, meaning shells are free of the typical gritty mud coating.

But perhaps the biggest difference is that vibrio treatment processes kill the oyster, whereas raw oysters straight from the boat remain alive until they are shucked and eaten.

The pasteurization and high pressure processing techniques were invented in the 1990s, as the FDA and a consumer group called the Center for Science in the Public Interest were turning up the heat on the Gulf oyster industry. The risks from vibrio vulnificus had received more and more attention from the FDA, with the agency requiring warning signs in restaurants where raw oysters were consumed.

Oyster prices soon took a tumble due to consumer worries.

AmeriPure Oysters got its start in 1995, after a confrontation similar to the one last month between FDA and the oyster industry over vibrio vulnificus. The FDA at that time agreed to let the industry set vibrio regulations, but AmeriPure’s founders believed that the agency would eventually shut down the raw oyster market in the Gulf during the summer because of the health concerns.

“When somebody says that this was coming out of left field, that is coming from somebody who doesn’t know anything about the oyster industry. FDA has proposed this for 15 years, and that was the impetus for doing AmeriPure oysters,” said managing partner Patrick Fahey, who teamed up with Plaquemines Parish oyster farmer John Tesvich to test the new market in the ’90s. “If you don’t change the business paradigm when you have big guns pointed at you, you’ll be out of business soon enough. And the FDA represented big guns back in ‘94.”


Oyster processing methods: Click to open graphic in new window.

Working with LSU’s Department of Food Science, Tesvich and Fahey, who used to run the Delta Queen Steamboat Company, patented the pasteurization process to essentially eliminate the vibrio bacteria from oysters.

Workers at their plant in Franklin sort oysters by size, putting rubber bands around each one to prevent the shells from opening during the pasteurization process.After they are banded, the oysters are set on a tray and sent slowly on a conveyor through a vat of 126-degree water for 24 minutes. Afterward, the heated oysters are placed into a separate tub of near-freezing water to prevent the oyster from cooking.

For the first five years the company struggled financially. And AmeriPure’s marketing tactics, often highlighting the dangers of eating raw oysters, won few friends in the oyster industry.

In 1999, some partners in thecompany were party to a lawsuit that asked a state judge to requirethat all Louisiana oysters go througha bacterial treatment process. Many in the industry, including Voisin, who now has another bacteria-killing process, cried foul.

Tesvich and Fahey now say they regret being involved in the suit.

As AmeriPure was getting its start, Voisin’s company, Motivatit Seafoods, came along with a different bacterial treatment process in 1999. The high hydrostatic pressure technology essentially deactivates the vibrio bacteria at the molecular level by subjecting the oysters to intense water pressure.

Oysters are placed into a cylinder that goes into the high pressure water chamber. Water is then pumped into the chamber surrounding the cylinder for three minutes, exerting pressures of 35,000 to 40,000 pounds per square inch – twice the pressure of the Mariana Trench, the deepest ocean location on Earth.

mike_voisin.JPGDavid Grunfeld/The Times-Picayune‘We don’t believe in a nanny state. We should have the opportunity to make choices, and we should be educated about those choices,’ said Mike Voisin, president of Motivatit Seafoods in Houma. Motivatit sells banded, raw oysters just as AmeriPure does, but the company also uses the high-pressure technology as a way to more efficiently shuck oyster meat.

A sizable part of Motivatit’s business comes from sales of shucked oyster meat in gallon or pint containers. The pressure opens the oysters, allowing workers to more quickly get at the oyster meat.

Joey Oysters, a processor in Amite, also has the high-pressure technology. Officials with the company did not return calls seeking comment.

Although AmeriPure and Motivatit have the post-harvest processing technology in place, the owners have different views on the risks posed by raw oysters.

Although about 50 percent of his business is in selling treated oysters, Voisin was one of the loudest critics of the FDA proposed requirements. Fahey and Tesvich of AmeriPure, which sells about 90 percent of its oysters pasteurized, took no official position, but said they anticipated the stricter regulations years ago and have adjusted their business model to adapt.

Although the FDA has put off enacting its regulations, AmeriPure has plans to expand its operations to another plant in Plaquemines Parish partly using a competitive grant program from the state.

“This has been the No. 1 topic affecting oysters for the past 19 years. When you’re faced with a problem, it’s how you react to the problem. It’s about fighting back and making the best of it,” Tesvich said. “If you’re not dealing with it, if you’re in denial, that’s not a good way to handle this.”

Tesvich and Fahey also argue that the risks posed by vibrio vulnificus have turned off consumers in higher-end markets on the west and east coasts, where some select Pacific oysters can go for $4 or $5 each. California, for example, banned Gulf oysters in 2003 that had not undergone the bacterial treatment process.

“The Gulf has helped those guys do a wonderful job and command big money for the oysters, because we’ve been kept out. There’s a stigma attached,” Fahey said. “If the stigma comes off the Gulf oyster, the Gulf oyster’s going to find fans in other parts of the country where they’re currently not doing too well.”

Voisin has taken a different approach, arguing that consumers deserve a choice in the type of oysters they eat, and should be aware of the risks when eating raw oysters.

“We don’t believe in a nanny state. We should have the opportunity to make choices, and we should be educated about those choices,” Voisin said. “We’re not trying to do it saying the traditional market is a problem. The traditional product is safe unless you’re part of that at-risk group.”

Chris Kirkham can be reached at ckirkham@timespicayune.com or 504.826.3321.

L.A. times Editorial Article

The FDA’s attempt to regulate raw Gulf Coast oysters didn’t sit well in the South, but something needs to be done because people are dying.

November 21, 2009

Every year, about 15 people die after eating raw oysters tainted with a bacterium that has no effect on healthy diners but can be deadly to those with HIV, cancer, liver disease or otherwise compromised immune systems. The deaths are easily preventable. Only a small percentage of oysters have high levels of the bacterium Vibrio vulnificus — those harvested from the Gulf Coast during the summer months. And processing them with pressure, refrigeration or heat significantly lowers the amount of bacteria, making them safer for consumption. To that end, the U.S. Food and Drug Administration last week announced that it would require summer harvests of Gulf Coast oysters to be processed before sale beginning in 2011.

The agency might as well have outlawed gumbo. Throughout the South, and particularly in Louisiana, where two-thirds of the nation’s oysters are harvested, irate legislators, oyster farmers and connoisseurs told the government to back off: If people want to risk their lives for a plate of cold oysters, fresh lemon juice and just a dash of hot sauce, then that’s their business. Processing, they said, ruins the taste. More to the point, the FDA’s mandate, they said, would jeopardize 3,500 jobs and destroy the livelihood of generations-old family businesses by requiring them to invest in cost-prohibitive technology. Within days, the FDA canceled the ban on untreated oysters. For now.

It was the right move, allowing for a more cooperative and conciliatory approach to determining whether the aims of both sides can be met. There are processing methods, for instance, that hold promise for doing so, such as “offshore relaying,” in which harvested oysters are moved to salty waters, where the high salinity kills the bacterium. Now the FDA and other agencies will study its potential.

The FDA also plans to study the economics of processing to help the industry adapt. Although treated oysters may alienate some purists, other diners may be reassured and give raw oysters a shot. Also, markets currently closed to warm-weather Gulf Coast oysters because of the dangers may open.

As for public health, the best case study may be California. In 2003, after 40 deaths over a 10-year period, the state required warm weather Gulf Coast oysters to be processed. Since then, there have been no Vibrio deaths, and some oyster businesses have adapted to the new rules. But one thing is clear: For all the talk of cooperation, the FDA’s ultimate goal is to help the industry “transition.” Because the one argument the Gulf Coast oyster industry has not successfully made is that the deaths of those 15 people a year don’t matter.

Copyright © 2009, The Los Angeles Times

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