If you’re reading this from the hospital, it may be too late. If you’re feeling a bit queasy after a big meal of turkey, stuffing, and veggies, you may want to eat an antacid before continuing to read.
Stuffing and Disease
Cooking a stuffed turkey has been linked to food-borne illness. The problem stems, not from the inherent danger of stuffing, but from the cross-contamination of stuffing with turkey juices. If the now-potentially-bacteria-laden stuffing does not reach the same internal temperature as the meat (165 degrees F), there is a risk that bacteria from the meat may survive the cooking process.
In 2009, Greig and Ravel analyzed internationally reported foodborne outbreak data for source. 105 outbreaks were attributed to turkey and other poultry (not including chicken) between 1988 and 2005. (It is important to remember in this instance that an outbreak of disease means that more cases are reported than normally expected for that time frame.) These outbreaks included Clostridium perfringens(botulism’s less deadly cousin), Campylobacter(which causes diarrhea, sometimes bloody), E. coli, Listeria monocytogenes(the causative agent of listeriosis, one of the nastier food-borne illnesses. 20-30% of cases result in death), multiple types of salmonella and staph, and norovirus. (I can ensure you that there is no faster way to ruin a holiday than to infect your whole family with norovirus. Or listeriosis. ) Continue reading →
Less than a month ago, volunteers at Sleeping Bear Dunes started noticing a problem. Dozens of loons and other aquatic birds were washing up from the Great Lakes, dead from botulism poisoning. While botulism is present in the Great Lakes and birds do die from it, biologists are reporting that the ducks are dying in far higher numbers than usual. Botulism is usually associated with improperly prepared canned goods, so why is it swimming around the Great Lakes?
First off, What is botulism?
Botulism is an illness caused by the toxin produced by a specific type of bacteria – Clostridium botulinum. This toxin causes muscle paralysis, and if untreated can result in death. Treatment can include pumping the victim’s stomach, flushing the lower gastrointestinal tract with an enema, or administration of an antitoxin. (Not a pleasant experience, I am sure.) Continue reading →
The e-mails started on Friday. The director of my home county’s Medical Reserve Corps (MRC) sent out a request that all volunteers report their status for the upcoming hurricane. Would we be available in the event that Hurricane Sandy hit Northern Virginia? As the news reports came in and bloggers up and down the eastern seaboard reported what was going on, I couldn’t help but feel like I should be down there. I’ve spent most of my life on the East Coast; many friends and family members were hunkering down and waiting for the storm to pass. Thankfully, everyone I know pulled through safely.
Before I got involved in public health, my mental image of disaster response was a mish-mash of government response and spontaneous volunteers. The images of Hurricane Katrina on TV showed FEMA agents and uniformed National Guardsmen in one clip and college students and church groups in another. However, there is a middle ground – organized groups of people who train to specifically respond to disasters on a volunteer basis. The category of is a broad, and it includes many EMTs, firefighters, response teams, and search and rescue teams that have day jobs and work alongside their full-time colleagues. For the sake of this article, I’m going to focus on the groups that anyone can join regardless of experience. Continue reading →
As of 4:30 PM on October 24th, 24 deaths have been reported due to a multi-state outbreak of fungal meningitis (swelling of the membranes of the brain or spine caused by a fungal infection). It is believed that the culprit is contaminated steroids, specifically methylprednisolone acetate, an injectable steroid to treat back and joint pain. While investigation of the causes of this outbreak is ongoing, specific lots of steroids made by the New England Compounding Company (NECC) have been pulled from use. NECC has since voluntarily ceased operations, recalled all products, and surrendered its pharmacy license.
What is Causing the Outbreak?
The primary causative organism is Exserohilum rostratum, a fungus typically found on plants and in the soil. It rarely causes disease in humans, and usually when it does infect humans it results in skin or sinus infections. This has made it difficult to provide precise information on when to expect symptoms to occur; the data are not available on fungal meningitis caused by E. rostratum. Continue reading →
Just in time for Breast Cancer Awareness Month, the American College of Surgeons issued a press release with a potentially life-saving finding. Detailed in the press release are the results of a study recently conducted at Memorial Sloan Kettering Cancer Center (MSKCC) where scientists recently conducted a study in mice and found that a new vaccinia virus (named GLV-1h164) can kill Triple Negative Breast Cancer (TNBC) cells.
Vaccinia is a poxvirus, and it is in the same family as smallpox and monkeypox. In fact, vaccinia is the virus used in the smallpox vaccine. The virus in this study works by preventing the tumor from recruiting blood vessels (angiogenesis), a crucial step in cancer spreading. If a tumor can’t recruit blood vessels, then it can’t receive oxygen and nutrients from the blood. This virus effectively starves the tumor.
The Triple Negative of TNBC refers to breast cancers that do not express genes (a process where information from genes is turned into an actual product like a protein) for:
Estrogen receptors – The status of these receptors determines a tumor’s susceptibility to hormonal chemotherapy drugs like tamoxifen. If receptors are present, hormonal treatments can be used in treatment.
Progesterone Receptors – Like estrogen receptors, presence of these receptors indicates a tumor’s susceptibility to hormonal treatments
Human Epidermal Growth Factor Receptor 2 or HER2 – A common target for cancer treatments, since HER2 overexpression leads to aggressive cancers Continue reading →
Last week a new study regarding Eastern Equine Encephalitis (EEE) was published online (Bingham et.al.). EEE is a mosquito-borne virus that can cause serious, and sometimes deadly, disease in humans and equines. In warmer parts of North America, the virus is spread year-round, but in areas where mosquitoes get killed off in the winter it has been something of a mystery as to how the virus makes it from year to year. Humans and equines are both dead-end hosts, which means that a mosquito can not be infected from biting an infected person or horse. Researchers in Alabama found that wild snakes in the Tuskegee National Forest were positive for Eastern Equine Encephalitis virus (EEEV), which could explain how EEE was maintained after the first frosts killed off infected mosquitoes. Essentially, what would happen is that an infected mosquito bites a snake, probably during the summer or early fall, and the snake harbors the virus in its blood during the winter. Then, in the spring, an uninfected mosquito (which overwinters as a larva) bites the snake and acquires the virus. This now-infected mosquito can bite a horse or a human, who can then get sick. (I’m sensing a Chad Gadya theme here. Just me? Ok…) Continue reading →