listeria monocytogenes intervention and control workshop
TRANSCRIPT
Listeria monocytogenes Intervention and Control Workshop for the Produce IndustrySeptember 13 - 14, 2018
Seaside, California
General Session: Background Information on Lm/Listeriosis
Presented by Sonia Salas
Senior Director Science & Technology
Listeria 101: a quizSource:
Jennifer McEntire, Ph.D.
United Fresh Produce Assn
Question 1:
• Which of the following groups is not considered highly vulnerable to listeriosis?
• Pregnant women• Children• The elderly• The immuno-compromised
Question 1:
• Which of the following groups is not considered highly vulnerable to listeriosis?
• Pregnant women• Children• The elderly• The immuno-compromised
Question 2:
• How many illnesses are associated with listeriosisannually?
• 16• 160• 1,600• 16,000
Question 2:
• How many illnesses are associated with listeriosisannually?
• 16• 160• 1,600• 16,000
So why are we making a big deal about it?
Question 3:
• After eating contaminated food, how long is it before someone shows symptoms of listeriosis?
• 1-4 weeks, up to 70 days• 3-4 days, up to 1 week• 2-3 months, up to 6 months• 7-10 days, up to 30 days
Question 3:
• After eating contaminated food, how long is it before someone shows symptoms of listeriosis?
• 1-4 weeks, up to 70 days• 3-4 days, up to 1 week• 2-3 months, up to 6 months• 7-10 days, up to 30 days
Discussion Question
• Who remembers what they ate 70 days ago?
Question 4: True/ False
• FDA performs Whole Genome Sequencing on every L. monocytogenes found during a swabathon
Question 4: True/ False
• FDA performs Whole Genome Sequencing on every L. monocytogenes found during a swabathon
• True• How does this relate to the previous question about
remember what you ate 70 days ago?• Poll: How many of you have experienced a swabathon
Question 5:
• Why is Listeria difficult to control?• Listeria can grow at refrigeration temperatures• Listeria can hide in niches where they are difficult to
remove through normal sanitation• It’s “ubiquitous” in the environment• All of the above
Question 5:
• Why is Listeria difficult to control?• Listeria can grow at refrigeration temperatures• Listeria can hide in niches where they are difficult to
remove through normal sanitation• It’s “ubiquitous” in the environment• All of the above
What does “ubiquitous” mean?... More on that…
Question 6: True/False
• Listeria is a zoonotic organism like Salmonella, meaning that it’s commonly associated with animal hosts?
Question 6: True/False
• Listeria is a zoonotic organism like Salmonella, meaning that it’s commonly associated with animal hosts?
• False• Listeria is a soil –associated organism
“ubiquitous”
• 17.5% NY farm soil samples positive for L. monocytogenes (2013 Strawn et al. AEM)
• 30% of 74 water samples positive• Non-irrigation surface water
• 1% positive for “raw cut vegetables” in market basket survey (2017 Luchansky et al. JFP)
• Ubiquitous ≠ can’t be controlled in your facility
Question 7: True/ False
• Listeria are always pathogenic
Question 7: True/ False
• Listeria are always pathogenic
False. Two species are pathogenic. L. monocytogenes is a human pathogen. There are several other non-pathogenic species.
Question 8:
• Which of the following foods has not been recalled due to L. monocytogenes?
• Ice cream• Hummus• Macadamia nuts• Frozen waffles• Organic basil pesto• Butternut spirals• Frozen vegetables• Peaches• Leafy greens, sliced apples, onions, etc.
Reportable Food Registry Identifies Concerns
Salmonella
33%
Undeclared allergens
36%
L. mono-cytogenes
18%
Other13%
Reportable Food Registry Reports 2009-2013
• Electronic portal for industry to report foods when use is reasonably likely to cause illness, injury or death
• Biological hazards in foods are reported most frequently
• Undeclared allergens represent about 1/3 of reports
Listeria monocytogenes in Produce?
Listeria monocytogenes does not grow when:
• The pH of the food is ≤ 4.4
• The water activity of the food is ≤ 0.92
• The food is formulated to contain a combination of factors scientifically demonstrated to prevent growth (antimicrobials, preservatives)
Listeria monocytogenes in Produce?
Listeria monocytogenes does not grow when:
• The pH of the food is ≤ 4.4
• The water activity of the food is ≤ 0.92
• The food is formulated to contain a combination of factors scientifically demonstrated to prevent growth (antimicrobials, preservatives)
Listeria monocytogenes in Produce?
pH: Fruits, Vegetables/other foods
Source: Clemson University
Abalone 6.10 - 6.50 Apple, eating 3.30 - 4.00 Apples, Delicious 3.9 Apples, Golden Delicious3.6 Apples, Jonathan 3.33 Apples, McIntosh 3.34 Apricots 3.30 - 4.80 Artichokes 5.50 - 6.00 Asparagus 6.00 - 6.70 Avocados 6.27 - 6.58 Banana, yellow 5.00 - 5.29 Beans, Lima 6.5 String beans 5.6 Beans, Wax 5.30 - 5.70 Beets 5.30 - 6.60 Blackberries, Washington 3.85 - 4.50 Blueberries, Maine 3.12 - 3.33 Broccoli, cooked 6.30 - 6.52 Brussels sprout 6.00 - 6.30 Buttermilk4.41 - 4.83 Cabbage 5.20 - 6.80 Cabbage, Green 5.50 - 6.75 Cabbage, Red 5.60 - 6.00 Cabbage, Savoy 6.3 Cabbage, White 6.2 Cantaloupe 6.13 - 6.58 Carrots 5.88 - 6.40 Cauliflower 5.6 Celery 5.70 - 6.00 Cherries, California 4.01 - 4.54 Cherries, Royal Ann 3.80 - 3.83 Chicory 5.90 - 6.05 Corn 5.90 - 7.30 Cucumbers 5.12 - 5.78 Eggplant 5.50 - 6.50 Escarole 5.70 - 6.00 Figs, Calamyrna 5.05 - 5.98 Garlic 5.8 Grapes, Seedless 2.90 - 3.82 Grapefruit3.00 - 3.75 Greens, Mixed, chopped 5.05 - 5.22 Jackfruit 4.80 - 6.80 Kumquat, Florida 3.64 - 4.25 Leeks 5.50 - 6.17 Lettuce 5.80 - 6.15 Lettuce, Boston 5.89 - 6.05 Lettuce, Iceberg 5.70 - 6.13 Lime 2.00 - 2.80 Lychee 4.70 - 5.01
Mangoes, ripe 3.40 - 4.80 Melon, Casaba 5.78 - 6.00 Melons, Honey dew 6.00 - 6.67 Melons, Persian 5.90 - 6.38 Mushrooms 6.00 - 6.70 Nectarines 3.92 - 4.18 Onions, red 5.30 - 5.80 Onion white 5.37 - 5.85 Onions, yellow 5.32 - 5.60 Oranges, Florida 3.69 - 4.34 Palm, heart of 6.7 Papaya 5.20 - 6.00 Parsley 5.70 - 6.00 Parsnip 5.30 - 5.70 Peaches 3.30 - 4.05 Pears, Bartlett 3.50 - 4.60 Peppers 4.65 - 5.45 Peppers, green 5.20 - 5.93 Persimmons 4.42 - 4.70 Pineapple 3.20 - 4.00 Plums, Blue 2.80 - 3.40 Plums, Damson 2.90 - 3.10 Plums, Green Gage 3.60 - 4.30 Plums, Red 3.60 - 4.30 Plums, Yellow 3.90 - 4.45 Potatoes 5.40 - 5.90 Sweet Potatoes 5.30 - 5.60 Yams – Tubers 5.7 Pumpkin 4.90 - 5.50 Radishes, red 5.85 - 6.05 Radishes, white 5.52 – 5.69 Raspberries 3.22 - 3.95 Rhubarb 3.10 - 3.40 Romaine lettuce 5.78 - 6.06 Scallion 6.20 Spinach 5.50 - 6.80 Strawberries 3.00 - 3.90 Strawberries, California 3.32 - 3.50 Sweet Potatoes 5.30 - 5.60 Swiss Chard, cooked 6.17 - 6.78 Tangerine 3.32 - 4.48 Tomatillos 3.83 Tomatoes 4.30 - 4.90 Tomatoes, Vine ripened 4.42 - 4.65 Turnips 5.29 - 5.90 Turnip, greens, cooked 5.40 - 6.20 Watercress 5.88 - 6.18 Watermelon 5.18 - 5.60 Zucchini, cooked 5.69 - 6.10
Listeria monocytogenes in Produce?
pH of most fruits/vegetables is ≥ 4.4
Listeria monocytogenes does not grow when:
• The pH of the food is ≤ 4.4
• The water activity of the food is ≤ 0.92
• The food is formulated to contain a combination of factors scientifically demonstrated to prevent growth (antimicrobials, preservatives)
Listeria monocytogenes in Produce?
WATER ACTIVITY VALUES OF SELECT FOOD INGREDIENTS AND PRODUCTS
Shelly J. Schmidt and Anthony J. Fontana, Jr (2007)
FRUITS
Apples 0.988–0.975 Apples 0.988 Apple, Gala 0.985 Apple, Red Delicious 0.984 Apricots 0.985–0.977 Bananas 0.987–0.964 Bananas 0.979 Blackberries 0.989–0.986 Blueberries 0.982 Cherries 0.986–0.959 Cherries, Sour 0.983–0.971 Cherries, Sweet 0.975 Cranberries 0.989 Currants 0.990 Dates 0.974 Figs 0.974 Grapefruit 0.985–0.980 Grapes 0.986–0.963 Lemon, Fresh 0.998 Lime, Fresh 0.998 Mangoes 0.986 Melon 0.991–0.970 Nectarines 0.984 Oranges 0.987–0.979 Papaya 0.990 Peach, Fresh 0.998 Pears 0.989–0.979 Persimmons 0.976 Pineapple 0.988–0.985 Plums 0.982–0.969 Quinces 0.981–0.972 Raspberries 0.994–0.984 Strawberries 0.997–0.986 Tangerines 0.987 Watermelon 0.992 Vegetables Artichokes 0.987–0.976 15 Asparagus 0.994–0.992 15 Avocado 0.989 15 Beets 0.988–0.979 15 Broccoli, Sprouting 0.991
Brussel Sprouts 0.990 Cabbage 0.992–0.990 Carrots 0.993–0.983 Cauliflower 0.990–0.984 Celeriac 0.990 Celery 0.994–0.987 Celery Leaves 0.997–0.992 Corn, Sweet 0.994 Cucumbers 0.998–0.992 Eggplant 0.993–0.987 Endive 0.995 Green Beans 0.987 Green Pepper 0.998 Green Onions 0.996–0.992 Lima Beans 0.994 Leeks 0.991–0.976 Lettuce 0.996 Mushrooms 0.995–0.989 Onions 0.990–0.974 15 Parsnips 0.988 Peas, Green 0.990–0.980 Peppers 0.997–0.982 Potato, Russet, Baking 0.993 Potatoes 0.997–0.988 Potatoes, Sweet 0.985 Pumpkins 0.992–0.984 Radishes 0.990–0.980 Radishes, Small 0.996–0.994 Rhubarb 0.989 Rutabagas 0.988 Spinach 0.998–0.994 Squash 0.994–0.996 Tomatoes 0.998–0.991 Turnips 0.988 15
Listeria monocytogenes in Produce?
Water activity (aꙍ) forfruits/vegetables
is ≥ 0.92
Listeria monocytogenes does not grow when:
• The pH of the food is ≤ 4.4
• The water activity of the food is ≤ 0.92
• The food is formulated to contain a combination of factors scientifically demonstrated to prevent growth (antimicrobials, preservatives)
Listeria monocytogenes in Produce?
What makes Listeria monocytogenesso unique?
• It is hardy and salt-tolerant
• It can survive and grow under refrigeration
temperatures
• It is ubiquitous in the environment (soil, decaying
vegetation)
• L. mono can cause 1) listerial gastroenteritis (a mild,
non-invasive illness) or 2) listeriosis (a severe, invasive
illness)
• Listeriosis has a high mortality rate compared to
illnesses caused by most other foodborne pathogens
(~20% compared to <1 % for Salmonella or E. coli
O157)
What is Listeriosis?
• Serious infection
• Affects pregnant women,
newborns, older adults and
people with weakened immune
systems
• Can cause bloodstream infections
(sepsis) or brain infection
(meningitis or encephalitis).
Listeriosis outbreaks
Table 1. Listeriosis outbreaks associated with fresh produce
Source: Listeria monocytogenes in Fresh Produce: Outbreaks, Prevalence and Contamination Levels, Qi Zhu, Ravi
Gooneratne and Malik Altaf Hussain
Listeria Persistence
Martin Wiedmann
Department of Food Science
Cornell University, Ithaca, NY
E-mail: [email protected]
Phone: 607-254-2838
Thank you to Drs. John Butts and Laura
Strawn for pictures and helpful discussions
Sample Source
*
VISIT 2
VISIT 3
VISIT 1
*
**
*
**
**
***
*
*
**
Sample Ribotype Sample Source RiboPrint® Pattern
1039C (E) Floor drain, raw materials area
1039C (E) Floor drain, hallway to finished area
1039C (IP) Troll Red King Salmon, in brine, head area
1039C (IP) Troll Red King Salmon, in brine, belly area
1039C (IP) Brine, Troll Red King Salmon
1039C (IP) Faroe Island Salmon, in brine, head area
1039C (F) Smoked Sable
1039C (F) Cold-Smoked Norwegian Salmon
1044A (E) Floor drain, brining cold room 1
1044A (R) Raw Troll Red King Salmon, head area
1044A (IP) Brine, Faroe Island Salmon
1045 (R) Raw Troll Red King Salmon, belly area
1045 (IP) Faroe Island Salmon, in brine, head area
1053 (IP) Norwegian Salmon, in brine
1062 (E) Floor drain #1, raw materials preparation
1039C (E) Floor drain #1, raw materials preparation
1039C (E) Floor drain, brining cold room 1
1039C (E) Floor drain #2, raw materials preparation
1039C (E) Floor drain #2, raw materials receiving
1039C (E) Floor drain, finished product area
1039C (E) Floor drain, hallway to finished area
1039C (IP) Brine, Troll Red King Salmon
1039C (F) Smoked Sable
1044A (IP) Sable, in brine
1044A (IP) Brine, Faroe Island Salmon
1062 (IP) Brine, Norwegian Salmon
DNA fingerprinting can identify persistence in plants
L.mono/Listeriosis
Final thoughts
• Fresh produce may support L.mono
growth
• L.mono is an environmental pathogen and
can be persistent
• Listeriosis has a high mortality rate
• A preventive approach is needed (sanitary
design, process management,
environmental monitoring, etc.)
Sonia SalasSenior Director, Science & Technology
Thank you!
Questions