Our process of farming
and regulating produce food safety is upside down and backwards.
Human pathogens constantly flow from urban environments and animal
production into farm environments, contaminating water and soil, and finding a
home in wildlife. Then we ask farmers to deliver pathogen-free fruits and
vegetables.
Produce is increasingly sold as centrally processed fresh-cut products,
diced fruits and cut salads in wholesale and retail packages, facilitating
cross-contamination without a kill step. Then it is shipped in closed plastic
containers that can allow pathogen maintenance and growth, with use-by dates of
about three weeks from harvest. A cold chain for processing and delivery, that
prevents E. coli O157:H7, for example, from multiplying allows Listeria to
survive or thrive.
On farm, two of the greatest hazards have nothing to do with actually
growing the crop. Washing, cooling and storage -- on-farm handling, and
providing sanitary conditions for employees that do not lead to
human-to-produce contamination. On farm regulation focuses on field practices.
Farmers are asked to cut down trees and shrubs, which provide habitat
for birds; to fence off fields and water sources, which might attract deer and
other large species; to bury poisoned bait stations around the perimeters of
their field, to prevent squirrels, mice, shrews and other rodents from entering
their fields; to remove the low-growing filter strips next to streams, which
actually prevent fertilizer run-off and some pathogens from entering the
streams, because they also attract wildlife.
They are supposed to have management practices that prevent flies and
other insects, snails and other invertebrates, frogs and other amphibians, from
carrying human pathogens onto their fields. All have been shown to be potential
carriers. Since farm food safety is focused on growing operations, sources that
provide human pathogens to contaminate the fauna of a farm ecosystem are not
regulated.
I use produce outbreaks where there have been outbreak investigation
reports as case studies that provide some, limited, evidence. They may or may
not support this thesis. They provide a window into how produce safety is being
framed and understood.
In this article two of the 2011 outbreaks are covered: the Jensen Farm
Listeria-cantaloupe outbreak and the Jaquith Farms O157:H7 strawberry outbreak.
The implications for food safety policy are covered on the national and then
small-farm scales.
Using the normal rules of thumb that make sense of food safety, there
should never have been a Jensen Farms lLsteria cantaloupe outbreak. We may be
in a changed world.
The FDA environmental assessment Report (1) states:
"This is the first listeriosis outbreak associated with a whole
fruit or vegetable raw agri- cultural commodity. Listeria monocytogenes
contamination has historically been associ- ated with ready-to-eat and
processed food products, such as deli meat, unpasteurized cheese, raw milk,
fresh-cut fruit, and fresh-cut vegetables, and is typically thought of as an
environmental contaminant of food plants. Known reservoirs for Listeria
monocytogenes include ruminant animals (e.g., cattle, goats, and deer),
decaying vegetation, and cold, wet, and difficult to clean environments."
Fresh-cut fruits and fresh-cut vegetables are recent food additions to
the list. The usual combination of concern is Salmonella and cantaloupes, not
Listeria,
With 33 deaths out of 146 reported cases, the Listeria-cantaloupe
outbreak was one of the worst foodborne outbreaks in over 80 years. The death
rate is close to 25 percent.
In many outbreak investigation reports I have read, "absence of
evidence" in a processing facility is taken to be "evidence of
absence," even when it was documented that management had spent up to a
week sanitizing their plant post-outbreak and pre-inspection.
In the Jensen Farms case, the equipment design and facility design
prevented sanitation, both before the outbreak and before the investigation.
Outbreak strains were found within the packing facility and cold storage. It
was a rare case of presence of evidence, and some equipment had to actually be
cut out and replaced in order to be sanitized to show no Listeria.
When the FDA looked for a source of contamination on-farm, they took
the more usual approach.
"All environmental samples collected in the growing fields were
negative for Listeria monocytogenes."
Despite this:
"FDA has determined that the growing environment cannot be
eliminated as a potential
contributor in the introduction of Listeria monocytogenes
contamination..."
That is true, as far as it goes, but it is also true of pretty much
every farm in the country, given the ubiquity of ruminants and of Listeria in
the environment. It does not do much to explain the origins or root cause of
this unique case (2).
Many observers, including Bill Marler, have characterized the on-farm
handling as gross negligence; and condemned the lack of prevention by food
safety auditors. Jensen Farms had passed its audits for safety. Its papers were
in order.
Now Jensen Farms appeared to me to be a large or very large operation
responsible for a national outbreak centered on Colorado and Texas. Based on
the recalled canta-Jim loupes alone, it looked like it probably was one of the
5,600 largest farms in the country with farm gate sales of over $5 million.
Jim Prevor had outstanding coverage of the outbreak in his Perishable
Pundit articles but with a very different perspective (3):
"If Wal-Mart really put food safety first, it would have never
bought cantaloupes from this small producer, which produced in a six-week
season what California ships in a day."
A small farm with local production, and small farms are not safe? We do
not seem to be talking about the same outbreak. When I asked him about this, it
turned out we were using the same words with different meanings from different
contexts (4).
Prevor's context is the national produce market, dominated by the
largest buyers and their major produce suppliers. The vocabulary of the buyers
is different than farmers, and perhaps most of their customers.
"Local" can be defined as "within a 7 hour drive" by Whole
Foods. "Small" in this world of the top strata within the top 5,600
farmers (the number is for all crops, not just produce) includes Jensen Farms.
He estimated that maybe 10 of the very large melon farms in the U.S. had the
money, size and motivation for a particular kind of food-safety processing
equipment.
His main point was that the largest buyers do not make food safety
their first priority in buying decisions, when one looks at how they actually
operate. For example, if they can label produce as "local," in their
terms, this can have top priority. Buying from a "small" farm like
Jensen Farms may meet a marketing decision for "local" produce,
despite there being major farms with better food safety capacity. Therefore
"safe versus local" as a choice. He was using the words as industry
terms; to people outside the industry, they read differently.
Prevor then makes a critical observation: that how major produce buyers
are actually rewarded determines the effectiveness of food safety commitments.
He wrote an interesting analysis of overall food safety issues, including
changing liability so that food safety is not unrewarded (5). On a national
policy level his approach and mine have many points in common. Trying to use
common language:
The food system as a whole should be evaluated by a hazard analysis.
The worst hazards overall should have the highest priority for being dealt
with.
To really have an effective outbreak, one has to have a way to spread
and multiply the pathogens; incidental contamination won't do the job.
Any centralized source for contaminating produce, which spreads,
multiplies, and preserves pathogens is more dangerous than any incidental
source. Handling and processing can be major centralized sources in handling,
and fresh-cut is a special hazard in part because it is food processing without
a kill step.
Widespread hazards from the farm environment also can create broadly
contaminated produce, for example from contaminated surface water or ground
water or flooding.
Within farming operations, handling operations, packing and cold
storage as in Jensen Farms, might be the highest priority after water quality
and direct exposure to feces. Texas may be the state that has gotten this
right, with a new law focused on on-farm handling (and processing).
Incentives for individual decision makers also can determine over-all
food safety. Company incentives for major buyers are also a critical control
point for food safety. Business expansion and growth with increased contracted
deliveries can be a hazard for two reasons: newly acquired equipment can be a
hazard, and pressure to deliver can lead to pressure on safety standards (6).
However, right now, we are quite distant from this approach.
On October 06, 2006, as the spinach outbreak was ending, the FDA put
out one of the bluntest statements issued by a bureaucracy, saying to the
lettuce and spinach industry that enough was enough, clean up your act or we
will do it for you; and inadvertently creating the category of "leafy
greens" (7).
In my view, what happened next was a tactically brilliant takeover by
the major processors and handlers of the produce safety issue, starting with
the California LGMA. It left farmers under the control of processors, who
somehow left out the food safety issues of handling and processing operations.
The fundamental flaw in this approach is that in the absence of an
effective kill step, for fresh-cut in particular, they basically have to
sterilize the farm environment instead, which is impossible. It can be an
ecological, social and strategic disaster. [For detailed discussions of the
impact on farm environments see the Wild Farm Alliance website (8).]
This "processor-favoring" approach dominates all discussions
of food safety on farms.
A cold-hearted analysis of sprouts as a commodity, that takes food
safety as the first priority, is that they should be cooked. A cold-hearted
analysis of fresh-cut as a commodity is that it is a food safety failure. We
could go back to local production consumed within a few days of harvest for
salad greens; local food service doing their own cutting for
"fresh-cut" fruits and vegetables. This eliminates the pathogen
increase time from farm to retail to consumption, and other factors. As
commodities, both sprouts and fresh-cut lack kill steps and provide humid
sealed environments in plastic containers for pathogen maintenance and
increase.
Food safety, looked at cold-heartedly, is not the top priority when
fresh-cut processing is analyzed. Other factors, including market share,
value-added, and consumer convenience are priorities. Priorities have to be
balanced, perhaps. It is not a justification for displacing all food safety
concerns onto farms.
That still leaves the whole produce outbreaks.
It's curious. No one studies the effectiveness of small farms at
achieving food safety. I once heard an FDA hearing commissioner explain to an
audience of mainly large processors and grower-shippers: "what you call a
spinach harvester, I call a pathogen inoculator." Harvesting on small
farms is completely different, but which techniques are better or worse for
food safety in comparison?
Can small farms really have a better safety record, and if so why; due
to which practices?
The 2011 E. coli O157:H7 outbreak in Oregon involving Jaquith
Strawberry Farm, initially thought to be a small grower, looks like a fairly
large producer, distributing through multiple channels. One of them, Ron Spada
Farms, was reported to have recalled 4,800 flats still in inventory after the
outbreak trace-back. Other strawberries went to roadside stands, farm stands
and farmers markets as if they were self-produced (9).
This can make "knowing your farmer" problematic. The farmer
wasn't small, and the people who looked like small farmers weren't farmers, or
had not grown the crop. Consumers may have had the illusion they were buying
from a small local farmers in many parts of Oregon. Only the epidemiological
trace-back found the common source.
There was no complete outbreak investigation report, but the outbreak
strain was found in deer feces in the actual sole-farm's strawberry production
field. If there is a widespread pathogen contamination of deer, it did not
affect multiple producers.
UC Davis field studies showed that O157:H7 in deer in California was
quite rare, challenging the frequently made association with some California
outbreaks. Oregon might be different.
There are many actual small strawberry producers in Oregon. They all
managed to avoid causing outbreaks. There also are very large producers
(super-farms) including Driscoll's, which appears to have an outstanding food
safety record, who also grew and sold strawberries safely.
It looks like this outbreak could have been due to negligence, probably
at harvest, on one "medium" sized farm; that ordinary precautions
might have been enough to prevent contamination even with the presence of E.
coli O157:H7 in local deer.
Is there a statistical distribution of food safety by farm size? We
know that the pressure of growth can be a major hazard point, throughout the
produce outbreak record. Food safety can slip under the pressure to meet
increased sales.
Actual incentives are not just a hazard point for the largest national
produce buyers; they can compromise safety priorities for individuals or
operations anywhere in the supply chain.
This outbreak involved multiple illnesses and one death. It was a
relatively local, perhaps "regional" and "limited"
outbreak. That is cold or no comfort to the family of the person who died or to
those who became ill.
One can imagine a consensus on a set of national priorities focused on
fixing the worst hazards first, an FDA that puts more emphasis on causal
analysis of outbreaks as Michael Taylor has called for, and co-management of
food safety and the preservation of habitats and the farm environment, as both
the California LGMA and the Wild Farm Alliance have called for. Overall food
safety would be greatly improved.
That is not where we are, right now.
What can I say to a small organic farmer who asked me about the impact
of the three major outbreaks in 2011, and the oncoming regulations under the
Food Safety Modernization Act (FSMA)?
By acreage, she and her husband are small farmers under any U.S.
definition, owning and farming 20 acres. By farm gate sales they are in the top
20 percent of U.S. farmers.
Something like this:
Most of the work being done on food safety is not for their benefit and
the regulatory schemes in process may be mostly harmful, imposing burdens
without improving overall food safety because it avoids dealing with major
hazards in the overall system of food production.
Regulators have a compulsive belief in the efficacy of complex
paperwork, almost for its own sake. It could be called faith-based paperwork.
The same money could be spent on solving problems, but they assume the
solutions are all known.
In contrast, they should try and align their ordinary commercial
records with food safety, an approach also favored by some major food safety
consultants for the largest firms.
They need to know how to approach a recall, and be able to trace-up
deliveries quickly.
Regulation will be based on the largest farms, even when these have
been the source of multiple recalls or even outbreaks. Systemic failures such
as the Listeria-cantaloupe case will not lead to new systemic approaches.
Expect to pay for third-party audits that lack meaning; and Extension
services, which might have been helpful in actually solving safety problems,
have been cut in half.
Reduce known hazards. There may be some crops, and some ways of growing
and harvesting crops, that have to be dropped. Look carefully at washing,
handling and packing.
Make food safety an over-riding contingency of sale in delivery
contracts. Make food safety a part of any plan to grow production and sales,
from the start. Consider increasing liability
insurance and buying business interruption insurance.
Improved safety, and meeting all imposed regulations, provides no legal
protections. In- cidental contamination beyond farmer control still comes under
strict liability.
They can improve their odds.
I can guess that the ethical standards they use in all their approaches
to farming do have a beneficial impact on food safety as well, for their size
of farm, because they frame their own personal incentives, and oppose
temptations to cut safety to meet a dellivery.
"Don't screw up." Know the common important hazards and have
a systematic plan to control their risks.
You are always,farming on the brink of disaster.
(1) Environmental
Assessment: Factors Potentially Contributing to the Contamination of Fresh
Whole Cantaloupe Implicated in a Multi-State Outbreak of Listeriosis
October 19, 2011
(2) A lot of specific information is missing from the report that could
be useful in analyzing the outbreak and preventing future outbreaks. Jensen
Farms used equipment that could not be cleaned, that came from a non-cantaloupe
use (supposedly for potatoes). Was the previous operation contaminated with the
outbreak strains? Similarly, a truck was used to bring culls to a cattle
operation as feed and could have been a contaminant source for the cleaning and
packing facility. Were outbreak strains found in the cattle operation? A
neighboring field was reported to have received municipal sewage sludge, of
unreported treatment, and Listeria bacteria are resistant to degradation in
sludge. It would be important to know if the outbreak strains were found in the
neighboring field.
I read " All environmental samples collected in the growing fields
were negative..." in a lawyerly fashion, and wonder why environmental
samples collected in the larger environment were not reported on.
For a comprehensive review of Listeria and food safety and Listeria in
the agricultural environment see, for example: Listeria, Listeriosis, and
Food Safety, Third Edition
Edited by: Elliot T. Ryser, Michigan State University, East Lansing,
USA; Elmer H. Marth, University of Wisconsin, Madison, USA March 27, 2007 CRC
Press
(3) Perishable
Pundit: The Cantaloupe Crisis: The Truth That Dare Not Speak Its Name: The
Priority Can Be Safe Or The Priority Can Be Local, But It Cannot Be Both ,
October 4, 2011
(6) For example, that is my reading of the outbreak reports for two
major cases: Odwalla juice, and Dole spinach, as well as others.
See "Next Steps" section.
(9) Deer Confirmed as Source of Strawberry Outbreak August 18,
2011, Food Safety News
Daniel B. Cohen
Food Safety News
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