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Douglas County Public Health department officials say cross contamination is likely what caused 30 people to contract salmonella after eating at the Los Dos Amigos restaurant on Jackson Street in Downtown Roseburg on certain days in April.

Health officials say state test results looking for salmonella on food prep surfaces and food items came back negative.

The investigation continues at a local level with the Douglas County Public Health department, and an official report has not yet been released, but according to Gerry Meyer, Environmental Health Program Manager for Douglas County Public Health, this salmonella outbreak will likely end as a case of cross contamination.

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Can restaurants afford food safety?

Having a hard time keeping up with the onslaught of food-oriented legislation? Get ready for the next round. The Food Safety Bill is scheduled to hit the Senate floor this week, after having been eclipsed by menu labeling laws and health care reform for months.
 
The bill could help make the lives of restaurateurs easier and their businesses safer by setting up a better-regulated food supply. Specifically, it seeks to empower the FDA with more authority over food manufacturers, giving the agency mandatory recall authority and the power to require food facilities to maintain stronger safety plans. The legislation also is focused on more frequent processing plant inspections and expanding traceback capabilities. 
 
But while the bill is clearly aimed at food providers and manufacturers, restaurant are responsible a certain degree at the end of the chain. Just how much is still a matter of debate. 

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According to Deloitte’s 2010 Consumer Food Safety Survey, while 90% of consumers felt that food-related recalls are on the rise or on par compared with findings from Deloitte’s 2008 Consumer Food Safety Survey, fewer people seem to be anxious about them.

The number of consumers concerned about the quality of food they eat decreased 17% from 2008 to 65% in 2010, the results showed.

Three-quarters of those surveyed felt that the manufacturers/food companies are responsible for communicating product recall information, followed closely by government organizations such as the Food and Drug Administration at 73%, while expectations from retailers and the media were lower at 53% and 51%, respectively.

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A total of 70 people fell ill after eating at a restaurant in the suburbs of Beijing Friday, police and health authorities said on Saturday.

They suffered nausea and vomiting after finishing a 16-course lunch at the restaurant of Shuian Shanba, a holiday resort in the outer district of Huairou.

Most of the sick were treated at hospitals in Huairou and nine suffering the worst were sent to Chaoyang Hospital in downtown Beijing.

The nine, including a two-year-old boy and his parents, all had clonidine in their blood, a doctor in the hospital’s emergency room said on condition of anonymity.

Clonidine is a drug for high blood pressure and is not used very widely in Beijing nowadays, the doctor said.

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FDA Deputy Commissioner for Foods Michael Taylor will speak in Las Vegas, before the General Session of United Fresh 2010, the annual convention and expo of the United Fresh Produce Association.

Taylor also addressed restaurant executives at the National Restaurant Association’s Public Affairs Conference in Washington, D.C., today, stressing the importance of food safety and ServSafe certification in quick-serves.

Taylor’s upcoming Wednesday, April 21 address, “The Future of Food Safety Legislation and Produce Regulation,” will give produce leaders the opportunity to hear the latest information on a subject that has been at the forefront of the industry’s consciousness for many years.

“Deputy Commissioner Taylor’s address is an opportunity not to be missed,” says Dr. David Gombas, United Fresh senior vice president of food safety and technology.

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Efforts to reduce illnesses caused by one of the most dangerous foodborne bacteria, E. coli O157:H7, appear to be paying off, the Centers for Disease Control and Prevention reported Thursday, but sickness caused by other pathogens is rising.

Preliminary data released by the CDC showed a 2009 drop in the incidence of infections from E. coli O157:H7, which can be lethal and is most commonly associated with ground beef but has also been detected in leafy greens and raw cookie dough. E. coli infections were the lowest since 2004, the agency said.

But there was little or no recent progress for other pathogens, according to the data. Infections from salmonella, the most common cause of foodborne illness in the United States, decreased slightly in 2009but remain above the goals set by the government. The report also detailed increases last year in illnesses from campylobacter, listeria, vibrio and cryptosporidium.

“There is more work to do,” said David Goldman of the Department of Agriculture’s Food Safety and Inspection Service. “In particular, salmonella remains a challenge. We have not been as successful in moving the trend line in the right direction.”

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KITV.com reports that Peppa’s Korean BBQ in Honolulu has reopened after several E. coli O157:H7 illnesses were linked to the restaurant.  The station reports that “the State Health Department said they found no signs of E. coli in an investigation of the Peppa’s Restaurant on South King Street,” and as a result, gave the restaurant clearance to reopen, which the restaurant did for lunch today.

The good news is that the clearance to reopen is an indication that the health department believes there is no further risk of disease spreading from the restaurant–i.e. the place is clean and free of environmental contamination.  This is good news for anybody who has recently eaten at the restaurant.  There are a wide number of possibilities as to how the food became contaminated, sickening the several people that it did, but if the health department is allowing the restaurant to reopen, it must be comfortable that there is no longer a contaminated ingredient at the restaurant.

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By Laura A. Bettencourt, Epidemic Intelligence Service (EIS) Officer for the CDC’s Enteric Disease Epidemiology Branch

I work in a group at CDC that investigates foodborne illnesses in the United States — illnesses like salmonellosis and E. coli infection.  One challenge we face during an outbreak investigation is trying to figure out the source of the outbreak. 

When a group of people consume the same contaminated food, an outbreak of illness can occur.  This group may be people who ate a meal together or people who happened to buy and eat the same contaminated item from a grocery store or at a restaurant. 

Here’s why outbreaks can be such a mystery:

  • When people get sick from food, they often assume the cause was the last thing they ate before they started feeling ill.  That’s often not the case.  For many foodborne illnesses, it can take anywhere from several hours to several days before people start to feel sick.  The cause could have been something they ate several days ago, something they might not even remember eating. 
  • The contaminated food usually looked, smelled, and tasted perfectly fine, making it sometimes very difficult to determine exactly what made them sick.
  • If safe food production and handling practices were not followed,  the food could have become contaminated at any point, from the time the food was harvested or produced until it was eaten.
  • People who get sick with a foodborne illness don’t always see a health care provider. When they do, the providers don’t always test for bacteria that cause foodborne illness.  These test results are very important, because CDC and other groups need the results to detect outbreaks.
  • Because people are often not interviewed until weeks after they became sick, they may have trouble remembering what foods they had eaten or what spices and condiments they may have added to their food.

So, how do we figure out which foods are making people sick?  Some of the things we do are:

  • Use technologies, such as “DNA fingerprinting” of bacteria from ill people to help determine which ones might be linked to a common source of infection.
  • Interview people who have gotten sick to find out what foods they recently ate.
  • Interview people who haven’t gotten sick to compare what foods they recently ate to the sick people.
  • Study information from previous outbreaks to see which foods have often been a source before.
  • Compare the types of bacteria found in food or ingredients during the outbreak to the types found in people who are sick.

How does this affect you? One thing to remember is that only a tiny fraction of foodborne illnesses are reported as part of an outbreak.  While it’s important to keep track of food recalls to avoid getting sick, it’s equally important to follow the basic food handling rules: Clean, Cook, Separate, and Chill. And, if you suspect that you have a foodborne illness, report it to your local health department. Often calls from concerned citizens like you are how outbreaks are first detected.

Source:  foodsafety.gov

To help guide farmers in their efforts to reduce foodborne illness, The Alliance for Food and Farming today released an updated report which analyzes Centers for Disease Control data associated with foodborne illness outbreaks and produce.

The report shows that 12.3 percent of all foodborne illness outbreaks from 1990 to 2007 were associated with produce. Just over 10 percent of all identified outbreaks were associated with improper handling after leaving the farm and 2.2 percent were associated with the growing, packing, shipping or processing of produce. The majority of the foodborne illness outbreaks, 88 percent, are from non-produce food items.

“Despite the low numbers of outbreaks associated with the growing and processing of produce, it’s important for producers of fresh fruits and vegetables to continue making strides toward improvement,” said Ed Beckman, President of the California Tomato Farmers and a member of the Alliance for Food and Farming Management Board. “Two percent is still too high. We must work to get that percentage down to zero.”

The Alliance for Food and Farming, a non-profit organization comprised of farmers and farm groups from throughout the U.S., commissioned an independent scientific expert to conduct this unique analysis which identifies where the contamination of produce occurred. This is the second time the Alliance for Food and Farming has conducted a review of the CDC databases. The last time was based on data from 1990 through 2004. Both reports show similar findings, which indicates illnesses associated with produce are still low despite some recent outbreaks. The report concludes, however, that continued emphasis must be placed on further reducing incidents of on-farm contamination through applied research and increased oversight to ensure proper practices are being followed in produce operations.

The report also concludes that improvements are still necessary when it comes to training and educating both consumers and restaurant employees on safe handling of produce. Findings show that 65 percent of outbreaks traced back to a produce item can be attributed to improper handling in a restaurant, most likely the result of cross contamination or improper employee hygiene. Mishandling at community events caused 14 percent of the produce-related outbreaks, followed by mishandling in the home which represents 13 percent of outbreaks associated with produce.

The Alliance for Food and Farming points to several new programs that address food safety on the farm including those that involve mandatory government oversight of food safety practices. (See “Case Studies in Food Safety” below).

“We are doing everything we can to make sure we grow tomatoes that are safe for people to eat,” said Tony DiMare, a tomato farmer with The DiMare Company, which produces tomatoes in Florida, California and South Carolina. “As growers, we most certainly understand our responsibilities in preventing foodborne illness associated with the tomatoes our company grows on our farms. We accept that and have taken significant action to make sure we are practicing safe farming methods.”

“What people don’t realize is that many farmers are embracing proposed new food safety regulations,” said DiMare. “In California, our farms and packinghouses are required to have mandatory USDA audits to ensure food safety practices are being followed, and in Florida we worked with the state legislature to create a new law requiring the state to inspect our food safety practices.”

“Farmers are responding by enhancing their food safety practices to protect public health as well as their own economic interests,” said Ed Beckman, who noted that members of his organization, the California Tomato Farmers along with tomato farmers around the country suffered significant financial losses when tomatoes were erroneously targeted in a highly publicized 2008 salmonella outbreak.

“Farmers are extremely motivated to work to prevent foodborne illness outbreaks from happening on their farms,” continued Beckman. “But if the goal is to reduce future illness outbreaks in a significant way, it’s crucial for government agencies to provide information that accurately tracks the source of foodborne illness outbreaks. Farmers need this information as do restaurants and consumers if real improvements are to be made and measured.”

Beckman noted that the Alliance for Food and Farming has submitted its Analysis of Produce Related Foodborne Illness Outbreaks” report to the U.S. Food and Drug Administration as part of a workshop being held March 30 in Washington D.C. titled Measuring Progress on Food Safety.

Beckman emphasized it is crucial that government reporting provide more accurate and detailed information about foodborne illness outbreaks. “The kind of information contained in this new Alliance for Food and Farming report is currently not easily accessible through the Centers for Disease Control databases,” he said. “We are calling on all segments of the produce industry to come together to work with CDC and FDA so that everyone is clear about objectives on how best to measure progress toward reducing foodborne illness from all sources.”

“While this kind of analysis offers a snapshot in time of an ever-changing situation, it is quite useful to our industry’s ongoing work to improve our food safety capability,” said Dr. Bob Whitaker, Chief Science & Technology Officer for the Produce Marketing Association. “A true commitment to food safety requires continuously evaluating and improving our efforts, so we welcome the input this report offers.”

Alliance for Food and Farming notes there are several programs focused on improved food safety throughout the produce supply chain. The National Restaurant Association provides education and information on food safety to its members and its ServSafe program is designed to train and certify restaurants and their employees on proper handling. Another program, the Partnership for Food Safety Education and its FightBAC campaign is focused on educating consumers about proper handling of foods in the home. The federal government also has a website at www.foodsafety.gov to provide consumers with information on safe food handling and government food safety programs.

About the Alliance for Food and Farming:

The Alliance for Food and Farming is a non-profit organization which exists to assist farmers in communicating their commitment to food safety and care for the environment. Alliance membership includes approximately 50 farmers and farm organizations from throughout the nation. More information on the Alliance for Food and Farming report, including a complete copy of its report titled “Analysis of Produce Related Foodborne Illness Outbreaks” and a list of examples of food safety programs in place throughout the produce industry can be found on their website at www.foodandfarming.info.

Case Studies in Food Safety

The U.S. Food and Drug Administration has identified a handful of produce items with the highest potential risk to become associated with microbial foodborne illness. These produce items include leafy greens, tomatoes, melons and green onions. In each case, farmers and associations representing these commodities have proactively developed a response to FDA’s request for commodity specific food safety guidance and, in some cases, farmers have come together to participate in comprehensive food safety programs which include science-based food safety standards and mandatory government inspection of farms and packing facilities. In addition, the produce industry, under the leadership of the Produce Marketing Association, has launched an effort to provide needed research in the area of produce food safety. Below are examples of these proactive programs currently in place:

? Leafy Greens.

In 2007, California leafy greens farmers came together under the California Leafy Greens Marketing Agreement in an unprecedented commitment to protect public health. The LGMA is a mechanism for verifying that farmers follow a set of science-based food safety practices for lettuce, spinach and other leafy greens. At the heart of the LGMA program is a mandatory government audit system that certifies member companies are following the LGMA food safety practices. The program operates with oversight from the California Department of Food and Agriculture and utilizes USDA trained and certified inspectors. Each member of the LGMA is audited by government inspectors on a regular and random basis at least four times per year. Because there is no mandatory law in place in California for food safety, membership in the LGMA is voluntary, but once a member signs on they are required to be in 100 percent compliance with all LGMA food safety practices. Members who fail to comply are decertified from the program and their names are made available to the public. Currently, the LGMA represents member companies who produce approximately 99 percent of all leafy greens produced in California. Since its inception, the program has conducted over 1,500 audits of leafy greens farms. It has become a model for other food safety programs. A similar organization now exists in Arizona and leafy greens farmers across the country are seeking implementation of a National Leafy Greens Marketing Agreement to cover leafy greens produced throughout the nation. For more information, please visit www.caleafygreens.ca.gov.

? Tomatoes.

Throughout the nation fresh tomato farmers have made great strides in organizing programs to ensure safety of their products. In California, an organization called the California Tomato Farmers was formed. This organization is a cooperative comprised of family-owned farming business committed to a higher standard for growing tomatoes. The organization represents farmers who produce 9 out every 10 field-grown tomatoes grown in the state. All California Tomato Farmers members are subjected to mandatory and regular audits conducted by United States Department of Agriculture inspectors to confirm compliance with food safety standards in tomato fields and packing facilities. In Florida, tomato farmers have turned to the state legislature to implement mandatory food safety regulations which require government inspection of tomato farms and packing facilities by Florida Department of Agriculture inspectors to ensure compliance with food safety practices for tomatoes. In both Florida and California, food safety practices are based on a comprehensive set of science-based standards developed by an inclusive group of industry food safety experts, scientists, retail and food service operators with review and input from government health agencies. The California and Florida programs are the foundation of a new preventative protocol for the entire tomato supply chain. This is in recognition of the fact that risk is not limited to the grower. This concept is being embraced by a number of foodservice companies who are stepping up to establish improved systems for handling tomatoes at their operations. For more information about tomato food safety, visit www.californiatomatofarmers.com or the Florida Department of Agriculture website at www.doacs.state.fl.us/fruits/Tomatoes.html.

? Melons.

Following the request by the US Food and Drug Administration for high risk commodities to develop defined food safety guidelines, the United States melon industry was the first to comply by completing “Commodity Specific Guidelines for the Melon Supply Chain in 2005.” This document, which was developed by industry members from throughout the supply chain with assistance from food safety experts, has since been updated by the U.S. Food and Drug Administration and posted on its website for review. In California’s central valley, the fresh cantaloupe industry has taken significant steps in preventing contamination of melons in the field through investments in research and a Quality Assurance Program which requires each carton of cantaloupes have a government stamp bearing a code that can be used to trace product should it ever become involved in a foodborne illness outbreak. For more information on California cantaloupes, please visit the website of the California Melon Research Board at www.cmrb.org

? Green Onions.

Last month, the green onion industry completed a comprehensive set of guidelines for green onion food safety. This new document, “Commodity Specific Food Safety Guidelines for the Production, Harvest, Post-Harvest and Value-Added Operations of Green Onions,” was developed through the work of a wide group of industry food safety experts and university scientists with input from government agencies including FDA and USDA. The project was funded by the California Department of Food and Agriculture’s Specialty Block Grant program under the direction of Western Growers Association. The document and additional information can be found at www.wga.com/foodsafety.

? Center for Produce Safety.

In 2007, the produce industry came together to form a unique program designed to provide ready-to-use, science-based solutions that prevent or minimize fresh produce food safety vulnerabilities. Initial funding for CPS was provided by the California Department of Food and Agriculture, the University of California, the Produce Marketing Association and Taylor Farms. To date, CPS has invested over $3.8 million and there are 24 targeted research projects in progress. In addition, the center has collaborations with more than two dozen public and private partners to identify priorities and fund research. The goal of CPS is to facilitate new research, become a repository of global research and provide communication, outreach and training for industry, researchers and regulators. CPS recently announced it will provide an additional $3 million in public and private funding to support both general and commodity-specific research related to produce safety. On June 23 CPS will hold a Produce Research Symposium in Davis, CA to review 11 CPS-funded research projects and discuss practical implications of findings. For more information on the Center for Produce Safety visit: http://cps.ucdavis.edu

A Michelin-rated chef who calls himself a culinary alchemist was baffled by science of another kind recently: an outbreak of illness whose origin remains a mystery.

Celebrity chef Heston Blumenthal’s London-area restaurant, The Fat Duck, was shuttered for more than two weeks this month after 400 patrons reported falling ill with vomiting and diarrhea. The eatery, located in the village of Bray 30 miles (50 kilometers) west of London, reopened Thursday, according to the Associated Press.

Britain’s Health Protection Agency still hasn’t identified the source of the outbreak and it may take a few more weeks to do so. But  norovirus, also known as Norwalk-like virus, is being mentioned as a possible culprit.

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Telling your food safety story

In the past few years, consumers have been faced with a litany of food woes: E-coli-tainted lettuce supplied to Taco Bell. Tomatoes blamed for a widespread salmonella outbreak. Melamine contamination found in powdered milk.
 
As government leaders and food-safety experts with The Produce Safety Project meet this week to discuss the cost of such outbreaks — and the need to reform the nation’s food-safety oversight system — quick-service brands need to be mindful of the cost to consumer confidence.
 
Foodservice industry experts predict that consumers will continue to be preoccupied with food safety throughout the next 10 years, according to a survey released at last month’s Global Food Safety Conference. Survey respondents predicted that biological risks/microbial safety, supply chain and contaminants will still be the top food safety issues in 2020.

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Complaint targets illegal catering companies

Local illegal caterers risk brewing up more than cases of stomach-clenching food poisoning. They’re also biting into the business of legal caterers who have worked tirelessly to receive the stamp of food safety approval.

A complaint has trickled in that unapproved caterers — who are in violation of Ontario’s Food Premises Regulations — have been operating in the area, Glen Steen, healthy environment program co-ordinator at the Haldimand-Norfolk Health Unit, said in an interview.

The unit has found some caterers — without approved kitchens — are storing food in their homes to later be transported and served in an approved facility.

“That’s not legal,” Steen said in a health unit media release. “Food must be transported directly from an approved source, such as a supermarket or butcher’s shop, to the approved preparation facility.”

One of the major risks with unapproved kitchens is that the preparation of large quantities of food increases the potential for contamination and growth of food poisoning organisms. Other risks include food being subjected to temperature abuse, utensils being not properly cleaned and disinfected, and even the presence of vermin and insect infestations.

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Hoping to curb allergic reactions at restaurants, Massachusetts will become the first state to require food workers to undergo training in preparing safe meals for customers who are allergic to foods such as nuts, milk, and shellfish.

Food allergy awareness advocates are hoping Massachusetts’ experience will pave the way for other states to enact laws to prevent close calls and fatalities from food consumed at a restaurant.

More than 12 million Americans — or 4% of the U.S. entire population — have food allergies, according to information from the Food Allergy and Anaphylaxis Network (FAAN), which worked with Massachusetts to craft its law.

A recent study published in the journal Pediatrics indicates that food allergies are becoming more common, although researchers aren’t sure why.

The prevalence of self-reported food allergies increased by 18% from 1997 to 2007 (P<0.01), and outpatient visits to medical facilities for treatment of food allergies nearly tripled from 1993 to 2006, that study found.

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The dead of winter may not be the time when most people’s thoughts turn toward the allure of a hamburger on the grill. But from a food safety standpoint, it’s probably the safest time there is to eat ground beef.

“The theory is that animals are carrying higher levels of E. coli during the summer months, and sometimes they may overwhelm the systems in place to control pathogen contamination in (processing) plants,” says James Marsden, a professor of food safety and security at Kansas State University.

Research has been focusing “on how to level out that curve,” says Marsden, also senior science adviser to the North American Meat Processors Association.

So industry and researchers are turning their sights to new technologies being deployed on the farm, the feedlot and at the slaughterhouse to knock E. coli O157:H7 down to winter levels all year round.

There’s an unconventional mix at the forefront of this fight: bacteria-eating viruses, a paper-bleaching chemical, vaccines and a kind of yogurt for cattle.

The efforts come at a critical time. E. coli continues to make headlines — so far this year the U.S. Department of Agriculture has overseen the recall of 40,000 pounds of beef potentially contaminated with O157:H7. The total for last year was about 2.1 million pounds. In the spring, Congress takes up a new bill targeting food safety.

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Servsafe Starters Employee Guide

ServSafe Essentials with Answer Sheet for Paper and Pencil Exam

ServSafe Coursebook (text only)

ServSafe Coursebook: with the Certification Exam Answer Sheet

ServSafe Essentials (text only)

ServSafe Alcohol: Fundamentals of Responsible Alcohol Service with Exam Answer Sheet

ServSafe Essentials Spanish with Answer Sheet

Servsafe Alcohol + Exam Answer Sheet Fundamentals of Responsible Alcohol Service

Following a norovirus outbreak that sickened dozens of customers, the owner of Cousins Subs in Neenah says the store has been sanitized but will remain closed for another month.

The Cousins Subs on Green Bay Road has not reopened, eleven days after it was ordered closed by the health department.

The city’s health director says they’ll never know the source of the contamination that sickened customers and employees, but they have confirmed it was the norovirus.

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Eating in a restaurant is a minefield for Bethany Jaeger.

Shellfish, dairy, nuts, beans, wheat, soy and corn all make her sick, so the Chatham, Ill., woman has to avoid commonly used ingredients that include marinades, sauces, breading, grains and butter.

“If I can get a meal that’s tasty and doesn’t turn my stomach, I’m a return customer,” said Jaeger, 30, a management consultant.

More than 12 million Americans – about 4 percent of the population – suffer from food allergies. A true food allergy is an immune-system response to a food that the body mistakenly believes is harmful.

Sensitivities to foods are a growing public health concern, according to the Fairfax, Va.-based Food Allergy & Anaphylaxis Network (www.foodallergy.org), and so are the challenges faced by diners with food allergies and intolerances when they eat in restaurants.

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The study published in the International Journal of Food Microbiology has gotten national attention. It could have restaurants taking a closer look at how well they clean their machines.

Hollins Biology Professor Renee Godard and her team were surprised at what they found when they tested 90 different sodas and the water from 30 different soda fountain machines in the Roanoke area. 70-percent of them had bacteria present.

“We found over 300 bacteria in half of a milliliter,” said Amy White, Hollins University Professor.

Half a milliliter is barely enough for a swallow.

Almost every time Dirk Amtower drank from a fast-food restaurant or convenience store soda fountain, he claims he would end up sick to his stomach.

“Often times within 30 minutes to an hour I start getting a rumbling in my stomach and I start getting sick,” said Amtower.

Maybe not surprising when you take a closer look you at what Hollins researchers found.

“Almost 12-percent of the samples tested contained E. coli,” said White.

E. coli that would’ve come from fecal matter.

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Cousins Subs, 667 S. Green Bay Road, temporarily closed about 1 p.m. Friday after city health officials pinpointed it as the source of a suspected norovirus outbreak.

The Neenah Health Department received about 25 reports of acute gastroenteritis, according to its director Judy Crouch-Smolarek.

“We were informed about mid-day (Thursday) of a number of people suffering from GI illnesses,” she said. “Due to the number of people who have fallen ill, including some employees, the restaurant has voluntarily closed. The restaurant will be thoroughly cleaned and sanitized and will re-open when they meet the necessarily requirements of the Neenah Health Department.”

Crouch-Smolarek said norovirus symptoms typically appear 24 to 48 hours after exposure, but that some people can become ill in as few as 12 hours or even 60 hours after exposure.

Symptoms include vomiting, diarrhea, abnormal cramps, nausea and headaches, she said, and they could be mild to severe. Typically they do not require treatment.

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