“Probably, we have a single location that further contaminated large volumes of spinach,” Acheson said. Six people in the outbreak (5%) were younger than 5 years, and 96 (73%) were women, the Centers for Disease Control and Prevention (CDC) said in an update today. Of patients who gave the date when their symptoms began, 93% fell ill between Aug 19 and Sep 5. CIDRAP overview of pathogenic E colihttp://www.cidrap.umn.edu/cidrap/content/fs/food-disease/causes/ecolioview.html The CDC said this week that people who experience diarrhea after eating fresh spinach or salad blends containing fresh spinach should contact their healthcare provider and ask that their stool sample be tested for E coli O157:H7. Acheson said it’s too early to make a definitive statement on the virulence of the involved E coli strain, but he said the number of people who have been hospitalized seems high. In a typical E coli outbreak, he said, 25% to 30% of patients require hospital treatment. The FDA continues to receive reports of new cases and new information on brands, he said. “We have not ruled out other recalls as our active investigation expands,” Acheson said. Wisconsin has the highest number of cases with 32, including the one death. Most states have from 1 to 9 cases. Acheson speculated that Wisconsin might have received a disproportionate share of the tainted spinach. Sep 19, 2006 (CIDRAP News) – The tally of people involved in a nationwide Escherichia coli O157:H7 outbreak associated with fresh spinach jumped by 17 today to reach 131, about half of whom were hospitalized, the US Food and Drug Administration (FDA) reported. Teams of investigators are currently taking samples at nine farms that were growing spinach for Natural Selection Foods at the time of the outbreak. All the farms were linked to product codes on fresh spinach bags submitted by patients, he said. Monterey County, Calif., which includes the part of the Salinas Valley where much of the spinach is grown, has 10,480 acres devoted to spinach farming. The FDA first announced the outbreak on Sep 14 when it advised consumers to avoid eating fresh spinach or any products containing it, because most patients said they had consumed fresh spinach. Two producers—Natural Selection Foods and River Ranch—have voluntarily recalled their products that contain fresh spinach. Yesterday, Natural Selection Foods said that none of the bags submitted by patients were from its organic brands. However, Acheson said the FDA has not ruled out the organic products as a culprit. At a press conference this afternoon, David Acheson, MD, chief medical officer for the FDA’s Center for Food Safety and Applied Nutrition, said two more patients developed hemolytic uremic syndrome (HUS), which can cause kidney failure and death, bringing HUS cases to 20. Nationwide, he said, 66 patients have been hospitalized with the illness. The death toll remained at one today, and the number of affected states stayed the same at 21. Investigators have taken spinach samples at production facilities and from bags sent in by consumers, Acheson said. Test results are expected in the next 3 or 4 days. See also: Sep 19 FDA press releasehttp://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/2006/ucm108739.htm CDC updatehttp://www.cdc.gov/ecoli/2006/september/updates/091706.htm Acheson said the number of patients who have had HUS is also high; normally, HUS only afflicts 5% to 10% of patients.
Mr. Yacoub El Hillo is (UN) Resident Coordinator and Resident Representative to Liberia. Yacoub EL Hillo, Assistant Secretary-General and Resident Coordinator of the United Nations (UN) in Liberia, has called on the George Weah-led government to account for the funds provided for projects implementation over years.Hillo said in the last few months, several UN’s agencies have experienced challenges in getting timely and accurate reports from their government counterparts, thereby delaying implementation of essential services and advisory support to the people of Liberia.He said that the situation in the medium to long-term, “may lead to withholding of funding by our partners for UN programs in Liberia with all the attendant negative consequences.”Mr. Hillo made the called through a communication to Nathaniel F. McGill, Minister of State for Presidential Affairs, in which he said, “In extreme situations where the cash advance modality is not being used correctly by implementing partners, the UN agencies, fund and programs may discontinue and revert to Direct Implementation Modality (DIM) to avoid risk of delays in program implementation.”He meanwhile expressed gratitude to the Liberian government for recognizing the United Nations system as a central provider of high-quality technical support, policy advice and development assistance in a wide variety of thematic areas.“We look forward to improving the efficiency and effectiveness of our development cooperation with the Liberian government by joining forces in achieving the Pro-poor Agenda for Prosperity and Development over the coming years,” Mr. Hillo said.He said said as the UN continues to address Liberia’s development challenges jointly, it is important to bear in mind that the United Nations strictly adheres to its fiduciary (trust) responsibility towards its donors and member states.According to Hillo, explicit guidelines and high operational standards to safeguard UN funds against misuse and integrity risks are unyielding principles underpinning their work.“To strengthen national ownership and accountability for development results, the UN agencies, funds and programs are gradually moving from DIM to national implementation modality under the harmonized approach to cash transfer framework where cash is transferred to national implementing partners to carry out development activities agreed in annual work plans,” he said.He further indicated to Minister McGill that for implementing partners to receive cash advance, they must be micro assessed to ensure that they have good financial management capacity, including accounting, procurement, reporting and internal controls as well as a system for recording accounting transactions and appropriate filing of financial documentation.Mr. Hillo added that under the National Implementation Modality (NIM), the UN expects that implementing partners assume full responsibility for effective use of the resources advanced to them and for reporting, fairly and accurately, on project progress against agreed work plans in accordance with the reporting schedule. “They are expected to maintain documentation and evidence that describes the proper and prudent use of project resources,” Mr. Hillo said to Minister McGill.Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)