1992-1993 Jack in the Box E. coli outbreak | |
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Bacteria strain | Escherichia coli O157:H7 |
Source | Contaminated beef products at Jack in the Box restaurants |
Location | Western United States |
First outbreak | Seattle, Washington |
First reported | January 12, 1993 |
Date | December 28, 1992 – February 23, 1993 |
Confirmed cases | 732 |
Severe cases | 178 |
Deaths | 4 |
The 1992-1993 Jack in the Box E. coli outbreak occurred when the Escherichia coli O157:H7 bacterium (originating from contaminated beef patties) killed four children and infected 732 people across four states. [1] [2] [3] The outbreak involved 73 Jack in the Box restaurants in California, Idaho, Washington, and Nevada, and has been described as "far and away the most infamous food poison outbreak in contemporary history." [4] [5] The majority of the affected were under 10 years old. [6] [7] Four children died and 178 others were left with permanent injury including kidney and brain damage. [8] [9] [10] [11] [12]
On February 10, 1993, newly inaugurated President Bill Clinton participated in a televised town meeting program from the studios of WXYZ-TV in Detroit, Michigan. He fielded questions from the studio audience as well as studio audiences in Miami, Florida, and Seattle, Washington and responded to questions from the parents of Riley Detwiler – the fourth and final child to die in the E. coli outbreak. [13] The wide media coverage and scale of the outbreak were responsible for "bringing the exotic-sounding bacterium out of the lab and into the public consciousness" but it was not the first E. coli O157:H7 outbreak resulting from undercooked patties. The bacterium had previously been identified in an outbreak of food poisoning in 1982 (traced to undercooked burgers sold by McDonald's restaurants in Oregon and Michigan), and before the Jack in the Box incident there had been 22 documented outbreaks in the United States resulting in 35 deaths. [14]
On January 12, 1993, Dr. Phil Tarr, then a pediatric gastroenterologist at the University of Washington and Seattle's Children's Hospital, filed a report with the Washington State Department of Health (DOH) about a perceived cluster of children with bloody diarrhea and Hemolytic Uremic Syndrome (HUS) likely caused by E.coli O157:H7. [15] Dr. Tarr contacted Dr. John Kobayashi, the Washington State Epidemiologist, who started the epidemiological trace-back, linking these cases to undercooked hamburger patties. Dr. Kobayashi recalled the conversation in an interview: "I knew that, when Phil called me,...for him to say, "this is something that I've never seen before," that was a big red flag." [16]
Health inspectors traced the contamination to Jack in the Box fast food restaurants' "Monster Burger" which had been on a special promotion (using the slogan "So good it's scary!") and sold at a discounted price. [14] [17] The ensuing high demand "overwhelmed" the restaurants, and the product was not cooked for long enough or at a high enough temperature to kill the bacteria. [18]
On Monday, January 18, 1993, DOH officials went public with an announcement about the source of the O157 outbreak. This news conference took place during the Martin Luther King holiday weekend at the state lab. After that press conference, Jack in the Box agreed to stop serving hamburgers and quarantine the meat. [16] Only two days later, on the same day of President Bill Clinton's inauguration, a powerful storm swept through the Puget Sound area (Seattle and King County). The storm ravaged the area, knocking out power for hundreds of thousands of residents across three counties, some living in the dark for five days. The power outage would impact proper cooking temperatures, proper refrigeration temperatures, and even proper hand-washing – all critical factors in preventing foodborne illnesses. [16]
At a 1993 press conference the president of Foodmaker (the parent company of Jack in the Box) blamed Vons Companies (supplier of their hamburger meat) for the E. coli epidemic. However, the Jack in the Box fast-food chain knew about but disregarded Washington state laws which required burgers to be cooked to 155 °F (68 °C), the temperature necessary to completely kill E. coli. Instead, it adhered to the federal standard of 140 °F (60 °C). Had Jack in the Box followed the state cooking standard, the outbreak would have been prevented, according to court documents and experts from the Washington State Health Department. [19]
Subsequent investigation by the Centers for Disease Control and Prevention (CDC) identified five slaughterhouses in the United States and one in Canada as "the likely sources of ... the contaminated lots of meat." [20] In February 1998, Foodmaker agreed to accept $58.5 million from Vons and eight other beef suppliers to settle the lawsuit started in 1993. [21]
A total of 171 people required hospitalization. [22] The majority of those who presented symptoms and were clinically diagnosed (but not hospitalized) were children under 10 years old. [6] [7]
Of the infected children 45 required hospitalization – 38 had serious kidney problems and 21 required dialysis. [23]
Four children died:
- Lauren Beth Rudolph
- Michael Nole
- Celina Shribbs
- Riley Detwiler
In 1993, attorney William "Bill" Marler represented the then 9-year-old Brianne Kiner in litigation against Jack in the Box following an E. coli O157:H7 outbreak, securing a $15.6 million settlement. Kiner suffered permanent damage from fight with Hemolytic Uremic Syndrome (HUS), including diabetes, asthma, brain damage and kidney problems that eventually lead to the need for a transplant.
Marler represented hundreds of other victims of the outbreak in a class-action suit against Jack in the Box, settling for over $50 million. This was the largest payment related to foodborne illness at the time. [31]
External video | |
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"Chasing Outbreaks: How Safe is our Food?". Retro Report short film dated May 10, 2015, discussing the Jack in the Box outbreak and how it led to major changes in industry practices and government oversight of the food supply. (Duration: 11 mins 8 secs) |
Sen. Richard Durbin (D-IL), addressing a congressional hearing on food safety in 2006, described the outbreak as "a pivotal moment in the history of the beef industry." [32] James Reagan, vice president of Research and Knowledge Management at the National Cattlemen's Beef Association (NCBA), said that the outbreak was "significant to the industry" and "the initiative that moved us further down the road [of food safety] and still drives us today." [33] David Acheson, a former U.S. Food and Drug Administration Associate Commissioner for Foods, recently told Retro Report that "Jack in the Box was a wakeup call to many, including the regulators. You go in for a hamburger with the kids and you could die. It changed consumers' perceptions and it absolutely changed the behaviors of the industry." [34]
As a direct result of the outbreak:
Escherichia coli O157:H7 is a serotype of the bacterial species Escherichia coli and is one of the Shiga-like toxin–producing types of E. coli. It is a cause of disease, typically foodborne illness, through consumption of contaminated and raw food, including raw milk and undercooked ground beef. Infection with this type of pathogenic bacteria may lead to hemorrhagic diarrhea, and to kidney failure; these have been reported to cause the deaths of children younger than five years of age, of elderly patients, and of patients whose immune systems are otherwise compromised.
Foodborne illness is any illness resulting from the spoilage of contaminated food by pathogenic bacteria, viruses, or parasites that contaminate food, as well as prions, and toxins such as aflatoxins in peanuts, poisonous mushrooms, and various species of beans that have not been boiled for at least 10 minutes.
Ground beef, minced beef or beef mince is beef that has been finely chopped with a knife or a meat grinder mincer or mincing machine. It is used in many recipes including hamburgers, bolognese sauce, meatloaf, meatballs and kofta.
Stop Foodborne Illness, or STOP, is a non-profit public health organization in the United States dedicated to the prevention of illness and death from foodborne pathogens. It was founded following the West Coast E. coli O157:H7 outbreak of 1993 in California and the Pacific Northwest. STOP's headquarters are in Chicago, Illinois.
The 2006 North American E. coli outbreak was an Escherichia coli O157:H7 outbreak from prepackaged spinach. The outbreak occurred in September 2006 and its origin was an Angus cattle ranch that had leased land to a spinach grower. At least 276 consumer illnesses and 3 deaths have been attributed as a result from the outbreak.
The International Food Safety Network (iFSN) at Kansas State University imparts the opportunity of improving the overall safety of the food supply by connecting all those in the agriculture and food industry.
Food safety is used as a scientific method/discipline describing handling, preparation, and storage of food in ways that prevent food-borne illness. The occurrence of two or more cases of a similar illness resulting from the ingestion of a common food is known as a food-borne disease outbreak. This includes a number of routines that should be followed to avoid potential health hazards. In this way, food safety often overlaps with food defense to prevent harm to consumers. The tracks within this line of thought are safety between industry and the market and then between the market and the consumer. In considering industry to market practices, food safety considerations include the origins of food including the practices relating to food labeling, food hygiene, food additives and pesticide residues, as well as policies on biotechnology and food and guidelines for the management of governmental import and export inspection and certification systems for foods. In considering market to consumer practices, the usual thought is that food ought to be safe in the market and the concern is safe delivery and preparation of the food for the consumer. Food safety, nutrition and food security are closely related. Unhealthy food creates a cycle of disease and malnutrition that affects infants and adults as well.
Topps Meat Company was a privately owned family company founded in 1940 by Benjamin Sachs in Manhattan, New York. The company later relocated to Elizabeth, New Jersey. The company produced and distributed frozen ground beef patties and other meat products processed at its 3,000-square-foot (280 m2) plant in Elizabeth and posted about $8.8 million a year in sales, according to information reported by Dun & Bradstreet. In 2003, the company was purchased by Strategic Investment and Holdings, an investment firm based in Buffalo, New York and by 2007 it was "one of the country’s largest manufacturers of frozen hamburgers." In 2007 the company ceased operations following Escherichia coli O157:H7 contamination of products and the ensuing recall.
William "Bill" Marler is an American personal injury lawyer and food safety advocate. He is the managing partner of Marler Clark, a law firm based in Seattle, Washington which specializes in foodborne illness cases.
Enteroinvasive Escherichia coli (EIEC) is a type of pathogenic bacteria whose infection causes a syndrome that is identical to shigellosis, with profuse diarrhea and high fever. EIEC are highly invasive, and they use adhesin proteins to bind to and enter intestinal cells. They produce no toxins, but severely damage the intestinal wall through mechanical cell destruction.
Marler Clark,LLP is a Seattle, Washington based law firm specializing in foodborne illness litigation on the national level specifically focusing on foodborne illnesses such as E. coli, Salmonella, and Listeria.
Raw meat generally refers to any type of uncooked muscle tissue of an animal used for food. In the meat production industry, the term ‘meat’ refers specifically to mammalian flesh, while the words ‘poultry’ and ‘seafood’ are used to differentiate between the tissue of birds and aquatic creatures.
Beef Products Inc. (BPI) is an American meat processing company based in Dakota Dunes, South Dakota. Prior to high media visibility of its products, it was a major supplier to fast food chains, groceries and school lunch programs. It had three additional plants, which closed in 2012.
Michael R. Taylor is an American lawyer who has played leadership roles on public health and food safety in government, academia, and the private sector, with a major focus on modernizing the U.S. food safety system to prevent foodborne illness. From 2010 to 2016, he was the Deputy Commissioner for Foods and Veterinary Medicine at the United States Food and Drug Administration (FDA) and currently co-chairs the board of STOP Foodborne Illness, a non-profit that supports victims of serious illness and their families in efforts to strengthen food safety culture and practices in government and industry.
The 1996 Odwalla E. coli outbreak began on October 7, 1996, when American food company Odwalla produced a batch of unpasteurized apple juice using blemished fruit contaminated with the E. coli bacterium, which ultimately killed a 16-month-old girl and sickened 70 people in California, Colorado, Washington state, and British Columbia, of whom 25 were hospitalized and 14 developed the hemolytic uremic syndrome. Odwalla made and marketed unpasteurized fruit juices for the health segment of the juice market.
Ground meat, called mince or minced meat outside North America, is meat finely chopped by a meat grinder or a chopping knife. A common type of ground meat is ground beef, but many other types of meats are prepared in a similar fashion, including pork, veal, lamb, goat meat, and poultry.
Food Safety News (FSN) is an online news publication focusing on food safety. It was founded in 2009 by Bill Marler, a lawyer and food safety advocate. Marler is the Managing Partner of Marler Clark, a Seattle, Washington, law firm that specializes in foodborne illness cases. He said that Food Safety News was created to "fill a void" left by print and broadcast media as budgetary constraints led to "dedicated reporters on the food, health and safety beats... being reassigned or seeing their positions disappear altogether." The site provides daily news coverage of foodborne illness outbreaks and investigations, food recalls, food technology innovations, and victim profiles.
Food safety in the United States relates to the processing, packaging, and storage of food in a way that prevents food-borne illness within the United States. The beginning of regulation on food safety in the United States started in the early 1900s, when several outbreaks sparked the need for litigation managing food in the food industry. Over the next few decades, the United States created several government agencies in an effort to better understand contaminants in food and to regulate these impurities. Many laws regarding food safety in the United States have been created and amended since the beginning of the 1900s.