A Belly Ache Can lead To A Trip To The Urgent Care. E. coli Poisoning Lands You In The Emergency Room
Dietitian Determined To Save Salads!
February 12, 2020
Written by Dr. Jenna Bell, RD VP of Nutritional Science at Crop One
Crop One is the world’s largest scalable, completely controlled, vertical farming company. Our Greater Boston brand is FreshBox Farms.
Spend a few days bent over, writhing in abdominal pain and you’ll understand how serious foodborne illnesses can be. It may even require a trip to urgent care. Experience an outbreak of E. coli O157:H7 from salad greens and you may be among hundreds heading to the ER.
E. coli poisoning can be life-threatening.
What is E. coli, anyway?
Straight out of the Center for Disease Control (CDC):
“Escherichia coli (abbreviated as E. coli) are bacteria found in the environment, foods, and intestines of people and animals. E. coliare a large and diverse group of bacteria. Although most strains of E. coli are harmless, others can make you sick. Some kinds of E. coli can cause diarrhea, while others cause urinary tract infections, respiratory illness and pneumonia, and other illnesses.”
To be crystal clear — we’re talking about fecal contamination. Poo in food. Bird, cow, human, someone’s poop.
As a registered dietitian, I swear by colorful salads of leafy greens with favorite fruits, veggies, seeds, nuts and proteins atop. Making that recommendation sans lettuce feels blasphemous and unfulfilling. But given the pace at which the outdoor-grown romaine industry reports bacterial outbreaks, food safety threatens our salad fixings.
Break out bacteria
Over the past few years, romaine has been hit hard by outbreaks of bacterial contamination — especially from the strain, E. coli O157:H7. The most recent string of outbreaks is considered “under control” by the CDC and Food and Drug Administration (FDA), but the final count as of January 13, 2020, is 167 individuals reported in the US.
“Reported” is a key word here because how many times have you called the CDC or the FDA when you were sick?
Lettuce + E. coli is not a new thing
Several years ago (2013), a scientific investigation of a decade-worth of data on hospitalizations and deaths attributed to food commodities (including seafood, farm animals and plants) revealed that among the 17 commodities, more illnesses were associated with leafy vegetables (2.2 million [22%]). Illnesses associated with leafy vegetables were the second most frequent cause of hospitalizations (14%) and the fifth most frequent cause of death (6%).¹
A 2020 piece in the Boston Globe written by venerated reporter, Christine Haughney Dare-Bryan, traced the tracks of the recent outbreaks and illuminated the grimness with a family’s horrific experience with E. coli poisoning in their two-year-old son. In the article, Haughney Dare-Bryan reflects on the quick response from then commissioner of the FDA, Scott Gottlieb:
…[Gottlieb] tweeted to a startled nation that they should stop eating romaine lettuce just two days before Thanksgiving 2018.
E. coli fatigue
However the seriousness, history shows that someone hit the snooze button. Despite the number of updates and investigations, CDC and the FDA can’t seem to get ahead of it. Haughney explains:
Despite the growing number of outbreaks, the agency remains protective of the growers, taking little enforcement action and sometimes shielding growers suspected of causing outbreaks from bad publicity. Consider:
The FDA has called little attention to the surge in E. coli outbreaks from leafy green vegetables. It has been slow to investigate or publicize risks and did not disclose one outbreak to the public until the Globe contacted agency officials about reports of E. coli poisonings. FDA officials insist they planned to disclose the early fall 2019 outbreak all along.
The FDA has not punished any farm or distributor in connection with the seven outbreaks traced to lettuce since 2017 even though federal law prohibits the sale of contaminated foods. The agency concluded that three of the outbreaks were linked to a single California lettuce grower but declined to release the name.
The FDA staff monitoring lettuce production is just a small fraction of that detailed to the federal oversight of beef: There are 614 FDA field investigators responsible for leafy greens compared to 7,068 workers overseeing beef for the Department of Agriculture. Congress recently gave the FDA $8 million to better handle outbreaks, but the agency doesn’t want to talk about the state of its staffing. When the Globe tried to examine just how understaffed the agency is, officials redacted hundreds of pages of records discussing their internal problems.
The agency relies almost entirely on voluntary cooperation from the lettuce industry, an approach that has brought about some safety improvements. But FDA has asked relatively little of the industry and recently delayed implementing rules aimed at preventing E. coli contamination of irrigation water until 2022.
What do we do now?
From one salad enthusiast to another, or one mom to another, or one PhD/dietitian to consumer (take your pick): there is a safer way to grow your lettuce and eat it too.
We can grow indoors. Out of the soil and away from questionable water, weather disruption messes and “run-off” contaminants (think poop).
I found my safe salad environment when I met and started working for CROP ONE.
How do I know it’s safe?
Concealed, confined, enclosed, controlled, secured, safe, protected — all synonyms for Crop One’s modular growing rooms (“mods”). Mods are protected by double door entryways with fancy sliding doors like at the supermarket and a vestibule. Anyone who enters is fully gloved and covered in stylish lab wear (no, not stylish).
Pictured: The most stylish lab wear in Massachusetts
I should add here that because our plants are protected from the world, we don’t need or use any type of -cide (pesticides, herbicides or fungicides), nor do we deal with pests, insects, rain, contaminated water or other farm’s fertilizer or chemicals. We’re free from all that stuff you’re trying to stay free from.
Pure, clean, filtered — water and air. Each mod is carefully controlled for contaminants, chemicals, heavy metals, and other unwanted impurities through a multi-step, quality-controlled purification system.
FreshBox KVH Kosher Certified romaine lettuce.
Two words: Kosher. Certified.
If you’re not familiar with the process by which produce is certified Kosher, visualize microscopes, tweezers, fastidious inspectors, etc. KVH Kosher certification officers perform comprehensive inspections to ensure that Crop One/FreshBox Farms’ produce is free of all pests and insects.
The salad solution.
Crop One can keep your salad safe. Miraculously, along with safety, our modular enclosures are scalable and sustainable in any climate, on very little land, with barely any water compared to traditional farms (about 95–99% less water required), but we’ll save that for another conversation.
Jenna A. Bell, PhD, RD, joined the Crop One team in September 2019 as the VP of Nutritional Science to be part of the global food supply solution.
References:
Painter JA, Hoekstra RM, Ayers T, et al. Attribution of Foodborne Illnesses, Hospitalizations, and Deaths to Food Commodities by using Outbreak Data, United States, 1998–2008. Emerging Infectious Diseases. 2013;19(3):407–415. doi:10.3201/eid1903.111866.
Haughney Dare-Bryan C. Green Alert. Boston Globe. Last accessed January 30, 2020: https://edition.pagesuite.com/popovers/dynamic_article_popover.aspx?artguid=a497f64d-df30-4f48-b026-10aadc66901b&appid=1165
WRITTEN BY
Crop One Holdings
We grow the cleanest, healthiest greens for anyone, anywhere in the world. Our sustainable vertical farms are free from chemicals and climate-proof.