SafetyAlerts
April 21, 2003
CALIFORNIA STATE HEALTH DIRECTOR IMPLEMENTS EMERGENCY REGULATIONS
TO LIMIT SALE OF RAW OYSTERS HARVESTED FROM GULF COAST (SafetyAlerts)
-California Department of Health Services said, in response to deaths
and illnesses from eating raw oysters from the Gulf Coast from April
through October, emergency restrictions have been imposed on this
product in California, Health Director Diana M. Bontá, R.N.,
Dr.P.H., announced today. The restrictions are the first of their
kind in the nation.
Oysters harvested from Alabama, Florida,
Louisiana, Mississippi and Texas during the warmer months may be
contaminated with the harmful bacteria Vibrio vulnificus, which
can lead to severe illness and death. Since 1983, there have been
75 illnesses that have resulted in 48 deaths in California, including
six deaths and one illness last year. Individuals with cancer, AIDS
and other conditions that weaken or compromise the immune system,especially
chronic liver disease associated with alcohol consumption, are at
highest risk.
"Each year, Californians become seriously
ill and die after consuming raw oysters harvested from the Gulf
Coast from April through October," Bontá said. "These
emergency regulations were adopted to protect public health. Illnesses
and deaths associated with Vibrio vulnificus from raw Gulf Coast
oysters are preventable."
The new regulations prohibit shellfish
dealers and retailers in California from accepting raw oysters harvested
from the Gulf Coast from April through October unless the oysters
are treated with a scientifically validated process to reduce Vibrio
vulnificus to non-detectable levels and prominently labeled with
a statement to that fact.
Since 1991, the California Department of
Health Services (CDHS) has required restaurants, markets and other
retailers that sell Gulf Coast oysters to prominently display a
warning about the risk of eating these oysters. Current regulations
prohibit retailers from receiving raw oysters if their origin is
not clearly identified and require the retailer to retain oyster
identification tags for 90 days. State regulations also require
all dealers and retailers to maintain proper records, which allow
for the rapid identification of shellfish sources linked to illness.
In 1997, the regulations were amended to
provide the warning in Spanish and allowed for an exemption from
the warning if the Gulf Coast oysters were treated to reduce the
levels of Vibrio vulnificus to non-detectable levels. The new regulations
retain the 1991 and 1997 provisions. In July 2001, CDHS concurred
with a decision by the Interstate Shellfish Sanitation Conference
to continue educational efforts directed at high-risk individuals.
Despite these efforts, California experienced 16 illnesses that
resulted in 10 deaths from 2001 through 2002. The conference, a
cooperative arrangement between the U.S. Food and Drug Administration,
state regulators and the shellfish industry, addresses issues regarding
the shellfish industry.
Vibrio vulnificus naturally inhabits estuaries
and marine environments and is not associated with environmental
pollution. The bacteria does not alter the appearance, taste or
odor of oysters. In healthy individuals, symptoms of Vibrio vulnificus
infections include fever, chills and sometimes abdominal pain, generally
within 24 hours of eating contaminated shellfish. In at-risk individuals,
death can occur within two to three days. More than 50 percent of
those who become ill die. Those who survive are often permanently
disabled; amputations are sometimes necessary.
CDHS warns consumers that all foods of
animal origin pose some risk when eaten raw or undercooked. To reduce
the risk of illness, high-risk individuals are advised to cook all
foods of animal origins such as oysters, meats, poultry, seafood
or eggs. Consumers with questions about the source of oysters displayed
for sale should ask the retailer or oyster supplier.
These emergency regulations take effect
immediately. However, CDHS is working with local health departments
to phase in implementation of the regulations during the next three
weeks. The regulations may be revised following the public comment
process. A public hearing on the emergency regulations is scheduled
on June 11 in Sacramento. The public comment period will close at
5 p.m. June 13.
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