Medpedia

My friend David Gumpert over at The Complete Patient broke the news tonight that Whole Foods will be stopping raw milk sales in its stores in several states - "Another Body Blow to Food Choice As Whole Foods Discontinues Raw Milk Sales in At Least Four States."  I am sure that the cessation of sales had nothing to do with a post I did several months ago - "Risky Business - Why would a retailer, like Whole Foods, sell Raw Milk?"  Most likely it is simply that Whole Foods values its customers like:

Margot Standish was seven years old in June 2008, when she became infected with E. coli O157:NM as the result of consumption of raw milk. Her symptoms began in late June, with diarrhea, vomiting, and abdominal cramps. Her regular physician treated Margot over the period of more than a week, but her condition began to deteriorate, and she was admitted to the hospital on July 8. Laboratory tests conducted that day provided evidence that Margot had been suffering from hemolytic uremic syndrome (HUS). Thankfully, Margot’s renal insufficiency did not deepen to the point that dialysis was required. She remained hospitalized through July 14. Medical bills exceeded $30,000. As a result of her HUS, Margot will need to have her renal function monitored regularly for the rest of her life.

And, Kalee Prue, a 27-year-old mother of one, became infected with E. coli O157:NM in June 2008, as the result of consumption of raw milk. Her symptoms began in early July, and intensified for several days. On two occasions, Kalee sought treatment in the emergency room. On July 12, it became apparent that she was developing hemolytic uremic syndrome (HUS). She was then admitted to the hospital on July 13. Kalee’s renal failure was complete and prolonged, and she required plasmapharesis from July 13 through August 11. Severe anemia necessitated repeated transfusions with packed red blood cells as well. By the time she was released from the hospital on August 14, she had incurred over $230,000 in medical bills. Kalee has not recovered full renal function. She is at severe risk for long-term renal complications, including end stage renal disease (ESRD), dialysis, and transplant.

Both Margot and Kalee where part of the same E. coli O157:NM Outbreak.  The milk they consumed was purchased at Whole Foods. 

On July 16, 2008, the Connecticut Department of Public Health (CDPH) was investigating two cases of HUS as part of its routine surveillance. Interviews conducted in these investigations revealed that both children had consumed raw milk in the week before the onset of their illnesses. Both children had consumed raw milk produced by the Simsbury Town Farm Dairy. CDPH notified the Connecticut Department of Agriculture (CDA), and opened an investigation. In the following two weeks five additional confirmed and seven additional probable cases of E. coli O157:NM infection, each associated with consumption of raw milk from the Simsbury Town Farm Dairy.

As part of the investigation of the outbreak, CDA conducted an environmental inspection of the Simsbury Town Farm Dairy. CDA found a number of troubling practices at the dairy. These included: manual bottling of raw milk directly from the bulk tank; failure to cap valves; an improper seal around the shaft of the transport tank; and a biofilm protein residue found inside the transport tank. In addition, investigators found a number of “poor hygienic practices” at the dairy. Among these was the storage of a stainless steel milk tank in an exposed unsanitary bucket. In addition, investigators found a lack of hand soap, a lack of hot water and the hand-washing sink, and soiled floors. Flies were observed in the bulk milk storage tank room. The dairy workers were unable to identify the dairy’s sanitation process for glass milk bottles that were re-used. It was also noted that the glass bottles from the dairy did not feature the statutorily required consumer advisory language.

A laboratory study was also conducted. Of the six patients that cultured positive for E. coli O157:NM, 5 had a “genetic fingerprint” that was indistinguishable. The sixth varied very slightly on one test. Samples of feces from the cows at the dairy were also tested. One of the tests was positive for E. coli O157:NM of a strain matching that of the group of five patients. The CDPH concluded: “several findings from this investigation indicated that consumption of raw milk from Farm X [Simsbury] was the cause of the outbreak.”