Tag Archives: Health Department

Sun Safety

Protect yourself and your family from sun’s damaging rays

Summer has arrived bringing us warm weather and sunshine. As you are out enjoying summer time activities, the Monterey County Health Department would like to remind you that sun safety is important for you and your loved ones. It is not even necessary to be at the pool, beach, or even on vacation to get too much sun. Everyone’s skin needs protection from the sun’s harmful ultraviolet (UV) rays whenever they are outdoors.

With summer here, Monterey County residents will spend more time outdoors enjoying the sunny weather. “The Department recognizes the importance of outdoor physical activity,”  Dr. Lisa Hernandez, Interim Monterey County Health Officer said, “but we encourage people to exercise precaution when spending time in the sun in order to reduce their risk of sunburn which may lead to the development of skin problems, including cancer.”

Of special concern to the Department is children’s sun safety. Children spend a great deal of time in the sun, getting an average of three times more exposure to the sun’s rays than adults. Just a few serious sunburns can increase a child’s risk of skin cancer later in life. It is critical to create positive sun safety habits at a young age.

The Department staff offers the following sun safety tips:

  • Keep in mind the sun is strongest between 10am and 4pm.
  • Always wear protective clothing when outdoors.
  • Wear a wide brimmed hat and UV blocking sunglasses.
  • Keep very young children (6 months or less) out of the sun.
  • Sunscreens need to be applied liberally and evenly over all exposed areas.
  • Apply sunscreen with an SPF of 15 or higher whenever outdoors and reapply often.
  • For children, the American Academy of Dermatology recommends sunscreen with an SPF of 30 or higher.
  • And remember, stay in the shade whenever possible.

For more information on sun safety measures and skin cancer prevention, visit the Monterey County Health Department website at www.mtyhd.org. More summer safety resources are available on the Department’s Summer Time Safety webpage.

Contacts: Lisa B. Hernandez, MD, MPH Karen Smith, MPA
Interim Health Officer, 755-4585 or 755-8942 Public Information Officer, 755-4639
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Tortilla Recall – Corrected “Use By”

Gordita Black Bean Tortillas Recalled Due To Possible Health Risk

The previous notification, with date code of “12 7 11” was incorrect, the revised date code, which is on a white sticker applied to the packaging, reads “11 6 11.

United Natural Foods today announced a correction to its previously announced recall of selected types of Gentes Foods Gordita Black Bean Tortillas, specifically to correct the previously stated date code of 12 7 11 to the revised date code of 11 6 11.  United Natural Foods, Inc. is recalling this product dated 11 6 11 because it has the potential to be contaminated with Clostridium botulinum, a bacterium which can cause life-threatening illness or death.

Consumers are warned not to use the product even if it does not look or smell spoiled.

The following product has been recalled:
Gentes Foods 10 oz Gordita Black Bean Tortillas UPC 618032102021, date code “12 7 11”

The affected product was distributed to the Safeway and Pak N Save stores in California listed below.

  • Safeway #1110 — 1546 N Main, Salinas
  • Safeway #2840 — 2010 Freedom Blvd, Watsonville
  • Pak N Save #3116 — 2255 Gellert Blvd, S San Francisco
  • Pak N Save #3125 — 3889 San Pablo Ave, Emeryville

The date code is on a white sticker applied to the packaging that reads “12 7 11.”  This date code sold at other retail outlets has not been affected.

Gentes Foods Gordita Black Bean Tortillas are packed as six tortillas in a vacuum packaged clear sleeve. The package is approximately 10oz in size and an orange label is on a clear wrapper with white lettering.

No illnesses have been reported to date

Contacts:
Hugh F. Stallworth, MD, MPH
Health Officer    755-8942

Lisa B. Hernandez, MD, MPH
Deputy Health Officer   755-4585

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Salad Blends Recall

Recall of salad blends due to potential contamination
No illnesses have been reported in association with this recall

Taylor Farms Retail has recalled 3,265 cases of various salad blends with the potential to be contaminated with Salmonella following a random test conducted on a finished package of spinach by the State of Washington Department of Agriculture.

The products were distributed in 15 states including California and sold in various retail supermarkets.

For a list of brands and item descriptions, visit the Monterey County Health Department Website.

There have been no reported illnesses attributed to the recalled items.

Customers who have purchased these products are urged not to consume the products and should dispose of them. Consumers may contact Taylor Farms Retail, Inc. for further information at 1-877-323-7374.

Consumers with concerns about an illness from consumption of this product should contact a health care provider.

Salmonella

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain from 6 to 72 hours after eating contaminated items. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after consuming affected products should contact their health care provider immediately.

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Contact Lense Recall

CooperVision recalls certain Avaira Toric contact lenses. If you wear the affected contact lenses and experience any symptoms stop wearing the lenses immediately.

CooperVision has initiated a worldwide recall of certain lots of Avaira™ Toric contact lenses. To date, the recall has impacted approximately 600,000 Avaira Toric contact lenses in the U.S.

The recall was initiated due to the presence of a residue on certain lots of Avaira Toric lenses, which may cause hazy vision, discomfort, or eye injuries requiring medical treatment. Not everyone experiences the same symptoms. Since the initiation of the recall, the company has received some additional complaints of severe eye pain. Avaira Toric contact lens wearers that experience any symptoms should stop wearing the lenses immediately and speak with their eye care practitioner.

If you wear Avaira Toric contact lenses and experience any symptoms stop wearing the lenses immediately. Contact your eye care practitioner for advice.

If you wear Avaira Toric contact lenses and are not experiencing symptoms:

•Go to the CooperVision recall web page at www.coopervision.com/recall, and enter the lot number of your package to determine whether your lenses have been recalled.
•You may contact CooperVision on their  toll-free consumer hotline (1-855-526-6737)
•If your lenses have been recalled, immediately remove your existing lenses, discontinue lens wear; and return your lenses to your eye care practitioner or point of purchase. Contact lenses are medical devices and can only be prescribed and dispensed by a licensed eye care professional.

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Stillwater Cove Beach Advisory

Beach Advisory: Stillwater Cove, Pebble Beach

When:     3:00 pm, September 27, 2011

Where:    Stillwater Cove, Pebble Beach

What:  Stillwater Cove has been posted with an advisory due to high indicator bacteria found in samples taken 9/26/2011.  The beach will remain posted until samples indicate that indicator bacteria are at a safe level for recreational water contact according to state guidelines.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit our web site at www.mtyhd.org.

Contact:         John Ramirez
Director of Environmental Health
Phone: (831) 647-7654
Beach Hotline (800) 347-6363

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Nationwide Recall of Oral Contraceptives

Qualitest Pharmaceuticals has issued a nationwide, retail-level recall of multiple lots of oral contraceptives. The recall is the result of a packaging error, where select blisters were rotated 180 degrees within the card, reversing the weekly tablet orientation and making the lot number and expiry date no longer visible. This packaging error and the potential for this error to have affected other oral contraceptive products resulted in the company issuing the recall of multiple lots.

View the entire release

Contacts:

Hugh F. Stallworth, MD, MPH                Lisa B. Hernandez, MD, MPH

Health Officer    755-8942                       Deputy Health Officer   755-4585

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Beach Advisory

When: 8:00 am, September 13, 2011

Where:
Monterey State Beach, Seaside CA

What: Monterey State Beach has been posted with an advisory due to high indicator bacteria found in samples taken 9/12/2011.  The beaches will remain posted until samples indicate that indicator bacteria are at a safe level for recreational water contact according to state guidelines.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit our web site at www.mtyhd.gov.

Contact: John Ramirez
Director of Environmental Health
(831) 647-7654
Beach Hotline (800) 347-6363

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Raw Oyster Advisory

Monterey County Health Officials Advise Consumers Not to Eat Raw Oysters

Reports indicate an increase in Vibrio parahaemolyticus infections.

Monterey County Health Department is advising people to avoid consuming raw or undercooked oysters (such as those that are lightly steamed, marinated, or prepared as Rockefeller).  This is in response to several individuals becoming ill after eating raw oysters served or purchased in Monterey County.  The reported illnesses are associated with the naturally occurring bacterium Vibrio parahaemolyticus (Vibrio), which is most prevalent during summer months when water temperatures are most favorable for its growth.

The majority of illnesses that occur from the consumption of raw oysters are not life-threatening to the general population.  Severe disease occurs most commonly in individuals with weakened immune systems and certain medical conditions such as liver disease, diabetes, and stomach disorders.  The symptoms are watery diarrhea, often with abdominal cramping, nausea, vomiting, fever and chills.  Usually these symptoms occur within 12 to 24 hours of ingestion of raw oysters and last no more than seven days.  However, symptoms may progress very quickly among high-risk individuals and become life-threatening.  Anyone experiencing any of the above symptoms after consuming raw oysters should contact their health care provider.

It is important to stress that V. parahaemolyticus is naturally present in marine waters and does not imply sewage contamination.  Rising temperatures of ocean water contribute to an overgrowth of V. parahaemolyticus.  Although oysters should always be obtained from reputable sources, eating oysters from “clean” waters or in restaurants with high turnover does not provide protection.  Eating raw oysters with hot sauce or while drinking alcohol does not kill the bacteria, either.  Only heat can destroy the bacteria.

Consumers are encouraged to always thoroughly wash their hands after handling raw shellfish and to fully cook shellfish before eating.  Individuals with a chronic disease or who have a weaken immune system should be especially careful about handling or eating raw shellfish.  While the Health Department strongly discourages the public from consuming raw and undercooked oysters at this time, if consumers choose to consume oysters, they should ensure the oysters are cooked thoroughly as follows.

In the shell:
• Discard oysters with shells already opened.
• Boil oysters until the shells open. Once open boil for an additional 3-5 minutes.
• Steamer – add oysters to steaming water and cook live oysters until the shells open. Once open, steam for another 4-9 minutes.
• Discard any oysters that do not open during cooking.

Shucked Oysters:
• Boil or simmer shucked oysters for at least 3 minutes or until the edges curl.
• Fry at 375 degrees for at least 3 minutes.
• Broil 3 inches from heat for 3 minutes.
• Bake at 450 degrees for 10 minutes.

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Contacts:  Hugh F. Stallworth, MD, MPH                Lisa B. Hernandez, MD, MPH
Health Officer    755-8942                                            Deputy Health Officer   755-4585

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Preventing Heat Related Illness

Monterey County Health Department Offers Tips on Preventing Heat Related Illness

Individuals may more fully enjoy the warm weather and avoid heat related illness
by drinking plenty of water, staying cool, and making a few changes in their activities.

The forecast for inland portions of Monterey County for today and tomorrow is for temperatures in the triple digits. The Monterey County Health Department would like to remind you that the best defense against heat related illness is prevention.

Even short periods of hot temperatures can cause health problems.  Overexertion on a hot day, staying too long out in the sun or spending too much time in an over-heated space can all lead to heat related problems.  Monterey County Health Department’s Health Officer, Dr. Hugh Stallworth would like to remind individuals to “drink plenty of water to stay hydrated, use sunscreen of at least a SPF of 15 and never to leave any person or pet in a closed, parked vehicle.”

When the temperature is in the high 90’s electric fans may provide comfort but they do not prevent heat related illnesses.  Even a few hours a day in an air-conditioned building will help. Consider a visit to the mall or the library for a few hours.

Some health conditions such as obesity, fever, dehydration, heart disease, poor circulation, sunburn, and drug and alcohol use can make it harder for the body to stay cool.  Check on the elderly and people with health conditions twice a day during a heat wave.

The following tips are not a substitute for medical care, but may help people avoid heat related illnesses such as heat exhaustion and heat stroke.  Individuals are urged to get medical attention if they or a family member have symptoms of heat exhaustion or stroke such as dizziness, nausea, headaches, fainting or confusion while in the sun or after being out in the heat.

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Contacts:  Hugh F. Stallworth, MD, MPH                Lisa B. Hernandez, MD, MPH
Health Officer    755-8942                                            Deputy Health Officer   755-4585

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Health Advisory – Fatal Case of Vaccine-Preventable Disease

The California Department of Public Health recently announced a fatal case of invasive pneumococcal disease caused by a Streptococcus pneumoniae serotype (19A) included in   the 13-valet pneumococcal conjugate vaccine (PCV13).  While there have been no cases reported in Monterey County yet this year, at least 29 California children have developed nonfatal invasive pneumococcal disease since PCV13 was introduced in 2010.  All providers should review their vaccine protocols at this time.  Highlights are below:

  • Make sure that your practice is using the new vaccine that protects against 13 strains of pneumococcal disease (PCV13) and not the old vaccine that protects against seven strains (PCV7).
  • All children 59 months of age and under should receive a dose of PCV13 regardless if they have completed a series with PCV7.
  • Certain high risk children ages 60 to 71 months should receive PCV13.

Please review theHealth Advisory from the California Department of Public Health Immunization Branch for full vaccine recommendations .  For vaccine questions, please contact Molly Hubbard, Immunization Coordinator, at 831?755-4683.

As a reminder, pneumococcal disease should be reported to the Monterey County Health Department as an “unusual disease” under Title 17 of the California Code of Regulations.  For questions about communicable disease morbidity and/or reporting, please contact the Communicable Disease Unit at 831-755-4521.

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Layered Dip Recalled Due to Potential Contamination

Fresh Food Concepts has recalled Layer Dip products containing guacamole because the avocado has the potential to be contaminated with Listeria monocytogenes.

The product can be identified as follows:

Product Description UPC Code Use By date code
Fresh Food Concepts 5 Layer Dip, 32 oz 29358-11272 09/16/11 and before
Delicioso 5 Layer Dip, 15 oz 29358-12229 09/16/11 and before
Delicioso 5 Layer Dip, 30 oz 29358-12230 09/16/11 and before
Rojo’s Ultimate 7 Layer Dip, 36 oz 35196-44162 09/16/11 and before
Fresh Food Concepts 5 Layer Dip, 16 oz 35196-44216 09/16/11 and before
Rojo’s Supreme 6 Layer Dip, 44 oz 47502-44180 09/16/11 and before
Rojo’s 6 Layer Dip, 44 oz 47502-44185 09/16/11 and before
Rojo’s 6 Layer Dip, 44 oz 47502-44189 09/16/11 and before
Fresh Food Concepts 5 Layer Dip, 454 g 35196-44214 09/16/11 and before
Signature Café 6 Layer Dip, 15 oz 21130-06191 09/16/11 and before
Signature Café 6 Layer Dip, 30 oz 21130-06192 09/16/11 and before
Signature Café 6 Layer Dip, 425 g 58200-06034 09/16/11 and before
Signature Café 6 Layer Dip, 850 g 58200-06032 09/16/11 and before

Product with expiration dates USE BY 09/24/11 and AFTER are made with avocado from a different source and are NOT involved in this recall. No other products made by Fresh Food Concepts are involved in this recall.

The product was distributed nationwide and Canada through retail supermarkets and club stores.

Consumers who have purchased the recalled product are urged to return it to the place of purchase for a full refund or destroy it.  Consumers with questions may contact the company at 1-714-562-5000 ext 134, Monday – Friday, 8:00 AM – 5:00 PM PDT.

Listeria monocytogenes

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis.  However, listeriosis can cause high fever, severe headache, neck stiffness and nausea.  Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy.  Individuals concerned about an illness should contact a health care provider.

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Dog Treats Recalled Over Salmonella Concern

Merrick Pet Care, has recalled a single lot of its Doggie Wishbone pet treat because they have the potential to be contaminated with Salmonella.
The following product is affected by this recall:

  • Doggie Wishbone, Item # 29050, UPC# 2280829050, Lot 11031 with Best By 30 Jan 2013

No additional Merrick Pet Care products are involved in this recall. No other Merrick brand products are involved.

The Doggie Wishbone was shipped to distributors and retailers throughout the US.  These individuals have been notified and have activated their recall procedures.

No illnesses have been reported to date and there have been no consumer complaints for this product. This issue was identified through routine sampling by the Food and Drug Administration.

Consumers who have purchased the Doggie Wishbone with the lot code 11031 are urged to return the unused portion to the place of purchase for a full refund. Consumers with questions may contact the company at 1-800-664-7387 M-F 6:00am – 3:00pm PST.

Salmonella

Salmonella can affect both humans and animals. People handling pet treats can become infected with Salmonella, especially if they have not thoroughly washed their hands after having contact with the treats or any surfaces exposed to these products.

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after having contact with this product should contact their health care provider immediately.

Pets with Salmonella infections may become lethargic and have diarrhea or bloody diarrhea, fever and vomiting. Some pets may only experience a decreased appetite, fever and abdominal pain. If your pet has consumed any of the affected products or is experiencing any of these symptoms, contact your veterinarian immediately.  Infected, but otherwise healthy pets can be carriers and infect other animals or humans.

Consumers can report complaints about FDA-regulated pet food and pet treat products by calling the consumer complaint coordinator in their area. You can locate the nearest consumer complaint coordinator at http://www.fda.gov/Safety/ReportaProblem/ConsumerComplaintCoordinators/default.htm

Learn more about pet safety.

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Purina ONE Cat Food Recall

Nestlé Purina PetCare Company has recalled a limited number of 3.5- and 7-pound bags of its Purina ONE Vibrant Maturity 7+ Dry Cat Food from a single production run and shipped to customers in 12 states including California in December 2010.  The recall is a result of the finding some bags were found to be contaminated with Salmonella.

Only Purina ONE Vibrant Maturity 7+ Dry Cat Food with both the “Best By” date and the production code shown are included in this voluntary recall:

Product Name: Purina ONE Vibrant Maturity 7+
Bag Size: 3.5 lb.
Best By Date and Production Code: MAY 2012,  03341084
Bag UPC Code: 17800 01885

Product Name: Purina ONE Vibrant Maturity 7+
Bag Size: 3.5 lb.
Best By Date and Production Code: MAY 2012,  03351084
Bag UPC Code: 17800 01885

Product Name: Purina ONE Vibrant Maturity 7+
Bag Size: 7 lb.
Best By Date and Production Code: MAY 2012,  03341084
Bag UPC Code: 17800 01887

Product Name: Purina ONE Vibrant Maturity 7+
Bag Size: 7 lb.
Best By Date and Production Code: MAY 2012,  03351084
Bag UPC Code: 17800 01887

*”Best By” Date and Production Code are found on the back or bottom of the bag.

No additional Purina cat or dog products are involved in this voluntary recall.  No other Purina ONE brand products are involved.
Consumers who have purchased the affected products should discontinue feeding the product and discard it.

For further information or to obtain a product refund, please call the company toll-free at 1-800-982-6559 or visit www.purina.com.

Salmonella

Salmonella can affect both humans and animals. People handling pet treats can become infected with Salmonella, especially if they have not thoroughly washed their hands after having contact with the treats or any surfaces exposed to these products.

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after having contact with this product should contact their health care provider immediately.

Pets with Salmonella infections may become lethargic and have diarrhea or bloody diarrhea, fever and vomiting. Some pets may only experience a decreased appetite, fever and abdominal pain. If your pet has consumed any of the affected products or is experiencing any of these symptoms, contact your veterinarian immediately.  Infected, but otherwise healthy pets can be carriers and infect other animals or humans.

Consumers can report complaints about FDA-regulated pet food and pet treat products by calling the consumer complaint coordinator in their area. You can locate the nearest consumer complaint coordinator at:
http://www.fda.gov/Safety/ReportaProblem/ConsumerComplaintCoordinators/default.htm

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Weight Loss Supplement Recall

Intercharm Incorporated has recalled Slimforte Slimming Capsules, Slimforte Slimming Coffee, and Botanical Slimming Soft Gel.  The recall is the result of FDA laboratory analyses that found the products contained Sibutramine, an appetite suppressant. Sibutramine is a controlled substance and was withdrawn from the market for safety reasons in October 2010.

The products affected by the recall:

  • Slim Forte Slimming Capsules is packaged in a green box with a picture of a woman on the front. The box has pink, blue, and green text. The box contains 30 capsules. Batch No. 20100928, Best By 09.27.2012 and Batch No. 20100604, Best By 06.03.2012
  • Slim Forte Slimming Coffee is packaged in a green box with a picture of a woman on the front. The box has pink, blue, and green text. The box contains 10 packets of instant coffee. Batch No. 20100903, Best By 09.02.2012
  • Meizitang Botanical Slimming Soft Gel is packaged in a green package/pouch with green background and a picture of a woman on front. The package has yellow, white, and black text. The pouch contains 3 blister packs of 12 each 650 mg softgel capsules. Lot Code 12.24.2009, Best By 12.23.2011

Products were distributed through the internet nationwide.  The company has not received any reports of adverse events related to this recall.

Products containing Sibutramine pose a threat to consumers because Sibutramine is known to substantially increase blood pressure and/or pulse rate in some patients and may present a significant risk for patients with a history of coronary artery disease, congestive heart failure, arrhythmias or stroke. These products may also interact in life threatening ways with other medications a consumer may be taking.

Consumers should stop using this product immediately and throw it away.  Consumers who have experienced any negative side effects should consult a health care professional as soon as possible.

The FDA has identified an emerging trend where over-the-counter products, frequently represented as dietary supplements, contain hidden active ingredients that could be harmful. Consumers may unknowingly take products laced with varying quantities of approved prescription drug ingredients, controlled substances, and untested and unstudied pharmaceutically active ingredients.

Protect yourself from possibly dangerous dietary supplements:

  • Know what you’re taking.
  • Be aware of the ingredients contained in any weight loss products.  Some ingredients, including nutrients and plant components, can be toxic.  Also, some ingredients and products can be harmful when consumed in high amounts, when taken for a long time, or when used in combination with certain other drugs, substances, or foods.
  • Do your research, it can save your health. Research the product with the Food and Drug Administration, the Federal Trade Commission, and the Better Business Bureau before you purchase any weight loss products or services. This may not only save you time and money, but may also save your health.
  • Always check with your doctor. Weight loss products, including those that contain dietary supplements, herbals, and vitamins may be harmful in individuals with certain medical conditions or can interact with other medications. Therefore, always consult with your doctor before starting any weight loss product or program.

Any adverse events that may be related to the use of the affected products should be reported to the FDA’s MedWatch Adverse Event Reporting program.  The report may be made by phone at 1-800-FDA-1088, online at www.fda.gov/MedWatch/report.htm, or by returning the postage paid FDA form 3500.  The form may be downloaded from www.fda.gov/MedWatch/getforms.htm and mailed to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787 or faxed to 1-800-FDA- 0178.

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Beach Advisory: Lover’s Point

BEACH ADVISORY: Lovers Point Beach, Pacific Grove, CA

When: 7:30 am, July 19, 2011

Where: Lovers Point Beach

What:  Lovers Point Beach has been posted with an advisory due to high indicator bacteria found in samples taken 07/18/2011.  The beach will remain posted until samples indicate that indicator bacteria are at a safe level for recreational water contact according to state guidelines.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.
It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.
For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit our web site at www.mtyhd.org

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Beach Advisory Lifted: Spanish Bay

When:     3:17 pm., July 7, 2011

Where:    Spanish Bay, Pebble Beach

What:  Spanish Bay, Pebble Beach was posted with an advisory on 7/6/2011 due to high indicator bacteria found in samples taken 7/6/2011.  Follow up samples reveal that bacteria have subsided to levels considered safe for recreational contact.
Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit the web site at www.mtyhd.org

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Beach Advisory: Pebble Beach, Stillwater Cove

When:     12:00 pm, July 6, 2011

Where:    Stillwater Cove, Pebble Beach

What:  Stillwater Cove has been posted with an advisory due to high indicator bacteria found in samples taken 7/05/2011.  The beach will remain posted until samples indicate that indicator bacteria are at a safe level for recreational water contact according to state guidelines.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit the beach alert website.

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Beach Advisory: Spanish Bay

When:     7:30 am, July 6, 2011

Where:    The Beach at Spanish Bay

What:  The Beach at Spanish Bay has been posted with an advisory due to high indicator bacteria found in samples taken 7/05/2011.  The beach will remain posted until samples indicate that indicator bacteria are at a safe level for recreational water contact according to state guidelines.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit the web site at www.mtyhd.org

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Recall of Candy Containing Lead

State and local health officials are warning consumers not to eat BAVAN Brand Sugar Rewari candy imported from India.  The warning comes after tests conducted by California Department of Public Health (CDPH) found unacceptable levels of lead. The candy is also packaged under the names Sugar Redoi and Sugar Reori.  Consumers in possession of the candy should discard it immediately.

Recent analysis of this candy by CDPH determined that BAVAN Brand Sugar Rewari candy contained as much as 1.2 parts per million (ppm) of lead. California considers candies with lead levels in excess of 0.10 ppm to be contaminated.

BAVAN Brand Sugar Rewari candy is sold in a 10.5-ounce, clear plastic bag with an orange border. The label on the package is orange and white with the words “BAVAN Brand Sugar Rewari (Candy) printed in black ink. Alternatively, the product may be labeled as “BAVAN Brand Sugar Reori (Candy)” or “BAVAN brand Sugar Redoi (Candy)”. The light brown and oval shaped candy is visible through the package.  BAVAN Brand Sugar Rewari candy is imported and distributed by Bavan Food Company in Sacramento.

Consumers who find BAVAN Brand Sugar Rewari candy for sale are encouraged to call the CDPH Complaint Hotline at 1-800-495-3232.

More information about lead poisoning

Pregnant women and parents of children who may have consumed this candy should consult their physician or health care provider to determine if medical testing is needed.

For more information about lead poisoning, parents and caretakers should contact Monterey County’s childhood lead poisoning prevention program at 755-4704.

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Tylenol Recall

McNeil Consumer Healthcare has recalled one product lot (60,912 bottles) of TYLENOL®, Extra Strength Caplets, 225 count bottles. McNeil is taking this action following a small number of odor reports, including musty, moldy odor. The uncharacteristic musty, moldy odor has been linked to the presence of trace amounts of a chemical known as 2,4,6-tribromoanisole (TBA).

The following product is affected by this recall:

Product Name: TYLENOL®, Extra Strength Caplets, 225 count
Lot Number: ABA619
UPC Code: 300450444271
 

The product lot number for the recalled product can be found on the side of the bottle label.

The recalled product was manufactured in February 2009.

This recall is being taken as a precaution and the risk of serious adverse medical events is remote. TBA can generate an offensive odor and has been associated with temporary and non-serious gastrointestinal symptoms.

Consumers who purchased product from the lot included in this recall should stop using the product and contact McNeil Consumer Healthcare, either at www.tylenol.com or by calling 1-888-222-6036 (Monday-Friday 8 a.m. to 8 p.m. Eastern Time) for instructions about receiving a refund or product coupon.

Consumers who have medical concerns or questions should contact their healthcare provider.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Ham Recall

Specialities Agro Alimentation has recalled approximately 5,700 pounds of imported boneless Serrano ham products that may be contaminated with Listeria monocytogenes.

The following products are subject to recall:

  • Approximately 11 lb. cases of “Noel Jamón Serrano Boneless Spanish Dry-Cured Ham” and “Bloc Noel Serrano Ham,” with production codes “11000481″ or “11000119″ on the shipping container and the label on the ham.

In addition, each product package subject to this recall bears “Product of Spain” and the establishment number “Est. 26″ (Spain) on the label. The products were produced on various dates and were shipped to retailers nationwide.

Consumers who purchased this product at a retailer will not find the production code on their package, and should consult the retailer where their purchases were made if they have any questions.

There have been no reports of illness or adverse reactions due to consumption of these products. Consumers concerned about an illness should contact their healthcare provider.

When available, the retail distribution list(s) will be posted on the US Department of Agriculture, Food Safety Inspection Service (FSIS) web site.

Consumers with questions about the recall should contact the company, Specialities Agro Alimentation, at 800-899-6689.

Listeria monocytogenes

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis.  However, listeriosis can cause high fever, severe headache, neck stiffness and nausea.  Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy.  Individuals concerned about an illness should contact a health care provider.

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Nature Relief Recall

Nature Relief has recalled all lots Nature Relief Instant Wart and Mole Remover.  The product is potentially unsafe and contains an ingredient that may result in harmful burns to the skin. Consumers are advised to immediately discontinue use of the product.

According to the US Food and Drug Administration (FDA) the active ingredient, calcium oxide, can cause severe burns of the skin, particularly to areas of thin or sensitive skin, such as the face, area around the eyes, and genitalia. The FDA has received a report of an injury associated with the use of the recalled product.  The reported injury included burns to the skin that required medical attention.

Nature Relief Instant Wart and Mole Remover was sold as a kit, which contained the following items: two small containers labeled “Repair Cream”, one container of “Antiseptic Wash”, a package of “Triple Antibiotic Ointment”, toothpicks, and a “vanity kit” with cotton balls, swabs, and nail files.

Consumers who purchased Nature Relief Instant Wart and Mole Remover should immediately discontinue the use of the product and discard the remaining contents. For safe disposal, consumers should put the product inside a plastic bag and place it in the garbage in order to avoid further exposure.

Consumers with questions may contact Nature Relief customer care at 1-888-646-6399 or email the company at support@naturerelief.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Consumers who experience adverse events with this product should seek immediate help from their physician or healthcare provider.

The FDA and the Monterey County Health Department advise consumers to have suspicious moles reviewed by licensed medical professionals to ensure they are not cancerous.   Early diagnosis of skin cancer is important and self-treatment of suspicious moles can result in a delay of diagnosis.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Endocet Recall

Endo Pharmaceuticals has issued a voluntary nationwide recall of Endocet® (oxycodone/acetaminophen, USP) Tablets, 10 mg/325 mg 100 count bottles. One bottle from each of the affected lots of Endocet® Tablets, 10 mg/325 mg, was found to contain some Endocet® 10 mg/650 mg Tablets, which are identifiable by their larger size, and different shape and markings. No injuries have been reported to date.

The recall includes the following lots of this product:

  • Endocet® (oxycodone/acetaminophen, USP) Tablets, 10 mg /325 mg 100 count bottles, NDC 60951-712-70, Lot # 402415NV, Expiry 01/2014; and
  • Endocet® (oxycodone/acetaminophen, USP) Tablets, 10 mg /325 mg 100 count bottles, NDC 60951-712-70,Lot # 402426NV, Expiry 01/2014
    Currently, no other bottles from the subject lots or any other lots have been found to erroneously contain Endocet® 10 mg/650 mg Tablets. These lots were distributed between April 19, 2011 and May 10, 2011 directly to wholesalers who are located in 18 states including California.  These wholesalers may further distribute to other retailers and wholesalers nationwide. Lot numbers can be found on the side of the manufacturer’s bottle.

Because the recalled bottles may contain incorrect tablets that have a higher dosage of acetaminophen, consumers may take more than the intended acetaminophen dose. Unintentional administration of tablets with increased acetaminophen content may result in liver toxicity, especially in patients on other acetaminophen containing medications, patients with liver dysfunction, or people who consume more than 3 alcoholic beverages a day. The product label warns consumers that acetaminophen overdosage can potentially cause severe liver damage.

Consumers who have the affected product should stop using the product.  Consumers with medical concerns should contact their healthcare provider.

Consumers with questions, including how to return the product, may contact Endo’s agent Stericycle at 1-866-723-2681 during the hours of 5 am to 5 pm PST Monday through Friday and 5 am to 2 pm PST on Saturday and Sunday. The phones will be staffed by Stericycle.

Tablet description:

Endocet® (oxycodone/acetaminophen, USP) 10 mg/325 mg tablets are 0.6 inches in length, 0.27 inches in width and yellow capsule-shaped tablets, marked “E712” on one side and “10/325” on the other. By contrast, Endocet® (oxycodone/acetaminophen, USP) 10 mg/650 mg tablets are larger (0.7 inches in length, 0.4 inches in width) and yellow oval-shaped tablets, marked “E797” on one side and “10”on the other.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Qualitest Recall

Qualitest Pharmaceuticals has issued a voluntary nationwide recall of Butalbital, Acetaminophen, and Caffeine Tablets and Hydrocodone Bitartrate and Acetaminophen Tablets. This recall was initiated because an individual bottle of Butalbital, Acetaminophen, and Caffeine Tablets, was found incorrectly labeled with a Hydrocodone Bitartrate and Acetaminophen Tablets.

The recall includes the following products:

  • Butalbital, Acetaminophen, and Caffeine Tablets, USP, 50mg/325mg/40mg, NDC 0603-2544-28 500 count, Lot Numbers C0390909A, C0400909A, C0410909A, C0590909B
  • Hydrocodone Bitartrate and Acetaminophen Tablets, USP 7.5mg / 500mg, NDC 0603-3882-32, 1000 count, Lot Numbers C0390909A, C0400909A, C0410909A, C0590909B

These lots were distributed between November 13, 2009 and April 9, 2010 to wholesale and retail pharmacies nationwide. Lot numbers can be found on the side of the manufacturer’s bottle.

All patients who have filled prescriptions of Hydrocodone Bitartrate and Acetaminophen manufactured by Qualitest are asked to double check the identity of their tablets.  Patients who have concerns should contact their healthcare provider.

Because the recalled bottles may contain incorrect tablets, patients may unintentionally take butalbital and caffeine instead of hydrocodone (Acetaminophen is in both preparations.) Unintentional administration of butalbital could result in symptoms such as sedation, lightheadedness, dizziness, and nausea. Patients with an allergy to butalbital could experience a hypersensitivity reaction. Side effects due to caffeine are less likely, due to the small amounts in this formulation; however, those individuals with a sensitivity to caffeine may experience symptoms such as tremors, irritability, and difficulty sleeping. Patients who were receiving hydrocodone for chronic pain might experience worsening pain and withdrawal symptoms as a result of this substitution.

No injuries have been reported to date.

Tablet descriptions:
Hydrocodone Bitartrate and Acetaminophen Tablets, USP 7.5 mg/500 mg are supplied as white with green specks, capsule-shaped, scored tablets, debossed “3594” on one side and debossed “V” on the reverse side.

Butalbital, Acetaminophen and Caffeine Tablets, USP
Containing 50 mg butalbital, 325 mg acetaminophen and 40 mg caffeine. Available as white, round shaped tablets, debossed “2355” on one side, and debossed “V” on the reverse side.

Individuals with questions may contact Qualitest at 1-800-444-4011 for more information, Monday through Friday between the hours of 6 am and 3 pm PST.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Beach Advisory Lifted

BEACH ADVISORY LIFTED:
Lovers Point Beach
Pacific Grove, CA
 
When: 12:41 pm, June 14, 2011

Where: Lovers Point Beach, Pacific Grove CA

What:  Lovers Point Beach was posted with an advisory on 6/9/2011 due to high indicator bacteria found in samples taken 6/8/2011.  Follow up samples reveal that bacteria have subsided to levels considered safe for recreational contact.

Higher levels of bacteria have been associated with the increased potential risk of illness. Title 17 of the California Code of Regulations Section 7958 establishes bacterial standards for ocean water at beaches that are 1) visited by more than 50,000 people annually; 2) located adjacent to a storm drain (i.e. culvert, creek, or stream etc.) that flows during the summer. Therefore, when bacterial levels exceed bacterial standards an advisory is issued and beaches are posted with an advisory notice.

There are various sources of bacteria such as marine life (i.e. seals, otters, and birds) and other animals; rainfall runoff; storm drains; and human activity. Rainfall is associated with increased bacterial levels due to runoff particularly in the area of man-made and natural storm drains such as culverts, streams and rivers.

It is recommended that you do not swim in or have contact with storm drain water.  Bacteria, viruses, protozoa or chemicals may contaminate storm drain water, and contact with storm drain water may cause illness.

For more information on Monterey Peninsula Beaches please call the Hotline at (800) 347-6363 or visit our web site at www.mtyhd.org

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Adult Supplement Recall

Global Wellness is conducting a nationwide recall of Via Xtreme Ultimate Sexual Enhancer Dietary Supplement for Men.

The product is distributed in a bottle containing six (6) blue colored capsules per package. The label on the packaging lists the company name Global Wellness. Only Lots 809013 and 806030 are covered in this recall. The product was distributed throughout the U.S. Puerto Rico, and Canada to internet and retail consumers.

The Food and Drug Administration (FDA) laboratory analysis for Lots 809013 and 806030 found that the product contains sulfoaildenafil methanesulfonate, sulfosildenafil and dimethylsildenafil analogs of sildenafil. Silenafil is an active ingredient of an FDA approved drug for erectile dysfunction (ED), making Via Xtreme Ultimate Sexual Enhancer Dietary Supplement for Men an unapproved drug.

The active drug ingredient is not listed on the product label. The undeclared ingredient may interact with nitrates found in some prescription drugs such as nitroglycerin and may lower blood pressure to dangerous levels. Consumers with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates. Additionally, the product may cause side effects, such as headaches and flushing.

No illnesses have been reported to Global Wellness, LLC to date in connection with these products.

Customers who have this product in their possession should stop using it immediately and contact their physician if they have experienced any problems that may be related to taking this product.

Consumers with questions may contact the company at (954) 922-1133 Monday through Friday from 9:00am to 4:00pm EST for instructions on the return process.

The FDA and the Monterey County Health Department also encourage consumers to consult with their health care professional before taking any dietary supplements.

All consumers should be aware of the following signs of health fraud:

  • Promises of an “easy” fix for problems like excess weight, hair loss, or impotency.
  • Claims such as “scientific breakthrough,” “miraculous cure,” “secret ingredient,” and “ancient remedy.”
  • Impressive-sounding terms, such as “hunger stimulation point” and “thermogenesis” for a weight loss product.
  • Claims that the product is safe because it is “natural.”
  • Undocumented case histories or personal testimonials by consumers or doctors claiming amazing results.
  • Promises of no-risk, money-back guarantees.

Any adverse events that may be related to the use of recalled products should be reported to the FDA’s MedWatch Adverse Event Reporting program online [at www.fda.gov/MedWatch/report.htm], by phone [1-800-FDA-1088], or by returning the postage paid FDA form 3500 [which may be downloaded from: www.fda.gov/MedWatch/getforms.htm] by mail [to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787] or fax [1-800-FDA- 0178].

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Bratz Makeup Recall

MGA Entertainment  has recalled Bratz Makeup Design Sketch Book. The product has the potential to be contaminated with Staphylococcus warneri and Staphylococcus intermedius. MGA is recalling products produced between November 5, 2010 and February 25, 2011.  Finished product testing, elevated levels of bacteria was found in the eye shadow portion of this product.

Product can be identified by the batch code and/or item number printed on the back cover of the sketch book. The UPC for product number 504788 is: 0-35051-50478-8.

To date there have been no reports of illness or injury associated with this product.

The Makeup Design Sketch book was distributed nationwide and sold through retail stores and e-commerce web sites.

Consumers should discontinue use of this product. For information on how to obtain a refund for your purchase, phone MGA Customer Service at 1 800 222-4685 Monday-Saturday, 8 AM-6 PM CST.

S. warneri

S. warneri rarely causes disease in humans. Wounds in the eye increase risk of infection and may result in symptoms such as pain and decreased visual acuity. S. intermedius is a very rare cause of infection in humans and risks are typically associated with veterinary exposures. For certain individuals, such as those with compromised immune systems, introduction into the eye by either microorganism may result in infection, which, if left untreated, may lead to sight-threatening complications.

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Kashi Pizza Recall

Kashi is recalling approximately 11,000 cases of frozen pizzas, including Mediterranean Thin Crust Pizza, Roasted Vegetable Thin Crust Pizza, and Mushroom Trio and Spinach Thin Crust Pizza due to possible plastic fragments in an ingredient in the pizza crusts.

The impacted products include the following individually packaged pizzas:

  • Kashi Mediterranean Thin Crust Pizza packaged in a 12.7 ounce box and marked with UPC Code 1862732905 3 and Best If Used Before date of either May10 12NU, May18 12NU, or May19 12NU;
  • Kashi Roasted Vegetable Thin Crust Pizza packaged in a 12.2 ounce box and marked with UPC Code 1862737342 1 and Best If Used Before date of either May09 12NU or May14 12NU;
  • Kashi Mushroom Trio and Spinach Thin Crust Pizza packaged in an 11.9 ounce box and marked with UPC Code 1862737344 5 and Best If Used Before date of May17 12NU.

No other Kashi frozen pizzas or other products are included in the recall, and no consumer complaints have been reported. The products were distributed nationwide through U.S. retail grocery stores.

Consumers with questions or who would like a replacement may contact the Kashi Consumer Response Center at 877.864.3521 Monday – Friday from 8 a.m. to 6 p.m. Eastern time, or visit www.Kashi.com.

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Outbreak of E. coli in Germany

Currently there is a large outbreak of Shiga toxin-producing Escherichia coli O104:H4 (STEC O104:H4) infections in Germany.  As of June 2, 2011, there have been 520 cases of hemolytic uremic syndrome (HUS) and 11 deaths associated with this outbreak.  Many of these illnesses are in individuals who recently traveled to Germany but reside elsewhere.  In the United States, three suspected cases of STEC O104:H4 infections have been identified in individuals who recently traveled to Hamburg, Germany.  No cases have been identified thus far in California residents.

At this time the Monterey County Health Department requests that you:

  • Ask individuals with acute-onset diarrhea and/or HUS if they travelled to Europe in the three weeks preceding their illnesses.
  • Culture all stools submitted from patients with suspected E. coli infection for STEC O157:H7 and run simultaneous assays for Shiga toxins or the genes encoding these toxins (to detect non O157 STEC).
  • Immediately report all patients with Shiga toxin-positive diarrheal illness, E. coli O157:H7, non O157 STEC, or HUS to the Health Department’s Communicable Disease Unit (phone: 831?755?4521; fax 831-754-6682).
  • Instruct clinical laboratories to send E. coli O157:H7 isolates, STEC positive samples, and Shiga toxin-positive samples to the Monterey County Public Health Laboratory as soon as possible for additional characterization (phone: 831-755-4516). 

For more information about the outbreak please see: http://www.cdc.gov/ecoli/.  For more information about E. coli diagnosis, treatment, and reporting, please contact the Monterey County Health Department’s Communicable Disease Unit at 831-755-4521.

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SimplyThick Recall

Simply Thick is recalling its SimplyThick® thickening gel products manufactured since June 1, 2009  at a food processing plant located in Stone Mountain.

The SimplyThick® thickening gel products manufactured at the Thermo Pac Stone Mountain plant are being recalled because the U.S. Food and Drug Administration (FDA) advised Simply Thick that Thermo Pac failed to file with the FDA a scheduled process designed to ensure that harmful bacteria of possible public health significance are destroyed during the manufacturing process.

Products affected are 15 g, 30 g, 120 g and 240 g pouches.

  • All 15 g pouches are affected
  • All 30 g pouches are affected
  • Some 120 g pouches – identified as those with a “TP” in the lot code stamped into the edge of the packet.
  • Some 240 g pouches – identified as those with a “TP” in the lot code stamped into the edge of the packet.

SimplyThick item numbers affected

  • ALL 01001, 01005, 01007, 02001, 02005, and 02007
  • SOME 01004, 02004, 01006 and 02006 – identified as those with a “TP” in the lot code stamped into the edge of the packet.

SimplyThick item numbers are included as part of the UPC barcode on our packaging. The item number is the second group of 5 digits in the UPC barcode.

All products have a code embossed or stamped in the foil. The first 6 digits of that code represent a “best if used by” date in MMDDYY format. ANY date code that falls between 062610 (i.e. June 26, 2010) and 062612 (i.e. June 26, 2012) and contains the letter code “TP” in the code are affected by the recall.

An example of an affected date code is: 0312125TP1. The code breakdown would be the “Best If Used By Date”, 03/12/12 – i.e. March 12, 2012 AND it contains “TP” in the code.

Products manufactured at the Stone Mountain, GA plant subject to the recall, were distributed across the United States and Canada through food service distributors, drug distributors, retail outlets (consisting primarily of pharmacies and durable medical equipment suppliers), medical facilities, and directly to consumers.  A complete list of affected date codes will be posted on the SimplyThick website at www.simplythick.com/recalleddatecodes.

Products NOT affected by the recall:

  • 64 oz bottles
  • Some 120 g pouches – identified as those with a “W” in the lot code stamped into the edge of the packet.
  • Some 240 g pouches – identified as those with a “W” in the lot code stamped into the edge of the packet.

SimplyThick item numbers NOT affected:

  • 05000, 05005, 05010
  • SOME 01004, 02004, 01006 and 02006 – identified as those with a “W” in the lot code stamped into the edge of the packet.Example of a date code NOT affected by recall: 04051211WB. “Best If Used By Date” is 04/05/12 – i.e. April 5, 2012 AND it contains “W” in the code.

FDA warning still in effect: On May 20, 2011, the FDA’s and the Canadian Food Inspection Agency’s (CFIA) issued a warning advising parents, caregivers and health care providers not to feed SimplyThick, a thickening product, to premature infants. The product may cause necrotizing enterocolitis (NEC), a life-threatening condition.

Until the FDA and the CFIA have completed investigations, public health officials continue to warn against the use of SimplyThick® brand thickener with infants born before 37 weeks gestation who are currently receiving hospital care or have been discharged from the hospital in the past 30 days regardless of whether or not the product is affected by the recall.

Returning product

Individuals may contact the company directly at 1-800-205-7115 for a full refund or an exchange for products. Consumers with questions may contact the company at its toll free number 1-800-205-7115 24 hours a day, or by email at latestinfo@simplythick.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Necrotizing enterocolitis (NEC)

NEC is a life-threatening condition characterized by inflammation and death of intestinal tissue. The condition is most often diagnosed in babies who are born prematurely.

Signs and symptoms of NEC include appearance of a bloated abdominal area, appearance of illness, feeding intolerance, greenish-tinged (bile) vomiting and bloody stools. Consumers who have medical concerns or questions should contact their healthcare provider.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Cat Food Recall

Primal Pet Foods recalled their Feline Chicken & Salmon Formula with a “Best By” date code of 043112-17 because the product may be contaminated with Salmonella.  The only product affected by the recall is Feline Chicken & Salmon Formula with a “Best By” date code of 043112-17.  No other Primal Pet Foods products are affected.

The affected product is limited to the Primal Pet Foods Feline Chicken & Salmon Formula packaged in the following forms:

  • 4 lb chicken & salmon nuggets (UPC# 8 95135 00025 0) “Best By” date code of 043112-17

The “Best By” date code is located on the front of the package on the right side of the product label.  The affected product was distributed through retail stores sales in the United States.  If your package has been opened, please dispose of the raw food in a safe manner by securing it in a covered trash receptacle. Consumers who have purchased the affected product may contact Primal Pet Foods at 866-566-4652 Monday-Friday 8AM-4PM PST.  The company can assist in getting you a full refund or replacement from your local retailer that it was originally purchased from.

No pet or human illnesses have been reported to date in connection with this date code.

Salmonella

Salmonella can affect both humans and animals. People handling pet treats can become infected with Salmonella, especially if they have not thoroughly washed their hands after having contact with the treats or any surfaces exposed to these products.

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after having contact with this product should contact their health care provider immediately.

Pets with Salmonella infections may become lethargic and have diarrhea or bloody diarrhea, fever and vomiting. Some pets may only experience a decreased appetite, fever and abdominal pain. If your pet has consumed any of the affected products or is experiencing any of these symptoms, contact your veterinarian immediately.  Infected, but otherwise healthy pets can be carriers and infect other animals or humans.

Consumers can report complaints about FDA-regulated pet food and pet treat products by calling the consumer complaint coordinator in their area. You can locate the nearest consumer complaint coordinator at:
http://www.fda.gov/Safety/ReportaProblem/ConsumerComplaintCoordinators/default.htm

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Possibly Dangerous Dietary Supplement

The Food and Drug Administration (FDA) and the Monterey County Health Department are advising consumers not to purchase or use “Slim Xtreme Herbal Slimming Capsule,” a product for weight loss sold on various websites and distributed by Globe All Wellness.  The company falsely claims on the label that the product is “100% natural.”    

FDA laboratory analysis confirmed that “Slim Xtreme Herbal Slimming Capsule” contains sibutramine.  Sibutramine is a controlled substance that was withdrawn from the U.S. market in October 2010 for safety reasons.  The product poses a threat to consumers because sibutramine is known to substantially increase blood pressure and/or pulse rate in some patients and may present a significant risk for patients with a history of coronary artery disease, congestive heart failure, arrhythmias, and stroke.  This product may also interact in life threatening ways with other medications a consumer may be taking.

Consumers should stop using this product immediately and throw it away.  Consumers who have experienced any negative side effects should consult a health care professional as soon as possible.

The FDA has identified an emerging trend where over-the-counter products, frequently represented as dietary supplements, contain hidden active ingredients that could be harmful. Consumers may unknowingly take products laced with varying quantities of approved prescription drug ingredients, controlled substances, and untested and unstudied pharmaceutically active ingredients.

Protect yourself from possibly dangerous dietary supplements

Know what you’re taking
Be aware of the ingredients contained in any weight loss products.  Some ingredients, including nutrients and plant components, can be toxic.  Also, some ingredients and products can be harmful when consumed in high amounts, when taken for a long time, or when used in combination with certain other drugs, substances, or foods.

Do your research, it can save your health
Research the product with the Food and Drug Administration, the Federal Trade Commission, and the Better Business Bureau before you purchase any weight loss products or services. This may not only save you time and money, but may also save your health.

Always check with your doctor.
Weight loss products, including those that contain dietary supplements, herbals, and vitamins may be harmful in individuals with certain medical conditions or can interact with other medications. Therefore, always consult with your doctor before starting any weight loss product or program.

Any adverse events that may be related to the use of the affected or any other dietary supplement products should be reported to the FDA’s MedWatch Adverse Event Reporting program.  The report may be made by phone at 1-800-FDA-1088, online at www.fda.gov/MedWatch/report.htm, or by returning the postage paid FDA form 3500.  The form may be downloaded from www.fda.gov/MedWatch/getforms.htm and mailed to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787 or faxed to 1-800-FDA- 0178

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SimplyThick Precautions for Premature Infants

FDA is warning parents, caregivers and health care providers not to feed SimplyThick, a thickening agent for management of swallowing disorders, to infants born before 37 weeks.  The product may cause necrotizing enterocolitis (NEC), a life-threatening condition characterized by inflammation and death of intestinal tissue. Health care providers should stop administering the product to premature infants.  Parents and caregivers who have questions or concerns related to the use of the product and/or who have medical concerns should contact their health care provider.

SimplyThick is sold over the counter in pharmacies and on the internet.

FDA first learned of adverse events possibly linked to the product on May 13, 2011. To date, the FDA  is aware of 15 cases of NEC, including two deaths, involving premature infants who were fed SimplyThick for varying amounts of time. The product was mixed with mothers’ breast milk or infant formula products.

Illnesses have been reported from at least four different medical centers around the country. The illnesses of which FDA is aware involve premature infants who became sick over the past six months. SimplyThick was added to the feeding regimen of those infants who later developed NEC to help with swallowing difficulties stemming from complications of premature birth.

The current situation is unusual because NEC most often occurs in babies within the hospital early in their premature course. However, among the ill babies of whom FDA is aware, some had been discharged from the hospital to home on a feeding regimen that included SimplyThick and then fell ill at home.

Necrotizing Enterocolitis (NEC)

NEC is a life-threatening condition characterized by inflammation and death of intestinal tissue. The condition is most often diagnosed in babies who are born prematurely.

Signs and symptoms of NEC include appearance of a bloated abdominal area, appearance of illness, feeding intolerance, greenish-tinged (bile) vomiting and bloody stools.

Consumers who have medical concerns or questions should contact their healthcare provider.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Listeria Contamination Product Recall

Two products, Nielsen-Massey Madagascar Bourbon Pure Vanilla Bean Paste and Quenby Hall Blue Stilton Cheese have been recalled due to possible Listeria contamination.

Click here for information about the Nielsen-Massey Madagascar Bourbon Pure Vanilla Bean Paste recall.

Click here for information about the Quenby Hall Blue Stilton Cheese recall.

There have been no illnesses reported in association with this recall.

Listeria

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis. However, listeriosis can cause high fever, severe headache, neck stiffness and nausea. Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy. Individuals concerned about an illness should contact a health care provider.

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Pet Treats Recall

Boss Pet Products has recalled Diggers Natural Treat Pig Ear pet treats because the products may be contaminated with salmonella

The recalled Diggers Natural Chews Pig Ears are as follows:

  • Bulk pig ears in boxes of 100 (UPC #0-72929-00038-6)
  • Bulk pig ears shrink-wrapped in boxes of 50 (UPC #0-72929-99120-2)
  • 2-pack bags shipped in cases of 12 bags (UPC #0-72929-99504-0)
  • 4-pack bags shipped in cases of 12 bags (UPC #0-72929-00227-4)
  • 8-pack bags shipped in cases of 12 bags (UPC #0-72929-99584-2)

The product was distributed to 19 states including California from November 2010 through April 2011.

A report of an ill dog in Missouri prompted the recall.

Salmonella

Salmonella can affect both humans and animals. People handling pet treats can become infected with Salmonella, especially if they have not thoroughly washed their hands after having contact with the treats or any surfaces exposed to these products.

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after having contact with this product should contact their health care provider immediately.

Pets with Salmonella infections may become lethargic and have diarrhea or bloody diarrhea, fever and vomiting. Some pets may only experience a decreased appetite, fever and abdominal pain. Infected, but otherwise healthy pets can be carriers and infect other animals or humans. If your pet has consumed any of the affected products or is experiencing any of these symptoms, contact your veterinarian immediately.

Consumers can report complaints about FDA-regulated pet food and pet treat products by calling the consumer complaint coordinator in their area. You can locate the nearest consumer complaint coordinator at: http://www.fda.gov/Safety/ReportaProblem/ConsumerComplaintCoordinators/default.htm

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Counterfeit Dietary Supplements

The U.S. Food and Drug Administration (FDA) is warning consumers about a potentially harmful product represented as “ExtenZe,” a dietary supplement for male sexual enhancement. The counterfeit product looks similar to the actual product, but contains hidden ingredients that can cause serious harm to consumers.

The counterfeit product has the following lot numbers on the packages:

  • LOT 1110075          
  • LOT F050899

FDA laboratory analysis confirmed that the counterfeit product contains tadalafil, or a combination of tadalafil and sildenafil –active ingredients in FDA-approved prescription medicines for erectile dysfunction. These ingredients are not listed on the product label.

These ingredients may interact with other medicines, like the nitrates found in some prescription medicines such as nitroglycerin, and may lower blood pressure to dangerous levels. Men with diabetes, high blood pressure, high cholesterol or heart disease often take nitrates.

The counterfeit product is illegal and unsafe. The FDA is advising consumers not to purchase any products labeled as “ExtenZe” with lot numbers 1110075 and F050899. Consumers who have an ExtenZe product should check the lot numbers on the package to make sure they do not have a counterfeit product. Consumers who think they might have the counterfeit product should:

  • stop taking the product; and
  • contact their health care professional if they are experiencing any negative side effects.

The FDA and the Monterey County Health Department also encourage consumers to consult with their health care professional before taking any dietary supplements.

All consumers should be aware of the following signs of health fraud:

  • Promises of an “easy” fix for problems like excess weight, hair loss, or impotency.
  • Claims such as “scientific breakthrough,” “miraculous cure,” “secret ingredient,” and “ancient remedy.”
  • Impressive-sounding terms, such as “hunger stimulation point” and “thermogenesis” for a weight loss product.
  • Claims that the product is safe because it is “natural.”
  • Undocumented case histories or personal testimonials by consumers or doctors claiming amazing results.
  • Promises of no-risk, money-back guarantees.
  • Claims that the product is a replacement for a prescription medication

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787.

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Deli Meat Recall

Rose & Shore Meat Company has recalled approximately 15,900 pounds of ready-to-eat deli meat products that may be contaminated with Listeria monocytogenes.

The products subject to recall include:

  • 40 to 50 pound boxes containing packages of “OLYMPIC GOLD BEEF PASTRAMI” with the lot number “20911″ and a “04-05-11″ pack date on the outside of each box. Each package has the lot number “20911″ and lot code “10951.”
  • 40 to 50 pound boxes containing packages of “ROSE AND SHORE N.Y. STYLE PASTRAMI” with the lot number “20911″ and a “04-05-11″ pack date as well as a “29 N.Y.” case code on the outside of each box. Each package has the lot number “20911″ and lot code “10951.”
  • 9 to 13 pound boxes containing “COOKED ANGUS ROAST BEEF” with lot number “20941″ and a use by date of “05-17-11″ Each package has the lot number “20941″ and a use by date of “05-17-11.”
  • 24 to 30 pound boxes containing packages of “TOGO’S PASTRAMI” with the lot number “20911″, a “04-05-11″ pack date and a use by date of “05-23-11″ on the outside of each box. Each package has the lot number “20911″ and a use by date of “05-23-11.”

Each box bears EST. 1821 inside the USDA mark of inspection. The products were produced on April 5, 2011, and sent to distribution centers in California for further distribution to food service establishments in Arizona, California, Nevada, Oregon and Washington. There were no retail sales.

The problem was discovered after the company tested product at the request of a commercial customer after receiving a consumer complaint. There have been no confirmed reports of illnesses associated with consumption of this product.

Consumers with questions about the recall should contact Larry Vanden Bos at (323) 826-2144, ext. 110. 

Listeria

Consumption of food contaminated with Listeria monocytogenes can cause listeriosis, an uncommon but potentially fatal disease. Healthy people rarely contract listeriosis. However, listeriosis can cause high fever, severe headache, neck stiffness and nausea. Listeriosis can also cause miscarriages and stillbirths, as well as serious and sometimes fatal infections in those with weakened immune systems, such as infants, the elderly and persons with HIV infection or undergoing chemotherapy. Individuals concerned about an illness should contact a health care provider. 

Recommendations for individuals at risk for listeriosis:

  • Wash hands with warm, soapy water before and after handling raw meat and poultry for at least 20 seconds. Wash cutting boards, dishes and utensils with hot, soapy water. Immediately clean spills.
  • Keep raw meat, fish and poultry away from other food that will not be cooked. Use separate cutting boards for raw meat, poultry and egg products and cooked foods.
  • Do not eat hot dogs, luncheon meats, bologna or other deli meats unless reheated until steaming hot.
  • Do not eat refrigerated paté, meat spreads from a meat counter or smoked seafood found in the refrigerated section of the store. Foods that don’t need refrigeration, like canned tuna and canned salmon, are safe to eat. Refrigerate after opening.
  • Do not drink raw (unpasteurized) milk and do not eat foods that have unpasteurized milk in them.
  • Do not eat salads made in the store such as ham salad, chicken salad, egg salad, tuna salad or seafood salad.
  • Do not eat soft cheeses such as Feta, queso blanco, queso fresco, Brie, Camembert cheeses, blue-veined cheeses and Panela unless it is labeled as made with pasteurized milk.
  • Use precooked or ready-to-eat food as soon as you can. Listeria can grow in the refrigerator. The refrigerator should be 40° F or lower and the freezer 0° F or lower. Use an appliance thermometer to check the temperature of your refrigerator.
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International Travel Health Risks

As the summer travel season begins, health officials urge all international travelers and individuals receiving international guests locally to take precautions to prevent the spread of serious illnesses.

There have been 13 cases of measles in California in 2011 to date.  Cases were among international travelers and among individuals who did not travel themselves but who were in contact with international travelers.  Europe is currently experiencing a measles epidemic, with over 9,000 cases reported in France alone between October 2010 and March 2011.  Monterey County health officials encourage all individuals who are traveling internationally or receiving international guests to take steps to protect themselves and their families. 

  • Find out what diseases may be common in the areas you are visiting or in the countries from where you are receiving visitors.  The Centers for Disease Control and Prevention (CDC) provides up-to-date health information on over 200 international destinations at www.cdc.gov/travel/.
  • Make an appointment with your medical provider four to six weeks before traveling internationally or receiving international visitors. 
    • Babies and small children may need protection against certain diseases like measles at a younger age.  For example, infants traveling to Europe, Africa, Asia, India, and the Philippines should be vaccinated for measles as young as six months of age. Two doses of the measles, mumps, and rubella vaccine (MMR) are recommended for children over one year of age.
    • Your provider may also prescribe medications to take before your travels to help prevent certain illnesses like malaria.
  • Protect your health and the health of your family while traveling.
    • Travelers should use insect repellents and other general protective measures against mosquitoes, ticks, and other biting insects.
    • Avoid eating foods or drinking beverages purchased from street vendors or other establishments where unhygienic conditions are present.  Also avoid eating raw or undercooked meat and seafood as well as raw fruits (e.g., oranges, bananas, avocados) and vegetables unless the traveler peels them.
    • Tap water, ice, unpasteurized milk, and dairy products are associated with increased risk for gastrointestinal illnesses.
    • Avoid contact with wild animals, bats, rodents, and stray dogs and cats.
  • Contact your medical provider if you become ill within three weeks of returning from your travels (or if you become ill within three weeks of contact with international visitors), especially if you experience a high fever, rash, vomiting, and/or diarrhea. 

For more information, please contact your medical provider or visit the CDC’s website www.cdc.gov/travel/.

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Tdap Shots for Students

Schools working hard to keep students safe from Pertussis.

Schools have been working hard to get the message out to parents of middle and high school students that they need to bring proof of a Tdap shot or they will be sent home the first day of school.  Estimates show that at least half of the middle and high school students have already gotten the vaccine from their medical providers; however, schools are not seeing that proof come into the schools yet. “It is a huge task for Monterey County schools to document that students are protected from whooping cough. Our local schools need help from parents now to get the job done,” says Molly Hubbard, Immunization Coordinator for the Monterey County Health Department.

The new law, AB 354, was enacted to protect not just our students but the entire community from pertussis. Infants get a series of shots to protect against pertussis. By the time those children are adolescents, the protection wears off and they are vulnerable to disease again. Teens can then spread the disease to their whole family, including infants too young to be vaccinated. Of the ten infants who died in California during 2010 from pertussis, most were likely to have acquired the disease from a household contact.

While levels of pertussis are currently lower than last year’s peak, we can expect more cases in the summer and fall months. Dr. Stallworth, Health Officer for Monterey County, reminds residents, “In Monterey County we tend to see a peak of pertussis cases in the fall months, so it’s time to protect your children if you haven’t already.”

Schools need the vaccine paperwork now. Schools have been sending flyers home, calling parents, talking about the new law at parent meeting, and utilizing any other opportunity they can. Many schools, including Monterey Peninsula Unified School District (MPUSD), are going to exclude students from participating in sports and not release the students’ fall schedules if proof of vaccination is not provided shortly.  “Parents need to bring in proof of Tdap now because we are running out of time,” says Ann Kilty of MPUSD. “We want to make sure our students are protected from pertussis.”

Parents should make an appointment to get the Tdap shot, and the other age appropriate shots, with their health care providers. If students don’t have insurance coverage, parents can go to the Monterey County Health Department public health clinics at Alisal Health Center and Seaside Family Health Center.  These locations can get children into a public program that can help pay for all of the vaccines needed.

Special Tdap only clinics will be held by many different groups around Monterey County in the next few months. Vaccine cost will range significantly depending on who is providing the vaccine. Some schools will be hosting Tdap clinics on site; pharmacists and other vaccinators like VNA and Maxim will be offering them at different venues.

Monterey County Health Department will be hosting six Tdap only clinics at three different locations this spring and summer. These clinics will be for middle and high school students only, ages 10 and up.  Students must come with their parents. Vaccine will be free. Please bring your student’s yellow card.

Monterey County Health Department Free Tdap only Clinics:

  • Saturday 5/14/11 from 2:00 pm-7:00 pm- Seaside Family Health Center, 1150 Freemont Blvd, Seaside
  • Saturday 5/21/11 from 2:00 pm-7:00 pm- Alisal Health Center, 559 East Alisal St, Salinas
  • Saturday 6/4/11 from 2:00 pm-7:00 pm- King City Health Department, 620 Broadway St, King City
  • Saturday 7/23/11 from 2:00 pm-7:00 pm- Seaside Family Health Center, 1150 Freemont Blvd, Seaside
  • Saturday 7/30/11 from 2:00 pm-7:00 pm- Alisal Health Center, 559 East Alisal St, Salinas
  • Saturday 8/6/11 from 2:00 pm-7:00 pm- King City Health Department, 620 Broadway St, King City

Monterey County Health Department Walk-in Vaccine Services:

M-F 8:00 to 11:00 am and 1:00 to 3:00 pm

  • Alisal Health Center, 559 East Alisal St, Salinas – 769-8870
  • Seaside Family Health Center, 1150 Freemont Blvd, Seaside – 899-8100

All recommended immunizations available (except for travel vaccines). Time slots available on a first come first serve basis. Offers help finding medical coverage as well. Please bring your student’s yellow card.  Free or low cost. 

For more information about Assembly Bill 354 go to: www.shotsforschool.org.

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Vegetable Platter and Snack Recall

Mann Packing has recalled certain vegetable platters and Snacks on the Go products because the grape tomato ingredient may be contaminated Salmonella

This recall is part of a larger recall initiated by Six L’s Packing (Immokalee, Fla) on April 29, 2011. Six L’s is recalling a single lot of grape tomatoes packed on April 11, 2011 that can be identified by Cherry Berry lot code DW-H. This nationwide, voluntary recall (for US and Canada) by Mann Packing includes the following items with best if used by dates ranging from 05-09 to 05-16 2011.    

  • Safeway’s Eating Right Veggie Party Platter (UPC 79893-10708, weight 3 pounds, 6 ounces) sold at Carrs, Dominick’s, Genuardi’s, Pavilions, Randall’s, Safeway, Tom Thumb, and Vons.
  • Mann’s Veggies On the Go (UPC 16519 01411-6, weight 1 pound, 2 ounces).
  • Mann’s Snacks on the Go with Celery, Carrots, Tomatoes (UPC 16519 01501-4, weight 8.75 ounces).
  • Mann’s Vegetable Platter Large (UPC16519 01407-9, 2 pounds, 8 ounces).

The voluntary recall does not include any other products packed or distributed by Mann Packing.

Consumers who purchased the specific items mentioned above are urged to return it to the place of purchase for a full refund. Customers and consumers with questions may contact Mann Packing at 1-800-285-1002 or via info@veggiesmadeeasy.com .

Salmonella

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain from 6 to 72 hours after eating contaminated items. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after consuming affected products should contact their health care provider immediately.

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Dietary Supplement Recall

Multi-Mex Distributor has recalled dietary supplements that may be labeled as antibiotic drugs. The recall was initiated after an US Food and Drug Administration (FDA)  inspection revealed the product packaging mimics antibiotics readily available in Mexico and possibly familiar to Hispanic consumers.  Consumers may be confused in thinking that the dietary supplements are actually antibiotics.

The products were distributed in nine states, including California, to the retail store and distributors.

To see the full list of recalled products, please click here.

Warnings of these dietary supplements made news in Texas on Thursday, April 28th, when four children were taken to a medical center due to worsening illnesses after being given dietary supplements the parents may have believed were antibiotics and which were packaged to resemble antibiotics that are readily available as over the counter drugs in Mexico. Giving the dietary supplement may have delayed legitimate medical treatment. Although the labels were printed in English and Spanish, the packaging appears to be an intentional marketing ploy to mimic antibiotics and directed at Hispanic buyers. It was determined the children had been given a dietary supplement, Amoxilina, which the parents may have believed was the antibiotic Amoxicillin.

Consumers who have used the products and have concerns should contact their healthcare provider.

Consumers who have purchased any of the recalled products are urged to discontinue their use immediatly.  Consumers should discard the products or return them to the place of purchase for a full refund. Retail stores and distributors are to return the products to Multi-Mex, 4744-C North Royal Atlanta Drive, Tucker, GA. 30084.  Consumers with questions may call at 678-226-1758 (Monday-Friday 9:00 am – 5:00 pm).

The FDA and the Monterey County Health Department also encourage consumers to consult with their health care professional before taking any dietary supplements.

All consumers should be aware of the following signs of health fraud:

  • Promises of an “easy” fix for problems like excess weight, hair loss, or impotency.
  • Claims such as “scientific breakthrough,” “miraculous cure,” “secret ingredient,” and “ancient remedy.
  • Impressive-sounding terms, such as “hunger stimulation point” and “thermogenesis” for a weight loss product.
  • Claims that the product is safe because it is “natural.”
  • Undocumented case histories or personal testimonials by consumers or doctors claiming amazing results.
  • Promises of no-risk, money-back guarantees.
  • Claims that the product is a replacement for a prescription medication

Any adverse events that may be related to the use of recalled products should be reported to the FDA’s MedWatch Adverse Event Reporting program online [at www.fda.gov/MedWatch/report.htm], by phone [1-800-FDA-1088], or by returning the postage paid FDA form 3500 [which may be downloaded from: www.fda.gov/MedWatch/getforms.htm] by mail [to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787] or fax [1-800-FDA- 0178].

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Taylor Farms Pacific Recall

No illnesses have been reported in association with this recall.

Taylor Farms Pacific has issued a recall for particular products that may be contaminated with Salmonella.  This recall is in response to a supplier’s recall of a specific lot of grape tomatoes.  This lot of grape tomatoes was used in products made by Taylor Farms Pacific for Albertsons, Raley’s, Safeway, Savemart, Sam’s Club, & Walmart.  The list of products affected in California is below.

No illnesses have been reported in association with this recall.

These products should not be eaten. Customers may return them to the place of purchase for a full refund.

Consumers with any questions may contact Taylor Farms Pacific directly at 209-835-6300 between the hours of 8am to 5pm PST, Monday through Friday, or visit the FDA and USDA websites.

Salmonella

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain from 6 to 72 hours after eating contaminated items. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after consuming affected products should contact their health care provider immediately.

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Grape Tomato Recall

No illnesses have been reported in association with this recall.

Six L’s has recalled a single lot of grape tomatoes, because they have the potential to be contaminated with Salmonella.

The strain of Salmonella has not been determined and no illnesses have been reported. The specific lot was packed on April 11 and was comprised of grape tomatoes that can be identified by Cherry Berry lot code DW-H, either in clam shells (plastic containers) or 20 lbs. cardboard containers. The product was distributed to 10 states including California and has reached consumers through retail stores and restaurant distribution.

The contamination was detected through a random sample obtained by the USDA at a distributor in New York. The product is from a farm in Estero, Fla. which has since ceased production of that commodity.

The recall does not include any other tomatoes or produce distributed by Six L’s. Consumers who have purchased the recalled lot of grape tomatoes are urged to return it to the place of purchase for a full refund.

Consumers with questions may contact Six L’s at 877-606-1821, ext. 3955, 24 hours a day 7 days a week.

Salmonella

Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain from 6 to 72 hours after eating contaminated items. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.  Consumers exhibiting these signs after consuming affected products should contact their health care provider immediately.

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Coumadin Crystalline Tablet Recall

Recall of Coumadin® (Warfarin Sodium) Crystalline 5 mg Tablets

Bristol-Myers Squibb has initiated a recall of one lot of 1,000-count bottles of Coumadin® (warfarin sodium) Crystalline 5 mg tablets. Bottles of 1,000 tablets are distributed to pharmacies for further dispensing to patients in prescription quantities.

The lot number affected in the U.S. is 9H49374A with an expiry date of September 30, 2012. The recall is a precautionary measure based on the company’s testing of tablets from a returned bottle. A single tablet was found to be higher in potency than expected.

Coumadin is prescribed to treat or prevent blood clots.  If there is too much active ingredient, there is an increased risk of bleeding.

Patients who may have 5 mg tablets should not interrupt their therapy but should seek advice from their pharmacist to see if they have tablets originating from the affected lot and if so, should consult their physician for appropriate medical advice.

Health care professionals and customers may contact Stericycle, Inc at 1-866-918-8739 for assistance if they have further questions about the recall.

medwatchAny adverse events that may be related to the use of the affected products should be reported to the FDA’s MedWatch Adverse Event Reporting program.  The report may be made by phone at 1-800-FDA-1088, online at www.fda.gov/MedWatch/report.htm, or by returning the postage paid FDA form 3500.  The form may be downloaded from www.fda.gov/MedWatch/getforms.htm and mailed to MedWatch, 5600 Fishers Lane, Rockville, MD 20852-9787 or faxed to 1-800-FDA- 0178

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Canned Seafood Recall

Quinault Tribal Enterprise has recalled all canned seafood products including all Salmons, smoked and non-smoked; Tuna, smoked and non-smoked; Smoked Sturgeon; Minced Razor Clams; smoked Razor Clams; and smoked Steelhead. The canned seafood products are being recalled because they were not adequately processed according to the U.S. Food and Drug Administration’s low-acid canned food regulations. Canned seafood that is not processed following those food safety requirements may be contaminated with harmful microorganisms that can cause serious and possibly life-threatening illness.

The recalled products were distributed nationwide through distributors and retail stores.

The products are packaged in metal cans in various sizes (5oz, 6oz, 6.5oz, and 7oz) and labeled under the Quinault Pride or Quinault_pride_seafoodQuinault Tribal Enterprises brand. All manufacturing codes are subject to this recall.

Consumers are warned not to use the products even if it does not look or smell spoiled.

No illnesses or injuries have been reported to date.

Consumers who have purchased Quinault Pride Brand are urged to return it to the place of purchase for a full refund. Consumers with questions may contact the company at 1-800-982-8650 Monday through Friday between 8:00am and 3:00pm Pacific Time.

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School Vaccine Requirement

Starting this fall a new law requires all middle and high school students to show proof of Tdap vaccination by the first day of school or the student will be sent home. In the fall of 2012, only seventh graders will have to show proof of vaccination.

Tdap vaccine protects against tetanus, diphtheria and pertussis (whooping cough). Pertussis has been at record levels across California, resulting in ten infant deaths in 2010. This increase is due in part to adolescents having waning protection from their childhood vaccinations allowing them to easily spread the disease.

For the last six years, the Tdap vaccine has been medically recommended for adolescents but unfortunately, only 50% of teens have been vaccinated. “Making Tdap a requirement for school entrance should get the remainder of our teens vaccinated and prevent further pertussis disease and possible deaths in Monterey County” says Dr. Stallworth, Health Officer for the Monterey County Health Department.

Parents should take their children to their medical providers for a visit to get the vaccine. Although the new law requires only Tdap for middle and high school entrance, teens need other vaccines such as HPV and meningococcal. “Plus it’s a great idea for teens to see their providers in such a pivotal point in their development” says Stallworth.

If insurance is a barrier there are many other ways parents can track down the vaccine for their teens. Parents can go to the two Monterey County Health Department public health clinics at Alisal Health Center and Seaside Family Health Center.  These locations can get children into a public program that can help pay for all of the vaccines needed. These clinics provide Walk-in Vaccine services, Monday-Friday 8:00 to 11:00 am and 1:00 to 3:00 pm.

Special Tdap only clinics will be held by many different groups around Monterey County in the next few months. Depending on who is providing the vaccine, the vaccine will range in cost significantly. Some schools will be hosting Tdap clinics at their schools, pharmacists and other vaccinators like VNA and Maxim will be offering them at different venues.

Monterey County Health Department Free Tdap only Clinics:    

  • Saturday 5/14/11 from 2:00 pm-7:00 pm- Seaside Family Health Center - 1150 Freemont Blvd, Seaside
  • Saturday 5/21/11 from 2:00 pm-7:00 pm- Alisal Health Center - 559 East Alisal St, Salinas
  • Saturday 6/4/11 from 2:00 pm-7:00 pm- King City Health Department - 620 Broadway St, King City
  • Saturday 7/23/11 from 2:00 pm-7:00 pm- Seaside Family Health Center -1150 Freemont Blvd, Seaside
  • Saturday 7/30/11 from 2:00 pm-7:00 pm- Alisal Health Center - 559 East Alisal St, Salinas
  • Saturday 8/6/11 from 2:00 pm-7:00 pm- King City Health Department - 620 Broadway St, King City

Parents should bring their student’s yellow card to the clinic for proper documentation.

**this information was taken from the Monterey County Health Department press release “Proof of Whooping Cough Vaccine needed for 7th-12th entry next fall.”

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Seafood Salad Recall

Frankly Fresh Inc. Voluntarily Recalls Seafood Salad Products Because of Possible Health Risk

Frankly Fresh, has recalled it’s seafood line of products, because it has the potential to be contaminated with Listeria monocytogenes, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems.  No illnesses have been reported in association with this recall.

Consumers should check their refrigerators for recalled product. To view photos and a list of item numbers included in this recall, please click here.

Product was distributed in the California and Nevada Areas through retail supermarket stores. Products are packed under the Frankly Fresh label in a variety of sizes in plastic containers with safety seals on.

Consumers who have purchased Frankly Fresh Seafood Products are urged to return it to the place of purchase for a full refund. Consumers with questions may contact the company via email at we-care@franklyfresh.com   or by phone at 1-800-826-3322 MON-FRI from 9 to 5 Pacific Time.

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Turkey Burger Recall

The Jennie-O Turkey Store has recalled approximately 54,960 pounds of frozen, raw turkey burger products that may be contaminated with Salmonella. As the investigation into illnesses related to this recall continues, additional raw turkey products may be recalled. Consequently, public health officials are urging consumers to take extra care when preparing all raw turkey products.

The products subject to recall include:Turkey_burger_4april11

A use by date of “DEC 23 2011″ and an identifying lot code of “32710″ through “32780″ are printed on the side panel of each box, just above the opening tear strip. Establishment number “P-7760″ is located within the USDA mark of inspection on the front of each box. The products were packaged on Nov. 23, 2010 and were distributed to retail establishments nationwide.

Prevention

To prevent salmonellosis and other foodborne illnesses, wash hands with warm, soapy water for at least 20 seconds before and after handling raw meat and poultry, and cook poultry—including ground turkey burgers—to 165° F, as determined with a food thermometer.  For more food safety information visit foodsafety.gov.

Additional Information

Jennie-O Turkey Store has created an online resource for consumers with questions about this recall. It can be found on their website at www.jennieo.com/recall.

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Tylenol Product Recall

Product recalled due to musty or moldy odor

McNeil Consumer Healthcare has recalled one product lot of TYLENOL® 8 Hour Extended Release Caplets 150 count bottles distributed in the United States.  This action is part of an ongoing surveillance and monitoring efforts that have identified complaints of a musty or moldy odor. The uncharacteristic odor is thought to be caused by the presence of trace amounts of chemicals called 2,4,6-tribromoanisole (TBA) and 2,4,6-trichloroanisole (TCA).

This action is being taken as a precaution and the risk of adverse medical events is remote.  The product was manufactured at the McNeil Consumer Healthcare plant in Fort Washington, Pennsylvania prior to the company’s voluntary closure of the facility in April 2010.

The lot number for the recalled product can be found on the side of the bottle label.

Products affected by the recall:

Tylenol® 8 Hour EXTENDED RELEASE Caplet 150 count 

Lot Number: ADM074  UPC Code: 300450297181

Consumers who purchased product from the lot in this recall should stop using the product and contact McNeil Consumer Healthcare, either at http://www.tylenol.comor by calling 1-888-222-6036 (Monday-Friday 5 a.m. to 5 p.m. PST) for instructions about receiving a refund or product coupon.

Consumers who have medical concerns or questions should contact their healthcare provider.

The public is encouraged to report any adverse events that may be related to the use of this product to the FDA’s MedWatch Program by phone at 1-800-FDA-1088 or by fax at 1-800-FDA-0178 or by mail at MedWatch, HF-2, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787

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Recall on Candy Gum

Monterey County Public Health Officials warn consumers not to eat Toxic Waste® Short Circuits™ Bubble Gum

Candy Dynamics has recalled Toxic Waste® Short Circuits™ Bubble Gum, 3.2 oz (90 g) size, Lot #15070SC12. The affected lot was distributed from January 4, 2011 to March 18, 2011.

A recent test performed by the U.S. Food and Drug Administration (FDA) has indicated that Lot #15070SC12 of the product contains elevated levels of lead (0.189 parts per million; the FDA tolerance is 0.1 ppm) that potentially could cause health problems, particularly for infants, small children, and pregnant women.

The affected product is Toxic Waste® Short Circuits™ Bubble Gum, (UPC 0 89894 31001 3), 3.2 oz (90 g) size, Lot #15070SC12 (the Lot # is located along the left side of the bag). The recalled Short Circuits™ Bubble Gum product was distributed nationwide in retail stores and through mail orders.

No other “Toxic Waste®” brand product or “Short Circuits™ Bubble Gum”, besides Lot #15070SC12 is affected by this recall.

Anyone in possession of the recalled product should telephone the company for information on destruction of the product. Please call the company at 317-228-5012 (Monday – Friday 6am – 2pm PST) for more information.

Consumers who find recalled products for sale are encouraged to call the California Department of Public Health Complaint Hotline at1-800-495-3232.  

More information about lead poisoning

Pregnant women and parents of children who may have consumed this candy should consult their physician or health care provider to determine if medical testing is needed.

For more information about lead poisoning, parents and caretakers should contact Monterey County’s Childhood Lead Poisoning Prevention Program at 755-4704.

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Soladek Vitamin Solution

Federal and local public health officials are warning consumers to stop using Soladek, a vitamin-solution product marketed by Indo Pharma of the Dominican Republic, because the product may contain dangerously high levels of vitamins A and D.

Soladek is marketed with claims that the product treats “hypo and avitaminosis, rickets, growth, dentition, lactation, fractures, infection, convalescence, protection and regeneration of certain epithelium (bronchial, glandular, ocular, cutaneous), corticotherapy, aging and pregnancy.” The product is sold in a box labeled in Spanish containing a vial of the solution.

The US Food and Drug Administration (FDA) recently received information that tested samples of Soladek contained levels of vitamin A and vitamin D that were many times the recommended daily allowances for these vitamins.  Intake of excessively high levels of these vitamins poses a risk to human health.

The FDA also received seven reports of serious health problems occurring in consumers using the product. The problems include decreased renal function, elevated levels of calcium in the blood, fatigue, heart arrhythmia, vomiting, and diarrhea. Symptoms of vitamin D toxicity include weakness, fatigue, headache, nausea, vomiting, diarrhea, changes in mental status, increased blood pressure, abnormal heart rate or rhythm, kidney damage, and coma.

Symptoms of vitamin A toxicity include anemia, anorexia, alopecia (hair loss), joint pain, bone weakness, bulging eyes, liver abnormalities, and birth defects.

Consumers who are in possession of Soladek should stop using the product immediately. Any consumers who have been using Soladek and are experiencing any of the above symptoms should see a doctor immediately. 

to read the full Health Department notice click here.

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Bologna Products Recalled

Palmyra Bologna Company, Inc., is recalling approximately 23,000 pounds of Lebanon bologna products that may be contaminated with E. coli O157:H7, according to the U.S. Department of Agriculture Food Safety and Inspection Service (FSIS).  Lebanon bologna is a fermented, semi-dry sausage.  This beef product has an appearance similar to salami.

The products subject to recall in packaging for consumers include:

  • 6-ounce packages of “SELTZER’S BEEF LEBANON BOLOGNA” with lot code “01351″ and best-by date of “Apr. 20 2011″ printed on the package.
  • 12-ounce packages of “SELTZER’S BEEF LEBANON BOLOGNA” with lot code “01351″ and best-by dates of “Apr. 20 2011″ or “Apr. 21 2011″ printed on the package.
  • 16-ounce packages of “SELTZER’S BEEF LEBANON BOLOGNA” with lot code “01351″ and best-by date of “Apr. 22 2011″ printed on the package.

Each package bears a label with establishment number “EST. 474″ inside the USDA mark of inspection, in addition to lot code “01351″ and the best-by date as noted above. 

Consumers with food safety questions can “Ask Karen,” the FSIS virtual representative available 24 hours a day at AskKaren.gov.  The toll-free USDA Meat and Poultry Hotline 1-888-MPHotline (1-888-674-6854) is available in English and Spanish and can be reached from l0 a.m. to 4 p.m. (Eastern Time) Monday through Friday.

To read the full recall notice click here.

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Cantaloupes Recalled

Del Monte Fresh Produce (“Del Monte Fresh”) of Coral Gables, Florida is voluntarily recalling 4,992 cartons of cantaloupes because they have the potential to be contaminated with Salmonella Panama.  The cantaloupes were distributed through warehouse clubs in seven states including California.

The recalled products consist of cartons of cantaloupes, each containing 4 plastic beige mesh sleeves each sealed with a plastic orange handle with the Del Monte Logo and indication “3 count, Product of Guatemala” with 3 cantaloupes per sleeve and were available for sale between March 10th through March 21st of 2011.

The recalled cartons of cantaloupes are dark brown cardboard with the “Del Monte” logo in red lettering and “cantaloupes” in yellow lettering on a green background. The cantaloupes have the lot codes: 02-15-24-10, 02-15-25-10, 02-15-26-10 and 02-15-28-10.

Consumers who believe that they are in possession of uneaten cantaloupe affected by this recall should return it to the place of purchase for a refund and for more information may contact 1?800-659-6500 (operational 24 hours a day, seven days a week) or email Del Monte Fresh at Contact-US-Executive-Office@freshdelmonte.com This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

To read the full recall notice click here.

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Potassium Iodide (KI) Tablets

The damage to nuclear reactors in Japan has understandably lead to concerns about the safety of individuals throughout the world, including here in Monterey County.

There is no increased risk of harmful levels of radiation exposure in the United States based on the situation to date at the nuclear power complex in Japan.  There is no reason for individuals to take potassium iodide out of concern of possible exposure from this situation.  Taking potassium iodide now is something, which is ineffective, and could also cause side effects. If a need should arise for residents to start taking potassium iodide to guard against effects of radiation exposure, the Monterey County Health Department – along with other local, state and federal agencies – will inform the public. We do not anticipate this need.

Potassium iodide, or KI, is a stable form of iodine. During a nuclear emergency, persons may be exposed to a radioactive form of iodine, which can be harmful to the thyroid gland. In such an event, public health officials may recommend use of KI to offer some protection. KI is not recommended for use as a precautionary medication, unless there is a specific emergency that warrants use as recommended by public health officials.

Although usually benign, it can be harmful to people with allergies to iodine or shellfish, those with certain skin disorders, or those with thyroid problems. Observed but infrequent side effects of ingesting potassium iodide include nausea, intestinal upset, rashes, inflammation of the salivary glands, and possibly severe allergic reactions. KI cannot protect the body from radioactive elements other than radioactive iodine—if radioactive iodine is not present, taking KI is not protective.

The California Department of Public Healthhas opened a hotline in English and Spanish at (916) 341-3947 for anyone who has concerns. The Centers for Disease Control and Prevention in Atlanta also has a line available to anyone with questions at (800) CDC-INFO.

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Radiation Exposure

The following is an official message from the Monterey County Department of Health, California Department of Public Health, and Cal EMA.

According to the Nuclear Regulatory Commission (NRC), Japan’s nuclear emergency presents no danger to California. CDPH is monitoring the situation closely in conjunction with our state and federal partners, including NRC, U.S. Environmental Protection Agency, the U.S. Department of Energy, FEMA Region IX, and the California Emergency Management Agency (CalEMA).

California has a plan of response for radiological emergencies if one were to arise.  Plans include the Nuclear Radiological Emergency Program and the National Response Framework. 

Q&A

Q. What’s the risk for California from the current nuclear power emergency in Japan?
A. At present, the Nuclear Regulatory Commission (NRC) says Japan’s nuclear emergency presents no danger to California. 
                                                                   
Q. What are you doing to assess the risk?
A. CDPH is monitoring the situation closely in conjunction with our State and federal partners.

Q. What resources does California have to tell if radiation is present in the environment?
A. CDPH has a radiological branch and routinely tests air, water and the food supply.

Q. Does California have a plan in place to respond to a radiological emergency?
A. CDPH has a plan for response to radiological emergencies, called the Nuclear Emergency Response Plan.
  
Q. Does California stockpile supplies for such an emergency?
A. California does stockpile emergency supplies, including potassium iodide (KI) tablets, in the area around the San Onofre nuclear power plant. Potassium iodide tablets are useful in blocking some types of radiation in the thyroid. Potassium iodide tablets are not recommended at this time, and can present a danger to people with allergies to iodine, shellfish or who have thyroid problems. Potassium iodide tablets should not be taken until/unless directed by authorities. 

Q. Should I be taking potassium iodide (KI) to protect myself?
A. No. Potassium iodide tablets are not recommended at this time, and can present a danger to people with allergies to iodine, shellfish or who have thyroid problems. Potassium iodide tablets should not be taken until/unless directed by authorities.

For more information visit the CDPH website or the CalEma website.

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Scam Alert!

ALERT – Monterey County Environmental Health Bureau issues alert on Health Inspector Scam

 Monterey County Environmental Health Bureau (EHB) has become aware of a fraud scheme targeting food facilities and other small business in Monterey County.

 A number of restaurants in Monterey County have recently received telephone calls from a person claiming to be a “health inspector” introducing a new procedure for scheduling a health inspection.  The phony “health inspector” asks the business owner to follow specific instructions to get a special “code” to confirm the upcoming inspection. Later the business owner receives an automated call to enter the special “code”. Of course, there is no such inspection and no real inspector ever arrives.

 This phony inspector scheme is part of a larger fraud involving setting up “verified” accounts with a national on-line auction service. The purpose of the “code” request is to get the small business owner to provide false verification to the on-line auction service. The fraud artist does this to establish a bogus on-line account to be used in other fraud schemes.

 Food facilities owners/operators need to be aware of this scam and should protect themselves from this fraudulent action by understanding:

  • The EHB does not announce inspections in advance, will not call in advance of an inspection requesting information and will not call to schedule an inspection (there may be exceptions).
  • The EHB has not developed a new inspection procedure. Any caller indentifying him/herself as a “health inspector” asking you to participate in a “code” process, requesting account information or soliciting other information is part of a fraud scheme.
  • If you do not recognize your health inspector, please ask for photo identification.
  • Never give out personal or business identification information over the phone unless you are certain of the identity of the person with whom you are speaking.

 If you have any questions or concerns, please call (831) 755-4505.

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Avoid Wild Mushrooms





The Monterey County Health Department would like to remind Monterey County residents that collecting and eating wild mushrooms can cause serious illness and even death.







In California, eating wild mushrooms has caused multiple illnesses, hospitalizations and deaths.  According to the California Poison Control System, 894 cases of mushroom ingestion were reported statewide in 2008.  Among those cases:

  • 499 were children under six years of age and usually involved eating a small amount of a mushroom the child found growing in a backyard;
  • 358 individuals were treated at a health care facility;
  • 72 had a moderate health effect, such as diarrhea severe enough to require intravenous fluids;
  • 17 were admitted to the intensive care unit;
  • Five had a major health outcome, such as liver failure leading to coma, liver transplant or renal failure requiring dialysis;
  • One died.

The deaths have been linked to the varieties Amanita ocreata, or “destroying angel” (pictured above),  and Amanita phalloides, or “death cap” (pictured here).  These mushrooms grow in some parts of California year-round, but are most commonly found during fall, late winter or spring.

Eating poisonous mushrooms can cause abdominal pain, cramping, vomiting, diarrhea, liver damage and death.  Individuals who develop any of these symptoms after eating wild mushrooms should seek medical attention.  Individuals with symptoms, or their treating health care providers, should immediately contact California Poison Control at 1-800-222-1222.

*post information provided by Monterey County Health Department

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Monterey County Health Profile

The Monterey County Department of Health has released the, Monterey County Health Profile
2009: Behavioral Health
, the eighth report in an annual series that examines the health status of Monterey County residents.

The documentation is helpful for those applying for grants, designing or aligning programs, formulating health policy, or disseminating health information.

Suggestions, comments, and recommendations are greatly appreciated. Please contact Patricia Zerounian in the Epidemiology & Evaluation Unit at (831) 755?4583.

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Sleep Positioners-SIDS Risk

Monterey County Health Department urges parents to stop using infant sleep positioners after two deaths cause concerns about suffocation risks.

 

Infant sleep positioners are devices intended to keep a baby in a desired position while sleeping. Infant sleep positioners can be purchased over-the-counter at retail stores or on websites. They are marketed for use in homes and medical facilities.





Advice For Consumers

STOP using infant positioning products. Using this type of product to hold an infant on his or her side or back is dangerous and unnecessary.   The photo above is an example of a sleep positioner.

NEVER put pillows, sleep positioners, comforters, or quilts under the baby or in the crib.

ALWAYS place a baby on his or her back at night and during nap time.

REPORT an incident or injury from an infant sleep positioner to the Consumer Product Safety Commission by visiting their website or calling (800) 638-2772.  Suffocation and Other Dangers

In the last 13 years, the federal government has received 12 reports of babies known to have died from suffocation associated with their sleep positioners. Most of the babies suffocated after rolling from the side to the stomach.

In addition to the deaths, the commission has received dozens of reports of babies who were placed on their back or side in the positioners only to be found later in hazardous positions within or next to the product.

Tips for Safe Sleeping

For more information on how to safely place your infant for sleeping, click on the links below for more information.

Safe Sleeping (English)

Safe Sleeping (Spanish)

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Pertussis/Whooping Cough Alert

Pertussis Cases Increasing Locally

There have been 13 cases of Pertussis, more commonly known as Whooping Cough, reported among Monterey County residents this year.  This increase in pertussis activity is also occuring statewide, with four infants having died in California since January, all less than 3 months of age.

State and local health officials are concerned that 2010 will be a peak year for pertussis and recommend immediate preventive action.

Symptoms of Pertussis

  • Onset begins with cold-like symptoms (nasal congestion, sneezing, and occasional cough)
  • Fever is not common
  • Illness can last 6-10 weeks with cough becoming severe after 1-2 weeks.
  • Spasms of severe coughing are followed by a sudden deep inspiration, resulting in a “whooping” noise.
  • Infants, younger than 6 months may gag, gasp, or stop breathing and may not “whoop.
  • Post-cough vomiting is common for all ages.

The following groups of individuals should become vaccinated

  • Children should get 5 doses of DTaP Vaccine at the recommended interval of 2 months, 4 months, 6 months, 15-18 months, and 4-6 years
  • Adolescents 11-18 should receive a Tdap booster
  • Unvaccinated adults who meet the following criteria
  1. mothers before pregnancy, during pregnancy, or immediately after delivery
  2. Fathers or other household members/caregivers
  3. Healthcare workers, especially if they work with children

Take the following actions immediately if you suspect pertussis

  1. Cover your cough and avoid contact with unvaccinated infants, young children, and other high risk populations.
  2. Seek medical attention as soon as possible for diagnosis and treatment

Providers can use these flyers, provided by the health department, to post in offices or during outreach for client education

Pertussis and Pregnancy (English)
Pertussis and Pregnancy (Spanish)
Pertussis Childhood Immunization (English)
Pertussis Childhood Immunization (Spanish)

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Animal Rabies Warning

Four skunks have tested positive for rabies since December 2009.

The Monterey County Health Department would like to remind residents about the continuous health threat presented by rabid animals in our community.

Rabies is common in the following local wildlife:

  • skunks
  • bats
  • foxes

Household pets like dogs and cats are at risk for contracting rabies from these wildlife animals, especially if they are not yet protected by a rabies vaccine.  Rabies vaccines can be obtained at:

Monterey County Animal Services
160 Hitchcock Road
Salinas, CA 93908
(831) 769-8850
Monday-Saturday 12:00 pm-5:30 pm

The rabies virus can be passed to humans and household pets by a bite from a rabid animal, or if the saliva of an infected animal gets into a fresh scratch, break in the skin, or mucous membranes of the eyes, mouth an nose, however transmission is less common this way.

Monterey County residents should take the following actions to keep themselves safe:

  • Avoid leaving pet food outside as it encourages wildlife activity around your home.
  • Avoid contact with any of the wildlife listed above.
  • Dogs and cats must be kept current on rabies vaccinations.
  • Avoid leaving pets unattended out doors.
  • Prevent bats from entering living quarters or occupied spaces such as homes, churches, or schools.
  • Do not attempt to seperate animals that are fighting.

Contact the Health Department’s Animal Services (831) 769-8850 ext 3 IMMEDIATELY for the following:

  • If you or your pet have had contact with any of the above animals or a domesticate animal you believe to be infected with rabies.
  • It is highly unusual for skunks, bats, raccons, or opossums to be seen during clear, sunny, daylight hours.  If you witness this or any other suspicious behavior, such as a staggering or abnormally agressive animal.
  • Wild animals found dead or ill.

Rabies FAQ’s

  • How soon after an exposure should I seek medical attention?

Contact your physician IMMEDIATELY as medical assistance should be obtained as soon as possible after an exposure. There have been no vaccine failures in the US (i.e., someone developed rabies) when postexposure prophylaxis (PEP) was given promptly and appropriately after exposure. But again, once symptoms appear, rabies is fatal. Do not delay treatment.

  • What medical attention do I need if I am exposed to rabies?

According to the CDC, one of the most effective methods to decrease the chances for infection involves thorough washing of the wound with soap and water. Specific medical attention for someone exposed to rabies is called postexposure prophylaxis or PEP. PEP consists of a regime of 1 dose of immune globulin and 5 doses of rabies vaccine over a 28-day period. This regiment should be started as soon as possible after exposure. Current vaccines are relatively painless and are given in your arm, like a flu or tetanus vaccine (not in the stomach anymore).

  • What happens if my pet (cat, dog) is bitten by a wild animal?

Contact your veterinarian and the Monterey County Animal Services immediately! Any animal bitten or scratched by either a wild, carnivorous mammal or a bat should be regarded as having been exposed to rabies. California State law requires that any domestic animal exposed to rabies be placed into quarantine based on whether it has a current rabies vaccination and/or the wild animal is available for testing. Animal services is the agency that would determine the protocol to be followed for each case.

This information is available as an English and Spanish flyer to post on information boards or distribute to community members.

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Measles Alert!

CONFIRMED MEASLES CASES in SAN FRANCISCO BAY AREA

Rapid and aggressive public health action is needed to respond to measles cases.
It is critical that providers report suspect measles cases to the
Monterey County Health Department’s Communicable Disease Unit (831-755-4521)

There have been four confirmed cases of measles diagnosed in the San Francisco Bay Area within the last two weeks.  Three individuals (one adult and two unvaccinated toddlers) had recently traveled to Europe and Asia.  The fourth case (an unvaccinated adult) had no history of travel and no known link to the other three cases, raising concern of local transmission.   Because measles is extremely contagious and can be life threatening to susceptible individuals we are alerting clinicians and infection control professionals and requesting they follow these recommendations.

Monterey County Residents Should:

  1. Get Vaccinated!
  • Children should get 2 doses of MMR Vaccine: The first at 12-15 months of age and the second at 4-6 years of age
  • Adults, 18 years of age or older or who was born after 1956 should get at least one does of MMR vaccine unless they are certain they have had the disease. Two doses are recommended for health care workers, students, educators, and international travelers.

    2.  Call their health care provider immediately if they experience the following symptoms:

    • Onset of mild fever accompanied by a head cold (nasal congestion and “stuffiness”) and inflamation of the eye lid lining, which may or may not be associated with pain and crusty discharge.
    • Development of a higher fever, could reach up to 104-105 degrees, accompanied by a rash.

      Actions requested of all clinicians:

      1. Be alert for cases of measles. Consider measles in any patient with fever and rash, especially in people with known exposure to the San Francisco index cases, with recent international travel or with exposure to a visitor from abroad, or a US resident who has recently returned from international travel.
      2. Implement airborne precautions immediately for all patients with fever and morbilliform and/or vesicular rash: identify, isolate and provide a facemask for the patient to wear.
      3. Report suspect cases to the Monterey County Health Department’s Communicable Disease Unit (CDU) at 831-755-4521; in addition, if the case is or was in the hospital, report to your hospital Infection Control Professional (ICP).
      4. Coordinate diagnostic testing (IgM and IgG) with the Communicable Disease Unit.  Using a commercial laboratory may delay diagnosis.
      5. Work with your ICP (if in a hospital) or the CDU (if in other settings) to identify exposed susceptible contacts and assess them for post-exposure prophylaxis and the need for exclusion from work or quarantine.

      For more information view the released Health Advisory.  A printable Flyer is also available for service providers to distribute throughout their organizations.

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      Children and Lead Safety

      children's toysLead is harmful to children. Lead poisoning is especially dangerous for children under the age of six because their rapidly growing and developing bodies absorb more lead. It can cause permanent learning and behavioral problems that make it difficult for children to succeed in school.

      Most children get lead poisoning from deteriorating lead paint in homes built before 1978 or from soil containing lead from gasoline residue. Children can also get lead poisoning from toys and objects decorated with lead-based paint.

      For a tips on how to choose lead safe toys this holiday, click here. Read the full Monterey County Health Department, Childhood Lead Poisoning Factsheet here.

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        Save up to 30% or more off your prescriptions. Individuals that have no health insurance or have no prescription coverage can start receiving immediate savings by presenting the FamilyWize discount card at any participating pharmacy. Click here for more information and to download and print your discount card.

        To view a report of how much money FamilyWize discount cards are saving residents in Monterey County, Click here.

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