CDC updatehttp://www.cdc.gov/ecoli/2006/september/updates/092206.htm A sample from a Maryland woman and some of the spinach she ate before she got sick are being tested at a Maryland state lab, and results may not be known for several days, Washington County Health Department spokesman Rod MacRae told the Associated Press (AP) today. Once investigators pinpoint the cause of the outbreak, federal officials will evaluate what went wrong, David Acheson, MD, chief medical officer for the FDA’s Center for Food Safety and Applied Nutrition, said at a news conference yesterday. Officials will first determine if food safety rules were followed properly, he said. If spinach contamination occurred despite good compliance by farmers and producers, the FDA will consider issuing additional mandates, Acheson said. See also: The CDC said the woman died Sep 13 and had recently consumed fresh spinach. E coli O157:H7 was cultured from her stool, but DNA fingerprinting to determine if it is the outbreak strain has not been possible, the agency said. The CDC said today that 31% of children under 18 in the outbreak suffered HUS. For adults aged 18 to 59, the HUS rate was 7%, and for those 60 and older the rate was 16%. Teams from the Food and Drugs Administration (FDA) and the state of California have narrowed their investigation of the outbreak to nine farms in California’s greater Salinas Valley area, on the basis of information from spinach bags found in the homes of some patients and records from three companies that recalled fresh spinach products. “This is a very suspicious association at this point, there’s no question about it,” MacRae said. He said the woman was a Washington County resident in her 80s. A 2-year-old Idaho boy with HUS died Sep 20, but E coli O157:H7 has not been detected in his samples, the CDC said. Christine Hahn, MD, an epidemiologist at the Idaho Department of Health, told the AP that the boy had bloody diarrhea and that family members said he had eaten packaged spinach. At an FDA press briefing yesterday, Acheson said one possibility would be labeling spinach with the place of origin. Sep 22, 2006 (CIDRAP News) – Nine more cases were found in a nationwide outbreak of Escherichia coli O157:H7 infections linked to fresh spinach, raising the total to 166, and two more deaths are suspected to be part of the outbreak, the Centers for Disease Control and Prevention said today. Food growers have held meetings this week on how to strengthen their food safety processes. After a meeting yesterday between regulators and 200 industry members, Tom Nassif, president and chief executive officer of the Western Growers Association, told reporters that regulators said investigation findings and new industry-produced food safety guidelines are needed before the FDA will lift its warning against eating raw spinach. Nassif was quoted in the Monterey County (Calif.) Herald. Michael Doyle, director of the University of Georgia’s Center for Food Safety, told the Washington Post, “I liken this to Jack in the Box all over again.” He referred to a 1993 E coli outbreak linked to the chain’s hamburgers, which sickened 700 people and killed four children. The outbreak prompted the US Department of Agriculture (USDA) to issue tougher processing standards. An article in the Los Angeles Times said today that regulatory oversight for fresh produce isn’t as rigorous as it is for beef, poultry, and seafood. Safety guidelines for the handling of fresh produce are voluntary, and the number of inspections of processing facilities has been declining for years, the article said. State health officials in Maryland and Idaho are awaiting test results to determine if two patients who died from known or suspected E coli infections this week have the same strain implicated in the outbreak. The outbreak has now affected people in 25 states, two more than yesterday, the CDC said. Eighty-eight people (53%) were hospitalized. Cases of hemolytic uremic syndrome (HUS), a serious complication of the illness, remain at 27. One death was previously confirmed to be linked to the outbreak. The FDA issued its fresh spinach alert on Sep 14 after the CDC announced that 50 patients in eight states had been diagnosed with E coli infections and that fresh or raw spinach was the food most of them had in common. “We know that if he had that kidney disease, it makes it very probable that he had E coli,” Hahn said. She added that test results would likely be available next week.
One of the CMA’s proposed “remedies” for the fiduciary management sector was for providers to be required to report their performance track record to prospective customers using a standardised methodology.CFA Institute’s discussions with IC Select predate the CMA’s investigation and the Financial Conduct Authority’s asset management review, which led to the investigation. Cardano’s Ralph Frank also contributed to the discussions, having been working on his own methodology for fiduciary management analytics. “We were always going to do this because IC Select is a UK-based entity and, for them, maintaining this and ensuring its continuation is a large chunk of work,” said McAra.In addition, CFA Institute saw an opportunity to cover an area its framework for GIPS did not. The original standard IC Select developed was based on GIPS. The direction the CMA had taken meant it made more sense to pursue transferring the responsibility for the standard, said McAra.CFA Institute would like to retain the governance structure IC Select had set up for developing the standard and consultations, involving a steering group and a forum, both of which McAra chairs.Global reach?At the industry event – organised by the Transparency Task Force (TTF), a campaign group – McAra said CFA Institute “would anticipate” the standard being of use elsewhere in the world, and that it had already held discussions with US and Dutch stakeholders.The right language could make a single standard applicable globally even if regulatory requirements varied geographically, he said.“We’re all about making things level, constant, and comparable, both through timeframes and across the firms operating in those particular areas,” he added. “So a prospective client can take information from any person, any firm that claims compliance with this standard, look at them and know they have comparable information.”McAra told IPE he had spoken to fiduciary managers in the US and Netherlands who are aware of GIPS and the IC Select standard, and that the feedback was comparable to that received from UK fiduciary managers.“For those managers that are investing against asset-based benchmarks, then GIPS can be used as a standard for presenting their past performance to prospective investors,” he said. “For those implementing liability-driven investment [LDI] strategies, the IC Select standard provides a framework for generating composites that are relevant to prospective investors considering LDI strategies.”Carl Hitchman, head of fiduciary management advisory at Stamford Associates, also attended the TTF event, and later told IPE it was important there be some flexibility to avoid a situation where performance was quoted against an inappropriate benchmark.He noted that the IC Select standard as currently drafted directed fiduciary managers towards the GIPS approach if their benchmark was “a fixed asset split”, but said this opt-out did not reflect – as he understood the CMA’s intention – the requirement for a single standard to apply to all fiduciary managers. This article was updated on 31 January 2019 to amend the name of CFA Institute. CFA Institute is taking over responsibility for the fiduciary management performance standard that could satisfy a pending UK regulatory requirement facing providers of the service.The transfer of intellectual property rights from IC Select, which has developed the standard, was scheduled to complete at the end of June, Iain McAra, director of global investment performance standards (GIPS) at CFA Institute, told attendees at an industry event earlier this month.This was slightly earlier than initially envisaged given the timetable set out by the Competition and Markets Authority (CMA) following its investigation into the investment consultancy and fiduciary management sectors.“The CMA’s agenda really wants everything wrapped up by mid-November,” McAra told IPE. “We had proposed that we complete the transfer by 1 January 2020, but we can accommodate that change.”
AFTER losing 6-3 to Trinidad and Tobago and going down 7-1 to title front-runners USA, Guyana Women will not feature in the ‘medal’ round of this year’s Pan American Indoor Hockey Championship, currently on at the Cliff Anderson Sports Hall.Having won the lone game of the tournament over Barbados (5-1), Guyana were hoping to keep the momentum on day four of the event, but, luck, was not on their side.Trinidad and Tobago picked up their first win of the tournament, having outplayed Guyana in the second half of the game. Arielle Williams and Krizia Layne had scored back-to-back for Trinidadians, but Guyana equalised through Nicole Eastman and Marzana Fiedtkou.Fiedtkou, two minutes after her first, scored her second of the game to push Guyana in the lead (3-2) at the stroke of halftime.However, in the second half Trinidad dominated possession and found the goal off the sticks of Layne, Blair Wynne (two goals) and Alanna Lewis.In their second game of the evening, which was also their final of the ‘pool’, Guyana were overwhelmed 7-1 by the Americans, who, with one game left to play, are primed to feature in tomorrow’s final.Ali Campbell slotted home four goals, while Mary Beth Barham had a double and Sammy Popper contributed the other goal for the USA Women. Fiedtkou scored Guyana’s only goal in the loss.The USA are the only undefeated team in the Women’s Pool of the tournament, and they also scored the most goals (31) with a +25 goal difference – the most among the seven teams.Today’s final pool games will determine tomorrow’s finalists.