Diseased chicken entered UK after post-Brexit delays to border checks

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Original article by Andrew Wasley republished from TBIJ under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

British consumers were exposed to drug-resistant salmonella because border checks took years to come into force

UK health chiefs privately admitted that a lack of border inspections in the wake of Brexit left British consumers exposed to diseased meat, the Bureau of Investigative Journalism (TBIJ) can reveal.

Delays in implementing checks on imported food meant hundreds of people, including children, were poisoned by imported meat during a series of major salmonella outbreaks.

Previous TBIJ investigations uncovered a host of failings in the government’s handling of outbreaks of drug-resistant salmonella spread by supermarket chicken from Poland. Illnesses connected to the outbreaks – which also affected eggs – peaked at different points between 2020 and 2024, and Poland has since continued to export contaminated meat to the UK.

Documents now reveal that in a series of high-level meetings in late 2023, food safety and health bosses admitted that the UK’s borders could have been allowing infected meat to enter the country unchecked.

Minutes from the meetings attended by the UK Health Security Agency (UKHSA), the Food Standards Agency (FSA) and its devolved partners acknowledge there were “no current border controls in place”, and that paperwork and physical checks on imported goods were not due to start until the following year.

“This could change,” officials noted. “However, [the] FSA have decided that they can’t wait for border controls to come in as a control measure.”

Following the UK’s departure from the EU, Boris Johnson’s government announced that hygiene inspections on meat imports from Europe would begin in 2021. However the checks were repeatedly delayed and weren’t implemented until 2024.

“We didn’t do any checks on EU imports at our border control posts for three years,” said Helen Buckingham, a trade policy expert. She pointed to a recent report published by the National Audit Office that was highly critical of the UK’s post-Brexit border controls. She added: “Delays on introducing a new regime of incoming checks for EU goods [were seen as being] risky for the UK in public and animal health terms, because our borders were weak.”

Although checks on some UK meat and poultry imports – typically between 1% and 30% – are now being carried out, concerns have been raised that funding cuts to inspection staff at some ports could see large volumes of substandard meat coming into the UK, as reported in the Grocer.

Tim Lang, professor emeritus of food policy at City St George’s, University of London, said: “Food flows depend on trust. And that depends on believing that systems are in place to protect us from known harm. Five years from Brexit, we see not fewer, but persistence of problems. We’ve put up borders but haven’t invested in the inspection.”

Following the publication of details of the government’s planned border controls in 2023, the FSA chair Susan Jebb said that border controls were “critical to maintaining the UK’s high food and feed safety standards” and that they “must be a priority”. The FSA had previously raised concerns that food products imported from the EU were not being subjected to inspections.

According to Buckingham, the post-Brexit inspections phased in last year do represent a more stringent system than was previously in place. “Pre-Brexit, we didn’t check EU products of animal origin because […] the principle of ‘free circulation of goods’ applied between member states.”

TBIJ’s revelations come as Parliament’s environment, food and rural affairs select committee prepares to launch an inquiry into animal and plant health next Tuesday. Imported animal products will be a central focus of an initial evidence gathering session that will assess the effectiveness of import controls on biosecurity, food hygiene and public health.

The internal UKHSA records obtained by TBIJ also reveal that while a ban on Polish poultry products was among the measures being considered by the FSA, concerns remained about its potential effects on the meat industry. They included the possibility that the UK could import chicken from other countries with food safety “hazards”. No ban was subsequently implemented.

Although earlier FSA interventions brought about a reduction in reported cases, rates were still “outside of the tolerance that the FSA Board can accept of salmonella entering the UK from the EU”.

Officials were also worried that the salmonella contamination had become more widespread, involving multiple producers from Poland and a greater number of food products, the documents show. While attention had initially focussed on breaded chicken and other highly processed products, testing had revealed that fresh chicken and raw pet food was also implicated.

Richard Griffiths, chief executive of the British Poultry Council, said: “We expect our trading partners to meet their responsibilities with regard to safe food. If they cannot, and their own authorities cannot enforce the appropriate controls, then we want our own regulators to have the powers and resources to stop unsafe meat entering the country.”

The BPC previously called for every consignment of Polish poultry to be checked at UK borders.

Tests revealed that in 2024, at least 138 consignments of exported poultry from Poland contained salmonella, including variants that can be highly harmful to human health, according to EU data. The UK was among the affected countries. The figures were only slightly down from 2023, when there had been 149 recorded cases of contaminated products.

In June 2023, TBIJ reported that some of the salmonella linked to Polish poultry that poisoned UK consumers was resistant to multiple antibiotics, limiting treatment options for those falling seriously ill. The UK government was found to have allowed food companies linked to the outbreak to continue supplying supermarkets even after contaminated meat had been linked to the deaths of four people, and the poisoning of hundreds more.

Investigations also found that even though some of the salmonella was known to be antibiotic resistant, food safety and health officials did not disclose this to frontline health workers, including those treating victims. Nor did they inform the Polish authorities, impeding possible investigations into practices on the farms involved.

Bacteria such as salmonella can easily spread on poultry farms, particularly where there are unhygienic or overcrowded conditions, and go on to infect the wider supply chain.

The use of antibiotics on farms can enable potentially lethal bacteria to develop resistance, meaning the drugs will no longer work to treat infections. Antibiotic use in Polish livestock production has been a cause for concern in recent years, with increases in usage of some types of drugs important for humans.

Anjali Juneja, director of UK and international affairs at the FSA, said it has been working with the Polish authorities on measures to enhance the safety and compliance of imported poultry meat and eggs. These include increased testing and other interventions at the farm and manufacturer level.

“We continue to actively monitor the situation, including through in-country audits of Polish food safety controls and of poultry producers exporting to the UK. If we see any information of concern, we will take the necessary action,” Juneja said.

She added that the FSA welcomed the enhanced border checks implemented last year, which have become “a crucial part of our food safety system” that she said helps uphold the UK’s high standards.

A Defra spokesperson said: “This government will never waver in its duty to support the UK’s biosecurity and preserve our food supply.”

The Polish Veterinary Inspectorate told TBIJ that food safety alerts relating to poultry from Poland decreased from 2020-2024, demonstrating that it had been taking appropriate and effective action.

It said that a thorough investigation is undertaken whenever a salmonella case is detected and, in the event, will withdraw the food in question, as well as taking measures to minimise recurrence. And it said antibiotics are only used on farm animals when prescribed by a vet.

Kath Dalmeny, chief executive of the Sustain food and farming alliance said the latest findings expose “just how vital it is for the government to uphold high food standards in international trade deals, especially for high-risk foods such as Polish chicken”.

“They must also ensure there are enough vets and food hygiene inspectors to check that British and imported meat is fit to eat – health protection roles that have been in worrying decline for several years,” she added.

Ron Spellman, a veteran meat inspector, said the issue ultimately needed to be tackled at source. “The European Commission, as well as the Polish authorities and poultry industry, carry responsibility to protect all consumers who buy Polish poultry products, they must resolve this problem.”

Explainer What is antimicrobial resistance?

Original article by Andrew Wasley republished from TBIJ under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

Continue ReadingDiseased chicken entered UK after post-Brexit delays to border checks

Gaza bombardment worsens superbug outbreaks

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Original article by Misbah Khan republished from TBIJ under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

Israeli blockades and bombings have left doctors without basic medicines to treat infections

Content warning: This story contains graphic images and descriptions of injuries

There is a growing and dire public health crisis taking place in Gaza. Israeli blockades and hospital bombings are fuelling a superbug emergency, with civilians who survive starvation and injury later facing untreatable, life-threatening infections.

Doctors on the ground told the Bureau of Investigative Journalism (TBIJ) they were treating wounds infested with maggots and using vinegar to fight infections.

“Wounds are left open much longer [and the] injured are delayed in receiving proper care or not able to get care at all, which increases the risk of infections and emergence of antimicrobial resistance [AMR],” says Krystel Moussally, an epidemiologist monitoring the situation for Doctors without Borders (MSF).

The infections are so severe that they don’t respond to many of the antibiotics that are designed to treat them. Badly infected wounds can lead to limb amputations and, in some cases, death.

Vinegar is being used to disinfect and treat wounds because other medicines are unavailable. Dr Khaled al Shawwa

Medical organisations, including MSF and Medical Aid Palestine, say that targeted bombings of hospitals and humanitarian aid blockades are restricting access to healthcare in Gaza, exacerbating infections that don’t respond to essential medicines.

In some cases, doctors have run tests to discover that infections can be fought with certain antibiotics – but have not been able to get their hands on the life-saving drugs.

‘I’ve never seen these types of cases before’

As explosions sound in the background, Dr Alaa Alshurafa tries to relay her day-to-day experience treating superbug infections in Gaza city. Over a WhatsApp call that keeps cutting out, she conveys the damage these drug-resistant infections are inflicting in the war zone.

Dr Alaa, 30, was forced to flee her home in northern Gaza with her family after the war began. Despite this, she is serving as a doctor at one of the medical points set up by The International Federation of Red Cross and Red Crescent Societies (IFRC) in Gaza city.

Every morning, before she leaves for work, she checks that no one on her route has reported a warning from the Israeli Defense Force of a potential airstrike. The clinic is a 15-minute walk from where she lives. She has to do the journey on foot, leaving her exposed to a potential attack by drone, air or sniper.

Dr Alaa al Shurafr’s walk to her clinic takes her past rubble. Dr Alaa al Shurafr

Once she does arrive at the clinic, the medical point is flooded with more than a hundred patients a day.

When she spoke to TBIJ, she was facing an outbreak of impetigo, a highly contagious bacterial skin infection most common in children. It causes blisters and itchy sores and is usually treated with an antibiotic cream.

“I’ve never seen these types of cases before,” Dr Alaa said. “It’s a very severe form of impetigo, an extensive form which includes faces and the whole body. We don’t have sufficient antibiotics.”

What little medicine is available is extremely expensive and while it does work sometimes, it is not always effective. “I’ve seen many cases that come again and again because of failure of treatment,” she said. “The rate of reinfection [could be] because of overcrowding and maybe misuse of antibiotics or nonadherence to the antibiotic regime plays a role.”

The most common type of bacteria that leads to impetigo is Staphylococcus aureus. A drug-resistant variant of this bacteria is behind the MRSA superbug.

70% of Staphylococcus aureus infections in wounded patients in Gaza are the MRSA superbug strain

MRSA infections are resistant to many common antibiotics, making them severe and even potentially fatal.

Moussally, the MSF epidemiologist, said: “It might be that this type of infection is difficult to treat not only because of [lack of] access to oral antibiotics, but more so because of a high resistance of the Staphylococcus bacteria causing it.”

Without adequate laboratory testing it is hard to say if the bacteria has developed stronger resistance.

Moussally’s work tracking drug-resistant bacteria in Gaza dates back to before 7 October and the start of the war. Then, MSF could monitor infections through labs at Nasser and Al-Awda Hospitals in Gaza. But over the course of the war, both hospitals have been besieged and attacked, making lab tests extremely challenging.

However, data collected by MSF at the hospitals from 2019 to 2023 showed that more than 70% of Staphylococcus aureus in wounded patients was the MRSA superbug strain.

Even before the war, superbugs were already a problem in Gaza; TBIJ reported on the issue as far back as 2018.

Open wounds left to fester

Content warning: graphic imagery below

In Gaza’s remaining hospitals, surgeons are overwhelmed by critical cases. Patients with open, but not initially deadly, wounds that need reconstructive surgery are lower priority, and often forced to wait or seek help at Red Cross and Red Crescent medical points.

Any length of time a person spends with their flesh or, in many cases, bone exposed raises the risk of superbugs and – as multiple doctors report – maggots.

“It is not uncommon to see explosive injury patients with limb injuries and open fractures to develop infections either from the wound itself or from… operations,” says Dr Abdulwhhab Abu Alamrain, who currently works in the orthopaedic department of a government hospital.

A leg injury, which developed a drug-resistant infection, sustained by a 35-year-old man in an explosion in September

Pseudomonas aeruginosa is another highly drug-resistant bacteria. It can infect wound dressings, causing bandages to turn green and smell like mown grass. Doctors in Dr Abdulwhhab’s orthopaedic department have seen cases; tests, available at a few private labs still operating in Gaza and seen by TBIJ, show some Pseudomonas infections don’t respond to any antibiotics at all.

Dr Abdulwhhab said: “This results in two options, either amputation or refusal [of an amputation] and face death. Unfortunately, we have seen many cases that have died either because of refusal or because they accept [the amputation] at the last moment [and die] waiting for surgery or on the operation table.”

Lessons from history

This is not the first time war has worsened a superbug crisis. During the war in Iraq, a lethal strain of the drug-resistant bacteria Acinetobacter baumannii infected American soldiers. Media at the time called it ‘Iraqibacter’.

The superbug infections weren’t confined to the borders of Iraq. Injured soldiers lost limbs, suffered sepsis, and some died back home in US hospitals after their wounds became infected with the bacteria.

The emergence of this strain of Acinetobacter baumannii was detected after its spread in the US hospitals. But due to the lack of testing capacity in Iraq, the extent to which it affected Iraqi civilians at the time is unknown.

“Iraq is a lesson about what war has done and why we have an ongoing crisis of AMR in a place like Iraq. We need to learn these lessons,” said Dr Omar Dewachi, an Iraqi medical anthropologist who narrates the touring exhibit The Pathogen of War.

Acinetobacter baumannii infections have also been reported in Gaza.

Using vinegar as medicine

With so many patients and so few drugs, some doctors report resorting to using vinegar to disinfect and treat wounds.

Moussally said: “Partially functioning hospitals are overcrowded with a huge caseload of injuries, lack of basic supplies needed to treat infections and do proper wound care management and are functioning with sub-standard infection prevention and control measures being the best they can do under the conditions they face. All of this drives AMR.”

Dr Khaled al Shawwa came home to Gaza city from Jerusalem to visit his family for the weekend on 5 October 2023 – two days before the Hamas attacks. He has been in Gaza ever since. He was previously a GP and had just completed his surgical qualification in Jerusalem.

He now works in the outpatient department at a clinic set up by MSF. There he deals with 80-130 patients a day. He told TBIJ: “We see Pseudomonas very frequently and sometimes we use vinegar, we apply it on the wounds. Nurses have a bottle of vinegar on the wound-dressing shelf.”

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The World Health Organization has repeatedly raised concerns about drug-resistant strains of Pseudomonas.

The best practice to prevent bacteria gaining resistance to even more antibiotics is to treat infections carefully with specific drugs, preferably after lab testing to make sure the medicine will work. In Gaza, however, doctors have to work with what they have.

“Drugs are not always available. We are guided by the availability of the drugs and availability of the tests. Where I work, the drugs come in shipments and donations. In some shipments you have one or two types of antibiotics. You don’t have many options … It’s not your decision,” Dr Khaled said.

Despite the limited resources, he and his colleagues at the local pharmacies have concocted a mixture of available antibiotics and steroids to try to treat difficult infections. “You have to do anything. You can’t just leave the patients alone.”

Israel Defense Forces did not respond to TBIJ’s request for comment.

Header image: The wreckage of an ambulance at the Kamal Adwan Hospital in northern Gaza. Credit: AFP via Getty Images.

Reporter: Misbah Khan
Video editor: Katia Pirnak
Global Health editor: Fiona Walker
Deputy editors: Chrissie Giles and Katie Mark
Editor: Franz Wild
Production editor: Frankie Goodway
Fact checker: Somesh Jha
Additional contributor: Hitham Toman

TBIJ has a number of funders, a full list of which can be found here. None of our funders have any influence over editorial decisions or output.

Original article by Misbah Khan republished from TBIJ under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.

Genocide denier and Current UK Prime Minister Keir Starmer is quoted that he supports Zionism without qualification. He also confirms that his active support and that of UK's air force has been essential in Israel's mass-murdering genocide. Includes URLs https://www.declassifieduk.org/keir-starmers-100-spy-flights-over-gaza-in-support-of-israel/ and https://youtu.be/O74hZCKKdpA
Genocide denier and Current UK Prime Minister Keir Starmer is quoted that he supports Zionism without qualification. He also confirms that UK air force support has been essential in Israel’s mass-murdering genocide. Includes URLs https://www.declassifieduk.org/keir-starmers-100-spy-flights-over-gaza-in-support-of-israel/ and https://youtu.be/O74hZCKKdpA
Genocide denying UK Foreign Secretary David Lammy says that UK is suspending 30 of 350 arms licences to Israel. He also confirms the UK government's support for Israel's Gaza genocide and the UK government and military's active participation in genocide.
Genocide denying UK Foreign Secretary David Lammy says that UK is suspending 30 of 350 arms licences to Israel. He also confirms the UK government’s support for Israel’s Gaza genocide and the UK government and military’s active participation in genocide.
Continue ReadingGaza bombardment worsens superbug outbreaks