Eleven workers at an Austin,
Minn., pork processing plant mysteriously fell ill between
last December and July with a neurological disorder whose
cause remains unknown, state health officials said Monday.
The condition afflicting five
of the workers at Quality Pork Processors Inc. has been
identified as a rare disease called chronic inflammatory
demyelinating polyneuropathy or CIDP, which normally strikes
fewer than two people per 100,000. In this instance, it may
have struck 11 out of about 100 people in a particular part
of the plant, state officials said. It is most often a
chronic disease that results in nerve damage and can lead to
disability.
Never before have so many
cases of this type occurred in a particular locale, specific
type of work, or in association with a particular animal,
experts said.
State health officials said
there is no evidence to date that the public faces an
increased risk or that the food supply has been affected.
The 1,300-employee Quality
Pork Processors is a hog slaughtering and processing
operation that was spun off from Hormel's Austin plant in
1989. In 1995, CEO Kelly Wadding bought the firm, which
makes meat products for Hormel and other food companies. The
privately owned company had an estimated $280 million in
revenue in 2005.
With CIDP, something --
perhaps a vaccine, a virus or a bacteria, or something else
altogether -- triggers the immune system to attack the
protective sheath that surrounds nerves, said Dr. Suraj
Muley, an associate professor of neurology at the University
of the Minnesota and an expert on the disease.
In the case of the affected
workers, "the question is whether the animal might harbor
bacteria or a virus that triggered it," Muley said.
Doctors' observations
Dr. P. James B. Dyck , an
expert on the disease at the Mayo Clinic in Rochester who is
familiar with some of the recent cases, said that an
infectious agent is less likely than some other unknown
factor among the workers or the plant.
"Everyone worries about
infection," he said. "But more likely there is something
there that is triggering an immune response," he said.
Dyck's father, also named P. James Dyck, was the first to
identify the disease in 1975, and still practices at the
Mayo Clinic.
Muley, who is not involved
in the medical investigation, suggested that the Austin
plant be shut down until investigation is complete because
if it is an infectious agent, then other workers might be at
risk.
But Dyck and state health
officials said there is no cause for alarm.
"All of the information we
have to date indicates that the general public is not at
increased risk for developing this type of illness," said
State Health Commissioner Sanne Magnan. "There is no
evidence that the food supply has been affected."
The disease is an
inflammation of the nervous system that can cause muscle
weakness, tingling sensations in the arms and legs and pain
over several months, Magnan said. Two of the workers were
hospitalized but have since been released, and all are
recovering. But some workers may experience "residual
numbness or weakness after treatment," she said.
Pattern of symptoms
emerged
The state investigation
began at the end of October after plant health officials
reported to the Health Department an unusual pattern of
symptoms that was restricted to a group of employees working
in a single area of the hog butchering process.
That part of the production
line uses compressed air to clear away unwanted brain tissue
so that meat in the head of the pig can be removed, Wadding
said.
A study of the affected pork
plant workers, who are of different ages, genders and ethnic
groups, showed that their work area was the only thing they
all had in common, said state epidemiologist Dr. Ruth
Lynfield. Existing diseases that can make people predisposed
to the illness, such as lymphoma or diabetes, were ruled out
as causes, she said.
"This is a very unusual
occurrence," Lynfield said. "We are working very hard with
Quality Pork Processors and many partners in public health,
environmental health, medicine, veterinary medicine,
agriculture and the swine industry to determine the cause."
During the investigation,
the plant has continued to operate but it has stopped using
compressed air in the processing of hog heads and has issued
safety goggles to workers, Wadding said. Workers also are
being provided with sleeves to wear over their arms (they
already wore gloves) and towels for showers after work.
No lawsuits have been filed
in connection with the illnesses, Wadding said. Most of the
11 affected workers either have returned to the plant or
never left work, he said.
Although the investigation
is at an early stage, the cluster of illnesses was revealed
Monday in the interests of full disclosure and because the
state will be widening its probe by checking to see whether
the illness has occurred at other processing plants around
the country, Magnan said.
Wadding said his company is
anxious to know what happened. "If there is found to be a
cause here, it will be a novel one because we've been told
this disease has never been tied to any animals or workplace
before," he said. "But there are some many variables and
possible causes out there that the investigation has not
begun to scratch all the possibilities yet."