Pret sandwich linked to allergy death contained milk, says expert

Celia Marsh, who had a severe allergy to milk, passed away after eating the food, which was labelled as vegan

Celia Marsh collapsed in the street after eating a sandwich from Pret a Manger
Author: James DiamondPublished 8th Sep 2022

A chemist who analysed a Pret a Manger sandwich believed to have triggered a dairy allergy in a 42-year-old woman says he believes the product contained milk, despite the level being too low to measure with any degree of accuracy.

Celia Marsh went into anaphylactic shock on the afternoon of December 27, 2017 shortly after eating a super-veg rainbow flatbread from the chain in Bath, and was pronounced dead less than two hours later.

The mother-of-five, from Melksham, Wiltshire, had been on a post-Christmas shopping trip with her husband and three of her daughters at the time.

The sandwich was labelled as vegan but the coconut yoghurt used in its production was later found to contain traces of milk protein.

The CoYo branded yoghurt was manufactured and distributed in the UK by a company called Planet Coconut.

An inquest at Avon Coroner's Court in Bristol is investigating the cause of her death.

On Thursday, Paul Hancock, the analytical chemist working for Bath and North East Somerset Council, gave evidence on his testing of the wrap and the ingredients within it.

The court heard Mrs Marsh had consumed the wrap in its entirety and it could not be tested, and the original pot of yoghurt used to make it was thrown away before the council began its investigation.

But testing by Mr Hancock conducted at Worcester Scientific Services' laboratory on two other pots of yoghurt found 3.1mg/kg of milk protein in one, and 3.4mg/kg in another.

Testing of a rainbow veg wrap found 0.55mg/kg of milk protein - below the level at which it can be reliably measured by accepted testing procedures, known as the limit of detection.

Mr Hancock wrote Food Standards Authority certificates for the two and also for the wrap stating they contained milk.

He explained: "In the absence of challenge, the document should be accepted in a court of law."

Under cross-examination by Jonathan Laidlaw QC, for Pret, he acknowledged he should not have written such a certificate for the wrap, given that the test results fell outside the level of certainty.

"It was produced purely as supporting evidence and I think my comments at the start of the certificate say they result is tentative and can't be relied upon," Mr Hancock said.

"Using the supporting evidence of other analysis, looking at the whole product, the fact CoYo yoghurt had milk in it, looking at the whole picture with the other ingredients, I think it would be reasonable to deduce there was milk in the super veg rainbow wrap.

"It will be for the court to decide if the milk protein present was sufficient to cause a reaction in Mrs Marsh."

The court heard the 0.55mg/kg was an average of two tests conducted on the wrap - one which yielded a result of 0.196mg/kg, and a second of 0.907mg/kg - a difference of 450%.

Mr Hancock also acknowledged he had been unable to conduct testing to rule out a false positive sometimes triggered by coconut milk.

Asked by coroner Maria Voisin if he stood by his conclusion that the wrap contained milk protein, Mr Hancock said: "I stand by that, I believe there was milk protein in that sample.

"As to exactly how much, I believe further work would have needed to have been done to give a more precise figure and whether that amount was sufficient to cause a reaction, we can't know."

Asked by the coroner if he believed the term "dairy free" had been appropriately applied, Mr Hancock said: "I would expect there to be an absence of milk or milk products in something described as dairy free."

Mr Hancock said he had looked up the definition of vegan - someone who never eats meat or animal products such as dairy - in the Collins English Dictionary.

"I would expect an average member of the public to understand vegan as that definition - milk protein is an animal product," he said.

"Similarly I would expect that a product described as vegan to be free from milk products.

"I think there's a consumer expectation when they see such a description applied to food, and I think that consumer expectation aligns with the dictionary definition."

Pret was charged with food safety failures in the wake of Mrs Marsh's death, but the prosecution was later dropped due to lack of evidence.

The inquest heard previously that Pret displayed a warning in its outlets stating its food was prepared on-site in a busy kitchen, and it could not guarantee it was safe for people with allergies.

The inquest is expected to last between two and three weeks, and among the interested parties are Mrs Marsh's family, Pret and Planet Coconut.

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