UK – Update on reporting of non-O157 STEC infections and an outbreak of Shiga toxin-producing E. coli (STEC) O145 in the UK, February 2024

Gov UK

In December 2023 the UK Health Security Agency (UKHSA) reported (1) unseasonably high levels of Shiga toxin-producing Escherichia coli other than serogroup O157 (non-O157 STEC) case notifications during October to December of that year. Since then, reporting has returned to levels comparable with previous years. Investigations into the drivers of that unseasonal increase in reports of non-O157 STEC continue, as well as into individual outbreaks of STEC that were reported in the December 2023 report.

The investigations into the concurrent foodborne STEC O145: H28 outbreak associated with unpasteurised cheese – being undertaken by UKHSA, the Local Authority (LA) Environmental Health Team, Public Health Scotland (PHS), Food Standards Agency (FSA), Food Standards Scotland (FSS) and the Animal Plant Health Agency (APHA) – are nearly completed.

In total 36 confirmed cases and 1 probable case have been reported across England (n=29) and Scotland (n=8) since late July 2023, with most cases falling ill in November 2023. The last reported primary case had a symptom onset date of 23 December 2023 (see figure below).

Based on epidemiological, food chain and microbiological investigations, the vehicle was identified as an unpasteurised cheese produced in North West England. The food business concerned carried out a product withdrawal and recall on 24 December 2023 (2) and updated on 27 December 2023 (3) which ensured all recalled products were removed from sale in a timely manner.

Subsequent work between the food business, the LA Environmental Health team and the FSA allowed refinement of the product withdrawal and recall notice to include only the batches likely associated with illness, which resulted in a further update of the product withdrawal and recall by the food business on 9 February 2024 (4).

The FSA and FSS both published updated Product Recall Information Notices (PRIN’s) on 24 (2) and 27 December (3), and again on 9 February (4), with supporting news stories to amplify messaging about each of the product recalls.