Category Archives: Illness

Caribbean – Norovirus Cruise Ship Outbreaks

Courier MailNorovirus

AN outbreak of vomiting and diarrhoea has sickened more than 400 vacationers and crew members aboard two Christmas-time cruises in the Caribbean, the CDC says.

The Centers for Disease Control (CDC) said on Saturday it was still conducting lab tests to determine the pathogen, but it indicated it might be norovirus, which is highly contagious and typically transmitted from person to person.

Both ships, Cunard’s Queen Mary 2 and Princess Cruises’ Emerald Princess, reported the outbreak to the CDC, following guidelines that come into play when more than two per cent of the passengers and crew are hit.

A similar outbreak earlier in the month hit the P&O Oriana liner on a 10-night Baltic cruise, infecting about 300 of the 1843 travellers aboard.

Research- New Listeria Strains Discovered from the US Canteloupe Outrbreak 2011

Food Safety Newscatalopue

After analyzing four of the five types of Listeria implicated in last year’s deadly cantaloupe outbreak, scientists have discovered that a new outbreak strain was among those that contributed to the nearly 150 illnesses and 33 deaths caused by contaminated melons.

The researchers, an international team of government and university scientists, also compared the strains involved in the 2011 outbreak to those that had caused other outbreaks or been collected from other food facilities. By doing this, they identified two new sets of “epidemic clones” –  strains isolated in different times and places that appear to have common ancestors.

Only five epidemic clones, or ECs, of Listeria had been identified prior to this study, which raises that number to seven.

All I Want for Christmas is Norovirus !

CBC News Canadanorovirus-2(1)

The Thunder Bay District Health Unit confirmed Friday that it was the Norovirus that caused an outbreak of gastrointestinal illness that affected dozens of people.

Maltese Grocery had shut down its catering operations temporarily after 85 people became sick after eating food at three events the company had catered the previous week. They’ve since resumed, but with additional precautions.

Senior Public Health Inspector Abby Mackie said clinical specimens submitted to a lab confirmed the Norovirus to be the source of the outbreak.

USA – Colorado

DENVER— The Colorado Department of Public Health and Environment is reporting widespread gastrointestinal illness (norovirus) throughout Colorado, including in nursing homes, assisted living facilities, schools and child care centers. Everyone is encouraged to increase simple prevention measures to stop further spread of illness in the community. Symptoms of the illness include nausea, vomiting, diarrhea and stomach cramping.

Alicia Cronquist, epidemiologist at the department, said, “We believe the illness is being caused by a virus germ called norovirus. This infection is very common this time of year.

Japan Times

MIYAZAKI — Six patients have died of gastroenteritis caused by a norovirus outbreak at Shunkokaihigashi Hospital in Nichinan, Miyazaki Prefecture, hospital officials said Sunday.

The victims — all men aged between 78 and 88 — were among 44 patients and staff who came down with symptoms of the illness, including vomiting and diarrhea, the officials said. All six were bedridden.

The health ministry has issued a nationwide warning about the norovirus because infections are approaching the record high set in 2006.

The China Post

TAIPEI–Health experts said Tuesday that an unusually high number of diarrhea cases have been reported this winter due to norovirus outbreaks and it warned that the peak season is yet to come.//

About 10,108 patients sought treatment for watery diarrhea at emergency departments across the country last week, which was a five-year high, said Chuang Jen-hsiang, director of the Epidemic Intelligence Center at the Centers for Disease Control (CDC).

Canada – Salmonella Outbreak

Global NewsSalmonella

EDMONTON – Health officials in southwestern Alberta are dealing with an acute  outbreak of salmonella. Officials in Lethbridge say there are more than 30 cases, mostly in rural  areas. Many of the infections are secondary ones, meaning it is being spread by  household contact. Symptoms include nausea and vomiting and residents are warned that the most  serious complication is dehydration.

 

USA – Foodborne Illness Outbreaks Database 1984 – 2012

Marler Clark

Welcome to outbreakdatabase.com, a searchable database of illness outbreaks caused by one or more of the following

  1. consumption of contaminated foods or beverages,
  2. exposure to animals,
  3. exposure to contaminated recreational water,
  4. person-to-person contact with someone whose illness initiated from animal exposure or consumption of contaminated foods and beverages.

The database describes outbreaks occurring since 1984.

The Centers for Disease Control and Prevention (CDC) defines an outbreak as “two or more ill persons linked to a common source” and this serves as the basis of outbreakdatabase.com. To be included in outbreakdatabase.com, the outbreak must have supporting documentation from public health agencies, journal articles, media reports, etc. Names of stores, brands, restaurants, or other sources are listed if they have been publicly identified previously.

The database is a work in progress. It will continually be updated and revised. Significant effort has been made to ensure the data are accurate. We welcome contributions, corrections, comments, etc. Please use the contact form for comments.

 

HPA- Norovirus Update

HPANorovirus

Figures from the Health Protection Agency (HPA) show that there were 337 confirmed laboratory reports of norovirus in the week ending December 9 2012 and 236 for the week ending 2 December 2012. The latest weekly report is now published.

In this season to date there have been 3,046 confirmed laboratory reports of norovirus. This is 83 per cent higher than the same period in the last season when there were 1,669 cases reported.

The figures for the number of hospital outbreaks show that there were 61 hospital outbreaks during the last two weeks up to December 16 2012. In the same fortnight in the previous year there were 35 outbreaks reported by the same time.

The data show that the increase in norovirus laboratory reports is earlier this season than in previous years; however, there are no indications as to why this is the case.

BBC – Schools Norovirus

BBC – Hospital Norovirus

BBC – Hospital Norovirus

Guardian – Norovirus

Australia – Listeria monocytogenes in Cheese Recall

The Australian

Eight cases of listeria infection across Australia have found to be linked and a further three cases are under investigation, Victoria’s Department of Health said. The state’s chief health officer Rosemary Lester said consumers should discard 1kg brie and camembert cheese branded Jindi, the 1kg Wattle Valley double brie and the 1kg Wattle Valley camembert with a best before date of December 21.

Dr Lester warned consumers to check the best before date of any Jindi or Wattle Valley soft cheeses. “Consumers who have purchased a cut portion of camembert or brie from a supermarket or delicatessen who are unsure of the brand should discard it,” she said.

Two Victorians, three NSW residents and one person in Queensland, Tasmania and Western Australia have been diagnosed with the infection.

The cheeses have been voluntarily recalled as a precaution.

 

Chile – Food Poisoning Outbreak from Hot Dogs

ABC NewsHot Dog

More than 200 people are being treated for food poisoning in Chile after eating hot dogs during an outing at a park.

Local media in the South American nation say the adults and children ate spoiled sausages or bad mayonnaise during the affair organized by a family benefit fund.

It was held at a park in San Jose de Maipo. That’s a town about 30 miles (48 kilometers) south-east of the capital of Santiago.

The sick are being treated at local hospitals. Some children have been released but others are being held for observation.

Research – Grape Seed Extract Effect on Virus and E.coli on Fresh Cut Lettuce

Science Direct

Grape seed extract (GSE) is reported to have antibacterial properties with few current studies on antiviral activity. Recently, we reported the effects of GSE against foodborne viral surrogates in vitro. This study evaluated the application of GSE (commercial Gravinol-S) against hepatitis A virus (HAV) and human norovirus surrogates, feline calicivirus (FCV-F9) and murine norovirus (MNV-1), on model produce. Washed and air-dried lettuce (3 × 3 cm2) and jalapeno peppers (25–30 g) were inoculated with FCV-F9, MNV-1, or HAV at high (∼7 log10 PFU/ml) or low (∼5 log10 PFU/ml) titers, and treated with 0.25, 0.5, 1 mg/ml GSE or water for 30 s to 5 min. Treatments were stopped/diluted with cell-culture media containing 10% heat-inactivated fetal bovine serum and evaluated using plaque assays. At high titers, FCV-F9 was reduced by 2.33, 2.58, and 2.71 log10 PFU on lettuce; and 2.20, 2.74, and 3.05 log10 PFU on peppers after 1 min using 0.25, 0.50, and 1 mg/ml GSE, respectively. Low FCV-F9 titers could not be detected after 1 min at all three GSE concentrations. Low titer MNV-1 was reduced by 0.2–0.3 log10 PFU on lettuce and 0.8 log10 PFU on peppers, without reduction of high titer. GSE at 0.25–1 mg/ml after 1 min caused 0.7–1.1 and 1–1.3 log10 PFU reduction for high and low HAV titers, respectively on both commodities. Instrumental color analysis showed no significant differences between treated and untreated produce. GSE shows potential for foodborne viral reduction on produce as part of hurdle technologies.

Direct Science

Fresh-cut iceberg lettuce inoculated with Escherichia coli O157:H7 was submitted to chlorine washing (150 mg/mL) and modified atmosphere packaging on laboratory scale. Populations of E. coli O157:H7 were assessed in fresh-cut lettuce stored at 4, 8, 13 and 16 °C using 6–8 replicates in each analysis point in order to capture experimental variability. The pathogen was able to grow at temperatures ≥8 °C, although at low temperatures, growth data presented a high variability between replicates. Indeed, at 8 °C after 15 days, some replicates did not show growth while other replicates did present an increase. A growth primary model was fitted to the raw growth data to estimate lag time and maximum growth rate. The prediction and confidence bands for the fitted growth models were estimated based on Monte-Carlo method. The estimated maximum growth rates (log cfu/day) corresponded to 0.14 (95% CI: 0.06–0.31), 0.55 (95% CI: 0.17–1.20) and 1.43 (95% CI: 0.82–2.15) for 8, 13 and 16 °C, respectively. A square-root secondary model was satisfactorily derived from the estimated growth rates (R2 > 0.80; Bf = 0.97; Af = 1.46). Predictive models and data obtained in this study are intended to improve quantitative risk assessment studies for E. coli O157:H7 in leafy green products.

 

Winter Vomiting- Cruise Ships – Hospitals – Christmas Parties – Restaurants

Billings Gazette

CASPER, Wyo. — The Golden Corral restaurant in east Casper is closed until at  least dinnertime Friday after a suspected foodborne virus outbreak at the  location affected more than 150 people, according to David Giesen, president of  franchisee Golden DBL Inc. of Denver.

The restaurant was closed Thursday afternoon. Giesen said the shutdown is  voluntary while staff members clean and disinfect the restaurant and the Natrona  County Health Department continues its investigation.

Natrona County Health Department Director Bob Harrington said Thursday that  167 people have reported being ill after eating at the restaurant this past  week.

Norway Christmas

At least 170 people have become ill after having been at a Christmas party at Klækken hotels on Ringerike the weekend. Possible virus.

CDC

Noroviruses are responsible for more than half of all reported outbreaks of gastroenteritis (vomiting, diarrhea, and stomach cramping caused by inflammation of the stomach and intestines). While the vast majority of norovirus illnesses are not part of a recognized cluster, outbreaks provide important information on how the virus spreads and, therefore, how best to prevent infection.

Norovirus outbreaks occur throughout the year. But, over 80% of the outbreaks occur from November to April. Also, when there are new strains of norovirus, the number of outbreaks tends to increase periodically. This occurred in the winter of 2006 to 2007 with the Minerva strain. However, a new strain that appeared in 2009 (New Orleans) did not lead to more outbreaks.

Most outbreaks are caused when norovirus is spread from infected people to others. But, the virus can also spread by consuming contaminated food or water and touching things that have the virus on them. People can get norovirus illness many times during their lifetime. Outbreaks can affect people of all ages and in a variety of settings.

The Guardian

A dream Christmas cruise has turned into the holiday from hell, according to passengers who claim as many as 400 travellers have been struck down with the norovirus winter vomiting bug.

One traveller aboard the P&O liner Oriana, which is on a 10-night Baltic cruise out of Southampton visiting Christmas markets, said people felt like they were sailing on a “plague ship”.