Category Archives: outbreak

USA – Raw Milk STEC Outbreak

 Food Poisoning Journal

The Missouri Department of Health and Senior Services (DHSS) has become aware of several cases of diarrheal illness from northwest Missouri, possibly caused by Shiga-toxin producing Escherichia coli (STEC), including one confirmed as E. coli O103. These may be related to the consumption of locally-produced, raw (unpasteurized) dairy products.

DHSS recommends that any person who has signs or symptoms of STEC infection seek medical care. Health care providers should evaluate patients adequately to determine if testing for STEC infection is warranted.

Symptoms of STEC infection include severe stomach cramps, diarrhea (which is often bloody), and vomiting. If there is fever, it usually is not very high. Most patients’ symptoms improve within 5–7 days, but some patients go on to develop hemolytic uremic syndrome (HUS), usually about a week after the diarrhea starts. The classic triad of findings in HUS are acute renal damage, microangiopathic hemolytic anemia, and thrombocytopenia.

HPA – New Strain of Norovirus – Sydney 2012

HPANorovirus

As part of its surveillance for norovirus the Health Protection Agency (HPA) carries out genetic testing of norovirus strains from cases in England and Wales.

Testing carried out when cases started to rise in October revealed a cocktail of different strains that were circulating including Sydney 2012 and another called New Orleans 2009, although no one strain was dominant.

The latest testing of the most recent outbreaks, completed this week, has now shown that Sydney 2012 has overtaken all others to become the dominant strain.

Syndey 2012 was first seen in Australia (and takes its name from the place it was first identified) and has also been seen in France, New Zealand and Japan.

This new strain does not cause more serious illness than others and the methods of managing cases and outbreaks are the same for any strain of norovirus. These measures include washing the hands thoroughly and regularly particularly after using the toilet and before eating.

Dr David Brown, Director of Virology Reference Department at the HPA said, “It is always difficult to predict the norovirus season and this year is no different.

“Noroviruses mutate rapidly and new strains are constantly emerging. At the start of the season it is normal for outbreaks to be caused by a range of different strains. However as the season progresses particular strains are more successful and become dominant. The emergence of a new strain does not mean that it causes more serious illness and managing outbreaks and those will the illness remains the same.

USA – E.coli O157 – Outbreak in Leafy Greens

Food Poisoning Bulletin

 E.coli outbreak likely caused by leafy greens has sickened five people in Hamilton County, Ohio, Food Poisoning Bulletin has learned. The outbreak was confirmed this morning by  Mike Samet, a public information officer, for the county’s public health department.

There are five confirmed cases and one probable case of  E.coli 0157:H7 infection which were likely caused by tainted leafy greens, he said. The case patients, four females and two males,  range in age from 12 to 83 and first showed signs of illness from December 10 to December 15, 2012

Canada – E.coli O157 Outbreak Update

Food Safety NewsEcoli Istock

Canada’s eastern and adjoining provinces of Nova Scotia and New Brunswick are reporting 15 confirmed cases of E. coli O157:H7. None of the illnesses have yet been traced to a source.

Ten of the E. coli illnesses are located in central Nova Scotia, with five reported by the Capital District Health, two by the Guysborough Antigonish Strait Health Authority, and one each by the Pictou, Cumberland, and Colcherster East Hants health authorities.

On the other side of the Bay of Fundy in New Brunswick, heath officials reported two cases were reported in the St. John region and three in the Fredericton region.

Dr. Eilish Cleary, chief medical officer for New Brunswick, said it is not known if there is a common source for the cases. A number of possible sources are being investigated. Dr. Robert Strang, chief medical officer for Nova Scotia, said that it would not be uncommon for there to be additional cases as it may take as long as ten days for some people to begin to experience symptoms of E. coli O157:H7 and get tested.

One of the Nova Scotia patients experienced kidney failure, but along with the others is said to be recovering. In New Brunswick, four illnesses were treated by emergency room visits, and one victim was hospitalized.

UK – HPA Update on Norovirus Activity

HPANorovirus

Latest figures from the Health Protection Agency (HPA) show there have been 4,140 laboratory confirmed cases of norovirus this season (from week 27 to week 52 2012). The latest figures are 63 per cent higher than the number of cases reported at this point last year, when there were 2,535 cases.

The downward trend in the number of confirmed cases has continued in line with the previous report although this is to be expected following the Christmas and New Year period. We will expect to see the number of cases increase again over the following few weeks.

During the two weeks up to 6 January there were 33 hospital outbreaks reported, compared to 30 in the previous fortnight, bringing the total of outbreaks for the season to 673.

Canada – First E.coli O157 of 2013

Ecoli Blog

CBC News reports that Canadian health officials say seven people in Nova Scotia have been infected with E. coli, likely E. coli O157:H7. Five people have been treated in hospital and released, while two people remain hospitalized. One is suffering from kidney failure. The people who have fallen ill range from their late teens to their 80s.

Five to six cases of E. coli O157:H7 have also been reported in New Brunswick, leading health officials to believe the common denominator is likely a food item that is sold in both provinces.

According to the Herald News, because there are no known new cases, officials are hoping that whatever caused the illness was a food with a short shelf life, such as a type of fruit or vegetable

USA – 10 Largest Food Poisoning Outbreaks 2012

Food Poisoning BulletinEcoli Istock

The 10 largest multi-state food poisoning outbreaks of 2012 poisoned 1,071 people in 45 states. Various strains of just three pathogens- Salmonella, E.coli and  Listeria were the cause of the 10 largest multi-state foodborne illness outbreaks, based on the total number of people sickened.  Six of them were caused by Salmonella, three by E.coli and one by Listeria. These dangerous bacteria  made their way into unsuspecting consumers through a variety of food sources including  meat, cheese, fish, peanut butter, fruit and vegetables.

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).