Category Archives: Shigella flexneri

India – Shigella caused food poisoning in girl who died after eating shawarma: Kerala health department

India Express

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Kerala health department on Tuesday identified shigella bacteria as the cause of food poisoning which claimed the life of a student and led to the hospitalisation of around 30 others in the state’s Kasaragod district.

District medical officer Dr S K Ramdas said the presence of shigella was confirmed after testing the blood and faeces of those undergoing treatment for food poisoning. The samples collected from the hospitalised persons were tested at the government medical college hospital in Kozhikode, he said.

USA- Shigella Outbreak in Eureka, California Sickens Five, 11 Suspected

Food Poisoning Bulletin

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Image CDC

Shigella outbreak in Eureka, California has sickened at least three people, according to the Humboldt County Department of Health and Human Services. Three cases are lab confirmed, and two cases are being investigated as of February 2022. In a March 5, 2022 update, there are now five cases and 11 more illnesses being investigated according to news reports.

The cases occurred in multiple households and involve school age children, adults, and one person who is experiencing homelessness. The confirmed and suspected cases have been linked to locations on the waterfront area on the U.S. Highway 101 corridor in greater Eureka, according to an update by the health department.

The update, which was on a video narrated by public health nurse Daniel Tran, states, “Based on current and ongoing investigations we suspect the spread may be greater than our current understanding. Therefore, we are alerting medical providers in the area to consider testing for and treating shigella to help both understand the extent of the problem and to help stop the spread of this highly contagious bacterial illness.”

Officials think that the bacteria has been spread through laundromats in the Eureka area where an infected person supposedly washed clothing that was contaminated. Two laundry facilities in Eureka have been sanitized.

USA – Shigella Outbreak increases in San Diego

Food Poison Journal

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Image CDC

The County of San Diego has announced the ongoing outbreak of shigella now stands at 46 confirmed and five probable cases, with slowing cases up one from a week ago and a total of three since the 41 confirmed and seven probable cases reported in the Dec. 3 update.

The continuing investigation shows onset of illness dates between Aug. 16 and Nov. 21, 2021, with the new cases occurring between Nov.15 and Nov. 21, 2021, with symptom onset for the latest case being Nov. 27, 2021. The 51 cases in this outbreak represent 13% of the 402 total cases reported to date in San Diego County.

The County Public Health shigella website includes an epidemiological curve showing declining case numbers in recent weeks.

Research – New details behind how the Shigella pathogen delivers bacterial proteins into our cells

Science Daily

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Image CDC

Shigella, a bacterial pathogen that causes dysentery and is the leading cause of childhood diarrheal diseases, inserts a pore called a translocon into an infected person’s intestinal cells and then injects bacterial proteins into the cells. There, the proteins hijack the cells’ machinery to help Shigella multiply. In a study published in mBio, a team at Massachusetts General Hospital (MGH) has uncovered important details about Shigella‘s translocon, which may help researchers develop an effective strategy to block this critical component of infection.

Shigella infects our gut by manipulating our intestinal cells and tricking them into letting the Shigella inside. In fact, there are many bacterial pathogens that use this same, or similar, mechanism to infect us,” says lead author Poyin Chen, PhD, a postdoctoral fellow at MGH. “This translocon pore is essentially the gateway through which bacterial proteins get pumped into our cells. We know that this structure is made of two proteins — IpaB and IpaC — but what we don’t know is how these proteins fit together to make this pore.”

When the investigators used protein mapping techniques to look closely at translocons when they were embedded in cell membranes, they were able to see which of the two proteins — specifically IpaB — makes up the inner ring of the pore. “If you think of the translocon pore as a donut, this would be the walls of the donut hole. This finding is important because this is the part of the translocon pore that directly interacts with bacterial proteins as they are injected into our cells,” explains Chen. “With the findings from this study, we can begin to understand if this pore acts as a slippery tube that bacterial proteins travel through or if the translocon pore can control the flow of bacterial proteins into our cells.”

Such details may help investigators target the translocon and block the entry of Shigella proteins into cells. “For something that is so essential to establishing infection, we know terribly little of how it’s made and how it works,” says Chen. “As we gain a better understanding of its parts, we will be able to approach the structure as a whole and maybe even find ways to neutralize the function of this structure to prevent infection before it can begin.”

Co-authors include Brian C. Russo, Jeffrey K. Duncan-Lowey, Natasha Bitar, Keith Egger and Marcia B. Goldberg.

This work has been supported by the National Institutes of Health, the Massachusetts General Hospital Executive Committee on Research Tosteson Award, and the Charles A. King Trust Postdoctoral Research Fellowship Program.

Jordan – Shigella outbreak rises to 80, Source still not identified

Outbreak News Today

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Image CDC

In a follow-up on the shigella outbreak in Jerash, Jordan, the Director of Jerash Governmental Hospital, Sadiq Al-Atoum, said the number of shigellosis cases recorded in Jerash has risen by 22 cases, bringing the total number to 80.

At least 16 people are still being treated.

The Director of Communicable Diseases, Ali Zitawi, said that all of the patients are under the age of 12 and suffered from the same symptoms: abdominal pain, fever, diarrhea and vomiting.

Health authorities in Jordan continue to collect samples from water sources, restaurants and bakeries in Jerash and Ajloun to determine the source of the Shigella bacteria.

Australia Research – Monitoring the incidence and causes of diseases potentially transmitted by food in Australia: Annual report of the OzFoodNet network, 2013–2015

Au Gov

This report summarises the incidence of diseases potentially transmitted by food in Australia, and details outbreaks associated with food that occurred during 2013–2015.
OzFoodNet sites reported an increasing number of notifications of 12 diseases or conditions that may be transmitted by food (botulism; campylobacteriosis; cholera; hepatitis A; hepatitis E; haemolytic uraemic syndrome (HUS); listeriosis; Salmonella Paratyphi (paratyphoid fever) infection; salmonellosis; shigellosis; Shiga toxin-producing Escherichia coli(STEC) infection; and Salmonella Typhi (typhoid fever) infection), with a total of 28,676 notifications received in 2013; 37,958 in 2014; and 41,226 in 2015.
The most commonly-notified conditions were campylobacteriosis (a mean of 19,061 notifications per year over 2013–2015) and salmonellosis (a mean of 15,336 notifications per year over 2013–2015). Over these three years, OzFoodNet sites also reported 512 outbreaks of gastrointestinal illness caused by foodborne, animal-to-person or waterborne disease, affecting 7,877 people, and resulting in 735 hospitalisations and 18 associated deaths.
The majority of outbreaks (452/512; 88%) were due to foodborne or suspected foodborne transmission. The remaining 12% of outbreaks were due to waterborne or suspected waterborne transmission (57 outbreaks) and animal-to-human trans-mission (three outbreaks). Foodborne and suspected foodborne outbreaks affected 7,361 people, resulting in 705 hospitalisations and 18 deaths.
Salmonella was the most common aetiological agent identified in foodborne outbreaks (239/452; 53%), and restaurants were the most frequently-reported food preparation setting (211/452; 47%). There were 213 foodborne outbreaks (47%) attributed to a single food commodity during 2013–2015, with 58% (124/213) associated with the consumption of eggs and egg-based dishes.

USA – Shigella linked to Splash Park at Tanganyika Wildlife Park in Goddard Kansas

Food Poison Journal

The Kansas Department of Health and Environment (KDHE) and Sedgwick County Health Department (SCHD) continue to investigate cases of illness associated with Tanganyika Wildlife Park in Goddard, Kan., just west of Wichita. KDHE became aware of the possible link between the cases on Friday, June 18 and began investigation the same day.

Initially, there were three cases that were identified as linked to the park. These cases have tested positive for Shigella bacteria. Additional testing is underway to determine if the bacteria from each person are related. Shigella is a bacteria spread from person-to-person through exposure to contaminated stool (faeces).

Shigella spreads easily; just a small number of bacteria can spread illness.

Research – UK – 2018 Shigella Outbreak – Coriander

Cambridge Org

In April 2018, Public Health England was notified of cases of Shigella sonnei who had eaten food from three different catering outlets in England. The outbreaks were initially investigated as separate events, but whole-genome sequencing (WGS) showed they were caused by the same strain. The investigation included analyses of epidemiological data, the food chain and microbiological examination of food samples. WGS was used to determine the phylogenetic relatedness and antimicrobial resistance profile of the outbreak strain. Ultimately, 33 cases were linked to this outbreak; the majority had eaten food from seven outlets specialising in Indian or Middle Eastern cuisine. Five outlets were linked to two or more cases, all of which used fresh coriander although a shared supplier was not identified. An investigation at one of the venues recorded that 86% of cases reported eating dishes with coriander as an ingredient or garnish. Four cases were admitted to hospital and one had evidence of treatment failure with ciprofloxacin. Phylogenetic analysis showed that the outbreak strain was part of a wider multidrug-resistant clade associated with travel to Pakistan. Poor hygiene practices during cultivation, distribution or preparation of fresh produce are likely contributing factors.

Nigeria – Study Shows 76% Of Germs On Ready-To-Eat Fruits Are Multidrug-Resistant

Tribune Online

CONSUMPTION of fresh cut, ready-to-eat fruits (FCFs) processed and vended in open markets in Nigeria may constitute human health risks, causing food-borne diseases, due to microbial contamination, a study warns.

In the study, researchers had assessed pineapple and watermelon, which are among the commonest ready-to-eat fruits retailed and consumed regularly, including samples of fruit wash water and vendors’ hand, and found them heavily infested with different germs.

India – Kerala health minister on Shigella outbreak: ‘Everything is under control’

Outbreak News Today

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After a suspected Shigella outbreak that claimed the life of an 11-year old child in the city of Kozhikode, Kerala health prime minister KK Shailaja has stated that the aforementioned outbreak has been ‘under control’ by health authorities.

“An 11-year-old child died last week in Kozhikode. After that tests have been done for about fifty suspected cases and six have been infected. Now, only two are in the hospital while others have been discharged,” she said.

She further added that the Shigella bacteria is prevalent in densely populated areas, through contaminated water.

The health department has conducted an awareness campaign and set up medical camps. Wells in the area were chlorinated,” Shailaja commented, while stressing health authority directives that people should first boil their water before consuming.