Category Archives: STEC

UK – England: Health officials warn of E. coli STEC infections in individuals returning from Egypt

Outbreak News Today

British health officials are advising travelers to Egypt of a number of Shiga toxin-producing Escherichia coli (STEC) infections reported in people who traveled to the Hurghada region of Egypt.

There have been 18 cases of STEC in individuals returning from Egypt in 2019, including one case of Hemolytic Uremic Syndrome (HUS).

E. coli can cause an unpleasant diarrhea illness with stomach cramps and occasionally fever. Most people will recover without the need for medical treatment, but younger and older people may go on to develop complications of the infection, leading to kidney failure. This rare condition is called hemolytic uremic syndrome (HUS), which in very rare circumstances can be fatal.

E. coli is caught through ingesting contaminated food or water.

PHE

PHE recommends travellers to the region to:

  • where possible, avoid eating salads and uncooked vegetables
  • only eat fruit they can peel
  • avoid unpasteurised milk, cheese and ice cream
  • avoid food that has been left uncovered in warm environments and exposed to flies
  • ensure all meat is cooked thoroughly before you eat it, avoiding any meat that is pink or cold
  • avoid ice, unless made with filtered or bottled water, and tap water, even when brushing teeth
  • only drink bottled water or use ice made from bottled/filtered water
  • wash your hands thoroughly after visiting the toilet, and always before preparing or eating food. Alcohol gel can be helpful (but not entirely effective) when hand washing facilities are not available
  • when swimming, try and avoid swallowing water where possible and supervise children when swimming.
  • don’t swim whilst ill

For more information, visit NHS.UK.

This advice also applies to other countries where E. coli infections are common, including Turkey and Spain.

Dr Nick Phin, Deputy Director, National Infection Service, Public Health England, said:

We are aware of people returning from Egypt with E. coli infections, some with a serious kidney complication called haemolytic uraemic syndrome (HUS). We are gathering information about those affected to better understand the cause.

There are simple precautions that travellers can take. These include ensuring meat is cooked thoroughly, not drinking tap water or ice made from tap water and trying to avoid swallowing water when swimming.

Anyone suffering from diarrhoea and vomiting should ensure they keep well hydrated and seek medical advice if their symptoms don’t improve within 48 hours. They should also avoid preparing or serving food while they have symptoms and thoroughly wash their hands after using the toilet to stop the bug being passed to others. Individuals with symptoms after returning from holiday should seek medical advice from their GP or NHS 111.

 

USA – Outbreak Investigation of E. coli Linked to Ground Bison from Northfork Bison Distributions, July 2019 – E.coli O121 – E.coli O103

FDA

July 16, 2019

The U.S. Food and Drug Administration (FDA), along with the Centers for Disease Control and Prevention (CDC), state and local partners in the U.S., and with the support of the Canadian Food Inspection Agency (CFIA), are investigating a multistate outbreak of E. coli O121 and E. coli O103 illnesses likely linked to ground bison supplied by Northfork Bison Distributions Inc. of Saint-Leonard, Québec, Canada.

The FDA and CDC analyzed traceback and epidemiological information to determine that ground bison supplied by Northfork Bison Distributions Inc. is the likely cause of the illnesses.

FDA regulates bison meat because the authority is not assigned specifically to the United States Department of Agriculture’s (USDA) Food Safety and Inspection Service (FSIS) in the Federal Meat Inspection Act (FMIA).

Recommendation

Buffalo Burger Canadian Bison Meat

Distributors, retailers and restaurants should not distribute, use or serve ground bison (including bison burgers) recalled by Northfork Bison Distributions Inc.

As of July 16, 2019, Northfork Bison Distributions Inc. is voluntarily recalling its ground bison, referred to as Bison Ground, and its ground bison patties, referred to as Bison Burgers and/or Buffalo Burgers, produced between February 22, 2019, and April 30, 2019.

Consumers should not eat products prepared using recalled ground bison (including bison burgers) sold under the Northfork Bison label including Bison Burgers sold to retailers in 4 x 4-ounce packages with expiration dates through October 8, 2020.

Northfork Bison Distributions Inc. has been quick to initiate a voluntary recall and has been forthcoming with information to aid in the investigation. The investigation is ongoing and updates will be provided when available.

USA – San Diego County Fair E. coli Outbreak Has Now Sickened 10

Food Poisoning Bulletin

The E. coli outbreak at the San Diego County Fair has now sickened 10 people, according to the San Diego Health & Human Services Agency. There is one more probable case that has not yet been confirmed. Three people have been hospitalized, and one 2-year-old child has died.

Officials have still not found the source of the pathogen. All of the children who are sick visited the animal areas, petting zoo, or had other animal contact at the fair. County Environmental health re-inspected food facilities that were visited by the children and found no link to the cases.

Unfortunately, E. coli outbreaks linked to animal attractions at fairs, petting zoos, and farm tourist attractions are nothing new. Almost every year children are sickened after visiting these venues

RASFF Alert – STEC E.coli – Chilled Beef

RASFF-Logo

RASFF – shigatoxin-producing Escherichia coli (stx+ eae+ /25g) in chilled beef from Belgium in Belgium

Iceland – 4 STEC infections in Árnessýsla county children

Outbreak News Today

kswfoodworld E.coli O157

Image CDC

 

Iceland health officials have reported four pediatric Shiga-toxin-producing E. Coli (STEC) cases. Officials say all the children are from the capital of Reykjavik; however, all have probably been infected in Árnessýsla county or, more specifically, in Bláskógabyggð.

The source of the infection is unknown at this time. The Icelandic Food and Veterinary Authority and the South Iceland Health Inspectorate are now working to analyze the origin of the infections and stop further spread.

RASFF Alerts – STEC E.coli – Chilled Beef

RASFF-Logo

RASFF – shigatoxin-producing Escherichia coli (O104:H4 stx1+, stx2+) in chilled beef from Uruguay in Spain

RASFF – shigatoxin-producing Escherichia coli (O26 /25g) in chilled beef (tapa de cuadril) from Uruguay in Spain

USA – 2-year-old boy dies from E Coli infection linked to San Diego County Fair

Outbreak News Today

Petting zoo animals may be the source of an E. coli outbreak linked to the San Diego County Fair.

The County of San Diego Health and Human Services (HHSA) is urging anyone who visited the San Diego County Fair and then began experiencing symptoms of E. coli infection on or after June 8 to contact their healthcare provider⎯“especially if you have diarrhea that lasts for more than 3 days or diarrhea that is accompanied by a fever higher than 102°F, or blood in the stool, or so much vomiting that you cannot keep liquids down and you pass very little urine.”

Four children were infected with E. coli after coming into contact with animals at the San Diego County Fair.  One child died after developing E. coli complications.

The affected children ranged in age from 2 years to 13 years-old.  They each came into contact with animals at the San Diego County Fair between June 8 and June 15.  Their symptoms began between June 10 and June 16. The youngest child, a 2-year-old boy, was hospitalized with E coli complications.  He succumbed to E. coli complications and died on June 24.

Hemolytic Uremic Syndrome (HUS) is a serious complication of E coli infections.  5-10% of people diagnosed with Shiga-toxin-producing E. coli (STEC) develop HUS.  Children are particularly vulnerable to developing HUS.