2014-02-27Zeitschriftenartikel DOI: 10.25646/1757
Large multistate outbreak of norovirus gastroenteritis associated with frozen strawberries, Germany, 2012
Merbecks, S. S.
From 20 September through 5 October 2012, the largest recorded food-borne outbreak in Germany occurred. Norovirus was identified as the causative agent. We conducted four analytical epidemiological studies, two case–control studies and two surveys (in total 150 cases) in secondary schools in three different federal states. Overall, 390 institutions in five federal states reported nearly 11,000 cases of gastroenteritis. They were predominantly schools and childcare facilities and were supplied almost exclusively by one large catering company. The analytical epidemiological studies consistently identified dishes containing strawberries as the most likely vehicle, with estimated odds ratios ranging from 2.6 to 45.4. The dishes had been prepared in different regional kitchens of the catering company and were served in the schools two days before the peaks of the respective outbreaks. All affected institutions had received strawberries of one lot, imported frozen from China. The outbreak vehicle was identified within a week, which led to a timely recall and prevented more than half of the lot from reaching the consumer. This outbreak exemplifies the risk of large outbreaks in the era of global food trade. It underlines the importance of timely surveillance and epidemiological outbreak investigations for food safety.
Dateien zu dieser Publikation
Anzeige der Publikationen mit ähnlichem Titel, Autor, Urheber und Thema.
2014-04-10ZeitschriftenartikelResults of surveillance for infections with Shiga toxinproducing Escherichia coli (STEC) of serotype O104:H4 after the large outbreak in Germany, July to December 2011 Frank, Christina; Milde-Busch, Astrid; Werber, DirkAfter the massive outbreak of infections with Shiga toxin-producing Escherichia coli (STEC) of serotype O104:H4 in Germany in the summer of 2011, post-outbreak surveillance for further infections with this type of STEC was ...
2015-08-27ZeitschriftenartikelTransmission patterns of human enterovirus 71 to, from and among European countries, 2003 to 2013 Hassel, C.; Mirand, A.; Lukashev, A.; Terletskaia-Ladwig, E.; Farkas, A.; Schuffenecker, I.; Diedrich, Sabine; Huemer, H. P.; Archimbaud, C.; Peigue-Lafeuille, H.; Henquell, C.; Bailly, J.Enterovirus 71 (EV-71) is involved in epidemics of hand, foot, and mouth disease (HFMD) and has been reported to occur with severe neurological complications in eastern and south-east Asia. In other geographical areas, the ...
2015-06-24ZeitschriftenartikelEbola Virus Disease Outbreak in Isiro, Democratic Republic of the Congo, 2012: Signs and Symptoms, Management and Outcomes Kratz, Thomas; Roddy, Paul; Oloma, Antoine Tshomba; Jeffs, Benjamin; Ciruelo, Diana Pou; Rosa, Olimpia de la; Borchert, MatthiasData collected during the 2012 Ebola virus disease (EVD) epidemic in the Democratic Republic of the Congo were analysed for clinical signs, symptoms and case fatality of EVD caused by Bundibugyo virus (BDBV), establishment ...