Nuevo Folleto Informativo: Un restaurante Subway en ILLINOIS está vinculado con un brote de Shigella sonnei

Traducido por Gonzalo Erdozain
Resumen del folleto informativo mas reciente:
– 7 de los 21 casos relacionados requirieron hospitalización
– La Shigella estará presente en la materia fecal del individuo infectado por hasta dos semanas luego de haberse recuperado de los síntomas. El lavado de manos es un factor importante para controlar el riesgo de contagio.
– Ron y Sarah Bowers han presentado la querella en nombre de su hijo de dos años de edad, quien empezó a manifestar síntomas de shigelosis (nausea 
y calambres estomacales) el 
27 de Febrero.
Los folletos informativos son creados semanalmente y puestos en restaurantes, tiendas y granjas, y son usados para entrenar y educar a través del mundo. Si usted quiere proponer un tema o mandar fotos para los folletos, contacte a Ben Chapman a benjamin_chapman@ncsu.edu.
Puede seguir las historias de los folletos informativos y barfblog en twitter
@benjaminchapman and @barfblog.

Novo Folheto de Segurança Alimentar: Surto de Shigella sonnei é ligado a restaurante Subway em Illinois

Traduzido por: Manoelita Warkentien
O mais novo folheto de Segurança Alimentar, que é uma página gráfica de histórias relacionadas a segurança alimentar – direcionadas para manipuladores de alimentos, está agora disponível em
www.foodsafetyinfosheets.com
Destaques do novo folheto:
– Foi necessário hospitalizar 7 dos 21 casos.
– A Shigella é eliminada nas fezes de indivíduos contaminados até duas semanas depois do sintomas terminarem. Lavar as mãos é um fator preventivo.
– Ron e Sarah Bowers abriu processo em nome de seu filho de dois anos de idade, que começou apresentar sintomas de shigellosis (náusea, e cólica abdominal) em 27 de Fevereiro.
Folhetos de Segurança Alimentar são criados semanalmente e são colocados em restaurantes, atacados, fazendas e usados em treinamentos por todo o mundo. Se você quiser solicitar qualquer tópico para o próximo folheto ou foto, por favor, contatar Ben Chapman em Benjamin_chapman@ncsu.edu . Você pode seguir as histórias dos folhetos de segurança alimentar e barfblog em twitter @benjaminchapman e @barfblog.
 

New Food Safety Infosheet: Illinois Subway linked to Shigella sonnei outbreak

My son Jack is almost 2 and has spread a whole load of illness through our house this week (fun stuff). A couple of his contemporary playmates had some suspected norovirus last week and likely the same thing has made our toliets work overtime. 

A 2-year-old boy in Illinois also experienced foodborne illness symptoms, although more serious than what we dealt with, in late February, after eating food from a Subway restaurant. The little boy, son of Ron and Sarah Bowers, has been identified as part of an outbreak of Shigella sonnei along with at least 20 other patrons.

This week’s food safety infosheet, a graphical one-page food safety-related story directed at food handlers, focuses on the outbreak.

Click here to download the food safety infosheet.

Chicago-area Subway shop shut after link to Shigella cases

At least eight people are sick with Shigella and the common source appears to be a Subway restaurant in Lombard which has now been closed by the DuPage County Health Department.

Maryann O’Neill, principal of nearby Montini Catholic High School in Lombard, told the Chicago Tribune two students called in sick Wednesday with what she said was diagnosed as food poisoning, and it was her understanding they had eaten at Subway. One of the students was taken to a hospital emergency room.

Gettin’ shiggy wit it: Increase of shigella-linked illnesses in St. Louis

STLtoday reports tonight that there appears to be an Shigella outbreak going on linked to child care centers in St. Louis. Shigellosis is characterized by fever, cramps and may result in bloody diarrhea, but most recover within a week without treatment.

There have been 67 cases of shigellosis from July 1 through Monday, compared to nine cases for all of 2008, according to the St. Louis City Department of Health.

Health officials said four day care centers and one school clustered in south St. Louis city reported illnesses. Officials did not offer other specifics except to say that children ages 4 and younger are most commonly infected.

City health officials sent the shigellosis alert to day cares and schools, where the shigella bacteria is typically spread when people don’t wash their hands properly after using the bathroom or changing diapers. It can also be spread through contact with food. Shigella bacteria can remain in feces for several weeks.

 

Salmonella and shigella: trying times for British tourists

This isn’t a Chevy Chase-John Candy (right) kind of vacation.

The widow of an elderly British tourist who died after falling ill with salmonella poisoning at a luxury Italian hotel has called for better safety standards at holiday resorts.

The Birmingham Post reports that Jean Appleyard and her husband, Geoffrey, aged 71, were staying at the four-star Grand Hotel in the Gardone resort on the shores of Lake Garda last year when both began to suffer from fever and stomach pains.

An inquest at South Worcestershire Coroners’ Court yesterday recorded a verdict of misadventure after hearing evidence that the salmonella poisoning Mr Appleyard contracted contributed to his death.

Coroner Geraint Williams said:

“Although the hotel seemed very picturesque, there was a very dark side in the kitchen and cellars where there was a virulent contamination of salmonella in the foodstuffs. This was served to the guests and, as a consequence, a large number became ill. Mr Appleyard died because he was not able to withstand this infection.”

The Italian authorities confirmed that salmonella was detected at the hotel.

Mrs Appleyard said, 

“We went to the Grand Hotel for a luxury holiday. It is simply appalling that we fell ill and Geoffrey contracted something as serious as salmonella at a hotel like that. Tour operators have to ensure they are doing everything they possibly can to make sure holidaymakers are protected from outbreaks like this.”

Meanwhile, The Independent reports that 50-year-old Julian Hurley from South Yorkshire, U.K., said he was delighted today after being awarded nearly £300,000 compensation from tour operator First Choice following his diagnosis of shigella after eating "poor-standard" food at an all-inclusive hotel in Venezuela in August 2004.

Mr Hurley said.

"When we went to the hotel restaurant I tried a variety of different dishes, which included cooked meats. The food was of an extremely poor standard, a lot of the dishes were undercooked and some of them were almost cold. The impact that this hellish holiday has had on our lives has been devastating. I now struggle to walk long distances and find myself getting tired easily. I am still suffering from symptoms to this day and will do for the rest of my life, which has been very difficult to come to terms with.”

 

Shigella, E. coli on sugar snaps in Sweden

Eurosurveillance today reports an outbreak of Shigella dysenteriae type 2 infections during May-June 2009 in Sweden, involving 47 suspected cases of whom 35 were laboratory-confirmed.

The epidemiological investigation based on interviews with the patients pointed at sugar snaps from Kenya as the source. Shigella was not detected in samples of sugar snaps. However, Escherichia coli was confirmed in three of four samples indicating contamination by faecal material.

During April to May 2009 outbreaks with Shigella connected to sugar snaps from Kenya were reported from Norway and Denmark. In the three countries trace back of the indicated sugar snaps revealed a complex system with several involved import companies and distributers. In Sweden one wholesale company was identified and connections were seen to the Danish trace back. These three outbreaks question whether the existing international certification and quality standards that are in place to prevent products from contamination by faecal pathogens are strict enough.

No, they’re not.
 

Shigella from sugar peas in Scandinavia

The peas apparently came from Kenya. But that wouldn’t fit the alliteration.

Eurosurveillance reports that in Norway, shigellosis is a mandatorily notifiable disease, and all isolates are submitted to the NIPH for verification and typing. Around 150 cases of shigellosis are confirmed per year, the majority caused by Shigella sonnei. Only around 10 to 20 of the shigellosis cases reported each year are acquired in Norway, usually as secondary cases caused by faecal-oral transmission in households.

An outbreak investigation was initiated on 27 May by interviewing the four confirmed cases using a trawling questionnaire. On the same day the NFSA inspectors visited the two households where suspected cases were reported and found an unopened package of sugar peas imported from Kenya in one household, and the packing of the same brand of sugar peas in the other. The sugar peas were bought in the same shop. Based on this suspicion, it was decided to focus the interviews on consumption of fresh vegetables and lettuce.

By 16 June, the reference laboratory has registered a total of 20 cases with the outbreak strain of Shigella sonnei, who had not travelled abroad prior to illness onset. The cases live in different municipalities, but mainly in the central and western parts of Norway. The date of onset for the first case was 10 May. All cases were adults except for one teenager, and 16 of them were women. All 20 cases reported to have eaten sugar peas, and there were no other obvious common exposures identified. The majority of the patients had bought the sugar peas in one of the large supermarket chains and only a few in another chain. The NFSA traced the suspected food product and found that all the implicated sugar peas were produced in Kenya. One sample from the unopened package of sugar peas collected in a patient household was positive for Shigella sonnei by both PCR methods, but could not be culture-confirmed.

As a response to our urgent inquiry Denmark reported an increase in the number of domestic Shigella sonnei infections in April and May 2009. They initiated an outbreak investigation to find out if the Danish cases were related to the outbreak in Norway. The investigation in Denmark also pointed at sugar peas as the source of the outbreak, and microbiological investigations (including MLVA typing) to compare the outbreak strains are ongoing.
 

‘Fecal material’ at N.Y. Applebee’s

Actor John Corbett – Chris on Northern Exposure, Carrie’s boyfriend for awhile on Sex and the City, empathetic husband on The United States of Tara – needs to do a new Applebee’s advert (he’s the voice).

Shigella – it only comes from fecal material.

WSYR-TV is reporting the Onondaga County Health Department in New York state has confirmed seven cases of Shigella in people who recently ate at the Applebee’s in Camillus, and that up to 9,000 people may have been exposed to the bacteria

County Health Commissioner Dr. Cynthia Morrow said Shigella is associated with consuming water or food contaminated with fecal matter.

Those who are confirmed ill ate at the restaurant on either Saturday, March 7th or Sunday, March 8th, but the overall window that the Health Department is looking at is between Sunday, March 1st and Friday, March 20th.

The health department waited until Tuesday to announce the illnesses because it had sent stool samples to the lab, and had just gotten the results back.

Health officials are now testing all employees at the restaurant, which remains open.

How much food poisoning is deliberate?

Not deliberately dumb, or deliberately daft, but deliberate with intent for death – or at least dysentery.

Sweden’s security service Säpo is investigating possible sabotage following an incident which left 140 people at the headquarters of Confederation of Swedish Enterprise (Svenskt Näringsliv) suffering from dysentery.

The victims, which included employees of the association, its members, and other guests, all suffered from the illness caused by the Shigella dysenteriae bacteria after eating in the office’s cafeteria several weeks ago, reports the Veckans Affärer magazine.

According to the Metro newspaper, the group claiming responsibility for the attack is a left-leaning, internet-based forum which had previously staged demonstrations outside of the association’s headquarters.

In Texas, an IHOP restaurant has been closed three times in the past five months for repeated occurrences of what health investigators call a rare Salmonella, type C; over 10 people have been sickened.

Group C is a strain that researchers and health officials hardly ever see and it’s so powerful it clings to surfaces and is more resistant to disinfection.

Police have been called in to help with the investigation.