2011年06月29日水曜日 09:20 曇り/晴れ 最低気温;19'5ºー21ºC 最高気温;28ー30ºC BARCELONA県から
ドイツの病原性(出血性)大腸菌(EHEC)と溶血性尿毒症症候群(HUS)について 2011年06月28日火曜日現在。
Robert Koch Institute in Germany
http://www.rki.de/
http://www.rki.de/cln_160/nn_205760/DE/Home/Info-HUS.html
Information for EHEC / HUS outbreak events
published 28/06/2011 09:00, data as 27.06.2011, 10:00
English translation from German by Google
http://translate.google.es/translate?sl=de&tl=es&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=rki.de
ドイツ連邦(国立)疫病研究所(RKI)のはっぴょう
2011年06月28日火曜日09:00発表 : 2011年06月27日月曜日10:00現在の事実情報による
2011年06月27日月曜日10:00現在の事実情報によると、ドイツ連邦(国立)疫病研究所(RKI)に送られてきた情報によると、病原菌大腸菌(EHEC)感染確認患者は、3'063人で、そのうち、17人が感染死亡して、溶血性尿毒症症候群(HUS)感染確認患者は、838人で、そのうち、30人が感染死亡した。それで、病原性大腸菌(EHEC)感染と 溶血性尿毒症症候群(HUS)感染の、感染確認患者の合計は、3'901人で、感染死者合の計では、47人が死亡した。これにオーストリアの感染者の5人、カナダの感染の1人、チェコの感染者の1人、デンマークの感染者の22人、フランスの感染者の2人、ギリシアの感染者の1人、ルクセンブルグの感染者の2人、オランダの感染者の11人、ノルウェイの感染者の1人、ポーランドの感染者の3人、スペインの感染者の2人、スウェーデンの感染者の53人と感染死者の1人、スイスの感染者の5人、イギリスの感染者の6人、アメリカ合衆国の感染者の6人と感染死者の1人を加えると、世界では、病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)の感染確認患者数は、4'022人で、感染死者は、49人になる。2011年06月28日火曜日18:00CET現在。[1]
World Health Regulations
EHEC outbreaks
http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/ehec-outbreak-in-Germany
[1] Lates Updates
> Outbreaks : update 25 (28-06-11)
On 24 June 2011, France reported an outbreak of verocytotoxin-producing E.coli (VTEC) / HUS with 8 cases in adults ( 6 women and 2 men) . E.coli O104:H4 has been confirmed in 3 cases. On 28 June, Sweeden reported a confirmed case of E.coli O104:H4 in South Sweden in an adult male.
http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/news/news/2011/06/outbreaks-update-25-new-vtec-cases-in-france-and-sweden
date as 28 June 2011 at 18:00 CET
2011年6月27日月曜日
1966年に4発のアメリカ軍の原子爆弾がアルメリア県のPALOMARES街に落下して500gのプルトニウムが残存して放射能汚染が続いている。
1966年に4発のアメリカ軍の原子爆弾がアルメリア県のPALOMARES街に落下して500gのプルトニウムが残存して放射能汚染が続いている。
EL PAIS
http://www.el pais.com
EE UU analizara en Palomeras la limpieza del pultonio
- Madrid - 17/02/2011
http://www.elpais.com/articulo/sociedad/EE/UU/analizara/Palomares/limpieza/plutonio/elpepisoc/20110217elpepisoc_8/Tes
Palomares discussed in U.S. cleaning plutonium
R. MENDEZ - Madrid - 17/02/2011
A U.S. delegation will visit the next day 22 Palomares (Almería) to discuss the cleanup plan prepared by the Spanish Government announced yesterday La Moncloa. The visit will last three days and is part of the meetings to seek agreement to resolve the problem.
More than 45 years after the incident in which four nuclear bombs fell on the people, the cleanliness of Palomares moves. The area is half a kilo of plutonium. Spain in December asked the U.S. to address the clean-up "without delay" and to appoint a technical team.
Next week, 12 Spanish office, led by CIEMAT, Ministry of Science, discussed the issue with 12 other Washington representatives, among which are responsible for energy, military and the embassy in Madrid. Glenn Podonsky The heads of the Office of Health, Department of Energy. Negotiation is not simple, because the U.S. has not yet agreed to take the plutonium.
米国のクリーニングのプルトニウムで説明パロマレス
R.メンデス - マドリード - 17/02/2011
米国の代表団は、スペイン政府が作成したクリーンアップの計画を議論する22パロマレス（アルメリア）は昨日ラモンクロアを発表した翌日に訪問します。訪問は、3日間続くと、問題を解決するために合意を模索する会議の一部であるでしょう。
45年以上four核爆弾は、人々、パロマレスの動きの清浄度に落ちている事件の後。面積は、プルトニウムの半分キロです。 12月にスペインでは"遅滞なく"クリーンアップに対処するため米国を要請し、技術チームを任命する。
エネルギー、軍事、マドリッドの大使館を担当しているその中来週、CIEMAT、科学省が主導する12スペイン語オフィスは、、、他の12のワシントン代表者と問題について議論した。グレンPodonsky健康のオフィスの頭部、エネルギー省。米国はまだプルトニウムを取ることに合意していないため交渉は、単純ではない。
EL PAIS
http://www.el pais.com
EE UU analizara en Palomeras la limpieza del pultonio
- Madrid - 17/02/2011
http://www.elpais.com/articulo/sociedad/EE/UU/analizara/Palomares/limpieza/plutonio/elpepisoc/20110217elpepisoc_8/Tes
Palomares discussed in U.S. cleaning plutonium
R. MENDEZ - Madrid - 17/02/2011
A U.S. delegation will visit the next day 22 Palomares (Almería) to discuss the cleanup plan prepared by the Spanish Government announced yesterday La Moncloa. The visit will last three days and is part of the meetings to seek agreement to resolve the problem.
More than 45 years after the incident in which four nuclear bombs fell on the people, the cleanliness of Palomares moves. The area is half a kilo of plutonium. Spain in December asked the U.S. to address the clean-up "without delay" and to appoint a technical team.
Next week, 12 Spanish office, led by CIEMAT, Ministry of Science, discussed the issue with 12 other Washington representatives, among which are responsible for energy, military and the embassy in Madrid. Glenn Podonsky The heads of the Office of Health, Department of Energy. Negotiation is not simple, because the U.S. has not yet agreed to take the plutonium.
米国のクリーニングのプルトニウムで説明パロマレス
R.メンデス - マドリード - 17/02/2011
米国の代表団は、スペイン政府が作成したクリーンアップの計画を議論する22パロマレス（アルメリア）は昨日ラモンクロアを発表した翌日に訪問します。訪問は、3日間続くと、問題を解決するために合意を模索する会議の一部であるでしょう。
45年以上four核爆弾は、人々、パロマレスの動きの清浄度に落ちている事件の後。面積は、プルトニウムの半分キロです。 12月にスペインでは"遅滞なく"クリーンアップに対処するため米国を要請し、技術チームを任命する。
エネルギー、軍事、マドリッドの大使館を担当しているその中来週、CIEMAT、科学省が主導する12スペイン語オフィスは、、、他の12のワシントン代表者と問題について議論した。グレンPodonsky健康のオフィスの頭部、エネルギー省。米国はまだプルトニウムを取ることに合意していないため交渉は、単純ではない。
オランダ保健相の病原性大腸菌STEC(EHEC)についての情報
オランダ保健相の病原性大腸菌STEC(EHEC)についての情報
Rijksoverheid
http://www.rijksoverheid.nl/
E.coli
http://www.rijksoverheid.nl/zoeken?search-keyword=e.coli
2. EHEC - bacterie
In Duitsland hebben honderden patienten zich sinds mei 2011 gemeld met een EHEC - infectie. Ruim 30 patienten zijn overleden. EHEC...
http://www.rijksoverheid.nl/onderwerpen/infectieziekten/ehec-bacterie
English translation by Google
2. EHEC bacteria
In Germany, hundreds of paitients have been reported since May 2011 with an EHEC infection. Over 30 patients aredeaseased. EHEC ...
Subject / 05/30/2011 / Health
http://translate.google.es/translate?sl=nl&tl=en&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.rijksoverheid.nl%2Fzoeken%3Fsearch-keyword%3De.coli
EHEC bacteria
In Germany, hundreds of patients have been reported since May 2011 with an EHEC infection. Over 30 patients are deceased. EHEC is a bacterium that can cause infectious colitis with bloody diarrhea.
EHEC in the Netherlands No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen EHEC on red beet sprouts from the Netherlands Implications for export of vegetables By infection with EHEC (enterohemorrhagic E. coli or STEC also called) can kidney damage occur. Most patients live in northern Germany. There are mostly women ill.
The cause of EHEC infection is still unknown. Children under 5 years and people over 60 years have an increased risk of complications.
EHEC in the Netherlands In the Netherlands, some patients found an EHEC infection. All these patients have visited Germany. In addition, some patients tested for infection with the EHEC bacterium.
The National Institute for Health and Environment (RIVM), the outbreak of EHEC bacteria in the eye and goes to fight if necessary. GPs and medical specialists are required to report cases of disease to the GGD.
RIVM offers on its website information on EHEC, figures and advice on the number of infections spread of gastrointestinal infections.
No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen Schippers Minister of Health recommends that no preliminary raw arugula sprouts, mustard sprouts and fenegriekkiemen eat. In France, these vegetables are removed from the market because people in the vicinity of Bordeaux, the STEC (EHEC) O104 bacteria: H4 have suffered and some of them also have kidney disease HUS. This bacterium is the same type that caused the crisis in Germany. France suspects that the seeds of these sprouts to the origin of the infection.
The new Food Safety Authority (nVWA) investigating whether these seeds are used in the Netherlands. Also, consumers are advised of these seeds sprouts are not self-sow and then eat. In the Netherlands this has not found dangerous bacteria.
More information is in the news no raw arugula sprouts, mustard sprouts and fenegriekkiemen food and on the website of the nVWA.
EHEC on red beet sprouts from the Netherlands On two parties beetroot shoots two Dutch growers is a variant of the EHEC bacterium found. This is not the variant of the type O104 in Germany has caused so many sick or dead. Nevertheless, Schippers Minister of Health, Welfare and Sport (VWS) as a precaution the company's products from the market to pick up.
The bacterium was discovered in the Netherlands by the new Food Authority (nVWA). The website of the nNWA is more information about the further investigation of the EHEC bacteria on beetroot sprouts. NVWA has the label of the first batch beetroot shoots and the labels of the second party beetroot sprouts put on the website. Consumers can check them as a product of this company in-house.
Beetroot sprouts have a germination and vegetables are usually used as garnish.
Implications for export of vegetables Exports of Dutch cucumbers, peppers and tomatoes is strongly reduced. The Deputy Minister of Economic Affairs, Agriculture and Innovation looks at what support the horticultural sector is possible.
Documents and publications No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen Schippers Minister of Health recommends that no preliminary raw ricolakiemen, mustard seeds and eat fenegriekkiemen
News item | 26/06/2011 | Health
EHEC study in the second Dutch grower The new Food Safety Authority has half seed grower greetings found infected with STEC (EHEC) ...
News item | 06/10/2011 | Health
EHEC-Dutch Research grower beetroot sprouts Netherlands, the European Union informed that in Germany a lot of beetroot sprouts was found that ...
News item | 09/06/2011 | Health
EHEC bacteria in Germany The health minister inform the House with this letter about the latest developments surrounding the outbreak of disease cases ...
Papers | 05/30/2011 | Health
Letter state of EHEC The Minister of Health, Welfare and Sport (VWS) to inform the House about the latest developments surrounding the ...
Papers | 07/06/2011 | Health
--------------------------------------------------------------------------------3. Is er gevaar voor EHEC besmetting via rode bietespruiten?
In uitsland is een parttij rode bietenspruiten aangetroffen, die verontreinigd is met de Stec (EHEC) bacrterie. Rode bietebspruiten
http://www.rijksoverheid.nl/documenten-en-publicaties/vragen-en-antwoorden/is-er-gevaar-voor-ehec-besmetting-via-rode-bietenspruiten.html
English translation from Dutch by Google
3. Is there a risk of contamination with EHEC beetroot sprouts?
In Germany, a party red beet sprouts found contaminated with the STEC (EHEC) bacteria. Beetroot sprouts ...
Q & A / 06/09/2011 / Health
http://translate.google.es/translate?sl=nl&tl=en&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.rijksoverheid.nl%2Fzoeken%3Fsearch-keyword%3De.coli
Q & A
Is there risk of EHEC infection through beetroot sprouts? In Germany, a party red beet sprouts found contaminated with the STEC (EHEC) bacteria. Beetroot sprouts have a germination vegetables like bean sprouts, and is often used as garnish. This party comes from a Dutch grower. This is not the type O104, which caused the crisis in Germany. The Stec (EHEC) bacteria have been found on the Dutch company of the grower. These bacteria are not the type that caused the crisis in Germany.
Whether or not disease-causing variant As the experts do not know to which variant of the Stec (EHEC) bacteria is involved, is also not known whether this is sickening. Possibly it is a pathogenic bacterium. The Minister pointed out that many variants of the bacterium can cause diarrhea. Besides thoroughly washing vegetables is always important to properly wash hands before food preparation and especially after visiting the toilet. Read the preventive hygiene measures through the link: RIVM: E. coli and HUS preventive hygiene.
Products in the shop The minister has ordered the products of the company from the market to get. Nevertheless, there are no guarantees that germs without the EHEC variant in shops or wholesalers are. The new Food Safety Authority (nVWA) set the labels of potentially contaminated products on its website. There you can see if you are a product of this company has to offer. See the link: nVWA: Product Info beetroot sprouts.
Other questions What is the EHEC bacterium and that is contagious?
Rijksoverheid
http://www.rijksoverheid.nl/
E.coli
http://www.rijksoverheid.nl/zoeken?search-keyword=e.coli
2. EHEC - bacterie
In Duitsland hebben honderden patienten zich sinds mei 2011 gemeld met een EHEC - infectie. Ruim 30 patienten zijn overleden. EHEC...
http://www.rijksoverheid.nl/onderwerpen/infectieziekten/ehec-bacterie
English translation by Google
2. EHEC bacteria
In Germany, hundreds of paitients have been reported since May 2011 with an EHEC infection. Over 30 patients aredeaseased. EHEC ...
Subject / 05/30/2011 / Health
http://translate.google.es/translate?sl=nl&tl=en&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.rijksoverheid.nl%2Fzoeken%3Fsearch-keyword%3De.coli
EHEC bacteria
In Germany, hundreds of patients have been reported since May 2011 with an EHEC infection. Over 30 patients are deceased. EHEC is a bacterium that can cause infectious colitis with bloody diarrhea.
EHEC in the Netherlands No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen EHEC on red beet sprouts from the Netherlands Implications for export of vegetables By infection with EHEC (enterohemorrhagic E. coli or STEC also called) can kidney damage occur. Most patients live in northern Germany. There are mostly women ill.
The cause of EHEC infection is still unknown. Children under 5 years and people over 60 years have an increased risk of complications.
EHEC in the Netherlands In the Netherlands, some patients found an EHEC infection. All these patients have visited Germany. In addition, some patients tested for infection with the EHEC bacterium.
The National Institute for Health and Environment (RIVM), the outbreak of EHEC bacteria in the eye and goes to fight if necessary. GPs and medical specialists are required to report cases of disease to the GGD.
RIVM offers on its website information on EHEC, figures and advice on the number of infections spread of gastrointestinal infections.
No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen Schippers Minister of Health recommends that no preliminary raw arugula sprouts, mustard sprouts and fenegriekkiemen eat. In France, these vegetables are removed from the market because people in the vicinity of Bordeaux, the STEC (EHEC) O104 bacteria: H4 have suffered and some of them also have kidney disease HUS. This bacterium is the same type that caused the crisis in Germany. France suspects that the seeds of these sprouts to the origin of the infection.
The new Food Safety Authority (nVWA) investigating whether these seeds are used in the Netherlands. Also, consumers are advised of these seeds sprouts are not self-sow and then eat. In the Netherlands this has not found dangerous bacteria.
More information is in the news no raw arugula sprouts, mustard sprouts and fenegriekkiemen food and on the website of the nVWA.
EHEC on red beet sprouts from the Netherlands On two parties beetroot shoots two Dutch growers is a variant of the EHEC bacterium found. This is not the variant of the type O104 in Germany has caused so many sick or dead. Nevertheless, Schippers Minister of Health, Welfare and Sport (VWS) as a precaution the company's products from the market to pick up.
The bacterium was discovered in the Netherlands by the new Food Authority (nVWA). The website of the nNWA is more information about the further investigation of the EHEC bacteria on beetroot sprouts. NVWA has the label of the first batch beetroot shoots and the labels of the second party beetroot sprouts put on the website. Consumers can check them as a product of this company in-house.
Beetroot sprouts have a germination and vegetables are usually used as garnish.
Implications for export of vegetables Exports of Dutch cucumbers, peppers and tomatoes is strongly reduced. The Deputy Minister of Economic Affairs, Agriculture and Innovation looks at what support the horticultural sector is possible.
Documents and publications No raw arugula sprouts, mustard sprouts and eat fenegriekkiemen Schippers Minister of Health recommends that no preliminary raw ricolakiemen, mustard seeds and eat fenegriekkiemen
News item | 26/06/2011 | Health
EHEC study in the second Dutch grower The new Food Safety Authority has half seed grower greetings found infected with STEC (EHEC) ...
News item | 06/10/2011 | Health
EHEC-Dutch Research grower beetroot sprouts Netherlands, the European Union informed that in Germany a lot of beetroot sprouts was found that ...
News item | 09/06/2011 | Health
EHEC bacteria in Germany The health minister inform the House with this letter about the latest developments surrounding the outbreak of disease cases ...
Papers | 05/30/2011 | Health
Letter state of EHEC The Minister of Health, Welfare and Sport (VWS) to inform the House about the latest developments surrounding the ...
Papers | 07/06/2011 | Health
--------------------------------------------------------------------------------3. Is er gevaar voor EHEC besmetting via rode bietespruiten?
In uitsland is een parttij rode bietenspruiten aangetroffen, die verontreinigd is met de Stec (EHEC) bacrterie. Rode bietebspruiten
http://www.rijksoverheid.nl/documenten-en-publicaties/vragen-en-antwoorden/is-er-gevaar-voor-ehec-besmetting-via-rode-bietenspruiten.html
English translation from Dutch by Google
3. Is there a risk of contamination with EHEC beetroot sprouts?
In Germany, a party red beet sprouts found contaminated with the STEC (EHEC) bacteria. Beetroot sprouts ...
Q & A / 06/09/2011 / Health
http://translate.google.es/translate?sl=nl&tl=en&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.rijksoverheid.nl%2Fzoeken%3Fsearch-keyword%3De.coli
Q & A
Is there risk of EHEC infection through beetroot sprouts? In Germany, a party red beet sprouts found contaminated with the STEC (EHEC) bacteria. Beetroot sprouts have a germination vegetables like bean sprouts, and is often used as garnish. This party comes from a Dutch grower. This is not the type O104, which caused the crisis in Germany. The Stec (EHEC) bacteria have been found on the Dutch company of the grower. These bacteria are not the type that caused the crisis in Germany.
Whether or not disease-causing variant As the experts do not know to which variant of the Stec (EHEC) bacteria is involved, is also not known whether this is sickening. Possibly it is a pathogenic bacterium. The Minister pointed out that many variants of the bacterium can cause diarrhea. Besides thoroughly washing vegetables is always important to properly wash hands before food preparation and especially after visiting the toilet. Read the preventive hygiene measures through the link: RIVM: E. coli and HUS preventive hygiene.
Products in the shop The minister has ordered the products of the company from the market to get. Nevertheless, there are no guarantees that germs without the EHEC variant in shops or wholesalers are. The new Food Safety Authority (nVWA) set the labels of potentially contaminated products on its website. There you can see if you are a product of this company has to offer. See the link: nVWA: Product Info beetroot sprouts.
Other questions What is the EHEC bacterium and that is contagious?
オランダの2011年第23週06月06日ー06月12日のインフルエンザ感染状況各週最新報告
オランダの2011年第23週06月06日ー06月12日のインフルエンザ感染状況各週最新報告
毎週金曜日の14;00(JST;22:00)に発表、更新
Nederlands Instituut voor onderzoek van de gezondheidszorg (NIVEL)
(Dutch Institute for Health Service Research (NIVEL))
http://www.nivel.nl/
Uitgelict (Featured)
> Dossier griep (File flu)
http://www.nivel.nl/griep
Dossier griep 2010/2011
NIVEL Influenza surveillance
> wekeliks
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home%20NIVEL/Dossiers%20en%20gegevensverzamelingen/Dossier%20Griep/Grafiek%20griep%20Nederland%202010/2011
File 2010/2011 fluNIVEL Influenza SurveillanceOne of the main topics of the NIVEL CMR Sentinel has 'flu' (influenza-like illness). The sentinel physicians record since 1970 the number of patients are reported with influenza-like symptoms (ILI). Not everyone who "flu" has been infected with the influenza virus, hence this definition. The counts go weekly to NIVEL.
>>
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home%20NIVEL/Dossiers%20en%20gegevensverzamelingen/Dossier%20Griep/Grafiek%20griep%20Nederland%202010/2011
オランダの第23週06/06ー012/06/2011
http://www.nivel.nl/griep/
English translation from Holandeses by Gogle
http://translate.google.es/translate?hl=es&sl=nl&tl=en&u=http%3A%2F%2Fnivel.nl%2Fgriep%2F
> Wekelijks
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home NIVEL/Dossiers en gegevensverzamelingen/Dossier Griep/Grafiek griep Nederland 2010/2011
毎週金曜日の14;00(JST;22:00)に発表、更新
Nederlands Instituut voor onderzoek van de gezondheidszorg (NIVEL)
(Dutch Institute for Health Service Research (NIVEL))
http://www.nivel.nl/
Uitgelict (Featured)
> Dossier griep (File flu)
http://www.nivel.nl/griep
Dossier griep 2010/2011
NIVEL Influenza surveillance
> wekeliks
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home%20NIVEL/Dossiers%20en%20gegevensverzamelingen/Dossier%20Griep/Grafiek%20griep%20Nederland%202010/2011
| NIVEL Influenza surveillance Eén van de belangrijkste onderwerpen van de NIVEL CMR-Peilstations is ‘griep’ (influenza-achtige aandoeningen). De peilstationartsen registreren sinds 1970 het aantal patienten dat zich meldt met influenza-achtig klachten (IAZ). Niet iedereen die 'griep' heeft is besmet met het influenza-virus, vandaar deze omschrijving. De tellingen gaan wekelijks naar het NIVEL. |
File 2010/2011 fluNIVEL Influenza SurveillanceOne of the main topics of the NIVEL CMR Sentinel has 'flu' (influenza-like illness). The sentinel physicians record since 1970 the number of patients are reported with influenza-like symptoms (ILI). Not everyone who "flu" has been infected with the influenza virus, hence this definition. The counts go weekly to NIVEL.
>>
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home%20NIVEL/Dossiers%20en%20gegevensverzamelingen/Dossier%20Griep/Grafiek%20griep%20Nederland%202010/2011
オランダの第23週06/06ー012/06/2011
http://www.nivel.nl/griep/
English translation from Holandeses by Gogle
http://translate.google.es/translate?hl=es&sl=nl&tl=en&u=http%3A%2F%2Fnivel.nl%2Fgriep%2F
> Wekelijks
http://www.nivel.nl/oc2/page.asp?PageID=12025&path=/Startpunt/Home NIVEL/Dossiers en gegevensverzamelingen/Dossier Griep/Grafiek griep Nederland 2010/2011
Dossier griep 2010/2011
フランス保健相(INVS. SANTE. FR)の病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)の報告、2011年06月24日発表
フランス保健相(INVS. SANTE. FR)の病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)の報告、2011年06月24日発表
institut de ville sanitarie
http://www.invs.sante.fr/
Gripper
フランス保健相(INVS。SANTE。FR)の風邪インフルエンザの週間報告、現在 休止。
Siteation epidemiologique
Bulletin epidemiologique
http://www.invs.sante.fr/display/?doc=surveillance/grippe_dossier/index_hini.htm
フランス保健相(INVS.SANTE.FR)の病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)の報告、2011年06月24日発表
Actualites
24/06/2011 cas groupes d'infections a Escherichia coli entero-hemorragique(EHEC) en Gironde
Point au 24 Juin 2011
http://www.invs.sante.fr/Dossiers-thematiques/Maladies-infectieuses/Risques-infectieux-d-origine-alimentaire/Syndrome-hemolytique-et-uremique/Actualites/Cas-groupes-d-infections-a-Escherichia-coli-entero-hemorragique-EHEC-en-Gironde-Point-au-24-juin-2011
News Published on 24/06/2011
Grouped cases of hemolytic uremic syndrome (HUS) North June 2011 - June 24, 2011 at Point June 22, two hospitals reported at Bordeaux Aquitaine Wax six cases of bloody diarrhea and 2 cases of hemolytic uremic syndrome (HUS). An epidemiological investigation was immediately implemented in connection with the LRA.
At June 24, a total of 10 cases of bloody diarrhea or HUS were identified. Eight of them are grouped geographically: 7 reside in one of the suburbs of Bordeaux, Bordeaux, and the last in a district of this town near Bordeaux, Nansouty. Among the eight cases combined, have a 5 and 3 SHU bloody diarrhea. These six women and two men aged 31 to 78 years. All were hospitalized.
Seven of the eight clusters of cases were interviewed. All seven have attended June 8 Recreation Center Early Bègles during an open house. Six of them reported having eaten sprouts during this visit, particularly used in decoration of a gazpacho. The sprouted seeds is not known for the seventh person who attended the recreation center. Epidemiological investigations are ongoing for the eighth case.
EHEC infection was confirmed for five patients. A strain O104: H4 resistant to many antibiotics has been isolated in 2 of these patients. The microbiological diagnosis of other cases is pending.
An investigation is under way traceability by the Provincial Directorate of the protection of populations to determine the origin of seeds consumed by patients during their visit to the recreation center.
The strain of E. coli isolated from a patient with HUS has the same characteristics as the strain responsible for a large epidemic EHEC infections due to consumption of sprouts occurred in Germany in May and June 2011.
Those who attended the Leisure Centre Early Childhood Bègles during the Open Day on 8 June with bloody diarrhea should consult their doctor or call the center 15 or SOS doctors.
24/06/2011 Cas groupes de syndrome hemolytique et uremique (SHU) Nord, Juin 2011
Point au 24 juin 2011
http://www.invs.sante.fr/Dossiers-thematiques/Maladies-infectieuses/Risques-infectieux-d-origine-alimentaire/Syndrome-hemolytique-et-uremique/Actualites/Cas-groupes-de-syndrome-hemolytique-et-uremique-SHU-Nord-juin-2011-Point-au-24-juin-2011
Published on 24/06/2011
Grouped cases of hemolytic uremic syndrome (HUS) North June 2011 - June 24, 2011 at Point On June 14, 2011, InVS was informed by a nephrologist pediatrician Regional Hospital of Lille, five cases of hemolytic uremic syndrome (HUS), which occurred mid-June in children residing in the Northern Department. HUS is a disease most often in children caused by bacteria belonging to the family of Escherichia coli (E. coli), some strains are more virulent and produce toxins, called "Shiga toxin". Infections with Shiga toxin-producing Escherichia coli (STEC) are manifested primarily by diarrhea often with blood, abdominal pain and sometimes vomiting. These symptoms may progress (in 5-8% of cases), after about a week to HUS.
The occurrence very close in time and geographically several cases of a rare disease (approximately 100 pediatric cases of HUS reported annually by the national surveillance of HUS) suggested a common source of contamination. An epidemiological investigation, coordinated by InVS in collaboration with the Regional Health Agency of Nord-Pas-de Calais (ARS) was implemented immediately.
At June 15, the results of the first epidemiological investigations suggested that this episode of clustered cases of HUS was linked to the consumption of a batch of burgers COUNTRY STEAKS brand with a use-by date (DLC) to 11 May 2012, sale in shops LIDL. In light of these initial results, control measures were implemented immediately by the manufacturer, at the request of health authorities. The further investigation of traceability and microbiological testing in children and steaks taken from the family of sick children have confirmed that this episode was related to the consumption of hamburgers COUNTRY STEAKS brand with a use-by date (DLC) on May 11, 2012 and a strain of E. coli producing Shiga serogroup O157.
Implemented: June 15: The authorities have asked the manufacturer to conduct a recall of frozen hamburger brand COUNTRY STEAKS. This product is sold in boxes of 1 kg (10 steaks 100g) with a (DLC) to 10, 11 and May 12, 2012. Press releases were issued on June 15 and June 16 The posters were put up in stores potentially affected. Health officials recommend that people who bought the steaks not to consume and report them to retail outlets. They invite people who consumed these products and presenting symptoms of STEC infections (often bloody diarrhea with abdominal pain and sometimes vomiting) should consult with their doctor and draws attention to the consumption and nature of the seed contaminant.
Investigations Point to 24/06/2011 Description of cases Ten cases of HUS occurred since June 1, residing in the area of distribution of batches of frozen hamburgers suspects have been reported in the June 24 InVS. These cases are children, 6 boys and 4 girls, ages 16 months to 8 years. Nine children reside in the Northern Department and in Picardy. The start date of the first symptoms (bloody diarrhea) are distributed in 10 children between 6 and 20 June
Survey of parents of cases The parents of 10 children were interviewed about risk exposures during the 7 days preceding the start of their child's diarrhea. These examinations have found no place frequented pool (bathing place, entertainment, events, etc.). And no common contact with animals (farm, zoo). The parents of seven children reported consumption of frozen hamburgers. For six of them, these steaks were frozen brand COUNTRY STEAKS. The burgers COUNTRY STEAKS brand were purchased in different stores in the chain Lidl in the department of Nord and Picardy during the period late May-early June 2011. Of frozen hamburgers in the same box as those consumed by children kept in the freezers of two families were made available to the Departmental population protection (DDPP) by 59 families for testing for microbiological research STEC.
Veterinary investigation / inquiry tracking The Directorate General of Food (DGAl) in connection with the DDPP concerned has implemented a tracking survey to identify the consignment and direct controls on these lots. The results of this survey show that LIDL stores that received the frozen burgers suspect lot (with a use-by date to May 11, 2012) are in the following departments: 59, 62, 76, 22, 29, 35, 56, 45, 58, 60, 72, 75, 77, 78, 25, 51, 52, 54, 55, 57, 70. The bulk of the suspect lot (83%) was distributed in the region Nord Pas de Calais.
Microbiological investigations The serological and microbiological testing E.. Shiga toxin-producing E. coli (STEC) on clinical specimens in children are performed at the National Reference Center for E. coli and Shigella (Institut Pasteur, Paris and microbiology laboratory of the Hospital Robert Debré, Paris). At June 24, the analysis carried out for 8 children showed that they were infected with STEC of the same serogroup, serogroup O 157.
The search for STEC in steaks found in the freezers of the families of cases performed at the National Reference Laboratory of E. coli (NRL) (Food Microbiology Laboratory of the National Veterinary School (ENV) of Lyon), revealed a strain of STEC O157 serogroup as the same strain isolated from sick children. The hemolytic uremic syndrome What is hemolytic uremic syndrome? The hemolytic uremic syndrome (HUS) is a rare disease in France, but serious as it is the leading cause of acute renal failure in children aged 1 month to 3 years. It is usually caused by bacteria belonging to the family of Escherichia coli (E. coli), some strains are more virulent and produce toxins, called "Shiga toxin".
The disease is first manifested by diarrhea often with blood, abdominal pain and sometimes vomiting. These symptoms may progress (in 5-8% of cases), after about a week to a hemolytic uremic syndrome. The child then presents signs of fatigue, pallor, decreased urine output, which become darker, and sometimes seizures.
The hospital treatment is carried through blood transfusions and / or dialysis.
One to two percent of the children dies more than a third keep kidney damage in the long term, requiring regular medical care.
What is the source of contamination? The bacteria responsible for hemolytic uremic syndrome are present in the intestines of many animals (cows, calves, goats, sheep, deer, etc..), And are eliminated through the stool, which can then contaminate the environment (water, manure, soil ) and the food. They tolerate the cold well (survival of several days in a refrigerator), but are destroyed by cooking.
Contamination occurs:
ingestion of contaminated food eaten raw or lightly cooked: beef (especially ground beef), milk or unpasteurized dairy products, apple juice, raw vegetables, or contaminated drinking water; wearing his soiled hands in their mouths after touching animals carry the bacteria or contaminated environment; contact with a sick person who excrete bacteria in their stool ("dirty hands").
How are monitored infections with E. Shiga toxin-producing E. coli and Hemolytic Uremic Syndrome (HUS)? Surveillance of STEC infections is carried out in France by a coordinated InVS through several monitoring systems:
mandatory reporting (OD) of foodborne disease (TIAC), which should identify any Tiac STEC; the National Reference Center for E. coli (Institut Pasteur, Paris and Service of Microbiology, Hôpital Robert Debré, Paris) that characterizes the E. Coli responsible for foodborne illness and HUS in France and alert the emergence of new bacteria; Surveillance of HUS in children under 15. Since 1996, a network of volunteers of Pediatric Nephrology 31 hospitals notify cases of HUS in care, the Institute for Public Health. About 100 pediatric cases of HUS are reported annually in France (file hemolytic uremic syndrome). As part of this network, specialized services (nephrology or pediatric intensive care unit) that support children with HUS inform the Institute of Health when a child is admitted and communicate a sheet collecting clinical information, Microbiological and epidemiological studies. For each child, the presence of E. Shiga toxin-producing E. coli (STEC) is sought by means of blood samples and stool, analyzed by the National Reference Center for E. coli and Shigella (Institut Pasteur, Paris and microbiology laboratory of the Hospital Robert Debré, Paris).
When more than two HUS occur simultaneously in the same geographical area, an investigation is carried out by InVS to determine if these infections have a common origin. This asked the parents of sick children on all possible causes of contamination by E. Shiga toxin-producing E. coli (food, drinking water, contact with animals, contact with sick people, etc..) during the week before the diarrhea. The information collected is used to suspect one or more origins which are then investigated and traceability veterinarian conducted by the Directorate General of Food (DGAl) and its decentralized services (Departmental Directorate of protection of the population). If it is a plant product, such surveys are conducted by the Directorate General for Competition, Consumption and Fraud. Action guided by these surveys are then implemented to prevent the emergence of new patients.
Monitoring results of hemolytic uremic syndrome in children in France Each year, between 70 and 100 children with HUS are notified to the Institute for Public Health; an increase in the number of HUS was observed in summer; HUS is most common in children under 3 years; 1%, on average, children with HUS die; infection with E. Shiga toxin-producing E. coli (STEC) is demonstrated in more than half of cases of hemolytic uremic syndrome, with a predominance of E. coli O157: H7; most cases of HUS occur in isolation; France, a 2001 study showed that the main risk factors for onset of HUS in children are the consumption of ground beef undercooked beef and contact with a person who had gastroenteritis; two small outbreaks of STEC infections occurred in France, both in 2005: one linked to the consumption of frozen hamburgers and other consumption of soft cheese made from raw milk. How to prevent transmission of infection with E. Shiga toxin-producing E. coli and hemolytic uremic syndrome? The transmission of the disease can be prevented by simple actions:
meat, and especially the ground beef should be cooked at heart; vegetables, fruits and herbs, especially those that will be eaten raw should be washed thoroughly; raw food should be stored separately from cooked or ready to eat; leftover food and dishes must be sufficiently heated and consumed quickly; kitchen utensils (especially when they have previously been in contact with raw meat) and the work plan should be thoroughly washed; hand washing should be routinely before preparing food and out of the toilet; in cases of gastroenteritis, it is necessary to avoid swimming in places of public bathing and preparing meals; Children should not drink untreated water (well water, streams, etc..), and avoid swallowing when swimming (lake, pond, etc.). Finally, avoid contact with very young children (under 5) with the cows, calves, sheep, goats, deer, etc.. and their environment. See the thematic Hemolytic Uremic Syndrome
institut de ville sanitarie
http://www.invs.sante.fr/
Gripper
フランス保健相(INVS。SANTE。FR)の風邪インフルエンザの週間報告、現在 休止。
Siteation epidemiologique
Bulletin epidemiologique
http://www.invs.sante.fr/display/?doc=surveillance/grippe_dossier/index_hini.htm
フランス保健相(INVS.SANTE.FR)の病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)の報告、2011年06月24日発表
Actualites
24/06/2011 cas groupes d'infections a Escherichia coli entero-hemorragique(EHEC) en Gironde
Point au 24 Juin 2011
http://www.invs.sante.fr/Dossiers-thematiques/Maladies-infectieuses/Risques-infectieux-d-origine-alimentaire/Syndrome-hemolytique-et-uremique/Actualites/Cas-groupes-d-infections-a-Escherichia-coli-entero-hemorragique-EHEC-en-Gironde-Point-au-24-juin-2011
News Published on 24/06/2011
Grouped cases of hemolytic uremic syndrome (HUS) North June 2011 - June 24, 2011 at Point June 22, two hospitals reported at Bordeaux Aquitaine Wax six cases of bloody diarrhea and 2 cases of hemolytic uremic syndrome (HUS). An epidemiological investigation was immediately implemented in connection with the LRA.
At June 24, a total of 10 cases of bloody diarrhea or HUS were identified. Eight of them are grouped geographically: 7 reside in one of the suburbs of Bordeaux, Bordeaux, and the last in a district of this town near Bordeaux, Nansouty. Among the eight cases combined, have a 5 and 3 SHU bloody diarrhea. These six women and two men aged 31 to 78 years. All were hospitalized.
Seven of the eight clusters of cases were interviewed. All seven have attended June 8 Recreation Center Early Bègles during an open house. Six of them reported having eaten sprouts during this visit, particularly used in decoration of a gazpacho. The sprouted seeds is not known for the seventh person who attended the recreation center. Epidemiological investigations are ongoing for the eighth case.
EHEC infection was confirmed for five patients. A strain O104: H4 resistant to many antibiotics has been isolated in 2 of these patients. The microbiological diagnosis of other cases is pending.
An investigation is under way traceability by the Provincial Directorate of the protection of populations to determine the origin of seeds consumed by patients during their visit to the recreation center.
The strain of E. coli isolated from a patient with HUS has the same characteristics as the strain responsible for a large epidemic EHEC infections due to consumption of sprouts occurred in Germany in May and June 2011.
Those who attended the Leisure Centre Early Childhood Bègles during the Open Day on 8 June with bloody diarrhea should consult their doctor or call the center 15 or SOS doctors.
24/06/2011 Cas groupes de syndrome hemolytique et uremique (SHU) Nord, Juin 2011
Point au 24 juin 2011
http://www.invs.sante.fr/Dossiers-thematiques/Maladies-infectieuses/Risques-infectieux-d-origine-alimentaire/Syndrome-hemolytique-et-uremique/Actualites/Cas-groupes-de-syndrome-hemolytique-et-uremique-SHU-Nord-juin-2011-Point-au-24-juin-2011
Published on 24/06/2011
Grouped cases of hemolytic uremic syndrome (HUS) North June 2011 - June 24, 2011 at Point On June 14, 2011, InVS was informed by a nephrologist pediatrician Regional Hospital of Lille, five cases of hemolytic uremic syndrome (HUS), which occurred mid-June in children residing in the Northern Department. HUS is a disease most often in children caused by bacteria belonging to the family of Escherichia coli (E. coli), some strains are more virulent and produce toxins, called "Shiga toxin". Infections with Shiga toxin-producing Escherichia coli (STEC) are manifested primarily by diarrhea often with blood, abdominal pain and sometimes vomiting. These symptoms may progress (in 5-8% of cases), after about a week to HUS.
The occurrence very close in time and geographically several cases of a rare disease (approximately 100 pediatric cases of HUS reported annually by the national surveillance of HUS) suggested a common source of contamination. An epidemiological investigation, coordinated by InVS in collaboration with the Regional Health Agency of Nord-Pas-de Calais (ARS) was implemented immediately.
At June 15, the results of the first epidemiological investigations suggested that this episode of clustered cases of HUS was linked to the consumption of a batch of burgers COUNTRY STEAKS brand with a use-by date (DLC) to 11 May 2012, sale in shops LIDL. In light of these initial results, control measures were implemented immediately by the manufacturer, at the request of health authorities. The further investigation of traceability and microbiological testing in children and steaks taken from the family of sick children have confirmed that this episode was related to the consumption of hamburgers COUNTRY STEAKS brand with a use-by date (DLC) on May 11, 2012 and a strain of E. coli producing Shiga serogroup O157.
Implemented: June 15: The authorities have asked the manufacturer to conduct a recall of frozen hamburger brand COUNTRY STEAKS. This product is sold in boxes of 1 kg (10 steaks 100g) with a (DLC) to 10, 11 and May 12, 2012. Press releases were issued on June 15 and June 16 The posters were put up in stores potentially affected. Health officials recommend that people who bought the steaks not to consume and report them to retail outlets. They invite people who consumed these products and presenting symptoms of STEC infections (often bloody diarrhea with abdominal pain and sometimes vomiting) should consult with their doctor and draws attention to the consumption and nature of the seed contaminant.
Investigations Point to 24/06/2011 Description of cases Ten cases of HUS occurred since June 1, residing in the area of distribution of batches of frozen hamburgers suspects have been reported in the June 24 InVS. These cases are children, 6 boys and 4 girls, ages 16 months to 8 years. Nine children reside in the Northern Department and in Picardy. The start date of the first symptoms (bloody diarrhea) are distributed in 10 children between 6 and 20 June
Survey of parents of cases The parents of 10 children were interviewed about risk exposures during the 7 days preceding the start of their child's diarrhea. These examinations have found no place frequented pool (bathing place, entertainment, events, etc.). And no common contact with animals (farm, zoo). The parents of seven children reported consumption of frozen hamburgers. For six of them, these steaks were frozen brand COUNTRY STEAKS. The burgers COUNTRY STEAKS brand were purchased in different stores in the chain Lidl in the department of Nord and Picardy during the period late May-early June 2011. Of frozen hamburgers in the same box as those consumed by children kept in the freezers of two families were made available to the Departmental population protection (DDPP) by 59 families for testing for microbiological research STEC.
Veterinary investigation / inquiry tracking The Directorate General of Food (DGAl) in connection with the DDPP concerned has implemented a tracking survey to identify the consignment and direct controls on these lots. The results of this survey show that LIDL stores that received the frozen burgers suspect lot (with a use-by date to May 11, 2012) are in the following departments: 59, 62, 76, 22, 29, 35, 56, 45, 58, 60, 72, 75, 77, 78, 25, 51, 52, 54, 55, 57, 70. The bulk of the suspect lot (83%) was distributed in the region Nord Pas de Calais.
Microbiological investigations The serological and microbiological testing E.. Shiga toxin-producing E. coli (STEC) on clinical specimens in children are performed at the National Reference Center for E. coli and Shigella (Institut Pasteur, Paris and microbiology laboratory of the Hospital Robert Debré, Paris). At June 24, the analysis carried out for 8 children showed that they were infected with STEC of the same serogroup, serogroup O 157.
The search for STEC in steaks found in the freezers of the families of cases performed at the National Reference Laboratory of E. coli (NRL) (Food Microbiology Laboratory of the National Veterinary School (ENV) of Lyon), revealed a strain of STEC O157 serogroup as the same strain isolated from sick children. The hemolytic uremic syndrome What is hemolytic uremic syndrome? The hemolytic uremic syndrome (HUS) is a rare disease in France, but serious as it is the leading cause of acute renal failure in children aged 1 month to 3 years. It is usually caused by bacteria belonging to the family of Escherichia coli (E. coli), some strains are more virulent and produce toxins, called "Shiga toxin".
The disease is first manifested by diarrhea often with blood, abdominal pain and sometimes vomiting. These symptoms may progress (in 5-8% of cases), after about a week to a hemolytic uremic syndrome. The child then presents signs of fatigue, pallor, decreased urine output, which become darker, and sometimes seizures.
The hospital treatment is carried through blood transfusions and / or dialysis.
One to two percent of the children dies more than a third keep kidney damage in the long term, requiring regular medical care.
What is the source of contamination? The bacteria responsible for hemolytic uremic syndrome are present in the intestines of many animals (cows, calves, goats, sheep, deer, etc..), And are eliminated through the stool, which can then contaminate the environment (water, manure, soil ) and the food. They tolerate the cold well (survival of several days in a refrigerator), but are destroyed by cooking.
Contamination occurs:
ingestion of contaminated food eaten raw or lightly cooked: beef (especially ground beef), milk or unpasteurized dairy products, apple juice, raw vegetables, or contaminated drinking water; wearing his soiled hands in their mouths after touching animals carry the bacteria or contaminated environment; contact with a sick person who excrete bacteria in their stool ("dirty hands").
How are monitored infections with E. Shiga toxin-producing E. coli and Hemolytic Uremic Syndrome (HUS)? Surveillance of STEC infections is carried out in France by a coordinated InVS through several monitoring systems:
mandatory reporting (OD) of foodborne disease (TIAC), which should identify any Tiac STEC; the National Reference Center for E. coli (Institut Pasteur, Paris and Service of Microbiology, Hôpital Robert Debré, Paris) that characterizes the E. Coli responsible for foodborne illness and HUS in France and alert the emergence of new bacteria; Surveillance of HUS in children under 15. Since 1996, a network of volunteers of Pediatric Nephrology 31 hospitals notify cases of HUS in care, the Institute for Public Health. About 100 pediatric cases of HUS are reported annually in France (file hemolytic uremic syndrome). As part of this network, specialized services (nephrology or pediatric intensive care unit) that support children with HUS inform the Institute of Health when a child is admitted and communicate a sheet collecting clinical information, Microbiological and epidemiological studies. For each child, the presence of E. Shiga toxin-producing E. coli (STEC) is sought by means of blood samples and stool, analyzed by the National Reference Center for E. coli and Shigella (Institut Pasteur, Paris and microbiology laboratory of the Hospital Robert Debré, Paris).
When more than two HUS occur simultaneously in the same geographical area, an investigation is carried out by InVS to determine if these infections have a common origin. This asked the parents of sick children on all possible causes of contamination by E. Shiga toxin-producing E. coli (food, drinking water, contact with animals, contact with sick people, etc..) during the week before the diarrhea. The information collected is used to suspect one or more origins which are then investigated and traceability veterinarian conducted by the Directorate General of Food (DGAl) and its decentralized services (Departmental Directorate of protection of the population). If it is a plant product, such surveys are conducted by the Directorate General for Competition, Consumption and Fraud. Action guided by these surveys are then implemented to prevent the emergence of new patients.
Monitoring results of hemolytic uremic syndrome in children in France Each year, between 70 and 100 children with HUS are notified to the Institute for Public Health; an increase in the number of HUS was observed in summer; HUS is most common in children under 3 years; 1%, on average, children with HUS die; infection with E. Shiga toxin-producing E. coli (STEC) is demonstrated in more than half of cases of hemolytic uremic syndrome, with a predominance of E. coli O157: H7; most cases of HUS occur in isolation; France, a 2001 study showed that the main risk factors for onset of HUS in children are the consumption of ground beef undercooked beef and contact with a person who had gastroenteritis; two small outbreaks of STEC infections occurred in France, both in 2005: one linked to the consumption of frozen hamburgers and other consumption of soft cheese made from raw milk. How to prevent transmission of infection with E. Shiga toxin-producing E. coli and hemolytic uremic syndrome? The transmission of the disease can be prevented by simple actions:
meat, and especially the ground beef should be cooked at heart; vegetables, fruits and herbs, especially those that will be eaten raw should be washed thoroughly; raw food should be stored separately from cooked or ready to eat; leftover food and dishes must be sufficiently heated and consumed quickly; kitchen utensils (especially when they have previously been in contact with raw meat) and the work plan should be thoroughly washed; hand washing should be routinely before preparing food and out of the toilet; in cases of gastroenteritis, it is necessary to avoid swimming in places of public bathing and preparing meals; Children should not drink untreated water (well water, streams, etc..), and avoid swallowing when swimming (lake, pond, etc.). Finally, avoid contact with very young children (under 5) with the cows, calves, sheep, goats, deer, etc.. and their environment. See the thematic Hemolytic Uremic Syndrome
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