http://www.smittskyddsintitutet.se/
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EHEC outbreak - do not eat raw sprouts in germany
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EHEC outbreak - do not eat raw sprouts in Germany
Uppdaterad 16 juni: Myndigheterna i Tyskland har genom djupgående intervjuer med insjuknade fall, spårande av livsmedel från drabbade restauranger och hotell samt med en mycket omfattade provtagning av livsmedel, kommit fram till att groddar från en viss producent med stor sannolikhet är smittkällan i ehec-utbrottet. Updated June 16: Authorities in Germany have been through in-depth interviews with diagnosed cases, tracing of food from the affected restaurants and hotels and with a very broad sampling of foods, found that sprouts from a particular producer in all probability is the source of infection in the EHEC outbreak . Samma typ av bakterie som orsakat utbrottet har även påvisats i råa groddar från ett hushåll som drabbats av ehec. The same type of bacteria causing the outbreak has also been detected in raw sprouts from a household affected by EHEC.
Groddarna är tillbakadragna från marknaden i Tyskland och anläggningen är stängd. Sprouts are withdrawn from the market in Germany and the facility is closed. Det finns inget som tyder på att groddarna har sålts i Sverige eller andra länder utanför Tyskland. There is no evidence that the sprouts have been sold in Sweden and other countries outside Germany. SMI uppmanar fortfarande personer som vistas i Tyskland att följa de tyska rekommendationerna om att inte äta råa groddar eller livsmedel som kommit i kontakt med råa groddar samt att vara mycket noga med handhygienen. SMI calls are still people who are staying in Germany following the German recommendation to avoid eating raw sprouts or foods that come in contact with raw sprouts, and to be very careful hand hygiene. Den tidigare rekommendationen om att också undvika att äta gurka, sallad och tomat har alltså tagits bort. The previous recommendation to also avoid eating cucumbers, lettuce and tomato have thus been removed. Se även information på Livsmedelsverkets hemsida . See also information on the NFA website .
Situationen oförändrad i Sverige The situation remained unchanged in Sweden
Totalt i Sverige finns det 49 ehec-fall som misstänks vara kopplade till det tyska utbrottet varav 18 fall som har drabbats av komplikationen HUS. Total in Sweden there are 49 EHEC cases suspected of being linked to the German outbreak of which 18 cases have been affected by complication of HUS. Det fall som insjuknat senast i Sverige, var ett fall som insjuknade den 3 juni efter en vistelse i Tyskland. The case fell ill later in Sweden, one case was diagnosed on June 3 after a stay in Germany. Det finns inga svenska fall som hittills misstänks ha blivit smittade av livsmedel som köpts och ätits i Sverige. There are no Swedish cases to date are suspected of being contaminated by food purchased and eaten in Sweden.Stoppa vidare smittspridning Stop the further spread of infection
Ehec är mycket smittsamt och kan spridas till familjemedlemmar. EHEC is highly contagious and can spread to family members. Förhindra vidare spridning av smittan genom noggrann handtvätt efter toalettbesök och god livsmedelshygien. Prevent further spread of infection through careful hand washing after using the toilet and good food hygiene.SMI uppmanar sjukvården till ökad vaksamhet på patienter som söker vård för ehec-symtom som diarré, blodig diarré och buksmärtor och som rest i Tyskland under maj månad. SMI on care for increased vigilance in patients seeking care for EHEC symptoms such as diarrhea, bloody diarrhea and abdominal pain and who have traveled to Germany in May. Dessa personer ska snarast erbjudas medicinsk bedömning och provtagning för ehec. These people will soon be offered medical evaluation and testing for EHEC. Observera att ehec alltid måste efterfrågas på remissen till laboratoriet för att analysen säkert ska bli utförd. Note that EHEC must always be requested on the referral to the laboratory for analysis certainly will be done. Ehec är en allmänfarlig anmälningspliktig sjukdom enligt smittskyddslagen. EHEC is a hazard to public health notifiable disease under the Communicable Diseases Act. Antibiotika bör inte användas vid behandling av ehec, då det kan förvärra symtomen. Antibiotics should not be used in the treatment of EHEC, as it can worsen the symptoms.
Uppdaterad 2011-06-16 14:58 Updated 2011-06-16 14:58
Fakta & fördjupning Facts & depression
Enterohemorragisk E. coli infektion Enterohaemorrhagic E. coli infection
Diagnostisk analys för Vibrio cholerae - choleratoxin (PCR) och EHEC i vatten (PCR) Diagnostic analysis of Vibrio cholerae - choleratoxin (PCR) and EHEC in water (PCR)
Handlingspolicy avseende kontroll av EHEC Action Policy in the control of EHEC
Sjukdomsinformation om Enterohemorragisk E. coli-infektion (EHEC) Disease Information on enterohaemorrhagic E. coli infection (EHEC)
Statistik för Enterohemorragisk E. coli infektion (EHEC) Statistics for enterohaemorrhagic E. coli infection (EHEC)
Verotoxinbildande E.coli- VTEC-bakteriers smittvägar, förekomst samt risker för folkhälsan Verotoxigenic E. coli VTEC bacteria transmission routes, presence and public health risks
Läs mer på andra webbplatser Read more on other sites
Krisinformation Crisis Information
Frågor och svar om EHEC Questions and answers about EHECLivsmedelsverket NFA
Ehec-utbrott i Tyskland EHEC outbreak in GermanyRobert Koch Institut Robert Koch Institut
Information om utbrottet i Tyskland Information about the outbreak in GermanyEhec-utbrott - at inte raa groddar i Tsykland
http://www.smittskyddsinstitutet.se/nyhetsarkiv/2011/ehec-utbrott-i-tyskland--at-inte-raa-groddar-i-norra-tyskland-/
EHEC outbreak - do not eat raw sprouts in Germany Updated June 16: Authorities in Germany have been through in-depth interviews with diagnosed cases, tracing of food from the affected restaurants and hotels and with a very broad sampling of foods, found that sprouts from a particular producer in all probability is the source of infection in the EHEC outbreak . The same type of bacteria causing the outbreak has also been detected in raw sprouts from a household affected by EHEC.
Sprouts are withdrawn from the market in Germany and the facility is closed. There is no evidence that the sprouts have been sold in Sweden and other countries outside Germany.
SMI calls are still people who are staying in Germany following the German recommendation to avoid eating raw sprouts or foods that come in contact with raw sprouts, and to be very careful hand hygiene. The previous recommendation to also avoid eating cucumbers, lettuce and tomato have thus been removed. See also information on the NFA website.
The situation remained unchanged in Sweden Total in Sweden there are 49 EHEC cases suspected of being linked to the German outbreak of which 18 cases have been affected by complication of HUS. The case fell ill later in Sweden, one case was diagnosed on June 3 after a stay in Germany. There are no Swedish cases to date are suspected of being contaminated by food purchased and eaten in Sweden.
Stop the further spread of infection EHEC is highly contagious and can spread to family members. Prevent further spread of infection through careful hand washing after using the toilet and good food hygiene.
SMI on care for increased vigilance in patients seeking care for EHEC symptoms such as diarrhea, bloody diarrhea and abdominal pain and who have traveled to Germany in May. These people will soon be offered medical evaluation and testing for EHEC. Note that EHEC must always be requested on the referral to the laboratory for analysis certainly will be done. EHEC is a hazard to public health notifiable disease under the Communicable Diseases Act. Antibiotics should not be used in the treatment of EHEC, as it can worsen the symptoms.
Tell a friend Updated 2011-06-16 14:58
(1) Diagnostic analisis of Vibrio cholerae-choleratoxin (PCR) and EHEC in water (PCR)
http://www.smittskyddsinstitutet.se/diagnostik/bakterier/vibrio-cholerae-och-ehec-i-vatten/
English translation from swedesh by Google
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Diagnostic analysis of Vibrio cholerae - choleratoxin (PCR) and EHEC in water (PCR)
(Part No 1058, 1006, 1007)
Contact:
Test results: 08-457 11:00 p.m.
Practitioner: 08-457 11:00 p.m.
Method: 08-457 11:00 p.m.
prices:
For current prices please refer to the publication price list for specific diagnosis that can be downloaded at SMI's website.
Unzip the sample right:
For practical guidance for the transport of samples in Sweden, we refer to the publication entitled Unpacking the sample available for download at SMI's website.
Order of referral:
Order / download SMI's referral
Tell a friend
Updated 2007-01-04 12:48
(2) Action Policy in the control of EHEC
http://www.smittskyddsinstitutet.se/publikationer/ovriga-publikationer/handlingspolicy-avseende-kontroll-av-ehec-/
http://www.smittskyddsinstitutet.se/upload/Publikationer/VTEC_5GD_080520.pdf
English translation from swedesh by Google
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(3) Disease Information on enterohaemorrhagic E. coli infection (EHEC)
http://www.smittskyddsinstitutet.se/sjukdomar/enterohemorragisk-e-coli-infektion/
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Disease Information on enterohaemorrhagic E. coli infection (EHEC) Other title: VTEC, STEC
EHEC as a cause of bloody diarrhea is known since 1977, and the toxin could be demonstrated 1982nd The disease is spread worldwide and several major outbreaks have been reported. The disease is a zoonosis, that is, a disease transmissible between animals and humans. The name of the disease varies and can confuse the issue, enterohemorrhagic E. coli (EHEC) is widely used in Sweden. In many countries, a different classification, such as verotoxin-producing E. coli (VTEC) or shiga toxin-producing E. coli (STEC). VTEC is used to designate the disease among animals in Sweden.
In Sweden, reported about 300 human cases each year and of these half are domestically infected. The most common age group among the cases are children under five. EHEC cases reported with a geographic difference, with most cases from counties in southern Sweden. Most domestic cases reported during the summer months.
In studies where samples taken cattle to slaughterhouses in 2005-2009, about three percent VTEC O157.
Causative microorganisms, transmission routes and infection EHEC produces a toxin (poison) that is responsible for many of the symptoms of the disease. Several serotypes can cause disease, the most common outbreaks have been EHEC O157.
Ruminants, especially cattle, is the reservoir for VTEC. The infection can be spread through contact with these animals or contact with their manure, but also through contaminated food or drinking water. Outbreaks have been described from many different types of foods, such as unpasteurized milk, unpasteurized apple cider, yogurt, salad, salami, sausage, roast beef and hamburgers. People have also fallen ill after lido in contaminated water or from drinking contaminated municipal water. Although infection from person to person occurs. The incubation period is usually three to four days (one to eight days).
Symptoms, complications, treatment and diagnosis The disease is primarily associated with a bleeding colon inflammation (hemorrhagic colitis). The disease can be incorporated, as well as bloodless bloody diarrhea, disintegration of the red blood cells and kidney failure (hemolytic uremic syndrome - HUS), other coagulation and bleeding disorders, and neurological symptoms. It can be carriers of EHEC without having symptoms.
Often the disease begins with abdominal cramps and diarrhea, but rarely fever. Nausea and vomiting may occur. After two to three days, diarrhea can become blood-streaked. The disease normally resolves within a week. In approximately five percent of patients (especially children under five years old) developed HUS, which occurs within two to 14 days. The kidney damage with renal failure as a result. Platelets, "platelets", could sink so low that bleeding occurs. HUS often require intensive care and dialysis.
Diagnosis is by culture of stool samples and PCR techniques. EHEC bacteria are found worldwide. Relatively large outbreaks have occurred in Canada, USA, UK, Germany, Japan and Sweden.
Antibiotic treatment is not recommended for EHEC infection.
General preventive measures Good hand and food hygiene to prevent infection. Passed from person to person occurs, underlining the importance of a very good hygiene to actual cases. Well-done meat, reducing the risk of infection. Milk should be pasteurized or boiled, wash vegetables, salad and fruit. One should wash their hands after contact with cattle.
Measures to actual cases and / or outbreaks Infection with enterohemorrhagic E. coli (EHEC) information is based on a hazard to public health and early statistics, and cases notified to the County Medical Officer in the County Council and the Infectious Diseases Institute (SMI). In case of suspected food-or waterborne infection shall, counted in the community informed, the suspect animal contact is made even notification to the county veterinarian.
Comments EHEC outbreaks are rare in Sweden and most cases are sporadic or within families. Smaller outbreaks linked to farms, private wells or pre-schools and restaurants are present.
No major outbreaks have occurred in Sweden: EHEC O157 detected in cold-smoked sausages and cold cuts caused the 2002 outbreak in southern Sweden with 28 cases. Eight of them developed HUS and required intensive care. Contaminated beef was considered the source of infection and then EHEC bacteria survived fermentation and smoking process could this outbreak occur. The main EHEC outbreak in Sweden occurred in 2005 when 135 cases, including 11 with HUS, were infected with EHEC O157 in several counties in southern Sweden. An extensive investigation led to iceberg lettuce as a likely source of infection. The lettuce was traced back and had been irrigated with water that was positive for verotoxin. EHEC O157 isolated from cattle manure at a farm upstream from the irrigation canal. Genetic typing showed that it was the same bacterial strain in the manure that of the infected people. The salad was withdrawn from the market and the outbreak was stopped. In 2011 there was a major outbreak in northern Germany with a rare variant, EHEC 104th The outbreak has also resulted in cases among returning travelers in several European countries. Of those infected has considerably more than expected, suffered from severe symptoms. In Germany, over 2000 cases have been reported with nearly 700 cases of HUS and one death over 20 speeches. In Sweden, became ill about fifty people, of which about a third have developed the complication of HUS and one died. Of those infected were adults and the majority of women which is unusual. The source of infection is suspected to be raw vegetables, investigation is ongoing.
Tell a friend Updated 2011-06-09 10:48
(4) Statistics for enterohaemorragic E. coli infection (EHEC)
http://www.smittskyddsinstitutet.se/statistik/enterohemorragisk-e-coli-infektion-ehec/
English translation by Google
Statistics for enterohaemorrhagic E. coli infection (EHEC)
http://translate.google.es/translate?sl=sv&tl=en&js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&u=http%3A%2F%2Fwww.smittskyddsinstitutet.se%2Fstatistik%2Fenterohemorragisk-e-coli-infektion-ehec%2FInfection with enterohemorrhagic E. coli (EHEC) information is based on a public health hazard, and the cases notified to the County Medical Officer in the County Council and the Infectious Diseases Institute (SMI). In case of suspected food-or waterborne infection shall, counted in the community informed, the suspect animal contact is made even notification to the county veterinarian. Infection with enterohemorrhagic E. coli, early statistics.
During the period from 1988 to 1994 was diagnosed a couple of EHEC cases annually. During October 1995 to January 1996 was the first major outbreak. No safe source of infection could be established there. On 1 January 1996, EHEC a notifiable disease under the Communicable Diseases Act.
Between 1996 and 1997 the major clusters of cases observed during the summers. Over the next four years reported a lower number of cases. 2002 saw a substantial increase in the number of complaints, largely due to a large outbreak in Skåne, which was caused by cold-smoked sausage. From 1 July 2004 all serotypes of EHEC, not just O157, notifiable. This leads to the 2004 figures will be higher and not comparable with previous years.
The statistics are updated 2011-06-20 Change data base All cases Domestic cases Cases infected abroad Table explanation This disease can be found under the following categories Food-borne infection / intoxication Gastrointestinal infections Waterborne infections Zoonoses Help and explanation Explanation of statistics Explanation of terms Read more Enterohaemorrhagic E. coli infection (EHEC) Regions
Sammanfattning20012002200320042005200620072008200920102011ÅlderKönFall weekly trend Mittlandsskogen comments and special statistics
. Regions 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Blekinge 0 / 0 0 / 0 0 / 0 2 / 1, 33 1 / 0, 66 2 / 1, 32 2 / 1, 31 2 / 1, 31 1 / 0, 65 2 / 1, 30 4 / 2, 60 Dalarna 0 / 0 0 / 0 3 / 1, 08 5 / 1, 81 4 / 1, 45 1 / 0, 36 3 / 1, 08 2 / 0, 72 2 / 0, 72 4 / 1, 44 0 / 0 Gotland 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 0 / 0 3 / 5, 25 0 / 0 0 / 0 7 / 12, 22 0 / 0 Gävleborg 3 / 1, 07 0 / 0 2 / 0, 72 0 / 0 3 / 1, 08 2 / 0, 72 5 / 1, 81 2 / 0, 72 6 / 2, 17 14 / 5.06 1 / 0 , 36 Halland 22 / 7.97 24 / 8.64 8 / 2, 85 14 / 4.93 51 / 17, 84 28 / 9.69 38 / 13, 04 25 / 8.52 13 / 4.38 17 / 5, 68 9 / 3, 00 Jämtland 1 / 0, 77 0 / 0 1 / 0, 78 2 / 1, 56 4 / 3, 14 5 / 3, 93 3 / 2, 36 0 / 0 0 / 0 3 / 2, 36 1 / 0, 78 Jonkoping 2 / 0, 60 5 / 1, 52 8 / 2, 43 27 / 8.19 47 / 14, 23:24 / 7.23 39/11, 69 51/15, 21 33 / 9.82 28 / 8, 31 18 / 5,34 Kalmar 0 / 0 2 / 0, 85 0 / 0 16 / 6.82 5 / 2, 13 5 / 2, 13 2 / 0, 85 7 / 2, 99 4 / 1, 71 4 / 1, 71 1 / 0 , 42 Kronoberg 1 / 0, 56 1 / 0, 56 1 / 0, 56 2 / 1, 24:06 / 3, 36 10 / 5.56 12 / 6.64 8 / 4, 39 6 / 3, 27 10 / 5 43 1 / 0, 54 SWE 1 / 0, 39 0 / 0 1 / 0, 39 2 / 0, 79 1 / 0, 39 1 / 0, 39 0 / 0 1 / 0, 40 1 / 0, 40 4 / 1, 60 0 / 0 Skåne 18 / 1.58 49 / 4.29 19 / 1.65 32 / 2.75 32 / 2.73 50 / 4.22 42 / 3.50 38 / 3.13 32 / 2.60 38 / 3, 05 19 / 1,52 Stockholm 6 / 0, 32 2 / 0, 10 5 / 0, 26 20 / 1.06 39 / 2.06 30 / 1.56 19 / 0.97 39 / 1.97 35 / 1.73 43 / 2, 09 10 / 0,48 Södermanland 3 / 1, 16 1 / 0, 38 1 / 0, 38 0 / 0 2 / 0, 76 2 / 0, 76 2 / 0, 75 2 / 0, 74 7 / 2, 60 2 / 0, 73 0 / 0 Uppsala, Sweden 3 / 1, 01 3 / 1, 00 2 / 0, 66 1 / 0, 33 4 / 1, 31 5 / 1, 56 3 / 0, 92 11 / 3.36 2 / 0, 60 7 / 2, 08 0 / 0 Värmland 0 / 0 4 / 1, 46 0 / 0 4 / 1, 46 6 / 2, 19 2 / 0, 73 1 / 0, 36 3 / 1, 09 2 / 0, 73 4 / 1, 46 0 / 0 Västerbotten 2 / 0, 78 1 / 0, 39 1 / 0, 39 1 / 0, 38 2 / 0, 77 1 / 0, 38 2 / 0, 77 3 / 1, 16 3 / 1, 16 6 / 2, 31 0 / 0 Västernorrland 1 / 0, 40 0 / 0 0 / 0 3 / 1, 22 1 / 0, 41 2 / 0, 81 1 / 0, 41 2 / 0, 82 1 / 0, 41 0 / 0 0 / 0 North Yorkshire 1 / 0, 38 0 / 0 3 / 1, 15 2 / 0, 76 0 / 0 0 / 0 1 / 0, 40 11 / 4.40 2 / 0, 79 2 / 0, 79 1 / 0, 39 SWE 26 / 1.73 36 / 2.39 12 / 0.79 52 / 3.41 158/10, 33 64 / 4.16 74 / 4.78 82 / 5.26 69 / 4.39 113 / 7 , 15 62 / 3.92 Orebro 1 / 0, 36 0 / 0 4 / 1, 46 2 / 0, 73 0 / 0 0 / 0 0 / 0 0 / 0 2 / 0, 71 6 / 2, 14 0 / 0 West Yorkshire 4 / 0, 97 1 / 0, 24 1 / 0, 24 9 / 2, 16 19 / 4.56 30 / 7.17 9 / 2, 13 15 / 3.54 6 / 1, 40 20 / 4, 65 6 / 1, 39 Total 95 / 1.06 129 / 1.44 72 / 0.80 196 / 2.17 385 / 4.25 264 / 2.89 261 / 2.84 304 / 3.28 227 / 2.43 334 / 3, 55 133 / 1,41 Table explanation The figures in the table is presented as Total number of cases and Number of cases per 100,000 inhabitants per year. The figures are based on all cases, regardless of country of infection. The statistics in the table retrieved from a changing database, the number of cases can be adjusted both upwards and downwards.
Download Statistics All cases of enterohaemorrhagic E. coli infection (EHEC) Current table in Excel format All cases of enterohaemorrhagic E. coli infection (EHEC) Current table in text format
(5) Verotoxigenic E.coli VTEC bacteria transmission routes, presence and public health riks
http://www.smittskyddsinstitutet.se/upload/Publikationer/riskprofil_ehec_2007.pdf
English translation by Googler
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