http://www-rki.de/
EHEC / HUS outbreak events
07/04/2011
> Current information on the EHEC / HUS outbreak events
http://www.rki.de/cln_169/nn_205760/DE/Home/Info-HUS.html
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published
07/04/2011 09:00
date as 07/01/2011 10:00
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2011年07月04日月曜日11:34曇り 最低気温;21ー23ºC 最高気温;26ー28ºC BARCELONA県から
ドイツの病原性大腸菌(EHEC)感染と 溶血性尿毒症症候群(HUS)の最新情報
2011年07月04日月曜日09;00発表 2011年07月01日金曜日10:00現在の事実·情報による
ドイツの病原性大腸菌(EHEC)感染患者は、3'202人で、このうち17人の患者が病原性大腸菌(EHEC)の感染死亡した。これに加えて、845人の溶血性尿毒症症候群(HUS)にかかり、このうち 31にんが溶血性尿毒症症候群(HUS)で かんせんしぼうした。これで合計 4''047人の患者が 病原性大腸菌(EHEC)感染や、溶血性尿毒症症候群(HUS)にかかり、48人が 感染死亡した。
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23人、フランスの感染者の2+8+8=18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、4'137+48=4'1185人で、感染死者は、50人になる。2011年07月04日月曜日10:00CET現在。[1]
2011年06月30日発表
ドイツの2011年05月/06月の病原性大腸菌(EHEC)感染と溶血性尿毒症症候群(HUS)感染の現状と分析
http://www.rki.de/cln_169/nn_205760/DE/Content/InfAZ/E/EHEC/EHEC__Sachstandsbericht,templateId=raw,property=publicationFile.pdf/EHEC_Sachstandsbericht.pdf
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[1] World Health Organization, Regional Office for Europe
http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/outbreaks-of-e.-coli-o104h4-infection
International Health Regulations
Outbreaks of E.coli O104:H4 infection
Latest updates
> Outbreaks of E.coli O104:H4 infection. update 28(01.07-2011)
http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/news/news/2011/07/outbreaks-of-e.-coli-o104h4-infection-update-28
Outbreaks of E. coli O104:H4 infection
Countries in the WHO European Region have reported significant numbers of infections from verocytotoxin-producing E. scherichia coli O104:H4, resulting in a large number of cases of bloody diarrhoea and haemolytic uraemic syndrome (HUS) in Germany, and in 15 other countries in Europe and North America. More recently, another cluster of cases in the region of Bordeaux, France, as well asand a single case in Sweden, have been reported.
WHO supports coordination of information sharing through the International Health Regulations, the International Food Safety Authority Network (INFOSAN) and other reporting mechanisms; it is , monitoring the outbreaks, and providing the latest information. WHO is working closely with national health authorities and international partners to detect the unusual bacterial strain and track down its source.
---------------------------------------------------------------------------WHO supports coordination of information sharing through the International Health Regulations, the International Food Safety Authority Network (INFOSAN) and other reporting mechanisms; it is , monitoring the outbreaks, and providing the latest information. WHO is working closely with national health authorities and international partners to detect the unusual bacterial strain and track down its source.
Latest updates
Outbreaks of E. coli O104:H4 infection: update 28
01-07-2011
On 28 June 2011, the Institut de veille sanitaire, France, published new figures for the verocytotoxin-producing Escherichia coli (VTEC)/haemolytic uraemic syndrome (HUS) outbreak in the Bordeaux region in France, where in total 8 cases of bloody diarrhoea and 8 HUS cases have been reported since 22 June. E. coli O104:H4 infection has been confirmed in 4 of these cases. Also on 28 June, Sweden reported a confirmed case of E. coli O104:H4 infection in southern Sweden in an adult male. None of these patients in France or Sweden had travelled in Germany since 1 May 2011.In France, current results from the continuing investigations suggest that sprouted beans or sprouted seeds might be involved. In Sweden, the vehicle of infection remains under investigation.
On 30 June 2011, the Institut de veille sanitaire announced that the results of the analyses performed by the French national reference centre for E. coli and Shigella and its associated laboratory showed that the E. coli O104:H4 strain that caused the outbreak in Germany in May–June 2011 and the one causing the outbreak in France in June are genetically related. This strengthens the evidence pointing to a common source behind these outbreaks.
EHEC outbreak in Germany
In Germany, the daily numbers of reported HUS/EHEC cases have steadily decreased since they peaked on 22 May. Nevertheless, the cumulative numbers of cases from Germany continue to rise, primarily owing to delays in notification.Investigations by the German authorities indicate that the vehicle of the bacterium responsible for the outbreak, enteroaggregative verocytotoxin-producing E. coli (EAggEC VTEC) O104:H4, is sprouted beans and sprouted seeds, and the Robert Koch Institute has warned people in Germany not to eat raw sprouts of any origin. In Germany, the latest date of onset of bloody diarrhoea is 22 June for HUS cases and 26 June for EHEC cases. The last known date of illness onset in a patient with confirmed E. coli O104:H4 infection was 18 June 2011.
Global situation of E. coli O104:H4 infections
The table below shows the total number of globally reported (as of 30 June) cases of and deaths from E. coli (EAggEC VTEC) O104:H4 infection since the beginning of the outbreak in Germany on 1 May 2011, now including the cases from the outbreak in the Bordeaux region of France. In total, 16 countries in Europe and North America have reported 4137 cases of E. coli O104:H4 infection, including 50 fatalities.| Country | HUS | EHEC | ||
|---|---|---|---|---|
| Cases | Deaths | Cases | Deaths | |
| Austria | 1 | 0 | 4 | 0 |
| Canada | 0 | 0 | 1 | 0 |
| Czech Republic | 0 | 0 | 1 | 0 |
| Denmark | 9 | 0 | 14 | 0 |
| France | 8 | 0 | 10 | 0 |
| Germany | 845 | 31 | 3154 | 17 |
| Greece | 0 | 0 | 1 | 0 |
| Luxembourg | 1 | 0 | 1 | 0 |
| Netherlands | 4 | 0 | 7 | 0 |
| Norway | 0 | 0 | 1 | 0 |
| Poland | 2 | 0 | 1 | 0 |
| Spain | 1 | 0 | 1 | 0 |
| Sweden | 18 | 1 | 35 | 0 |
| Switzerland | 0 | 0 | 5 | 0 |
| United Kingdom | 3 | 0 | 3 | 0 |
| United States of America | 4 | 1 | 2 | 0 |
| Total | 896 | 33 | 3241 | 17 |
Note
EHEC and HUS have exclusive notification categories, so case numbers should not overlap. The figures in any rapidly evolving outbreak, however, are provisional and subject to change for a variety of reasons.In providing the above information, WHO wishes to recognize the contribution of its Member States, and technical partners such as the European Commission, the European Centre for Disease Prevention and Control and a number of WHO collaborating centres.
Starting from 4 July 2011, WHO/Europe will be issuing these updates as required, and not daily.
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