ドイツの病原性大腸菌(EHEC)と溶血性尿毒症症候群(HUS)について
ドイツ連邦(国立)疫病研究所
Robert Koch Institute
http://www.rki.de/
Information for EHEC / HUS outbreak events
published 07.01.2011, 09:00
data as 30.06.2011 10:00
2011年07月01日月曜日09:00発表の2011年06月30日木曜日10:00(CET)現在の事実情報によると、ドイツの病原性大腸菌(EHEC)感染患者と、溶血性尿毒症症候群(HUS)の感染確認患者は、3'999人で、48人の感染患者が、感染死亡した。
フランス保健相によると、フランスのBOEDEAUの南で、病原性大腸菌(EHEC)O104:H4による感染が発生し、8人の溶血性尿毒症症候群(HUS)の感染患者と、8人の出血性下痢(病原性大腸菌(EHEC)感染?)の感染患者がでた。これは、ドイツで2011年の05月に発生している病原性大腸菌と同一で、種や豆の新芽(モヤシなど)を食べたことが原因です。だから、欧州食糧安全当局は、種や豆の新芽(モヤシなど)を食べないように勧告している。
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、4'073+48=4'121人で、感染死者は、50人になる。2011年06月30日木曜日10:00CET現在。[1]
http://www.rki.de/cln_109/nn_205760/DE/Home/Info-HUS.html
English translation by Giigle
http://translate.google.es/translate?js=n&prev=_t&hl=es&ie=UTF-8&layout=2&eotf=1&sl=de&tl=en&u=rki.de
World Health Organization (WHO): EHEC outbreak in Germany
http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/outbreaks-of-e.-coli-o104h4-infection
Outbreak of E.coli O 104:H4 infection
Latest updates
> Outbreaks of E.coli O 104:H4 infection : WHO / Europe gives public health advice (01-07-2011)
Until the investigations into the outbreaks of E.coli O104:H4 infection have been completed, WHO advises consumers in the WHO European Region that bean sprouts or sprouted seeds – whether commercially or home grown – should only be eaten when they have been thoroughly cooked. E. coli bacteria are killed at a cooking temperature of 70 °C.
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-whoeurope-gives-public-health-advice
There is an outbreak of Escherichia coli O104:H4 infection in France, south of Bordeaux, where 8 cases of haemolytic uraemic syndrome (HUS) and 8 cases of bloody diarrhoea have been reported. This rare infection is caused by the same serotype, and probably the same strain, as seen in the recent and severe outbreak in Germany, which started in May. The consumption of sprouted seeds and beans has been implicated in both outbreaks. Epidemiological, microbiological and trace-back investigations are continuing, to identify the origin of the contamination responsible for these outbreaks. The European Food Safety Authority has set up a task force – with participation by the European Commission, the European Centre for Disease Prevention and Control, WHO and Member States – to coordinate and advance investigations to track down the primary source of contamination.
Institut de Veille Sanitarie in France
http://www.invs.sante.fr/
Actualites
>> 30/06/2011 Cas groupes d'infections a Escherichia coli entero-hemorragique (EHEC) en Gironde
Point au 30 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-30-juin-2011
News Published on 30/06/2011
Clustered cases of Escherichia coli enterohemorrhagic (EHEC) in the Gironde - Point to June 30, 2011 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 order to identify the source of this episode of clustered cases.
June 30, 8 cases of HUS and eight cases of bloody diarrhea have been identified since June 22
Of these 16 cases of HUS or bloody diarrhea, 11 participated in a June 8 Open House Leisure Centre in Early Childhood (CLPE) in Bordeaux,. These 11 people are 7 women and 4 men aged 31 to 64. Ten of them reported having eaten sprouts during the day. To a person, information on the consumption of sprouted seeds is not available at this time. These 11 people began their symptoms between 15 and on 20/06.
Infection with EHEC O104: H4 was confirmed for six patients with HUS. The microbiological diagnosis of other cases is pending. Strains of E. coli O104: H4 isolated from three patients were compared by molecular typing, by the CNR and the laboratory E. coli associated with strains isolated from patients linked to the epidemic of infections due to EHEC sprouted seeds occurred in Germany in May and June 2011. This comparison showed that the strains isolated from French patients were indistinguishable between them and the strains isolated from patients in Germany. This suggests that these two events are related to a common source.
A cohort study of all persons who attended the open house began June 29 to document this episode of epidemiologically and clinically.
A survey of traceability is underway to determine the origin of seeds (mustard, fenugreek or rocket) consumed during the open house. Samples of seeds for sprouting are being microbiological analysis.
Given the results of epidemiological surveys, the Directorate General for Competition, Consumer Affairs and Fraud Control (DGCCRF) and the Directorate General for Health (DGS) recommend, as a preventive, not eat sprouts floods. Only the high temperature cooking can kill bacteria such as E. Coli O104: H4. In addition, the DGS and the DGCCRF recommended to clean after use utensils used for the germination of seeds or food preparation and always wash hands after handling seeds.
An assessment of risk associated with clustered cases of EHEC infection in Bordeaux was released on 29/06 at the sites of the EFSA and ECDC (http://www.ecdc.europa.eu/en/publications / Publications/2011June29_RA_JOINT_EFSA_STEC_France.pdf)
This episode has no connection with clustered cases of E Coli O157 infections occurred in June in the North and linked to the consumption of a lot of burgers brand "Country Steaks" distributed by Lidl's stores . Press presseContamination E. Coli in Bordeaux: French health authorities recommend that consumers not eat raw sprouts
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