ドイツなどの病原性大腸菌(EHEC)や溶血性尿毒症(HUS)の感染状況:2011年07月18日月曜日10:00現在

ドイツなどの病原性大腸菌(EHEC)や溶血性尿毒症(HUS)の感染状況:2011年07月18日月曜日10:00現在
2011年07月19日火曜日08:30発表、2011年07月18日月曜日現在の事実·情報による
Robert Koch Institute in Germany
http://www.rki.de
> EHEC-Infektionen
Epidemiologie
> · Aktuelle Informationen zum EHEC/HUS-Ausbruchsgeschehen (PDF, 25KB)
http://www.rki.de/cln_110/nn_205760/DE/Home/Info-HUS,templateId=raw,property=publicationFile.pdf/Info-HUS.pdf
ドイツでは、病原性大腸菌(EHEC)感染確認患者は、3'485人で、感染死者は 17人で、溶血性尿毒症症候群(HUS)感染確認患者は、859人で、感染確認死者は 32人で、合計すると、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、4'344人で、感染確認死者は 49人(+3人=51人?)になる。報告漏れがあるので、ドイツでの病原性大腸菌(EHEC)の実際の感染患者数は、4'800ー4'900人くらいにはなるだろう。

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、4'472+?人で、感染死者は、53人になる。報告漏れがあるので、実際の感染患者数は、4'900人ー5'000人くらい?にはなるだろう。2011年07月06日水曜日10:00CET現在。[1][1] [1] World Health Organization regional Office for EuropeInternational Health Regulations Outbreaks of E.coli O 104:H4 infection :07-07-2011http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/outbreaks-of-e.-coli-o104h4-infectionNews > Outbreaks of E.coli O 104:H4 infection : update 2907-07-2011http://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-29
Outbreaks of E. coli O104:H4 infection: update 29
07-07-2011On 5 July, the European Food Safety Authority (EFSA) issued the report from the Task Force established to coordinate investigations to track down the possible source of the French and German outbreaks of E. coli O104:H4. Details of the task force report and its conclusions can be found on the EFSA website.
Outbreak of E. coli O104:H4 infection in Germany, France and SwedenIn Germany, the daily numbers of reported haemolytic uraemic syndrome (HUS)/enterohaemorrhagic Escherichia coli (EHEC) cases have steadily decreased since they peaked on 22 May. Nevertheless, the cumulative numbers of cases from Germany have continued to rise, primarily owing to delays in notification. However, from 7 July onwards, the EHEC (STEC) cases reported by Germany will only include the cases that meet the clinical criteria in accordance with European Union (EU) case definitions. This explains the reduction in the number of EHEC (STEC) cases reported by Germany compared to the previous WHO update of 1 July.The last reported date of illness onset in a patient with confirmed E. coli O104:H4 was 26 June. The last reported date of illness onset among all cases (also without E. coli O104:H4 confirmation) was 29 June.No more cases of E. coli O104:H4 infection have been reported from France or Sweden since the previous WHO update of 1 July. In France, one HUS case has been disregarded since the previous WHO update, as the infection was caused by another E. coli serotype.
Global situation of E. coli O104:H4 infectionsThe table below shows the total number of globally reported (as of 06 July) cases of and deaths from E. coli (EAggEC VTEC) O104:H4 infection since the beginning of the outbreak in Germany on 1 May 2011. In total, 16 countries in Europe and North America have reported 3941 cases of E. coli O104:H4 infection, including 52 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
7
0
10
0
Germany
859
34
2945*
16
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
909
36
3032
16* Only includes cases that meet the EU case definition (as of 7 July 2011 onwards).
NoteEHEC 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.