Published Date: 2006-05-12 00:00:00
Subject: PRO/AH> E. coli O157, day care - UK (Scotland)(02): background
Archive Number: 20060512.1356
E. COLI O157, DAY CARE - UK (SCOTLAND) (02): BACKGROUND
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Fri, 12 May 2006
From: Steve Berger <email@example.com>
Source: Gideon Online [edited]
Chronology of _E. coli_ O157 outbreaks in Scotland.
1990 - An outbreak (16 cases, 4 HUS) of _E. coli_ O157 infection was
associated with a restaurant in Lothian.
1992 - An outbreak (6 cases, 1 HUS) of _E. coli_ O157 infection was
associated with a paddling pool.
1994 - An outbreak (22 cases) of _E. coli_ O157 infection involved 6
1996 - An outbreak (512 confirmed cases, 151 hospitalized; 34 HUS or
TTP; 22 fatal) was traced to meat from a local butcher. 75 percent
of the cases were reported from Lanarkshire. During this period, 87
suspected or confirmed cases were also registered in Forth Valley,
Greater Glasgow and Lothian.
1996 (publication year) - An outbreak (711 cases) of _Campylobacter_
and _E. coli_ O157 infections in Fife was caused by contaminated
1997 - An outbreak (37 cases) at Falkirk and District Royal Infirmary
was caused by _E. coli_ O157 phage type 8.
1999 - An outbreak (8 cases) at a primary school in Aberdeenshire was
ascribed to unpasteurized goat cheese.
1999 - An outbreak (30 cases, 1 with HUS) at a school in the Grampian
region was ascribed to goat cheese.
1999 - An outbreak (6 cases) in Wester Ross (western coast) was
traced to contaminated water.
2000 - An outbreak (40 clinical cases, 2 confirmed) of _E. coli_ O157
infection was reported at a scout camp.
2001 - An outbreak (30 cases, 2 HUS, 0 fatal) of _E. coli_ O157 phage
type 1/28 infection in Lancashire was ascribed to cross-contamination
on a butcher shop counter.
2002 - An outbreak (5 cases) of _E. coli_ O157 infection was reported
among members of a family in Aberdeenshire.
2002 - An outbreak (15 cases) of _E. coli_ O157 infection was
reported among Highland campers.
2005 - An outbreak (10 confirmed, 5 suspected cases) was reported
among Scottish tourists returning from resorts on Turkey.
_E. coli_ O157 infection accounts for over 90 percent of
hemolytic-uremic syndrome (HUS) cases in Scotland.
45 cases (7 fatal) of HUS were reported during 2003 to 2004 -
including 43 cases related to _E. coli_ infection.
Dr. Steve Berger
Tel Aviv Medical Center
[ProMED thanks Dr. Steve Berger for this information. - Mod.LL]
Date: Fri 12 May 2006
From: Pablo Nart <firstname.lastname@example.org>
Source: The Scotsman [edited]
Last night 6 more children and an adult were feared to have
contracted _E. coli_ as the outbreak of the deadly bug linked to a
Fife nursery intensified. The total number of clinically confirmed
and suspected cases has now reached 13. At Glasgow's Yorkhill
Hospital, 4 children are being given specialist treatment for kidney
failure, while another child showing what could be early signs of _E
coli_ O157 infection was being cared for at Victoria Hospital in
Kirkcaldy. The other 8 suspected cases were all being allowed to
remain at home under observation.
Health officials said the source of the outbreak had still not been
traced, but added that it appeared likely that contact with an
infected person was the reason -- rather than contaminated food or
water at the Careshare nursery at Lauder College in Dunfermline.
Dr Jackie Hyland, a consultant in public health medicine for NHS
Fife, said "According to evidence and information so far, the source
of the infection does not appear to be food- or water-related." Dr
Hyland said the families of the children involved had asked for no
further information to be released and for their privacy to be
respected "at this difficult, stressful time".
The man in charge of the day-to-day running of the nursery, Jonathan
Bell, the operations director at Careshare, said they were informed
of the suspected _E. coli_ infection in one child who attended the
nursery last Fri, 5 May 2006. The nursery was shut voluntarily by
Careshare on Tue, 9 May 2006 when news emerged of the suspected bug
in 3 toddlers.