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SALMONELLOSIS, SEROTYPE TYPHIMURIUM U292 - DENMARK (03): BACKGROUND
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A ProMED-mail post
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International Society for Infectious Diseases
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Date: Fri 11 Jul 2008
Source: GideonOnline [edited]
<http://www.gideononline.com/blog/2008/07/10/salmonellosis-in-denmark/>.
An ongoing outbreak in Denmark belies the fact that salmonellosis
rates in Scandinavia have remained fairly constant during the past
decade. [The following background information has been abstracted
from GideonOnline. - Mod.LL]
Salmonellosis accounts for 5 percent of diarrhea episodes in children
below age 5 years (2005 publication).
Salmonellosis was the most common bacterial zoonosis in Denmark prior
to 1998; since that year, it has ranked 2nd (to campylobacteriosis).
During the past 25 years, _S._ Enteritidis infection has been more
common than _S._ Typhimurium infection.
Eggs accounted for over 50 percent of human salmonellosis cases in
1997; approximately 35 percent in 1998.
A total of 59 fatal cases of _S._ Typhimurium infection were reported
during 1995 to 1999.
Multiresistant strains of _S._ Typhimurium accounted for 25 percent
of isolates in 1999; 10 percent in 2000; 14 percent in 2001.
- During December 1996 to March 1999, 31 domestic animal herds were
found infected with multiresistant _S._ Typhimurium DT104.
- There is evidence for transmission of _S._ Typhimurium DT104 among
cattle and pig herds.
_Salmonella_ accounted for 38 percent of food-related outbreaks
reported during 1990 to 1992; 28 percent during 1993 to 1998.
- _S._ Enteritidis accounted for 13.3 percent of household disease
outbreaks during 1991 to 2001, and _S._ Typhimurium for 5.6 percent.
Notable outbreaks
-----------------
1993 - An outbreak (550 cases, approximate) of _S._ Infantis
infection was ascribed to pork.
1993 - An outbreak (130 cases) of _S._ Saintpaul infection was
ascribed to turkey.
1994 - An outbreak (154 cases) of _S._ Newport infection was ascribed
to alfalfa sprouts.
1996 - An outbreak (170 cases) _S._ Typhimurium infection in Funen
was ascribed to contaminated pork.
1998 - An outbreak (38 cases) of _S._ Manhattan infection was
ascribed to smoked pork loin. The expected incidence of this species
was 0 to 3 cases per year.
1998 - An outbreak (25 cases, 2 fatal) of multi-resistant _S._
Typhimurium DT104 infection was traced to fresh pork. A total of 2
infected herds were identified during the outbreak.
1999 - An outbreak (49 cases) of _S._ Paratyphi B infection was
reported among Danish tourists in Turkey.
2000 - An outbreak (9 cases, 1 fatal) of multi-resistant _S._
Typhimurium U302 infection was reported.
2001 - An outbreak (127 cases) of _S._ Bovismorbificans infection was
reported nationwide.
2001 - An outbreak (16 cases in Denmark) of _S._ Oranienburg due to
contaminated German chocolate affected several European countries.
2001 - An outbreak of _S._ Schwarzenground infections in Denmark and
the USA was traced to contaminated chickens in Thailand.
2002 - An outbreak (81 cases) of multi-resistant _S._ Typhimurium
infection was ascribed to contaminated turkey.
2003 - An outbreak (112 cases) of _S._ Typhimurium DT108 infection
caused by kebab meat imported from Denmark was reported in Sweden.
2003 - An outbreak (67 confirmed, 390 estimated cases) of _S._
Typhimurium U302 infection was ascribed to fecal contamination of a
buffet at a restaurant in Copenhagen.
2005 - An outbreak (22 cases) of _S._ Typhimurum DT104 infection was
caused by raw beef carpacio imported from Italy.
2005 - An outbreak (178 cases) of _S._ Goldcoast infection in Majorca
affected tourists from Scotland (37), Ireland (6), Sweden (6), Norway
(8), Denmark (3), Germany (20) and Finland (4).
2005 - An outbreak (26 cases) of _S._ Typhimurium infection in Funen
was caused by contaminated pork.
2006 - An outbreak (217 cases) of _S._ Anatum and ETEC infections
among guests at a high school dinner in Copenhagen was caused by
contaminated pesto.
2007 - An outbreak (10 cases) of _S._ Typhimurium infection in
Denmark (6 cases) and Norway (4 cases) was caused by imported Spainish sausage.
2007 - An outbreak (140 cases) of gastroenteritis was ascribed to
contaminated drinking water. Pathogens implicated in the outbreak
included Campylobacter, EPEC, Salmonella, Norovirus, Rotavirus,
Yersinia, Giardia and Blastocystis.
2007 - An outbreak (63 cases) of _S._ Seftenberg infection in England
and Wales (51 cases), Denmark (11) and the Netherlands (2) was
ascribed to contaminated basil imported from Israel.
2007 - An outbreak (45 cases, total) of _S._ Weltevreden infections
in Norway (19 cases), Denmark (19 cases) and Finland (7 cases) was
associated with alfalfa sprouts distributed from Denmark.
2007 - An outbreak (10 cases) of _S._ Enteritidis infection
associated with a family celebration in Copenhagen was ascribed to
contaminated eggs.
2007 - An outbreak (354 cases) of _S._ Paratyphi B variant Java
infection in Netherlands (12 cases), Sweden (172), Norway (25),
Ireland (9), Hungary (3), Finland (9), Denmark (40) and Austria (2)
was ascribed to contaminated baby spinach.
2008 - An outbreak (330 cases confirmed, 4 000 estimated) of _S._
Typhimurium U292 infection was reported.
--
Communicated by:
Dr. Steve Berger
Geographic Medicine
Tel Aviv Medical Center
<mberger@post.tau.ac.il>
[ProMED thanks Steve Berger for his continued contributions to
ProMED. - Mod.LL]
[see also:
Salmonellosis, serotype Typhimurium U292 - Denmark (02) 20080710.2102
Salmonellosis, serotype Typhimurium U292 - Denmark 20080703.2029
Foodborne illness, hotel - Italy (02): (Brescia), salmonellosis 20080626.1974
Salmonellosis, st Enteritidis, child - Estonia: (Harju) 20080613.1874
Salmonellosis, online mapping - Europe 20080118.0228
Salmonellosis, tourists - UK ex Kenya (Coast Province): alert 20080115.0191
2007
----
Salmonellosis, serotype Paratyphi var Java - Europe 20071221.4100
Salmonellosis, serotype Enteritidis, hotel lunch - EU ex Spain 20071019.3415
2005
----
Salmonellosis, serotype Goldcoast, tourists - Multicountry ex Spain
(03) 20051212.3574
Salmonellosis, serotype Goldcoast, tourists - Multicountry ex
Spain 20051028.3142
2001
----
Salmonellosis, tourists - Norway ex Greece 20010927.2365]
....................ll/ejp/dk
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