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Shiga Toxin-Producing Escherichia coli O157, England and Wales, 1983-2012.
- Source :
- Emerging Infectious Diseases; Apr2016, Vol. 22 Issue 4, p590-597, 8p, 3 Graphs
- Publication Year :
- 2016
-
Abstract
- We evaluated clinical Shiga toxin-producing Escherichia coli O157 infections in England and Wales during 1983-2012 to describe changes in microbiological and surveillance methods. A strain replacement event was captured; phage type (PT) 2 decreased to account for just 3% of cases by 2012, whereas PT8 and PT21/28 strains concurrently emerged, constituting almost two thirds of cases by 2012. Despite interventions to control and reduce transmission, incidence remained constant. However, sources of infection changed over time; outbreaks caused by contaminated meat and milk declined, suggesting that interventions aimed at reducing meat cross-contamination were effective. Petting farm and school and nursery outbreaks increased, suggesting the emergence of other modes of transmission and potentially contributing to the sustained incidence over time. Studies assessing interventions and consideration of policies and guidance should be undertaken to reduce Shiga toxin-producing E. coli O157 infections in England and Wales in line with the latest epidemiologic findings. [ABSTRACT FROM AUTHOR]
- Subjects :
- ESCHERICHIA coli O157:H7
COMMUNICABLE diseases
EPIDEMIC research
PUBLIC health surveillance
EPIDEMIOLOGICAL research
FOODBORNE diseases
ESCHERICHIA coli physiology
MICROBIOLOGY
FECES
MEAT microbiology
MILK microbiology
CLASSIFICATION of viruses
METABOLISM
ANIMAL experimentation
BACTERIAL toxins
PREVENTION of communicable diseases
COMPARATIVE studies
EPIDEMICS
EPIDEMIOLOGY
ESCHERICHIA coli
ESCHERICHIA coli diseases
GENETIC techniques
RESEARCH methodology
MEDICAL cooperation
RESEARCH
VIRUSES
EVALUATION research
DISEASE incidence
INFECTIOUS disease transmission
Subjects
Details
- Language :
- English
- ISSN :
- 10806040
- Volume :
- 22
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Emerging Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 113999146
- Full Text :
- https://doi.org/10.3201/eid2204.151485