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- Title
Shiga Toxin-Producing Escherichia coli O157, England and Wales, 1983-2012.
- Authors
Adams, Natalie L.; Byrne, Lisa; Smith, Geraldine A.; Elson, Richard; Harris, John P.; Salmon, Roland; Smith, Robert; O'Brien, Sarah J.; Adak, Goutam K.; Jenkins, Claire
- 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.
- Subjects
UNITED Kingdom; WALES; ENGLAND; 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
- Publication
Emerging Infectious Diseases, 2016, Vol 22, Issue 4, p590
- ISSN
1080-6040
- Publication type
journal article
- DOI
10.3201/eid2204.151485