PHE Gastrointestinal Infections Data · PHE Gastrointestinal Infections Data Summary of eFOSS data,...
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PHE Gastrointestinal Infections Data Summary of eFOSS data, 2013 eFOSS_V. 2014.01 GEZI Page 1 of 12 Updated 22 April 2015 Contents Summary Outbreaks of foodborne diseases reported by year, 2004 - 2013 Outbreaks of foodborne diseases reported by setting, 2004 - 2013 Outbreaks of foodborne diseases reported by season, 2004 - 2013 Implicating food vehicles and supporting evidence, 2013 Contributory factors of outbreaks of foodborne diseases, 2013 Outbreaks of non-foodborne diseases reported by year, 2004 - 2013 Mode of transmission of non-foodborne outbreaks, 2013 Outbreaks of non-foodborne diseases reported by setting, 2004 – 2013 Outbreaks of non-foodborne diseases reported by season, 2004 - 2013 Contributory factors of outbreaks of non-foodborne diseases, 2013 Appendices Outbreak reports by year 1992-2013 Summary [Top] Foodborne and non-foodborne outbreaks are incidences of two or more human cases of the same disease or infection where the cases are linked or are probably linked to the same source. Situation, in which the observed human cases exceed the expected number of cases and where a same source is suspected, is also indicative of an outbreak. Types of general gastrointestinal outbreaks included in eFOSS: o Foodborne outbreaks inclusive of potable water (Directive 2003/99/EC, Regulation (EC) No. 178/2002) o Non-foodborne outbreaks associated with recreational water, other/outdoor events (environmental exposure e.g. mud), and animal contact o Person to person outbreaks caused by verocytotoxin-producing Escherichia coli (VTEC) This data include all outbreaks reported to Public Health England, Centre for Infectious Disease Surveillance and Control, England and Wales 2004 – 2013
Transcript of PHE Gastrointestinal Infections Data · PHE Gastrointestinal Infections Data Summary of eFOSS data,...
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 1 of 12 Updated 22 April 2015
Contents
Summary
Outbreaks of foodborne diseases reported by year, 2004 - 2013
Outbreaks of foodborne diseases reported by setting, 2004 - 2013
Outbreaks of foodborne diseases reported by season, 2004 - 2013
Implicating food vehicles and supporting evidence, 2013
Contributory factors of outbreaks of foodborne diseases, 2013
Outbreaks of non-foodborne diseases reported by year, 2004 - 2013
Mode of transmission of non-foodborne outbreaks, 2013
Outbreaks of non-foodborne diseases reported by setting, 2004 – 2013
Outbreaks of non-foodborne diseases reported by season, 2004 - 2013
Contributory factors of outbreaks of non-foodborne diseases, 2013
Appendices
Outbreak reports by year 1992-2013
Summary [Top]
Foodborne and non-foodborne outbreaks are incidences of two or more human cases of the same disease or infection where the cases are linked or are probably linked to the same source. Situation, in which the observed human cases exceed the expected number of cases and where a same source is suspected, is also indicative of an outbreak.
Types of general gastrointestinal outbreaks included in eFOSS:
o Foodborne outbreaks inclusive of potable water (Directive 2003/99/EC,
Regulation (EC) No. 178/2002)
o Non-foodborne outbreaks associated with recreational water, other/outdoor
events (environmental exposure e.g. mud), and animal contact
o Person to person outbreaks caused by verocytotoxin-producing Escherichia coli
(VTEC)
This data include all outbreaks reported to Public Health England, Centre for Infectious Disease Surveillance and Control, England and Wales 2004 – 2013
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 2 of 12 Updated 22 April 2015
Outbreaks of foodborne diseases reported by year, 2004 - 2013 [Top]
Year No of outbreaks
2004 70
2005 87
2006 73
2007 52
2008 41
2009 91
2010 63
2011 83
2012 55
2013* 79
*2013 data remain provisional
*Other includes: Listeria monocytogenes, DSP, Hep A, Scombrotoxin, Shigella sp., Staphylococcus Aureus and
Giardia Lamblia
Full annual data 1992 – 2013 available in Appendices
Source: PHE eFOSS Dataset.
0
10
20
30
40
50
60
70
80
90
100
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013*
No
of
ou
tbre
aks
Year
SALMONELLA SPP. NOROVIRUS CAMPYLOBACTER SPP.
CLOSTRIDIUM PERFRINGENS VTEC O157 BACILLUS SPP.
CRYPTOSPORIDIUM SPP. OTHER* NOT KNOWN
PHE Gastrointestinal Infections Data
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Outbreaks of foodborne diseases reported by setting, 2004 – 2013 [Top]
Year Food services
Institutional/Residential Other Retail
2004 44 20 3 3
2005 58 13 11 5
2006 45 19 7 2
2007 35 7 5 5
2008 23 9 6 3
2009 70 12 3 6
2010 52 6 5
2011 65 11 4 3
2012 39 4 8 4
2013* 44 12 19 4
*2013 data remain provisional
Source: PHE eFOSS Dataset.
0
50
100
150
200
250
SALMONELLA SPP. NOROVIRUS CAMPYLOBACTERSPP.
CLOSTRIDIUMPERFRINGENS
VTEC O157
No
of
ou
tbre
aks
Pathogen
FOOD SERVICE INSTITUTIONAL | RESIDENTIAL OTHER FOODBORNE SETTING RETAIL
PHE Gastrointestinal Infections Data
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Outbreaks of foodborne diseases reported by season, 2004 – 2013 [Top]
Month of outbreak Number of outbreak
Jan 39
Feb 50
Mar 45
Apr 44
May 50
Jun 78
Jul 89
Aug 71
Sep 83
Oct 47
Nov 46
Dec 52
Source: PHE eFOSS Dataset.
0
10
20
30
40
50
60
70
80
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
No
of
ou
tbre
aks
Month of outbreak
Salmonella Norovirus CampylobacterClostridium Perfringens VTEC O157 Bacillus SppCryptosporidium
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 5 of 12 Updated 22 April 2015
Implicating food vehicles and supporting evidence of foodborne outbreak, 2013 [Top]
Source: PHE eFOSS Dataset.
0 5 10 15 20 25
Poultry meat
Red meat
Crustecea&shellfish
Composite/mixed foods
Vegetables&fruits
Condiments&sauces
Milk&dairy products
Potable water
Rice
Other foods
Number of outbreaks
Fo
od
veh
icle
SALMONELLA SPP. CAMPYLOBACTER SPP. NOROVIRUS
CLOSTRIDIUM PERFRINGENS VTEC O157 CRYPTOSPORIDIUM SPP.
OTHER
Implicating food vehicle No of outbreaks
Poultry meat 25
Red meat 18
Crustacea + shellfish 13
Composite/mixed foods 4
Vegetables + fruit 2
Condiments + sauces 1
Milk + dairy products 1
Potable water 1
Rice 1
Other foods 2
Not known 11
Evidence No of outbreaks
Descriptive alone 37
Analytic alone (case-control or cohort study) 15
Microbiological alone 7
Microbiological and analytical 5
Microbiological and descriptive 4
Analytical and descriptive 3
Microbiological, analytical and descriptive 3
None 5
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 6 of 12 Updated 22 April 2015
Contributory factors of outbreaks of foodborne diseases, 2013 [Top]
Contributory factors* No of outbreaks
Inadequate heat treatment 26
Cross contamination 12
Unprocessed contaminated ingredient 11
Infected food handler 7
Inadequate chilling 6
Storage too long/too warm 6
Poor personal hygiene 4
Poor hand washing facilities 3
Other factors 10
*More than one contributory factor can be reported per outbreak
Source: PHE eFOSS Dataset.
Inadequate heat treatment
31%
Cross contamination 14%
Unprocessed contaminated
ingredient 13%
Other factors 12%
Inadequate chilling 7%
Storage too long/too warm
7%
Poor personal hygiene 5%
Poor handwashing facilities
3%
Infected food handler 8%
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 7 of 12 Updated 22 April 2015
Outbreaks of non-foodborne diseases reported by year, 2004 - 2013 [Top]
Year No of outbreaks
2004 17
2005 10
2006 23
2007 12
2008 13
2009 22
2010 19
2011 23
2012 29
2013* 26
*2013 data remain provisional
*Other includes: Norovirus, Salmonella spp. and Giardia Lamblia
Full annual data 1992 – 2013 available in Appendices
Source: PHE eFOSS Dataset.
0
5
10
15
20
25
30
35
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013*
Nu
mb
er
of
ou
tbre
aks
Specimen Year
CRYPTOSPORIDIUM SPP. VTEC O157 CAMPYLOBACTER SPP. OTHER*
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 8 of 12 Updated 22 April 2015
Mode of transmission of non-foodborne outbreaks, 2013 [Top]
MODE OF TRANSMISSION NUMBER OF OUTBREAKS
Animal contact 12
Water (recreational) 7
Other | outdoor events 6
Person to person (VTEC only) 1
Source: PHE eFOSS Dataset.
0
2
4
6
8
10
12
14
ANIMAL CONTACT OTHER | OUTDOOREVENTS
PERSON TOPERSON (VTEC
ONLY)
WATER(RECREATIONAL)
Nu
mb
er
of
ou
tbre
aks
CRYPTOSPORIDIUM SPP. VTEC O157 OTHER
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Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 9 of 12 Updated 22 April 2015
Outbreaks of non-foodborne diseases reported by setting, 2004 – 2013 [Top]
Year School Swimming + similar pools
Open farms + zoos
Other Recreational event
Commercial farm
Institutional | residential
Coastal + freshwater
2004 1 7 3 3 1 1 0 1
2005 2 3 3 1 0 0 1 0
2006 3 15 2 2 0 0 1 0
2007 4 3 3 1 0 1 0 0
2008 4 3 3 1 1 0 1 0
2009 2 7 8 3 0 2 0 0
2010 4 4 7 2 1 0 0 1
2011 7 3 7 4 1 1 0 0
2012 5 9 5 4 4 1 1 0
2013* 3 6 9 3 2 2 0 1
*2013 data remain provisional
Source: PHE eFOSS Dataset.
0
20
40
60
80
100
120
VTEC O157 CRYPTOSPORIDIUMSPP.
CAMPYLOBACTERSPP.
OTHER
Nu
mb
er
of
ou
tbre
aks
Coastal&Fresh water Commercial farm Institutional/ Residential
Open farms & Zoos Other Recreational Events
School Swimming & Similar pools
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 10 of 12 Updated 22 April 2015
Outbreaks of non-foodborne diseases reported by season, 2004 - 2013 [Top]
Month of outbreak Number of outbreaks reported
January 5
February 8
March 20
April 28
May 20
June 20
July 19
August 26
September 18
October 16
November 8
December 6
Source: PHE eFOSS Dataset.
0
5
10
15
20
25
30
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Nu
mb
er
of
ou
tbre
aks
CRYPTOSPORIDIUM SPP. VTEC O157 CAMPYLOBACTER SPP. OTHER
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eFOSS_V. 2014.01 GEZI Page 11 of 12 Updated 22 April 2015
Contributory factors of outbreaks of non-foodborne diseases, 2013 [Top]
Contributory factor* Number of outbreaks
Contact with animals/faeces 11
Poor hand washing facilities 7
Poor personal hygiene 5
Water system failure 4
Agricultural pollution/sewage 1
*More than one contributory factor can be reported per outbreak
Source: PHE eFOSS Dataset.
Contact with animals/faeces
34%
Poor handwashing facilities
21%
Poor personal hygiene 15%
Water system failure 12%
Agricultural pollution/sewage
3%
Other factors 15%
PHE Gastrointestinal Infections Data
Summary of eFOSS data, 2013
eFOSS_V. 2014.01 GEZI Page 12 of 12 Updated 22 April 2015
APPENDICES
Annual reports of outbreaks of foodborne and non-foodborne diseases 1992- 2013 [Top]
Year Foodborne outbreaks Non-foodborne outbreaks
1992 238 2
1993 249 4
1994 245 9
1995 236 6
1996 209 2
1997 254 12
1998 151 13
1999 123 13
2000 125 22
2001 105 15
2002 89 9
2003 83 13
2004 70 17
2005 87 10
2006 73 23
2007 52 12
2008 41 13
2009 91 22
2010 63 19
2011 83 23
2012 55 29
2013* 79 26
*2013 data remain provisional
Source: PHE eFOSS Dataset.
