Multi-Province Listeriosis Outbreak Linked to Contaminated Deli Meat Consumed Primarily in Institutional Settings, Canada, 2008

被引:57
作者
Currie, Andrea [1 ]
Farber, Jeffrey M. [2 ]
Nadon, Celine [3 ]
Sharma, Davendra [4 ]
Whitfield, Yvonne [5 ]
Gaulin, Colette [6 ]
Galanis, Eleni [7 ]
Bekal, Sadjia [8 ]
Flint, James [1 ]
Tschetter, Lorelee [3 ]
Pagotto, Franco [2 ]
Lee, Brenda [5 ]
Jamieson, Fred [4 ]
Badiani, Tina [5 ]
MacDonald, Diane [1 ]
Ellis, Andrea [1 ]
May-Hadford, Jennifer [9 ]
McCormick, Rachel [9 ]
Savelli, Carmen [1 ]
Middleton, Dean [5 ]
Allen, Vanessa [10 ]
Tremblay, Francois-William [9 ]
MacDougall, Laura [7 ]
Hoang, Linda [11 ]
Shyng, Sion [12 ]
Everett, Doug [13 ]
Chui, Linda [14 ]
Louie, Marie [14 ]
Bangura, Helen [15 ]
Levett, Paul N. [16 ]
Wilkinson, Krista [17 ]
Wylie, John [18 ]
Reid, Janet [19 ]
Major, Brian [4 ]
Engel, Dave [4 ]
Douey, Donna [4 ]
Huszczynski, George [4 ]
Di Lecci, Joe [4 ]
Strazds, Judy [4 ]
Rousseau, Josee [4 ]
Ma, Kenneth [4 ]
Isaac, Leah [4 ]
Sierpinska, Urszula [4 ]
机构
[1] Publ Hlth Agcy Canada, Ctr Foodborne Environm & Zoonot Infect Dis, Guelph, ON N1G 5B2, Canada
[2] Hlth Canada, Bur Microbial Hazards, Ottawa, ON K1A 0L2, Canada
[3] Publ Hlth Agcy Canada, Natl Microbiol Lab, Winnipeg, MB, Canada
[4] Canadian Food Inspect Agcy, Ottawa, ON, Canada
[5] Ontario Minist Hlth & Long Term Care, Publ Hlth Div, Toronto, ON, Canada
[6] Minist Sante & Serv Sociaux Quebec, Quebec City, PQ, Canada
[7] British Columbia Ctr Dis Control, Communicable Dis Prevent & Control Serv, Vancouver, BC, Canada
[8] Lab Sante Publ Quebec, Ste Anne De Bellevue, PQ, Canada
[9] Publ Hlth Agcy Canada, Canadian Field Epidemiol Program, Ottawa, ON, Canada
[10] Ontario Minist Hlth & Long Term Care, Prov Publ Hlth Lab, Toronto, ON, Canada
[11] British Columbia Ctr Dis Control, British Columbia Publ Hlth Microbiol & Reference, Vancouver, BC, Canada
[12] British Columbia Ctr Dis Control, Environm Hlth Serv, Vancouver, BC, Canada
[13] Alberta Hlth, Edmonton, AB, Canada
[14] Prov Lab Publ Hlth, Edmonton, AB, Canada
[15] Saskatchewan Minist Hlth, Regina, SK, Canada
[16] Saskatchewan Dis Control Lab, Regina, SK, Canada
[17] Manitoba Hlth Hlth Living & Seniors, Winnipeg, MB, Canada
[18] Manitoba Hlth, Cadham Prov Lab, Winnipeg, MB, Canada
[19] New Brunswick Enter Reference Lab, St John, NB, Canada
关键词
MONOCYTOGENES INFECTION; INCUBATION PERIOD; FOODBORNE ILLNESS; UNITED-STATES; SURVEILLANCE; PATHOGENS;
D O I
10.1089/fpd.2015.1939
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
A multi-province outbreak of listeriosis occurred in Canada from June to November 2008. Fifty-seven persons were infected with 1 of 3 similar outbreak strains defined by pulsed-field gel electrophoresis, and 24 (42%) individuals died. Forty-one (72%) of 57 individuals were residents of long-term care facilities or hospital inpatients during their exposure period. Descriptive epidemiology, product traceback, and detection of the outbreak strains of Listeria monocytogenes in food samples and the plant environment confirmed delicatessen meat manufactured by one establishment and purchased primarily by institutions was the source of the outbreak. The food safety investigation identified a plant environment conducive to the introduction and proliferation of L. monocytogenes and persistently contaminated with Listeria spp. This outbreak demonstrated the need for improved listeriosis surveillance, strict control of L. monocytogenes in establishments producing ready-to-eat foods, and advice to vulnerable populations and institutions serving these populations regarding which high-risk foods to avoid.
引用
收藏
页码:645 / 652
页数:8
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