Severe Outbreak of Sorbitol‐Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012
Summary Shiga toxin‐producing, sorbitol‐fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but w...
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| Veröffentlicht in: | Zoonoses and public health 2017-09, Vol.64 (6), p.468-475 |
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| creator | Jaakkonen, A. Salmenlinna, S. Rimhanen‐Finne, R. Lundström, H. Heinikainen, S. Hakkinen, M. Hallanvuo, S. |
| description | Summary
Shiga toxin‐producing, sorbitol‐fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but with limited supporting evidence. This study describes the outbreak of SF O157 that occurred in Finland in 2012. The outbreak originated from a recreational farm selling unpasteurized milk, as revealed by epidemiologic and microbiological investigations, and involved six hospitalized children and two asymptomatic adults with culture‐confirmed infection. An identical strain of SF O157 was isolated from patients, cattle and the farm environment, and epidemiologic analysis suggested unpasteurized milk as the vehicle of transmission. This study reports the first milkborne outbreak of SF O157, provides supporting evidence of cattle as a reservoir and highlights the health risks related to the consumption of unpasteurized milk. |
| doi_str_mv | 10.1111/zph.12327 |
| format | Article |
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Shiga toxin‐producing, sorbitol‐fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but with limited supporting evidence. This study describes the outbreak of SF O157 that occurred in Finland in 2012. The outbreak originated from a recreational farm selling unpasteurized milk, as revealed by epidemiologic and microbiological investigations, and involved six hospitalized children and two asymptomatic adults with culture‐confirmed infection. An identical strain of SF O157 was isolated from patients, cattle and the farm environment, and epidemiologic analysis suggested unpasteurized milk as the vehicle of transmission. This study reports the first milkborne outbreak of SF O157, provides supporting evidence of cattle as a reservoir and highlights the health risks related to the consumption of unpasteurized milk.</description><identifier>ISSN: 1863-1959</identifier><identifier>EISSN: 1863-2378</identifier><identifier>DOI: 10.1111/zph.12327</identifier><identifier>PMID: 28045227</identifier><language>eng</language><publisher>Germany: Blackwell Publishing Ltd</publisher><subject>Adults ; Animals ; Cattle ; Cattle Diseases - epidemiology ; Cattle Diseases - microbiology ; Children ; Dairy cattle ; Disease Outbreaks ; Disease Reservoirs ; Disease transmission ; E coli ; Environmental Exposure ; Environmental Microbiology ; Epidemiology ; Escherichia coli ; Escherichia coli Infections - epidemiology ; Escherichia coli Infections - microbiology ; Escherichia coli Infections - transmission ; Escherichia coli Infections - veterinary ; Escherichia coli O157 - classification ; Escherichia coli O157 - isolation & purification ; Fermentation ; Finland - epidemiology ; Food Microbiology ; Foodborne diseases ; Health risks ; Humans ; Infections ; Milk ; Milk - microbiology ; O157 ; outbreak ; Outbreaks ; Pasteurization ; Risk factors ; Shiga toxin ; Shiga toxin‐producing Escherichia coli ; Sorbitol ; sorbitol‐fermenting ; Zoonoses</subject><ispartof>Zoonoses and public health, 2017-09, Vol.64 (6), p.468-475</ispartof><rights>2017 The Authors. Published by Blackwell Verlag GmbH</rights><rights>2017 The Authors. Zoonoses and Public Health Published by Blackwell Verlag GmbH.</rights><rights>Copyright © 2017 Blackwell Verlag GmbH</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-3c8831037ca8e645ac7002ddb79bafeaad1c09b57e0a3c5a6f82da002589a8153</citedby><cites>FETCH-LOGICAL-c3887-3c8831037ca8e645ac7002ddb79bafeaad1c09b57e0a3c5a6f82da002589a8153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fzph.12327$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fzph.12327$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28045227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaakkonen, A.</creatorcontrib><creatorcontrib>Salmenlinna, S.</creatorcontrib><creatorcontrib>Rimhanen‐Finne, R.</creatorcontrib><creatorcontrib>Lundström, H.</creatorcontrib><creatorcontrib>Heinikainen, S.</creatorcontrib><creatorcontrib>Hakkinen, M.</creatorcontrib><creatorcontrib>Hallanvuo, S.</creatorcontrib><title>Severe Outbreak of Sorbitol‐Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012</title><title>Zoonoses and public health</title><addtitle>Zoonoses Public Health</addtitle><description>Summary
Shiga toxin‐producing, sorbitol‐fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but with limited supporting evidence. This study describes the outbreak of SF O157 that occurred in Finland in 2012. The outbreak originated from a recreational farm selling unpasteurized milk, as revealed by epidemiologic and microbiological investigations, and involved six hospitalized children and two asymptomatic adults with culture‐confirmed infection. An identical strain of SF O157 was isolated from patients, cattle and the farm environment, and epidemiologic analysis suggested unpasteurized milk as the vehicle of transmission. This study reports the first milkborne outbreak of SF O157, provides supporting evidence of cattle as a reservoir and highlights the health risks related to the consumption of unpasteurized milk.</description><subject>Adults</subject><subject>Animals</subject><subject>Cattle</subject><subject>Cattle Diseases - epidemiology</subject><subject>Cattle Diseases - microbiology</subject><subject>Children</subject><subject>Dairy cattle</subject><subject>Disease Outbreaks</subject><subject>Disease Reservoirs</subject><subject>Disease transmission</subject><subject>E coli</subject><subject>Environmental Exposure</subject><subject>Environmental Microbiology</subject><subject>Epidemiology</subject><subject>Escherichia coli</subject><subject>Escherichia coli Infections - epidemiology</subject><subject>Escherichia coli Infections - microbiology</subject><subject>Escherichia coli Infections - transmission</subject><subject>Escherichia coli Infections - veterinary</subject><subject>Escherichia coli O157 - classification</subject><subject>Escherichia coli O157 - isolation & purification</subject><subject>Fermentation</subject><subject>Finland - epidemiology</subject><subject>Food Microbiology</subject><subject>Foodborne diseases</subject><subject>Health risks</subject><subject>Humans</subject><subject>Infections</subject><subject>Milk</subject><subject>Milk - microbiology</subject><subject>O157</subject><subject>outbreak</subject><subject>Outbreaks</subject><subject>Pasteurization</subject><subject>Risk factors</subject><subject>Shiga toxin</subject><subject>Shiga toxin‐producing Escherichia coli</subject><subject>Sorbitol</subject><subject>sorbitol‐fermenting</subject><subject>Zoonoses</subject><issn>1863-1959</issn><issn>1863-2378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kctKAzEUhoMoXqoLX0ACbhSs5mImmaUUawWlgpeFm5DJnLHRudRkRtGVj-Az-iRGW10Ins258PHzc36ENinZp7EOXqeTfco4kwtolaqE9xmXanE-01SkK2gthHtChEiJXEYrTJFDwZhcReESnsADHndt5sE84KbAl43PXNuUH2_vQ_AV1K2r7_BxsBPwzk6cwbYpHR5TIfFT3K7rqQktdN69Qo7PXfmATZ3jofEVvnHBtWEPD11dfh0ZoWwdLRWmDLAx7z10PTy-Goz6Z-OT08HRWd9ypWSfW6U4JVxaoyA5FMZKQlieZzLNTAHG5NSSNBMSiOFWmKRQLDcRESo1igreQzsz3alvHjsIra5csFBGI9B0QVMlBEmS-IyIbv9B75vO19GdpimTXDGl0kjtzijrmxA8FHrqXWX8i6ZEfyWhYxL6O4nIbs0Vu6yC_Jf8eX0EDmbAsyvh5X8lfXsxmkl-AlgckgM</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Jaakkonen, A.</creator><creator>Salmenlinna, S.</creator><creator>Rimhanen‐Finne, R.</creator><creator>Lundström, H.</creator><creator>Heinikainen, S.</creator><creator>Hakkinen, M.</creator><creator>Hallanvuo, S.</creator><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>F1W</scope><scope>H94</scope><scope>H95</scope><scope>K9.</scope><scope>L.G</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Severe Outbreak of Sorbitol‐Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012</title><author>Jaakkonen, A. ; Salmenlinna, S. ; Rimhanen‐Finne, R. ; Lundström, H. ; Heinikainen, S. ; Hakkinen, M. ; Hallanvuo, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-3c8831037ca8e645ac7002ddb79bafeaad1c09b57e0a3c5a6f82da002589a8153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adults</topic><topic>Animals</topic><topic>Cattle</topic><topic>Cattle Diseases - epidemiology</topic><topic>Cattle Diseases - microbiology</topic><topic>Children</topic><topic>Dairy cattle</topic><topic>Disease Outbreaks</topic><topic>Disease Reservoirs</topic><topic>Disease transmission</topic><topic>E coli</topic><topic>Environmental Exposure</topic><topic>Environmental Microbiology</topic><topic>Epidemiology</topic><topic>Escherichia coli</topic><topic>Escherichia coli Infections - epidemiology</topic><topic>Escherichia coli Infections - microbiology</topic><topic>Escherichia coli Infections - transmission</topic><topic>Escherichia coli Infections - veterinary</topic><topic>Escherichia coli O157 - classification</topic><topic>Escherichia coli O157 - isolation & purification</topic><topic>Fermentation</topic><topic>Finland - epidemiology</topic><topic>Food Microbiology</topic><topic>Foodborne diseases</topic><topic>Health risks</topic><topic>Humans</topic><topic>Infections</topic><topic>Milk</topic><topic>Milk - microbiology</topic><topic>O157</topic><topic>outbreak</topic><topic>Outbreaks</topic><topic>Pasteurization</topic><topic>Risk factors</topic><topic>Shiga toxin</topic><topic>Shiga toxin‐producing Escherichia coli</topic><topic>Sorbitol</topic><topic>sorbitol‐fermenting</topic><topic>Zoonoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaakkonen, A.</creatorcontrib><creatorcontrib>Salmenlinna, S.</creatorcontrib><creatorcontrib>Rimhanen‐Finne, R.</creatorcontrib><creatorcontrib>Lundström, H.</creatorcontrib><creatorcontrib>Heinikainen, S.</creatorcontrib><creatorcontrib>Hakkinen, M.</creatorcontrib><creatorcontrib>Hallanvuo, S.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Zoonoses and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jaakkonen, A.</au><au>Salmenlinna, S.</au><au>Rimhanen‐Finne, R.</au><au>Lundström, H.</au><au>Heinikainen, S.</au><au>Hakkinen, M.</au><au>Hallanvuo, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Outbreak of Sorbitol‐Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012</atitle><jtitle>Zoonoses and public health</jtitle><addtitle>Zoonoses Public Health</addtitle><date>2017-09</date><risdate>2017</risdate><volume>64</volume><issue>6</issue><spage>468</spage><epage>475</epage><pages>468-475</pages><issn>1863-1959</issn><eissn>1863-2378</eissn><abstract>Summary
Shiga toxin‐producing, sorbitol‐fermenting Escherichia coli O157 (SF O157) has emerged as a cause of severe human illness. Despite frequent human findings, its transmission routes and reservoirs remain largely unknown. Foodborne transmission and reservoir in cattle have been suspected, but with limited supporting evidence. This study describes the outbreak of SF O157 that occurred in Finland in 2012. The outbreak originated from a recreational farm selling unpasteurized milk, as revealed by epidemiologic and microbiological investigations, and involved six hospitalized children and two asymptomatic adults with culture‐confirmed infection. An identical strain of SF O157 was isolated from patients, cattle and the farm environment, and epidemiologic analysis suggested unpasteurized milk as the vehicle of transmission. This study reports the first milkborne outbreak of SF O157, provides supporting evidence of cattle as a reservoir and highlights the health risks related to the consumption of unpasteurized milk.</abstract><cop>Germany</cop><pub>Blackwell Publishing Ltd</pub><pmid>28045227</pmid><doi>10.1111/zph.12327</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Zoonoses and public health, 2017-09, Vol.64 (6), p.468-475 |
| issn | 1863-1959 1863-2378 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adults Animals Cattle Cattle Diseases - epidemiology Cattle Diseases - microbiology Children Dairy cattle Disease Outbreaks Disease Reservoirs Disease transmission E coli Environmental Exposure Environmental Microbiology Epidemiology Escherichia coli Escherichia coli Infections - epidemiology Escherichia coli Infections - microbiology Escherichia coli Infections - transmission Escherichia coli Infections - veterinary Escherichia coli O157 - classification Escherichia coli O157 - isolation & purification Fermentation Finland - epidemiology Food Microbiology Foodborne diseases Health risks Humans Infections Milk Milk - microbiology O157 outbreak Outbreaks Pasteurization Risk factors Shiga toxin Shiga toxin‐producing Escherichia coli Sorbitol sorbitol‐fermenting Zoonoses |
| title | Severe Outbreak of Sorbitol‐Fermenting Escherichia coli O157 via Unpasteurized Milk and Farm Visits, Finland 2012 |
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