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First cross-border outbreak of foodborne botulism in the European Union associated with the consumption of commercial dried roach (Rutilus rutilus).
Hendrickx, David; Varela Martínez, Carmen; Contzen, Matthias; Wagner-Wiening, Christiane; Janke, Karl-Heinz; Hernando Jiménez, Pablo; Massing, Susanne; Pichler, Jeanette; Tichaczek-Dischinger, Petra; Burckhardt, Florian; Stark, Klaus; Katz, Katharina; Jurke, Annette; Thole, Sebastian; Carbó, Rosa; Del Pobil Ferré, Mariam Pascual; Nieto, Milagros; Zamora, María Jesús; Sisó, Ana; Pallares García, Pilar; Valdezate, Sylvia; Schaade, Lars; Worbs, Sylvia; Dorner, Brigitte Gertrud; Frank, Christina; Dorner, Martin Bernhard.
Afiliación
  • Hendrickx D; Landesgesundheitsamt Baden-Württemberg, Ministerium für Soziales, Gesundheit und Integration Baden-Württemberg, Stuttgart, Germany.
  • Varela Martínez C; European Centre for Disease Prevention and Control, European Programme for Intervention Epidemiology Training (EPIET), Stockholm, Sweden.
  • Contzen M; National Centre of Epidemiology, Institute of Health Carlos III, Madrid, Spain.
  • Wagner-Wiening C; CIBER Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
  • Janke KH; Chemisches und Veterinäruntersuchungsamt Stuttgart, Ministerium für Ernährung, Ländlichen Raum und Verbraucherschutz Baden-Württemberg, Fellbach, Germany.
  • Hernando Jiménez P; Landesgesundheitsamt Baden-Württemberg, Ministerium für Soziales, Gesundheit und Integration Baden-Württemberg, Stuttgart, Germany.
  • Massing S; Landesgesundheitsamt Baden-Württemberg, Ministerium für Soziales, Gesundheit und Integration Baden-Württemberg, Stuttgart, Germany.
  • Pichler J; Chemisches und Veterinäruntersuchungsamt Karlsruhe, Ministerium für Ernährung, Ländlichen Raum und Verbraucherschutz Baden Württemberg, Karlsruhe, Germany.
  • Tichaczek-Dischinger P; Landratsamt Böblingen, Veterinärdienst und Lebensmittelüberwachung, Böblingen, Germany.
  • Burckhardt F; Gesundheitsamt, Landeshauptstadt Stuttgart, Stuttgart, Germany.
  • Stark K; Chemisches und Veterinäruntersuchungsamt Stuttgart, Ministerium für Ernährung, Ländlichen Raum und Verbraucherschutz Baden-Württemberg, Fellbach, Germany.
  • Katz K; Landesuntersuchungsamt Rheinland-Pfalz, Rhineland-Palatinate, Koblenz, Germany.
  • Jurke A; Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany.
  • Thole S; GE 2.3 Epidemiologie übertragbarer Krankheiten, Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim, Germany.
  • Carbó R; Landeszentrum Gesundheit Nordrhein-Westfalen, North Rhine-Westphalia, Bochum, Germany.
  • Del Pobil Ferré MP; Landeszentrum Gesundheit Nordrhein-Westfalen, North Rhine-Westphalia, Bochum, Germany.
  • Nieto M; Servicio de Vigilancia y Control Epidemiológico, Dirección General de Salud Pública, Valencia, Spain.
  • Zamora MJ; Servicio de Vigilancia y Control Epidemiológico, Dirección General de Salud Pública, Valencia, Spain.
  • Sisó A; National Food Centre (CNA), Spanish Agency for Consumer Affairs Food Safety (AESAN), Majadahonda, Spain.
  • Pallares García P; National Food Centre (CNA), Spanish Agency for Consumer Affairs Food Safety (AESAN), Majadahonda, Spain.
  • Valdezate S; National Food Centre (CNA), Spanish Agency for Consumer Affairs Food Safety (AESAN), Majadahonda, Spain.
  • Schaade L; National Centre of Microbiology, Institute of Health Carlos III, Madrid, Spain.
  • Worbs S; National Centre of Microbiology, Institute of Health Carlos III, Madrid, Spain.
  • Dorner BG; Consultant Laboratory for Neurotoxin-Producing Clostridia (Botulism, Tetanus), Robert Koch Institute, Berlin, Germany.
  • Frank C; Consultant Laboratory for Neurotoxin-Producing Clostridia (Botulism, Tetanus), Robert Koch Institute, Berlin, Germany.
  • Dorner MB; Consultant Laboratory for Neurotoxin-Producing Clostridia (Botulism, Tetanus), Robert Koch Institute, Berlin, Germany.
Front Public Health ; 10: 1039770, 2022.
Article en En | MEDLINE | ID: mdl-36684858
Botulism outbreaks due to commercial products are extremely rare in the European Union. Here we report on the first international outbreak of foodborne botulism caused by commercial salt-cured, dried roach (Rutilus rutilus). Between November and December 2016, an outbreak of six foodborne botulism type E cases from five unrelated households was documented in Germany and Spain. The outbreak involved persons of Russian and Kazakh backgrounds, all consumed unheated salt-cured, dried roach-a snack particularly favored in Easter-European countries. The implicated food batches had been distributed by an international wholesaler and were recalled from Europe-wide outlets of a supermarket chain and other independent retailers. Of interest, and very unlike to other foodborne disease outbreaks which usually involves a single strain or virus variant, different Clostridium botulinum strains and toxin variants could be identified even from a single patient's sample. Foodborne botulism is a rare but potentially life-threatening disease and almost exclusively involves home-made or artisan products and thus, outbreaks are limited to individual or few cases. As a consequence, international outbreaks are the absolute exception and this is the first one within the European Union. Additional cases were likely prevented by a broad product recall, underscoring the importance of timely public health action. Challenges and difficulties on the diagnostic and epidemiological level encountered in the outbreak are highlighted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Botulismo / Cyprinidae / Clostridium botulinum Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: Front Public Health Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Botulismo / Cyprinidae / Clostridium botulinum Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Límite: Animals / Humans Idioma: En Revista: Front Public Health Año: 2022 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Suiza