A 17-year review of foodborne outbreaks: describing the continuing decline in England and Wales (1992–2008)
- 9 August 2010
- journal article
- review article
- Published by Cambridge University Press (CUP) in Epidemiology and Infection
- Vol. 139 (5), 688-699
- https://doi.org/10.1017/s0950268810001858
Abstract
SUMMARY: Systematic national surveillance of foodborne disease outbreaks effectively serves the development of public health policy on food safety. The Health Protection Agency has maintained a collaborative surveillance system for foodborne outbreaks in England and Wales since 1992. Up to 2008, 2429 foodborne outbreaks were identified, described and analysed for changes over time. Salmonella spp. accounted for half of the outbreaks, although the proportion of these decreased over the surveillance period. Similarly, the proportion of outbreaks caused by Clostridium perfringens decreased, while those attributed to Campylobacter spp. and Vero cytotoxin-producing Escherichia coli O157 increased. Although poultry meat was the most frequently implicated food vehicle in outbreaks followed by miscellaneous foods and red meats, the proportion of outbreaks attributed to meats in fact decreased over time but those linked to miscellaneous foods did not. Over the surveillance period, the proportion of outbreaks linked to eggs and S. Enteritidis non-phage-type 4, particularly in food service establishments, increased, highlighting the importance of this organism/setting/vehicle association. Contributory factors in most outbreaks were cross-contamination, inadequate heat treatment, and inappropriate food storage. This study describes the overall decline in foodborne outbreaks, providing evidence that the introduction and adherence to effective control measures provide the best means of minimizing the risk of foodborne infection.Keywords
This publication has 17 references indexed in Scilit:
- Recipes for Foodborne Outbreaks: A Scheme for Categorizing and Grouping Implicated FoodsFoodborne Pathogens & Disease, 2009
- Attributing the Human Disease Burden of Foodborne Infections to Specific SourcesFoodborne Pathogens & Disease, 2009
- Analysis of foodborne outbreak data reported internationally for source attributionInternational Journal of Food Microbiology, 2009
- Prepared salads and public healthJournal of Applied Microbiology, 2008
- Campylobacter and Salmonella in raw red meats in the United Kingdom: Prevalence, characterization and antimicrobial resistance pattern, 2003–2005Food Microbiology, 2008
- Foodborne transmission of infectious intestinal disease in England and Wales, 1992–2003Food Control, 2007
- Publication bias in foodborne outbreaks of infectious intestinal disease and its implications for evidence-based food policy. England and Wales 1992–2003Epidemiology and Infection, 2006
- Foodborne general outbreaks of Salmonella Enteritidis phage type 4 infection, England and Wales, 1992–2002: where are the risks?Epidemiology and Infection, 2005
- SalmonellaEnteritidis Infections, United States, 1985–1999Emerging Infectious Diseases, 2004
- SalmonellaControl Programs in DenmarkEmerging Infectious Diseases, 2003