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Volume 22, Number 4—April 2016
Synopsis

Shiga Toxin–Producing Escherichia coli O157, England and Wales, 1983–2012

Natalie L. AdamsComments to Author , Lisa Byrne, Geraldine A. Smith, Richard Elson, John P. Harris, Roland Salmon, Robert Smith, Sarah J. O’Brien, Goutam K. Adak, and Claire Jenkins
Author affiliations: Public Health England, London, UK (N.L. Adams, L. Byrne, G.A. Smith, R. Elson, J.P. Harris, G.K. Adak, C. Jenkins); National Institute for Health Research Health Protection Research Unit in Gastrointestinal Infections, Liverpool, UK (N.L. Adams, J.P. Harris, S.J. O’Brien, G.K. Adak); National Institute for Health Research Health Protection Research Unit in Gastrointestinal Infections, Colindale, UK (N.L. Adams, G.K. Adak, C. Jenkins); Public Health Wales, Cardiff, UK (R. Salmon, R. Smith)

Main Article

Table

Reported outbreaks of STEC O157, England and Wales, 1983–2012*

Year No. outbreaks PT (no. outbreaks) No. STEC cases No. HUS cases Implicated vehicle (no. outbreaks)
1983 1 2 (1) Unknown 35 Unknown (1)
1984 0
1985 1 2 (1) 49 0 Raw potatoes (1)
1986 0
1987 1 2 (1) 26 0 Turkey roll (1)
1988 0
1989 1 49 (1) 8 1 Unknown (1)
1990 3 2 (1), 4 (1), 14 (1) 18 3 Unknown (1)
1991 4 14 (1), 31 (1), 49 (2) 56 8 Yoghurt (1), beef burger (1), person to person (1), unknown (1)
1992 6 1 (1), 2 (5) 82 5 Cooked meat (1), unknown (5)
1993 7 2 (3), 28 (1), 49 (3) 65 13 Beef (1), beef burger (1), raw milk (1), unknown (4)
1994 6 2 (1), 4 (1), 49 (2), RDNC (1), unknown (1) 37 6 Direct animal contact (2), person to person (1), unknown (3)
1995 11 1 (1), 2 (7), 49 (2), RDNC (1) 141 11 Salad (1), meat (3), person to person (4), unknown foodborne (1), unknown (2)
1996 17 1 (2), 2 (5), 8 (3), 12 (1), 21/28 (4), 32 (1), unknown (1) 98 2 Animal contact (1), person to person (1), milk (2), meat (4), mixed food (2), raw vegetables (1), unknown foodborne (3), unknown (3)
1997 25 2 (13), 8 (5), 49 (1), 21/28 (6) 163 9 Animal contact (6), cheese (1), milk (2), salad (1), person to person (5), water (1), unknown foodborne (4), unknown (5)
1998 20 2 (7), 4 (1), 8 (3), 14 (2), 21 (1), 32 (1), 38 (1), 21/28 (3), unknown (1) 89 0 Animal contact (2), person to person (5), meat (2), cream (1), milk (1), unknown foodborne, water (2), unknown (6)
1999 19 2 (3), 4 (2), 8 (2), 31 (1), 33 (1), 43 (1), 21/28 (9) 236 15 Animal contact (3), person to person (3), water (1), meat (3), milk (3), cheese (1), unknown foodborne (2), unknown (3)
2000 23 1 (1), 2(2), 8 (4), 14 (1), 32 (2), 21/28 (10), RDNC (1), unknown (2) 180 11 Animal contact (3), meat (5), milk (3), person to person (7), unknown foodborne (1), unknown (4)
2001 18 2 (3), 8 (1), 21/28 (13), unknown (1) 127 6 Animal contact (3), person to person (9), water (2), meat (2), unknown foodborne (1), unknown (1)
2002 9 2 (2), 4 (2), 34 (1), 21/28 (3), RDNC (1) 73 2 Animal contact (1), milk (1), salad (1), person to person (5), water (1)
2003 10 2 (1), 8 (2), 50 (1), 21/28 (3), RDNC (1), unknown (1) 82 0 Animal contact (5), meat (1), person to person (3), unknown (1)
2004 15 2 (5), 21/28 (9), unknown (1) 92 4 Animal contact (4), meat (2), person to person (3), water (3), unknown (3)
2005 15 2 (1), 8 (1), 33 (1), 21/28 (10), unknown (2) 233 6 Animal contact (3), meat (1), unknown foodborne (2), person to person (5), unknown (4)
2006 12 2 (1), 8 (4), 28/28 (6), 4 and 21/28 (1) 151 0 Animal contact (1), meat (1), unknown foodborne (3), person to person (5), water (2)
2007 14 2 (5), 4 (1), 8 (2), 21/28 (4), RDNC (1), 32 and 8 (1) 117 3 Animal contact (2), meat (1), unknown foodborne (1), person to person (9), unknown (1)
2008 17 2 (2), 8 (1), 33 (3), 34 (1), 21/28 (7), RDNC (1), mixed unknown (1), unknown (1) 132 4 Animal contact (4), unknown foodborne (4), person to person (6), water (1), unknown (2)
2009 25 2 (5), 8 (4), 14 (1), 32 (2), 21/28 (9), 2 and 8 (1), 2 and 54 (1), 31 and 42 (1), 34 and 54 (1) 280 30 Animal contact (11), meat (2), unknown foodborne (6), person to person (2), laboratory acquired (1), unknown (3)
2010 17 1 (2), 2 (1), 4 (2), 8 (3), 14 (1), 21/28 (5), 1 and 21/28 (1), 21/28 and 31 (1), 21/28 & RDNC (1) 100 3 Animal contact (7), unknown foodborne (1), person to person (5), unknown (4)
2011 20 2 (2), 8 (3), 34, 51, 21/28 (12), RDNC 369 7 Animal contact (1), sandwiches (2), crab (1), leeks (1), ice cream (1), unknown foodborne (4), laboratory acquired (1), person to person (6), unknown (3)
2012 18 2, 4 (2), 8 (4), 32, 54, 21/28 (8), 32 103 5 Animal contact (4), environmental (2), meat (2), unknown foodborne (2), person to person (7), unknown (1)
Total 335 3,107 189

*Gastrointestinal Bacteria Reference Unit, Public Health England, and Gastrointestinal Infections Department, Public Health England in-house data. HUS, hemolytic uremic syndrome; PT, phage type; RDNC, reacts but does not conform; STEC, Shiga toxin–producing Escherichia coli.

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Page updated: March 15, 2016
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