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Dose-response in an outbreak of non-bacterial food poisoning traced to a mixed seafood cocktail

Published online by Cambridge University Press:  15 May 2009

S. F. Gray  and
M. R. Evans
S. F. Gray
Affiliation:
Public Health Laboratory Service, Communicable Disease Surveillance Centre (Welsh Unit), Cardiff
M. R. Evans
Affiliation:
Department of Public Health Medicine, South Glamorgan Health Authority, Abton House, Wedal Road, Roath, Cardiff CF4 3QX
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Summary

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An outbreak of non-bacterial food poisoning presumed due to small round, structured viruses (SRSV) occurred at a national conference.

A detailed postal survey of all conference attenders was carried out to ascertain the cause of the outbreak and 355 questionnaires were returned.

Univariate analysis showed that mussels in the seafood cocktail were the likely vehicle of infection. A dose–response relationship between the amount of seafood cocktail consumed and the risk of illness was demonstrated. Dose–response has not previously been documented in a food-borne outbreak due to small round structured virus.

Detailed quantitative food histories can be useful in eliciting dose-response relationships and may be crucial in establishing the vehicle of infection when investigating food poisoning following consumption of a set-menu meal. Their use should be considered in other outbreak situations.

Type
Research Article
Information
Epidemiology & Infection , Volume 110 , Issue 3 , June 1993 , pp. 583 - 589
Copyright
Copyright © Cambridge University Press 1993

References

REFERENCES

1.Dean, AD, Dean, JA. Burton, AH, Dicker, RC. Epi Info Version 5: A word processing data base and statistics programme for epidemiology on microcomputers. Stone Mountain, Georgia: USD Incorporated. 1990.Google Scholar
2.Sockett, PN. West, PA, Jacob, M. Shellfish and the public health. PHLS Microbiol Dig 1985; 2: 29–35.Google Scholar
3. Anonymous. Norwalk agent comes of age. J Infect 1990; 20: 189–92.CrossRefGoogle Scholar
4.Adak, GK, Caul, EO, Cowden, JM. Infection with small round structured viruses: England and Wales 1981–1990. Communicable Disease Report 1991; 1: R141–4.Google ScholarPubMed
5.Richards, G. Microbial purification of shellfish: a review of depuration and relaying. J Food Protect 1988; 51: 218–51.CrossRefGoogle ScholarPubMed
6.Gill, ON. Cubitt, WD, McSwiggan, DA, Watney, BM, Bartlett, CLR. Epidemic of gastroenteritis caused by oysters contaminated with small round structured viruses. B M J 1983; 287: 1532–4.CrossRefGoogle ScholarPubMed
7.Heller, D. Gill, ON. Raynham, E. Kirkland, T, Zadick, PM. Stanwell-Smith, R. An outbreak of gastrointestinal illness associated with consumption of raw depurated oysters. B M J 1986; 292: 1726–7.CrossRefGoogle ScholarPubMed
8.O'Mahony, MC, Gooch, CD. Smyth, DA, Thrussel, AJ, Bartlett, CLR, Noah, ND. Epidemic hepatitis A from cockles. Lancet 1983; i: 518–20.CrossRefGoogle Scholar
9.PHLS Working Party on Viral Gastroenteritis. Foodborne viral gastroenteritis. An overview. PHLS Microbiol Dig 1988; 5: 69–75.Google Scholar
10.Millard, J. Appleton, H. Parry, JV. Studies on heat inactivation of hepatitis A virus with special reference to shellfish. Epidemiol Infect 1987; 98: 397–414.CrossRefGoogle ScholarPubMed
11.Appleton, H. Foodborne viruses. Lancet 1990; 336: 1362–4.CrossRefGoogle ScholarPubMed
12.Richmond, M. Report of the Committee on the Microbiological Safety of Food. Part II. London: HMSO. 1991.Google Scholar
13.Blaser, MJ, Newman, LS. A review of human salmonellosis: I. Infective dose. Rev Infect Dis 1982: 4: 1096–106.CrossRefGoogle ScholarPubMed
14.Evenson, ML, Hinds, MW, Bernstein, RS, Bergdoll, MS. Estimation of human dose of staphylococcal enterotoxin A from a large outbreak of staphylococcal food poisoning involving chocolate milk. Int J Food Microbiol 1988; 7: 311–6.CrossRefGoogle ScholarPubMed
15.Mele, A. Rastelli, MG, Gill, ON. et al. Recurrent epidemic hepatitis A associated with consumption of raw shellfish, probably controlled through public health measures. Am J Epidemiol 1989; 130: 540–6.CrossRefGoogle ScholarPubMed
16.Tang, YW. Wang, JX. Xu, ZY, Guo, YF, Qian, WH, Xu, JX. A serologically confirmed, case-control study, of a large outbreak of hepatitis A in China, associated with consumption of clams. Epidemiol Infect 1991; 107: 652–7.CrossRefGoogle Scholar
17.Desenclos, J-CA. Klontz, KC, Wilder, MH, et al. A multistate outbreak of hepatitis A caused by consumption of raw oysters. Am J Public Health 1991; 81: 1268–72.CrossRefGoogle ScholarPubMed
18.Dolin, R. Blacklow, NR. Du, Pont H, et al. Transmission of acute infections non-bacterial gastroenteritis to volunteers by oral administration of stool filtrates. J Infect Dis 1971; 123: 307–12.CrossRefGoogle Scholar