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A large outbreak of food poisoning of unknown aetiology associated with Stilton cheese

Published online by Cambridge University Press:  19 October 2009

H. C. F. Maguire ,
M. Boyle ,
M. J. Lewis ,
J. Pankhurst ,
A. A. Wieneke ,
M. Jacob ,
J. Bruce  and
M. O'Mahony
H. C. F. Maguire
Affiliation:
Public Health Laboratory Service (PHLS) Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ
M. Boyle
Affiliation:
Eastern Health and Social Services Board, 12/22 Linenhall Street, Belfast BT2 8BS
M. J. Lewis
Affiliation:
Department of Microbiology and PHLS Laboratory, University Hospital, Queens Medical Centre, Nottingham NG7 2UH
J. Pankhurst
Affiliation:
Rushcliffe Borough Council, Housing and Health Department, Rushcliffe Civic Centre, Nottingham, Nottinghamshire
A. A. Wieneke
Affiliation:
PHLS Food Hygiene Laboratory, 61 Colindale Avenue, London, NW9 5HT
M. Jacob
Affiliation:
Department of Health, Eileen House-Room 103, 80–94 Newington Causeway, Elephant & Castle, London, SE1 6EF
J. Bruce
Affiliation:
Public Health Laboratory Service (PHLS) Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ
M. O'Mahony
Affiliation:
Public Health Laboratory Service (PHLS) Communicable Disease Surveillance Centre, 61 Colindale Avenue, London, NW9 5EQ
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Summary

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Between November 1988 and January 1989, a total of 155 people in 36 reported outbreaks suffered gastrointestinal symptoms associated with eating Stilton cheese, produced from unpasteurized cow's milk in the English midlands. Symptoms were suggestive of a staphylococcal illness but extensive laboratory testing of cheeses implicated in several of the outbreaks failed to detect any pathogen, toxin or chemical. Control measures were implemented, and included a voluntary withdrawal of the implicated Stilton cheese from sale on 23 January 1989 and a subsequent decision to use pasteurized milk in production of the cheese.

Type
Research Article
Information
Epidemiology & Infection , Volume 106 , Issue 3 , June 1991 , pp. 497 - 505
Copyright
Copyright © Cambridge University Press 1991

References

REFERENCES

1.Galbraith, NS, Forbes, P, Clifford, C. Communicable disease associated with milk and dairy products in England and Wales 1951–80. Br Med J 1982; 284: 1761–5.CrossRefGoogle ScholarPubMed
2.PHLS Communicable Disease Surveillance Centre. Disease attributed to dairy products. Br Med J 1982; 285: 1664.Google Scholar
3.PHLS Communicable Disease Surveillance Centre. Disease associated with milk and dairy products: 1982. Br Med J 1984; 288: 466–7.CrossRefGoogle Scholar
4.Barrett, NJ. Communicable disease associated with milk and dairy products in England and Wales 1983–1984. J Infect 1986; 12: 265–72.CrossRefGoogle ScholarPubMed
5.Anonymous. Communicable disease associated with milk and dairy products England and Wales 1985–86. CDR 87/49, pp. 3–4.Google Scholar
6.Hughes, JM, Tauxe, RV. Food-borne disease. In: GL, Mandell, Douglas, RG, Bennett, JE, eds. Principles and practice of infectious disease: gastrointestinal infections and food poisoning. 3rd ed.New York, Edinburgh, London, Melbourne: Churchill Livingstone, 1990: 893–4.Google Scholar
7.Holmberg, SD, Blake, PA. Staphylococcal food poisoning in the United States. JAMA 1984; 251 487–9.Google ScholarPubMed
8.Woolaway, MC, Bartlett, CLR, Wieneke, AA, Gilbert, RJ, Murrell, HC, Aureli, P. International outbreak of staphylococcal food poisoning caused by contaminated lasagne. J Hyg 1986; 96: 67–73.CrossRefGoogle ScholarPubMed
9.Robinson, M, Houghton, A, Lau, YK, Cawley, CJ, Corfield, DF, John, HH. Outbreak of food poisoning in the City of London. CDR 89/02, pp. 3–4.Google Scholar
10.Bergdoll, MS. Staphylococcus aureus. In: MP, Doyle, ed. Foodborne bacterial pathogens. New York: Marcel Dekker Inc, 1989: 21–70.Google Scholar
11.Wieneke, AA. Enterotoxin production by strains of Staphylococcus aureus isolated from food and human beings. J Hyg 1974; 73: 255–62.CrossRefGoogle ScholarPubMed
12.Mickelsen, R, Foltz, VD, Martin, WH, Hunter, CA. The incidence of potentially pathogenic staphylococci in dairy products at the consumer level. II. Cheese. J Milk Food Tech 1961; 24: 342–5.CrossRefGoogle Scholar
13.Bone, FJ, Bogie, D, Morgan-Jones, SC. Staphylococcal food poisoning from sheep milk cheese. Epidemiol Infect 1989; 103: 449–58.CrossRefGoogle ScholarPubMed
14.Ahmed, AAH, Moustafa, MK, Marth, EH. Growth and survival of Staphylococcus aureus in Egyptian domiati cheese. J Food Protect 1983; 46: 412–5.CrossRefGoogle ScholarPubMed
15.Todd, E, Szabo, R, Robern, H, Gleeson, T, Park, C,DS, Clark. Variation in counts, enterotoxin levels and TNase in Swiss type cheese contaminated with Staphylococcus aureus. Food Protect 1981; 44: 839–48.CrossRefGoogle ScholarPubMed
16.Ibrahim, GF, Radford, DR, Baldock, AK, Ireland, LB. Inhibition of growth of Staphylococcus aureus and enterotoxin A production in cheddar cheese produced with induced starter failure. J Food Protect 1981; 44: 189–93.CrossRefGoogle ScholarPubMed
17.Keogh, BP. Reviews of the progress of dairy science. J Dairy Res 1971; 38: 91–111.CrossRefGoogle ScholarPubMed
18.dosSantos, EC, Genigeorgis, C. Survival and growth of Staphylococcus aureus in commercially manufactured Brazilian minas cheese. J Food Protect 1981; 44: 177–84.CrossRefGoogle Scholar
19.Fabian, FW. Cheese and its relation to disease. Am J Public Health 1947; 37: 987–96.CrossRefGoogle ScholarPubMed
20.Chambers, TL, Staruszkiewicz, WF. Fluorometric determination of histamine in cheese. J Assoc Off Anal Chem 1978; 51: 1092–7.Google Scholar
21.Sen, NP. Analysis and significance of tyramine in foods. J Food Sci 1969; 34: 22–6.CrossRefGoogle Scholar
22.Mackenzie, DWR. Torulopsis and Geotrichum. CDR 76/24, p. 3.Google Scholar
23.Schwartz, DP, Parks, OW. Quantitative analysis of methyl ketones in blue cheese fat. J Dairy Sci 1963; 46: 989–90.CrossRefGoogle Scholar
24.Jolly, RC, Kosikowski, FV. Flavor development in pasteurized milk blue cheese by animal and microbial lipase preparations. J Dairy Sci 1975; 58: 846–52.CrossRefGoogle Scholar
25.King, ED, Clegg, GH. The metabolism of fatty acids, methyl ketones and secondary alcohols by Penicillium roqueforti in blue cheese slurries. J Sci Food Agric 1979; 30: 197–202.CrossRefGoogle Scholar
26.The Microbiological Safety of Food. Part I. Report of the Committee on the Microbiological Safety of Food. London: HMSO, 1990.Google Scholar
27.Milk Marketing Board (MMB). The Dairy Farmers Co-Operative. Guidelines for good hygienic practice for the manufacture of soft and fresh cheeses in small and farm based production units. 02 1989.Google Scholar
28.Azadian, BS, Finnerty, GT, Pearson, AB. Cheeseborne listeria meningitis in immunocompetent patient. Lancet 1989; i: 323.Google Scholar
29.Bannister, BA. Listeria monocylogenes meningitis associated with eating soft cheese. J Infect 1987; 15: 165–8.CrossRefGoogle Scholar