– OPINION –
“Within the US, Escherichia coli O157:H7 causes ≈73,000 infections and 60 deaths yearly (1). An infection progresses to hemolytic uremic syndrome (HUS) in 2% to 15% of situations (2).”
UPDATE: In France, STEC surveillance is predicated mostly fully mostly easiest on HUS in young folk youthful than 15, so it easiest catches the most extreme situations of E. coli infection – LINK
Per Sante Publique reviews, as of 04/25/2022, 55 confirmed situations absorb been acknowledged, of which 53 are linked to STEC O26 lines, and 2 to STEC O103 lines. Earlier reviews on 04/13/2022, indicated that one other 26 other situations of HUS and STEC infections notified to Public Properly being France with investigations are ongoing. The 54 sick young folk are weak from 1 to 17 years with a median age of seven years; 24 (44%) are female; 47 (87%) presented with HUS, 7 (13%) with STEC gastroenteritis. Two young folk died. The grownup did now not account for with HUS.
The epidemiological, microbiological and traceability investigations executed since that date absorb confirmed a link between the occurrence of these grouped situations and the consumption of frozen pizzas from the Nestlé Buitoni label Fraîch’Up wicked with STEC bacteria.
There might perhaps be something tainted with the Santa Publique E. coli numbers. On condition that there are now no now not as much as 47 with hemolytic uremic syndrome (HUS), that you might perhaps perhaps perhaps request to envision that the total assortment of in miserable health might perhaps perhaps perhaps be closer to 500. It looks that Santa Publique is counting the HUS situations basically, leaving the STEC gastroenteritis situations fairly uncounted. There might perhaps perhaps goal silent now not be a 87% HUS to 14% STEC gastroenteritis ration – it is going to goal silent on the minimum be reversed, as cited above and as shown in the below E. coli flour outbreaks in the US.
These 55 situations occurred in 54 young folk and 1 grownup, who presented indicators between 18/01/2022 (week 3) and 25/03/2022 (week 12). The epidemic height is in week 7 (14/02 to 20/02) and week 9 (28/02 to 06/03), with 10 situations each of these weeks. These 55 situations occurred in 12 areas of metropolitan France: Hauts-de-France (12 situations), Ile-de-France (9 situations), New Aquitaine (8 situations), Pays de la Loire (7 situations), Brittany ( 6 situations), Gargantuan Est (3 situations), Auvergne-Rhône-Alpes (2 situations), Occitanie (2 situations), Provence-Alpes-Côte d’Azur (2 situations), Heart Val-de-Loire (2 situations) , Bourgogne Franche-Comté (1 case) and Normandy (1 case).
So, why is flour the likely vector of this E. coli Outbreak?
Per the CDC, flour doesn’t leer esteem a raw meals, but most flour is raw. This skill that it hasn’t been handled to abolish germs that cause meals poisoning, comparable to E. coli. These execrable germs can contaminate grain while it’s silent in the discipline or flour while it’s being made. Steps esteem grinding grain and bleaching flour don’t abolish execrable germs—and these germs can stop up in flour or baking mixes you take on the retailer. You might be in a situation to salvage sick whenever you eat unbaked dough or batter made with flour containing germs.
We absorb got considered these flour E. coli Outbreaks several times over the final “Baker’s Dozen” years.
Nestle Toll Dwelling Cookie Dough: As of Tuesday, June 30, 2009, 72 persons infected with a tension of E. coli O157:H7 with a command DNA fingerprint absorb been reported from 30 states. Of those, 51 absorb been confirmed by an developed DNA take a look at as having the outbreak tension; these confirmatory take a look at outcomes are pending on the others. The assortment of in miserable health persons acknowledged in each speak is as follows: Arizona (2), California (3), Colorado (6), Connecticut (1), Delaware (1), Georgia (1), Iowa (2), Illinois (5), Kentucky (2), Massachusetts (4), Maryland (2), Maine (3), Minnesota (6), Missouri (1), Montana (1), North Carolina (2), New Hampshire (2), New Jersey (1), Nevada (2), New York (1), Ohio (3), Oklahoma (1), Oregon (1), Pennsylvania (2), South Carolina (1), Texas (3), Utah (4), Virginia (2), Washington (6), and Wisconsin (1). In miserable health persons vary in age from 2 to 65 years; however, 65% usually are now not as much as 19 years aged; 71% are female. Thirty-four persons absorb been hospitalized, 10 developed hemolytic uremic syndrome (HUS); none absorb died. Experiences of these infections increased above the expected baseline in Would possibly goal and continue into June.
Flour: As of September 5, 2016, 63 folk infected with the outbreak lines of STEC O121 or STEC O26 were reported from 24 states: Alabama (1), Arkansas (1), Arizona (3), California (3), Colorado (4), Iowa (2), Illinois (4), Indiana (1), Massachusetts (3), Maryland (1), Michigan (4), Minnesota (7), Missouri (1), Montana (2), Nebraska (1), New York (4), Oklahoma (3), Oregon (1), Pennsylvania (2), Tennessee (1), Texas (2), Virginia (3), Washington (5) and Wisconsin (4). Ailments started on dates starting from December 21, 2015 to September 5, 2016. In miserable health folk vary in age from 1 yr to 95, with a median age of 18. Seventy-six p.c of in miserable health folk were female. Seventeen in miserable health folk were hospitalized. One person developed hemolytic uremic syndrome, a form of kidney failure, and no deaths were reported
All Motive Flour: As of July 11, 2019, a total of 21 folk infected with the outbreak tension of E. coli O26 were reported from 9 states: California (1), Connecticut (1), Massachusetts (2), Missouri (1), New Jersey (1), New York (7), Ohio (5), Pennsylvania (2) and Rhode Island (1).Ailments started on dates starting from December 11, 2018 to Would possibly goal 21, 2019. In miserable health folk vary in age from 7 to 86 years, with a median age of 24. Seventy-one p.c of in miserable health folk were female. Of 20 folk with data on hand, 3 (15%) were hospitalized. No deaths were reported.
Cake Combine: As of July 27, 2021, 16 folk infected with the outbreak tension of E. coli O121 absorb been reported from 12 states: Illinois (2), Indiana (1), Iowa (2), Massachusetts (1), Michigan (1), Nebraska (2), Ohio (2), Oregon (1), South Carolina (1), Utah (1), Virginia (1) and Washington (1). Ailments started on dates starting from February 26, 2021 to June 21, 2021. Unwell folk vary in age from 2 to 73 years, with a median age of 13, and 100% are female. Of 16 folk with data on hand, 7 absorb been hospitalized. One person has developed a form of kidney failure referred to as hemolytic uremic syndrome (HUS), and no deaths absorb been reported.
1. Mead PS, Slutsker L, Dietz V, McCaig LF, Bresee JS, Shapiro C, et al. Food-linked sickness in the US. Emerg Infect Dis. 1999;5: 607–25. 10.3201/eid0505.990502.
2. Dundas S, Todd WT, Stewart AI, Murdoc PS, Chaudhuri AKR, Hutchinson SJ. The central Scotland Escherichia coli O157:H7 outbreak: pains components for hemolytic uremic syndrome and death among hospitalized patients. Clin Infect Dis. 2001;33: 923–31. 10.1086/322598.
And, there absorb been extra outbreaks and recalls.
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