MMWR Morb Mortal Wkly Rep. 2013 Jul 19;62(28):567-9.
During October 2010-February 2011, an outbreak of 91 Salmonella Enteritidis (SE) infections in Alberta, Canada, was investigated by a local public health department (Alberta Health Services, Calgary Zone). Index cases initially were linked through a common history of consumption of food purchased from mobile food-vending vehicles (lunch trucks) operating at worksites in Alberta. Further investigation implicated one catering company that supplied items for the lunch trucks and other vendors. In 85 cases, patients reported consumption of food prepared by the catering company in the 7 days before illness. Six patients were employees of the catering company, and two food samples collected from the catering company were positive for SE. Foods likely were contaminated directly or indirectly through the use of illegally sourced, SE-contaminated eggs at the implicated catering facility and by catering employees who were infected with SE. Public health interventions put into place to control the outbreak included screening employees for Salmonella, excluding those infected from food-handling duties, and training employees in safe food-handling procedures. No further outbreak cases were identified after full implementation of the interventions. This investigation highlights the potential for lunch trucks to be a source of foodborne illness and the need for robust regulatory compliance monitoring of lunch trucks and their food suppliers.
2010 年 10 月至 2011 年 2 月期间,加拿大艾伯塔省当地公共卫生部门(艾伯塔省卫生服务局,卡尔加里区)对一起 91 例肠炎沙门氏菌(SE)感染暴发进行了调查。最初通过食用在艾伯塔省工作场所运行的流动食品销售车(午餐车)购买的食物的共同历史,将索引病例联系起来。进一步的调查涉及一家为午餐车和其他供应商提供物品的餐饮公司。在 85 例病例中,患者报告在发病前 7 天食用了餐饮公司准备的食物。6 名患者是餐饮公司的员工,从餐饮公司采集的 2 个食品样本均为 SE 阳性。食品可能是通过在涉案餐饮设施中使用非法来源的受 SE 污染的鸡蛋,以及受 SE 感染的餐饮员工直接或间接污染的。为控制疫情而采取的公共卫生干预措施包括对沙门氏菌进行员工筛查、将受感染的员工排除在食品处理职责之外,以及对员工进行安全食品处理程序的培训。在全面实施干预措施后,没有发现其他暴发病例。这项调查强调了午餐车可能成为食源性疾病的来源,需要对午餐车及其食品供应商进行严格的监管合规性监测。