Kamińska Sylwia, Kruszewska Żaneta, Lejbrandt Elżbieta, Sadkowska-Todys Małgorzata
Department of Epidemiology, National Institute of Public Health-National Institute of Hygiene, Warsaw, Poland.
European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
Food Environ Virol. 2014 Dec;6(4):276-81. doi: 10.1007/s12560-014-9166-0. Epub 2014 Oct 18.
Efficient foodborne outbreak investigations are important for identification of gaps in food safety and public health practice. This article reports on an investigation of a gastroenteritis outbreak linked to catering food following a Christmas reception at the National Institute of Public Health-National Institute of Hygiene (NIPH-NIH) in Warsaw in December 2012. Of 192 employees eating food at the catering event, 97 (50.5%) developed symptoms. Persons eating dishes with recipes containing frozen carrots were five times more likely to develop gastrointestinal symptoms compared to those who did not eat carrots. Laboratory analysis identified norovirus in stool samples taken from symptomatic persons. Leftover food was not available for testing. The investigators did not collect stool specimens from food handlers and did not conduct trace backs for the suspected food ingredients. This investigation underlines the need for a revision of an existing procedures and importance of their complementation with detailed instructions for the local public health authorities for effective completion of foodborne outbreaks investigations in Poland.
高效的食源性疾病暴发调查对于识别食品安全和公共卫生实践中的差距至关重要。本文报告了2012年12月在华沙国家公共卫生研究所-国家卫生研究所（NIPH-NIH）举行圣诞招待会后，对一起与餐饮食品相关的肠胃炎暴发事件的调查。在192名在餐饮活动中进食的员工中，97人（50.5%）出现了症状。食用含有冷冻胡萝卜食谱菜肴的人出现胃肠道症状的可能性是未食用胡萝卜者的五倍。实验室分析在有症状者的粪便样本中检测出诺如病毒。剩余食物无法用于检测。调查人员未从食品处理人员处采集粪便标本，也未对可疑食品成分进行追溯。此次调查强调了修订现有程序的必要性，以及为波兰地方公共卫生当局补充详细说明以有效完成食源性疾病暴发调查的重要性。
