Pilon P A, Camara B, Bekal S
Infectious Disease and Prevention Control, Montréal Regional Public Health Department, Montréal, QC.
School of Public Health, Université de Montréal, Montréal, QC.
Can Commun Dis Rep. 2016 Apr 7;42(4):89-95. doi: 10.14745/ccdr.v42i04a03.
An outbreak of that occurred in the ultra-Orthodox Jewish community (UOJC) was the subject of an investigation and response by the Montréal Regional Public Health Department (DRSP), who collaborated with several health and community partners. A total of 27 confirmed cases were reported in this outbreak, which lasted from February to June 2015. The epidemic curve was compatible with a point source with secondary person-to-person transmission. In 11 of the 27 cases, pulsed-field gel electrophoresis (PFGE) analysis of strains found a single PFGE pattern newly identified in Quebec. Almost all strains tested showed resistance to ampicillin and trimethoprim-sulfamethoxazole (TMP/SMX). All the cases resided in Montréal Centre-West. Most of the cases were under 5 years old and attended a daycare centre, an environment recognized to be conducive to the transmission of enteric diseases. DRSP sent timely information to families, daycare and school stakeholders, community partners and synagogues in the UOJC, which helped reduce the transmission of shigellosis in the community.
在极端正统犹太社区（UOJC）爆发的一起疫情成为蒙特利尔地区公共卫生部门（DRSP）的调查和应对对象，该部门与多个卫生和社区合作伙伴展开了合作。此次疫情共报告了27例确诊病例，从2015年2月持续至6月。疫情曲线与具有二代人传人的点源传播相符。在27例病例中的11例里，对菌株进行的脉冲场凝胶电泳（PFGE）分析发现了一种在魁北克新鉴定出的单一PFGE模式。几乎所有检测的菌株都对氨苄青霉素和甲氧苄啶-磺胺甲恶唑（TMP/SMX）耐药。所有病例都居住在蒙特利尔中西部。大多数病例年龄在5岁以下，且都在一家日托中心，该环境被认为有利于肠道疾病的传播。DRSP及时向UOJC的家庭、日托和学校利益相关者、社区合作伙伴及犹太教堂发送信息，这有助于减少社区中志贺氏菌病的传播。
