Distribution and occurrence of foodborne illness

FS0601 1 2000

Surveillance of foodborne disease

This includes

‹ - Getting reports of FBD ‹ - Investigating outbreaks (including

clinical laboratory analysis) ‹ - Compiling and interpreting data ‹ - Reporting to public health authorities,

industry and public

FS0601 2 2000

Examples of major global existing and emerging pathogens - Major

‹ Salmonella ‹ Campylobacter ‹ Shigella ‹ V. cholerae ‹ Trematodes

- Emerging pathogens ‹ E. coli (EHEC) ‹ Aeromonas hydrophila ‹ Listeria monocytogenes ‹ Vibrio cholerae 0139 ‹ Cryptosporidium

FS0601 3 2000

Incidence of FBD in some European countries

140

120

100

FS0601 4

80

60

40

20

0 89 90

2000

91 92

Austria England/ Wales Poland Spain

Year 93

Incidence of salmonellosis in Europe

140 120 100 80 60 40 20 0

FS0601 5 2000

89 90 91 92 93

Year

Bulgaria Denmark England+Wales Italy Russian Fed. Sweden

Cholera

Disease of poor communities, spreads fastest where there is ‹ - Inadequate sewage disposal /

untreated irrigation water ‹ - No chlorination of water ‹ - Poor personal hygiene ‹ - Contaminated food ‹ - Lack of knowledge of food hygiene

FS0601 6 2000

Countries / areas reporting cholera 1961 - 93

FS0601 7 2000

Global cholera situation 1984 - 91

600

500

400

300

200

100

0

FS0601 8 2000

No. Reported Cases (000’s)

84 85 86 87 88 Year

89 90 91

Spread of epidemic cholera -Latin-America January 1991 - July 1992

Initial epidemics Jan 1991 July 1992

February 1992

August 1991

FS0601 9 2000

Global spread of cholera 1961-73

1970

1971-73

1970

1971

1965-66

1964

1970 1973

1971-73

1963 1961

1962

1963

FS0601 10 2000

Listeriosis - lab reports England, Wales and N. Ireland 1983-91

300

250

200

150

100

50

0

Pâté, cook-chill and soft cheese warnings

83 84 85 86 87 88 89 90 91 FS0601 11 2000 Year

Distribution and occurrence of FBD -Key messages

Surveillance of FBD and the factors contributing to it is important for finding control options. Campylobacter and Salmonella are the two main causes of FBD world-wide The incidence of Listeriosis is increasing in Europe Cholera is still a serious problem in developing countries

FS0601 12 2000