Danish gastroenteritis cases linked to lettuceThe Danish health authorities have reported a series of outbreaks of gastroenteritis in the east of the country during mid-January. The outbreaks were caused by several different strains of norovirus and by enterotoxigenic E. coli (ETEC), but all were associated with imported lettuce.
So far, 11 outbreaks affecting 260 people have been linked as a cluster, with another eight under investigation. The investigation initially focused on norovirus as the cause, but it became clear that there was more than one disease agent involved and related ETEC cases were then identified. The cases were all associated with sandwiches supplied by caterers and the only common ingredient was found to be lollo bionda lettuce grown in southwest France. Norovirus was later detected in samples of the lettuce, which was recalled on 22 January. Similar outbreaks have since been reported in Norway.
The investigation into the outbreaks is ongoing and the Danish authorities are focusing on how the lettuce became contaminated. Since more than one disease agent seems to have been present, water containing human faecal matter is suspected as the likely source.
http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19484
© 2006-2012 Food Safety Info. All Rights Reserved. Reproduction without permission prohibited.