Document Detail

Emergence of pregnancy-related listeriosis amongst ethnic minorities in England and Wales.
MedLine Citation:
PMID:  20630145     Owner:  NLM     Status:  MEDLINE    
Listeriosis is a rare but severe food-borne disease that predominantly affects pregnant women, the unborn, newborns, the elderly and immunocompromised people. Following a large outbreak in the 1980s, specific food safety advice was provided to pregnant women and the immunocompromised in the United Kingdom. Following two coincident yet unconnected cases of pregnancy-related listeriosis in eastern European women in 2008, a review of the role of ethnicity in pregnancy-related listeriosis in England and Wales was undertaken in 2009. Cases reported to the national listeriosis surveillance scheme were classified as 'ethnic', belonging to an ethnic minority, or 'non-ethnic' based on their name, and trends were examined. Between 2001 and 2008, 1,510 cases of listeriosis were reported in England and Wales and, of these, 12% were pregnancy-related cases. The proportion of pregnancy-related cases classified as ethnic increased significantly from 16.7% to 57.9% (chi-square test for trend p=0.002). The reported incidence among the ethnic population was higher than that among the non-ethnic population in 2006, 2007 and 2008 (Relative Risk: 2.38, 95% confidence interval: 1.07 to 5.29; 3.82, 1.82 to 8.03; 4.33, 1.74 to 10.77, respectively). This effect was also shown when analysing data from January to September 2009, using extrapolated live births as denominator. Increased immigration and/or economic migration in recent years appear to have altered the population at risk of pregnancy-related listeriosis in England and Wales. These changes need to be taken into account in order to target risk communication strategies appropriately.
P Mook; K A Grant; C L Little; G Kafatos; I A Gillespie
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Publication Detail:
Type:  Journal Article     Date:  2010-07-08
Journal Detail:
Title:  Euro surveillance : bulletin Européen sur les maladies transmissibles = European communicable disease bulletin     Volume:  15     ISSN:  1560-7917     ISO Abbreviation:  Euro Surveill.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-10-12     Revised Date:  2013-05-01    
Medline Journal Info:
Nlm Unique ID:  100887452     Medline TA:  Euro Surveill     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  17-23     Citation Subset:  IM    
Health Protection Agency, Centre for Infections, London, United Kingdom.
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MeSH Terms
Asia / ethnology
Caribbean Region / ethnology
Communicable Diseases, Emerging / economics,  ethnology*,  microbiology,  transmission
Disease Outbreaks
Emigrants and Immigrants / statistics & numerical data*
England / epidemiology
Fetal Diseases / economics,  ethnology
Food Contamination
Food Microbiology
Infant, Newborn
Infectious Disease Transmission, Vertical
Listeria monocytogenes / isolation & purification
Listeriosis / economics,  ethnology*,  transmission
Minority Groups / statistics & numerical data*
Population Surveillance
Pregnancy Complications, Infectious / economics,  ethnology*,  microbiology
Retrospective Studies
Vulnerable Populations
Wales / epidemiology

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