Document Detail


An outbreak of Norwalk-like viral gastroenteritis in a frequently penalized food service operation: a case for mandatory training of food handlers in safety and hygiene.
MedLine Citation:
PMID:  11764683     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In 1999, in Toledo, Ohio, an outbreak of gastroenteritis occurred among people who had attended a Christmas dinner banquet and had eaten food prepared by a local caterer. Overall, 93 of the 137 attendees (67.9 percent) reported illness. Eight sought medical care, and one was hospitalized. Case-control studies revealed that the illness was associated with eating tossed salad (odds ratio [OR] = 2.5, 95 percent confidence interval [CI] = 1.02-6.26). Eleven of 12 stool specimens that were taken from ill people tested positive for a Norwalk-like virus (NLV) but were negative for E. coli O157:H7, Salmonella, and Shigella. The primary source of the outbreak was not determined, but an infected food handler may have played a role in the transmission of the virus. The catering facility had been cited frequently for food safety and hygiene violations. None of the personnel or food handlers at this facility had been appropriately trained in safe food-handling practices, nor had the personnel at another local caterer that had prepared food items suspected of causing a multistate outbreak of NLVs. In Toledo, food service operations with trained personnel/food handlers received better inspection reports than food service operations without trained personnel and were less likely to contribute to foodborne outbreaks. Training of personnel and food handlers may be important for preventing outbreaks.
Authors:
H Kassa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of environmental health     Volume:  64     ISSN:  0022-0892     ISO Abbreviation:  J Environ Health     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-17     Completed Date:  2002-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0405525     Medline TA:  J Environ Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  9-12, 33; quiz 37-8     Citation Subset:  IM    
Affiliation:
224 College of Health and Human Services, Bowling Green State University, Bowling Green, OH 43403-0280, USA. hkassa@bgnet.bgsu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Caliciviridae Infections / epidemiology*,  transmission
Case-Control Studies
Child
Child, Preschool
Disease Outbreaks / prevention & control*
Education
Female
Food Contamination*
Food Handling*
Gastroenteritis / epidemiology*,  virology
Humans
Hygiene
Infant
Intervention Studies
Male
Middle Aged
Norovirus / pathogenicity*
Vegetables

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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