Document Detail


An outbreak of norovirus gastroenteritis associated with wedding cakes.
MedLine Citation:
PMID:  16274502     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We sought to determine the source of a norovirus outbreak among attendees of 46 weddings taking place during a single weekend. Norovirus-compatible illness was experienced by 332 (39%) of wedding guests surveyed; the outbreak affected up to 2700 persons. Illness was associated with eating wedding cake provided by a bakery common to the weddings (adjusted RR 4.5, P<0.001). A cake requiring direct hand contact during its preparation accounted for the majority of illness. At least two bakery employees experienced norovirus-compatible illness during the week preceding the weddings. Identical sequence types of norovirus were detected in stool specimens submitted by two wedding guests, a wedding hall employee, and one of the ill bakery employees. It is likely that one or more food workers at the bakery contaminated the wedding cakes through direct and indirect contact. These findings reinforce the necessity of proper food-handling practices and of policies that discourage food handlers from working while ill.
Authors:
D S Friedman; D Heisey-Grove; F Argyros; E Berl; J Nsubuga; T Stiles; J Fontana; R S Beard; S Monroe; M E McGrath; H Sutherby; R C Dicker; A DeMaria; B T Matyas
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Epidemiology and infection     Volume:  133     ISSN:  0950-2688     ISO Abbreviation:  Epidemiol. Infect.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-08     Completed Date:  2006-02-07     Revised Date:  2010-05-17    
Medline Journal Info:
Nlm Unique ID:  8703737     Medline TA:  Epidemiol Infect     Country:  England    
Other Details:
Languages:  eng     Pagination:  1057-63     Citation Subset:  IM    
Affiliation:
Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, GA, USA.
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MeSH Terms
Descriptor/Qualifier:
Disease Outbreaks*
Food Contamination*
Food Microbiology
Gastroenteritis / epidemiology*,  virology
Hygiene / standards
Norovirus / isolation & purification*
Sanitation / standards

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


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