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Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009

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Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009. / Wensley, A.; Coole, L.
In: Journal of Public Health, Vol. 35, No. 4, 12.2013, p. 585-589.

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Wensley A, Coole L. Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009. Journal of Public Health. 2013 Dec;35(4):585-589. Epub 2013 Mar 17. doi: 10.1093/pubmed/fdt020

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Wensley, A. ; Coole, L. / Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009. In: Journal of Public Health. 2013 ; Vol. 35, No. 4. pp. 585-589.

Bibtex

@article{0940aa7dd35c45aab78a87a77267f302,
title = "Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver p{\^a}t{\'e}, UK, October 2009",
abstract = "Background: In October 2009, a dual-pathogen outbreak of Campylobacter and Salmonella occurred in which 59 cases were identified among guests attending a regional conference in the North of England. The mean symptomatic period was 5.4 days (confidence intervals: 4.4-6.4), and over 84% of the cases had abdominal pain and diarrhoea. Methods: A retrospective cohort study was used to investigate the outbreak, and active case-finding was performed through the conference organizers and environmental health officers. A focused questionnaire was distributed to all guests via the event organizers 10 days after the conference.Results: Response rate among guests was 61% (107/175). A cohort study was undertaken, and a strong association was found between illness and consumption of chicken liver p{\^a}t{\'e}, supporting the hypothesis that chicken liver p{\^a}t{\'e} was the most likely cause of the outbreak. Conclusion: This is the first mixed pathogen outbreak documented associated with the consumption of chicken liver p{\^a}t{\'e} and adds to the evidence of potential hazards associated with the undercooking of poultry livers. A rapid outbreak investigation with collaboration between several organizations and the venue led to identification of the most probable source. ",
keywords = "Chicken liver, Cohort, Food poisoning, Outbreak, Pate",
author = "A. Wensley and L. Coole",
year = "2013",
month = dec,
doi = "10.1093/pubmed/fdt020",
language = "English",
volume = "35",
pages = "585--589",
journal = "Journal of Public Health",
issn = "1741-3842",
publisher = "Oxford University Press",
number = "4",

}

RIS

TY - JOUR

T1 - Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009

AU - Wensley, A.

AU - Coole, L.

PY - 2013/12

Y1 - 2013/12

N2 - Background: In October 2009, a dual-pathogen outbreak of Campylobacter and Salmonella occurred in which 59 cases were identified among guests attending a regional conference in the North of England. The mean symptomatic period was 5.4 days (confidence intervals: 4.4-6.4), and over 84% of the cases had abdominal pain and diarrhoea. Methods: A retrospective cohort study was used to investigate the outbreak, and active case-finding was performed through the conference organizers and environmental health officers. A focused questionnaire was distributed to all guests via the event organizers 10 days after the conference.Results: Response rate among guests was 61% (107/175). A cohort study was undertaken, and a strong association was found between illness and consumption of chicken liver pâté, supporting the hypothesis that chicken liver pâté was the most likely cause of the outbreak. Conclusion: This is the first mixed pathogen outbreak documented associated with the consumption of chicken liver pâté and adds to the evidence of potential hazards associated with the undercooking of poultry livers. A rapid outbreak investigation with collaboration between several organizations and the venue led to identification of the most probable source. 

AB - Background: In October 2009, a dual-pathogen outbreak of Campylobacter and Salmonella occurred in which 59 cases were identified among guests attending a regional conference in the North of England. The mean symptomatic period was 5.4 days (confidence intervals: 4.4-6.4), and over 84% of the cases had abdominal pain and diarrhoea. Methods: A retrospective cohort study was used to investigate the outbreak, and active case-finding was performed through the conference organizers and environmental health officers. A focused questionnaire was distributed to all guests via the event organizers 10 days after the conference.Results: Response rate among guests was 61% (107/175). A cohort study was undertaken, and a strong association was found between illness and consumption of chicken liver pâté, supporting the hypothesis that chicken liver pâté was the most likely cause of the outbreak. Conclusion: This is the first mixed pathogen outbreak documented associated with the consumption of chicken liver pâté and adds to the evidence of potential hazards associated with the undercooking of poultry livers. A rapid outbreak investigation with collaboration between several organizations and the venue led to identification of the most probable source. 

KW - Chicken liver

KW - Cohort

KW - Food poisoning

KW - Outbreak

KW - Pate

U2 - 10.1093/pubmed/fdt020

DO - 10.1093/pubmed/fdt020

M3 - Journal article

C2 - 23509410

AN - SCOPUS:84890543591

VL - 35

SP - 585

EP - 589

JO - Journal of Public Health

JF - Journal of Public Health

SN - 1741-3842

IS - 4

ER -