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Shiga toxin-producing E. coli (STEC): Update on outbreak in Germany and cluster in France (28 June 2011, 11:00)

28 Jun 2011

Update since 27 June – 11:00:

In the EU/EEA, 885 HUS cases, including 31 deaths, and 3 138 non-HUS cases, including 17 deaths have so far been reported. The table below shows the distribution of reported cases per country. Germany reports four additional HUS cases since the last update, as well as 96 non-HUS STEC cases and one non-HUS STEC death. Sweden reports one new non-HUS STEC cases. The latest known date of onset of diarrhoea for cases is 22 June.

On Friday 24 June, France reported a cluster of patients with bloody diarrhoea, who had participated in an event in the commune of Bègles around Bordeaux on 8 June. As of 27 June, nine people have been hospitalised. Eight of these have developed HUS, a severe complication of E. coli infection. The ninth hospitalised case has bloody diarrhoea but not HUS, and epidemiological investigations have shown no link with the event in Bègles. An additional four cases of bloody diarrhoea, all participants to the event, have been notified and are under clinical follow-up. In three cases, infection with E. coli O104:H4 has been confirmed.

The French authorities are investigating this new cluster of STEC. Six of the cases reported having eaten sprouts at the event on 8 June, and leftovers are currently being analysed. These suspected sprouts were locally produced, and were not imported from the farm implicated in the outbreak in Germany.

Thorough investigations are now being carried out to determine the suspected vehicle of infection for the cases reported in the French cluster, and whether there is any link between that cluster and the large outbreak reported from Germany.

Table 1: Number of probable and confirmed HUS cases and non-HUS STEC cases with associated deaths per EU/EEA Member State as of 28 June, 11:00

Member States

Number of HUS cases (death)

Number of non-HUS STEC cases (death)

Countries reporting HUS cases

Austria

1 (0)

4 (0)

Czech Republic

0 (0)

1 (0)

Denmark

9 (0)

14 (0)

France

3 (0) Confirmed cases*
5 (0) Suspected cases*

2 (0) Probable and confirmed cases**
5 (0) Suspected cases*

Germany

682 (23) Probable and confirmed
156 (7) Suspected cases

3 063 (17)

Greece

0 (0)

1 (0)

Luxembourg

1 (0)

1 (0)

Netherlands

4 (0)

7 (0)

Norway

0 (0)

1 (0)

Poland

2 (0)

1 (0)

Spain

1 (0)

1 (0)

Sweden

18 (1)

34 (0)

The United Kingdom

3 (0)

3 (0)

TOTAL

885 (31)

3 138 (17)


Note: the numbers in this table represent the total number of cases reported at the European level (ECDC) so far. Although daily numbers of reported cases have steadily decreased in the last three weeks, these cumulative numbers continue to rise due to reporting delays at the various levels.
* Cases reported from the new outbreak in Bordeaux
** Cases reported earlier, linked to travel to Germany

Read more:
Escherichia coli (E. coli) health topic site: See list of all epidemiological updates, disease information
ECDC updated its risk assessment on 15 June

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