2024 United Kingdom Shigatoxigenic E. coli outbreak

Last updated
2024 United Kingdom Shigatoxigenic E. coli outbreak
Bacteria strain Shigatoxigenic Escherichia coli O145
LocationUnited Kingdom
First reported25 May 2024
Date25 May-5 July 2024
Type
Tainted salad leaf in pre-packaged sandwiches, wraps, and salads for supermarkets
Confirmed cases211
Hospitalized cases67
Deaths
1
Territories
England, Scotland, Wales, Northern Ireland

The 2024 United Kingdom shigatoxigenic E. coli outbreak was a Shigatoxigenic Escherichia coli (STEC) O145 outbreak that is believed to have occurred in prepackaged supermarket sandwiches, salads, wraps distributed to and sold in multiple supermarket chains across the United Kingdom such as Aldi, Asda, Co-op, Morrisons, Sainsbury's, WHSmith, and Tesco. As of 27 June 2024, 1 person has died, [1] 211 people were affected by E. coli symptoms, with 67 people requiring hospitalization. [2]

Contents

Background

Disease caused by Shiga-toxigenic E. coli differs from Escherichia coli O157:H7 in that it produces Shiga toxin, which in addition to typical bacterial abdominal symptoms like diarrhea and abdominal pain, it can also cause severe damage to small blood vessels in the gastrointestinal tract and kidneys. Inflammation of the digestive tract lining and the glomerular vascular endothelium can potentially lead to hemorrhagic colitis and hemolytic-uremic syndrome respectively. [3]

Outbreak

United Kingdom public health authorities determined that the breakout was linked to the tainting of “a small number of salad leaf products”.

Impact

Cases of E. coli were first reported on 25 May 2024. [4] On 14 June 2024, the distribution of the 211 reported cases was:

With 67 people requiring hospitalization. [5] The ages of people showing disease symptoms ranged from two to 79, with most of the reported symptomatic infections occurring in young adults. [6]

Recall

Several food manufacturers have had to recall multiple products suspected to be tainted with E. coli, with a use-by date of 16 June or earlier.

Recalls include:

Statements from the Food Standards Agency and British Retail Consortium reported that they were contacting all relevant retailers and food manufacturers in order to work with them on testing potentially tainted products and distributing recall notices emphasizing the potential severe GI and kidney damage STEC O145 organisms can cause. [2]

Related Research Articles

<i>Escherichia coli</i> O157:H7 Serotype of the bacteria Escherichia coli

Escherichia coli O157:H7 is a serotype of the bacterial species Escherichia coli and is one of the Shiga-like toxin–producing types of E. coli. It is a cause of disease, typically foodborne illness, through consumption of contaminated and raw food, including raw milk and undercooked ground beef. Infection with this type of pathogenic bacteria may lead to hemorrhagic diarrhea, and to kidney failure; these have been reported to cause the deaths of children younger than five years of age, of elderly patients, and of patients whose immune systems are otherwise compromised.

<span class="mw-page-title-main">Shiga toxin</span> Family of related toxins

Shiga toxins are a family of related toxins with two major groups, Stx1 and Stx2, expressed by genes considered to be part of the genome of lambdoid prophages. The toxins are named after Kiyoshi Shiga, who first described the bacterial origin of dysentery caused by Shigella dysenteriae. Shiga-like toxin (SLT) is a historical term for similar or identical toxins produced by Escherichia coli. The most common sources for Shiga toxin are the bacteria S. dysenteriae and some serotypes of Escherichia coli, which include serotypes O157:H7, and O104:H4.

<span class="mw-page-title-main">Sprouting</span> Practice of germinating seeds to be eaten raw or cooked

Sprouting is the natural process by which seeds or spores germinate and put out shoots, and already established plants produce new leaves or buds, or other structures experience further growth.

<span class="mw-page-title-main">Hemolytic–uremic syndrome</span> Group of blood disorders related to bacterial infection

Hemolytic–uremic syndrome (HUS) is a group of blood disorders characterized by low red blood cells, acute kidney injury, and low platelets. Initial symptoms typically include bloody diarrhea, fever, vomiting, and weakness. Kidney problems and low platelets then occur as the diarrhea progresses. Children are more commonly affected, but most children recover without permanent damage to their health, although some children may have serious and sometimes life-threatening complications. Adults, especially the elderly, may show a more complicated presentation. Complications may include neurological problems and heart failure.

Greencore Group plc is a food company in Ireland. It was established by the Irish government in 1991, when Irish Sugar was privatised, but today Greencore's products are mainly convenience foods, not only in Ireland but also in the United Kingdom. A major supplier to British and Irish supermarkets, Greencore is the largest sandwich manufacturer in the world. It is listed on the London Stock Exchange and is a constituent of the FTSE 250 Index.

<span class="mw-page-title-main">Romaine lettuce</span> Variety of lettuce

Romaine or cos lettuce is a variety of lettuce that grows in a tall head of sturdy dark green leaves with firm ribs down their centers. Unlike most lettuces, it is tolerant of heat. In North America, romaine is often sold as whole heads or as "hearts" that have had the outer leaves removed and are often packaged together.

The 2006 North American E. coli outbreak was an Escherichia coli O157:H7 outbreak from prepackaged spinach. The outbreak occurred in September 2006, and its origin was an Angus cattle ranch that had leased land to a spinach grower. At least 276 consumer illnesses and 3 deaths have been attributed as a result from the outbreak.

Escherichia coli O121 is a pathogenic serotype of Escherichia coli, associated with Shiga toxin, intestinal bleeding, and hemolytic-uremic syndrome (HUS). HUS, if left untreated, can lead to kidney failure.

Microbial toxins are toxins produced by micro-organisms, including bacteria, fungi, protozoa, dinoflagellates, and viruses. Many microbial toxins promote infection and disease by directly damaging host tissues and by disabling the immune system. Endotoxins most commonly refer to the lipopolysaccharide (LPS) or lipooligosaccharide (LOS) that are in the outer plasma membrane of Gram-negative bacteria. The botulinum toxin, which is primarily produced by Clostridium botulinum and less frequently by other Clostridium species, is the most toxic substance known in the world. However, microbial toxins also have important uses in medical science and research. Currently, new methods of detecting bacterial toxins are being developed to better isolate and understand these toxins. Potential applications of toxin research include combating microbial virulence, the development of novel anticancer drugs and other medicines, and the use of toxins as tools in neurobiology and cellular biology.

<span class="mw-page-title-main">Samworth Brothers</span> British food manufacturer

Samworth Brothers is a British food manufacturer which produces a range of chilled and ambient foods, both own-label and branded. It is the owner of Cornish pasty maker Ginsters and malt loaf manufacturer Soreen, and is also known as a maker of certified Melton Mowbray pork pies.

2011 Germany <i>E. coli</i> O104:H4 outbreak Foodborne illness outbreak

A novel strain of Escherichia coli O104:H4 bacteria caused a serious outbreak of foodborne illness focused in northern Germany in May through June 2011. The illness was characterized by bloody diarrhea, with a high frequency of serious complications, including hemolytic–uremic syndrome (HUS), a condition that requires urgent treatment. The outbreak was originally thought to have been caused by an enterohemorrhagic (EHEC) strain of E. coli, but it was later shown to have been caused by an enteroaggregative E. coli (EAEC) strain that had acquired the genes to produce Shiga toxins, present in organic fenugreek sprouts.

Escherichia coli O104:H4 is an enteroaggregative Escherichia coli strain of the bacterium Escherichia coli, and the cause of the 2011 Escherichia coli O104:H4 outbreak. The "O" in the serological classification identifies the cell wall lipopolysaccharide antigen, and the "H" identifies the flagella antigen.

Shigatoxigenic Escherichia coli (STEC) and verotoxigenic E. coli (VTEC) are strains of the bacterium Escherichia coli that produce Shiga toxin. Only a minority of the strains cause illness in humans. The ones that do are collectively known as enterohemorrhagic E. coli (EHEC) and are major causes of foodborne illness. When infecting the large intestine of humans, they often cause gastroenteritis, enterocolitis, and bloody diarrhea and sometimes cause a severe complication called hemolytic-uremic syndrome (HUS). Cattle are an important natural reservoir for EHEC because the colonised adult ruminants are asymptomatic. This is because they lack vascular expression of the target receptor for Shiga toxins. The group and its subgroups are known by various names. They are distinguished from other strains of intestinal pathogenic E. coli including enterotoxigenic E. coli (ETEC), enteropathogenic E. coli (EPEC), enteroinvasive E. coli (EIEC), enteroaggregative E. coli (EAEC), and diffusely adherent E. coli (DAEC).

<span class="mw-page-title-main">Spinach in the United States</span>

Driven by fresh-market use, the consumption of spinach has been on the rise in the United States. Per capita use of fresh-market spinach averaged 1 kilogram (2.2 lb) during 2004–2006, the highest since the mid-1940s. The fresh market now accounts for about three-fourths of all US spinach consumed. Much of the growth over the past decade has been due to sales of triple-washed, cello-packed spinach and, more recently, baby spinach. These packaged products have been one of the fastest-growing segments of the packaged salad industry.

Enteroaggregative Escherichia coli are a pathotype of Escherichia coli which cause acute and chronic diarrhea in both the developed and developing world. They may also cause urinary tract infections. EAEC are defined by their "stacked-brick" pattern of adhesion to the human laryngeal epithelial cell line HEp-2. The pathogenesis of EAEC involves the aggregation of and adherence of the bacteria to the intestinal mucosa, where they elaborate enterotoxins and cytotoxins that damage host cells and induce inflammation that results in diarrhea.

The 2015 United States E. coli outbreak was an incident in the United States involving the spread of Escherichia coli O157:H7 through contaminated celery which was consumed in chicken salad at various large retailers. A product recall covering more than one dozen states and over 155,000 products has taken place as a result of the incident.

Lauren Beth Rudolph was a 6-year-old girl of San Diego, California and one of the victims of the 1992–1993 Jack in the Box E. coli outbreak.

References

  1. "E. Coli: Person dies in outbreak linked to salad leaves". 27 June 2024.
  2. 1 2 Mundasad, Smitha (14 June 2024). "Supermarket sandwiches linked to E. coli outbreak". www.bbc.com. Retrieved 2024-06-15.
  3. Melton-Celsa, Angela R. (2014). "Shiga Toxin (Stx) Classification, Structure, and Function". Microbiology Spectrum. 2 (4): 10.1128/microbiolspec.EHEC–0024–2013. doi:10.1128/microbiolspec.EHEC-0024-2013. ISSN   2165-0497. PMC   4270005 . PMID   25530917.
  4. Roberts, Michelle (6 June 2024). "Ecoli outbreak in UK most likely linked to food item". www.bbc.com. Retrieved 2024-06-15.
  5. Onita, Laura; Speed, Madeleine; Johnston, Ian (14 June 2024). "UK manufacturers recall food products over E.coli risk". Financial Times. Retrieved 2024-06-15.
  6. "E.coli outbreak: What are the warning signs of infection?". Sky News. 7 June 2024. Retrieved 2024-06-15.
  7. "Greencore Group recalls sandwiches, wraps and salads because of possible contamination with E. coli | Food Standards Agency". www.food.gov.uk. Retrieved 2024-06-15.
  8. "Samworth Brothers Manton Wood recalls sandwiches and wraps because of possible contamination with E. coli | Food Standards Agency". www.food.gov.uk. Retrieved 2024-06-15.