[Show abstract][Hide abstract] ABSTRACT: In 2006, in The Netherlands, an outbreak of Salmonella Typhimurium phage type 561 (STM DT7, corresponding to the rare DT7 in the international typing scheme) was detected, accumulating to over 200 cases. By telephone interviews, data were collected from all laboratory-confirmed cases. In addition, in August 2006, a case-control study was performed in a subset of cases. Environmental and microbiological investigation was performed on a suspected dairy farm. In the case-control study (51 cases, 105 matched controls), hard cheese purchased from a farm, specifically farm X, and from a market stall were found to be associated with infection. The dairy production room of farm X tested STM DT7-positive in August. However, it was only in November, after earlier unsuccessful attempts, that a low-level contamination was confirmed in the hard farmhouse cheese, triggering control measures. A timely and adequate response was hampered during this outbreak for several reasons. Measures for improvement in handling future similar incidents are discussed.
Epidemiology and Infection 04/2009; 137(11):1548-57. · 2.87 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The report 'Zoonoses and Zoonotic Agents in Humans, Food, Animals and Feed in The Netherlands 2003 - 2006' is based on data that is reported annually to the European Commission, in accordance with the Directive 2003/99/EC on the monitoring of zoonoses and zoonotic agents. They are supplemented with data from Dutch surveillance, monitoring and control programmes and relevant research projects concerning zoonoses and zoonotic agents by the different institutions that have contributed to the preparation of this report. The report also includes information on recent research on the antibiotic resistance of micro-organisms derived from human and animal material. Specific documentation and reports regarding the described programmes and research projects are available from the authors mentioned in the editorial list. The extended dataset on antimicrobial resistance and trends in the Netherlands has been published recently as a report: Maran 2003, 2004 and 2005. Het rapport 'Zoonoses and Zoonotic Agents in Humans, Food, Animals and Feed in The Netherlands 2003 - 2006' beschrijft welke zoonosen in Nederland zijn opgenomen in een monitoringsprogramma, hoe vaak ze voorkomen, en wat er gedaan wordt aan onderzoek en bestrijding. Alle lidstaten van de Europese Unie geven jaarlijks een dergelijk overzicht. De rapportages zijn nodig om in Europees verband te kunnen werken aan onderzoek en bestrijding van deze groep van ziekteverwekkers. Ook resistentieopbouw van ziekteverwekkers tegen antibiotica is een onderwerp dat veel aandacht krijgt.