International foodborne outbreak of Shigella sonnei infection in airline passengers. 2009

K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
Centers for Disease Control and Prevention, Atlanta, GA , USA. kate.gaynor@doh.hawaii.gov

During 22-24 August 2004, an outbreak of Shigella sonnei infection affected air travellers who departed from Hawaii. Forty-seven passengers with culture-confirmed shigellosis and 116 probable cases who travelled on 12 flights dispersed to Japan, Australia, 22 US states, and American Samoa. All flights were served by one caterer. Pulsed-field gel electrophoresis of all 29 S. sonnei isolates yielded patterns that matched within one band. Food histories and menu reviews identified raw carrot served onboard as the likely vehicle of infection. Attack rates for diarrhoea on three surveyed flights with confirmed cases were 54% (110/204), 32% (20/63), and 12% (8/67). A total of 2700 meals were served on flights with confirmed cases; using attack rates observed on surveyed flights, we estimated that 300-1500 passengers were infected. This outbreak illustrates the risk of rapid, global spread of illness from a point-source at a major airline hub.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004196 Disease Outbreaks Sudden increase in the incidence of a disease. The concept includes EPIDEMICS and PANDEMICS. Outbreaks,Infectious Disease Outbreaks,Disease Outbreak,Disease Outbreak, Infectious,Disease Outbreaks, Infectious,Infectious Disease Outbreak,Outbreak, Disease,Outbreak, Infectious Disease,Outbreaks, Disease,Outbreaks, Infectious Disease
D004405 Dysentery, Bacillary DYSENTERY caused by gram-negative rod-shaped enteric bacteria (ENTEROBACTERIACEAE), most often by the genus SHIGELLA. Shigella dysentery, Shigellosis, is classified into subgroups according to syndrome severity and the infectious species. Group A: SHIGELLA DYSENTERIAE (severest); Group B: SHIGELLA FLEXNERI; Group C: SHIGELLA BOYDII; and Group D: SHIGELLA SONNEI (mildest). Shigellosis,Dysentery, Shiga bacillus,Dysentery, Shigella boydii,Dysentery, Shigella dysenteriae,Dysentery, Shigella dysenteriae type 1,Dysentery, Shigella flexneri,Dysentery, Shigella sonnei,Shigella Dysentery,Shigella Infection,Bacillary Dysentery,Dysenteries, Shigella,Dysenteries, Shigella boydii,Dysenteries, Shigella dysenteriae,Dysenteries, Shigella flexneri,Dysenteries, Shigella sonnei,Dysentery, Shigella,Infection, Shigella,Infections, Shigella,Shiga bacillus Dysentery,Shigella Dysenteries,Shigella Infections,Shigella boydii Dysenteries,Shigella boydii Dysentery,Shigella dysenteriae Dysenteries,Shigella dysenteriae Dysentery,Shigella flexneri Dysenteries,Shigella flexneri Dysentery,Shigella sonnei Dysenteries,Shigella sonnei Dysentery
D005260 Female Females
D005506 Food Contamination The presence in food of harmful, unpalatable, or otherwise objectionable foreign substances, e.g. chemicals, microorganisms or diluents, before, during, or after processing or storage. Food Adulteration,Adulteration, Food,Adulterations, Food,Contamination, Food,Contaminations, Food,Food Adulterations,Food Contaminations
D005511 Food Handling Any aspect of the operations in the preparation, processing, transport, storage, packaging, wrapping, exposure for sale, service, or delivery of food. Food Processing,Handling, Food,Processing, Food

Related Publications

K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
February 1992, Communicable disease report. CDR weekly,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
June 1994, Communicable disease report. CDR weekly,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
March 2018, Japanese journal of infectious diseases,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
December 1992, JAMA,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
January 1992, Acta veterinaria Scandinavica,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
December 2000, Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
March 1995, Journal of clinical microbiology,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
November 2011, Emerging infectious diseases,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
January 2006, The Pediatric infectious disease journal,
K Gaynor, and S Y Park, and R Kanenaka, and R Colindres, and E Mintz, and P K Ram, and P Kitsutani, and M Nakata, and S Wedel, and D Boxrud, and D Jennings, and H Yoshida, and N Tosaka, and H He, and M Ching-Lee, and P V Effler
January 1995, Emerging infectious diseases,
Copied contents to your clipboard!