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In June 1993 an outbreak of Shigella sonnei infection at a primary school in south east England affected 42% of 327 pupils and staff. Attack rates of diarrhoea and fever were 33% for children aged 4 to 8 years, and 8% for those aged 8 to 12 years (p < 0.00001). Illness was associated with eating canteen food (relative risk 5.9; 95% confidence interval 3.4, -10.3). All strains examined were S. sonnei phage type 3, with the same antibiogram (ttSTSS), and were indistinguishable using colicin typing and biotyping (colicin type 9, E8) and pulse field gel electrophoresis. Molecular epidemiology suggested but could not confirm that the outbreak strain was introduced into the school population from the community.
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C Seng, and
S Chambers, and
T Cheasty, and
G Double, and
N Soltanpoor, and
D Morse
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Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin,
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March 2008,
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H C Maguire, and
C Seng, and
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H C Maguire, and
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T Cheasty, and
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May 1979,
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H C Maguire, and
C Seng, and
S Chambers, and
T Cheasty, and
G Double, and
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D Morse
January 2019,
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H C Maguire, and
C Seng, and
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T Cheasty, and
G Double, and
N Soltanpoor, and
D Morse
August 2001,
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H C Maguire, and
C Seng, and
S Chambers, and
T Cheasty, and
G Double, and
N Soltanpoor, and
D Morse
February 1975,
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H C Maguire, and
C Seng, and
S Chambers, and
T Cheasty, and
G Double, and
N Soltanpoor, and
D Morse
November 2007,
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin,
