Outbreak of Yersinia pseudotuberculosis O:1 infection associated with raw milk consumption, Finland, spring 2014.

Abstract:

:In March 2014, a Yersinia pseudotuberculosis (YP) outbreak was detected by a municipal authority in southern Finland. We conducted epidemiological, microbiological and traceback investigations to identify the source. We defined a case as a person with YP infection notified to the National Infectious Disease Registry between February and April 2014, or their household member, with abdominal pain and fever≥38 °C or erythema nodosum. Healthy household members were used as household-matched controls. We identified 43 cases and 50 controls. The illness was strongly associated with the consumption of raw milk from a single producer. The odds ratio of illness increased with the amount of raw milk consumed. Also previously healthy adults became infected by consuming raw milk. Identical YP strains were identified from cases' stool samples, raw milk sampled from a case's refrigerator and from the milk filter at the producer's farm. The producer fulfilled the legal requirements for raw milk production and voluntarily recalled the raw milk and stopped its production. We advised consumers to heat the raw milk to 72 °C for 15 s. Current legislation for raw milk producers should be reviewed and public awareness of health risks linked to raw milk consumption should be increased.

journal_name

Euro Surveill

authors

Pärn T,Hallanvuo S,Salmenlinna S,Pihlajasaari A,Heikkinen S,Telkki-Nykänen H,Hakkinen M,Ollgren J,Huusko S,Rimhanen-Finne R

doi

10.2807/1560-7917.ES.2015.20.40.30033

subject

Has Abstract

pub_date

2015-01-01 00:00:00

issue

40

eissn

1025-496X

issn

1560-7917

pii

30033

journal_volume

20

pub_type

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