Lessons from Norovirus Outbreak in Warsaw, Poland, December 2012

Food Environ Virol. 2014 Dec;6(4):276-81. doi: 10.1007/s12560-014-9166-0. Epub 2014 Oct 18.

Abstract

Efficient foodborne outbreak investigations are important for identification of gaps in food safety and public health practice. This article reports on an investigation of a gastroenteritis outbreak linked to catering food following a Christmas reception at the National Institute of Public Health-National Institute of Hygiene (NIPH-NIH) in Warsaw in December 2012. Of 192 employees eating food at the catering event, 97 (50.5%) developed symptoms. Persons eating dishes with recipes containing frozen carrots were five times more likely to develop gastrointestinal symptoms compared to those who did not eat carrots. Laboratory analysis identified norovirus in stool samples taken from symptomatic persons. Leftover food was not available for testing. The investigators did not collect stool specimens from food handlers and did not conduct trace backs for the suspected food ingredients. This investigation underlines the need for a revision of an existing procedures and importance of their complementation with detailed instructions for the local public health authorities for effective completion of foodborne outbreaks investigations in Poland.

Keywords: Foodborne; Norovirus; Outbreak investigation; Poland; Viral disease.

MeSH terms

  • Adult
  • Caliciviridae Infections / epidemiology*
  • Caliciviridae Infections / prevention & control
  • Caliciviridae Infections / transmission
  • Caliciviridae Infections / virology
  • Daucus carota / virology
  • Disease Outbreaks* / prevention & control
  • Feces / virology
  • Female
  • Financing, Government
  • Food Services
  • Foodborne Diseases / epidemiology*
  • Foodborne Diseases / prevention & control
  • Foodborne Diseases / virology
  • Frozen Foods / virology
  • Gastroenteritis / epidemiology*
  • Gastroenteritis / prevention & control
  • Gastroenteritis / virology
  • Holidays
  • Humans
  • Male
  • Middle Aged
  • Norovirus / isolation & purification
  • Norovirus / pathogenicity*
  • Plant Roots / virology
  • Poland / epidemiology
  • Public Health
  • Quality Improvement
  • Seasons
  • Urban Health*
  • Workforce