Cohort study of a dual-pathogen point source outbreak associated with the consumption of chicken liver pâté, UK, October 2009

A. Wensley, Louise Coole

    Research output: Contribution to journalArticlepeer-review

    11 Citations (Scopus)

    Abstract

    Background: In October 2009, a dual-pathogen outbreak of Campylobacter and Salmonella occurred in which 59 cases were identified among guests attending a regional conference in the North of England. The mean symptomatic period was 5.4 days (confidence intervals: 4.4-6.4), and over 84% of the cases had abdominal pain and diarrhoea. Methods: A retrospective cohort study was used to investigate the outbreak, and active case-finding was performed through the conference organizers and environmental health officers. A focused questionnaire was distributed to all guests via the event organizers 10 days after the conference. Results: Response rate among guests was 61% (107/175). A cohort study was undertaken, and a strong association was found between illness and consumption of chicken liver pâté, supporting the hypothesis that chicken liver pâté was the most likely cause of the outbreak. Conclusion: This is the first mixed pathogen outbreak documented associated with the consumption of chicken liver pâté and adds to the evidence of potential hazards associated with the undercooking of poultry livers. A rapid outbreak investigation with collaboration between several organizations and the venue led to identification of the most probable source.

    Original languageEnglish
    Pages (from-to)585-589
    Number of pages5
    JournalJournal of Public Health
    Volume35
    Issue number4
    DOIs
    Publication statusPublished - Dec 2013

    Keywords

    • Chicken liver
    • Cohort
    • Food poisoning
    • Outbreak
    • Pate

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