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Urgent warning after surge in deadly food poisonings – as health officials link outbreak to contaminated salad leaves

Urgent warning after surge in deadly food poisonings – as health officials link outbreak to contaminated salad leaves

The Sun4 days ago
HEALTH officials have warned of a rise in dangerous gut infections in England - and one major outbreak was linked to contaminated salad leaves.
In severe cases, infections can lead to a serious, life-threatening condition.
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New figures from the UK Health Security Agency (UKHSA) revealed a 26 per cent rise in Shiga toxin-producing Escherichia coli (STEC) infections in 2024 when compared to 2023.
Overall, 2,544 cases of STEC were confirmed last year, with 564 cases of STEC serotype O157 - the strain linked to severe illness.
There were 1,980 cases of other STEC serotypes (non-0157), which have become increasingly common and are considered less dangerous.
Typically, STEC bacteria causes gastroenteritis, with symptoms ranging from mild to bloody diarrhoea, stomach cramps, vomiting and dehydration.
But in severe cases, they can cause haemolytic uraemic syndrome (HUS) - a potentially deadly condition that predominantly affects the kidneys.
STEC bacteria are spread through contact with animals or their faeces, consuming contaminated food or water, and from person to person.
Dr Gauri Godbole, Deputy Director, Gastrointestinal infections, Food Safety and One Health at UKHSA, said: "It's important for people to take steps to prevent infection.
'Rarely STEC can progress to cause kidney failure and life-threatening illness, particularly in young children and elderly.
"Please consult your GP or healthcare professional if you have blood in your stools or severe dehydration and continue to hydrate yourself.'
The highest incidence of STEC cases in 2024 was in children aged one to four years.
Experts said this may be explained by a combination of factors such as less time to build immunity to infection, less developed hygiene practices, a greater likelihood of parents seeking healthcare when young children are symptomatic, and potential exposure to risk factors such as contact with farm animals, particularly at petting farms.
Travel-related cases increased by 60.5 per cent from 114 in 2023 to 183 in 2024
The UKHSA said this increase may reflect changes in international travel patterns or improved ascertainment of travel history during investigations, although the underlying reasons remain uncertain.
In 2024, there were seven deaths among STEC cases - two linked to STEC O157 and five to non-O157 strains.
The UKHSA investigated five STEC outbreaks at the time, which accounted for 467 cases - 348 of them in England.
All were caused by STEC non-O157.
The sources for three of these were contaminated beef, fresh fruit, and salad leaves.
Non-O157 cases have increased nearly three times since 2019.
The UKHSA suggested the rise may be due to diagnostic laboratories using polymerase chain reaction (PCR), which has improved detection.
While non-O157 infections usually peak in autumn, O157 types peak in summer, so people have been advised to take care throughout the year.
Natasha Smith, Director of Food Policy at the FSA, said: "Public safety is our highest priority. The FSA works closely with UKHSA and other partners to monitor and assess the latest foodborne disease data.
"We are working together to understand the reasons behind the rise in STEC cases, as well as trends in other pathogens, to help us take the necessary action to protect public health.
"We've launched a new food safety campaign to help people stay safe - find out more on food.gov.uk.
"We're also working with local authorities and industry to support businesses meet their legal responsibility to make sure food is safe. Consumers can further protect themselves by checking Food Hygiene Ratings on food.gov.uk before eating out.
'When preparing food at home, people can reduce their risk of food poisoning by following good hygiene practices and by following advice on the 4Cs of food hygiene: chilling, cleaning, cooking, and avoiding cross-contamination.'
Shiga toxin-producing Escherichia coli (STEC): symptoms, how to avoid, and how to treat
THE most common type of Shiga toxin-producing Escherichia coli (STEC) in the UK is O157.
Symptoms
People infected with STEC can have a combination of the following symptoms:
diarrhoea (about 50 per cent of cases have bloody diarrhoea)
stomach cramps
fever
Some people may have mild diarrhoea, or even no symptoms at all.
Symptoms can last up to two weeks in cases without complications.
A small proportion of patients, mainly children, may develop haemolytic uraemic syndrome (HUS) which is a serious life-threatening condition resulting in kidney failure.
And a small proportion of adults may develop a similar condition called thrombotic thrombocytopaenic purpura (TTP).
How it's transmitted
Cattle are the most important reservoir of STEC O157 in the UK, although STEC have also been found in the faeces of a range of animals, including deer, rabbits, horses, pigs and wild birds.
People can become infected by:
eating contaminated food
contact with infected animals either directly or through inadvertent contact with animal faeces, for example at farms, petting farms and campsites
contact with other people who have the illness (through inadequate hand hygiene after using the toilet, before food handling - particularly in households, nurseries and infant schools, or both
drinking water from inadequately treated water supplies
swimming or playing in contaminated water such as ponds or streams
How to avoid getting it
Good hygiene practices relating to food and drink, and animals and their environment can hep you avoid getting infected.
You must:
cook all minced meat products (burgers, meatloaf, meat balls) thoroughly, until the colour is the same all the way through, and no blood runs from them
ensure refrigerators are working correctly - bacteria grow more quickly at temperatures over 4 o C
only leave cooked foods, meat and dairy products out at room temperature for a short time
store uncooked meats below cooked meats and salad vegetables to avoid dripping juices onto ready to eat food
store uncooked and cooked meats on different plates, avoid all contact between raw and cooked meats
thoroughly wash all salad vegetables and do not prepare them with utensils that have also been used for raw meat
children and the elderly who are particularly susceptible to the severe effects of STEC should avoid eating or drinking unpasteurised dairy products
people who have been ill should not prepare food for others for at least 48 hours after they have recovered
boil any drinking water if you are unsure of it's source
do not swim in water that you think may be contaminated by cattle and sheep in nearby fields
wash your hands thoroughly after using the toilet (or helping others including changing nappies), handling raw meat, before meals and after contact with animals
How to treat STEC
There is no specific treatment for STEC infection. The illness is usually self-limiting, and will clear itself within a week.
It's important to drink plenty of fluids as diarrhoea can lead to dehydration.
Antibiotics are not recommended and are likely to increase the risk of getting complications such as HUS.
Also, stay away from work or school until 48 hours after you've stopped vomiting or having diarrhoea.
Source: UK Health Security Agency
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