KAZALCI OKOLJA

Key message
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Foodborne disease remain an important public health challenge and they are an important cause of morbidity and mortality worldwide.
During 2009 – 2014 Slovenia reported 389 different outbreaks. The largest group represents the outbreaks with contact transmission (210) where the most common etiologic agent was norovirus, followed by the foodborne disease outbreaks (38). In 2014 the all foodborne disease outbreaks were caused by Salmonella Enteritidis. The outbreaks occurred in the restaurants, in primary school in home setting, the participants of the trip.
All outbreaks of foodborne  disease except  one, fall into the category, were the strenght of evidence for epidemiological and microbiological evidence was weak. The epidemiological evidence (descriptive and analytical)  and microbiological evidence (an indistinguishable causative agent is identified in an outbreak cases and from a foodstuff of a type eaten by a case) was weak.

Only in one outbreak the epidemiological and microbiological  category  of evidence was strong. Comparison of Salmonella isolates with PFGE method and MLVA in humans and isolates from poultry flocks, which was owned by the catering facility where the outbreak occurred, showed the same pulsotype and identical type of MLVA.

Due to the increased number of  foodborne disease outbreaks in 2014 caused by salmonella, the human isolates from six foodborne disease outbreaks were analysed  by MLVA method. The human isolates originated from  5 of 6 outbreaks had the same MLVA type. The results supported the probability that  food vehicles  in 5 of 6 outbreaks were from the same origin, but the foodstuffs  were not implicated.



Charts

Figure ZD19-1: Number of reported foodborne disease outbreaks by settings and total, Slovenia, 2009-2014
Sources:

NIJZ, 2009-2014

Show data
2009 2010 2011 2012 2013 2014
Canteen or workplace catering No.of reported outbreaks 0 0 0 2 0 0
Restaurant, Hotel No.of reported outbreaks 3 0 4 4 1 3
Household No.of reported outbreaks 2 1 1 0 1 1
Hospital/retirement home/medical care facility/kindergarten/school/other No.of reported outbreaks 0 2 2 4 2 4
Total No.of reported outbreaks 5 3 7 10 4 8
Figure ZD19-2: Number of reported foodborne disease outbreaks, EU-28, 2009-2013
Sources:

EU summary report on zoonoses, zoonotic agents and food-borne outbreaks 2010-2013; EFSA Journal

Show data
2009 2010 2011 2012 2013
Austria No.of reported outbreaks 351 193 232 122 133
Belgium No.of reported outbreaks 105 105 281 327 311
Bulgaria No.of reported outbreaks NP NP 13 2 NP
Croatia No.of reported outbreaks - - - - 60
Cyprus No.of reported outbreaks NP NP NP NP NP
Czech Republic No.of reported outbreaks 25 25 4 23 19
Denmark No.of reported outbreaks 51 76 86 85 69
Estonia No.of reported outbreaks 23 32 13 17 14
Finland No.of reported outbreaks 54 43 52 45 43
France No.of reported outbreaks 1256 1039 1153 1279 1221
Germany No.of reported outbreaks 602 439 424 393 408
Greece No.of reported outbreaks 53 3 8 32 24
Hungary No.of reported outbreaks 59 299 174 115 119
Ireland No.of reported outbreaks 28 13 18 38 25
Italy No.of reported outbreaks 248 225 908 20 NP
Latvia No.of reported outbreaks 805 505 51 477 598
Lithuania No.of reported outbreaks 175 148 176 93 115
Luxembourg No.of reported outbreaks NP NP NP NP NP
Malta No.of reported outbreaks 46 50 60 35 6
Netherlands No.of reported outbreaks 247 251 213 273 291
Poland No.of reported outbreaks 313 451 493 490 446
Portugal No.of reported outbreaks 11 4 8 7 18
Romania No.of reported outbreaks 54 29 6 10 20
Slovakia No.of reported outbreaks 303 487 534 731 458
Slovenia No.of reported outbreaks 5 3 8 10 4
Spain No.of reported outbreaks 416 482 424 447 424
Sweden No.of reported outbreaks 224 293 222 232 286
United Kingdom No.of reported outbreaks 96 67 87 60 84

Methodology