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- 2011_Germany_E._coli_O104:H4_outbreak abstract "A novel strain of Escherichia coli O104:H4 bacteria caused a serious outbreak of foodborne illness focused in northern Germany in May through June 2011. The illness was characterized by bloody diarrhea, with a high frequency of serious complications, including hemolytic-uremic syndrome (HUS), a condition that requires urgent treatment. The outbreak was originally thought to have been caused by an enterohemorrhagic (EHEC) strain of E. coli, but it was later shown to have been caused by an enteroaggregative E. coli (EAEC) strain that had acquired the genes to produce Shiga toxins.Epidemiological fieldwork suggested fresh vegetables were the source of infection. The agriculture minister of Lower Saxony identified an organic farm in Bienenbüttel, Lower Saxony, Germany, which produces a variety of sprouted foods, as the likely source of the E. coli outbreak. The farm has since been shut down. Although laboratories in Lower Saxony did not detect the bacterium in produce, a laboratory in North Rhine-Westphalia later found the outbreak strain in a discarded package of sprouts from the suspect farm. A control investigation confirmed the farm as the source of the outbreak. On 30 June 2011 the German Bundesinstitut für Risikobewertung (BfR) (Federal Institute for Risk Assessment), an institute of the German Federal Ministry of Food, Agriculture and Consumer Protection, announced that seeds of fenugreek imported from Egypt were likely the source of the outbreak.In all, 3,950 people were affected and 53 died, 51 of which were in Germany. A handful of cases were reported in several other countries including Switzerland, Poland, the Netherlands, Sweden, Denmark, the UK, Canada and the USA. Essentially all affected people had been in Germany or France shortly before becoming ill.Initially, German officials made incorrect statements on the likely origin and strain of Escherichia coli. The German health authorities, without results of ongoing tests, incorrectly linked the O104 serotype to cucumbers imported from Spain. Later, they recognised that Spanish greenhouses were not the source of the E. coli and cucumber samples did not contain the specific E. coli variant causing the outbreak. Spain consequently expressed anger about having its produce linked with the deadly E. coli outbreak, which cost Spanish exporters 200M US$ per week. Russia banned the import of all fresh vegetables from the European Union until 22 June.".
- 2011_Germany_E._coli_O104:H4_outbreak thumbnail Schizocyte_smear_2009-12-22.JPG?width=300.
- 2011_Germany_E._coli_O104:H4_outbreak wikiPageID "31917288".
- 2011_Germany_E._coli_O104:H4_outbreak wikiPageRevisionID "595818198".
- 2011_Germany_E._coli_O104:H4_outbreak caption "Schistocytes seen in a person with hemolytic-uremic syndrome".
- 2011_Germany_E._coli_O104:H4_outbreak hasPhotoCollection 2011_Germany_E._coli_O104:H4_outbreak.
- 2011_Germany_E._coli_O104:H4_outbreak name "2011".
- 2011_Germany_E._coli_O104:H4_outbreak width "225".
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2010s_medical_outbreaks.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_health_disasters.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_Denmark.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_Germany.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_Poland.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_Sweden.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_Switzerland.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_the_Netherlands.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:2011_in_the_United_Kingdom.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Articles_with_images_not_understandable_by_color_blind_users.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Escherichia_coli_outbreaks.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_disasters_in_Germany.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_disasters_in_Poland.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_disasters_in_the_United_Kingdom.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_in_Denmark.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_in_Sweden.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_in_Switzerland.
- 2011_Germany_E._coli_O104:H4_outbreak subject Category:Health_in_the_Netherlands.
- 2011_Germany_E._coli_O104:H4_outbreak type Disease.
- 2011_Germany_E._coli_O104:H4_outbreak type Situation.
- 2011_Germany_E._coli_O104:H4_outbreak comment "A novel strain of Escherichia coli O104:H4 bacteria caused a serious outbreak of foodborne illness focused in northern Germany in May through June 2011. The illness was characterized by bloody diarrhea, with a high frequency of serious complications, including hemolytic-uremic syndrome (HUS), a condition that requires urgent treatment. The outbreak was originally thought to have been caused by an enterohemorrhagic (EHEC) strain of E.".
- 2011_Germany_E._coli_O104:H4_outbreak label "2011 Germany E. coli O104:H4 outbreak".
- 2011_Germany_E._coli_O104:H4_outbreak label "2011年O104:H4型大腸桿菌疫情".
- 2011_Germany_E._coli_O104:H4_outbreak label "2011年の欧州における腸管出血性大腸菌感染事件".
- 2011_Germany_E._coli_O104:H4_outbreak label "Brote del síndrome urémico hemolítico de 2011".
- 2011_Germany_E._coli_O104:H4_outbreak label "HUS-Epidemie 2011".
- 2011_Germany_E._coli_O104:H4_outbreak label "Surto de E. coli O104:H4 de 2011".
- 2011_Germany_E._coli_O104:H4_outbreak label "Épidémie de gastro-entérite et de syndrome hémolytique et urémique de 2011 en Europe".
- 2011_Germany_E._coli_O104:H4_outbreak label "Эпидемия кишечной палочки в Европе (2011)".
- 2011_Germany_E._coli_O104:H4_outbreak sameAs HUS-Epidemie_2011.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs Brote_del_síndrome_urémico_hemolítico_de_2011.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs Épidémie_de_gastro-entérite_et_de_syndrome_hémolytique_et_urémique_de_2011_en_Europe.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs 2011年の欧州における腸管出血性大腸菌感染事件.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs 2011년_독일_슈퍼박테리아_확산.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs Surto_de_E._coli_O104:H4_de_2011.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs m.0gvs_03.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs Q327056.
- 2011_Germany_E._coli_O104:H4_outbreak sameAs Q327056.
- 2011_Germany_E._coli_O104:H4_outbreak wasDerivedFrom 2011_Germany_E._coli_O104:H4_outbreak?oldid=595818198.
- 2011_Germany_E._coli_O104:H4_outbreak depiction Schizocyte_smear_2009-12-22.JPG.
- 2011_Germany_E._coli_O104:H4_outbreak isPrimaryTopicOf 2011_Germany_E._coli_O104:H4_outbreak.
- 2011_Germany_E._coli_O104:H4_outbreak name "2011 German E. coli O104:H4 outbreak".