2024 United Kingdom Shigatoxigenic E. coli outbreak explained

2024 United Kingdom Shigatoxigenic E. coli outbreak
Bacteria Strain:Shigatoxigenic Escherichia coli O145
Location:United Kingdom
Date:25 May-5 July 2024
Type:Tainted salad leaf in pre-packaged sandwiches, wraps, and salads for supermarkets
Confirmed Cases:211
Hospitalized Cases:67
Deaths:1
Territories:England, Scotland, Wales, Northern Ireland
First Reported:25 May 2024

The 2024 United Kingdom shigatoxigenic E. coli outbreak was a Shigatoxigenic Escherichia coli (STEC) O145 outbreak that is believed to have occurred in prepackaged supermarket sandwiches, salads, wraps distributed to and sold in multiple supermarket chains across the United Kingdom such as Aldi, Asda, Co-op, Morrisons, Sainsbury's, WHSmith, and Tesco. As of 27 June 2024, 1 person has died,[1] 211 people were affected by E. coli symptoms, with 67 people requiring hospitalization.[2]

Background

Disease caused by Shiga-toxigenic E. coli differs from Escherichia coli O157:H7 in that it produces Shiga toxin, which in addition to typical bacterial abdominal symptoms like diarrhea and abdominal pain, it can also cause severe damage to small blood vessels in the gastrointestinal tract and kidneys. Inflammation of the digestive tract lining and the glomerular vascular endothelium can potentially lead to hemorrhagic colitis and hemolytic-uremic syndrome respectively.[3]

Outbreak

United Kingdom public health authorities determined that the breakout was linked to the tainting of “a small number of salad leaf products”.

Impact

Cases of E. coli were first reported on 25 May 2024.[4] On 14 June 2024, the distribution of the 211 reported cases was:

With 67 people requiring hospitalization.[5] The ages of people showing disease symptoms ranged from two to 79, with most of the reported symptomatic infections occurring in young adults.[6]

Recall

Several food manufacturers have had to recall multiple products suspected to be tainted with E. coli, with a use-by date of 16 June or earlier.

Recalls include:

Statements from the Food Standards Agency and British Retail Consortium reported that they were contacting all relevant retailers and food manufacturers in order to work with them on testing potentially tainted products and distributing recall notices emphasizing the potential severe GI and kidney damage STEC O145 organisms can cause.

References

  1. Web site: E. Coli: Person dies in outbreak linked to salad leaves .
  2. Web site: Mundasad . Smitha . 14 June 2024 . Supermarket sandwiches linked to E. coli outbreak . 2024-06-15 . www.bbc.com . en-GB.
  3. Melton-Celsa . Angela R. . 2014 . Shiga Toxin (Stx) Classification, Structure, and Function . Microbiology Spectrum . 2 . 4 . 10.1128/microbiolspec.EHEC–0024–2013 . 10.1128/microbiolspec.EHEC-0024-2013 . 2165-0497 . 4270005 . 25530917.
  4. Web site: Roberts . Michelle . 6 June 2024 . Ecoli outbreak in UK most likely linked to food item . 2024-06-15 . www.bbc.com . en-GB.
  5. Web site: Onita . Laura . Speed . Madeleine . Johnston . Ian . 14 June 2024 . UK manufacturers recall food products over E.coli risk . 2024-06-15 . Financial Times.
  6. Web site: 7 June 2024 . E.coli outbreak: What are the warning signs of infection? . 2024-06-15 . Sky News . en.
  7. Web site: Greencore Group recalls sandwiches, wraps and salads because of possible contamination with E. coli Food Standards Agency . 2024-06-15 . www.food.gov.uk . en.
  8. Web site: Samworth Brothers Manton Wood recalls sandwiches and wraps because of possible contamination with E. coli Food Standards Agency . 2024-06-15 . www.food.gov.uk . en.