Salmonella food-poisoning outbreak linked to the National School Nutrition Programme, North West province, South Africa

Southern African Journal of Infectious Diseases

 
 
Field Value
 
Title Salmonella food-poisoning outbreak linked to the National School Nutrition Programme, North West province, South Africa
 
Creator Motladiile, Thejane W. Tumbo, John M. Malumba, Adrien Adeoti, Bolaji Masekwane, Nozizwe J. Mokate, Oleteng M.R. Sebekedi, Otsile C.
 
Subject — Salmonella; food poisoning; samp; outbreak; response; public school.
Description Background: Salmonella enterica, with more than 2500 diverse typhoidal and non-typhoidal serotypes (NTS), are foodborne bacterial pathogens of global public health concern. NTS are the most commonly reported causes of foodborne acute gastroenteritis (AGE). Contaminated food products (meat, poultry, eggs and dairy) have been reported to be a source of more than 95% NTS infections. An outbreak of food poisoning occurred among schoolchildren exposed to food provided by the government-sponsored National School Nutrition Programme (NSNP) at a local public primary day school in North West province, South Africa. An epidemiological, environmental and microbiological investigation was conducted to establish the existence and extent of the outbreak, identify the source(s) and causative agent(s) and institute appropriate control and preventive measures.Methods: An epidemiological investigation was conducted, including a review of the clinical records of the persons exposed, laboratory testing of the pathological specimens collected, environmental testing of the food samples and food preparation areas.Results: A total of 164 children developed clinical symptoms of AGE following ingestion of processed maize meal, beans and vegetables. Salmonella enterica serovar Heidelberg (S. Heidelberg) was the causative agent for this AGE outbreak in 92.0% of the cases. The median duration of illness was 2 days with a case fatality rate (CFR) of 0.6%. The main food product that was contaminated was samp (processed maize meal) that had been poorly stored and prepared (53.4%).Conclusion: A timeously-initiated epidemiological, environmental and microbiological an investigation led to the conclusion that the etiologic agent of this outbreak was S. Heidelberg, and the most probable food vehicle of transmission was cooked samp served to learners within the NSNP.
 
Publisher AOSIS Publishing
 
Contributor
Date 2019-12-04
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajid.v34i1.124
 
Source Southern African Journal of Infectious Diseases; Vol 34, No 1 (2019); 6 pages 2313-1810 2312-0053
 
Language eng
 
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https://sajid.co.za/index.php/sajid/article/view/124/219 https://sajid.co.za/index.php/sajid/article/view/124/218 https://sajid.co.za/index.php/sajid/article/view/124/220 https://sajid.co.za/index.php/sajid/article/view/124/217
 
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Rights Copyright (c) 2019 Thejane W. Motladiile, John M. Tumbo, Adrien Malumba, Bolaji Adeoti, Nozizwe J. Masekwane, Oleteng M.R. Mokate, Otsile C. Sebekedi https://creativecommons.org/licenses/by/4.0
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