Denmark

  • Posted: April 30th, 2012 - 11:09am by Doug Powell

    On March 23, 2010, the national food surveillance system in Denmark reported a steady occurrence of positive isolates of S. Typhimurium, of unknown phage type and resistant to ampicillin, streptomycin and sulphamethoxazole, in samples from mainly pork meat and products.

    Researchers from Denmark and Sweden report in Epidemiology and Infection that several isolates originated from a specific pig slaughterhouse A or a closely associated cutting plant. At this point, although no human cases had yet been identified, an investigation was initiated with the focus on food contamination. On 20 April, a total of 14 human cases with the outbreak type had been confirmed.

    A case-control study was undertaken to confirm an association between illness in a subgroup of patients and consumption of teewurst or tea sausage, a spreadable sausage made from fresh salted and smoked pork and beef which is fermented but not heat-treated. The producer of the teewurst had received pork from slaughterhouse A during the period that the outbreak strain had been isolated.

    Herds delivering pigs to slaughterhouse A were identified by a unique herd identification number given to all animal herds in Denmark.

    From March 2010 and onwards, the outbreak strain was identified in a total of 113 samples; four environmental samples from slaughterhouse A and 109 meat
    samples, mainly pork, of which 96 were sampled directly at slaughterhouse A or could be traced back there. Positive meat types included mainly minced pork, pork belly, pork loin and loin back ribs.

    Investigation of slaughterhouse A showed positive discovery of the outbreak strain in swabs from equipment and meat samples, even after closing down production for thorough cleaning and disinfection. It was concluded that the establishment was most likely contaminated. Repeated cleaning and disinfection was performed and alterations in equipment and procedures were implemented, From the beginning of July, no further positive samples of the outbreak strain were found at slaughterhouse A.

    On 8 July, a press statement was issued jointly by the DVFA and SSI, notifying the public about the salmonellosis outbreak and the link to consumption of pork meat from slaughterhouse A. In addition to describing the outbreak investigation and the action taken to control the outbreak, the statement also contained detailed guidelines on how to prevent infection with Salmonella.

    A total of 172 cases of S. Typhimurium U323 were reported between March and September 2010 in Denmark demonstrating how a combination of typing Salmonella isolates from farm-to-fork and from the human population can provide early warning of a salmonellosis outbreak. It also highlights the importance of national Salmonella surveillance which allowed identification of the slaughterhouse contamination and provided the COMG with valuable information to initiate investigative measures. In spite of the existence of these systems, tracing pork meat that has entered the production chain still poses a significant challenge. If feasible, adoption of a standardized automated system across the EU, with detailed product and distribution information, for tracing products might prove worthwhile.

    Currently, this is not possible in the EU and such systems are only as good as the data provided by the operators. At present, by the time enough evidence has been gathered to issue a product recall, products with a short shelf-life (such as fresh meat) are most likely to have been consumed.

    In this outbreak, early warnings from the Salmonella surveillance system were not sufficient to prevent the outbreak from lasting almost 7 months.

    State-of-the-art surveillance, typing, epidemiology and food traceback allowed us to firmly establish the source of the outbreak and, in essence, solve it almost before it became evident; however, legislative measures and some delays in traceback did not allow for sufficient control, resulting in one of the longest lasting Salmonella outbreaks in Denmark.

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  • Posted: November 8th, 2011 - 3:08am by Doug Powell

    Denmark’s Statens Serum Institut has been investigating an outbreak caused by Salmonella Strathcona. This serotype has not previously been detected in Denmark, and it has never before been recognized as the source of an outbreak.

    The outbreak included a total of 40 culture confirmed cases registered in the Danish National Laboratory Surveillance System. The cases, 24 females and 16 males, comprised children and grown-ups from all over the country. The first patient became ill on Sept. 4, 2011, and the last on Oct. 14, 2011. During the same period, 14 cases in Germany and one in Austria were reported.

    Small, elongated tomatoes of the type datterino have been found to be the source of the infections. The tomatoes, deriving from a producer in southern Italy, have primarily been sold from the supermarket chain, "Rema 1000." The tomatoes are no longer available from the supermarket chain, and the outbreak has most likely now stopped.

    Tomatoes have not before been recognized as the source of salmonella outbreaks in Denmark, however, the U.S. has seen several foodborne outbreaks associated with contaminated tomatoes.

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  • Posted: May 27th, 2011 - 11:38am by Doug Powell

    German public health authority Robert Koch Institute (RKI) confirmed Friday that five people have now been killed by E. coli O104 linked to organic cucumbers from Spain.

    "The Andalusian authorities are investigating to find out where the contamination comes from and when it took place," said a spokesman for the Spanish food safety agency AESA on Friday.

    Spanish senior official Josep Puxeu said Germany informed the press about the disease before informing the EU, as it should have done, and that Spain has stopped cucumber deliveries while stressing there is no proof that the EHEC entered Germany through Spanish cucumbers.

    There has been no report of contamination within Spain, AESA said.

    Meanwhile, the outbreak is spreading across northern Europe. Health officials in Denmark and Sweden reported Friday a total of 32 confirmed cases of people afflicted by the EHEC bacterium, all of whom had previously been travelling in Germany.

    Denmark's veterinary and food products agency said Friday it had found contaminated cucumbers from Spain in the stocks of two wholesalers in the west of the country and ordered them withdrawn.
     

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  • Posted: February 4th, 2011 - 5:19pm by Doug Powell

    Danish authorities are again recommending frozen raspberries be rapidly boiled before being used in smoothies, desserts and other dishes. The fruit must cook one minute.

    Outbreaks of norovirus have stricken hospital staff, canteen and restaurant guests and individuals who have been eating frozen raspberries from abroad.

    "Food Administration takes this situation very seriously, and that is why we now recommend the boiling of frozen raspberries both at home and businesses such as restaurants and cafeterias," says Annette Perge in the Food Agency.
     

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  • Posted: November 20th, 2010 - 7:25am by Doug Powell

    Persistent problems with norovirus has lead Danish authorities to recommend that frozen berries be cooked before consuming.

    Food Administration recommends caterers and institutions which prepare food for children, elderly and sick, to heat treat all kinds of frozen berries. The recommendation applies only to frozen berries and not the fresh berries.

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  • Posted: July 14th, 2010 - 10:16am by Doug Powell

    Twice as many people in Denmark contracted listeriosis in 2009 compared with the previous year – and noone seems to know why.

    The Copenhagen Post reports the latest figures from the National Food Institute at the Technical University of Denmark (DTU) show that Denmark has the highest number of cases of the rare and potentially lethal bacterial disease (presumably within the EU).

    Jens Kirk Andersen, an expert from the National Food Institute said that it is often difficult to identify the source of listeria infections because it may take anything from two days to two months before symptoms appear.
     

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    Denmark, Listeria
  • Posted: June 3rd, 2010 - 6:43am by Doug Powell

    Don’t connect drinking water pipes to the pipe for contaminated water from the treatment plant: That’s what happened in the Danish town of Køge in 2007 when at least 120 people fell ill.

    Residents are once again being asked to boil water after 45 people reported diarrhea and severe stomach cramps. Inspectors are in the process of determining the source of the present contamination.

    According to Berlingske Tidende newspaper, businesses and public institutions that use water in the preparation of food are also being contacted by regional food authorities for instructions on how to deal with the current situation.

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  • Posted: February 12th, 2010 - 9:24am by Doug Powell

    Eurosurveillance reports at least 11 linked outbreaks of gastroenteritis with a total of 260 cases have occurred in Denmark in mid January 2010. Investigations showed that the outbreaks were caused by norovirus of several genotypes and by enterotoxigenic Escherichia coli. Lettuce of the lollo bionda type grown in France was found to be the vehicle.

    From 18 to 20 January 2010, a series of outbreaks of gastroenteritis were reported to Danish authorities. Outbreak investigations were initiated by the Danish food control authority in cooperation with Statens Serum Institut (SSI), the National Food Institute, the Food and Veterinary Administration as well as the medical officers and several clinical microbiological laboratories in Copenhagen. The epidemiological, microbiological and food investigation are still ongoing; here we report on the current status of the investigation of these outbreaks.

    The link between lettuce and illness was discovered in the fourth week of January 2010 based on an analysis of five outbreaks. These outbreaks had been reported during week 3 to the regional food control authority, which covers the eastern part of Denmark. As of 8 February, 11 outbreaks have been included in the cluster. A further eight outbreaks in Denmark which are currently under investigation may also be associated with lettuce. Taken together, the 11 outbreaks comprised approximately 480 potentially exposed persons and approximately 260 cases with symptoms of gastroenteritis . The 11 outbreaks all took place in the eastern half of the country (on the islands of Funen and Zealand). Norovirus was initially suspected as the aetiology, but the Kaplan criteria were not fulfilled in all circumstances and attack rates were sometimes higher than expected for norovirus, indicating the possibility of the presence of more than one disease agent.
     

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    Denmark, France, Lettuce, norovirus
  • Posted: January 26th, 2010 - 3:42pm by Doug Powell

    Author: 
    Doug Powell

    You can’t name a girl Sorenne. That’s what my Danish friends and colleagues told me when I asked about potential names for our daughter. Soren is too masculine in the Scandinavian world.

    The Danes also can’t trust French lettuce.

    Fodevarestyrelsen reports that Futura Copenhagen A/S initiated a recall of Lollo Bionda lettuce produced in France in Jan. 2010 and sold to wholesalers, restaurants and consumers in Denmark.

    “There is a suspicion that the lettuce is contaminated with norovirus (Roskilde virus) and thus may be the cause of more than 200 people the past 14 days has been ill with sickness Roskilde.”
     

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    Denmark, France, Lettuce, norovirus
  • Posted: July 3rd, 2009 - 7:42am by Doug Powell

    I have an affinity for the Danes. I spent five summers working with two Danish home builders in Ontario, who introduced me to 45% Danish Schnapps, pate and beet snacks, which Amy and I munched on our balcony yesterday, and when I go to meetings in Copenhagen, they offer beer at the 10:30 a.m. coffee break; and noon; and afternoon coffee (beer).

    My friend John the carpenter who fought in WW II (last name Kierkegaard, like the philosopher, Soren, baby Sorenne, get it?) would also have his morning, noon and afternoon beers in Ontario, but would at least admit, “The work, after some beers, it’s not so great when looked at the next day.”

    This morning, Denmark is admitting it may have some problems with Salmonella.

    The National Food Directorate says that 40 people have contracted Salmonella Enteritidis since May, probably as a result of fried eggs or raw eggs that have not been heated properly.

    In several cases, the eggs have been traced back to the Møllebjerggård Ægpakkeri egg packaging plant and a producer that delivers eggs to the plant has been put under observation.

    The Directorate has ordered eggs from the producer in question to be withdrawn from the market.
     

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    Denmark, Egg, Kierkegaard, Sorenne