Forgotten but not gone: Yersinia infections in England, 1975 to 2020
BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries.AimWe aimed to describe the trends and epidemiology of laboratory-confirmed infections in England and estimate the average annual number...
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| Vydáno v: | Euro surveillance : bulletin européen sur les maladies transmissibles Ročník 28; číslo 14; s. 1 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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Sweden
Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS)
06.04.2023
European Centre for Disease Prevention and Control (ECDC) |
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| ISSN: | 1560-7917, 1025-496X, 1560-7917 |
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| Abstract | BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries.AimWe aimed to describe the trends and epidemiology of laboratory-confirmed
infections in England and estimate the average annual number of undiagnosed
cases, accounting for under-ascertainment.MethodsWe analysed national surveillance data on
cases reported by laboratories in England between 1975 and 2020 and enhanced surveillance questionnaires from patients diagnosed in a laboratory that has implemented routine
testing of diarrhoeic samples since 2016.ResultsThe highest incidence of
infections in England (1.4 cases per 100,000 population) was recorded in 1988 and 1989, with
being the predominant species. The reported incidence of
infections declined during the 1990s and remained low until 2016. Following introduction of commercial PCR at a single laboratory in the South East, the annual incidence increased markedly (13.6 cases per 100,000 population in the catchment area between 2017 and 2020). There were notable changes in age and seasonal distribution of cases over time. The majority of infections were not linked to foreign travel and one in five patients was admitted to hospital. We estimate that around 7,500
infections may be undiagnosed in England annually.ConclusionsFindings suggest a considerable number of undiagnosed yersiniosis cases in England, with possibly important changes in the epidemiology. The apparently low incidence of yersiniosis in England is probably due to limited laboratory testing. |
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| AbstractList | BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries.AimWe aimed to describe the trends and epidemiology of laboratory-confirmed Yersinia infections in England and estimate the average annual number of undiagnosed Yersinia enterocolitica cases, accounting for under-ascertainment.MethodsWe analysed national surveillance data on Yersinia cases reported by laboratories in England between 1975 and 2020 and enhanced surveillance questionnaires from patients diagnosed in a laboratory that has implemented routine Yersinia testing of diarrhoeic samples since 2016.ResultsThe highest incidence of Yersinia infections in England (1.4 cases per 100,000 population) was recorded in 1988 and 1989, with Y. enterocolitica being the predominant species. The reported incidence of Yersinia infections declined during the 1990s and remained low until 2016. Following introduction of commercial PCR at a single laboratory in the South East, the annual incidence increased markedly (13.6 cases per 100,000 population in the catchment area between 2017 and 2020). There were notable changes in age and seasonal distribution of cases over time. The majority of infections were not linked to foreign travel and one in five patients was admitted to hospital. We estimate that around 7,500 Y. enterocolitica infections may be undiagnosed in England annually.ConclusionsFindings suggest a considerable number of undiagnosed yersiniosis cases in England, with possibly important changes in the epidemiology. The apparently low incidence of yersiniosis in England is probably due to limited laboratory testing.BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries.AimWe aimed to describe the trends and epidemiology of laboratory-confirmed Yersinia infections in England and estimate the average annual number of undiagnosed Yersinia enterocolitica cases, accounting for under-ascertainment.MethodsWe analysed national surveillance data on Yersinia cases reported by laboratories in England between 1975 and 2020 and enhanced surveillance questionnaires from patients diagnosed in a laboratory that has implemented routine Yersinia testing of diarrhoeic samples since 2016.ResultsThe highest incidence of Yersinia infections in England (1.4 cases per 100,000 population) was recorded in 1988 and 1989, with Y. enterocolitica being the predominant species. The reported incidence of Yersinia infections declined during the 1990s and remained low until 2016. Following introduction of commercial PCR at a single laboratory in the South East, the annual incidence increased markedly (13.6 cases per 100,000 population in the catchment area between 2017 and 2020). There were notable changes in age and seasonal distribution of cases over time. The majority of infections were not linked to foreign travel and one in five patients was admitted to hospital. We estimate that around 7,500 Y. enterocolitica infections may be undiagnosed in England annually.ConclusionsFindings suggest a considerable number of undiagnosed yersiniosis cases in England, with possibly important changes in the epidemiology. The apparently low incidence of yersiniosis in England is probably due to limited laboratory testing. BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries.AimWe aimed to describe the trends and epidemiology of laboratory-confirmed infections in England and estimate the average annual number of undiagnosed cases, accounting for under-ascertainment.MethodsWe analysed national surveillance data on cases reported by laboratories in England between 1975 and 2020 and enhanced surveillance questionnaires from patients diagnosed in a laboratory that has implemented routine testing of diarrhoeic samples since 2016.ResultsThe highest incidence of infections in England (1.4 cases per 100,000 population) was recorded in 1988 and 1989, with being the predominant species. The reported incidence of infections declined during the 1990s and remained low until 2016. Following introduction of commercial PCR at a single laboratory in the South East, the annual incidence increased markedly (13.6 cases per 100,000 population in the catchment area between 2017 and 2020). There were notable changes in age and seasonal distribution of cases over time. The majority of infections were not linked to foreign travel and one in five patients was admitted to hospital. We estimate that around 7,500 infections may be undiagnosed in England annually.ConclusionsFindings suggest a considerable number of undiagnosed yersiniosis cases in England, with possibly important changes in the epidemiology. The apparently low incidence of yersiniosis in England is probably due to limited laboratory testing. Background Yersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different countries. Aim We aimed to describe the trends and epidemiology of laboratory-confirmed Yersinia infections in England and estimate the average annual number of undiagnosed Yersinia enterocolitica cases, accounting for under-ascertainment. Methods We analysed national surveillance data on Yersinia cases reported by laboratories in England between 1975 and 2020 and enhanced surveillance questionnaires from patients diagnosed in a laboratory that has implemented routine Yersinia testing of diarrhoeic samples since 2016. Results The highest incidence of Yersinia infections in England (1.4 cases per 100,000 population) was recorded in 1988 and 1989, with Y. enterocolitica being the predominant species. The reported incidence of Yersinia infections declined during the 1990s and remained low until 2016. Following introduction of commercial PCR at a single laboratory in the South East, the annual incidence increased markedly (13.6 cases per 100,000 population in the catchment area between 2017 and 2020). There were notable changes in age and seasonal distribution of cases over time. The majority of infections were not linked to foreign travel and one in five patients was admitted to hospital. We estimate that around 7,500 Y. enterocolitica infections may be undiagnosed in England annually. Conclusions Findings suggest a considerable number of undiagnosed yersiniosis cases in England, with possibly important changes in the epidemiology. The apparently low incidence of yersiniosis in England is probably due to limited laboratory testing. |
| Author | McCarthy, Noel D Šumilo, Dana Paranthaman, Karthik Love, Nicola K Manuel, Rohini Jenkins, Claire Dabke, Girija |
| Author_xml | – sequence: 1 givenname: Dana orcidid: 0000-0001-6732-2459 surname: Šumilo fullname: Šumilo, Dana organization: National Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections at University of Liverpool, Liverpool, United Kingdom, Division of Health Sciences, University of Warwick, Coventry, United Kingdom – sequence: 2 givenname: Nicola K surname: Love fullname: Love, Nicola K organization: Health Protection Operations, UK Health Security Agency, London, United Kingdom, National Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections at University of Liverpool, Liverpool, United Kingdom – sequence: 3 givenname: Rohini surname: Manuel fullname: Manuel, Rohini organization: Science, UK Health Security Agency, London, United Kingdom – sequence: 4 givenname: Girija surname: Dabke fullname: Dabke, Girija organization: Health Protection Operations, UK Health Security Agency, South East, Fareham, United Kingdom – sequence: 5 givenname: Karthik surname: Paranthaman fullname: Paranthaman, Karthik organization: Health Protection Operations, UK Health Security Agency, London, United Kingdom – sequence: 6 givenname: Claire surname: Jenkins fullname: Jenkins, Claire organization: Science, UK Health Security Agency, London, United Kingdom, National Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections at University of Liverpool, Liverpool, United Kingdom – sequence: 7 givenname: Noel D surname: McCarthy fullname: McCarthy, Noel D organization: Institute of Population Health, Trinity College Dublin, University of Dublin, Dublin, Ireland, National Institute for Health and Care Research Health Protection Research Unit in Gastrointestinal Infections at University of Liverpool, Liverpool, United Kingdom, Division of Health Sciences, University of Warwick, Coventry, United Kingdom |
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| Cites_doi | 10.1128/JCM.42.6.2789-2791.2004 10.1099/mic.0.000311 10.1128/9781555817381.ch39 10.1007/s100960050219 10.1093/cid/cis028 10.1136/jcp.55.10.729 10.1016/S1286-4579(00)00311-7 10.1099/jmm.0.000943 10.3390/pathogens10020191 10.1099/mic.0.2006/000919-0 10.1099/jmm.0.001125 10.1016/j.micpath.2017.01.008 |
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| Keywords | England Yersinia Enterocolitica Surveillance Epidemiology Incidence |
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| References | r2 r3 Smego (r6) 1999; 18 r7 r8 Tam (r15) 2012; 54 Imori (r18) 2017; 104 (r5) 2021; 19 McNally (r21) 2007; 153 Rivas (r16) 2021; 10 Burnett (r12) 2002; 55 Clarke (r9) 2020; 69 r10 Sulakvelidze (r19) 2000; 2 r23 r11 r14 r13 Hunter (r20) 2019; 68 Guillier (r4) 2021; 17 (r1) 2021; 19 Alenizi (r22) 2016; 162 Jalava (r17) 2004; 42 |
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| Snippet | BackgroundYersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different... Background Yersiniosis is one of the most common food-borne zoonoses in Europe, but there are large variations in the reported incidence between different... |
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| SubjectTerms | Animals England - epidemiology Epidemiology Europe Health surveillance Humans Infections Surveillance Yersinia enterocolitica Yersinia Infections - diagnosis Yersinia Infections - epidemiology Zoonoses |
| Title | Forgotten but not gone: Yersinia infections in England, 1975 to 2020 |
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