Journal of Epidemiology and Global Health

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Volume 7, Issue 3, September 2017, Pages 181 - 184

Ground water as the source of an outbreak of Salmonella Enteritidis

Authors
Ana Kovačića, *, ana.kovacic@st.t-com.hr, Željko Huljevb, Edita Sušićb
aPublic Health Institute of Split and Dalmatia County, Split, Croatia
bPublic Health Institute of Šibenik and Knin County, Šibenik, Croatia
*Corresponding author at: Public Health Institute of Split and Dalmatia County, Vukovarska 46, 21000 Split, Croatia.
Corresponding Author
Received 31 May 2016, Revised 8 February 2017, Accepted 12 May 2017, Available Online 22 May 2017.
DOI
10.1016/j.jegh.2017.05.001How to use a DOI?
Keywords
Genotyping; Ground water; Pulsed-field gel electrophoresis; Salmonella Enteritidis; Water contamination
Abstract

In September 2014, an outbreak of gastroenteritis was reported to the Public Health Institute of Šibenik and Knin County in Croatia. The outbreak occurred in the County center of Šibenik, a town with 50,000 inhabitants, and it lasted for 12 days. An epidemiological investigation suggested a nearby water spring as the source of the outbreak. Due to the temporary closure of the public water supply system, the inhabitants started to use untreated water from a nearby spring. Microbiological analysis revealed that the outbreak was caused by Salmonella enterica subsp. enterica serovar Enteritidis that was isolated from stool samples of the patients and ground water. The isolates were further analysed with pulsed-field gel electrophoresis using XbaI, which revealed an identical macrorestriction profile. Although 68 cases were reported, it was estimated that the actual number of affected persons was more than several hundred. In order to prevent further spread of disease, public advice was released immediately after the first epidemiological indication and a warning sign was placed at the incriminated water source, after microbiological confirmation. It is necessary to regularly monitor microbiological quality of ground water especially in urban areas and provide adequate education and awareness to the inhabitants regarding the risk of using untreated ground water.

Copyright
© 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
7 - 3
Pages
181 - 184
Publication Date
2017/05/22
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2017.05.001How to use a DOI?
Copyright
© 2017 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Ana Kovačić
AU  - Željko Huljev
AU  - Edita Sušić
PY  - 2017
DA  - 2017/05/22
TI  - Ground water as the source of an outbreak of Salmonella Enteritidis
JO  - Journal of Epidemiology and Global Health
SP  - 181
EP  - 184
VL  - 7
IS  - 3
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2017.05.001
DO  - 10.1016/j.jegh.2017.05.001
ID  - Kovačić2017
ER  -