MULTI-RESISTANT Salmonella enterica Thyphimurium OUTBREAK PUBLIC HEALTH AND PRUDENT USE OF ANTIBIOTICS Additional material: Manual on DISEASE OUTBREAK.

Slides:



Advertisements
Similar presentations
What are communicable diseases?
Advertisements

MERS-CoV: example of hospital cluster Republic of Lebanon Ministry of Public Health Epidemiological Surveillance Program May 2014.
BUBONIC PLAGUE.
Antibiotic Resistance Harry’s Story. Harry had to go into hospital to get his appendix removed. After surgery, everything seemed to be going well, Harry.
Influenza A, H1N1 “Swine Flu”
Giardia. Hazard Identification What is Giardia? single-celled flagellate protozoan order Diplomonadida Giardia is a single-celled flagellate protozoan.
Unit 3 Workspace, Tools and Techniques. Most cases can be traced to MICROORGANISMS= tiny living creatures visible only through a microscope.
Food poisoning; Enteric fever and Gastroenteritis
1 Public Health Law in Practice Case Study on Pandemic Flu Tomas Aragon Peter Baldridge Brenda Carlson Tony Iton Steve Lipton Ellen Miyasato Jeffrey Tanenbaum.
A Case Study: THE WALKERTON TRAGEDY. You Snooze………You Lose!!
MODERN AFRICA (21st Century)
Shawn Kise BSN, RN, MS Student.   Have a general knowledge base for the Norovirus.  Understand the process and steps taken in the outbreak investigation.
About Swine Flu Dr.Kedar Karki. What is Swine Influenza? Swine Influenza (swine flu) is a respiratory disease of pigs caused by type A influenza virus.
WHO Global Salm-Surv: A Global Salmonella Surveillance Network World Health Organization, Geneva Centers for Disease Control and Prevention, Atlanta Danish.
Mooo: Incidence of Milk Consumption by Children in Fast Food Restaurants University of Idaho Sharon Stoll PhD Jennifer Beller PhD Chelsea Hermon Brandon.
Malaria By: Anish Jaisinghani Date: Period: 3 rd.
Influenza (Flu)
Food Safety MR. Dixon Intro To Agriculture Fall 2011.
Preventing Salmonellosis Related llness Gladys J. Garilus, MPH student Waldent University PUBH Instructor: Dr. Patrick Tschida Fall Quarter, 2011.
Sometimes, even though people live healthily by: Eating a balanced diet Drinking Water Resting Exercising Keeping Clean we can still become ill. This.
Food Safety Amy Lytle Early Bird AG September 30, 2002.
Keeping Food Safe to Eat! Unit 1. Food-borne Illness = Food Poisoning Most cases can be traced to MICROORGANISMS= tiny living creatures visible only through.
Warm-up Pre Test!. Pre Test Something that can be spread from person to person or though the environment Though contaminated object, vectors, and contaminated.
Chain of Infection Ms. Kelly 8 th Grade Health. Journal: Based on what you read in the “Chain of Infection” article, in your own words, describe why and.
Food Safety is for Everyone Module One Written and developed by: Lorraine Harley, Assistant Professor University of Maryland Extension Calvert/Charles/St.
Bacterial Meningitis.
MENINGITIS STREPTOCOCICA PORCINA; ANTIBIOTIC RESISTANCE FROM PIGS PUBLIC HEALTH INVOLVEMENTS Additional material: Manual on DISEASE OUTBREAK INVESTIGATION.
The Black Death: Bubonic Plague Shada Aimadeddine, Iyobo Aimiuwu, and Hannah Barboza Health Science Project August, 31, 2012.
Challenge Biomedical Science – Immunology Member of the public You have been reading the different newspapers telling you about bird flu, but you want.
Food Safety is for Everyone Module One Written and developed by: Lorraine Harley, Family and Consumer Sciences Educator University of Maryland Extension.
Tuberculosis What is tuberculosis?.
Emerging Diseases Lecture 7: Antibiotics 7.1 Overview 7.2 Dr. Ehrlich’s Magic Bullet 7.3 Sulfa drugs 7.4 Antibiotics 7.5 Disambiguation.
03 Microorganisms and disease FT
AP REVIEW – HUMAN POPULATION, INFECTIOUS DISEASE AND GENETICALLY MODIFIED CROPS.
Additional materials to be used for resolving the case: Risk Analysis DISEASE RISK AFTER AN IMPORTATION OF MILKING COWSDISEASE RISK AFTER AN IMPORTATION.
The Foundation Level (Basic) Food Hygiene Training for Safety: Distance Learning Course.
Animal Testing Shannon Kratzer What is Animal Testing?  Animal testing is the use of non-human organisms (such as a rabbit) in development and research.
Typhoid Fever in Children: a hospital based follow-up of recent outbreak Hem Sagar Sharma Abhisek Tiwari Prakash Rana Parag Bhattarai Fakir C gami Pushpa.
AUSTRALIA INDONESIA PARTNERSHIP FOR EMERGING INFECTIOUS DISEASES Basic Field Epidemiology Session 4 – Disease Investigation Recorded PowerPoint file.
Germs & Hand Washing By: Shyanne Taylor-Connell Kendra Foster.
SHIGELLA Important Gram-negative, Lactose negative rods.
Introduction to Biotechnology Chapter 13. What is biotechnology? “ Any technique that uses living organisms or their products to make or modify a product,
+ Infectious Disease. + Transmission Infectious disease = a disease that spreads from person to person Saliva- H1N1 Blood- HIV Air- Common Cold Contact.
CURRENT HEALTH PROBLEMS IN STUDENT'S HOME SOUNTRIES HEPATITIS B IN MALAYSIA MOHD ZHARIF ABD HAMID AMINUDDIN BAKI AMRAN.
Integrated Management of Childhood Illnesses
8 th Grade Science Do Now Make the weekly Do Now on page ___. Why is it important for scientists to do research before starting an experiment? Monday,
Salmonella Reference Laboratory Epidemiology of Salmonella enterica from C. O’ Hare 1, N. Delappe 1, G. Doran 1, D. Morris 2, D. Kilmartin 2,
Sanitation Challenges
Chapter 13 RAD Guide Friday, March 11, In what book did Thomas More describe his ideal state? Describe his idea. “Utopia” Population kept constant,
Antibiotic Resistance By Willy. What is Antibiotic Resistance? Antibiotic Resistance is a microorganism that is able to withstand the effects of antibiotics.
Dr. Fredda Branyon My life's mission is to educate people about the power of HOPE.
 Highly contagious respiratory disease.  Caused by the bacterium bordetella pertussis.  One positive case in a home = a 90% to 100% chance other susceptible.
James R. Ginder, MS, WEMT,PI,CHES Health Education Specialist Hamilton County Health Department
Private Water Supplies Dr Simon Padfield Consultant in Communicable Disease Control North Yorkshire and Humber Health Protection Unit.
Food Poisoning By: Lauren Janowsky.
Outbreak Investigations
Antibiotics: handle with care!
Ms. Kelly 8th Grade Health
Investigators: Rakesh, Hauser, Sha, and Khot
Epidemiology & Microbiology Review
Food Safety on the Go 2012 Edition
Compare the picture of the African Hospital with the British Hospital:
Medical Terminology B General Terminology.
MODERN (21st Century) Africa
POVERTY AND PETS, A PROBLEM OF VETERINARY PUBLIC HEALTH?
TYPHOID CASES IN SOUTH AFRICA AND GAUTENG PROVINCE
Introduction to The Body at War – Year 9
Molecular characterisation of an outbreak strain of multiresistant Salmonella enterica serovar Typhimurium DT104 in the UK  A.J. Lawson, M. Desai, S.J.
Importance of Handwashing
Presentation transcript:

MULTI-RESISTANT Salmonella enterica Thyphimurium OUTBREAK PUBLIC HEALTH AND PRUDENT USE OF ANTIBIOTICS Additional material: Manual on DISEASE OUTBREAK INVESTIGATION Manual on PRUDENT USE OF ANTIBIOTICS

CASE BEGINNING; DISEASE IN HUMANS European city It started on 12th June of 2004 A four year old child was admitted to hospital. He had high temperature (40ºC), fluid diarrhoea and abdominal distress A microbiological test was done and Salmonella enterica Typhimurium was detected This germ was multi-resistant to antibiotics

OUTBREAK CASE IN HUMANS A second child, who was 5 years old, went to the hospital 2 days later. He also had high temperature (39ºC), fluid diarrhoea, abdominal distress and vomiting Salmonella enterica Typhimurium was detected again On the next day, a 40 yrs old person was admitted to hospital with the same symptoms The same microorganism was isolated: Salmonella enterica Typhimurium

CASE INVESTIGATION - I In your view, how would you study this case taking into account that the course of the outbreak is generating a growing concern and the outbreak seems to become very serious? Another case appeared, it’s a 12 yrs old child from the nearby city, with the same symptoms and microbiological results. The connection between these people was investigated

CASE INVESTIGATION - II There is no direct or occasional connection between these people The food they had eaten seems not to have anything to do with the case A hamster was given to one of the children fifteen days before, and four days later the animal died Do you think this fact has got something to do with the disease’s outbreak detected? If you think it was involved in the problem, how would you go on with the investigation trying to solve it?

CASE INVESTIGATION - III The sick adult worked in a pet shop The two first children had hamsters which were bought in that shop These hamsters had arrived to the shop seventeen days before from a farm of a nearby city - At the time of the arrival, both hamster were put on sale and were kept in a plastic cage whithout any contact with other animals. The third child (who lived in a different town) visited the farm one week ago

DIAGNOSTIC INVESTIGATION Samples were taken from the shop’s animals, from the farm’s animals and from the second child’s hamster. A microbiological analysis was done: Shop’s animals were negative 20% of the farm’s animals were positive: Salmonella enterica Typhimurium was detected The secound child’s hamster was also positive to S. enterica Thyphimurium

SOME MORE INTERESTING FACTS - I Last days there had been some animals with diarrhoea in the farm. Three of them died Thirty days ago a ferret had been brought over The ferret was located in a cage of the farm for four days, later, a group of hamsters was put there Some of them were sold to a nearby city’s shop and the rest was relocated in the farm With the available information, could you explain the outbreak? Define the transmission chain and explain the subsequent mistakes done

SOME MORE INTERESTING FACTS - II The investigation done in the farm showed that: Antibiotics had been constantly used in the last years to prevent digestive diseases They used half a therapeutic treatment dose A mix of spectinomycin, tetracyclin and nitrofurazone was used This treatment has been used during the last four years...

Which involvements would this MULTI- RESISTANT bacteria have in Public Health? In case you choose to carry on a disease control program, would you include an antibiotic treatment for a specific group of animals? In this case, which rules to select the drug and to use it would you consider essential? Case developed by the SAPUVETNET II member – University of Zaragoza, Fac_Med_Vet. (contact: Carmelo Ortega/Olga Gimeno