1. Distribution and occurrence of foodborne illness FS0601 12000

2. Surveillance of foodborne disease This includes ‹ - Getting reports of FBD ‹ - Investigating outbreaks (including clinical laboratory analysis) ‹ - Compiling and interpreting data ‹ - Reporting to public health authorities, industry and public FS0601 22000

3. Examples of major global existing and emerging pathogens - Major ‹ Salmonella ‹ Campylobacter ‹ Shigella ‹ V. cholerae ‹ Trematodes - Emerging pathogens ‹ E. coli (EHEC) ‹ Aeromonas hydrophila ‹ Listeria monocytogenes ‹ Vibrio cholerae 0139 ‹ Cryptosporidium FS0601 32000

4. Incidence of FBD in some European countries 140 120 100 FS0601 4 80 60 40 20 0 89 90 2000 91 92 Austria England/ Wales Poland Spain Year 93

5. Incidence of salmonellosis in Europe 140 120 100 80 60 40 20 0 FS0601 5 2000 89 9091 92 93 Year Bulgaria Denmark England+Wales Italy Russian Fed. Sweden

6. Cholera Disease of poor communities, spreads fastest where there is ‹ - Inadequate sewage disposal / untreated irrigation water ‹ - No chlorination of water ‹ - Poor personal hygiene ‹ - Contaminated food ‹ - Lack of knowledge of food hygiene FS0601 62000

7. Countries / areas reporting cholera 1961 - 93 FS0601 72000

8. Global cholera situation 1984 - 91 600 500 400 300 200 100 0 FS0601 8 2000 No. Reported Cases (000’s) 84 85 86 87 88 Year 89 90 91

9. Spread of epidemic cholera - Latin-America January 1991 - July 1992 Initial epidemics Jan 1991 July 1992 February 1992 August 1991 FS0601 92000

10. Global spread of cholera 1961-73 1970 1971-73 1970 1971 1965-66 1964 1970 1973 1971-73 1963 1961 1962 1963 FS0601 102000

11. Listeriosis - lab reports England, Wales and N. Ireland 1983-91 300 250 200 150 100 50 0 Pâté, cook-chill and soft cheese warnings 83 84 85 86 87 88 89 90 91 FS0601 11 2000 Year

12. Distribution and occurrence of FBD - Key messages  Surveillance of FBD and the factors contributing to it is important for finding control options.  Campylobacter and Salmonella are the two main causes of FBD world-wide  The incidence of Listeriosis is increasing in Europe  Cholera is still a serious problem in developing countries FS0601 122000