Proposing new procedures for the management and prevention of foodborne diseases: an Italian experience New procedures for foodborne disease prevention
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Keywords
foodborne disease, foodborne outbreak, epidemiology, prevention, procedure
Abstract
Background and aim: Foodborne diseases are a public health issue with more than 4,000 outbreak in 2021 in Europe and their management is important for prevention and controls of outbreaks. Recently, new technological tools and strategies, including whole genome sequencing (WGS), have become available to allow a highest level of discrimination in the investigation of foodborne outbreak. In this study, we presented the updated procedure for assessment of foodborne disease in a community of an Northern-Italy region, Emilia-Romagna.
Methods: In the Reggio Emilia National Health Service Local Unit (AUSL-RE), foodborne disease monitoring and control are managed by the following health services: public health and hygiene (SIP); hygiene of foodstuffs and nutrition (SIAN) and veterinary public health (SSPV) composing the developed MTA group (‘Gruppo Malattie Trasmesse da Alimenti’). Among the new tools being implemented, there is a shared computerized folder and new related managements procedures available to MTA members only, allocating information regarding any material useful to the MTA group.
Results: The main new features of the new procedure are: information sharing in all phases of the management of the infectious episode, integration of the three services through the creation of the MTA group and updated criteria for procedure activation, and finally a dedicated training programme.
Conclusions: Timely investigation, management and control of MTA outbreaks is essential for both health and economic reasons. The new features and procedures implemented in this Italian community may allow to identify rapidly the causes of a case or outbreak and better counteract their spread (www.actabiomedica.it).
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References
2. National Health Institute. Food infections. 2023. https://www.epicentro.iss.it/tossinfezioni/.
3. Tortorella V, Masciari P, Pezzi M, et al. Histamine poisoning from ingestion of fish or scombroid syndrome. Case Rep Emerg Med 2014; 2014: 482531. https://doi.org/10.1155/2014/482531.
4. Hungerford JM. Histamine and scombrotoxins. Toxicon 2021; 201: 115-26. https://doi.org/10.1016/j.toxicon.2021.08.013.
5. Notermans SHW. Food-borne outbreak. In: Robinson RK, editor. Encyclopedia of Food Microbiology. Academic Press1999. https://www.sciencedirect.com/topics/medicine-and-dentistry/food-borne-outbreak
6. Tuscany Region. [Guidelines for the correct management of foodborne disease outbreaks]. 2011. https://www.epicentro.iss.it/tossinfezioni/pdf/LineeGuidaToscanaTossinfezioni.pdf
7. Weiser AA, Gross S, Schielke A, et al. Trace-back and trace-forward tools developed ad hoc and used during the STEC O104:H4 outbreak 2011 in Germany and generic concepts for future outbreak situations. Foodborne Pathog Dis 2013; 10 (3): 263-9. https://doi.org/10.1089/fpd.2012.1296.
8. Greiner M. Tracing back and forward – source identification in foodborne outbreaks. Bundesinstitut für Risikobewertung. 2013. https://mobil.bfr.bund.de/cm/343/tracing-back-and-forward-source-identification-in-foodborne-outbreaks.pdf.
9. EFSA Panel on Biological Hazards, Koutsoumanis K, Allende A, et al. Whole genome sequencing and metagenomics for outbreak investigation, source attribution and risk assessment of food-borne microorganisms. EFSA J 2019; 17 (12): e05898. https://doi.org/10.2903/j.efsa.2019.5898.
10. Brown E, Dessai U, McGarry S, et al. Use of whole-genome sequencing for food safety and public health in the United States. Foodborne Pathog Dis 2019; 16 (7): 441-50. https://doi.org/10.1089/fpd.2019.2662.
11. Borella P, Vecchi E, Incerti F, et al. The relevance of molecular genotyping to allocate cases in a suspected outbreak of Legionella pneumonia in patients with prolonged immunosuppressive therapy. Int J Infect Dis 2020; 91: 174-6. https://doi.org/10.1016/j.ijid.2019.11.002.
12. White AE, Smith KE, Booth H, et al. Hypothesis generation during foodborne-illness outbreak investigations. Am J Epidemiol 2021; 190 (10): 2188-97. https://doi.org/10.1093/aje/kwab118.
13. Russini V, Spaziante M, Varcasia BM, et al. A whole genome sequencing-based epidemiological investigation of a pregnancy-related onvasive listeriosis case in central Italy. Pathogens 2022; 11 (6): 667. https://doi.org/10.3390/pathogens11060667.
14. EFSA. Guidelines for reporting Whole Genome Sequencing-based typing data through the EFSA One Health WGS System. EFSA Support Publ 2022: EN-7413. https://doi.org/10.2903/sp.efsa.2022.EN-7413.
15. Ministry of Health. FAQ - Listeria. 2022. https://www.salute.gov.it/portale/p5_1_2.jsp?lingua=italiano&id=292.
16. Emilia-Romagna Region. Regional Prevention Plan 2021-20252021. https://salute.regione.emilia-romagna.it/prp
17. Emilia-Romagna Region. Establishment of the regional technical group for the coordination of activities for the integrated management of foodborne diseases2022.
18. Local Health Unit of Reggio Emilia. [The patient’s charter]2011. https://www.ausl.re.it/allegati/carta-dei-serv-eng_210203110305.pdf
19. European Commission. Rapid Alert System for Food and Feed (RASFF). 2023. https://food.ec.europa.eu/safety/rasff_en.
20. Ministry of Health. [Review of infectious disease reporting system (PREMAL)]. 2022. https://www.gazzettaufficiale.it/eli/id/2022/04/07/22A02179/sg.
21. Emilia-Romagna Region. Prophylaxis measures for public health needs-Measures to be taken against individuals with some infectious diseases and their cohabitants and contacts1998. https://www.trovanorme.salute.gov.it/norme/renderNormsanPdf?anno=0&codLeg=25185&parte=1%20&serie=
22. Pagliano P, Arslan F, Ascione T. Epidemiology and treatment of the commonest form of listeriosis: meningitis and bacteraemia. Infez Med 2017; 25 (3): 210-6.
23. Cody EM, Dixon BP. Hemolytic uremic syndrome. Pediatr Clin North Am 2019; 66 (1): 235-46. https://doi.org/10.1016/j.pcl.2018.09.011.
24. Pagliano P, Ascione T, Boccia G, et al. Listeria monocytogenes meningitis in the elderly: epidemiological, clinical and therapeutic findings. Infez Med 2016; 24 (2): 105-11.
25. Brisca G, La Valle A, Campanello C, et al. Listeria meningitis complicated by hydrocephalus in an immunocompetent child: case report and review of the literature. Ital J Pediatr 2020; 46 (1): 111. https://doi.org/10.1186/s13052-020-00873-w.
26. Castellazzi ML, Marchisio P, Bosis S. Listeria monocytogenes meningitis in immunocompetent and healthy children: a case report and a review of the literature. Ital J Pediatr 2018; 44 (1): 152. https://doi.org/10.1186/s13052-018-0595-5.
27. Filipello V, Amato E, Gori M, et al. Epidemiology and molecular typing of pregnancy-associated listeriosis cases in Lombardy, Italy, over a 10-year period (2005-2014). Infect Dis Obstet Gynecol 2017; 2017: 6479121. https://doi.org/10.1155/2017/6479121.
28. Cito G, Luisi S, Faldini E, et al. Listeriosis in pregnancy: a case report. J Matern Fetal Neonatal Med 2005; 18 (6): 367-8. https://doi.org/10.1080/1476050400029616.
29. Emilia-Romagna Region. Export Emilia-Romagna region. 2022. https://imprese.regione.emilia-romagna.it/notizie/notizie-attualita/2022/nel-primo-trimestre-2022-cresce-del-24-lexport-dellemilia-romagna
30. World Trade Organization. The WTO Agreement on the Application of Sanitary and Phytosanitary Measures (SPS Agreement). 1998. https://www.wto.org/english/tratop_e/sps_e/spsagr_e.htm
31. US Food and Drug Administration. Prevention strategies to enhance food safety. 2023. https://www.fda.gov/food/new-era-smarter-food-safety/prevention-strategies-enhance-food-safety.
32. Luth S, Deneke C, Kleta S, et al. Translatability of WGS typing results can simplify data exchange for surveillance and control of Listeria monocytogenes. Microb Genom 2021; 7 (1): mgen000491. https://doi.org/10.1099/mgen.0.000491.
33. Pietzka A, Allerberger F, Murer A, et al. Whole genome sequencing based surveillance of L. monocytogenes for early detection and investigations of listeriosis outbreaks. Front Public Health 2019; 7: 139. https://doi.org/10.3389/fpubh.2019.00139.
34. Guennouni M, Admou B, Bourrhouat A, et al. Knowledge and practices of food safety among health care professionals and handlers working in the kitchen of a Moroccan University Hospital. J Food Prot 2022; 85 (4): 676-85. https://doi.org/10.4315/JFP-21-305.
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