Abstract
A large outbreak of campylobacter enteritis associated with the consumption of free school milk is described. The outbreak had an abrupt onset, and lasted for about 3 weeks; it involved mainly school children in the 2-4 and 5-7 year old age groups. During this period it was established from epidemiological and microbiological data that some 2500 children were infected. The source of the epidemic was almost certainly contaminated milk, although bacteriological proof could not be obtained. Biotyping of isolates was of considerable epidemiological value and showed the involvement of two distinct strains, one of which was dominant. Epidemiological evidence of limited person to person transmission of the infection was obtained; febrile convulsions as a prodromal sign of the illness was recognized for the first time. Strains of Campylobacter jejuni, and samples of patients' serum collected during this outbreak have enabled subsequent studies to be initiated on the serotyping of the responsible organism, on the serological response of patients infected with the organism, and on experimental infection of the bovine udder which demonstrated its potential as a source of C. jejuni in raw milk. A careful search of the literature suggests that this is the largest documented outbreak of campylobacter enteritis.
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Selected References
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- Abbott J. D., Dale B., Eldridge J., Jones D. M., Sutcliffe E. M. Serotyping of Campylobacter jejuni/coli. J Clin Pathol. 1980 Aug;33(8):762–766. doi: 10.1136/jcp.33.8.762. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Abbott J. D., Dale B., Eldridge J., Jones D. M., Sutcliffe E. M. Serotyping of Campylobacter jejuni/coli. J Clin Pathol. 1980 Aug;33(8):762–766. doi: 10.1136/jcp.33.8.762. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Havalad S., Chapple M. J., Kahakachchi M., Hargraves D. B. Convulsions associated with campylobacter enteritis. Br Med J. 1980 Apr 5;280(6219):984–985. doi: 10.1136/bmj.280.6219.984-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lander K. P., Gill K. P. Experimental infection of the bovine udder with Campylobacter coli/jejuni. J Hyg (Lond) 1980 Jun;84(3):421–428. doi: 10.1017/s0022172400026954. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Porter I. A., Reid T. M. A milk-borne outbreak of Campylobacter infection. J Hyg (Lond) 1980 Jun;84(3):415–419. doi: 10.1017/s0022172400026942. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robinson D. A., Edgar W. J., Gibson G. L., Matchett A. A., Robertson L. Campylobacter enteritis associated with consumption of unpasteurised milk. Br Med J. 1979 May 5;1(6172):1171–1173. doi: 10.1136/bmj.1.6172.1171. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Skirrow M. B., Benjamin J. '1001' Campylobacters: cultural characteristics of intestinal campylobacters from man and animals. J Hyg (Lond) 1980 Dec;85(3):427–442. doi: 10.1017/s0022172400063506. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Taylor P. R., Weinstein W. M., Bryner J. H. Campylobacter fetus infection in human subjects: association with raw milk. Am J Med. 1979 May;66(5):779–783. doi: 10.1016/0002-9343(79)91116-1. [DOI] [PubMed] [Google Scholar]