Suchergebnisse

Rabies is a notifiable disease in animals in the European Union. Despite the existence of several recommendations made by international organizations for rabies control, surveillance and monitoring of rabies in animals vary greatly between Member States. In this report recommendations are proposed for improving and harmonising rabies surveillance and reporting in animals in Europe. An adequate system of surveillance should be in place in all countries, whatever the rabies status (rabies-free and infected countries). Surveillance should be evenly distributed in time and space and should target animals suspected of having contracted the disease. All countries should report both positive and negative results of rabies diagnosis. For countries involved in oral rabies vaccination programmes (infected as well as rabies-free countries), the monitoring of rabies vaccination, based on investigating hunted animals from vaccinated areas, should be undertaken for assessing the efficacy of these programmes. The standardisation of diagnostic reference techniques and new confirmatory tests (such as Polymerase Chain Reaction) used in European Union is recommended. A national bat rabies surveillance network should be established in all European countries based on the testing of sick, rabies-suspect or dead bats of all bat species for lyssavirus infections. The Rabies Bulletin Europe is recommended as the basis for the reporting scheme of animal rabies in Europe with additional information to improve the existing data collection system and monitoring of rabies trends over time. Veterinary authorities should also report cases regularly to the OIE database interface.

In 2002, in The Netherlands a national study of gastroenteritis outbreaks was performed. Epidemiological information was collected by the Public Health Services (PHS) and the Food Inspection Services (FIS) using standardized questionnaires. Stool samples were collected for diagnostic testing. For foodborne outbreaks, food samples were taken. In total, 281 gastroenteritis outbreaks were included, mainly from nursing homes and homes for the elderly (57%), restaurants (11%), hospitals (9%) and day-care centres (7%). Direct person-to-person spread was the predominant transmission route in all settings (overall 78%), except for restaurant outbreaks where food was suspected in almost 90% (overall in 21% of outbreaks). The most common pathogen was norovirus (54%), followed by Salmonella spp. (4%), rotavirus group A (2%), Campylobacter spp. (1%) and only incidentally others. In conclusion, most outbreaks were reported from health and residential institutions, with norovirus as the dominant agent. Control should aim at reducing person-to-person spread. In foodborne outbreaks norovirus was common, due to contamination of food by food handlers. Salmonella, as the second foodborne pathogen, was mainly associated with raw shell eggs. These results stress the continuous need for food safety education, complementary to governmental regulation.