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Peer reviewedOpen accessGastroenteritis

An outbreak of Shiga toxin-producing Escherichia coli (STEC) O157:H7 associated with contaminated lettuce and the cascading risks from climate change, the United Kingdom, August to September 2022

Eurosurveillance·

Neil Cunningham, Claire Jenkins, Sarah Williams, Joanna Garner, Bernd Eggen, Amy Douglas, Tina Potter, Anthony Wilson, Giovanni Leonardi, Lesley Larkin, Susan Hopkins

DOI
10.2807/1560-7917.es.2024.29.36.2400161
PMID
PMCID
OpenAlex
W4402316141
Study type
Genomic study
Publisher
European Centre for Disease Control and Prevention (ECDC)
Article type
journal-article
Integrity
current

Why this research matters now

The work demonstrates integration of genomic, epidemiological and environmental data to investigate a large food-borne outbreak and to develop upstream tools that could help prevent future contamination events.

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Structured evidence summary

Research question

The article describes a national-level investigation into a UK outbreak of Shiga toxin-producing Escherichia coli O157:H7 in 2022 to identify the source and inform risk mitigation, including the development of a geospatial method to predict contamination events.

Study design

It is reported as a national outbreak investigation using whole genome sequencing (WGS) together with analytical epidemiology, food chain tracing, and a novel geospatial analysis combining meteorological, flood risk, animal density and land use data.

Population and setting

The setting is the United Kingdom during August to October 2022, with 259 confirmed outbreak cases across the country linked to a nationally distributed, short shelf-life food item.

Main findings

Analytical epidemiology and food chain analysis identified lettuce as the likely vehicle of infection, and food supply chain tracing identified a single producer (Grower X) as the likely implicated source. An independent novel geospatial analysis also pointed to Grower X. The authors suggest geospatial and One Health approaches may support prediction and prevention of contamination events.

Public-health relevance

The work demonstrates integration of genomic, epidemiological and environmental data to investigate a large food-borne outbreak and to develop upstream tools that could help prevent future contamination events.

Important limitations

The supplied abstract does not explicitly list limitations of the study. It is limited to the supplied single-article abstract and metadata and requires the original paper for decision-grade interpretation.

GIDS interpretation

Within GIDS, this article would be discoverable under genomic epidemiology, outbreak investigation, One Health and climate/environment topics for the United Kingdom. The summary does not link the paper to any live surveillance signal.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

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Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

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