Cryptosporidiosis Outbreak at a Middle School in Western France, November 2017
Introduction: On Thursday, November 23, 2017, an outbreak of gastroenteritis was reported at a middle school in Loire-Atlantique, affecting more than 150 people. Various epidemiological, microbiological, and environmental investigations were conducted. Method: A retrospective cohort study of students and adults at the middle school was conducted using a questionnaire posted online the following day on the school’s website. Stool samples were tested successively for bacteria, viruses, and parasites. Environmental samples were collected for analysis. Results: The attack rate was 61% (180/293), with an age gradient ranging from 75% among 6th graders to 45% among adults. A peak of 75 cases was recorded on November 22. Consumption of water from the distribution network was not associated with the onset of the disease; being a day student was associated with it (relative risk, RR=1.6 [1.1-2.3]). Following negative bacteriological and virological analyses (15 samples), the use of a PCR detection method for 22 pathogens revealed the presence of the Cryptosporidium parvum IIaA15G2R1 parasite. Among the foods served six days prior (incubation period) to all half-boarders was organic cottage cheese made from unpasteurized milk. The highly transmissible C. parvum IIaA15G2R1 genotype, considered zoonotic, was found in fecal samples from calves near the cheese-making facility. Discussion: Human cryptosporidiosis appears to be significantly underdiagnosed in France. Routine protocols for the laboratory diagnosis of persistent diarrhea should be improved by including a parasitological screening (including for Cryptosporidium).
Author(s): Loury Pascaline, Gross Lise, Dugast Florence, Favennec Loïc, Dalle Frédéric, de Rougemont Alexis, Polack Bruno, Giraudeau David, Valot Stéphane, Costa Damien, Hubert Bruno
Publishing year: 2019
Pages: 295-300
Weekly Epidemiological Bulletin, 2019, n° 16, p. 295-300
In relation to
Our latest news
news
Call for Applications for the Renewal of the Editorial Board of the Weekly...
news
Launch of the “Heating, Health, Buildings, and Urban Planning” Network:...
news