A common source for a trichinellosis outbreak reported in France and Serbia in 2017

Author:

Barruet Régine1,Devez Alice1,Dupouy-Camet Jean2,Karadjian Gregory3,Plavsa Dragana4,Chydériotis Georges5,Vallée Isabelle3,Sofronic-Milosavljevic Ljiljana6,Yera Hélène2

Affiliation:

1. Department of Internal Medicine, Hôpital André Grégoire, Montreuil, France

2. Reference Laboratory for Human Trichinellosis, Hôpital Cochin, Hôpitaux Universitaires Paris centre, APHP, Faculty of Medicine, Université Paris Descartes, Paris, France

3. National Reference Laboratory on Foodborne Parasites, ANSES, ENVA, UPEC, JRU BIPAR, Maisons-Alfort, France

4. Institute of Public Health of Serbia “Dr Milan Jovanovic Batut”, Belgrade, Serbia

5. Department of Immunology, Laboratoire Biomnis, Lyon, France

6. National Reference Laboratory for Trichinellosis-NRLT, Institute for the Application of Nuclear Energy - INEP, University of Belgrade, Belgrade, Serbia

Abstract

Trichinellosis is a rare parasitic zoonosis in the European Union. Meat from backyard pigs was the common source for a trichinellosis outbreak caused by Trichinella spiralis, which occurred in France and Serbia in the beginning of 2017. An epidemiological study was conducted in France and Serbia to determine the extent of the outbreak, to identify its source and to implement control measures. Three cases were exposed in Serbia and brought back to France pork delicatessen which they shared with relatives and friends. Around 47 individuals were exposed to the parasitised meat in France and Serbia and 20 cases of trichinellosis were reported (nine in France and 11 in Serbia). Nine of them were female. The diagnosis was delayed, in part because the parasitosis was not known by most physicians, which led to complications in the French cases such as facial paralysis and pulmonary embolism. Health alerts and survey networks are indispensable at a European level to control the disease.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference26 articles.

1. Dupouy-Camet J, Bruschi F. Management and diagnosis of human trichinellosis. In: FAO/WHO/OIE guidelines for the surveillance, management, prevention and control of trichinellosis. Dupouy-Camet J. Murrell K.D. (editors). Paris: World Organisation for Animal Health; 2007. pp 37-68.

2. Council of the European Communities. Council Directive 92/45/EEC of 16 June 1992, on public health and animal health problems relating to the killing of wild game and the placing on the market of wild-game meat. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 14. 9. 92:L 268. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1426636760883&uri=CELEX:31992L0045

3. European Commission. Commission implementing regulation (EU) 2015/1375 of 10 August 2015 laying down specific rules on official controls for Trichinella in meat. Official Journal of the European Union. Luxembourg: Publications Office of the European Union. 11.8.2015:L 212. Available from: http://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1448152892014&uri=CELEX:32015R1375

4. Trichinellosis: still a concern for Europe.;Dupouy-Camet;Euro Surveill,2006

5. European Centre for Disease Prevention and Control (ECDC). Trichinellosis - Annual epidemiological report for 2017. Stockholm: ECDC; 2019. Available from: https://ecdc.europa.eu/en/publications-data/trichinellosis-annual-epidemiological-report-2017

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