Ongoing outbreak of invasive and non-invasive disease due to group A Streptococcus (GAS) type emm66 among homeless and people who inject drugs in England and Wales, January to December 2016-Reference-Cited by-同舟云学术

Ongoing outbreak of invasive and non-invasive disease due to group A Streptococcus (GAS) type emm66 among homeless and people who inject drugs in England and Wales, January to December 2016

Published:2017-01-19 Issue:3 Volume:22 Page:
ISSN:1560-7917
Container-title:Eurosurveillance
language:en
Short-container-title:

Author:

Bundle Nick¹²³,Bubba Laura⁴⁵,Coelho Juliana⁶,Kwiatkowska Rachel²⁷⁸,Cloke Rachel⁹,King Sarah⁸,Rajan-Iyer Jill⁹,Courtney-Pillinger Max⁹,Beck Charles R²,Hope Vivian¹⁰¹¹,Lamagni Theresa¹²,Brown Colin S⁶,Jermacane Daiga²³,Glass Rachel¹¹,Desai Monica¹¹,Gobin Maya²,Balasegaram Sooria²,Anderson Charlotte²

Affiliation:

1. United Kingdom Field Epidemiology Training Programme, Public Health England, United Kingdom

2. Field Epidemiology Services, National Infection Service, Public Health England, London and Bristol, United Kingdom

3. European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

4. Reference Department Microbiology Services Division, National Infection Service, Public Health England, London, United Kingdom

5. European Programme for Public Health Microbiology Training (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden

6. Respiratory and Vaccine Preventable Bacteria Reference Unit, National Infection Service, Public Health England, London, United Kingdom

7. United Kingdom Public Health Specialty Training Programme

8. Public Health England South West, Bristol, United Kingdom

9. Public Health England South East, Horsham, United Kingdom

10. Public Health Institute, Liverpool John Moores University, Liverpool, United Kingdom

11. HIV and STI Department, National Infection Service, Public Health England, London, United Kingdom

12. Healthcare-Associated Infection & Antimicrobial Resistance Department, National Infection Service, Public Health England, London, United Kingdom

Abstract

We report an outbreak of invasive and non-invasive disease due to an unusual type of Streptococcus pyogenes (group A Streptococcus, emm66) among a vulnerable, largely homeless population in southern England and Wales, detected in September 2016. Twenty-seven confirmed cases were subsequently identified between 5 January and 29 December 2016; 20 injected drugs and six reported problematic alcohol use. To date, we have ruled out drug-related vehicles of infection and identified few common risk factors.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference15 articles.

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