Professional Documents
Culture Documents
:Diseases
By: Dr. Amr El-Dakroury
Dept. of Medical
commission
Supreme Council of Health
The etiology of Food-borne
:diseases
Food-borne diseases are those diseases that are
the result of exposure to pathogenic
microorganisms, such as bacteria, viruses and
parasites, which tend to have acute effects on
human health.
However, chronic, and in some cases acute, food-
borne illness may also be caused by the presence
of various chemical substances including residues
of pesticides and veterinary drugs, unlawful food
additives, mycotoxins, biotoxins and radionuclides
that enter the food intentionally or
unintentionally.
The problems :due to consumption of
contaminated food and its detrimental effect on
human health .
:Epidemiology of FBD
WHO estimates that one in three people worldwide
suffer from a food-borne disease every year,
1.8 million die from severe food and waterborne
diarrhea ,related illness
Most of these illnesses are due to microorganisms
and chemical contaminants, which may occur
naturally or be introduced at some point along the
food chain.
Campylobacter and Salmonella species account for
over 90% of all reported cases of bacteria related to
food poisoning worldwide.
As most cases of food borne disease are not reported,
the true dimension of the problem is unknown.
Today food safety is one of WHOs top eleven
priorities
:Food safety and security
The World Food Summit, organized by FAO in
1996, recognized that access to safe food is in
itself an element of food security,
The World Health Assembly Resolution on Food
safety from May 2000 stated that :
1. Everyone should have the right to an adequate
supply of safe, nutritious food ,
2. Encourages WHO member states to implement
and keep national and, when appropriate,
regional mechanisms for food borne disease
surveillance
3. Governments should take the necessary
measures to ensure the availability of safe food
for all in order to sustain the health and
economic development of their people.
The Response in Qatar
The Programme on Food- and Waterborne
Diseases and Zoonoses (FWD) in Qatar was set up
with the establishment of SCH ,
Organisms
Epidemiology
Transmission
Foodborne illness
Prevention and Control
Organisms
There are an estimated 250 pathogens that can
cause foodborne related illnesses.
Foodborne illness is defined as two or more cases of a
similar illness resulting from ingestion of a common food. It
can result from consuming foods contaminated with various
pathogens. In most cases bacteria are the major
pathogen followed by viruses, then parasites.
However, natural or manufactured chemicals and
toxins from organisms can also cause foodborne
illnesses.
The most commonly recognized foodborne infections
are caused by Campylobacter, Salmonella, E. coli
O157:H7 and by caliciviruses (better know as
Norwalk viruses.)
Epidemiology
Epidemiology
Many foodborne illnesses are not recognized or
go unreported for a variety of reasons:
First, routine surveillance may not detect a
mild foodborne illness.
second, some of the same pathogens that
cause foodborne illness can also be
transmitted in water or from person to person.
Lastly, some pathogens are emerging and are
not yet identifiable or able to be diagnosed.
Considering these factors, the above listed
number of illnesses, hospitalizations and
death may be obsolete.
High Risk Groups
The elderly
Children
Immunocompromised individuals are
usually at the greatest risk for these
illnesses.
Transmission
Transmission
Transmission of foodborne pathogens occurs via the oral
route.
During processing
At home
Produce Processing
Animal products are not
the only food that can
be contaminated.
Various foodborne
disease outbreaks have
occurred due to fruits
and vegetables.
Clinical signs
Diarrhea, abdominal cramps,
fever, nausea
Duration: 2-5 days
Salmonellosis
Salmonella is a gram negative bacteria with
many serotypes that cause foodborne related
illnesses. The ones we most commonly associated
with human foodborne illness are S. typhimurium
and S. enteritidis
They account for about 41% of all human cases
reported
causes an estimated 1.4 million reported cases
annually with 580 deaths
Salmonellosis
Sources
Raw poultry and eggs
Raw milk
Raw beef
Unwashed fruit
Reptile pets: Snakes, turtles, lizards
Signs
Onset: 12-72 hours
Diarrhea, fever, cramps
Duration: 4-7 days
E. coli O157:H7
Escherichia coli is another major pathogen of
foodborne related illnesses.
Harmless strains of E. coli are found in nature,
including the intestinal tracts of humans and
animals.
Diarrheal disease is caused by several different
strains of harmful E. coli. The most dangerous
type is enterohemorrhagic E. coli (EHEC).
It gets its name because it can cause bloody
diarrhea and can lead to kidney failure in
children or immunocompromised persons. E. coli
O157:H7 is the most common EHEC and its
enterohemorrhagic toxin is what actually causes
the disease
E. coli O157:H7
Signs
Watery or bloody diarrhea, nausea,
cramps
Onset: 2-5 days
Duration: 5-10 days
Sequela
Hemolytic Uremic Syndrome (HUS)
Cyclospora (Protozoan)
Sources >>>> Imported raspberries
Listeria monocytogenes
Sources
Ready-to-eat meats, soft cheeses
Signs
Human abortions and stillbirths
Septicemia in young or low-immune