1994 Outbreak of Shigellosis Linked to Imported Iceberg Lettuce, Europe

Several European countries, including Norway, Sweden, and the United Kingdom, experienced a sudden increase in the number of Shigella sonnei infections. Epidemiologic evidence implicated iceberg lettuce imported from Spain. A number of the case-patients had double infections with other enteropathogens. In one county in Norway, in June, at least 45 outbreaks of gastroenteritis occurred in which iceberg lettuce was a common vehicle. Shigella was not isolated from the lettuce, but Salmonella and high fecal coliforms were identified. The imported iceberg lettuce harbored Escherichia coli strains showing resistance to several antibiotics. The outbreak subsided when imported iceberg lettuce was no longer available in the market.

Overview

Outbreak began:May 1994
Affected country:Other International
States/territories:NA
Pathogen:Shigella
Vehicle(s):Leafy greens
Location(s):Retail
Molecular test results:Not reported

Health impact

Total ill:110

Sources & documents

Report / reference links