FSA.01933

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					                                                        FSA.01933
                                                                            30S2.A

                                                             Ref:ECI 118


FINAL NOTE OF E-COLI 0157 OUTBREAK INCIDENT MEETING


DATE & TIME: TUESDAY 27 SEPTEMBER 2005 AT 2:30PM


LOCATION: ROOM 823B, AVH


List of attendees
Terry Donohoe - Incidents Branch (Chair)
Liz McNulty - Incidents Branch
John Caseley- Incidents Branch
Jo Aish - MSD
Marion Castle - MSD
Justin Everard - COM3
Anna Ashelford - COM3
Jane Davies - FSA Wales (via conference call)
Rob Wilkins - FSA Wales (via conference call)
Phil Morgan - FSA Wales (via conference call)

Purpose
1.    The following is a summary of the main points that arose from the
meeting held on 27 September regarding the ongoing E. coli 0157 outbreak in
South Wales.

Detail
2.      Following an OCT meeting that day, FSAW confirmed that the number
of E. coli cases now stood at 122. This number included 7 individuals in
hospital under surveillance (3 childrenjn Alderhey and 1 adult and 3 children
in Bristol). The hospitals were not issuing any further information. It was
recognized that the control measures put in place had increased the speed of
notifications, which in turn has led to an early peak.

3.     The case definition had now changed so that those who were clinically
confirmed with E. coli and/or had bloody diarrhoea were included (122 cases).
With reference to the Food Alert issued on 23 September, FSAW confirmed
that they would shortly be carrying out follow up action with LAs. No new
premises appeared to have been identified and FSAW was satisfied that there
had been no distribution to England.

4.     It was confirmed that the affected meat supplier was going to put in an
application to re-open their premises; the LA would have 14 days to consider
the application. The results of the microbiological investigation of the cooked
meats indicated phage type 21/28 was isolated; these were the same results
as for the 29 clinical isolates. As regards the epidemiological investigation,
                                                                          FSA.01934



there appeared to be a link between those consuming turkey on 8 September
and the cases presented.

5.     FSAW confirmed that the media were pressing for the OCT's views
regarding the microbiological results received today. It was agreed that FSAW
would supply MSD with the results of the LA sampling they had received.

                                               Action: Jane Davies (FSAW)

6.    The Police had taken an interest in the outbreak. Depending on the
outcome of the investigation, there was a possibility of a GBH charge or, if
deaths occurred, a manslaughter charge. FSAW confirmed that the police had
not been in direct contact. They added that there was a possibility that cases
against those responsible would be brought by all four LAs involved.


                                                               John Caseley
                                                           Incidents Branch
                                                            September 2005

				
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