Outbreak Investigation of Acute Diarrhea in three temporary shelters in Bangkok, October 2020
DOI:
https://doi.org/10.14456/dcj.2021.96Keywords:
Outbreak Investigation, Acute Diarrhea, Travelling, Temporary Shelters, Enteropathogenic BacteriaAbstract
The public health center 58th was notified by a head government officer of a specific team from a temporary shelter which located in Bangpakok subdistrict of Rad-burana district of Bangkok about a few patients with acute diarrhea on October 15th, 2020: 10.00 am. The Surveillance and Rapid Response Team (SRRT) was activated and immediately conducted an investigation in the affected shelters with another government sectors to verify the outbreak and identified the causes or risk factors of acute diarrhea. The controlling measures and prevention for another outbreak was done during October 15th – 30th, 2020. A descriptive study was carried-out by interviewing the suspected patient to identify suspected causes or risk factors of this outbreak. The descriptive statistics were used for describing the distribution and determinants of disease including frequency, percentage, mean and median. There was an outbreak of acute diarrhea of the government officers who travelling to Bangkok and living in three temporary shelters during October 15th – 30th, 2020. We found 71 diarrhea cases among 480 officers (the attack rate 14.8%), median of age was 42.0 years. The risk factors of this outbreak were having the non-healthy meal-box and the food sanitation measures of the restaurant or the food stalls. The rectal swabs from the confirmed cases revealed the enteropathogenic bacteria (Aeromonas veronii biovar sobria, Aeromonas spp., Plesiomonas shigelloides, Salmonella serovar Soerenga, Vibrio cholerae nonO1/nonO139/nonO141) . We also found the coliforms bacteria from the SI2 tests and can identified Bacillus cereus from the leftovers food samples. In conclusion, every restaurants, food stalls should strictly follow the food sanitation recommendations. The logistics team should prepare the healthy meal-box for all members of the team during travelling and living in the temporary shelters and also should define the measures for preventing the future outbreak.
References
Division of Epidemiology, Department of Disease Control. Situation of acute diarrhea in Thailand. Nonthaburi: Division of Epidemiology; 2019.
Division of Epidemiology, Department of Disease Control. Guidelines for reporting dangerous communicable diseases and commu¬nicable diseases under surveillance according to the Communicable Disease Act 2015 [Internet]. Nonthaburi: Division of Epidemiology; 2018. [cited 2020 Nov 26]. 239 p. Available from: http://aidsboe.moph.go.th/app/bookup/up¬loads/2020-03-091342395787.pdf
Barr W, Smith A. Acute diarrhea. Am Fam Phy¬sician. 2014;89(3):180-9.
Tungwongjulaniam C. Situation of food poisoning, 2017. Disease Control Journal. 2018;44(3): 315-24.1115
Mabbott NA, Kobayashi A, Sehgal A, Bradford BM, Pattison M, Donaldson DS. Aging and the mucosal immune system in the intestine. Bioger¬ontology. 2015;16(2):133-45.
Soenen S, Rayner CK, Jones KL, Horowitz M. The ageing gastrointestinal tract. Curr Opin Clin Nutr Metab Care. 2016;19(1):12-8.
Pisutsan P, Soonthornworasiri N, Matsee W, Phumratanaprapin W, Punrin S, Leowattana W, et al. Incidence of health problems in travelers to Southeast Asia: a prospective cohort study. J Travel Med. 2019;26(7):taz045.
Humphries RM, Linscott AJ. Laboratory diagnosis of bacterial gastroenteritis. Clin Microbiol Rev. 2015;28:3-31.
Shane AL, Mody RK, Crump JA, Tarr PI, Steiner TS, Kotloff K, et al. Infectious Diseases Society of America Clinical Practice Guidelines for the diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017;65(12):e45-80.
Bunpatanasak S, Siriyota K. Bacterial pathogens causing food poisoning in Health Region 2 and Phichit Province in 2013-2017. Journal of Disease Prevention and Control: DPC.2 Phitsan¬ulok [Internet]. 2019. [cited 2020 Nov 26]; 6(1):1-15. Available from https://he01. tci-thaijo.org/index.php/dpcphs/article/ view/183759
Vila J, Ruiz J, Gallardo F, Vargas M, Soler L, Figueras MJ, et al. Aeromonas spp. and traveler’s diarrhea: clinical features and antimicrobial resistance. Emerg Infect Dis. 2003;9(5):552-5.
Fernndez-Bravo A, Figueras MJ. An update on the genus Aeromonas: taxonomy, epidemiology, and pathogenicity. Microorganisms. 2020;8(1):129.
Ghenghesh KS, Ahmed SF, El-Khalek RA, Al-Gendy A, Klena J. Aeromonas-associated infections in developing countries. J Infect Dev Ctries. 2008;2(2):81-98.
Schuetz AN. Emerging agents of gastroenteritis: Aeromonas, Plesiomonas, and the diarrheagenic pathotypes of Escherichia coli. Semin Diagn Pathol. 2019;36(3):187-92.
Sakpaisal P, Silapong S, Yowang A, Boonyasa¬kyothin G, Yuttayong B, Suksawad U, et al. Prevalence and genotypic distribution of Rotavi¬rus in Thailand: a multicenter study. Am J Trop Med Hyg. 2019;100(5):1258-65.
McCarthy KS, Guntapong R, Thattiyaphong A, Wangroongsarb P, Hall AJ, Olsen SJ, et al. Out¬break of norovirus gastroenteritis infection, Thailand. Southeast Asian J Trop Med Public Health. 2013;44(3):409-16.
Supcharassaeng S, Suankratay C. Antibiotic prescription for adults with acute diarrhea at King Chulalongkorn Memorial Hospital, Thailand. J Med Assoc Thai. 2011;94(5):545-50.
Food Consumer Protection Subdivision. Food Sanitation Division of the Health Department of Bangkok Metropolitan Administration. Safety food, good health guidebook. Bangkok: Food Consumer Protection Subdivision; 2016.
Food Sanitation Division of the Health Depart¬ment of Bangkok Metropolitan Administration. Manual of food sanitation course of Bangkok. Food Consumer Protection Subdivision; 2020.
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