2017–2018 South African listeriosis outbreak

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2017–2018 South African Listeriosis Outbreak

The 2017–2018 South African Listeriosis Outbreak was a significant public health crisis in South Africa, marked by a widespread outbreak of listeriosis, a serious infection caused by the bacterium Listeria monocytogenes. This outbreak was the largest recorded listeriosis outbreak globally, resulting in 1,060 confirmed cases and at least 216 deaths. The outbreak prompted a comprehensive response from both the South African government and international health organizations, leading to significant changes in food safety regulations and practices in the country.

Background[edit | edit source]

Listeriosis is an infection primarily transmitted to humans through the consumption of contaminated food products. The disease can be particularly severe, leading to life-threatening conditions such as meningitis and septicemia, especially in newborns, the elderly, pregnant women, and individuals with weakened immune systems. The causative agent, Listeria monocytogenes, is commonly found in soil, water, and vegetation. Animals can also carry the bacterium without appearing ill, contaminating meats and dairy products.

Outbreak Timeline[edit | edit source]

The outbreak was first identified in June 2017, when public health officials noted an unusual increase in listeriosis cases. Over the following months, the number of reported cases continued to rise, prompting an investigation by the National Institute for Communicable Diseases (NICD) in South Africa. By December 2017, the outbreak had escalated, with cases reported across multiple provinces.

Investigation and Response[edit | edit source]

The investigation into the outbreak involved extensive epidemiological work, including patient interviews and food product testing. In March 2018, the source of the outbreak was traced to ready-to-eat processed meat products from a production facility operated by Tiger Brands, a major South African food company. The implicated products were immediately recalled, and the facility was closed for cleaning and disinfection.

The South African government, in collaboration with the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC) in the United States, implemented several measures to control the outbreak. These included enhanced surveillance, public awareness campaigns, and updates to food safety regulations.

Impact[edit | edit source]

The outbreak had a profound impact on public health, the economy, and the food industry in South Africa. It highlighted the need for improved food safety standards and practices, leading to stricter regulations and oversight of food production facilities. The outbreak also raised awareness about listeriosis and the importance of food safety among the general public.

Aftermath[edit | edit source]

Following the outbreak, South Africa took significant steps to strengthen its food safety systems. These included the implementation of more rigorous food processing, handling, and testing guidelines, as well as increased research into foodborne pathogens. The outbreak also spurred a global discussion on food safety and the need for international cooperation in preventing and managing foodborne disease outbreaks.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD