Outbreak investigation of brucellosis in Thassos, Greece, 2008

Euro Surveill. 2012 Mar 15;17(11):20116.

Abstract

In spring 2008, the Hellenic Center for Disease Control and Prevention was notified about human brucellosis cases in Thassos, a Greek island that had been up to that point under a brucellosis eradication programme. Following the verification of the outbreak a 1:1 case– control study was conducted in the island. The study revealed that consumption of locally produced raw cheese was a risk factor for Brucella melitensis infection (odds ratio (OR): 15.1, 95% confidence interval (CI): 6.56–34.7). Brucella melitensis biotype 3 was identified in two clinical samples. As a result of the outbreak, the island is no longer officially considered as an area with farms free of brucellosis and is currently under a brucellosis control programme. The investigation of this outbreak demonstrated that control and eradication of brucellosis is not only a question of designing a strategy, but rather of ensuring its continuous, strict implementation. Furthermore, it revealed the lack of appropriate education of the public regarding the risks associated with raw, non heat-treated cheese consumption.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brucella melitensis / classification
  • Brucella melitensis / isolation & purification*
  • Brucellosis / epidemiology*
  • Brucellosis / microbiology
  • Case-Control Studies
  • Cheese / microbiology*
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • Food Contamination / statistics & numerical data
  • Foodborne Diseases / epidemiology*
  • Foodborne Diseases / microbiology*
  • Greece / epidemiology
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Population Surveillance*
  • Risk Assessment / methods
  • Risk Factors