Preventable disease in correctional facilities. Desmoteric foodborne outbreaks in the United States, 1974-1991

Abstract

Foodborne outbreaks are reported regularly from correctional facilities in the United States. Outbreaks caused by Salmonella species, a special threat to prisoners with human immunodeficiency virus infection, seem to be increasing. Food production in correctional facilities should meet minimum safety standards, including sufficient refrigeration facilities, training of food handlers, and exemption of ill food handlers from work.

2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings

“…483 Infectious diseases of special concern for transmission include tuberculosis, scabies, respiratory infections (eg, N meningitides, S pneumoniae), sexually transmitted and bloodborne diseases (eg, HIV, HBV, HCV, syphilis, gonorrhea), hepatitis A virus, diarrheal agents such as norovirus, and foodborne diseases. 285,[484][485][486][487] A high index of suspicion for tuberculosis and CA-MRSA in these populations is needed; outbreaks in these settings or among the populations they serve have been reported. [488][489][490][491][492][493][494][495][496] Patient encounters in these types of facilities provide an opportunity to deliver recommended immunizations and screen for M tuberculosis infection, along with diagnosing and treating acute illnesses.…”

Foodborne Disease Outbreaks in Correctional Institutions—United States, 1998–2014

“…In 2014, approximately 1 in every 3000 inmates was part of a recognized foodborne disease outbreak compared with 1 in every 25 000 nonincarcerated persons. 13,14 Similar to the report for 1974 to 1991, 6 foodborne disease outbreaks in US correctional institutions continued to account for 1% of all outbreaks and about 6% of all outbreak-associated illnesses from 1998 through 2014. The median number of foodborne desmoteric outbreaks reported per year increased from 5 (range = 1–11) from 1974 to 1991 6 to 12 (range = 7–19) from 1998 to 2014.…”

“…13,14 Similar to the report for 1974 to 1991, 6 foodborne disease outbreaks in US correctional institutions continued to account for 1% of all outbreaks and about 6% of all outbreak-associated illnesses from 1998 through 2014. The median number of foodborne desmoteric outbreaks reported per year increased from 5 (range = 1–11) from 1974 to 1991 6 to 12 (range = 7–19) from 1998 to 2014. However, the number of all outbreaks reported each year doubled in 1998 when FDOSS transferred to electronic records 15 and the prison population increased about 3-fold between 1983 and 2006.…”

“…In 1996, Cieslak et al first described the epidemiology of US foodborne disease outbreaks in correctional institutions from 1974 to 1991. 6 In the report, desmoteric outbreaks made up 1% of all foodborne outbreaks reported and 5% of all foodborne outbreak-associated illnesses. This was more than twice as many illnesses as attributed to foodborne outbreaks in US nursing homes during a similar time period.…”

Brotes de enfermedades transmitidas por alimentos y agua en la Región Metropolitana, Chile (2005-2010)

“…Los restaurantes son otro lugar que provoca cantidades apreciables de brotes (16,3%), lo que se relaciona muchas veces con la conservación defi ciente de los alimentos y los malos hábitos higiénicos de los manipuladores. Existe un défi cit de cultura sanitaria en los manipuladores incluyendo los que realizan venta de alimentos en los centros de comida rápida, los que se han incrementado de forma importante en los últimos años [17][18] . Estos problemas ya han sido señalados por otros autores 19,20 , quienes insisten en la necesidad de promover actividades de educación sanitaria como la estrategia más efi ciente para evitar estas defi ciencias, con lo cual coincidimos, aunque se considere que es una labor que tiene impacto a mediano y largo plazo.…”