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Measuring foodborne illness levels

Tuesday 29 March 2011

The Food Standards Agency monitor trends in foodborne disease caused by key pathogenic (disease-causing) bugs in the UK. These trends are monitored through laboratory-confirmed cases of illness.

How foodborne illness levels are measured

Cases are confirmed when a stool sample is provided by someone suffering from food poisoning symptoms and is sent to a laboratory by a GP or other health professional. However, even if a foodborne germ is found we cannot always be sure it has come from food that has been eaten, it could be from contact with some else suffering from foodborne disease. Also, not all people suspected of having food poisoning provide a stool sample for testing. This means we can't be sure exactly how many cases of food poisoning there are, but there are ways in which we can make reasonable estimates of trends and tell whether the number of cases is going up or down. Although these confirmed cases only represent a fraction of the total, this system does provide a consistent indication of trends in some of the key foodborne pathogens the Agency monitors.

Since 2000 the Agency has monitored the changes in foodborne disease using confirmed laboratory notifications of salmonella, campylobacter, E. coli O157 and Listeria monocytogenes .

Trends in foodborne disease

Between 2000 and 2005 there was a considerable reduction (19.2%) in the levels of foodborne disease; however, since then cases of foodborne illness have remained relatively stable, though increasing in recent years since 2005. This increase is largely due to a substantial increase in the number of cases of campylobacter infection, which has occurred in all UK countries. It is currently unclear whether this increase is due to a true increase in incidence, an increase in reporting, or a combination of the two. We are working closely with other relevant parties (e.g. Health Protection Agency, Health Protection Scotland, National Public Health Service for Wales and Public Health Agency for Northern Ireland) to better understand this increase.

The Agency is continuing to monitor confirmed cases of salmonella, campylobacter, E. coli O157 and L. monocytogenes as part of the 2010–15 foodborne disease strategy. In addition, we will monitor confirmed cases of norovirus, which is estimated to cause approximately 200,000 cases of foodborne disease each year in England and Wales alone.

Until 2009, the Agency reported cases of Clostridium perfringens , but it is difficult to estimate disease burden from reported cases as the disease is usually mild and the number of cases recorded each year is low, therefore the Agency will no longer be reporting cases of C. perfringens .

Laboratory confirmed cases of foodborne illness acquired in the UK: 2000 to 2010


 
Campylobacter
Salmonella
E. coli O157
Listeria monocytogenes
Norovirus**
2000
52,567
12,784
1,035
114

2001
49,287
13,935
916
162

2002
43,355
12,736
748
160

2003
41,283
13,207
777
248

2004
39,822
12,344
819
230

2005
41,882
10,220
1,029
220
4,653
2006
42,360
10,970
1,146
208
7,320
2007
46,733
10,570
974
254
8,495
2008
44,842
8,542
1,096
205
9,438
2009
52,617
7,677
1,160
234
10,377
2010*
56,767
6,613
924
174
15,529

*Figures for 2010 are provisional figures provided by the HPA. The confirmed figures will become available in autumn 2011.

**Norovirus figures include both community and hospital-acquired infections, as the HPA laboratory reporting system cannot differentiate between them.

More information on trends in foodborne disease can be found via the links in the ‘See also’ section below.

Related links

Foodborne disease strategy More about the strategy to reduce foodborne disease

See also

Chief Scientist's annual reports (External) Defra UK zoonoses reports Visit the Defra website (External) Health Protection Agency foodborne outbreak epidemiological data (External) Health Protection Agency foodborne outbreak surveillance publications (External) Health Protection Agency reports on enteric disease (External) Health Protection Scotland reports on infectious intestinal disease

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