2006 2007 2008 2009 2010

Trends in salmonellosisTrends in salmonellosis, campylobacteriosis, and other foodborne zoonoses in the EUzoonoses in the EUJohanna TakkinenHead of Food- and Waterborne Diseases and Zoonoses programmeOffice of the Chief ScientistOffice of the Chief ScientistEuropean Centre for Disease Prevention and Control European Parliament, 10 October 2011

Food- and waterborne diseases andzoonoses (FWD) programme –

G l lGeneral goals

E h d t ti dE h d t ti dMonitor trendsMonitor trends Enhance detection and investigation of multi-country

food-borne outbreaks

Enhance detection and investigation of multi-country

food-borne outbreaksfood borne outbreaksfood borne outbreaks

By strengthening• integrated/linked surveillance in humans, food, feed and animalsg / , ,• collaboration between public health, food, feed and veterinary authorities• laboratory capacity in MSs

Selected zoonoses in humans: notification rates in EU in 2009

(7,595)

(108,614)

(198,252)

Yersiniosis

Salmonellosis

Campylobacteriosis

(1,259)

(3,573)

( , )

Toxoplasmosis

VTEC

(790)

(1,645)

(1,987)

Echinococcosis

Listeriosis

Q fever

Zoon

oses

( )

(401)

(748)

T b l i d b M b i *

Brucellosis

Trichinellosis

(1)

(115)

0 5 10 15 20 25 30 35 40 45 50

Rabies

Tuberculosis caused by M. bovis*

Notif ication rate per 100,000 population

Source: European Union Summary Report on trends and sources of zoonoses, zoonotic agents and foodborne outbreaks 2009

Most common Salmonella serotypesin humans, 2009

60000

Number of cases

20000

40000

60000

0

20000

3/4 of human Salmonella infections caused by S. Enteritidis and S. Typhimurium(77 000 infections reported in 2009)

Source: European Union Summary Report on trends and sources of zoonoses, zoonotic agents and foodborne outbreaks 2009

Trend of salmonellosis, 2006-2010

30 0

35.0

40.0

pulation Notable salmonellosis 5‐year trends, 2006‐2010

10 0

15.0

20.0

25.0

30.0

ases / 100

 000

 po

‐14

2

0.0

5.0

10.0

2006 2007 2008 2009 2010

Confirmed

 c Decreased in MSs Increased in MSs

Salmonellosis (EU27)

Decreased relative risk by 43% from 2006 to 2010*

*Preliminary data from the European Surveillance System, TESSy

Trend of Salmonella Enteritidisby age groups in 23 EU Member States

150 0

175.0

tion

100.0

125.0

150.0

100 0

00 pop

ulat

0‐4

5‐14

15 24

Age groups

25 0

50.0

75.0

firmed

 cases / 1 15‐24

25‐44

45‐64

≥ 65

0.0

25.0

2007 2008 2009 2010

Conf

Decreasing trend across age groups in EU

Trend of brucellosis, 2006-2010

Notable brucellosis 5‐year trends, 2006‐2010

0.20

pulation

‐3

1

Decreased inMSs Increased in MSs

0.10

cases / 10

0 00

0 po

p

Decreased in MSs Increased in MSs

0.00

2006 2007 2008 2009 2010

Confirmed

 c

Brucellosis (EU22)

Decreased relative risk by 53% from 2006 to 2010*

Brucellosis (EU22) 

Decreased relative risk by 53% from 2006 to 2010

*Preliminary data from the European Surveillance System, TESSy

Trend of campylobacteriosis, 2006-2010

Notable  campylobacteriosis 5‐year trends, 2006‐201054.0

ation

‐4

1046.0

50.0

ses / 10

0 00

0 po

pul

Decreased in MSs Increased in MSs

38.0

42.0

2006 2007 2008 2009 2010

Confirmed

 cas

Campylobacteriosis (EU24)

Increased relative risk by 19% from 2006 to 2010*

*Preliminary data from the European Surveillance System, TESSy

Trend of Shiga toxin –producing E. coli(STEC) in the EU

1.0

ation Notable STEC 4‐year trends, 2007‐2010

0 4

0.6

0.8

/ 10

0 00

0 po

pula

0

7

Decreased in MSs Increased in MSs

0.0

0.2

0.4

onfirmed

 cases /

2006 2007 2008 2009 2010

Co

STEC (EU22)

Increased relative risk by 37% from 2007 to 2010*

*Preliminary data from the European Surveillance System, TESSy

Conclusions on EU trends in selected zoonoses

Reported Salmonella infections decreased • across EU Member States• across populations• particularly for serotype Salmonella Enteritidis

Reported Brucella infections decreased

Reported Campylobacter infections increased

Reported STEC infections increased

E h i hi liEscherichia coli

THANK YOU

Trends in Salmonella top five serotypes, 2007-2010

1500

2000

s

80,000

100,000

500

1000

Confirmed

 cases

20 000

40,000

60,000

Confirmed

 cases

0

2007 2008 2009 2010

Salmonella Infantis  (EU22) Salmonella Newport (EU20)

0

20,000

2007 2008 2009 2010

Salmonella Enteritidis  (EU24) Salmonella Typhimurium  (EU24)

Decreasing EU trend*:

Salmonella Virchow (EU22)

gSalmonella Enteritidis (13 MSs)Salmonella Virchow (9 MSs)

Note Salmonella Infantis, no real increase in EU, reporting factor (France)

*Preliminary data from the European Surveillance System, TESSy

Trend of listeriosis, 2006-2010

0.35

0.40

ulation

Notable listeriosis 5‐year trends 2006‐2010

0.15

0.20

0.25

0.30

ses / 10

0 00

0 po

pu

‐2

2

Notable listeriosis 5 year trends, 2006 2010

0.00

0.05

0.10

2006 2007 2008 2009 2010

Confirmed

 cas

Decreased in MSs Increased in MSs

Listeriosis (EU25)

No trendNo trend

Preliminary data from the European Surveillance System, TESSy