A Food Handler-Associated, Foodborne Norovirus GII.4 Sydney 2012-Outbreak Following a Wedding Dinner, Austria, October 2012

On October 12, 2012, the provincial public health directorate of Salzburg reported a suspected norovirus (NV) outbreak among guests of a wedding–reception. The investigation aimed to confirm the causative agent, to identify the mode of transmission and to implement appropriate preventive measures. A probable outbreak case was defined as a wedding guest with diarrhoea or vomiting with disease onset from 7 to 10 October 2012 and who consumed food at the wedding dinner prepared by a hotel in the province Salzburg on 6 October 2012. A confirmed outbreak case fulfilled the criteria of a probable outbreak case and had a laboratory-confirmed NV infection. We conducted a cohort-investigation among the wedding guests. The case definitions were fulfilled in 26 wedding guests (25 %) including 2 confirmed cases. Females were 3.2 times more likely to develop disease (95 % CI 1.4–7.2) as compared to males. A mushroom dish was found to be associated with disease risk among females (risk ratio 2.3, 95 % CI 1.2–4.3). Two of 2 tested case-patients and 6 of 14 kitchen workers tested were positive for NV GII.4 Sydney. One kitchen staff-member worked during the wedding dinner despite diarrhoea. No food safety training was documented for the employees and the kitchen staff’s restroom was lacking operational facilities for hand hygiene. We report the first investigated outbreak due to GII.4 Sydney, which was likely due to a symptomatic kitchen worker. Gender-specific eating behaviour may have posed female guests at higher risk of NV infection.     

Decomposition of buried corpses,with special reference to the formation of adipocere

The unrestrained decomposition of a corpse involves the consecutive processes of autolysis, putrefaction and decay. Ideally, decomposition is completed within the regular resting time (15–25 years) and leads to the entire skeletalisation of the corpse. Adipocere, a greyish fatty substance formed during decomposition, is regarded as a spontaneous inhibition of post-mortem changes; it makes the corpse almost entirely resistant to decomposition and makes it impossible to use the same graves again. This creates problems for local governments with regard to the generally growing demand for burial ground.Apart from corpse-specific characteristics (e.g. sex, age, physique, cause of death), method of burial (e.g. material of the coffin, depth of grave, individual or mass grave, clothing) and time of burial, the conditions of the resting place (geology, topography, soil properties and frequency of use, air, water, and heat budget), in particular, have a special impact on adipocere formation. This study summarises the present knowledge on this phenomenon, combining results gained both in forensic medicine and in geosciences.     

Biologische Tests von Bodenextrakten zur Erkennung von Bodenkontaminationen Einstiegswerte und Test-Fensterbreite

Initial values and windows of competence together with a biological test system are introduced to identify soil contaminations. Theinitial values are defined as the amount of extract equivalent to a defined amount of soil (gramm soil equivalent) and the same amount of test medium. This is equivalent to a complete replacement of the test medium with the soil being tested. Theeffect limits should be at least the double standard deviation of the blank values. Based on the values found when testing uncontaminated soils, a higher threshold value has to be established for some test systems. Should no relationship be found to a standard test medium (e.g. agar as a matrix in the Ames assay), the so-calledwindow of competence is defined. Within this window no natural response is found when ex amining uncontaminated soil. For mutagenicity tests, the double spontaneous reversion rate (reversion coefficient of 2) as related o the blank sample is evaluated as the effect limit.     

Sorption and mass fluxes of sulfonated naphthalene formaldehyde condensates in aquifers

Sulfonated naphthalene formaldehyde condensates (SNFC) and their monomeric analogues were used as superplasticizers for cement suspension injections at two tunnel construction sites that are in direct contact with groundwater. Because in one case the aquifer is an important drinking water resource, the behavior of SNFC in the groundwater was carefully investigated. Chemical analyses showed that SNFC leached to the groundwater in concentrations of up to 58 microg/l of total SNFC at a distance of about 60 m down-gradient from the construction site. Of the individual SNFC components, only monomers and oligomers with up to four units could be detected in the groundwater. Oligomers with more than four units did not leach from the cement paste. The leached oligomers were transported in the groundwater at different velocities, which can be explained by sorption experiments. Mass fluxes of SNFC used at the tunnel construction sites were evaluated. Most SNFC were immobilized in the cement, but 5% (w/w) of the applied SNFC were found to leach into the aquifer. This corresponds to a total amount of leached SNFC of approximately 100 kg, of which about 80% are biodegraded in the aquifer and 20% (20 kg) still remain in the groundwater.     

Substrate choice and settlement preferences of planula larvae of five Scyphozoa (Cnidaria) from German Bight,North Sea

The settlement behaviour of planula larvae and their development to young polyps was investigated in laboratory experiments in five scyphozoan species [Aurelia aurita (L.), Cyanea capillata (L.), Cyanea lamarckii Péron and Leseur, Chrysaora hysoscella (L.), and Rhizostoma octopus (L.)]. The undersides of settling plates were strongly preferred for settlement. Shells, the only natural substrate type offered, were less attractive than artificial substrates (concrete, machined wood, polyethylene, and glass). The advantages of colonization of substrate undersides for survival and reproduction of polyps are discussed. It is supposed that the increase of artificial substrates in our seas, due to marine litter pollution and submarine building activities, enlarge the areas of distribution of scyphozoan polyps, in coastal as well as in off-shore regions. Subsequent increases in ephyra production by polyps are probably one reason for the increase in mass occurrences of jellyfish recognized worldwide during the last few decades. It is suggested that the early developmental stages in the cnidarian life cycle, the planula larvae, and the polyps, play the key role in the development of jellyfish outbursts.     

PCDD/PCDF in Papierprodukten und Kartontüten

Various paper products and cardboard containers produced from bleached or unbleached cellulose and from recycled paper were investigated. In coffee filters and milk cartons manufactured from chlorine-bleached cellulose, the amount of tetrachlorinated dibenzodioxins and dibenzofurans of the sum of the to xicity equivalents (TEQ) exceeds 90%. The use of unbleached or not chlorinebleached cellulose leads to products with significantly lower concentrations of PCDD/F congeners. However, the contents of higher chlorinated dibenzodioxins are higher in these products. In products from recycled paper, both the more toxic lower chlorinated PCDD/F with the pattern typical for chlorine bleached cellulose and high contents of higher chlorinated PCDD/F can be detected. The use of recycled paper for manufacturing kitchen tissues, paper serviettes, and paper handkerchiefs should be critically re-examined. *** DIRECT SUPPORT *** A00HP015 00003     

Evaluation of amniotic fluid cell filtration: An experimental approach to early amniocentesis

Prior to a prospective application of amniotic fluid (AF) cell filtration to early amniocentesis, we tested the technique on a surplus from mid-trimester samples. By using the same sample size of 5 ml in experiments with a filter and in routine diagnostic procedures (control), we evaluated an optimal filter system. The prolonged culture time of filtered cells and the reduced number of clones are most probably due to mechanical stress (filtration pressure), whereas loss of the cells by adhesion to the filter system, and an AF-free culture medium (growth factors) are suggested to be less important. The AF cells are very sensitive to mechanical stress. Slow filtration (⩽3 ml AF/min) through filters with a high porosity and the largest possible pore size should be preferred. A mixed cellulose ester filter membrane with a pore size of 5·0 μm proved to be the most efficient, allowing harvest of the filtered cells after only a slight prolongation of the culture time (+2·4 days) compared with unfiltered aliquots. A filter set with a bypass connected by three-way taps allows cell filtration during either aspiration or reinjection of the AF. Cell filtration after amniocentesis and consecutive reverse flushing of the membrane with the appropriate amount of culture medium proved to be the best with regard to easy handling and reducing the risk of bacterial contamination.