Possible health risks from contaminated foods in hospital kitchens can be minimised through suitable measures

The Federal Institute for Risk Assessment (BfR) and the Robert Koch Institute (RKI) have jointly developed measures and practical recommendations aimed at preventing the possible spread of pathogenic and antimicrobial-resistant bacteria via hospital kitchens. These measures and recommendations take into account all potentially relevant sources and transmission pathways. Measures that offer protection against contamination of food with pathogenic bacteria also prevent contamination with resistant bacteria

Content analysis of press coverage during the H1N1 influenza pandemic in Germany 2009–2010

Husemann S, Fischer F. Content analysis of press coverage during the H1N1 influenza pandemic in Germany 2009–2010. BMC Public Health. 2015;15(1): 386.Background The H1N1 influenza pandemic occurred in Germany between April 2009 and August 2010. Pandemics often lead to uncertainty amongst the public and so risk communication on health-related issues is one of the key areas of action for health authorities and other healthcare institutions. The mass media may contribute to risk communication, so this study analysed press coverage during the H1N1 pandemic in Germany. Methods A comprehensive analysis of the press coverage during the H1N1 pandemic was conducted in two steps. First, a temporal analysis was carried out of newspaper articles over the entire course of the pandemic, a total of 15,353 articles. The newspaper articles were obtained from the database Nexis. The total number of articles about the influenza pandemic during each individual week was plotted against the number of incident influenza cases during that week. Second, a quantitative content analysis of 140 newspaper articles from selected dates was conducted. Results This study indicates that media awareness seems to be strongly related to the actual situation in the pandemic, because changes in the number of infected people were associated with nearly identical changes in the number of newspaper articles. Few articles contained information on the agent of the influenza or support measures. Information on vaccination was included in 32.9% of all articles. Almost half of the articles (48.6%) used case reports. Fear appeals were used in only 10.7% of the newspaper articles; 32.9% of the articles contained the message characteristic “self-efficacy”. Conclusions The newspaper articles that were analysed in the content analysis included different information and message characteristics. The extent of information provided differed during the pandemic. As current research indicates, the use of message characteristics such as fear appeals and self-efficacy, which were also included in the analysed newspaper articles, can help to make health messages effective

Major Outbreak of Hepatitis A Associated with Orange Juice among Tourists, Egypt, 2004

In 2004, a major outbreak of hepatitis A among tourists returning from Egypt involved 351 case-patients from 9 European countries who were infected with a single strain (genotype 1b). The case-control study identified orange juice as the most likely infection vehicle. Vaccination against hepatitis A virus is strongly recommended before travel to disease-endemic areas

SurvNet Electronic Surveillance System for Infectious Disease Outbreaks, Germany

Electronic Surveillance System for Infectious Disease Outbreaks, German

Fetal Growth and Risk of Stillbirth: A Population-Based Case–Control Study

Background: Stillbirth is strongly related to impaired fetal growth. However, the relationship between fetal growth and stillbirth is difficult to determine because of uncertainty in the timing of death and confounding characteristics affecting normal fetal growth. Methods and Findings: We conducted a population-based case–control study of all stillbirths and a representative sample of live births in 59 hospitals in five geographic areas in the US. Fetal growth abnormalities were categorized as small for gestational age (SGA) (90th percentile) at death (stillbirth) or delivery (live birth) using population, ultrasound, and individualized norms. Gestational age at death was determined using an algorithm that considered the time-of-death interval, postmortem examination, and reliability of the gestational age estimate. Data were weighted to account for the sampling design and differential participation rates in various subgroups. Among 527 singleton stillbirths and 1,821 singleton live births studied, stillbirth was associated with SGA based on population, ultrasound, and individualized norms (odds ratio [OR] [95% CI]: 3.0 [2.2 to 4.0]; 4.7 [3.7 to 5.9]; 4.6 [3.6 to 5.9], respectively). LGA was also associated with increased risk of stillbirth using ultrasound and individualized norms (OR [95% CI]: 3.5 [2.4 to 5.0]; 2.3 [1.7 to 3.1], respectively), but not population norms (OR [95% CI]: 0.6 [0.4 to 1.0]). The associations were stronger with more severe SGA and LGA (95th percentile). Analyses adjusted for stillbirth risk factors, subset analyses excluding potential confounders, and analyses in preterm and term pregnancies showed similar patterns of association. In this study 70% of cases and 63% of controls agreed to participate. Analysis weights accounted for differences between consenting and non-consenting women. Some of the characteristics used for individualized fetal growth estimates were missing and were replaced with reference values. However, a sensitivity analysis using individualized norms based on the subset of stillbirths and live births with non-missing variables showed similar findings. Conclusions: Stillbirth is associated with both growth restriction and excessive fetal growth. These findings suggest that, contrary to current practices and recommendations, stillbirth prevention strategies should focus on both severe SGA and severe LGA pregnancies

Cowpox Virus Transmission from Pet Rats to Humans, Germany

We describe a cluster of cowpox virus (CPXV) infections in humans that occurred near Munich, Germany, around the beginning of 2009. Previously, only sporadic reports of CPXV infections in humans after direct contact with various animals had been published. This outbreak involved pet rats from the same litter

Trends in influenza vaccination coverage rates in Germany over five seasons from 2001 to 2006

BACKGROUND: To assess influenza vaccination coverage from 2001 to 2006 in Germany, to understand drivers and barriers to vaccination and to identify vaccination intentions for season 2006/07. METHODS: 9,990 telephone-based household surveys from age 14 were conducted between 2001 and 2006. Essentially, the same questionnaire was used in all seasons. RESULTS: The influenza vaccination coverage rate reached 32.5% in 2005/06. In the elderly (> or years), the vaccination rate reached 58.9% in 2005/06. In those aged 65 years and older, it was 63.4%. Perceiving influenza as a serious illness was the most frequent reason for getting vaccinated. Thirteen percent of those vaccinated in 2005/06 indicated the threat of avian flu as a reason. The main reason for not getting vaccinated was thinking about it without putting it into practice. The major encouraging factor to vaccination was a recommendation by the family doctor. 49.6% of the respondents intend to get vaccinated against influenza in season 2006/07. CONCLUSION: Increasing vaccination rates were observed from 2001 to 2006 in Germany. The threat of avian influenza and the extended reimbursement programs may have contributed to the recent increase