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Action outlined on E.coli O157

09/06/2003

Wide-ranging measures designed to reduce the threat posed by E.coli O157 in Scotland have been published by the Executive and the Food Standards Agency Scotland (FSAS).

The joint report - Implementing the Recommendations of the Task Force on E.coli O157 - outlines progress on actions taken over the last year by the Executive, FSA, the Health and Safety Executive (HSE), NHS Health Scotland, the Scottish Centre for Infection and Environmental Health, and many others.

Addressing the 5th International Symposium on "Shiga Toxin (Verocytotoxin) - Producing Escherichia coli Infections" (VTEC 2003), which is being held in Edinburgh from 8-11 June 2003, Scotland's Chief Medical Officer, Dr Mac Armstrong, said:

"I welcome the progress that has been made on implementing the recommendation of the Task Force, while acknowledging that more remains to be done. We cannot be complacent, but we should recognise that the Scottish experience of E.coli O157 has required us to be innovative and committed to enhancing our education and communication, research, surveillance, and diagnosis, treatment and care.

"Although E.coli O157 infection is relatively rare in Scotland compared with other infections, we all know that it can have very serious consequences, and that it is more common in Scotland than elsewhere in the UK. That is why I am delighted that this important scientific conference, VTEC 2003, is being held in Edinburgh. It is important that we learn from the pioneering work of the international experts who have come to Scotland to share their research and knowledge - and vice-versa."

The publication of the implementation report follows the publication in 2002 of the Scottish Executive and Food Standards Agency Response to the Report of the Task Force on E.coli 0157 and action plan. Key achievements and developments over the last year include:

By the Scottish Executive:

  • issuing guidance on recreational use of animal pasture to relevant organisations
  • raising awareness of E.coli O157 by funding HUSH (Hemolytic Uraemic Syndrome Help)
  • investing in epidemiological research
  • funding the Scottish Infection Standards and Strategy (SISS) Group to develop and disseminate good practice guidance and educational materials for health professionals
  • regarding incident management, undertaking consultation on Managing Incidents Presenting Actual or Potential Risks to the Public Health - Guidance on the Roles and Responsibilities of Incident Control Teams
  • amending regulations, including the Waste Management Licensing Regulations 1994, regarding sludge and organic waste on land

By the Food Standards Agency Scotland:

  • undertaking a Food Hygiene Campaign for both commercial and domestic audiences
  • initiating public consultation on revision of the FSA's Enforcement Codes of Practice
  • carrying out a review of butchers' licensing
  • developing a strategy to support the Hazard Analysis and Critical Control Points (HACCP) principles which will update EU food hygiene law

By other agencies:

  • The Scottish Centre for Infection and Environmental Health (SCIEH) has enhanced its surveillance of E.coli 0157 in Scotland
  • NHS Health Scotland has developed and disseminated hygiene and handwashing materials for Local Authority Education Departments, young children, teenagers, and the general public
  • The HSE has issued resources for the public, agencies and farmers on avoiding ill health during recreation on farmland, risk of contamination from farms and occupational zoonoses.

Commenting on the VTEC conference, Dr George Paterson, Director of the Food Standards Agency Scotland added:

"E.coli 0157 is one of the organisms that the agency has targeted in its foodborne disease reduction strategy. While E.coli 0157 infection is not just associated with food contamination, nonetheless, we are delighted to co-sponsor this important international event focussed on sharing knowledge and experience of this nasty organism."

The E.coli O157 Task Force was appointed by the Minister for Health and Community Care in September 2000 under joint sponsorship of the Food Standards Agency (FSA) Scotland and the Scottish Executive. The Taskforce was established in the wake of the Central Scotland E.coli outbreak in 1996.

The Scottish Executive/Food Standard Agency's response to the Task Force was issued in 2002.

There were two large E.coli 0157 outbreaks in Scotland in 1994 in Lothian and 1996 in central Scotland. The number of reported E.coli 0157 infections in Scotland fell from 235 in 2001 to 229 in 2002. A study published by SCIEH in 2001 found that the highest risk of infection for sporadic cases was from contact with farm or other non-domestic animals and their environment.

Page updated: Wednesday, July 21, 2004