Enhanced surveillance during a large outbreak of bloody diarrhoea and haemolytic uraemic syndrome caused by Shiga toxin/verotoxin-producing Escherichia coli in Germany, May to June 2011

M Wadl; T Rieck; M Nachtnebel; B Greutélaers; M an der Heiden; D Altmann; W Hellenbrand; M Faber; C Frank; B Schweickert; G Krause; J Benzler; T Eckmanns; Collective on behalf of the HUS surveillance and laboratory team

doi:10.2807/ese.16.24.19893-en

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Enhanced surveillance during a large outbreak of bloody diarrhoea and haemolytic uraemic syndrome caused by Shiga toxin/verotoxin-producing Escherichia coli in Germany, May to June 2011
M Wadl¹ , T Rieck^1,2 , M Nachtnebel^1,3,4 , B Greutélaers^1,3,4 , M an der Heiden¹ , D Altmann¹ , W Hellenbrand¹ , M Faber¹ , C Frank¹ , B Schweickert¹ , G Krause¹ , J Benzler¹ , T Eckmanns¹ , Collective on behalf of the HUS surveillance and laboratory team⁵
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Affiliations: ¹ Robert Koch Institute, Berlin, Germany ² Charité - University Medical Centre, Berlin, Germany ³ Postgraduate Training for Applied Epidemiology (PAE, German Field Epidemiology Training Programme), Robert Koch Institute, Department for Infectious Disease Epidemiology, Berlin, Germany ⁴ European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden ⁵ The members of the team are listed at the end of the article

Correspondence:
M Wadl
WadlM rki.de
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Citation style for this article: Wadl M, Rieck T, Nachtnebel M, Greutélaers B, an der Heiden M, Altmann D, Hellenbrand W, Faber M, Frank C, Schweickert B, Krause G, Benzler J, Eckmanns T, on behalf of the HUS surveillance and laboratory team Collective. Enhanced surveillance during a large outbreak of bloody diarrhoea and haemolytic uraemic syndrome caused by Shiga toxin/verotoxin-producing Escherichia coli in Germany, May to June 2011 . Euro Surveill. 2011;16(24):pii=19893. https://doi.org/10.2807/ese.16.24.19893-en Received: 14 Jun 2011

Abstract

Germany has a well established broad statutory surveillance system for infectious diseases. In the context of the current outbreak of bloody diarrhoea and haemolytic uraemic syndrome caused by Shiga toxin/verotoxin-producing Escherichia coli in Germany it became clear that the provisions of the routine surveillance system were not sufficient for an adequate response. This article describes the timeline and concepts of the enhanced surveillance implemented during this public health emergency.