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An epidemic of infantile gastro-enteritis in queensland caused by Salmonella bovis-morbificans (Basenau)

Published online by Cambridge University Press:  15 May 2009

I. M. Mackerras  and
M. J. Mackerras
I. M. Mackerras
Affiliation:
From the Queensland Institute of Medical Research, Brisbane
M. J. Mackerras
Affiliation:
From the Queensland Institute of Medical Research, Brisbane
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There were nearly 400 cases of gastro-enteritis in Brisbane from May to October 1947. About half represented the endemic level then prevailing, and the remainder formed a virulent epidemic, which was responsible for most of the deaths. Salmonella bovismorbificans was isolated from a sufficient proportion of these cases to justify the belief that it was the cause of the epidemic.

Of recognized infections with S. bovis-morbificans 77 % were in babies under 1 year old, 19 % in those 1–2 years old, and 4 % in older children and adults. The infection was most severe in the under-1-year-old group, and severity varied during the epidemic, reaching a maximum in August and thereafter declining steadily.

Nearly two-thirds of the infections were institutional.

Infants were found to be infective during the incubation period and also for periods up to 6 months after clinical recovery. Their faeces provided the greatest mass of infective material. Infections in older age groups were relatively unimportant in relation to the rate of epidemic spread, but significant secondary centres of infection developed in mice and cockroaches in the hospital wards.

The path of infection was traced from the faeces to the sinks and brushes used for cleansing soiled napkins, to mice and cockroaches which had access to the sinks, and to ward wash-basins and nailbrushes used by the nursing staff. Possible indicators of faecal contamination were found on nurses' hands, in ward kitchens, and in milk mixtures prepared for babies' feeds.

Control is believed to be practicable and to depend, first, on making medical officers and nurses aware of the dangers; and secondly, on improved ward hygiene, of which elimination of washing napkins in wards, reduction of contamination when changing napkins, rigid segregation of ‘clean’ and ‘dirty’ nurses, and improvements in food preparation and administration, are regarded as the most important.

Type
Research Article
Information
Journal of Hygiene , Volume 47 , Issue 2 , June 1949 , pp. 166 - 181
Copyright
Copyright © Cambridge University Press 1949

References

REFERENCES

Albiston, H. E., (1947). Salmonella food poisoning. Bull. Dep. Hlth, Victoria, nos. 89–90, pp. 2412–13.Google Scholar
Angrist, A., & Mollov, M., (1946). Bacteriologic, clinical and pathologic experience with 86 sporadic cases of Salmonella infection. Amer. J. Med. Sci. 212, 336–46.CrossRefGoogle ScholarPubMed
Arden, F., (1948). Recent progress in pediatrics. Med. J. Aust. 1, 133–6.CrossRefGoogle Scholar
Atkinson, N., Woodroofe, G. M., & Macbeth, A. M., (1944). The occurrence of Salmonella types in Australia. 2. Aust. J. Exp. Biol. Med. Sci. 22, 201–4.CrossRefGoogle Scholar
Atkinson, N., Woodroofe, G. M., & Macbeth, A. M., (1947). The occurrence of Salmonella types in Australia. 3. Aust. J. Exp. Biol. Med. Sci. 25, 25–31.CrossRefGoogle Scholar
Basenau, F., (1894). Ueber eine in Fleisch gefundene infectioese Bacterie. Arch. Hyg., Berl., 20, 242–94.Google Scholar
Bornstein, S., (1943). The state of the Salmonella problem. J. Immunol. 46, 439–96.CrossRefGoogle Scholar
Campbell, K. I., (1945). Report of an outbreak of epidemic diarrhoea of the newborn. Med. J. Aust. 1, 79–84.CrossRefGoogle Scholar
Cataldi, M. S., & Müller, A., (1946). Microflora del calostro y de la superficie cutánea del seno materno en relacion con la del tubo digestivo del racién nacido. Rev. Asoc. argent. Dietologia, 4, 296–300.Google Scholar
Colbeck, J. C., & Neisser, H., (1948). The presence of Salm. typhi-murium in the sputum of an asthmatic. Mon. Bull. Min. Hlth Publ. Hlth Lab. Serv. 7, 66–8.Google ScholarPubMed
Croll, D. G., (1946). Looking backward: A quarter-century of pediatrics. I. Gastro-enteritis. Med. J. Aust. 2, 371.CrossRefGoogle Scholar
Cummings, G. D., (1947). Epidemic diarrhoea of the newborn from the point of view of the epidemiologist and bacteriologist. J. Pediat. 30, 706–10.Google ScholarPubMed
Draper, F., (1944). Gastro-enteritis in children: A report on the bacteriology of twenty cases caused by Bacterium typhi-murium and two cases caused by Bacterium reading. Med. J. Aust. 1, 533–7.CrossRefGoogle Scholar
Foley, A. R., (1947). An outbreak of paratyphoid B fever in the nursery of a small hospital. Canad. Publ. Hlth J. 38, 73–5.Google ScholarPubMed
Hayes, W., & Freeman, J. F., (1945). The incidence, type and bacteriology of Salmonella infections in the Army in India. Indian J. Med. Res. 33, 177–93.Google ScholarPubMed
Henning, M. W., & Greenfield, C. G., (1937). Salmonella bovis-morbificans (Basenau) from an outbreak of food-poisoning in the Cape Province. Onderstepoort J. vet. Sci. 8, 351–6.Google Scholar
Hormaeche, E., Surraco, N. L., Peluffo, C. A., & Aleppo, P. L., (1943). Causes of infantile summer diarrhoea. Amer. J. Dis. Child. 66, 539–51.Google Scholar
Litchfield, W. F., (1921). The gastro-intestinal troubles if infancy. Aust. med. Congr. 11th Sess. (1920), 475–80.Google Scholar
Mackerras, I. M., & Mackerras, M. J., (1949a). The bacteriological diagnosis of Salmonella infections. Med. J. Aust. 1, 1–3.CrossRefGoogle ScholarPubMed
Mackerras, I. M., & Pope, P., (1948). Experimental Salmonella infections in Australian cockroaches. Aust. J. Exp. Biol. Med. Sci. 26, 465–70.CrossRefGoogle ScholarPubMed
Mackerras, M. J., & Mackerras, I. M., (1948). Salmonella infections in Australian cockroaches. Aust. J. Sci. 10, 115.Google Scholar
Mackerras, M. J., & Mackerras, I. M., (1949b). Salmonella infections in Queensland. Aust. J. Exp. Biol. Med. Sci. 27, 163–71.CrossRefGoogle ScholarPubMed
Mackerras, M. J., & Mackerras, I. M., (1949c). The prevention of gastro-enteritis in infants. Med. J. Aust. 1, 477–82.CrossRefGoogle Scholar
M.R.C., (1944). The control of cross-infection in hospitals. War Mem. Med. Res. Coun., Lond., no. 11, 34 pp.Google Scholar
M.R.C., (1947). The bacteriology of spray-dried egg, with particular reference to food poisoning. Spec. Rep. Ser. Med. Res. Coun., Lond., no. 260, 66 pp.Google Scholar
Mushin, R., (1948). An outbreak of gastro-enteritis due to Salmonella derby. J. Hyg., Camb., 46, 151–157.CrossRefGoogle ScholarPubMed
Nabarro, D., & Signy, A. G., (1932). Observations on dysentery in children. Arch. Dis. Child. 7, 327–34.CrossRefGoogle ScholarPubMed
North, E. A., (1935). Bacillary dysentery in Rock-hampton, with an account of the distribution and type of bacillary dysentery in other States. Med. J. Aust. 1, 519–22.CrossRefGoogle Scholar
Rubbo, S. D., (1948). Cross-infection in hospital due to Salmonella derby. J. Hyg., Camb., 46, 158–63.CrossRefGoogle ScholarPubMed
Sauer, L., (1935). Enteritis in infants: prevention of its spread. J. Pediat. 6, 753–62.CrossRefGoogle Scholar
Seligmann, E., Saphra, I., & Wassermann, M., (1943). Salmonella infections in man. An analysis of 1000 cases bacteriologically identified by the New York Salmonella center. Amer. J. Hyg. 38, 226–49.Google Scholar
Seligmann, E., Saphra, I., & Wassermann, M., (1946). Salmonella infections in the U.S.A. A second series of 2000 infections recorded by the N.Y. Salmonella Center. J. Immunol. 54, 69–87.CrossRefGoogle Scholar
Snyder, M. L., (1940). The normal fecal flora of infants between two weeks and one year of age. J. Infect. Dis. 66, 1–16.CrossRefGoogle Scholar
Stable, G., & Philpott, I. G., (1948). An epidemic of gastro-enteritis in infants, with special reference to treatment. Med. J. Aust. 2, 63–9.CrossRefGoogle ScholarPubMed
Stewart, D. F., (1940a). Two mortalities among sheep due to infection with species of the Salmonella group of bacteria. Aust. Vet. J. 16, 169–72.CrossRefGoogle Scholar
Stewart, D. F., (1940b). Further Salmonella infections in pigs and acute paratyphoid septicaemia in horses. Aust. Vet. J. 16, 266–7.CrossRefGoogle Scholar
Turner, A. J., (1938). The Jackson Lecture. Experiences in preventive medicine. Med. J. Aust. 2, 805–13.CrossRefGoogle Scholar
Welch, H., Ostrolenk, M., & Bartram, M. T., (1941). Role of rats in the spread of food poisoning bacteria of the Salmonella group. Amer. J. Publ. Hlth, 31, 332–40.CrossRefGoogle ScholarPubMed
Witkowski, R., (1935). Aerobe Mundhohlennore bei Mutter und Kind. Zbl. Bakt. (1), 133, 334.Google Scholar
Wright, G. P., & Wright, H. P., (1946a). Diarrhoea and enteritis among infants in the London area, 1930–8. J. Hyg., Camb., 44, 480–90.Google ScholarPubMed
Wright, G. P., & Wright, H. P., (1946b). Cross-infection in children's wards. Brit. Med. J. 1, 673–7.Google Scholar