Users Online: 741 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
 

 

Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
     
ORIGINAL ARTICLE
Year : 2021  |  Volume : 65  |  Issue : 5  |  Page : 10-13

Foodborne Disease outbreak associated with eating Gaajar Halwa at a Wedding – Palghar District, Maharashtra, India, 2018


1 Epidemic Intelligence Service Officer, National Centre for Disease Control, New Delhi, India
2 Coordinator, Epidemic Intelligence Service Programme, National Centre for Disease Control, New Delhi, India
3 Public Health Specialist, Division of Global Health Protection, U.S. Centers for Disease Control and Prevention, New Delhi, India
4 District Epidemiologist, Health Department, Zilla Parishad (District Council), Palghar, Maharashtra, India
5 State Surveillance Officer, Office of Joint Director of Health Services, Maharashtra, India

Correspondence Address:
Vaishali Vardhan
National Centre for Disease Control, 22 Shamnath Marg, New Delhi - 110 054
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_1099_20

Rights and Permissions

Background: A foodborne disease outbreak among wedding attendees from Makunsar village, Palghar district, Maharashtra state, India, was reported on February 18, 2018. Objectives: The outbreak investigation was conducted to find out the epidemiology of the outbreak and to identify the etiologic agent and risk factors. Methods: A case–control study was carried out, where cases (patients), controls, and food handlers were interviewed and leftover foods were collected for culture. A case was defined as a person having vomiting or diarrhea (i.e., ≥3 loose stools within 24 h) who attended the wedding ceremony at Makunsar village, Palghar district, Maharashtra, on February 18, 2018. Attack rate and odds ratio (OR) were calculated with 95% confidence intervals (CIs). Results: Out of 75 cases, 63% were female. Altogether, forty-two (56%) cases were hospitalized, and later on, all of them were discharged from hospital without any mortality. About 93%, 68%, 43%, and 41% of the cases reported with vomiting, nausea, abdominal pain, and diarrhea, respectively. The median incubation period was found to be 4 h (range: 2–8 h). Eating gaajar halwa (carrot pudding) was significantly associated with illness (OR: 12.8; 95% CI: 3.5–46). Gaajar halwa is prepared with khoa, a perishable milk product. The gaajar halwa culture yielded no growth. Conclusion: The case-patients' clinical presentation and incubation period were consistent with enterotoxin-producing Staphylococcus aureus as the probable etiologic agent. The epidemiologic investigation identified the probable etiologic agent and food source in a low-resource community setting. Community food handlers were educated on food preparation hygiene and safe storage measures to prevent future outbreaks.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed554    
    Printed10    
    Emailed0    
    PDF Downloaded78    
    Comments [Add]    

Recommend this journal