CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.
As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
i
Foodborne Disease Outbreak Associated with Eating Gaajar Halwa at a Wedding – Palghar District, Maharashtra, India, 2018
-
1 2021
-
-
Source: Indian J Public Health. 65(Suppl):S10-S13
[PDF-410.75 KB]
Details:
-
Alternative Title:Indian J Public Health
-
Personal Author:
-
Corporate Authors:
-
Description: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.
-
Subjects:
-
Source:
-
Pubmed ID:33753585
-
Pubmed Central ID:PMC10372468
-
Document Type:
-
Funding:
-
Place as Subject:
-
Volume:65
-
Collection(s):
-
Main Document Checksum:
-
Download URL:
-
File Type:
