European health officials are reporting a Shigella sonnei outbreak among participants of a Rainbow Gathering in the south-east of Poland.
Between 5 and 10 August 2018, 45 participants presented with gastroenteritis symptoms, 14 of these tested positive for Shigella sonnei. The event took place between 13 July and 11 August and so it is likely that most participants, which come from many countries within the EU, have now left the area.
Last year, a typhoid outbreak was linked to the European Rainbow gathering that took place in Tramonti di Sopra, Friuli-Venezia Giulia region, Italy.
Shigellosis is a gastrointestinal bacterial infection. Symptoms include diarrhoea, which is sometimes bloody, abdominal pain and cramps, and fever. Nausea and/or vomiting, loss of appetite, headache or malaise can also occur. Clinicians should be aware of shigellosis as a potential diagnosis in persons who have returned from these gatherings and present symptoms compatible with the disease.
The most important measures to prevent gastrointestinal illnesses are to ensure good sanitation, to drink safe water (chlorinated/boiled/bottled) and wash hands regularly with water and soap. Food should be thoroughly cooked; fruits and vegetables should be washed with bottled or chlorinated water before peeling and consumption.
Rainbow events are temporary gatherings of people who come together in nature surroundings and remote forests.
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Shigella sonneri imeenea katika eneo la kusanyiko la Rainbow Gathering kusini mashariki mwa Poland. Kati ya Agosti 5 na 10, 2018, washiriki 45 waliwasilisha dalili za gastroenteritis, 14 kati yao walipimwa kuwa na Shigella sonneri. Tukio hilo lilifanyika kati ya Julai 13 na Agosti 11, na kwa hivyo inawezekana kwamba washiriki wengi, ambao wanatokana na nchi nyingi ndani ya EU, sasa wameondoka eneo hilo. Mlipuko wa homa ya kawaida ulihusiana na mkutano wa Ulaya wa Rainbow uliofanyika Tramonti di Sopra, mkoa wa Friuli-Venezia Giulia, Italia. Shigellosis ni maambukizo ya bakteria ya tumbo na matumbo. Dalili hizo zinatia ndani kuhara, ambayo nyakati nyingine huwa na damu, maumivu ya tumbo na maumivu ya tumbo, na homa. Kifo cha kichefuchefu na au kutapika, kupoteza hamu ya kula, maumivu ya kichwa au hali mbaya ya afya pia inaweza kutokea. Wataalamu wa matibabu wanapaswa kuwa na ufahamu wa shigellosis kama utambuzi wa uwezekano katika watu ambao wamerudi kutoka kwa makusanyiko haya na kuonyesha dalili zinazolingana na ugonjwa huo. Hatua muhimu zaidi za kuzuia magonjwa ya utumbo ni kuhakikisha usafi mzuri, kunywa maji salama (ya klorini, yaliyokaushwa, na chupa) na kuosha mikono mara kwa mara kwa maji na sabuni. Chakula kinapaswa kupikwa vizuri; matunda na mboga zinapaswa kuoshwa kwa maji ya chupa au maji yenye klorini kabla ya kuondolewa na kuliwa. Matukio ya upinde wa mvua ni makusanyiko ya muda ya watu ambao hukusanyika pamoja katika mazingira ya asili na misitu ya mbali. """Hakuna mlipuko wa sasa wa ugonjwa wa surua katika nchi nyingi nchini Marekani,"" alisema Dk. John Robertson, Mkurugenzi wa Idara ya Ulinzi wa Marekani, katika taarifa yake ya wiki iliyopita, ""Hawaii inaripoti kesi ya ziada ya mdudu wa mapafu ya panya katika kisiwa kikubwa, Hong Kong."