Crunching the numbers of food poisoning in Qatar
Qatar needs health awareness programmes and a stronger surveillance system to handle a high incidence of food poisoning.
Published online 31 August 2016
Beef, poultry milk and eggs can often be contaminated with Salmonella.
© Gail Philpott / Alamy Stock Photo
Salmonellosis is a common type of food poisoning caused by Salmonella bacteria. It affects tens of millions and kills more than 100,000 people every year worldwide. It occurs by eating contaminated food and results in diarrhoea, fever and stomach cramps 12 to 72 hours after infection. The condition is usually self-limiting, requiring only adequate rehydration without the need for antibiotic treatment. However, in some cases the diarrhoea and consequent dehydration can be so severe that hospitalization becomes necessary.
Researchers in Qatar reviewed physician and laboratory reports of salmonella cases in the country between 2004 and 2012 and found a high incidence of salmonellosis in the country. The trend was generally decreasing during the investigated time period, which can be attributed to improvements in the food chain and sanitation in the country, they say1.
The incidence rate of salmonellosis in Qatar in 2012 was 18.1 per 100,000. This rate is comparable to others in countries such as Canada (19.4/100,000), Poland (22.9/100,000) and the US (16.4/100,000).
In 2012, half the cases in Qatar were girls below the age of two and boys below the age of three. Three-fourths of the cases in that same year were non-Qataris, with Indians, Egyptians and Pakistanis forming a large bulk of those affected. The highest incidence of cases was between May and September, which can be attributed to a known increased risk of gastrointestinal diseases when temperatures rise.
Interestingly, the team found more than 40% of the Salmonella strains tested in 2012 to be resistant to five different antibiotics. Resistance in Salmonella strains often occurs due to the use of antimicrobial drugs in animal feed. Animals are the main reservoir of this bacterium. But a low-resistance pattern was found for two other commonly used antibiotics (cephalosporin and ciprofloxacin).
“Special intervention and health awareness programs are required for early screening, detection and treatment as well as the need for strengthening the surveillance system of salmonellosis, with special emphasis on the laboratory study of cases,” conclude the researchers in their article published in the Qatar Medical Journal.Reference
1. Farag, E. et al. A retrospective epidemiological study on the incidence of salmonellosis in the State of Qatar during 2004–2012. Qatar Med. J. 2016, 3 (2016). | article
DOI: 10.1038/qsh.2016.124
