Publications by authors named "Nancy de With"

Background: A multi-provincial outbreak of Salmonella enterica serovar Enteritidis was linked to newly hatched chicks and poults from a single hatchery during the spring of 2015. In total, there were 61 human cases that were epidemiologically confirmed to be linked to the chicks and poults and the outbreak was deemed to have ended in the summer of 2015.

Methods: PulseNet Canada, in coordination with the affected provinces, used genome sequencing of human and agricultural Salmonella Enteritidis isolates to aid in the epidemiological investigation, while also using traditional typing methods such as phagetyping and pulsed-field gel electrophoresis (PFGE).

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A collaborative investigation between public health and animal health led to numerous interventions along the food chain in response to an outbreak of human salmonellosis and increased incidence of Salmonella Enteritidis (SE) among poultry. Incidence of both human and chicken SE decreased substantially in 2012 and 2013 following these interventions. We used time series analysis to assess the impact of three interventions: vaccination of broiler breeder flocks, separation in the hatchery of breeder eggs, and an industry order to stop farm-gate sales of ungraded broiler hatching eggs.

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An increase in the rate of human infections with Salmonella enteritidis (SE) occurred between 2007 and 2010 in British Columbia (BC). During the same time period, an increase in SE from poultry-sourced isolates and increased clinical severity in poultry were also observed in BC. This article describes a multi-sectoral collaboration during a 3-year investigation, and the actions taken by public health and animal health professionals.

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