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2 Stx HUS
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4 Verotoxin,VTenterohemorrhagic E.coli EHECShiga toxin-producing E.coliSTEC O H K 00 O O57 O26O03O O45 O57 O57 O57 OO26O03 2 O26O03O9 3 O57 O O57 65%O26 24%O 4% CO 2 H 2 O57 β 4 pha w Ha w O
5 H a w O57 D D O57 75 O O57 ph O57:H7 ph VT VT VT Shigella dysenteriae Stx VTStx VT VT VT2 VT Stx Stx VT2 VT VT2 VT 9 Hemolytic uremic syndrome : HUS O57 VT VT2 VT VT2 0 4
6 4 HUS Stx Stx Globotriosyl ceramid:gb3 2 5
7 3 2 9cfu 48cfu/00g 208g 50cfu O57:H7 VT, cfu/00g 72g 43cfu/g 50g 2,000cfu O57:H7 VT, g 6 O57:H7 VT, MPN/00g 7 00g.45MPN/g <0826MPN O57 VT, g cfu/g 50g 29cfu O57 VT RIVM 4 20ExpHyG Hass O57 Haas Exp, Hass BP Powell Powell BP OutbreakO57 HyG ()ExpBP O
8 RIVM e rd Fa, ab, D r a b STEC O cfu STEC O cfu , % ,648 2, ,435 2, ,83, ,999, ,764 2, ,589 2, ,922 2, ,67 3, ,32 2,
9 検出報告数 月 2 月 3 月 4 月 5 月 6 月 7 月 8 月 9 月 0 月 月 2 月 ,47 O26 O57 O57 O26 O57,6, % 52.7% 39.2% 2.0%HUS.7% 32.% O % 27.9% 7.7%.8% HUS 52.% ) 8
10 O57, HUS 2, , , (32.) 323 (2.0) 87 (56.5) 97 (2.8) 604 (39.2) 82 (52.7) O (52.) (.8) (37.9) (5.4) (7.7) (27.9) O (26.3) (0.5) (59.2) (3.2) (9.7) (6.8) O (5.5) (6.) (42.4) (6.) (2.) (36.4) (56.) (3.0) (36.6) (6.5) (3.8) (33.3) OUT (84.0) (2.0) (2.0) (2.0) (4.0) (2.0) 2 % (0.) (0.) 26 (.7) 8 (.2) (3.0) (4.0) 22 HUS HUS 3 05%HUS 5% % HUS 22 HUS HUS HUS HUS 30 HUS 22 HUS HUS 5 5.3%
11 2008 HUS HUS 04 50%5 80% HUS HUS 2008 HUS HUS , , HUS%HUS % % O57:H
12 4 RIVM % 70 24% A04.3
13 996 0, ,000 % 30% O57 85% O57 O57 O26 O ,
14 事件数 月 2 月 3 月 4 月 5 月 6 月 7 月 8 月 9 月 0 月 月 2 月 %70 % 70 90% % () () () (8) () (0) 46 3 () (9) 84 () 70 05,69 () 3
15 O O57:H7 VT,2 0 O57:H- VT2 4/ O57:H7 VT,2 95/454 8 O57:H7 VT,2 5/ 8 O57:H7 VT,2 29/223 8 O57:H7 VT,2 26/ 45 O57:H7 VT,2 30/ 67 O57:H7 VT2 74/62 8 O57:H7 VT,2 23/876 5 O57:H7 VT,2 4/ O57:H7 VT,2 8/477 8 O57:H7 VT,2 /54 9 O26:H VT 4/3, O:H- VT,2 0/ O57:H7 VT2 9/25 3 O57:H7 VT,2 9/9 6 O57:H7 VT,2 /70 7 O57:H7 VT,2 4/28 7~8 O57:H7 VT2 7/25 8 O57:H7 VT,2 / 89 O26:H VT 3/28 9 O57:H7 VT2 8/22 90 O57:H7 VT2 9/987 5 O57:H7 VT,2 5/ O57:H7 VT2 467/7,700 6 O57:H7 VT,2 22/40 7 O57:H7 VT,2 /39 90 O57:H7 VT,2 34/4,243 3 O26:H VT 9/249 7 O57:H7 VT,2 6/23 8 O57:H7 VT,2 0/53 0 O57:H7 VT,2 5/46 4
16 O % %85% O57:H7 VT, O57:H7 VT,2 HUS 4 O57:H7 VT,2 59 O57 50 O57:H7 VT, O57:H7 VT O57 HUS O57:H7 VT, HUS HUS O57:H7 VT,2 HUS % 5
17 年原因食品 食事 単位 : 件 (%) 合計 2 (33.3) 2 (33.3) 0 4 (66.7) (9.) 6 (54.5) (64.7) (55.6) 2 (8.2) 6 (42.9) (50.0) (4.5) 3 [3.] 47 [49.0] [.0] (9.) (5.9) (.) [3.] (33.3) (.) [3.] (6.7) (6.7) 3 (27.3) (29.4) 2 (22.2) (9.) 8 (72.7) (7.) 7 (50.0) 0 0 (45.5) 3 [3.] 36 [37.5] ( ): 年次件数 /( 各年次合計数 - 各年次不明数 ) 00 [ ]: 各食品合計数 /( 総件数 - 総不明数 ) 00 食品特定と食事特定はその他の内訳 %
18 % % 単位 : 件 (%) 年原因施設 合計 (2.5) (4.3) (6.7) (5.6) (8.3) (5.9) (4.2) [7.3] (25.0) (9.) [2.8] (2.5) (8.3) (5.6) [2.8] (8.2) [.8] (5.6) (9.) [.8] (37.5) (7.4) (58.3) (72.2) (54.5) (75.0) (82.4) (95.8) [73.4] (2.5) (.) [2.8] (8.3) (6.7) [2.8] (4.3) (8.3) (9.) (.8) [4.6] 合計 ( ): 年次件数 /( 各年次合計数 - 各年次不明数 ) 00 [ ]: 各施設合計数 /( 総件数 - 総不明数 ) 00 7
19 STEC % STEC O26 O %.9% STEC O26 O % 2% 26 STEC % STEC calf heifer cow cow STEC
20 STEC / % % O % % % ,025 O %O %O57 O57 28 O57 6.8%5.2%.0% 28 O57 O26 % O % % O O %O26 2) (,07 )(80 )(228 )(243 ) (576 ) 9
21 % 20, O O O O O O O O O O O O O O O O O O O % 69 20% O57 O26 % % , , % O
22 9 4%05 3% 88% 69 22%0 5 9%
23 O % 47, O O O O O O
24 38 O57 /50 /00 /00/,000 /0/00 39 O57 O57 40 O57 % ( ) ( ) ( ), ( ), ( ) ( ) 40 O57 O
25 O % %7/2,634 O %/2, O %32/8, O %3/, STEC 2.4%.0% STEC O8O28 O57 44 STEC % ,
26 g 6 00g 50g g g g
27 ,6233, % % O57 65%O26 24%O 4% 3 93% O57 O57 O26 70% HUS 996 O57 O % O57 O % O %.2%.9% 0.9% 26
28 % 40% 9 35% 60 2%9 23% 60 64% 85% HUS HUS 50% O HACCP HACCP 3)
29 A A O57 O
30 5 fecal coliforms O
31 E.coli O57:H7 E.coli O57:H7 Quantitative risk assessment for Escherichia coli O57:H7 in frozen beef burgers consumed at home in France by children under the age of 6 (AFSSA 2007) RIVM report Disease burden in the Netherlands due to infections with Shiga-toxin producing Escherichia coli O57 (RIVM 2003) Comparative Risk Assessment for Intact (Non-Tenderized) and Non-Intact (Tenderized) Beef (USDA/FSIS 2002) Risk Assessment of the Public Health Impact of Escherichia coli O57:H7 in Ground Beef (USDA/FSIS 200) RIVM report Risk assessment of Shiga-toxin producing Escherichia coli O57 in steak tartare in the Netherlands (RIVM 200) E. coli O57:H7in beefburgers produced in the Republic of Ireland: A 30
32 quantitative microbial risk assessment O57 3
33 O57 32
34 . Zoonotic non-057 Shiga toxin-producing Escherichia coli (STEC). Report of a WHO scientific working group meeting, Berlin, Germany June, Eblen D. R., USDA, FSIS, OPHS.. Public health importance of non-o57 Shiga toxin-producing Escherichia coli(non-o57 STEC) in the US food supply. 3. The community summary report. Trends sources of zoonoses and zoonotic agents in the European Union in EFSA Journal 2009, no. 223, p Meng J., Doyle M. P., Zhao T., Zhao S.. 2 Enterohemorrhagic Escherichia coli. Dolyle M. P., Beuchat L. R.. Food Microbiology : Fundamentals and Frontiers 3rd. edition. 2007, ASM Press. 5. ICMSF. Micro-organisms in foods 5. Characteristics of microbial pahogens. 2003, p Escherichia coli. 2009, p , 7. Doyle M. P., Schoeni J. L.. Survival and growth characteristics of Escherichia coli associated with hemorrhagic colitis. Applied and Environmental Microbiology 984, vol. 48, no. 4, p O P , vol. 20, no. 9, p , vol. 25, no. 5, p Hussein H. S., Bollinger L. M.. Prevalence of Shiga toxin-producing Escherichia col in beef cattle. Journal of Food Protection 2005, vol. 68, no. 0, p Vero 996, vol. 23, p O57 ( , vol. 46 no. 2, p O57:H7 998, vol. 22, p , No , No
35 RIVM report Risk assessment of Shiga-toxin producing Escherichia coli O57 in steak tartare in the Netherlands, p , vol.30 no.5, p Terajima J., Izumiya H., Wada A., Tamura K., Watanabe H.. Shiga toxin-producing Escherichia coli O57:H7 in Japan. Emerging Infectious Diseases 999, vol. 5, no. 2, p CCFH Enterohemorrhagic Escherichia coli infection(ehec). A risk profile. 2002, CX/FH 03/5-Add Kobayashi H., Shimada J., Nakazawa M., Morozumi T., Pohjanvirta T., Pelkonen S., Yamamoto K.. Prevalence and characteristics of Shiga toxin-producing Escherichia coli from healthy cattle in Japan. Applied and Environmental Microbiology 200, vol. 67, no., p Kobayashi H., Kanazaki M., Ogawa T., Iyoda S., Hara-Kudo Y.. Changing prevalence of O-serogroups and antimicrobial susceptibility among STEC strains isolated from healthy dairy cows over a decade in Japan between 998 and Journal of Veterinary Medical Science 2008, vol. 7, p Shinagawa K., Kanehira M., Omoe K., Matsuda I., Hu D. L., Widiasih D. A., Sugii S.. Frequency of Shiga toxin-producing Escherichia col in cattle at a breeding farm and at a slaughterhouse in Japan. Veterinary Microbiology 2000, vol. 76, p JVM 2009, vol. 62, p O Shiga toxin-producing Escherichia coli 34
36 32. 6 O57 O O57 O , vol. 9-, p Risk assessment of the public health impact of Escherichia coli O57:H7 in ground beef (USDA/FSIS 200). 38. O , vol.87, p O , vol. 67, p Withee J., Schlosser W.. Risk-based sampling for Escherichia coli O57:H7 in ground beef and beef trim USDA, FSIS, OPHS, MS.. Nationwide microbiological baseline data collection program for the raw ground beef component: domestic beef trimings December 2005-January , p Hara-Kudo Y. et al.. Surveillance of Shiga toxin-producing Escherichia coli in beef with effective procedures, Independent of Serotype. Foodborne Pathogens and Disease 2008, vol. 5, no., p
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