Clostridium perfringens foodborne outbreak due to braised chop suey supplied by chafing dish

Acta Med Okayama. 2005 Feb;59(1):27-32. doi: 10.18926/AMO/31986.

Abstract

On February 13, 2002, a public health center in Hiroshima Prefecture, Japan, was notified that many individuals living at the Japan Maritime Self-Defence Force base had symptoms resembling those of food poisoning. Self-administered questionnaires requesting information regarding meal consumption and symptoms were distributed to all 281 members at the base. A case of the illness was defined as a member who had had watery or mucousy stool, or loose stool with abdominal cramps, more than twice a day after consuming dinner on February 12. Control of the illness was defined as a member with no symptoms. The dinner on February 12 was significantly associated with the illness (Mantel-Haenszel odds ratio: 3.59, 95% confidence interval: 1.06-12.20). A case-control study showed that, among the food supplied at dinner on February 12, the braised chop suey was significantly associated with the illness (odds ratio: 12.30, 95% confidence interval: 1.90-521.00). The braised chop suey had been stored in a chafing dish. An environmental investigation indicated that Clostridium perfringens (C. perfringens) in the chafing dish proliferated under an inappropriate heat-retention temperature, and the contaminated braised chop suey could have caused the food poisoning. This study demonstrated that the recommended heat-retention temperature (over 65 degrees C) should be confirmed thoroughly.

MeSH terms

  • Adult
  • Case-Control Studies
  • Clostridium Infections / epidemiology*
  • Clostridium perfringens* / growth & development
  • Cooking and Eating Utensils*
  • Disease Outbreaks*
  • Foodborne Diseases / epidemiology*
  • Humans
  • Japan
  • Male
  • Middle Aged
  • Military Personnel
  • Temperature