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Listeria Strikes More Ethnic, Low Income Women

Pregnant women who come from ethnic backgrounds and low-income areas have a higher risk of infection from listeria food poisoning, according to research for the United Kingdom’s Health Protection Agency.

The findings are contained in two studies published in the recent edition of Eurosurveillance.

The studies found 1,510 cases of listeriosis in the UK between 2001 and 2008, including 181 in pregnant women.

Of these, almost 40 percent (66 individuals out of 181) were women from an ethnic minority that was established from the first and surname of the patient.

The proportion of pregnant women with listeriosis from an ethnic minority increased from less than a quarter of the cases in 2001 to over half of the cases in 2008, with the greatest increase being from 2006-8.

This increase was over and above what could be expected given changes in the population structure of England and Wales during this time, according to the researchers.

“During pregnancy women are advised to avoid certain foods that may be contaminated with listeria, said Dr. Iain Gillespie, who heads Listeria Surveillance at the Health Protection Agency.  “These include undercooked ready meals, soft cheeses, cold cuts of meat and pâtés. This [Health Protection Agency] study suggests that these food safety messages may not be reaching, or may not be heeded by, all pregnant women, particularly those from ethnic minorities.

“It is important that all pregnant women know what foods should be avoided for the sake of their own health and that of their babies, so food safety messages for preventing listeriosis in pregnancy may need to be targeted more clearly to those that appear to be more at risk, including women from ethnic minority groups.”

In an additional study, HPA surveillance data on all cases of listeriosis between 2001 and 2007 were compared with population data and indicators of deprivation.

For all patient groups, it was found that there were more cases of listeriosis in the most deprived areas of England compared to the most affluent.

Additional analyses showed that as a whole, listeriosis cases in deprived areas were more reliant on convenience stores and local shops (e.g. butchers, bakers, etc) for their food shopping than the general population, and that patients’ risk behaviors with food changed with increasing deprivation.

Gillespie added: “This study suggests that deprivation is an important risk factor for listeriosis, especially in older people and in pregnant women. Our evidence suggests that people living in deprived areas rely more on smaller local shops and convenience stores to do their shopping. Smaller premises have been linked to a lower microbiological standard of food in many studies, so UK Government food safety policy should continue to focus on small food businesses for this reason.

“In addition, risk behavior with food has been found to be a factor and this emphasizes the importance of access to advice on how to avoid listeria infection. Food safety advice on avoiding listeria infection must be tailored to the most vulnerable groups and communicated effectively.”

Listeriosis is a rare but severe foodborne disease, caused by infection with listeria bacteria. It mainly affects the elderly and those with weakened immune systems, but can also pose a significant risk to pregnant women, their unborn babies, and newborns. Early symptoms may include a self-limiting flu-like illness and an upset stomach, but the infection can cause more severe illness such as septicemia or meningitis and can lead to abortion and stillbirth in unborn babies. Uncomplicated listeriosis can be treated effectively with antibiotics.

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