European Journal of Public Health Advance Access

Yes, the German E. coli O104:H4 was a pathogen of a high virulence that suddenly emerged, and that might point to an unnatural phenomenon. But might it have been a deliberate act? Or some kind of accident? To be sure, the 2011 outbreak centered on Northern Germany was large, severe, and deadly. Out of the 2,987 confirmed cases not involving hemolytic uremic syndrome (HUS), 18 died. And out of 855 HUS cases, 35 died. Fenugreek sprouts, probably grown from E. coli contaminated seeds imported from Egypt, were blamed in the official investigations for the unusual E. coli O104 outbreak. However,
Continue Reading Deliberate act cannot be ruled out for Germany’s 2011 outbreak