The latest news about the Enterohaemorrhagic Escherichia coli ("E coli") outbreak in Germany suggests that although initial indications suggested cucumbers imported from Spain were the most likely source of infection, the source is still to be definitively traced and confirmed.

An advisory note published by the Health Protection Agency (HPA) yesterday evening suggested that German health authorities have reported 373 confirmed cases of haemolytic uraemic syndrome (HUS), caused by the E coli infection, and six deaths.

Although of concern, particularly with increasing media coverage, it is important to note that the vast majority of cases have been reported in Northern Germany, with all other presenting cases linked with travel to the region.  That suggests that awareness and advice for those travelling to the region is an effective risk management tool.

Extensive sampling of various food sources is underway to provide a definitive source of infection.  Health authorities are continuing to advise that people in Germany should avoid eating raw tomatoes, cucumbers and leafy salad including lettuce, especially in the North of the country, until further notice.

In addition, anyone returning from Germany with any presenting symptoms (particularly diarrhoea) should seek urgent medical attention and ensure that their recent travel history is shared with their clinician.

We will continue to monitor developments, although if you would like any further advice regarding E coli, or wish to discuss any particular cases, please contact our team at any time.