Sentinel surveillance for international Shigella by a quarantine station in Japan

H Taniguchi1, T Nakano, Y Katayama

  • 1Department of Preventive and Social Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan.

Insights

Japanese quarantine systems can track infectious disease outbreaks. Analyzing traveler-isolated bacteria, like Shigella sonnei, helps infer pathogen distribution and sources, aiding global health surveillance.

Area of Science:

  • Microbiology
  • Epidemiology
  • Public Health

Background:

  • The Japanese quarantine system screens international travelers for imported pathogens.
  • A significant majority of travelers returning with diarrhea had visited only one country prior to arrival.

Purpose of the Study:

  • To investigate the potential of using bacterial isolates from returning travelers to infer international pathogen distribution and sources.
  • To demonstrate this potential using Shigella sonnei.

Main Methods:

  • Analysis of traveler data, including countries visited and reason for travel (diarrhea).
  • Isolation and characterization of bacterial strains, specifically Shigella sonnei.
  • Restriction fragment length polymorphism (RFLP) analysis of selected S. sonnei strains.

Main Results:

  • 74% of 13,315 travelers with diarrhea had visited only one country.
  • RFLP analysis showed varying degrees of relatedness among five Shigella sonnei strains.
  • Some strains isolated from travelers visiting different countries showed potential relationships.

Conclusions:

  • Monitoring bacterial isolates from passengers at Japanese quarantine stations can help infer international distributions and sources of pathogens like Shigella sonnei.
  • This approach offers a valuable tool for global infectious disease surveillance.