First Report of a Foodborne Providencia alcalifaciens Outbreak in Kenya

Mohammad Monir Shah1, Erick Odoyo2, Peter S Larson2

  • 1Centre for Infectious Disease Research in Asia and Africa, Institute of Tropical Medicine Nagasaki University, Nagasaki, Japan; Nagasaki University Institute of Tropical Medicine-Kenya Medical Research Institute Project, Nairobi, Kenya; Department of Tumor and Diagnostic Pathology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan shah@nagasaki-u.ac.jp ichinose@nagasaki-u.ac.jp.

Insights

A Providencia alcalifaciens outbreak caused gastroenteritis in Kenyan children. Poor hygiene and food handling were identified as key factors, highlighting the need for improved sanitation practices.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Providencia alcalifaciens is an emerging bacterial pathogen causing gastroenteritis in children and travelers.
  • Acute gastroenteritis outbreaks pose a significant public health challenge, particularly in resource-limited settings.

Purpose of the Study:

  • To investigate an outbreak of diarrhea caused by Providencia alcalifaciens in Kenya.
  • To identify the source, transmission routes, and contributing factors of the outbreak.

Main Methods:

  • Epidemiological investigation including case finding and interviews.
  • Bacterial isolation and identification of Providencia alcalifaciens.
  • Random Amplified Polymorphic DNA (RAPD) fingerprinting for isolate comparison.

Main Results:

  • Providencia alcalifaciens was isolated from four children with diarrhea.
  • Seven primary and four secondary cases were identified, suggesting person-to-person transmission.
  • Clonal isolates indicated a common source, likely contaminated mashed potatoes due to poor hygiene and handwashing practices.

Conclusions:

  • This is the first reported foodborne infection by Providencia alcalifaciens in Kenya.
  • Inadequate hygiene, food storage, and handwashing practices were the likely causes of the outbreak.
  • Enhanced public health surveillance and hygiene education are crucial to prevent future outbreaks.

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