[Problems of excretors on the future of public health]

Analyses of 216.000 fecal specimens performed in the LGA Baden-Württemberg in 1991 showed results that allow a survey of salmonella carriers in the FRG. Following facts could be obtained: 0.36% Salmonella positive findings in persons who intended to start their occupation in a food processing plant. The proportion of carriers increased in summer up to 0.67%. There was a change from S. typhymurium to S. enteritidis since 1980. The trend of increasing isolation rates of S. enteritidis is obvious: 1985 2.600 new isolates 1991 11.000 new isolates (322%) Taking the above mentioned findings into account, about 3 million persons are carriers during several days or weeks per year. The following consequences should be drawn, especially with regard to the dramatic increase of outbreaks during the last year: 1. A more consistent report relating to the demands of the BSeuchG section 3 is mandatory. 2. Increasing research efforts relating to cause and route of infection carried out by government health authorities (epidemiology of infection). 3. Specific examination of the family and other contacts. 4. Cration of working capacities by dropping the medical check-ups relating to sections 17/18 BSeuchG. 5. Intensifying initiative to prevent infections is required of all food processing plants by means of hygiene order supervised by competent authorities. 6. Increasing microbiologic controls of food of animal origin. 7. Consistent microbiologic controls of feeding stuff to avoid transmission as cause of infection. 8. Increasing instruction and information of the general population and the personnel in food processing plants.