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DISEASE

Stomach bug outbreak prompts criminal probe

As authorities work to find out how an intestinal parasite made its way into the municipal water supply in Östersund in northern Sweden, a local prosecutor has launched a probe into possible criminal negligence.

Stomach bug outbreak prompts criminal probe

“If the investigation leads to a prosecution, the penalty will be very, very high,” said Christer B. Jarlås, an environmental prosecutor, to the TT news agency.

Police are following the work being carried out to track how the Cryptosporidium parasite ended up in Östersund’s drinking water.

Once the work is completed, the police will conduct their own investigation to survey exactly where procedures broke down and who is responsible.

“A stomach parasite that makes people and animals sick shouldn’t be released and it absolutely shouldn’t end up in municipal drinking water. What has happened gives reason to believe that, due to carelessness, one or several individuals didn’t have control of their operations and as a result caused this contamination,” said Jarlås.

Jarlås, who works for the local office of environmental and workplace crimes division of the Swedish Prosecutor Authority (Åklagarmyndigheten), launched a preliminary investigation into possible environmental crimes after test results revealed that the intestinal parasite Cryptosporidium was present in Östersund’s drinking water.

More than 2,000 residents have taken ill after ingesting water from the city’s water supply, many suffering from diarrhea, vomiting, and severe stomach cramps.

City officials continue to hunt for the source of the leak. The parasite has been detected in water heading into the city’s water supply from the Storsjön lake as well as in water heading out of a local water treatment facility.

According to local media, rumours about the possible source of the parasite are running rampant among Östersund’s residents.

One anonymous water expert told the local Östersunds-Posten newspaper that one of the causes may be that the city’s waters system intake and outtake points in Storsjön are too close to one another.

Residents of Östersund, roughly 50,000 of whom are connected to the municipal water system, can expect to have to boil tap water for several weeks, an expert with the Swedish Institute for Infectious Disease Control (Smittskyddsinstitutet) told the TT news agency.

Once the source of the parasite has been found and shut off, it will take at least a month before it’s possible to drink water directly from the tap.

The health official referenced a similar outbreak in the city of Milwaukee in the United States, in which it took two months before water was safe to drink without boiling.

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DISEASE

Eight deaths in southern Germany blamed on shrew-borne disease

Eight cases of the Borna virus, transmitted by shrews, have been identified in encephalitis patients who died between 1999 and 2019, researchers said Wednesday.

Eight deaths in southern Germany blamed on shrew-borne disease
A horse in a meadow at sunset in Tettnang, Baden-Württemberg. People in rural areas have been most susceptible to the virus. Photo: DPA

All eight cases occurred in southern Germany, mostly among people living in rural or semi-rural areas and in regular contact with animals, they reported in The Lancet, a medical journal.

Carried by the bicoloured white-toothed shrew, the virus triggers an inflammation of the brain, and is known to affect horses and sheep.

The researchers speculated that it could be transmitted by house cats that had come into contact with infected shrews.

Symptoms start with fever, headaches and confusion, and progress to memory loss, convulsions and loss of consciousness.

READ ALSO: Where the flu epidemic has been hitting Germany the hardest

There is no known treatment for the disease, which gets its name from a town in Germany and was first described in the late 18th century.

In the eight newly identified cases, patients fell into a coma and died 16 to 57 days after hospital admission.

“Our findings indicate that Borna disease virus infection has to be considered a severe and potentially lethal human disease transmitted from a wildlife reservoir,” said co-author Barbara Schmidt from Regensburg University Hospital.

“It appears to have occurred unnoticed in humans for at least decades, and may have caused other unexplained cases of encephalitis in regions where the virus is endemic in the host shrew population.”

The scientists recommended testing for Borna virus in patients who suffer rapid deterioration of their nervous systems in order to establish the scale of infection among humans.

“It is still relatively rare in absolute numbers, but it might be behind a larger proportion of unexplained severe-to-fatal encephalitis cases,” said co-author Martin Beer from the Friedrich-Löffler Institute.

“Only more tests on patients with severe or even deadly encephalitis will find this out.”

The study, led by Hans Helmut Niller of the Institute of Microbiology and Hygiene in Regensburg, examined the brain tissue of 56 patients who developed encephalitis-like symptoms at some point over the last two decades.

The new findings bring the total number of confirmed Borna cases in southern Germany — all fatal — to 14.

The researchers were not able to definitively establish how the Borna virus was transmitted to humans, but victims for which such information was available lived in rural settings around animals.

“In at least seven cases, close contact with cats was reported,” they said in a statement.

“When cats hunt, they might bring shrews into their homes, exposing humans to them.”

The genetic profiles of all eight of the new cases were all distinct and matched the profile of locally infected shrews or horses, suggesting the infections occurred independently.

READ ALSO: World under-prepared for next serious epidemic, German health minister warns

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