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Contents and Lead Article

Contents:
- The public health response to a case of brucellosis in Auckland
- Trichinellosis and homekill pork
- Hepatitis C risk from sharing drug equipment other than syringes
- Human error was found contributing to 67% of mercury spills
- Surveillance and Control Notes
Lead Article:
The public health response to a case of brucellosis in Auckland
The Auckland Regional Public Health Service investigated a blood
culture confirmed case of brucellosis due to Brucella suis in March
2002. The case was a 43 year old male from South Auckland. The
epidemiological evidence suggests that infection was locally acquired.
Given that B suis was the pathogen, two pigs prepared for consumption
by the case were a plausible source of infection. The cases exposure to
the pigs blood and body fluids via aerosols and a finger cut would have
provided sufficient opportunity for infection. A total of 86 contacts
were identified, counselled and offered serological testing for
brucellosis. No associated cases were found. The Ministry of
Agriculture and Forestry screened pigs on 42 farms. No infected animals
were found. While confirmed cases of sporadic brucellosis are rare in
New Zealand, the implications for both the publics health and the
economy are important and necessitate a timely but thorough
investigation.
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