title: [Epidemic outbreak of acute food poisoning caused by pesticides].
abstract: OBJECTIVE
  1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it.
  
  
  METHODS
  Observational crossover study.
  
  
  METHODS
  San Benito Health District in Jerez de la Frontera (Cádiz).
  
  
  METHODS
  Diners who attended a family celebration.
  
  
  RESULTS
  On Friday 11th March 1994 there was an outbreak of acute food poisoning. The clinical notes of 9 ill diners were checked; they and 7 unaffected diners answered epidemiological questionnaires. A proportional comparison was then made between those not exposed and those exposed to each one of the foods consumed at this celebration. The clinical picture showed: high level of the Creatine phosphokinase enzyme, general myalgias, vomiting or nausea and visual problems. The average incubation period was 7 hours. The odds ratios of the foods involved was calculated. Although this reached 4 in some cases, the significance tests were not significant in any case because of the study's low statistical power. In the investigation of the trophic chain of the game-birds eaten, the presence of nitrogen or phosphorus atoms, compatible with the pattern of fonofos in the pesticide used on the hunting estate where the birds came from, was isolated.
  
  
  CONCLUSIONS
  Epidemiological, clinical and biological evidence was found, which places us before acute organophosphorus poisoning. Coordination between the different institutions involved was decisive in finding the cause of the outbreak.
authors.affiliation: Unidad de Epidemiología, Distrito de Atención Primaria y Hospital de Jerez, Cádiz.
authors.forename: P
authors.initials: P
authors.lastname: Peña González
authors.forename: J
authors.initials: J
authors.lastname: Pérez-Rendón González
authors.forename: E
authors.initials: E
authors.lastname: Domínguez Alberdi
authors.forename: M
authors.initials: M
authors.lastname: Gómez Labat
authors.forename: J
authors.initials: J
authors.lastname: Bajo Arenas
mesh_terms: D000208:Acute Disease; D018592:Cross-Over Studies; D004196:Disease Outbreaks; D004397:Fonofos / Q000506:poisoning*; D005517:Foodborne Diseases / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D007306:Insecticides / Q000506:poisoning*; D016017:Odds Ratio; D013030:Spain / Q000453:epidemiology
chemical_list: D007306:Insecticides; D004397:Fonofos
vernacular_title: Brote epidémico de intoxicación aguda alimentaria por plaguicidas.