title: Sentinel surveillance for international Shigella by a quarantine station in Japan.
abstract: The Japanese quarantine system monitors incoming passengers to detect imported pathogens at international airports. At one airport, we found that 74% of 13 315 travellers returning with diarrhoea had visited only one country before entering Japan. On the basis of our results, we hypothesized that the international distribution and potential source of bacterial strains could be inferred by analysing strains isolated from travellers returning to Japan. In order to demonstrate the potential for this system, we randomly selected five Shigella sonnei strains and examined their restriction fragment length polymorphism patterns. One set of strains appeared to be closely related, while three sets, isolated from travellers who visited different countries were possibly related. These results suggest that international distributions and potential sources of S. sonnei may be inferred by monitoring isolates from passengers arriving at a Japanese quarantine station.
authors.affiliation: Department of Preventive and Social Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka 569-8686, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Taniguchi
authors.forename: T
authors.initials: T
authors.lastname: Nakano
authors.forename: Y
authors.initials: Y
authors.lastname: Katayama
authors.forename: F
authors.initials: F
authors.lastname: Harada
authors.forename: Y
authors.initials: Y
authors.lastname: Arai
authors.forename: K
authors.initials: K
authors.lastname: Mori
authors.forename: K
authors.initials: K
authors.lastname: Hirata
authors.forename: K
authors.initials: K
authors.lastname: Kamiya
authors.forename: H
authors.initials: H
authors.lastname: Maruyama
authors.forename: K
authors.initials: K
authors.lastname: Sano
mesh_terms: D000401:Aircraft; D003140:Communicable Disease Control / Q000379:methods*; D004269:DNA, Bacterial / Q000032:analysis; D004196:Disease Outbreaks / Q000517:prevention & control*; D004405:Dysentery, Bacillary / Q000175:diagnosis / Q000453:epidemiology*; D016521:Electrophoresis, Gel, Pulsed-Field; D005260:Female; D006801:Humans; D015994:Incidence; D007391:International Cooperation; D007564:Japan / Q000453:epidemiology; D008297:Male; D012150:Polymorphism, Restriction Fragment Length; D011790:Quarantine; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D018571:Sentinel Surveillance; D012764:Shigella sonnei / Q000302:isolation & purification*; D014195:Travel
chemical_list: D004269:DNA, Bacterial