• Increase in alcohol hand rub use indicates rise in hand hygiene activity

      Fitzpatrick, Fidelma; Roche, Fiona; HPSC (HSE, Health protection surveillance centre (HPSC), 2010-05)
    • Indigenous salmonellosis low in Ireland

      Garvey, Patricia; Skally, Mairead; McKeown, Paul; DeLappe, Niall; Doran, Ger; Ward, Juliet; Cormican, Martin; HPSC; NSRL (HSE, Health protection surveillance centre (HPSC), 2010-03)
    • Infection prevention and control building guidelines for acute hospitals in Ireland

      Strategy for the control of Antimicrobial Resistance in Ireland (SARI); Health Service Executive (HSE) (HSE Health Protection Surveillance Centre (HPSC), 2008-12)
    • Infection prevention and control for primary care in Ireland: a guide for general practice

      Lemass, Helen; McDonnell, Niamh; O’ Connor, Nuala; Rochford, Sheila; SARI (Strategy for the Control of Antimicrobial Resistance in Ireland) (Quality and Patient Safety Division, Health Service Executive, 2014-04)
    • Infection prevention and control guidance for aircraft personnel ‐ Emergency Aeromedical Service, Irish Air Corps, Irish Coast Guard

      Fidelma Fitzpatrick; Cathal O’Donnell (Health Protection Surveillance Centre (HPSC), 2013-01)
    • Influenza A(H1N1)pdm09 vaccination policies and coverage in Europe.

      Mereckiene, J; Cotter, S; Weber, J T; Nicoll, A; D'Ancona, F; Lopalco, P L; Johansen, K; Wasley, A M; Jorgensen, P; Lévy-Bruhl, D; et al. (Euro surveillance : bulletin Européen sur les maladies transmissibles = European communicable disease bulletin, 2012-06)
      In August 2010 the Vaccine European New Integrated Collaboration Effort (VENICE) project conducted a survey to collect information on influenza A(H1N1)pdm09 vaccination policies and vaccination coverage in the European Union (EU), Norway and Iceland. Of 29 responding countries, 26 organised national pandemic influenza vaccination and one country had recommendations for vaccination but did not have a specific programme. Of the 27 countries with vaccine recommendations, all recommended it for healthcare workers and pregnant women. Twelve countries recommended vaccine for all ages. Six and three countries had recommendations for specific age groups in children and in adults, countries for specific adult age groups. Most countries recommended vaccine for those in new risk groups identified early in the pandemic such as morbid obese and people with neurologic diseases. Two thirds of countries started their vaccination campaigns within a four week period after week 40/2009. The reported vaccination coverage varied between countries from 0.4% to 59% for the entire population (22 countries); 3% to 68% for healthcare workers (13 countries); 0% to 58% for pregnant women (12 countries); 0.2% to 74% for children (12 countries). Most countries identified similar target groups for pandemic vaccine, but substantial variability in vaccination coverage was seen. The recommendations were in accordance with policy advice from the EU Health Security Committee and the World Health Organization.
    • Influenza in hospitalized children in Ireland in the pandemic period and the 2010/2011 season: risk factors for paediatric intensive-care-unit admission.

      Rebolledo, J; Igoe, D; O'Donnell, J; Domegan, L; Boland, M; Freyne, B; McNamara, A; Molloy, E; Callaghan, M; Ryan, A; et al. (2013-11-11)
      SUMMARY Influenza causes significant morbidity and mortality in children. This study's objectives were to describe influenza A(H1N1)pdm09 during the pandemic, to compare it with circulating influenza in 2010/2011, and to identify risk factors for severe influenza defined as requiring admission to a paediatric intensive care unit (PICU). Children hospitalized with influenza during the pandemic were older, and more likely to have received antiviral therapy than children hospitalized during the 2010/2011 season. In 2010/2011, only one child admitted to a PICU with underlying medical conditions had been vaccinated. The risk of severe illness in the pandemic was higher in females and those with underlying conditions. In 2010/2011, infection with influenza A(H1N1)pdm09 compared to other influenza viruses was a significant risk factor for severe disease. An incremental relationship was found between the number of underlying conditions and PICU admission. These findings highlight the importance of improving low vaccination uptake and increasing the use of antivirals in vulnerable children.
    • Influenza surveillance in Europe. Comparing intensity levels calculated using the Moving Epidemic Method.

      Vega, Tomás; Lozano, José; Meerhoff, Tamara; Snacken, René; Beauté, Julien; Jorgensen, Pernille; Ortiz de Lejarazu, Raúl; Domegan, Lisa; Mossong, Joël; Nielsen, Jens; et al. (2015-05-30)
      Although influenza-like illnesses (ILI) and acute respiratory illnesses (ARI) surveillance are well established in Europe, the comparability of intensity among countries and seasons remains an unresolved challenge.
    • Information Sharing Guidelines for the notification of Sexually Transmitted Infections and HIV

      Health Protection Surveillance Centre (HPSC) (Health Protection Surveillance Centre (HPSC), 2011-12)
    • Injection of new psychoactive substance snow blow associated with recently acquired HIV infections among homeless people who inject drugs in Dublin, Ireland, 2015.

      Giese, Coralie; Igoe, Derval; Gibbons, Zorina; Hurley, Caroline; Stokes, Siobhan; McNamara, Sinead; Ennis, Orla; O'Donnell, Kate; Keenan, Eamon; De Gascun, Cillian; et al. (Euro surveillance : bulletin Européen sur les maladies transmissibles = European communicable disease bulletin, 2015-10-08)
      In February 2015, an outbreak of recently acquired HIV infections among people who inject drugs (PWID) was identified in Dublin, following similar outbreaks in Greece and Romania in 2011. We compared drug and risk behaviours among 15 HIV cases and 39 controls. Injecting a synthetic cathinone, snow blow, was associated with recent HIV infection (AOR: 49; p = 0.003). Prevention and control efforts are underway among PWID in Dublin, but may also be needed elsewhere in Europe.
    • Integration of a recent infection testing algorithm into HIV surveillance in Ireland: improving HIV knowledge to target prevention

      Robinson, E; Moran, J; O'Donnell, K; Hassan, J; Tuite, H; Ennis, O; Cooney, F; Nugent, E; Preston, L; O'Dea, S; et al. (Epidemiology and Infection, 2019-02)
    • Interim report on Campylobacter Enteritis in Ireland in 1999.

      Whyte, Dominic; Igoe, Derval; National Disease Surveillance Centre. Sir Patrick Dun's Hospital. (National Disease Surveillance Centre (NDSC), 1999)
    • International outbreak investigation of Salmonella Heidelberg associated with in-flight catering.

      Rebolledo, J; Garvey, P; Ryan, A; O'Donnell, J; Cormican, M; Jackson, S; Cloak, F; Cullen, L; Swaan, C M; Schimmer, B; et al. (2013-07-26)
      SUMMARY Rapid and wide dispersal of passengers after flights makes investigation of flight-related outbreaks challenging. An outbreak of Salmonella Heidelberg was identified in a group of Irish travellers returning from Tanzania. Additional international cases sharing the same flight were identified. Our aim was to determine the source and potential vehicles of infection. Case-finding utilized information exchange using experts' communication networks and national surveillance systems. Demographic, clinical and food history information was collected. Twenty-five additional cases were identified from Ireland, The Netherlands, Norway, USA and Canada. We conducted a case-control study which indicated a significant association between illness and consumption of milk tart (OR 10·2) and an egg dish (OR 6) served on-board the flight. No food consumed before the flight was associated with illness. Cases from countries other than Ireland provided supplementary information that facilitated the identification of likely vehicles of infection. Timely, committed international collaboration is vital in such investigations.
    • Invasive bacterial infections during winter months

      Cotter, Suzanne; O'Lorcain, Piaras; Fitzgerald, Margaret; HPSC (HSE, Health protection surveillance centre (HPSC), 2010-01)
    • Investigation and management of an outbreak of Salmonella Typhimurium DT8 associated with duck eggs, Ireland 2009 to 2011.

      Garvey, P; McKeown, P; Kelly, P; Cormican, M; Anderson, W; Flack, A; Barron, S; De Lappe, N; Buckley, J; Cosgrove, C; et al. (2013)
      Salmonella Typhimurium DT8 was a very rare cause of human illness in Ireland between 2000 and 2008, with only four human isolates from three patients being identified. Over a 19-month period between August 2009 and February 2011, 34 confirmed cases and one probable case of Salmonella Typhimurium DT8 were detected, all of which had an MLVA pattern 2-10-NA-12-212 or a closely related pattern. The epidemiological investigations strongly supported a linkbetween illness and exposure to duck eggs. Moreover, S. Typhimurium with an MLVA pattern indistinguishable (or closely related) to the isolates from human cases, was identified in 22 commercial and backyard duck flocks, twelve of which were linked with known human cases. A range of control measures were taken at farm level, and advice was provided to consumers on the hygienic handling and cooking of duck eggs. Although no definitive link was established with a concurrent duck egg-related outbreak of S. Typhimurium DT8 in the United Kingdom, it seems likely that the two events were related. It may be appropriate for other countries with a tradition of consuming duck eggs to consider the need for measures to reduce the risk of similar outbreaks.
    • Investigation of an association between onset of narcolepsy and vaccination with pandemic influenza vaccine, Ireland April 2009-December 2010.

      O Flanagan, D; Barret, As; Foley, M; Cotter, S; Bonner, C; Crowe, C; Lynch, B; Sweeney, B; Johnson, H; McCoy, B; et al. (Eurosurveillance, 2014-05)
    • Investigation of an increase in the incidence of narcolepsy in children and adolescents in 2009 and 2010

      National Narcolepsy Study Steering Committee (HSE Health Protection Surveillance Centre (HPSC), 2010)
    • Knowledge of HIV PEP Among Healthcare Workers in Ireland, 2016: Room for Improvement

      Garvey, P; Thornton, L; Lyons, F (Irish Medical Journal, 2017-01)
    • Leptospirosis in Ireland: annual incidence and exposures associated with infection.

      Garvey, P; Connell, J; O'Flanagan, D; McKeown, P; Health Protection Surveillance Centre, HSE, Dublin, Ireland. (2013-08-05)
      SUMMARY Human leptospirosis is found throughout the world, albeit with a higher incidence in tropical regions. In temperate regions it is associated with certain occupational and recreational activities. This paper reports both on the incidence of human leptospirosis in Ireland and on possible associated exposures, using leptospirosis case notification, enhanced surveillance, hospital discharge data and death registrations. Based on official notification data, there was a threefold increase in the reported incidence of leptospirosis in Ireland between 1995-1999 and 2004-2009, which appears partially to be due to improved reporting. The exposures most associated with infection were those involving contact with livestock or water-based recreational sports, in particular kayaking. Advice on prevention should continue to be targeted in the first instance at these groups. The variety of potential transmission routes reported should inform clinicians to consider leptospirosis in individuals with a compatible clinical profile who were not from occupational groups historically considered at risk.