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Registratie voedselinfecties en -vergiftigingen bij de Inspectie voor de Gezondheidszorg en Voedsel en Waren Autoriteit, 2004(Rijksinstituut voor Volksgezondheid en Milieu RIVMVWA/Keuringsdienst van Waren OoostZutphen, 2005-07-21)In this report data are presented on foodborne infections and intoxications in the Netherlands in 2004. In 2004, the number of outbreaks notified to the Inspectorate was clearly lower than in previous years: 48 outbreaks (with 649 cases) and 45 foodhandlers and professionals in health care with a laboratory-confirmed foodborne infection. In contrast, the number of incidents reported to the Food and Consumer Product Safety Authority in 2004 (601, including 337 outbreaks) was somewhat higher than in 2003 (582, including 324 outbreaks). The decrease at the Inspectorate is partially considered a registration artefact. At the Food and Consumer Product Safety Authority, a probable cause for the foodborne infections and intoxications was found for 16% of the incidents. Bacillus cereus (2.8%) was most frequently reported, followed by Salmonella (1.0%). It was indirectly estimated that 6.5% of reported outbreaks were of viral origin, although only one norovirus outbreak was reported. At the Inspectorate for Health Care, the causative agent was reported for 73% of the outbreaks. Salmonella was most frequently identified (40%), followed by Campylobacter (17%) and norovirus (15%). In 2004, Campylobacter was observed more often as the cause (in 2003 12%). Simultaneously, norovirus was reported less often in 2004 (in 2003 23%).