Published: 17:52, February 12, 2025 | Updated: 19:43, February 12, 2025
Make it Simple: A rare but deadly infection
By China Daily
This handout image made available by the "Helmholtz-Zentrum für Infektionsforschung (HZI)" on May 26, 2011 shows the E. coli (EHEC) bacteria. ( (HANDOUT / HELMHOLTZ-ZENTRUM FUR INFEKTIONS / AFP)

China Daily’s new project “Make it Simple” explores the hottest topics in Hong Kong, going beyond the headlines. In our fourth episode, we delve into Shiga toxin-producing Escherichia coli (STEC) infection, which is being linked to the death of a young oncologist in Princess Margaret Hospital last week.

ALSO READ: Expert: E. coli infection among doctors at HK hospital ‘unlikely to spread widely’

What is STEC infection?

•    Causative agent: Escherichia coli (E. coli) is a type of bacteria that lives in the intestines of humans and animals.

•    Most strains of E. coli are harmless. But some strains, such as STEC, can produce powerful toxins and cause severe foodborne disease.

•    STEC infections are rare in Hong Kong, with an average of three reported cases per year.

READ MORE: CDC: Carrots linked to one US death, 39 cases of illness from E. coli

How does it spread?

STEC are mainly spread through the following pathways:

•    Food Contamination: Eating undercooked meat (especially ground beef), unpasteurized dairy products, or contaminated raw vegetables and fruit.

•    Water Source Contamination: Drinking or coming into contact with water sources contaminated by animal feces.

•    Person-to-Person Transmission: Through contact with the feces of an infected person (such as not washing hands thoroughly after changing diapers) or touching contaminated surfaces.

•    Direct contact: Direct contact with farm animals or their environment is also an important risk factor

This infographic shows the possible sources and transmission of STEC (PHOTO / CENTRE FOR FOOD SAFETY)

READ MORE: CDC: Over 100 reported sick in US due to McDonald's E. coli outbreak

Symptoms to monitor?

Symptoms typically show up three to four days post exposure and may include:

•    Severe stomach cramps

•    Diarrhea (often bloody)

•    Fever

•    Vomiting

•    Some individuals may develop a type of kidney failure called hemolytic uremic syndrome (HUS), which requires immediate medical attention.

READ MORE: Onions served at McDonald's are likely source of E. coli outbreak in US, CDC says

Prevention tips?

•    Cook Thoroughly: Ensure all meat, especially ground beef, is cooked to a safe internal temperature.

•    Practice Good Hygiene: Wash hands thoroughly after using the bathroom, changing diapers, and before preparing or eating food.

•    Avoid Raw Milk: Stick to pasteurized dairy products to avoid contamination.

•    Wash Produce: Rinse fruit and vegetables under running water before eating, cutting, or cooking.

This handout image made available by the "Helmholtz-Zentrum für Infektionsforschung (HZI)" on May 26, 2011 shows the E. coli (EHEC) bacteria. ( (HANDOUT / HELMHOLTZ-ZENTRUM FUR INFEKTIONS / AFP)

Take note:

•    People of any age can be infected by STEC.

•    Consult doctor immediately after having gastrointestinal symptoms that may be STEC infection, particularly bloody diarrhea.

•    Do not self-medicate with antibiotics as treatment.

Sources: The Center for Health Protection and experts' views, found by Stephy Zhang.