In April 1988, an outbreak of gastroenteritis occurred among employees in a
large company in Helsinki, Finland. A retrospective cohort study, using a
self-administered questionnaire, was carried out to ascertain the cause and
extent of the outbreak. To meet the case definition, employees had to have
had diarrhoea and/or vomiting since 2 April, 1998. A subanalysis was made
in the biggest office, consisting of 360 employees, of whom 204 (57 %) comp
leted the questionnaire. Of these 108 (53 %) met the case definition. Emplo
yees who had eaten raspberry dressing were more likely to meet the case def
inition than those who had not (Attack Rate (AR) 65 % versus AR 18 % Relati
ve Risk, (RR) 3.7, 95%, Confidence Intervals (CI) 2.0-6.7). Four stool spec
imens obtained from affected kitchen staff who had all eaten the raspberry
dressing and who had all become ill simultaneously with the employees were
positive by polymerase chain reaction (PCR) for calicivirus. The data sugge
st that the primary source of the outbreak was imported frozen raspberries
contaminated by calicivirus.