A recent report from Wales documented an extensive outbreak of salmonellosis associated with a community celebrating Eid al-Adha by consuming marara, a raw liver dish. The North African community also consumed barbequed lamb that was presumably cross-contaminated from the organ meat. In addition to direct infection, person-to-person transmission occurred among family members who did not attend the barbeque who demonstrating onset of symptoms eight days after the event. There is evidence that the raw meat product was not refrigerated.
Laboratory examination demonstrated that some patients were co-infected with Shiga toxin-producing E.coli and in one case Campylobacter in addition to Salmonella Typhimurium.
Health authorities in Wales have initiated a program to educate the North African community as to appropriate handling and cooking of food during the qurbani activities associated with Eid al-Adha.