Fuck. · 3:56pm January 11th

From ECDC website:

Overview
In December 2023, the UK notified ECDC of an extensively drug resistant cluster of 97 cases of Shigella sonnei which has been occurring during 2023, identified using whole genome sequencing, involving mostly (90%) adult males. Cases are distributed across all regions of England and reports increased in frequency from May 2023. An additional four cases occurred as single cases during 2022. The outbreak strain is extensively drug-resistant with non-susceptibility to penicillins, third-generation cephalosporins (CTX-M-15), aminoglycosides, tetracycline, sulphonamides, quinolones, and azithromycin, leaving very limited treatment options for severe infections. The associated EnteroBase cluster profile is HC5_194512.
Following this notification, several EU/EEA countries reported additional cases:
Norway has reported two cases, both male, with sampling dates in August and October 2023. Strains from both cases are closely related to the previously reported outbreak strains from the Netherlands in June 2023 (≤ 5 AD) and from the ongoing outbreak in the UK (≤ 6 AD). Both cases reported travel prior to infection (one to Spain). Isolates carried a wide range of resistance determinants (blaCTX-M-15, aadA1, aadA5, sul1, sul2, sat2, tet(B), dfrA17 and mutations in parC and gyrA).
Portugal has reported a single male case belonging to the same cluster HC5_194512. The case did not have anytravel history and did not report sexual risk behaviour. The isolate is resistant to penicillins, third- and fourth-generation cephalosporins (blaCTX-M-15), aminoglycosides, tetracyclines, quinolones, sulfonamides and azithromycin. The strain was isolated on 17 July 2023.
The Netherlands has reported a total of 65 cases, predominately affecting MSM (61 males and six females) with sample dates between January and November 2023; all cases are part of the cluster reported earlier in June 2023.
Among 51 cases with known travel information, 46 are domestically-acquired infections.
Seventeen of these 65 cases from the Netherlands and the two cases from Norway were already part of an earlier cluster of S. sonnei cases, reported by the Netherlands in June 2023, with a total of 49 cases in the EU/EEA during 2022 and 2023 from Belgium, Denmark, Germany, Ireland, the Netherlands, Norway and Spain. This earlier event also included 96 cases from the United States. The representative outbreak strains from the earlier cluster and the newly reported cases are microbiologically linked with isolates within five allelic distances (ADs) in ECDC's centralised single-linkage cluster analysis.

I keep telling people not to go ass-to-mouth, but of course nobody fucking listens to me.