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Published Date: 2013-05-21 16:57:13
Subject: PRO/AH/EDR> E. coli EHEC - USA (13): (TX) O157, ground beef
Archive Number: 20130521.1728086

E. COLI EHEC - USA (13): (TEXAS) O157, GROUND BEEF
**************************************************
A ProMED-mail post
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International Society for Infectious Diseases
http://www.isid.org

Date: Mon 20 May 2013
Source: KBTX [edited]
http://www.kbtx.com/news/facebookheadlines/Source-of-E-coli-Outbreak-Linked-to-Ground-Beef-from-Local-Restaurant-208198521.html


The source of the _E. coli_ [O157] outbreak in Brazos County has been linked to ground beef from a local restaurant, according to a press release from the Brazos County Health Department [BCHD]. Despite requests from News 3, health department officials would not release the name of the restaurant, but they say the restaurant has been fully cooperative during the investigation.

Officials say 5 cases of _E. coli_ were confirmed in Brazos County. 5 other cases were investigated due to the criteria of symptoms, but they have not been confirmed. "Control measures have been implemented to prevent further cases including mandatory glove use by employees and continuous monitoring by BCHD," said the Health Department in a press release.

The press release goes on to say that, "This was an isolated incident and is not a ongoing threat to public health. It's not known if the cause is due to improper temperature, improper cooking, or cross contamination."

The Brazos County Health Department and Texas Department of State Health Services have concluded their investigation at this time.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Ground beef is the original vehicle for EHEC:

The seminal outbreak of EHEC O157:H7 was associated with undercooked ground beef and this vehicle will remain prototypically associated with the infection. Commercial ground beef is not simply a piece of meat that is run through a grinder but rather it is usually produced in bulk using the parts of the cow remaining after primal cuts of beef (to produce steaks and roasts) are removed, usually from multiple cows and even different slaughterhouses. This lower grade product, called beef trim, tends to be cut from the parts of the cow more likely to have had contact with bovine feces.

[Source: Lutwick LI: Enterohemorrhagic E. coli infections. In: Confronting Emerging Zoonoses: The One Health Paradigm. Yamada A, Kahn LH, Kaplan B, Monath TP, Woodall J, Conti LA (eds) Springer, Tokyo, Japan, (in press)]
- Mod.LL

The state of Texas can be located on the HealthMap/ProMED-mail interactive map at http://healthmap.org/r/6QaD. Brazos County can be seen on the map at http://www.texasfile.com/static/img/counties/Brazos_County_1000px.png. - Sr.Tech.Ed.MJ]

See Also

E. coli EHEC - USA (12): (GA) O157, BBQ restaurant 20130521.1728085
E. coli EHEC - USA (11): (GA) O157 20130520.1725767
E. coli EHEC - USA (10): (TX) O157 20130508.1699529
E. coli EHEC - USA (09): O121 frozen snacks 20130427.1676465
E. coli EHEC USA (08): (WI), raw milk susp. 20130427.1676464
E. coli EHEC - USA (07): (WI) O157 20130417.1652752
E. coli EHEC - USA (06): O121, frozen snacks, expanded recall 20130405.1622970
E. coli EHEC - USA (05): frozen snacks, O121 20130329.1609768
E. coli EHEC - USA (04): (HI) O157, RFI 20130329.1608962
E. coli EHEC - USA (03): (WI) O157, ground beef, alert, recall: 20130120.1504890
E. coli EHEC - USA (02): (MO) O103, unpasteurized cheese, recall 20130115.1498763
E. coli EHEC - USA: (MO) O103, unpasteurized dairy 20130113.1494759
2012
----
E. coli EHEC - USA (38): (multistate) spinach, O157 20121121.1416845
E. coli EHEC - USA (30): (NC) O157, county fair 20121012.1339271
E. coli EHEC - USA (25): (OH) O157, picnic, fatality 20120726.1216440
E. coli EHEC - USA (14): (LA) fatality 20120605.1156789
E. coli EHEC, 2011 - USA: (CA), raw milk, environmental source 20120122.1017852
E. coli EHEC, 2010 - USA: (MN) non-O157 venison kabob 20120117.1013136
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