Published Date: 2003-10-10 23:50:00
Subject: PRO/AH> E. coli O157, salad - USA (CA) (02)
Archive Number: 20031010.2552
E. COLI O157, SALAD - USA (CALIFORNIA) (02)
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Fri, 10 Oct 10 2003 07:26:52 2003
From: Steve Berger <email@example.com>
Source: GideonOnline [edited]
Notable outbreaks of _E. coli_ O157 infection in the USA from salad
and related products
An outbreak in Montana (40 cases, 1995) of infection was traced to
Connecticut & Illinois
An outbreak in Connecticut and Illinois during 1996 was ascribed to
Alfalfa sprouts were responsible for 60 cases in Michigan (25
hospitalized; 2 HUS - none fatal).
Alfalfa sprouts were responsible for 48 cases (11 hospitalized) in Virginia
California & Nevada
A mixture of alfalfa and clover sprouts was implicated in an outbreak
(8 cases) in California and Nevada in 1998.
33 cases (0 HUS, 0 fatal) were identified during an outbreak acquired
from restaurant cole slaw in Indiana, 1998.
An outbreak of 142 cases (0 HUS) in North Carolina in 1998 was
ascribed to coleslaw at a restaurant.
An outbreak of 30 cases in Ohio during 1999 was ascribed to
contaminated coleslaw at a fast-food restaurant.
A restaurant outbreak of 72 cases in Nebraska in 1999 was associated
with contaminated iceberg lettuce.
2 multi-state community outbreaks in 1999 were associated with
contaminated romaine lettuce.
An outbreak of 29 cases of infection in Washington State during 2002
was ascribed to contaminated lettuce.
Dr. Steve Berger
Tel Aviv Medical Center
[ProMED thanks Steve Berger for this compilation of _E. coli_ O157:H7
outbreaks in the USA 1995-2002 attributed to salad components, some of which
were posted on ProMED -- see refs. below. - Mod.LL/JW]