Published Date: 2012-04-10 12:25:19
Subject: PRO/AH/EDR> E. coli EHEC - USA (06): (MO) O157, unpasteurized dairy susp.
Archive Number: 20120410.1095960
E. COLI EHEC - USA (06): (MISSOURI) O157, UNPASTEURIZED DAIRY SUSPECTED
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International Society for Infectious Diseases
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Date: Mon 9 Apr 2012
Source: Columbia (MO) Daily Tribune [edited]
http://www.columbiatribune.com/news/2012/apr/09/area-sees-five-cases-of-e-coli/
A Boone County 2-year-old infected with _E. coli_ O157 remained hospitalized this morning, 9 Apr 2012, in Columbia as 1 of 5 central Missouri residents battling the infection.
Geni Alexander, public information officer for the Columbia/Boone County Department of Public Health and Human Services, said the 2-year-old is one of 3 Boone County residents with either a confirmed or suspected case of the illness. Alexander said health officials have determined that consumption of raw dairy products was the only common link for possible exposure among the 3 Boone County victims. She did not disclose the gender of the victims.
"Each person was identified as a raw dairy consumer," Alexander said, "but we can't say they all got it from the same place."
The Missouri Department of Health and Senior Services is investigating an increase in cases of Shiga toxin-producing _E. coli_ in central Missouri from late March 2012 through early April 2012. In addition to the Boone County 2-year-old, state health officials reported Thursday [5 Apr 2012] that a 17-month-old toddler also developed symptoms of hemolytic uremic syndrome, or HUS, a severe condition that can lead to permanent kidney damage in some who survive the illness.
Alexander said the victims of the three Boone County cases range in age from 2 to 31. The 17-month-old victim is not a Boone County resident, she said.
Boone County reported 3 confirmed cases of _E. coli_ O157 late last fall 2011 at the same time an outbreak of the infection occurred in St. Louis. Those victims ranged in age from 11 to 63, and 2 of the cases required hospitalization. Boone County had 3 confirmed cases in 2009, 1 in 2010, and 8 in 2011.
Alexander said the best defense against the bacteria is to cook meat thoroughly, wash fruits and vegetables, have good hand-washing hygiene, and avoid raw dairy products. "In public health, we always advise to stay away from those raw dairy products," she said.
[Byline: Jodie Jackson Jr]
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Communicated by:
ProMED-mail
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[Although it is not yet established that unpasteurized dairy products are the vehicle of transmission in this outbreak, certainly these products are well known sources of enterohemorrhagic _E. coli_ as well as a large selection of other pathogenic microbes including zoonotic organisms such as _Brucella abortus_, _Brucella melitensis_, _Mycobacterium bovis_, _Salmonella_ species, _Listeria monocytogenes_, _Campylobacter_ species, _Yersinia_ species, and _Coxiella burnetii_. Pathogenic microbes also include non-zoonotic organisms such as _Streptococcus pyogenes_, _Salmonella_ Typhi, _Corynebacterium diphtheriae_, _Shigella_ species, _Salmonella_ Paratyphi A, _Salmonella_ Paratyphi B, enterotoxins from _Staphylococcus aureus_, and hepatitis A.
We await more information regarding this cluster of cases. - Mod.LL
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1zT0.]
See Also
E. coli EHEC - USA (05): (MO) O157 20120409.1094596E. coli EHEC - USA (04): O26, clover sprouts 20120310.1066813
E. coli EHEC - USA (03): O26, clover sprouts 20120228.1055451
E. coli EHEC - USA (02): O26, clover sprouts 20120216.1042997
E. coli EHEC - USA: (MI) food handler 20120117.1013132
E. coli EHEC - Europe: (France, Germany, Denmark) O104 20120126.1022870
E. coli EHEC, 2011 - USA: (CA), raw milk, environmental source 20120122.1017852
E. coli EHEC, 2010 - USA: (MN) non-O157 venison kabob 20120117.1013136
2011
----
E. coli VTEC - USA (13): (MO) O157, more states, lettuce 20111210.3560
E. coli VTEC - USA (12): (MO), O157 20111111.3344
E. coli VTEC - USA (11): (NC) O157, livestock building 20111110.3334
E. coli VTEC - USA (10): (NC) fair link, more cases 20111103.3281
E. coli VTEC - USA (09): (MO), O157, poss. produce link 20111103.3276
E. coli VTEC - USA (08): (MO), O157, poss. produce link 20111101.3246
E. coli VTEC - USA (07): (NC), fair link 20111101.3244
E. coli VTEC - USA (06): (MO), O157, poss. produce link 20111029.3224
E. coli VTEC - USA (05): (NC) more cases 20111029.3222
E. coli VTEC - USA (04): (NC) more cases 20111027.3201
E. coli VTEC - USA (03): (MO) RFI 20111027.3195
E. coli VTEC - USA (02):(NC), possible fair link 20111027.3193
E. coli VTEC - USA: (NC) RFI 20111026.3184
E. coli O157 - USA (08): (WI) more cases 20111016.3101
E. coli O157 - USA (07): (WI) 20110915.2819
E. coli O104 - EU (36): intervention strategies 20110827.2617
E. coli O157 - USA (06): (OR) strawberry, deer dropping source 20110819.2520
E. coli O157 - USA (05): (PA) lake swimming 20110817.2493
E. coli O157 - USA (04): (PA) lake swimming 20110810.2428
E. coli O157 - USA (03): (OR) strawberry 20110809.2413
E. coli O157 - USA (02): (AL) water park 20110629.1981
E. coli O104 - EU (10): USA commentary 20110605.1718
E. coli O104 - EU: (Germany, Denmark, Sweden) Spanish cucumbers 20110526.1611
E. coli O157 - USA: Lebanon bologna, alert, recall 20110325.0946
E. coli O157 - North America: hazelnut, alert, recall 20110310.0777
2010
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E. coli O157 - USA (07): cheese 20101105.4007
E. coli VTEC non-O157 - USA (07): O26, ground beef, alert, recall 20100831.3097
E. coli O157 - USA (06): ground beef, alert, recall 20100809.2715
E. coli O157 - USA (05): (CO, NY), bison meat, alert, recall 20100709.2286
E. coli O157 - USA (04): (MN) unpasteurized milk 20100607.1900
E. coli O157 - USA (03): (MN) unpasteurized milk 20100528.1776
E. coli O157 - USA (02): (WA), day care 20100413.1200
E. coli VTEC non-O157 - USA (02): (OH, MI, NY) O145 20100505.1460
E. coli VTEC non-O157 - USA: (MI, OH) 20100427.1358
E. coli O157 - USA: 2009, tenderized non-intact steak 20100108.0092
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