Published Date:May 7, 2010
CDC Investigation Announcement: Multistate Outbreak of Human E. coli O145 Infections Linked to Shredded Romaine Lettuce from a Single Processing Facility
Local and state public health officials in Michigan, New York, and Ohio are investigating human illnesses caused by E. coli O145. The Centers for Disease Control and Prevention (CDC) is supporting these investigations and facilitating regular communication and information sharing between the states and with the U.S. Food and Drug Administration (FDA).
As of May 5, 2010, a total of 19 confirmed and 10 probable cases related to this outbreak have been reported from 3 states since March 1, 2010. The number of ill persons identified in each state with this strain is strain is: MI (10 confirmed and 3 probable), NY (2 confirmed and 5 probable), and OH (7 confirmed and 2 probable).
Among the confirmed and probable cases with reported dates available, illnesses began between April 10, 2010 and April 26, 2010. Infected individuals range in age from 13 years old to 29 years old and the median age is 19 years. Sixty-nine percent of patients are male. Among the 29 patients with available information, 12 (41%) were hospitalized. Three patients have developed a type of kidney failure known as hemolytic-uremic syndrome, or HUS. No deaths have been reported.
The bacteria responsible for this outbreak are referred to as Shiga toxin-producing E. coli, or STEC. STECs have been associated with human illness, including bloody diarrhea and a potentially fatal kidney condition called hemolytic-uremic syndrome (HUS). STEC bacteria are grouped by serotypes (e.g., O157 or O145). The STEC serotype found most commonly in U.S. patients is E. coli O157. Other E. coli serotypes in the STEC group, including O145, are sometimes called “non-O157 STECs.” Currently, there are limited public health surveillance data on the occurrence of non-O157 STECs, including E. coli O145, therefore E.coli O145 may g o unreported. Because it is more difficult to identify than E. coli O157, many clinical laboratories do not test for non-O157 STEC infection.
Current Status of the Investigation
Multiple lines of evidence have implicated shredded romaine lettuce from one processing facility as a source of infection in this outbreak. This evidence includes the identification of E. coli O145 from an unopened package of shredded romaine lettuce obtained from a facility associated with the outbreak. DNA testing to confirm the link to ill persons is pending at this time. The lettuce processing company has issued a recall of lettuce produced at their facility as a result of the evidence obtained to date.
This investigation is ongoing. Public health and agriculture officials in Michigan, New York, and Ohio, along with CDC and FDA, are actively engaged in this investigation. For more information, please visit the website.
American College Health Association
891 Elkridge Landing Rd.
Linthicum, MD 21090
Published Date: May 7, 2010
Published Date:May 6, 2010
Students, staff and faculty:
The Campus Health Service provides Foreign Travel Health consultations and immunizations.
- Don't know when you're due for a Typhoid Booster?
- What kind of Malaria prevention do you need?
- Need to treat travelers diarrhea while you're out of country?
- How long does the Hepatitis A vaccination last?
- Do I need bed netting to prevent Dengue fever?
- What is Schistosomiasis and how can I protect myself against it?
- Why can't I pet the animals in other countries?
- Is bottled water safe?
- Need to know where to go if you have serious problems when you're in a foreign country?
We can advise you how to best and most easily protect yourself against diseases in foreign countries; we can provide you with travel immunizations at our cost; give you information about foreign travel health insurance and provide you with a printed travel plan for information about the country you are traveling to.
Call the Campus Health Service at (217)206-6676 to set up an appointment for a travel consultation.
Plan on spending about 45 minutes for the consult.
Published Date: May 6, 2010
Published Date:April 14, 2010
Shoreland's Travax Alert Service
-- Canada: Measles --
According to British Columbia's Centre for Disease Control, 29 cases of
measles have been reported since February, primarily in the Lower
Mainland region. These are the first reported cases since 2007.
Shoreland recommends vaccination for travelers born in 1957 or later
(1970 or later in Canada) without history of disease or of 2 adequate
doses of live vaccine at any time during their life.
-- China: U.K. Consular Bulletin --
On April 14, 2010, an earthquake with a magnitude between 6.9 and 7.1
struck Qinghai Province, particularly affecting the Tibetan Autonomous
Prefecture of Yushu. Widespread destruction and significant loss of life
have been reported. Those currently in China should avoid affected areas
and monitor local media reports
Published Date: April 14, 2010