Outbreak of E. coli O157:H7 Infections Associated with Exposure to Animal Manure in a Rural Community - Arizona and Utah, June-July 2017
| Autor: | Allyn Nakashima, Sarah Luna, Melanie Sarino, Roumen Penev, Jennifer Wagner, Melissa Dimond, Deidre Barlow, Mackenzie Tewell, Louise Saw, Laura Gieraltowski, Laine McCullough, Jeffrey Eason, Jenna Weigand, Morgan N Schroeder, Matthew E. Wise, Colin Basler, Anna Scherzer, Cindy Burnett, Vikram Krishnasamy, Marilee Kellis, Kelly F. Oakeson, Keegan McCaffrey, Rashida Hassan, Lori Smith |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Male Rural Population medicine.medical_specialty Health (social science) Adolescent Epidemiology Health Toxicology and Mutagenesis media_common.quotation_subject 030106 microbiology Escherichia coli O157 Disease Outbreaks 03 medical and health sciences Young Adult Health Information Management Hygiene Environmental health Utah Medicine Animals Humans Horses Full Report Child Escherichia coli Infections media_common Rural community Shiga-Toxigenic Escherichia coli business.industry Transmission (medicine) Arizona Outbreak Infant General Medicine Environmental Exposure Manure 030104 developmental biology Child Preschool Cattle Female Rural area business Contact tracing |
| Zdroj: | Morbidity and Mortality Weekly Report |
| ISSN: | 1545-861X |
| Popis: | On June 26, 2017, a hospital in southern Utah notified the Utah Department of Health of Shiga toxin-producing Escherichia coli (STEC) O157:H7 infections in two children from a small community on the Arizona-Utah border. Both children developed hemolytic uremic syndrome, characterized by hemolytic anemia, acute kidney failure, and thrombocytopenia and died within a few days of illness onset. Over the next few days, several more STEC-associated illnesses were reported in residents of the community. A joint investigation by local and state health agencies from Arizona and Utah and CDC was initiated to identify the outbreak source and prevent additional cases; a total of 12 cases were identified, including the two children who died. Investigators initially explored multiple potential sources of illness; epidemiologic and environmental information revealed cow manure contact as the likely initial cause of the outbreak, which was followed by subsequent person-to-person transmission. One of the outbreak strains was isolated from bull and horse manure collected from a yard near a community household with two ill children. Local health agencies made recommendations to the public related to both animal contact and hand hygiene to reduce the risk for STEC transmission. Animal or animal manure contact should be considered a potential source of STEC O157:H7 during outbreaks in communities where ruminants are kept near the home. |
| Databáze: | OpenAIRE |
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