By following this link you'll go directly to the site map at the end of each page
(EN)
   Person in charge: Stefano Morabito
You're in:
Focus on

Second Update!!! E. COLI EHEC - USA (15): O157, ROMAINE LETTUCE, MORE CASES, FATAL

E. COLI EHEC - USA (15): O157, ROMAINE LETTUCE, MORE CASES, FATAL

*****************************************************************
A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org>

Date: Fri 1 Jun 2018
Source: Centers for Disease Control and Prevention (CDC), _E. coli_homepage, 2018 outbreaks [edited] <https://www.cdc.gov/ecoli/2018/o157h7-04-18/index.html>


Multistate outbreak of _E. coli_ O157:H7 infections linked to romaine lettuce
---------------------------------------------------------------------
Case count update
-----------------
Since the last update on 16 May 2018, 25 more ill people [have been] added to this outbreak.

As of 30 May 2018, 197 people infected with the outbreak strain of_Escherichia coli_ O157:H7 have been reported from 35 states. Illnesses started on dates ranging from 13 Mar 2018 to 12 May 2018. Ill people range in age from 1 to 88 years, with a median age of 29. Sixty-eight per cent of ill people are female. Of 187 people with information available, 89 (48 per cent) have been hospitalized, including 26 people who developed hemolytic uremic syndrome, a type of kidney failure. 5 deaths have been reported: from Arkansas (1), California (1), Minnesota (2), and New York (1).

State / Ill People

Alaska / 8
Arkansas / 1
Arizona / 9
California / 45
Colorado / 3
Connecticut / 2
Florida / 1
Georgia / 5
Idaho / 11
Illinois / 2
Iowa / 1
Kentucky / 1
Louisiana / 1
Massachusetts / 4
Michigan / 5
Minnesota / 12
Mississippi / 1
Missouri / 1
Montana / 9
Nebraska / 1
New Jersey / 8
New York / 10
North Carolina / 1
North Dakota / 3
Ohio / 7
Oklahoma / 1
Oregon / 1
Pennsylvania / 24
South Dakota / 1
Tennessee / 3
Texas / 3
Utah / 1
Virginia / 1
Washington / 7
Wisconsin / 3
-------------
Total / 197

Illnesses that occurred after 6 May 2018 might not yet be reported due to the time it takes between when a person becomes ill with _E. coli_and when the illness is reported. This takes an average of 2 to 3 weeks.

Investigation update
--------------------
State and local health officials continue to interview ill people to ask about the foods they ate and other exposures they had before they became ill. Of the 158 people interviewed, 140 (89 per cent) reported eating romaine lettuce in the week before their illness started. This percentage is significantly higher than results from a survey of healthy people in which 46 per cent reported eating romaine lettuce in the week before they were interviewed.

Most of the people who recently became ill ate romaine lettuce when lettuce from the Yuma growing region was likely still available in stores, restaurants, or in peoples' homes. Some people who became sick did not report eating romaine lettuce, but had close contact with someone else who got sick from eating romaine lettuce.

This investigation is ongoing, and CDC will provide more information as it becomes available.

--
communicated by: ProMED-mail rapporteur Mary Marshall

[Most deaths related to EHEC are linked to the central nervous system complications of hemolytic uremic syndrome (HUS). This large and growing outbreak is the largest in the USA since 2006, with a significant percentage of hospitalizations (48 per cent) and HUS (14 per cent). - Mod.LL

HealthMap/ProMED-mail map of United States: <http://healthmap.org/promed/p/106>.]

[See Also:

E. coli EHEC - USA (14): (WA) sandwich shops http://promedmail.org/post/20180527.5820803
E. coli EHEC - USA (13): O157, romaine lettuce, increasing cases, fatality http://promedmail.org/post/20180517.5799620
E. coli EHEC - USA (12): O157, romaine lettuce, increasing cases, fatality http://promedmail.org/post/20180510.5791677
E. coli EHEC - USA (11): (OK) day care center http://promedmail.org/post/20180502.5780250
E. coli EHEC - USA (10): O157, romaine lettuce, fatality http://promedmail.org/post/20180502.5780249
E. coli EHEC - USA (09): O157, romaine lettuce http://promedmail.org/post/20180427.5771229
E. coli EHEC - USA (08): (CA) military outbreak, undercooked beef, 2017 http://promedmail.org/post/20180425.5769489
E. coli EHEC - USA (07): O157, romaine lettuce http://promedmail.org/post/20180425.5769488
E. coli EHEC - USA (06): O157, romaine lettuce http://promedmail.org/post/20180421.5761217
E. coli EHEC - USA (05): O157, romaine lettuce http://promedmail.org/post/20180418.5756056
E. coli EHEC - USA (04): O157, romaine lettuce http://promedmail.org/post/20180413.5745944
E. coli EHEC - USA (03): O157, expansion of NJ outbreak http://promedmail.org/post/20180411.5738813
E. coli EHEC - USA (02): (NJ) poss. restaurant chain link, RFI http://promedmail.org/post/20180405.5728398
E. coli EHEC - USA: O157, leafy greens http://promedmail.org/post/20180110.5550773

2017
---
E. coli EHEC - USA (39): relatedness to Canada isolates http://promedmail.org/post/20171229.5527271
E. coli EHEC - Canada (14): O157, lettuce, fatal http://promedmail.org/post/20171222.5518867
E. coli EHEC - Canada (13): O157, lettuce, fatal http://promedmail.org/post/20171215.5506384
E. coli EHEC - Canada (12): O157, lettuce http://promedmail.org/post/20171212.5497097
E. coli EHEC - USA (38): (CA) http://promedmail.org/post/20171212.5498214
E. coli EHEC - USA (37): raw dough, FDA alert http://promedmail.org/post/20171202.5479176
E. coli EHEC - USA (36): (CA) military outbreak, O157 http://promedmail.org/post/20171111.5436982
E. coli EHEC - USA (35): (CA) military outbreak, O157 http://promedmail.org/post/20171104.5424631
E. coli EHEC - USA (34): (CA) military outbreak, O157 http://promedmail.org/post/20171103.5422415
E. coli EHEC - USA (33): (CA) military outbreak, O157 http://promedmail.org/post/20171102.5421203
E. coli EHEC - USA (32): (CA) military outbreak, revised case numbers http://promedmail.org/post/20171102.5420166
E. coli EHEC - USA (31): (CA) military outbreak http://promedmail.org/post/20171101.5417972
E. coli EHEC - USA (30): (CA) military outbreak, RFI http://promedmail.org/post/20171031.5416569
E. coli EHEC - USA (29): (MI) farm animal exposures, RFI http://promedmail.org/post/20171030.5410350
E. coli EHEC - USA (28): (VT) O157, ground beef, alert, recall http://promedmail.org/post/20171014.5381117
E. coli EHEC - USA (27): (WI) O157, RFI http://promedmail.org/post/20170921.5330484
E. coli EHEC - USA (26): (MI) O157, antimicrobial resistance http://promedmail.org/post/20170824.5272308
E. coli EHEC - USA (25): (CA) O157, recreational water http://promedmail.org/post/20170818.5258783
E. coli EHEC - USA (24): (CO) county fair, RFI http://promedmail.org/post/20170811.5243577
E. coli EHEC - USA (23): (CA) recreational water http://promedmail.org/post/20170810.5240983
E. coli EHEC - USA (22): (CA) recreational water http://promedmail.org/post/20170804.5227891
E. coli EHEC - USA (21): (CA) recreational water http://promedmail.org/post/20170802.5220799
E. coli EHEC - USA (20): (CA) recreational water, RFI http://promedmail.org/post/20170731.5217061
E. coli EHEC - USA (19): (UT, AZ) O157, fatalities, susp. Livestock exposure http://promedmail.org/post/20170730.5215421
E. coli EHEC - USA (18): (UT, AZ) O157, fatalities http://promedmail.org/post/20170727.5206988
E. coli EHEC - USA (17): (OH) summer camp, RFI http://promedmail.org/post/20170724.5198725
E. coli EHEC - USA (16) : (MN) fatality http://promedmail.org/post/20170721.5195217
E. coli EHEC - USA (15): (UT) O157, fatalities http://promedmail.org/post/20170711.5167176
E. coli EHEC - USA (14): (UT) O157, fatalities http://promedmail.org/post/20170705.5152059
E. coli, EHEC - USA (13): (UT) fatalities, susp EHEC, RFI http://promedmail.org/post/20170703.5147181
E. coli EHEC - USA (12): (TX) http://promedmail.org/post/20170621.5121066
E. coli EHEC - USA (11): O157, deer droppings, water exposure, 2016 http://promedmail.org/post/20170511.5028649
E. coli EHEC - USA (10): O157, soynut butter http://promedmail.org/post/20170505.5014128
E. coli EHEC - USA (09): (AR) fatality, unrelated cases http://promedmail.org/post/20170422.4988037
E. coli EHEC - USA (08): (AR) fatality, RFI http://promedmail.org/post/20170421.4984124
E. coli EHEC - USA (07): (MA) O157, restaurant chain, RFI http://promedmail.org/post/20170414.4970974
E. coli EHEC - USA (06): O157, soynut butter http://promedmail.org/post/20170405.4949992
E. coli EHEC - USA (05): O157, soynut butter, CDC update http://promedmail.org/post/20170401.4941247
E. coli EHEC - USA (04): (OR) O157, soynut butter, preschool http://promedmail.org/post/20170315.4902827
E. coli EHEC - USA (03): O157, soynut butter, more cases, recall http://promedmail.org/post/20170308.4887992
E. coli EHEC - USA (02): O157, soynut butter http://promedmail.org/post/20170307.4883675
E. coli EHEC - USA http://promedmail.org/post/20170302.4875298]

Published 27-09-2017 in Focus on , last update 05-06-2018

Share: 

Legal information


© - Istituto Superiore di Sanità Viale Regina Elena 299 - 00161 - Roma (I)
Partita I.V.A. 03657731000 - C.F. 80211730587 - Legal information

ISS Home

Informiamo i visitatori, in virtù della individuazione delle modalità semplificate per l'informativa e l'acquisizione del consenso per l'uso dei cookie - 8 maggio 2014 (Pubblicato sulla Gazzetta Ufficiale n. 126 del 3 giugno 2014), che questo sito utilizza direttamente solo cookie tecnici.[Ho letto]