An outbreak of diarrhea and hemolytic uremic syndrome from Escherichia coli O157:H7 in fresh-pressed apple cider

Article Abstract:

Fresh-pressed apple cider has been implicated in an outbreak of Escherichia (E.) coli O157:H7 infections in Massachusetts in the fall of 1991. Infection with E.coli O157:H7 is characterized by bloody diarrhea and may cause hemolytic uremic syndrome (HUS), which is a form of kidney failure. Twenty-three people with laboratory-confirmed E.coli O157:H7 infections were identified. Ninety-six percent of the patients had diarrhea, and four of the children developed HUS. Of the first 18 patients identified, 13 (72%) had drunk apple cider, and twelve had drunk apple cider from a specific cider mill. Of the six who initially did not report exposure to cider from this mill, three later remembered drinking it, and two others lived in homes where other people drank the cider. The mill may may have used apples that were contaminated while on the ground - 90% percent of the apples pressed were collected from the ground - or the cider may have been contaminated during production. After inspection, the mill was cited for failure to wash apples.

Cider

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Outbreak of Salmonella Serotype Hartford Infections Associated With Unpasteurized Orange Juice

Article Abstract:

Consumption of unpasteurized orange juice was the likely cause of 62 cases of gastroenteritis at an Orlando, FL, theme park in 1995. Researchers compared 32 park visitors who developed diarrhea and fever, and 83 healthy park visitors. Ninety-seven percent of visitors with gastroenteritis reported drinking orange juice at the park, while only 54% of healthy people drank the juice. Salmonella Gaminara bacteria was detected in 10 of 12 orange juice samples tested, and Salmonella Hartford was found in the stool sample of one affected park visitor. Inadequate sanitizing processes at the orange juice manufacturer was responsible for the spread of the infectious bacteria.

Florida, Cases, Causes of, Salmonellosis, Microbial contamination, Fruit juices, Juices (Beverages), Pasteurization

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An outbreak of Escherichia coli O157 infection following exposure to a contaminated building

Article Abstract:

Twenty-three people who attended a county fair in Ohio in 2001 developed diarrhea from an Escherichia coli O157 infection. Nineteen had spent some time in a multi-purpose building that is used to show animals and also as a dance venue. Dust from the building tested positive for E coli O157 and even dust taken from the rafters was contaminated with E coli O157. Six of the patients had to be hospitalized and two developed hemolytic-uremic syndrome.

Ohio, All Other Amusement and Recreation Industries, Amusement and recreation, not elsewhere classified, Expositions & Fairs, Exhibition buildings, Hemolytic-uremic syndrome, Fairs

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