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Retired: This Document Has Been Retired. It should not be used in public health or clinical practice.
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Source Identified and Case Definition Established: Multistate Investigation of Non-Travel Associated Burkholderia pseudomallei Infections (Melioidosis) in Four Patients: Georgia, Kansas, Minnesota, and Texas – 2021 [November 03, 2021]

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  • Description:
    November 03, 2021, 11:00 AM ET

    CDCHAN-00456

    Whole genome sequencing (WGS) at the Centers for Disease Control and Prevention (CDC) confirmed that the strain of Burkholderia pseudomallei in bottles of aromatherapy room spray matches the bacterial strain that sickened all four patients. The outbreak strain was identified in a bottle of “Lavender & Chamomile” scented room spray found in the home of the Georgia resident who was infected and died from B. pseudomallei infection (melioidosis) in July 2021. That same outbreak strain was also identified in an unopened bottle of the same scented product recalled from a Walmart store in a different state.

    This Health Alert Network (HAN) Health Update is an update to HAN Health Update 455: Source Implicated in Fatal Case in Georgia: Multistate Investigation of Non-travel Associated Burkholderia pseudomallei Infections (Melioidosis) in Four Patients: Georgia, Kansas, Minnesota, and Texas—2021 that CDC issued on October 22, 2021. The purpose of this HAN Update is to share an interim case definition, case notification guidance, and case reporting guidance for public health jurisdictions investigating additional potential cases related to this outbreak.

    This investigation was previously described in HAN Health Update 448: New Case Identified: Multistate Investigation of Non-travel Associated Burkholderia pseudomallei Infections (Melioidosis) in Four Patients: Georgia, Kansas, Minnesota, and Texas—2021 that was issued on August 09, 2021, and HAN Health Advisory 444: Multistate Investigation of Non-travel Associated Burkholderia pseudomallei Infections (Melioidosis) in Three Patients: Kansas, Texas, and Minnesota—2021 that was issued on June 30, 2021.

  • Content Notes:
    Notice of Possible Alert Expiration: The CDC Health Alert, Advisory, Update, and Info Service announcements, distributed by the Health Alert Network (HAN), were active on the date they were originally published. Publication dates have been added to Titles for clarity. A CDC Health Alert, Advisory, Update, and Info Service announcement may expire at any time. They may also be updated or superseded according to later developments. None of the CDC Health Alert, Advisory, Update, or Info Service announcements in the Stacks HAN Collection should be assumed to be current or active. Stacks preserves HAN announcements in order to maintain a record of past CDC actions. Stacks in not designed for up-to-the-minute notifications. For the list of current CDC Health Alert, Advisory, Update, or Info Service announcements, patrons should visit the Health Alert Network (HAN) webpage at https://www.cdc.gov/han/php/about/index.html. For up to the minute reports, subscribe to the HAN email alert system hosted by CDC News & Updates at https://tools.cdc.gov/campaignproxyservice/subscriptions.aspx?topic_id=USCDC_486

    Categories of Health Alert Network (HAN) messages:

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    Health Advisory: May not require immediate action; provides important information for a specific incident or situation.

    Health Update: Unlikely to require immediate action; provides updated information regarding an incident or situation.

    HAN Info Service: Does not require immediate action; provides general public health information.

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    HAN ; 456
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    00456
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    urn:sha-512:e28daa0139ab705ab45d3572c2d0cffda3facaffedebb0b382a7ba4586f34015293bb1e627c29a1321aa93268a6d8eb30bfabd54739c87189cda7f2a670582b9
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