Outbreak of Shiga Toxin–Producing Escherichia coli O111 Infections Associated with a Correctional Facility Dairy – Colorado, 2010

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Bosch, Stacey A. ; Campbell, Corey ; Comstock, Nicole ; Durso, Lisa ; Kiefer, Max J. ; Reynolds, Stephen J. ; Towle, Meredith ; Warner, Amy
• Description:
  On April 20, 2010, the Colorado Department of Public Health and Environment (CDPHE) was notified by correctional authorities regarding three inmates with bloody diarrhea at a minimum-security correctional facility. The facility, which houses approximately 500 inmates, is a designated work center where inmates are employed or receive vocational training. Approximately 70 inmates work at an onsite dairy, which provides milk to all state-run correctional facilities in Colorado. CDPHE immediately began an investigation and was later assisted by the High Plains Intermountain Center for Agricultural Health and Safety at Colorado State University and by CDC. This report describes the results of the investigation, which determined that the illnesses were caused by Shiga toxin-producing Escherichia coli O111 (STEC O111) infections. During April-July, 10 inmates at the facility received a diagnosis of laboratory-confirmed STEC O111 infection, and a retrospective prevalence study of 100 inmates found that, during March-April, 14 other inmates had experienced diarrheal illness suspected of being STEC O111 infection. Pulsed-field gel electrophoresis (PFGE) testing indicated that STEC O111 isolates from inmates matched STEC O111 isolates from cattle at the onsite dairy. An environmental investigation determined that inmates employed at the dairy might have acquired STEC O111 infection on the job or transported contaminated clothing or other items into the main correctional facility and kitchen, thereby exposing other inmates. To prevent similar outbreaks in correctional facilities, authorities should consult with public health officials to design and implement effective infection control measures. [Description provided by NIOSH]
• Subjects:
  Agriculture Animal Husbandry Animals Bacterial Infections Communicable Disease Control Communicable Diseases Correctional Facilities Dairy Products Diagnosis Electrophysiology Food Contamination Hazardous Substances Law Enforcement Microbiology Occupational Health Safety

  More +
• Keywords:
  Disease-incidence; Disease-control; Infectious-diseases; Infection-control; Microorganisms; Correctional-facilities; Dairy-products; Agriculture; Agricultural-products; Food-contaminants; Law-enforcement-workers; Toxins; Bacterial-infections; Electrophysiological-examinations; Diagnostic-tests; Animal-husbandry; Animal-products; Contaminated-food; Work-practices; Control-systems; Controlled-environment
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Colorado ; OSHA Region 8
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OD - Office of the Director
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  5 pdf pages
• Volume:
  61
• Issue:
  9
• NIOSHTIC Number:
  nn:20040448
• Citation:
  MMWR 2012 Mar; 61(9):149-152
• Email:
  crcampbell@cdc.gov
• Federal Fiscal Year:
  2012
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  Colorado Department of Public Health and Environment
• Peer Reviewed:
  False
• Start Date:
  20100701
• End Date:
  20150630
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR) National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:51ee19e5d2a919a2d063264a6a68cf3e72f93b5f972e5d88bf438ed8dbe0845a566d764c514b58098ecc0584100c2ddd5985c234b7f23e116ce931ba9af3a527
• Download URL:
  https://stacks.cdc.gov/view/cdc/248499/cdc_248499_DS1.pdf
• File Type:
  [PDF - 424.95 KB ]