i
Investigation of a staphylococcal food poisoning outbreak in a centralized school lunch program.
-
1993 Nov-Dec
Source: Public Health Rep. 108(6):765-771
Details:
-
Alternative Title:Public Health Rep
-
Personal Author:
-
Description:The trend in many communities toward centralized school lunch preparation potentially increases the risk of foodborne illness. Foods often are prepared long before serving and may be distributed to satellite schools by persons with little formal training in safe techniques of food preparation or food service. In May 1990, an outbreak of staphylococcal food poisoning occurred in elementary schools in a Rhode Island community participating in such a program. In the investigation of the outbreak, students in schools that reported cases were interviewed. Food preparation, handling, and distribution were reviewed. At School E, 662 lunches were prepared and distributed to 4 additional schools (schools A-D). Schools A and B accounted for nearly all cases of the food poisoning, with rates of 47 percent and 18 percent. Eating ham increased the risk of illness (62 percent of those consuming ham and 3 percent of those who did not, relative risk = 18.0, 95 percent confidence interval = 4.0, 313.4). Large amounts of Staphylococcus aureus were cultured, and preformed enterotoxin A was identified in leftover ham. A food handler, who tested positive for the implicated enterotoxic strain S. aureus, reported having removed the casings from two of nine warm ham rolls 48 hours prior to service. Because of improper refrigeration, prolonged handling, and inadequate reheating, the ham was held at temperatures estimated at 10-49 degrees Celsius (50-120 degrees Fahrenheit) for a minimum of 15 hours. The potential for larger outbreaks prompted a statewide training program in safe food preparation for school lunch personnel, which may have applications for other communities.
-
Subject:
-
Pubmed ID:8265762
-
Pubmed Central ID:PMCnull
-
Document Type:
-
Collection(s):
-
Main Document Checksum:urn:sha256:ddbb8e7e88f2c48a88c1abe77b22a7bece2a063ffeb4a16ecfb757fde0a975cf
-
File Type:
Supporting Files
-
No Additional Files
More +
Related Documents
-
- File Format:
- RIS
- File Format:
- RIS
- File Format:
- RIS
- File Format:
- RIS
- File Format:
- RIS
- File Format:
- RIS
Personal Author:Ku, L ;Sonenstein, F L...1993 Nov-Dec | Public Health Rep. 108(6):680-694Description:Analyses of a nationally representative survey of 1,880 15- to 19-year-old men were conducted to examine factors associated with (a) the age when firs...Health status indicators for the year 2000: projections for Allegheny County, Pennsylvania.CitePersonal Author:Carson, C A ;Zucconi, S L1993 Nov-Dec | Public Health Rep. 108(6):711-715Description:A consensus set of health status indicators was released in July 1991 by the Centers for Disease Control and Prevention for use by public health offic...Income and racial patterns of dietary vitamin C intake among black and white girls.CitePersonal Author:Simon, J A ;Schreiber, G B...1993 Nov-Dec | Public Health Rep. 108(6):760-764Description:The authors examined the influence of income and race on mean dietary vitamin C intake and the risk of dietary vitamin C intake at levels below the re...The impact of critical events of the 1980s on core functions for a selected group of local health departments.CitePersonal Author:Miller, C. Arden ;Moore, Karen S....1993 Nov-Dec | Public Health Rep. 108(6):695-700Description:Directors of 14 public health departments were surveyed for their perceptions on the impact of 20 critical events of the 1980s on public health perfor...The seroprevalence of cysticercosis, malaria, and Trypanosoma cruzi among North Carolina migrant farmworkers.CitePersonal Author:Ciesielski, S ;Seed, J R...1993 Nov-Dec | Public Health Rep. 108(6):736-741Description:A seroprevalence study of cysticercosis, Trypanosoma cruzi, and plasmodia species and screening for active malaria was conducted among a randomly sele...Personal Author:Marin, B V ;Gomez, C A...1993 Nov-Dec | Public Health Rep. 108(6):742-750Description:Greater understanding of psychosocial predictors of the use of condoms among Hispanics is needed in prevention efforts related to the human immunodefi...Personal Author:Swan, G E ;Habina, K...1993 Nov-Dec | Public Health Rep. 108(6):779-783Description:Cotinine concentration in various body fluids is considered to be among the most useful markers of nicotine exposure currently available. Despite the ...Personal Author:Trinkoff, A ;Parks, P L1993 Nov-Dec | Public Health Rep. 108(6):784-788Description:The estimated number of walker-related injuries to infants increased during the 1980s, and standards for walker design safety remain voluntary with no...Personal Author:Joos, S K ;Hickam, D H...1993 Nov-Dec | Public Health Rep. 108(6):751-759Description:Most patients have explicit desires or requests when they visit their physicians. Identification of patients' requests and needs is the starting point...Patterns and predictors of smoking cessation among users of a telephone hotline.CitePersonal Author:Jaén, C R ;Cummings, K M...1993 Nov-Dec | Public Health Rep. 108(6):772-778Description:Most former cigarette smokers in the United States have stopped without formal assistance. However, a large proportion of smokers desire and seek help...The use of scenario analysis in local public health departments: alternative futures for strategic planning.CitePersonal Author:Venable, J M ;Ma, Q L...1993 Nov-Dec | Public Health Rep. 108(6):701-710Description:Scenario analysis is a strategic planning technique used to describe and evaluate an organization's external environment. A methodology for conducting...Personal Author:Melnick, S L ;Burke, G L...1993 Nov-Dec | Public Health Rep. 108(6):673-679Description:A self-administered, confidential survey of respondents' history of selected sexually transmitted disease (STD) was conducted in 1987-88 among adults ...Personal Author:Dorfman, L ;Wallack, L1993 Nov-Dec | Public Health Rep. 108(6):716-726Description:Public service advertisements have been used by many in hopes of "selling" good health behaviors. But selling good behavior--even if it could be done ...
More +
You May Also Like
- File Format:
- RIS
- File Format:
- RIS
An Outbreak of Community-Acquired Foodborne Illness Caused by Methicillin-Resistant Staphylococcus aureus
Cite
Personal Author:
Jones, Timothy F. ;
Kellum, Molly E.
...
Jan 2002 | Emerg Infect Dis. 8(1):82-84.
Description:
Infections with methicillin-resistant Staphylococcus aureus (MRSA) are increasingly community acquired. We investigated an outbreak in which a food ha...
Outbreak of Staphylococcal Food Poisoning from a Military Unit Lunch Party — United States, July 2012
Cite
Personal Author:
Teague, Nathan S. ;
Grigg, Stephanie S.
...
Dec 20 2013 | MMWR Morb Mortal Wkly Rep. 2013; 62(50):1026-1028.
Description:
On July 30, 2012, the emergency department at a military hospital was visited by 13 persons seeking care for gastrointestinal illness with onset 2-3 h...
Checkout today's featured content at stacks.cdc.gov