Details:

Alternative Title:
Epidemiol Infect
Publisher's site:
http://dx.doi.org/10.1017/S0950268813001908
Personal Author:
JACKSON, B. R. ; ZEGARRA, J. ALOMÍA ; LÓPEZ-GATELL, H. ; SEJVAR, J. ; ARZATE, F. ; ... More +
JACKSON, B. R. ; ZEGARRA, J. ALOMÍA ; LÓPEZ-GATELL, H. ; SEJVAR, J. ; ARZATE, F. ; WATERMAN, S. ; NÚÑEZ, A. SÁNCHEZ ; LÓPEZ, B. ; WEISS, J. ; CRUZ, R. QUINTERO ; MURRIETA, D. Y. LÓPEZ ; LUNA-GIERKE, R. ; HEIMAN, K. ; VIEIRA, A. R. ; FITZGERALD, C. ; KWAN, P. ; ZÁRATE-BERMÚDEZ, M. ; TALKINGTON, D. ; HILL, V. R. ; MAHON, B. Less -
Corporate Authors:
GBS Outbreak Investigation Team
Description:
In June 2011, a cluster of suspected cases of Guillain-Barré syndrome (GBS), which can follow Campylobacter jejuni infection, was identified in San Luis Río Colorado (SLRC), Sonora, Mexico and Yuma County, Arizona, USA. An outbreak investigation identified 26 patients (18 from Sonora, eight from Arizona) with onset of GBS 4 May-21 July 2011, exceeding the expected number of cases (n = 1-2). Twenty-one (81%) patients reported antecedent diarrhoea, and 61% of 18 patients tested were seropositive for C. jejuni IgM antibodies. In a case-control study matched on age group, sex, ethnicity, and neighbourhood of residence, all Arizona GBS patients travelled to SLRC during the exposure period vs. 45% of matched controls (matched odds ratio 8·1, 95% confidence interval 1·5-∞). Exposure information and an environmental assessment suggested that GBS cases resulted from a large outbreak of C. jejuni infection from inadequately disinfected tap water in SLRC. Binational collaboration was essential in investigating this cross-border GBS outbreak, the first in mainland North America since 1976.
Subject:
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Antibodies, Bacterial Article Campylobacter Infections Campylobacter Jejuni Case-Control Studies Disease Outbreaks Food Microbiology Guillain-Barre Syndrome Humans Public Health Surveillance Retrospective Studies Water Microbiology
Source:
Epidemiol Infect. 142(5):1089-1099
Pubmed ID:
23924442
Pubmed Central ID:
PMC6527315
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
Arizona ; Mexico
Arizona ; Mexico Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:38c6fe5e8af0e106adfad4791a27d78c5652605b181e79a8301076b8eb2f0f7d
Download URL:
https://stacks.cdc.gov/view/cdc/78652/cdc_78652_DS1.pdf
File Type:

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