Sunday, July 8, 2018

PRO/AH/EDR> E. coli EHEC - USA (22): (WA) restaurants

E. COLI EHEC - USA (22): (WASHINGTON) RESTAURANTS
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A ProMED-mail post
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Date: Sat 7 Jul 2018
Source: Sky Valley Chronicle [edited]
<http://skyvalleychronicle.com/BREAKING-NEWS/King-County-Health-Dept-closes-two-Redmond-restaurants-associated-with-E-coli-outbreak-3252459>


The King County Health Dept. announced on Friday afternoon [6 Jul
2018] that it had closed 2 Redmond restaurants: I Love Sushi and
Sodexo's Cafe Mario, both located at Nintendo of America at 4600 150th
Ave NE, Redmond, WA. The eateries were "Closed by a Public Health food
inspector on 5 Jul 2018 at 5:30 pm due to the imminent health hazard
of an ongoing suspected foodborne illness investigation," said a news
release from the health dept.

The health department, in a posting on its web page, said that since 2
Jul 2018: "We have learned that 4 people (2 King and 2 Snohomish
County residents) have tested positive for enterohemorrhagic _E. coli_
(EHEC). All 4 consumed food from Cafe Mario in King County and work at
the Nintendo of America campus in Redmond. Symptoms included abdominal
cramps and bloody diarrhea. Illness onsets occurred during 25-28 Jun
2018. The 4 ill people consumed food from Cafe Mario on multiple days
during 18-22 Jun 2018; one ill person also ate at I Love Sushi on 19
and 26 Jun 2018, which is a food establishment that operates out of
Cafe Mario once a week."

On 3 Jul 2018, Seattle and King County Environmental Health
investigators visited Cafe Mario. Inspections were completed for both
Cafe Mario and I Love Sushi. "At Cafe Mario, potential risk factors
were identified, and corrective actions were discussed with Cafe
Mario's management, including inadequate hand washing practices and
improper cold holding temperatures of food," said the statement. "At I
Love Sushi, potential risk factors were also identified and discussed,
including improper temperature storage of foods. Both restaurants were
not open on 4 Jul 2018 due to it being a holiday."

On 5 Jul 2018, investigators closed Cafe Mario and the onsite I Love
Sushi food services. Both restaurants will remain closed until
approved to reopen by Public Health. Both food establishments will be
required to complete a thorough cleaning and disinfection before
reopening. Remaining food products are being held, and environmental
swabs were collected for laboratory testing.

"We are currently investigating whether any employees of these
restaurants had a recent diarrheal illness. Investigators also
reviewed with Cafe Mario's management the Washington State Retail Food
Code requirement that staff are not allowed to work while having
vomiting or diarrhea," said the Health Dept. statement.

Three of the 4 people who got sick tested positive for EHEC by a
healthcare provider. Further testing at the Washington State Public
Health Laboratory is pending, including determining the genetic
fingerprint and specific strain of EHEC that caused the illnesses. The
health dept. says the investigation is ongoing and that it will
provide more information as it becomes available.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Given the epidemiological link between the 4 cases, the genetic
fingerprints of each strain are likely to be identical. The posting
does not identify the serotype of the isolates, O157 or otherwise.
ProMED awaits more information regarding the food vehicle, whether
there are more primary or any secondary cases and whether hemolytic
uremic syndrome intervened in any case. - Mod.LL

HealthMap/ProMED map available at:
Washington State, United States: <http://healthmap.org/promed/p/248>]

[See Also:
E. coli EHEC - USA (21): (TN) O157, 2 clusters, 2 sources
http://promedmail.org/post/20180706.5891482
E. coli EHEC - USA (20): O157, romaine lettuce, water source
http://promedmail.org/post/20180702.5882323
E. coli EHEC - USA (19): (UT, AZ) O157, 2017
http://promedmail.org/post/20180616.5858104
E. coli EHEC - USA (18): (TN) raw milk, more cases
http://promedmail.org/post/20180614.5856110
E. coli EHEC - USA (17): (OR) O111, daycare center
http://promedmail.org/post/20180613.5854733
E. coli EHEC - USA (16): (TN) raw milk
http://promedmail.org/post/20180607.5844304
E. coli EHEC - USA (15): O157, romaine lettuce, more cases, fatal
http://promedmail.org/post/20180604.5837662
E. coli EHEC - USA (14): (WA) sandwich shops
http://promedmail.org/post/20180527.5820803
E. coli EHEC - USA (13): O157, romaine lettuce, increasing cases,
fatality http://promedmail.org/post/20180517.5799620
E. coli EHEC - USA (12): O157, romaine lettuce, increasing cases,
fatality http://promedmail.org/post/20180510.5791677
E. coli EHEC - USA (11): (OK) day care center
http://promedmail.org/post/20180502.5780250
E. coli EHEC - USA (10): O157, romaine lettuce, fatality
http://promedmail.org/post/20180502.5780249
E. coli EHEC - USA (09): O157, romaine lettuce
http://promedmail.org/post/20180427.5771229
E. coli EHEC - USA (08): (CA) military outbreak, undercooked beef,
2017 http://promedmail.org/post/20180425.5769489
E. coli EHEC - USA (07): O157, romaine lettuce
http://promedmail.org/post/20180425.5769488
E. coli EHEC - USA (06): O157, romaine lettuce
http://promedmail.org/post/20180421.5761217
E. coli EHEC - USA (05): O157, romaine lettuce
http://promedmail.org/post/20180418.5756056
E. coli EHEC - USA (04): O157, romaine lettuce
http://promedmail.org/post/20180413.5745944
E. coli EHEC - USA (03): O157, expansion of NJ outbreak
http://promedmail.org/post/20180411.5738813
E. coli EHEC - USA (02): (NJ) poss. restaurant chain link, RFI
http://promedmail.org/post/20180405.5728398
E. coli EHEC - USA: O157, leafy greens
http://promedmail.org/post/20180110.5550773
2017
---
E. coli EHEC - USA (39): relatedness to Canada isolates
http://promedmail.org/post/20171229.5527271
E. coli EHEC - Canada (14): O157, lettuce, fatal
http://promedmail.org/post/20171222.5518867
E. coli EHEC - Canada (13): O157, lettuce, fatal
http://promedmail.org/post/20171215.5506384
E. coli EHEC - Canada (12) : O157, lettuce
http://promedmail.org/post/20171212.5497097
E. coli EHEC - USA (38): (CA)
http://promedmail.org/post/20171212.5498214
E. coli EHEC - USA (37): raw dough, FDA alert
http://promedmail.org/post/20171202.5479176
E. coli EHEC - USA (36): (CA) military outbreak, O157
http://promedmail.org/post/20171111.5436982
E. coli EHEC - USA (35): (CA) military outbreak, O157
http://promedmail.org/post/20171104.5424631
E. coli EHEC - USA (34): (CA) military outbreak, O157
http://promedmail.org/post/20171103.5422415
E. coli EHEC - USA (33): (CA) military outbreak, O157
http://promedmail.org/post/20171102.5421203
E. coli EHEC - USA (32): (CA) military outbreak, revised case numbers
http://promedmail.org/post/20171102.5420166
E. coli EHEC - USA (31): (CA) military outbreak
http://promedmail.org/post/20171101.5417972
E. coli EHEC - USA (30): (CA) military outbreak, RFI
http://promedmail.org/post/20171031.5416569
E. coli EHEC - USA (29): (MI) farm animal exposures, RFI
http://promedmail.org/post/20171030.5410350
E. coli EHEC - USA (28): (VT) O157, ground beef, alert, recall
http://promedmail.org/post/20171014.5381117
E. coli EHEC - USA (27): (WI) O157, RFI
http://promedmail.org/post/20170921.5330484
E. coli EHEC - USA (26): (MI) O157, antimicrobial resistance
http://promedmail.org/post/20170824.5272308
E. coli EHEC - USA (25): (CA) O157, recreational water
http://promedmail.org/post/20170818.5258783
E. coli EHEC - USA (24): (CO) county fair, RFI
http://promedmail.org/post/20170811.5243577
E. coli EHEC - USA (23): (CA) recreational water
http://promedmail.org/post/20170810.5240983
E. coli EHEC - USA (22): (CA) recreational water
http://promedmail.org/post/20170804.5227891
E. coli EHEC - USA (21): (CA) recreational water
http://promedmail.org/post/20170802.5220799
E. coli EHEC - USA (20): (CA) recreational water, RFI
http://promedmail.org/post/20170731.5217061
E. coli EHEC - USA (19): (UT, AZ) O157, fatalities, susp. livestock
exposure http://promedmail.org/post/20170730.5215421
E. coli EHEC - USA (18): (UT, AZ) O157, fatalities
http://promedmail.org/post/20170727.5206988
E. coli EHEC - USA (17): (OH) summer camp, RFI
http://promedmail.org/post/20170724.5198725
E. coli EHEC - USA (16) : (MN) fatality
http://promedmail.org/post/20170721.5195217
E. coli EHEC - USA (15): (UT) O157, fatalities
http://promedmail.org/post/20170711.5167176
E. coli EHEC - USA (14): (UT) O157, fatalities
http://promedmail.org/post/20170705.5152059
E. coli, EHEC - USA (13): (UT) fatalities, susp EHEC, RFI
http://promedmail.org/post/20170703.5147181
E. coli EHEC - USA (12): (TX)
http://promedmail.org/post/20170621.5121066
E. coli EHEC - USA (11): O157, deer droppings, water exposure, 2016
http://promedmail.org/post/20170511.5028649
E. coli EHEC - USA (10): O157, soynut butter
http://promedmail.org/post/20170505.5014128
E. coli EHEC - USA (09): (AR) fatality, unrelated cases
http://promedmail.org/post/20170422.4988037
E. coli EHEC - USA (08): (AR) fatality, RFI
http://promedmail.org/post/20170421.4984124
E. coli EHEC - USA (07): (MA) O157, restaurant chain, RFI
http://promedmail.org/post/20170414.4970974
E. coli EHEC - USA (06): O157, soynut butter
http://promedmail.org/post/20170405.4949992
E. coli EHEC - USA (05): O157, soynut butter, CDC update
http://promedmail.org/post/20170401.4941247
E. coli EHEC - USA (04): (OR) O157, soynut butter, preschool
http://promedmail.org/post/20170315.4902827
E. coli EHEC - USA (03): O157, soynut butter, more cases, recall
http://promedmail.org/post/20170308.4887992
E. coli EHEC - USA (02): O157, soynut butter
http://promedmail.org/post/20170307.4883675
E. coli EHEC - USA http://promedmail.org/post/20170302.4875298]
.................................................ll/msp/jh
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