Tuesday, July 10, 2018

PRO/EDR> Gastroenteritis - USA (02): (TN) zipline course

GASTROENTERITIS - USA (02): (TENNESSEE) ZIPLINE COURSE
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International Society for Infectious Diseases
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Date: Tue 10 Jul 2018
Source: WKYT [edited]
<http://www.wkyt.com/content/news/487803691.html>


In response to a survey sent out by health officials, at least 548
people reported gastrointestinal illness after visiting CLIMB Works in
Gatlinburg, Tennessee since 15 Jun 2018. That number is likely a low
estimate.

According to Gail Harmon, East Tennessee regional assistant director
with the Tennessee Department of Health, 2901 surveys were sent out to
people who booked zip line tours online with CLIMB Works. As of
Tuesday morning, 10 Jul 2018, 808 people had responded, with 548 of
those reporting illness.

Of the 808 responses, Harmon said 505 people said they had parties
varying in size from 2 to 30 people, but the surveys did ask how many
in the party became sick. It did determine one common denominator
though: well water served out of coolers placed along the zipline
course.

A spokeswoman with the health department said water testing was
conducted, and several samples came back positive for _E. coli_ and
total coliforms. Those samples are now being sent to Nashville for
further testing, and officials plan to continue testing, such as
environmental sampling, to support the investigation.

Those sick are reporting symptoms such as vomiting and diarrhea.

Health officials said that anyone who visited CLIMB Works and is
experiencing any symptoms associated with gastrointestinal illness
should contact their health care provider.

CLIMB Works Smoky Mountains told Gray-TV affiliate WVLT on Mon 9 Jul
2018 that 80 to 100 people called the business to report symptoms of
gastrointestinal illness after visiting its zipline attraction in
Gatlinburg.

Harmon said multiple complaints about sickness at the zip line course
prompted the investigation to begin after 4 Jul 2018.

According to a recent review on CLIMB Works' Facebook page, one woman
said she went on a tour on Sat 7 Jun 2018, and by the next afternoon,
she was sick, along with 2 children aged 9 and 11 years old, and 5
others. She wrote that she believed contaminated coolers of water
along the course were the culprit. "Vomiting, diarrhea, tiredness,
terrible sickness," she said.

Other visitors commented on her review, saying they had become sick
after tours on dates as far back as 16 Jun 2018. One person said 10 of
the 12 people in their group were even bedridden, and several people
commented that they had become so sick, they took trips to the
emergency room.

CLIMB said it is complying completely and has begun serving bottled
water since health officials told them to stop using well water.
Manager Brian Turley said a new water filtration system was installed
on Tue 10 Jul 2018.

CLIMB Works responded to several of the comments on Facebook, saying
they "feel awful if we had any part in anyone getting sick. We did
contact the Health Department to try to pinpoint if it was water
contamination or the contagious stomach bug that has been affecting
the area this summer," CLIMB Works wrote.

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

[Finding that the water had _E. coli_ and other coliform bacteria does
not necessarily mean that _E. coli_ of any of the enteropath types was
the cause or one of the causes of this large outbreak associated with
a zipline site. Fecally contaminated water can contain a number of
pathogens. No information is given regarding any testing done on the
affected individuals. - Mod.LL

HealthMap/ProMED map available at:
Tennessee, United States: <http://healthmap.org/promed/p/244>]

[See Also:
Gastroenteritis - USA: (NC) restaurant-related, E. coli EPEC susp
http://promedmail.org/post/20180627.5873742
2017
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Gastroenteritis - USA: (VA) restaurant, susp. norovirus
http://promedmail.org/post/20170720.5191492
E. coli gastroenteritis - USA: (MS) restaurant, EPEC, EAEC
http://promedmail.org/post/20170115.4763624
2016
----
Gastroenteritis - USA (02): (CA) elderly, fatal, RFI
http://promedmail.org/post/20161201.4666461
Gastroenteritis - USA: (CA) elderly, fatal, RFI
http://promedmail.org/post/20161129.4663486
Undiagnosed gastroenteritis - USA: (OH) resort, RFI
http://promedmail.org/post/20160717.4347998
Gastroenteritis - Canada: (AB)
http://promedmail.org/post/20160513.4220075]
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