Thursday, July 12, 2018

PRO/EDR> Gastroenteritis - USA (03): (TN) zipline course

GASTROENTERITIS - USA (03): (TENNESSEE) ZIPLINE COURSE
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Date: Wed 11 Jul 2018
From: John Dunn <John.dunn@tn.gov> [edited]


Thank you for your post. In regards to moderator LL's comment, we are
in agreement. Although we are in the midst of an ongoing outbreak
investigation, we can provide a brief update. More information will be
forthcoming about pathogen testing. To date, testing has been
indicative of fecal contamination of the well. We are in the process
of collecting and testing stool specimens from ill persons using
laboratory techniques to identify multiple bacterial, viral, and
parasitic pathogens. Preliminary findings indicate that norovirus is
one pathogen contributing to illness. This is consistent with the
early epidemiological analyses of symptomology, incubation time, and
duration of illness. Investigation into other possible etiologies and
sources of transmission including the potential contribution of
waterborne, person-to-person, and fomite transmission will continue.
The venue has been cooperative and immediately complied with health
department requests for patron contact information and interventions
including switching to bottled water.

--
Communicated by:
John R. Dunn, DVM, PhD
Deputy State Epidemiologist
Communicable and Environmental Diseases & Emergency Preparedness
Tennessee Department of Health,
Nashville, TN
<John.dunn@tn.gov>

[ProMED and this moderator thank Dr. Dunn for his 1st hand information
regarding this ongoing investigation regarding this large waterborne
outbreak. - Mod.LL

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

[See Also:
Gastroenteritis - USA (02): (TN) zipline course
http://promedmail.org/post/20180710.5898080
Gastroenteritis - USA: (NC) restaurant-related, E. coli EPEC susp
http://promedmail.org/post/20180627.5873742
2017
----
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]
.................................................ll/ec/ml
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