Sunday, September 9, 2018

PRO/AH/EDR> E. coli EHEC - USA (25): (WA) raw milk

E. COLI EHEC - USA (25): (WASHINGTON) RAW MILK
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Date: Fri 7 Sep 2018
Source: KIMA-TV [edited]
<http://kimatv.com/news/local/two-in-washington-infected-with-e-coli-after-drinking-raw-milk>


Health experts are warning people in Washington of the possible
dangers of drinking raw milk after 2 people in the state fell ill with
_E. coli_.

The Washington State Department of Health reported on Fri 7 Sep 2018
that an Island County child under the age of 5 and a Clallam County
person in their 70s became ill with _E. coli_ after drinking Dungeness
Valley Creamery raw milk.

Experts caution that raw milk doesn't go through the pasteurization
process where harmful germs and bacteria are destroyed. Epidemiologist
Dr. Scott Lindquist said children, the elderly, pregnant women and
those with a weakened immune system are at a greater risk of being
infected.

_E. coli_ can cause a number of symptoms including severe diarrhea,
stomach cramps, and even kidney failure.

[Byline: Marie Schurk]

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Communicated by:
ProMED-mail
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[Although not specifically stated, the _E. coli_ is certainly an
enterohemorrhagic serotype such as O157:H7. Unlike most _E. coli_,
these organisms are zoonotic and can be transmitted from raw milk and
other unpasteurized dairy products. There is some history of possible
exposure to farm animals but a clear link to unpasteurized milk
through "cow sharing."

In the March 2012 issue of Emerging Infectious Diseases (Langer AJ,
Ayers T, Grass J, Lynch M, Angulo FJ and Mahon BE. Nonpasteurized
dairy products, disease outbreaks, and state laws -- United States,
1993-2006. Emerg Infect Dis. 2012; 18(3): 385-91
<http://wwwnc.cdc.gov/eid/article/18/3/11-1370_article>), the authors
report on 121 foodborne outbreaks (with 4413 cases of reported
illness) caused by contaminated dairy products, and 73 (60 per cent)
were involved with unpasteurized dairy products. 65 (54 per cent)
involved cheese (42 per cent made from unpasteurized milk) and 56
involved fluid milk (82 per cent involved unpasteurized milk). In
these outbreaks, _Campylobacter_ spp were responsible for 54 per cent
of the outbreaks, followed by _Salmonella_ spp (22 per cent),
enterohemorrhagic _E. coli_ (13 per cent), _Brucella_ spp (4 per
cent), _Listeria_ (4 per cent), and _Shigella_ spp (3 per cent).

Clearly, pasteurized milk can also transmit disease, and 48 outbreaks
were reported. The source of contamination was reported in only 7 (14
per cent), of which at least 4 resulted from post-pasteurization
contamination by an infected food handler.

The reader is directed to the article for additional information and
discussion.

Classical zoonotic organisms such as _Brucella abortus_, _Brucella
melitensis_, _Mycobacterium bovis_, _Salmonella_ species, _Listeria
monocytogenes_, _Campylobacter_ species, _Yersinia_ species, _Coxiella
burnetii_, and _E. coli_ O157:H7 are associated with the ingestion of
raw milk. Non-zoonotic organisms such as _Streptococcus pyogenes_,
_Salmonella_ Typhi, _Corynebacterium diphtheriae_, _Shigella_ spp,
_Salmonella_ Paratyphi A, _Salmonella_ Paratyphi B, enterotoxins from
_Staphylococcus aureus_, and hepatitis A have also been associated
with the ingestion of raw milk. - Mod.LL

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

[See Also:
E. coli EHEC - USA (24): (FL) O26, grocery chain ground beef, alert,
recall http://promedmail.org/post/20180831.5998786
E. coli EHEC - USA (23): (OK) possible recreational water exposure
http://promedmail.org/post/20180801.5941698
E. coli EHEC - USA (22): (WA) restaurants
http://promedmail.org/post/20180708.5893948
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]
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