E. coli O157:H7 Outbreak at County Fair Linked to Lack of Proper Hand Washing and Animal Contact Controls

E. coli O157:H7 ,[object Object],[object Object],[object Object],[object Object]

Disease Process ,[object Object],[object Object],[object Object]

E. coli O157:H7 Pathology Intestinal cells form pedestals in response to E. coli O157:H7 proteins. The bacteria then can release the shiga-like toxin directly into the blood stream.

Symptoms ,[object Object],[object Object]

E. coli Illnesses at Fairs ,[object Object],[object Object]

Prevalence of E. coli O157:H7 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

1994 – Farm Visitor Center – England ,[object Object],[object Object],[object Object],[object Object]

1997 – Farms – Cornwall and West Devon, England ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2000 – Petting Zoo – Washington ,[object Object],[object Object],[object Object],[object Object]

2000 – Dairy Farm – Pennsylvania ,[object Object],[object Object],[object Object],[object Object]

2001 – Petting Zoo – Pennsylvania ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2001 – County Fair – Wisconsin ,[object Object],[object Object],[object Object],[object Object]

2001 – County Fair – Ohio ,[object Object],[object Object],[object Object],[object Object],[object Object]

2001 – County Fair – Ohio ,[object Object],[object Object],[object Object],[object Object]

2002 – Petting Zoo – Netherlands ,[object Object],[object Object],[object Object]

2002 – County Fair – Oregon ,[object Object],[object Object]

2003 – County Fair – Texas ,[object Object],[object Object],[object Object]

Pre-2004 CDC Recommendations ,[object Object],[object Object],[object Object],[object Object]

Additional Pre-2004 Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Additional Pre-2004 Recommendations, Cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Additional Pre-2004 Recommendations, Cont.

2004 N.C. State Fair Outbreak ,[object Object],[object Object],[object Object]

Recommendation v Reality ,[object Object],[object Object]

Recommendation v Reality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommendation v Reality ,[object Object],[object Object],[object Object],[object Object]

More Hand Washing Reality ,[object Object],[object Object]

Recommendation v Reality ,[object Object],[object Object],[object Object],[object Object],[object Object]

NCDACS and Crossroads ,[object Object],[object Object],[object Object]

E. coli O157:H7 Outbreak at County Fair Linked to Lack of Proper Hand Washing and Animal Contact Controls

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E. coli O157:H7 Outbreak at County Fair Linked to Lack of Proper Hand Washing and Animal Contact Controls