BREAKING WEATHER:  AIRPORT DELAYS
CDC Investigates E.coli Outbreak in Several States

(Reuters) - The Centers for Disease Control and Prevention (CDC) and several other U.S. agencies are investigating an E.coli outbreak in five states, the CDC said  on Friday.

The CDC, the U.S. Department of Agriculture's Food Safety and Inspection Service, the U.S. Food and Drug Administration and several states are investigating the outbreak of toxin-producing E.coli O103 infections.

Escherichia coli, or E.coli bacteria, normally lives in the intestines of healthy people and animals. Although many strains of the bacteria are harmless, certain strains can cause severe abdominal cramps, bloody diarrhea and vomiting.

Georgia, Kentucky, Ohio, Tennessee and Virginia are the five states that have reported E.coli infections relating to particular strain of the bacteria.

As many as 72 people from these states have reported infections and eight have been hospitalized as of April 4, 2019, the agency said. No deaths were reported.

The investigation is still going on and the reason for the outbreak is yet to be identified, the agency said.

(Reporting by Aakash Jagadeesh Babu in Bengaluru; Editing by James Emmanuel)


Investigation Report

Posted April 5, 2019 at 11:30 AM ET

CDC, several states, the U.S. Department of Agriculture's Food Safety and Inspection Service, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Shiga toxin-producing Escherichia coli (E. coli) O103 infections. This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections.

Latest Outbreak Information
At A Glance
  • Reported Cases: 72
  • States: 5
  • Hospitalizations: 8
  • Deaths: 0
  • As of April 4, 2019, 72 people infected with the outbreak strain of E. coli O103 have been reported from five states.
    • Eight people have been hospitalized. No cases of hemolytic uremic syndrome (HUS) or deaths have been reported.
  • This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections.
  • CDC is not recommending that consumers avoid any particular food at this time. Restaurants and retailers are not advised to avoid serving or selling any particular food.
  • This is a rapidly evolving investigation. We will update our advice if a source is identified.
Advice to Consumers, Restaurants, and Retailers

Take action if you have symptoms of an E. coli infection:

  • Talk to your healthcare provider.
  • Write down what you ate in the week before you started to get sick.
  • Report your illness to the health department.
  • Assist public health investigators by answering questions about your illness.

Follow these general ways to prevent E. coli infection:

  • Wash your hands. Wash hands after using the restroom or changing diapers, before and after preparing or eating food, and after contact with animals.
  • Cook meats thoroughly to kill harmful germs. Cook steaks and roasts to at least 145 F and let rest for 3 minutes after you remove meat from the grill or stove. Cook ground beef and pork to at least 160 F. Use a food thermometer to check the temperature of the meat.
  • Don't cross-contaminate food preparation areas. Thoroughly wash hands, counters, cutting boards, and utensils after they touch raw meat.
  • Wash fruits and vegetables before eating, unless the package says the contents have been washed.
  • Avoid raw milk, other unpasteurized dairy products, and unpasteurized juices.
  • Don't prepare food or drink for others when you are sick.
Symptoms of E. coli Infection

  • People usually get sick from Shiga toxin-producing E. coli (STEC) 2-8 days (average of 3-4 days) after swallowing the germ.
  • Some people with a STEC infection may get a type of kidney failure called hemolytic uremic syndrome (HUS).
  • E. coli infection is usually diagnosed by testing a stool sample.
  • Antibiotics are not recommended for patients with suspected E. coli infections until diagnostic testing can be performed and E. coli infection is ruled out. Some studies have shown that administering antibiotics to patients with E. coli infections might increase their risk of developing HUS, and a benefit of treatment has not been clearly demonstrated.
  • For more information, see Symptoms of E. coli Infection.
Investigation Details

April 5, 2019

CDC, several states, the U.S. Department of Agriculture's Food Safety and Inspection Service, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Shiga toxin-producing E. coli O103 infections. This investigation includes E. coli O103 infections recently reported by the Kentucky Department of Public HealthExternal.

Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on E. coli bacteria isolated from ill people by using techniques called pulsed-field gel electrophoresis (PFGE) and whole genome sequencing (WGS). CDC PulseNet manages a national database of these DNA fingerprints to identify possible outbreaks. WGS gives a more detailed DNA fingerprint than PFGE. WGS performed on E. coli from ill people in this outbreak showed that they are closely related genetically. This means that the ill people are more likely to share a common source of infection.

As of April 4, 2019, 72 people infected with the outbreak strain of E. coli O103 have been reported from five states. CDC is reporting the 72 illnesses that PulseNet has confirmed are part of this outbreak. States are investigating additional illnesses that might be a part of this outbreak. A list of the states and the number of confirmed cases in each can be found on the Map of Reported Cases page.

Illnesses started on dates from March 2, 2019, to March 29, 2019. Ill people range in age from 1 to 74 years, with a median age of 17. Fifty-five percent are female. Of 47 people with information available, 8 (17%) have been hospitalized. No deaths and no cases of hemolytic uremic syndrome (HUS) have been reported.

This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections. State and local public health officials are interviewing ill people to determine what they ate and other exposures in the week before their illness started.

CDC will provide more information as it becomes available.

(Reuters) - The Centers for Disease Control and Prevention (CDC) and several other U.S. agencies are investigating an E.coli outbreak in five states, the CDC said  on Friday.

The CDC, the U.S.


Department of Agriculture's Food Safety and Inspection Service, the U.S. Food and Drug Administration and several states are investigating the outbreak of toxin-producing E.coli O103 infections.

Escherichia coli, or E.coli bacteria, normally lives in the intestines of healthy people and animals. Although many strains of the bacteria are harmless, certain strains can cause severe abdominal cramps, bloody diarrhea and vomiting.

Georgia, Kentucky, Ohio, Tennessee and Virginia are the five states that have reported E.coli infections relating to particular strain of the bacteria.

As many as 72 people from these states have reported infections and eight have been hospitalized as of April 4, 2019, the agency said. No deaths were reported.

The investigation is still going on and the reason for the outbreak is yet to be identified, the agency said.

(Reporting by Aakash Jagadeesh Babu in Bengaluru; Editing by James Emmanuel)


Investigation Report

Posted April 5, 2019 at 11:30 AM ET

CDC, several states, the U.S. Department of Agriculture's Food Safety and Inspection Service, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Shiga toxin-producing Escherichia coli (E. coli) O103 infections. This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections.

Latest Outbreak Information
At A Glance
  • Reported Cases: 72
  • States: 5
  • Hospitalizations: 8
  • Deaths: 0
  • As of April 4, 2019, 72 people infected with the outbreak strain of E. coli O103 have been reported from five states.
    • Eight people have been hospitalized. No cases of hemolytic uremic syndrome (HUS) or deaths have been reported.
  • This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections.
  • CDC is not recommending that consumers avoid any particular food at this time. Restaurants and retailers are not advised to avoid serving or selling any particular food.
  • This is a rapidly evolving investigation. We will update our advice if a source is identified.
Advice to Consumers, Restaurants, and Retailers

Take action if you have symptoms of an E. coli infection:

  • Talk to your healthcare provider.
  • Write down what you ate in the week before you started to get sick.
  • Report your illness to the health department.
  • Assist public health investigators by answering questions about your illness.

Follow these general ways to prevent E. coli infection:

  • Wash your hands. Wash hands after using the restroom or changing diapers, before and after preparing or eating food, and after contact with animals.
  • Cook meats thoroughly to kill harmful germs. Cook steaks and roasts to at least 145 F and let rest for 3 minutes after you remove meat from the grill or stove. Cook ground beef and pork to at least 160 F. Use a food thermometer to check the temperature of the meat.
  • Don't cross-contaminate food preparation areas. Thoroughly wash hands, counters, cutting boards, and utensils after they touch raw meat.
  • Wash fruits and vegetables before eating, unless the package says the contents have been washed.
  • Avoid raw milk, other unpasteurized dairy products, and unpasteurized juices.
  • Don't prepare food or drink for others when you are sick.
Symptoms of E. coli Infection

  • People usually get sick from Shiga toxin-producing E. coli (STEC) 2-8 days (average of 3-4 days) after swallowing the germ.
  • Some people with a STEC infection may get a type of kidney failure called hemolytic uremic syndrome (HUS).
  • E. coli infection is usually diagnosed by testing a stool sample.
  • Antibiotics are not recommended for patients with suspected E. coli infections until diagnostic testing can be performed and E. coli infection is ruled out. Some studies have shown that administering antibiotics to patients with E. coli infections might increase their risk of developing HUS, and a benefit of treatment has not been clearly demonstrated.
  • For more information, see Symptoms of E. coli Infection.
Investigation Details

April 5, 2019

CDC, several states, the U.S. Department of Agriculture's Food Safety and Inspection Service, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Shiga toxin-producing E. coli O103 infections. This investigation includes E. coli O103 infections recently reported by the Kentucky Department of Public HealthExternal.

Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on E. coli bacteria isolated from ill people by using techniques called pulsed-field gel electrophoresis (PFGE) and whole genome sequencing (WGS). CDC PulseNet manages a national database of these DNA fingerprints to identify possible outbreaks. WGS gives a more detailed DNA fingerprint than PFGE. WGS performed on E. coli from ill people in this outbreak showed that they are closely related genetically. This means that the ill people are more likely to share a common source of infection.

As of April 4, 2019, 72 people infected with the outbreak strain of E. coli O103 have been reported from five states. CDC is reporting the 72 illnesses that PulseNet has confirmed are part of this outbreak. States are investigating additional illnesses that might be a part of this outbreak. A list of the states and the number of confirmed cases in each can be found on the Map of Reported Cases page.

Illnesses started on dates from March 2, 2019, to March 29, 2019. Ill people range in age from 1 to 74 years, with a median age of 17. Fifty-five percent are female. Of 47 people with information available, 8 (17%) have been hospitalized. No deaths and no cases of hemolytic uremic syndrome (HUS) have been reported.

This investigation is still ongoing and a specific food item, grocery store, or restaurant chain has not been identified as the source of infections. State and local public health officials are interviewing ill people to determine what they ate and other exposures in the week before their illness started.

CDC will provide more information as it becomes available.