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North Carolina - State looking at 28 possible cases of E. coli infections - All visited State Fair

Farmer

Senior Moderator
It is early in the investigation. The story does not list the serotype. It may be a shigatoxin producer as some patients are undergoing intensive care.

http://www.wral.com/news/local/story/10298459/

Raleigh, N.C. ? The North Carolina Division of Public Health is investigating an E.coli outbreak in Wake County, affecting at least six children and one adult, state health department spokeswoman Renee McCoy said Tuesday.

Four people were hospitalized ? two had been discharged and two were in intensive care Tuesday, McCoy said. The state is working with the Wake County Health Department to determine whether the cases are related.
 
Re: E coli outbreak in Raleigh, NC

Re: E coli outbreak in Raleigh, NC

Posted: 2:22 p.m. today
Updated: 25 minutes ago

Nine E. coli cases confirmed; eight of those ill attended State Fair

Raleigh, N.C. ? The Wake County health department said Wednesday that they have confirmed two additional cases of E. coli infection in an outbreak that has sent three children to intensive care units at area hospitals.

Seven children and two adults have been infected with E. coli and eight of them attended the North Carolina State Fair, Sue Lynn Ledford, community health director for Wake County, said Wednesday. The victims range in age from two months to 62 years old.

The cause of their illness is not yet known, and Ledford emphasized that a visit to the fair is just one shared characteristic among those that got ill.
...
Five of the nine were hospitalized due to their illness. Three children remain in intensive care.

One boy, whose name was not released, is on dialysis at Duke University Hospital in Durham. Both his kidneys are failing due to the infection.

Full text:
http://www.wral.com/news/local/story/10302070/
 
North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

State looking at 21 possible cases of E. coli infections in 6 counties


There are 21 cases of E. coli illness confirmed or suspected in North Carolina, state health officials said today, citing 11 instances in Wake County.

A possible link between the patients and attendance at the N.C. State Fair is still not firmly established, said Dr. Megan Davies, state epidemiologist. Inspectors will be carrying out more intensive interviews of confirmed or suspected cases to build a database of possible common exposures.





 
Re: North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

Re: North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

North Carolina officials investigate E. coli outbreak

<!--endclickprintinclude--><!--startclickprintexclude--><!--no partner-->By Joe Sutton, CNN
updated 9:03 PM EST, Thu October 27, 2011


(CNN) -- Public health officials in North Carolina said Thursday eight cases of E. coli have been confirmed in the state, and 13 possible cases are being investigated in what they believe might be a growing outbreak.

Four of the confirmed cases are children, and three of them are being treated in hospitals for kidney failure -- a typical complication of E. coli, according to Public Information Officer Julie Henry of the North Carolina Health and Human Services.

The first illnesses were reported around October 15, Henry said. State officials believe that most of the victims attended the North Carolina State Fair, which ran from October 13 through October 23 in Raleigh and which drew nearly a million attendees.
...
"We want to make people overly aware that this is still the incubation period, so people can be getting sick," Henry said.

Full text:
http://www.cnn.com/2011/10/27/health/north-carolina-e-coli/
 
Re: North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

Re: North Carolina - State looking at 21 possible cases of E. coli infections in 6 counties

Shelby 2-year-old battles E.coli; state fair suspected


By Steve Lyttle
slyttle@charlotteobserver.comThe Charlotte Observer
Posted: Friday, Oct. 28, 2011

Excerpt:

Hunter Tallent, of Shelby, is hospitalized at Carolinas Medical Center and was in fair condition late Thursday night.
...
Lindsay Tallent told WBTV that her son ate a hot dog, a corn dog, some ice cream and drank lemonade at the fair. He did not visit the petting zoo and did not touch animals, she told WBTV.

A petting zoo was the source of a 2004 E.coli outbreak at the North Carolina State Fair that sickened 108 people.

Read more: http://www.charlotteobserver.com/20...y-2-year-old-battles-ecoli.html#ixzz1c5JvYV60


 
Re: North Carolina - State looking at 26 possible cases of E. coli infections in 6 counties

Re: North Carolina - State looking at 26 possible cases of E. coli infections in 6 counties

News Advisory Update: State Public Health Investigation Into E coli Outbreak<!-- InstanceEndEditable -->
<!-- InstanceBeginEditable name="subtitle" --><!-- InstanceEndEditable -->
<!-- InstanceBeginEditable name="pageText" -->
For release: Immediate October 28, 2011
Contact: Julie Henry (919) 855-4840

The N.C. Division of Public Health reports that it is now investigating 26 cases related to the E. coli outbreak. Ten cases are confirmed E. coli cases; 16 cases are still being investigated. The latest numbers and counties involved:

<TABLE class=datatableLeft width="25%"><TBODY><TR><TD>Wake</TD><TD align=right>14</TD></TR><TR><TD>Sampson</TD><TD align=right>6</TD></TR><TR><TD>Cleveland</TD><TD align=right>1</TD></TR><TR><TD>Durham</TD><TD align=right>1</TD></TR><TR><TD>Franklin</TD><TD align=right>1</TD></TR><TR><TD>Johnston</TD><TD align=right>1</TD></TR><TR><TD>Orange</TD><TD align=right>1</TD></TR><TR><TD>Wilson</TD><TD align=right>1</TD></TR></TBODY></TABLE>

Of the 26 cases under investigation, 13 are adults (18 years old or older) and 13 are children (under 18). Five people are hospitalized: four children and one adult. Samples continue to arrive at the state lab and testing will be performed through the weekend.

Current patient interview information shows that 23 of the 26 persons involved in the investigation report having attended the State Fair. Public health investigators continue to consider the North Carolina State Fair as the probable exposure for the outbreak. Public health officials will be contacting some fairgoers in the next phase of their investigation as they try to pinpoint the specific source. The N.C. Division of Public Health is working with the N.C. Department of Agriculture and Consumer Services on the investigation.

Updated information on case numbers in the investigation will be posted daily by 4 p.m., beginning on Friday 10/28, at

http://epi.publichealth.nc.gov/gcdc/ecoli.html

http://www.ncdhhs.gov/pressrel/2011/2011-10-28_ecoli.htm
 
Re: North Carolina - State looking at 26 possible cases of E. coli infections in 8 counties

Re: North Carolina - State looking at 26 possible cases of E. coli infections in 8 counties

10/29/11 Update
The N.C. Division of Public Health reports that it is now investigating 25 cases related to the E. coli outbreak. Eight cases are confirmed E. coli cases; 17 cases are still being investigated. The latest numbers and counties involved:

Wake - 12
Sampson - 7
Cleveland - 1
Durham - 1
Johnston - 1
Orange - 1
Wilson ? 2

Note: During an epidemiologic investigation, case counts may change as the
case definition changes. Initial case definitions are often broad and become
narrower as information is discovered from people during interviews and
understanding of the outbreak becomes clearer.
http://epi.publichealth.nc.gov/gcdc/ecoli.html
 
Re: North Carolina - State Fair - associated E. coli O157:H7 infections

Re: North Carolina - State Fair - associated E. coli O157:H7 infections

Press conference with NC state epidemiologist- confirms O157:H7 at 4.20 mins into video. Video's audio quality poor, hard to hear press questions, 28 mins.

http://www.wral.com/news/video/10318501/#/vid10318501

No environmental confirmation to date. Epidemiologic investigation (case-control study) continues.
 
Re: North Carolina - State looking at 26 possible cases of E. coli infections in 8 counties

Re: North Carolina - State looking at 26 possible cases of E. coli infections in 8 counties

10/31/11 Update
The N.C. Division of Public Health reports that it is now investigating 24 cases related to the E. coli outbreak. Nine cases are confirmed E. coli cases; 15 cases are still being investigated. The latest numbers and counties involved:

Wake - 11
Sampson - 7
Cleveland - 1
Durham - 1
Johnston - 1
Orange - 1
Wilson ? 2

Note: During an epidemiologic investigation, case counts may change as the
case definition changes. Initial case definitions are often broad and become
narrower as information is discovered from people during interviews and
understanding of the outbreak becomes clearer.
http://epi.publichealth.nc.gov/gcdc/ecoli.html
 
Re: North Carolina - State looking at 24 possible cases of E. coli infections - All visited State Fair

Re: North Carolina - State looking at 24 possible cases of E. coli infections - All visited State Fair

E. coli victims all visited state fair


BY ANNE BLYTHE - ablythe@newsobserver.com

RALEIGH -- The N.C. State Fair remains the focus of the investigation into an E. coli outbreak that resulted in nine confirmed and 15 suspected cases, state health officials said Monday.

Those numbers could fluctuate in the coming days as investigators continue to interview people about their comings and goings at the fair, officials with the state Division of Public Health said.

All 24 sick people were at the fair, said Dr. Megan Davies, the state epidemiologist. But investigators had not determined whether the cases were linked to a petting zoo, an animal exhibit or food vendor.
...

Four children and one adult remain hospitalized, according to Davies.





 
Re: North Carolina - State looking at 30 possible cases of E. coli infections - All visited State Fair

Re: North Carolina - State looking at 30 possible cases of E. coli infections - All visited State Fair

11/2/11 Update The N.C. Division of Public Health reports that it is now investigating 30 cases related to the E. coli outbreak. Twelve cases are confirmed E. coli cases; 18 cases are still being investigated. The latest numbers and counties involved:
Wake - 13
Sampson - 7
Cleveland - 1
Durham - 3
Johnston - 1
Lenoir - 1
Orange - 2
Wilson ? 2

http://epi.publichealth.nc.gov/gcdc/ecoli/ecoliwebupdate110211.pdf
 
Re: North Carolina - State looking at 30 possible cases of E. coli infections - All visited State Fair

Re: North Carolina - State looking at 30 possible cases of E. coli infections - All visited State Fair

Updated: 7:15 p.m. yesterday

Troxler mystified by State Fair's link to E. coli outbreak

Raleigh, N.C. ? State Agriculture Commissioner Steve Troxler said Wednesday that he is ?perplexed? by a growing E. coli outbreak linked to the North Carolina State Fair.

... Five children and one adult were still in the hospital Wednesday...

Results of lab tests that might shed more light on the outbreak are expected next week, public health officials said.

"Until the science says, 'This is what happened. This is where it happened,' I really don't know what else we can do," Troxler said.

To help eliminate possible causes, officials have recruited nearly 1,000 fairgoers who didn't get sick to fill out a questionnaire as part of a case control study.

Full text:
http://www.wral.com/news/local/story/10327678/
 
Re: North Carolina - State looking at 28 possible cases of E. coli infections - All visited State Fair

11/3/11 Update
The N.C. Division of Public Health reports that it is now investigating 28 cases
related to the E. coli outbreak. Twelve cases are confirmed E. coli cases; 16
cases are still being investigated. The latest numbers and counties involved:

Wake - 13
Sampson - 6
Cleveland - 1
Durham - 2
Johnston - 1
Lenoir - 1
Orange - 2
Wilson ? 2
http://epi.publichealth.nc.gov/gcdc/ecoli.html
 
Re: North Carolina - State looking at 28 possible cases of E. coli infections - All visited State Fair

State Fair livestock building source of E. coli outbreak

Raleigh, N.C. ? An E. coli outbreak that sickened 27 people has been linked to a livestock building at the North Carolina State Fair, state agriculture and health officials said Thursday.

The confirmed E. coli infections in 27 fairgoers were likely transmitted by animal exposure in the Kelley building, state epidemiologist Megan Davies said.

The Kelly building housed sheep, goats and pigs and hosted livestock competitions during the fair, but investigators haven't identified any specific animal or breed in the outbreak, she said. No other exhibits, food or activities at the State Fair were linked to the E. coli infections.

http://www.wral.com/news/local/story/10361924/
 
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