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Published Date: 2017-03-15 13:05:18
Subject: PRO/AH/EDR> E. coli EHEC - USA (04): (OR) O157, soynut butter, preschool
Archive Number: 20170315.4902827
E. COLI EHEC - USA (04): (OREGON) O157, SOYNUT BUTTER, PRESCHOOL
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International Society for Infectious Diseases
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Date: Tue 14 Mar 2017 7:40 PM PDT
Source: KXL, KGW [edited]
http://www.kxl.com/e-coli-confirmed-portland-montessori-school/


A total of 6 people, including at least 3 children, have been infected with _E. coli_ at Montessori preschool of Alameda in Northeast Portland [Multnomah County]. [So far] 4 of the people, including 2 children, had the O157:H7 strain of _E. coli_ identified, which health officials say is the most severe type of the bacterium. 2 of those cases [so far] genetically matched the strain found in the recalled IM Healthy SoyNut Butter that sickened 16 other people in 9 states. 2 other children in Clackamas County were also infected by the soynut butter, according to state health officials.

The bacterium causes diarrhea and can produce a toxin that damages blood vessels, particularly in the kidneys.

"We are working closely with families, staff, and school administrators to stop the spread of this infection and understand how this outbreak happened," said Dr Jennifer Vines, Multnomah County Deputy Health Officer.

Most people with O157 strain of _E. coli_ get better within 5 to 7 days but others can have severe or life-threatening infections.

The Health Department is working with the school to prevent the spread of the illness.

[Byline: Grant McHill]

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Communicated by:
ProMED-mail
<promed@promedmail.org>

[Only 2 of the CDC's latest listing of cases in this outbreak of enterohemorrhagic _E. coli_ (https://www.cdc.gov/ecoli/2017/o157h7-03-17/map.html) were from Oregon, so with this report of 8 cases in the state, the total number is at least 22. 6 of the 8 cases were reported from the same preschool in Portland, Oregon. In settings such as preschools, households, and senior living centers, secondary cases can occur. - Mod.LL

The state of can be located on the HealthMap/ProMED-mail interactive map at http://healthmap.org/promed/p/58884. A county map can be seen at http://geology.com/county-map/oregon-county-map.gif. - Sr.Tech.Ed.MJ]

See Also

E. coli EHEC - USA (03): O157, soynut butter, more cases, recall 20170308.4887992
E. coli EHEC - USA (02): O157, soynut butter 20170307.4883675
E. coli EHEC - USA 20170302.4875298
2016
----
E. coli EHEC - USA (35): (KS) 0157, cider festival, RFI 20161105.4608827
E. coli EHEC - USA (34): O157, ground beef, alert, recall 20160927.4517488
E. coli EHEC - USA (33): (WA) O157, restaurant, separate strain 20160915.4490622
E. coli EHEC - USA (32): O157, foodborne 20160913.4484871
E. coli EHEC - USA (31): (WA) restaurant 20160911.4480793
E. coli EHEC - USA (30): (MO) school children, RFI 20160908.4472898
E. coli EHEC - USA (29): (MI) unpasteurized milk 20160827.4445879
E. coli EHEC - USA (27): (MT) O157, town celebration, RFI 20160807.4396767
E. coli EHEC - USA (26): (MI) cheese, alert, recall 20160807.4396765
E. coli EHEC - USA (25): O121, O26, flour, alert, expanded recall 20160726.4371012
E. coli EHEC - USA (24): (NH) 20160725.4367732
E. coli EHEC - USA (23): (WA) RFI 20160721.4360070
E. coli EHEC - USA (22): (IL) restaurant 20160715.4345845
E. coli EHEC - USA (21): (OH) ex Cote d'Ivoire 20160709.4333423
E. coli EHEC - USA (20): (OH) ex Cote d'Ivoire 20160707.4330781
E. coli EHEC - USA (19): (IL) restaurant 20160703.4323887
E. coli EHEC - USA (18): (CO) O157, restaurant 20160614.428461
E. coli EHEC - USA (17): (WA) RFI 20160611.4279449
E. coli EHEC - USA (16): O121, flour, alert, recall 20160602.4261085
E. coli EHEC - USA (15): (CA) possible creek water exposure 20160601.4258822
E. coli EHEC - USA (14) : O121, flour, alert, recall 20160601.4259202
E. coli EHEC - USA (13): (CT) O157, goat farm exposure, RFI 20160408.4146994
E. coli EHEC - USA (12): (CT) O157, goat farm exposure 20160401.4133414
E. coli EHEC - USA (11): O157, goat farm exposure 20160328.4123767
E. coli EHEC - USA (10): O157, goat farm exposure 20160327.4121606
E. coli EHEC - USA (09): goat farm exposure 20160325.4118888
E. coli EHEC - USA (08): O157, dough susp 20160318.4102909
E. coli EHEC - USA (07): (MN,KS) O157, pizza dough susp 20160316.4096967
E. coli EHEC - USA (06): (MN,WI) sprouts 20160224.4047813
E. coli EHEC - USA (05): (CA) O157, unpasteurized milk, alert, recall 20160224.4047551
E. coli EHEC - USA (04): (CA) O157, unpasteurized milk, alert, recall 20160213.4018874
E. coli EHEC - USA (03): (CA) O157, unpasteurized milk, alert, recall 20160210.4006446
E. coli EHEC - USA (02): (TN) O157, ground beef, alert, recall 20160124.3954200
2015
----
Salmonellosis, serotype Paratyphi B - USA: raw nut butter, alert, recall 20151205.3842006
2014
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Salmonellosis - USA (09): nut butters, alert, recall, st Braenderup 20140822.2713336
Salmonellosis - USA (08): nut butters, alert, recall 20140820.2707624
Salmonellosis, st Stanley - USA: cashew nut spread 20140111.2164774
.................................................ll/mj/dk