A multistate outbreak of Escherichia coli O157:H7 infections occurred in the United States in June and July 1997. Two concurrent outbreaks were investigated through independent case-control studies in Michigan and Virginia and by subtyping isolates with pulsed-field gel electrophoresis (PFGE). Isolates from 85 persons were indistinguishable by PFGE. Alfalfa sprouts were the only exposure associated with E. coli O157:H7 infection in both Michigan and Virginia. Seeds used for sprouting were traced back to one common lot harvested in Idaho. New subtyping tools such as PFGE used in this investigation are essential to link isolated infections to a single outbreak.
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USDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USAUSDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USA
Barak, JD
Whitehand, LC
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USDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USAUSDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USA
Whitehand, LC
Charkowski, AO
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USDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USAUSDA ARS, Western Reg Res Ctr, Food Safety & Hlth, Produce Safety & Microbiol Res, Albany, CA 94710 USA
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Ctr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Sharapov, Umid M.
Wendel, Arthur M.
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Ctr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Wisconsin Div Publ Hlth, 1 West Wilson St,POB 2659, Madison, WI 53703 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Wendel, Arthur M.
Davis, Jeffrey P.
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Wisconsin Div Publ Hlth, 1 West Wilson St,POB 2659, Madison, WI 53703 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Davis, Jeffrey P.
Keene, William E.
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Oregon Publ Hlth Div, 800 NE Oregon St, Portland, OR 97232 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Keene, William E.
Farrar, Jeffrey
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Calif Dept Hlth Serv, POB 997377,MS 0500, Sacramento, CA 95899 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Farrar, Jeffrey
Sodha, Samir
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Ctr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Sodha, Samir
Hyytia-Trees, Eija
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Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Hyytia-Trees, Eija
Leeper, Molly
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Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Leeper, Molly
Gerner-Smidt, Peter
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Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Gerner-Smidt, Peter
Griffin, Patricia M.
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Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA
Griffin, Patricia M.
Braden, Chris
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Ctr Dis Control & Prevent, Div Foodborne Waterborne & Environm Dis, Natl Ctr Emerging & Zoonot Infect Dis, 1600 Clifton Rd, Atlanta, GA 30329 USACtr Dis Control & Prevent, Epidem Intelligence Serv, 1600 Clifton Rd, Atlanta, GA 30329 USA