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SALMONELLOSIS OUTBREAK CAUSED BY PEANUT BUTTER
An unusual source for a salmonellosis outbreak in the USA has been found: As of 27 Feb 2007 at 12 PM EST, 370 persons infected with the outbreak strain of Salmonella Tennessee have been reported to the Centers for Disease Control and Prevention (CDC) from 42 states. And the organism comes from peanut butter!

Among 294 patients for whom clinical information is available, 60 (20 per cent) were hospitalized.
No deaths have been attributed to this infection. Onset dates, which are known for 256 patients, ranged from 1 Aug 2006 to 16 Feb 2007, and 62 per cent of these illnesses began after 1 Dec 2006.

PulseNet (the national subtyping network for foodborne disease surveillance coordinated by CDC) detected a slowly rising increase in cases of _Salmonella_ Tennessee this fall. OutbreakNet (the national network of public health officials coordinated by CDC that investigates enteric
disease outbreaks) then worked for several weeks to identify this unusual food vehicle.

Public health officials from several states have isolated salmonella from open jars of peanut butter of both Peter Pan and Great Value brands. For 9 jars, the serotype has been confirmed as Tennessee and DNA fingerprinting has shown that the pattern is the outbreak strain.

FDA officials and the peanut butter manufacturer are working collaboratively to learn more about production of peanut butter to determine how it may have become contaminated.

The states that have reported cases are Alaska (1 case), Alabama (10), Arkansas (3), Arizona (5), California (4), Colorado (11), Connecticut (2),
Florida (4), Georgia (18), Iowa (7), Illinois (9), Indiana (15), Kansas (9), Kentucky (10), Massachusetts (6), Maryland (2), Maine (1), Michigan (9), Minnesota (5), Missouri (17), Mississippi (5), Montana (2), Nebraska (2), Nevada (1), New Jersey (6), New Mexico (1), New York (41), North Carolina (22), North Dakota (1), Ohio (9), Oklahoma (11), Oregon (2),
Pennsylvania (27), South Carolina (8), South Dakota (6), Tennessee (18), Texas (16), Virginia (23), Vermont (7), Washington (4), Wisconsin (6), and West Virginia (4).



Source: www.promedmail.org

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Panorama
Clean Hands Save Horses - adapted to the WHO´s Clean Hands Save Lives initiative Even before the discovery of germs, the practice of hand hygiene had revealed itself as a crucial element in the fight against infectious diseases. In fact, supported by the historical discoveries and more recent evidence based data, the World Health Organization considers hand hygiene as the pillar of infection control, particularly when related to nosocomial infections. Therefore, the World Health Organization has a strong focus on “Clean Hands Save Lives” campaigns, a principle that is easily translatable into “Clean Hands Save Horses”.

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