{"id":10082,"date":"2025-03-01T14:02:40","date_gmt":"2025-03-01T19:02:40","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan128\/"},"modified":"2025-03-02T00:46:51","modified_gmt":"2025-03-02T05:46:51","slug":"dhan128","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan128\/","title":{"rendered":"php\/alerts\/dhan128 ~  Division of Public Health &#8211; &#8211; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan128.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->128 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->December 15, 2006 8:44 AM <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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States with Taco Bell restaurants where persons confirmed to have the outbreak strain have eaten are New Jersey, New York,\n\n\n  Pennsylvania, and Delaware. (The patient from South Carolina ate at a Taco Bell restaurant in Pennsylvania). Other cases of illness are\n\n\n  under investigation by state public health officials. Among these 71 ill persons, 53 (75%) were hospitalized and 8 (11%) developed a type\n\n\n  of kidney failure called hemolytic-uremic syndrome (HUS). Illness onset dates have ranged from November 20 to December 6. The number of\n\n\n  cases peaked in the last week of November. No illnesses were reported with onset within the past week, so the outbreak is over.\n\n\n<\/p>\n\n\n<p>\n\n\n  Cases in 48 of the 71 patients are confirmed, meaning that the patients\u2019 <em>E. coli<\/em> strains have the outbreak \u201cDNA\n\n\n  fingerprint.\u201d <em>E. coli O157<\/em> strains are routinely \u201cDNA fingerprinted\u201d at public health laboratories in all\n\n\n  states as part of PulseNet (the network of public health laboratories that sub-type bacteria). <em>E. coli O157<\/em> strains from other\n\n\n  cases are being tested by PulseNet. As a result of testing by PulseNet, cases with the outbreak strain \u201cfingerprint\u201d pattern\n\n\n  are being re-classified as confirmed cases, and cases with an unrelated \u201cfingerprint\u201d pattern are being dropped from the\n\n\n  outbreak case count.\n\n\n<\/p>\n\n\n<p>\n\n\n  CDC is working with state and local health officials, the Food and Drug Administration (FDA), the Department of Agriculture (USDA), and\n\n\n  the restaurant chain to determine what food caused the outbreak. Public health investigators have identified a few ingredients that were\n\n\n  consumed more often by ill persons than well persons and were statistically linked with illness: lettuce, cheddar cheese, and ground\n\n\n  beef. This analysis also indicates that onions of any type are not linked to this outbreak. Evaluation of additional information about\n\n\n  the locations of involved restaurants, the patterns of distribution of food ingredients, and the characteristics and preparation of food\n\n\n  ingredients indicates that shredded lettuce consumed at Taco Bell restaurants in the northeastern United States was the most likely\n\n\n  source of the outbreak. Because multiple Taco Bell restaurants were involved during the same time period, contamination of lettuce likely\n\n\n  occurred before reaching the restaurants. Health officials and the restaurant chain are working collaboratively to learn more about the\n\n\n  shredded lettuce to determine how it may have become contaminated.\n\n\n<\/p>\n\n\n<p>\n\n\n  Health officials in Minnesota and Iowa are investigating a separate outbreak of <em>E. coli O157<\/em> infections associated with another\n\n\n  fast food restaurant chain. They are reporting 27 and 50 associated illnesses, respectively. <em>E. coli O157<\/em> strains isolated from\n\n\n  patients in both states have indistinguishable \u201cDNA fingerprint\u201d patterns, confirming that the Iowa and Minnesota clusters\n\n\n  are linked. This pattern is distinct from the Taco Bell restaurant outbreak pattern. A strain that matches that of patients in this new\n\n\n  outbreak has also been isolated from an ill person in Wisconsin. Investigators in Minnesota and Iowa have independently identified\n\n\n  lettuce as the contaminated food vehicle. Traceback efforts are underway. The most recent onset of illness from a confirmed case in this\n\n\n  outbreak is December 8, and this outbreak is not considered over.\n\n\n<\/p>\n\n\n<p>\n\n\n  <em>E. coli O157<\/em> causes diarrhea that is often bloody and accompanied by severe abdominal cramps, but fever is typically absent or\n\n\n  mild. Persons who have developed such symptoms are advised to consult a physician to request that a stool sample be tested for <em>E.\n\n\n  coli<\/em>, and to inform their local health department.\n\n\n<\/p>\n\n\n<p>\n\n\n  For more information on <em>E. coli<\/em> infection and this outbreak, please refer to the following website: <a href=\"http:\/\/www.cdc.gov\/ecoli\/\">http:\/\/www.cdc.gov\/ecoli\/<\/a>\n\n\n<\/p>\n\n\n<p>\n\n\n  <strong>NOTE:<\/strong>\u00a0 The CDC HAN web site has been relocated. The link to the new site location is: <a href=\"http:\/\/www2a.cdc.gov\/HAN\/\">http:\/\/www2a.cdc.gov\/HAN\/<\/a>. If you maintain or contribute to a web site that links to the CDC HAN web site\n\n\n  you should update the link. Also, to ensure the widest dissemination of this change, it would be appreciated if you would distribute this\n\n\n  notification as appropriate. Thank you!\n\n\n<\/p><!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #128 December 15, 2006 8:44 AM Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10082","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10082","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10082"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10082\/revisions"}],"predecessor-version":[{"id":11258,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10082\/revisions\/11258"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}