An Outbreak of Escherichia coli O157:H7 Infection from Unpasteurized Commercial Apple Juice
- Sara H. Cody, MD;
- M. Kathleen Glynn, DVM, MPVM;
- Jeff A. Farrar, DVM, MPH, PhD;
- K. Lisa Cairns, MD, MPH;
- Patricia M. Griffin, MD;
- John Kobayashi, MD;
- Murray Fyfe, MD, MSc, FRCPC;
- Richard Hoffman, MD, MPH;
- Arlene S. King, MD, FRCPC;
- Jay H. Lewis, BS;
- Balasubr Swaminathan, PhD;
- Raymond G. Bryant, BA; and
- Duc J. Vugia, MD, MPH
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From California Department of Health Services, Berkeley, Sacramento, California; Centers for Disease Control and Prevention,
Atlanta, Georgia; Washington State Department of Health, Shoreline, Washington; British Columbia Centre for Disease Control,
Vancouver, British Columbia, Canada; Laboratory Centre for Disease Control, Health Canada, Ottawa, Ontario, Canada; and Colorado
Department of Public Health and Environment, Denver, Colorado.
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Figure 1. Each box represents one outbreak-associated case. Outbreak-associated cases ofEscherichia coliO157:H7 by date of diarrhea onset (n= 70) for British Columbia, California, Colorado,
and Washington (fall 1996).
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Figure 2. Apple juice and blended juices containing apple juice that were produced on 7 October 1996 could have been consumed
at any time during their 17-day shelf life or after the expiration date. At least 2 days usually elapse between production
of juice and retail sale. Dates of consumption of brand A apple juice for case-patients exposed to only one juice on one date (n= 31) for British Columbia,
California, Colorado, and Washington (fall 1996).
- Copyright ©2004 by the American College of Physicians
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Ann Intern Med
February 2, 1999
vol. 130
no. 3
202-209
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View larger version:Figure 1. Each box represents one outbreak-associated case. Outbreak-associated cases ofEscherichia coliO157:H7 by date of diarrhea onset (n= 70) for British Columbia, California, Colorado, and Washington (fall 1996).
View larger version:Figure 2. Apple juice and blended juices containing apple juice that were produced on 7 October 1996 could have been consumed at any time during their 17-day shelf life or after the expiration date. At least 2 days usually elapse between production of juice and retail sale. Dates of consumption of brand A apple juice for case-patients exposed to only one juice on one date (n= 31) for British Columbia, California, Colorado, and Washington (fall 1996).
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