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E. coli outbreak kills 1, sickens nearly 100

In September 2006 there was an outbreak of the disease E. coli in 21 U.S. states^[1][2][3]. Wikipedia does not have an article with this exact name. ... Image File history File links Wikinews-logo. ... Wikinews is a free-content news source and a project of the Wikimedia Foundation. ... September 2006 is the ninth month of 2006 and has begun on a Friday. ... Binomial name Escherichia coli T. Escherich, 1885 Low-temperature electron micrograph of a cluster of E. coli bacteria, magnified 10,000 times. ... United States is the current Good Article Collaboration of the week! Please help to improve this article to the highest of standards. ...

Since 2006-08-02, one person has died and 111 people have fallen ill, including 16 who suffered a type of kidney failure called hemolytic uremic syndrome after eating spinach contaminated with the E. coli O157:H7, a potentially deadly bacterium that causes bloody diarrhea and dehydration ^[4]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... August 2 is the 214th day of the year in the Gregorian Calendar (215th in leap years), with 151 days remaining. ... Renal failure is when the kidneys fail to function properly. ... In medicine, Hemolytic-uremic syndrome (or haemolytic-uraemic syndrome, abbreviated HUS) is a disease characterised by microangiopathic hemolytic anemia, acute renal failure and a low platelet count (thrombopenia). ... Escherichia coli O157:H7 is an emerging cause of foodborne illness. ... Phyla/Divisions Actinobacteria Aquificae Bacteroidetes/Chlorobi Chlamydiae/Verrucomicrobia Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Nitrospirae Omnibacteria Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Bacteria (singular, bacterium) are a major group of living organisms. ... Diarrhea or diarrhoea (see spelling differences) is a condition in which the sufferer has frequent watery, loose bowel movements (from the ancient Greek word διαρροή = leakage; lit. ...

The FDA has called for spinach to be removed from shelves, and warned not to eat any kind of spinach and that "If you wash it, it is not going to get rid of it," because the disease attaches itself to the spinach. This article or section is in need of attention from an expert on the subject. ...

Cause

Spinach

The outbreak was traced to bagged uncooked spinach. Two companies in California have voluntarily recalled spinach and spinach-containing products: Natural Selection Foods LLC^[5], based in San Juan Bautista, California, and River Ranch Fresh Foods ^[6][7][8]. Natural Selection brands include Natural Selection Foods, Pride of San Juan, Earthbound Farm, Bellissima, Dole, Rave Spinach, Emeril, Sysco, O Organic, Fresh Point, River Ranch, Superior, Nature's Basket, Pro-Mark, Compliments, Trader Joe's, Ready Pac, Jansal Valley, Cheney Brothers, D'Arrigo Brothers, Green Harvest, Mann, Mills Family Farm, Premium Fresh, Snoboy, The Farmer's Market, Tanimura & Antle, President's Choice, Cross Valley, and Riverside Farms. Affected brads from River Ranch include Hy-Vee, Farmer's Market and Fresh and Easy. Wikipedia does not have an article with this exact name. ... Wikipedia does not have an article with this exact name. ... Plastic shopping bags/Carrier bags are a common type of shopping bag in several countries. ... Binomial name Spinacia oleracea L. Percentages are relative to US RDI values for adults. ... Official language(s) English Capital Sacramento Largest city Los Angeles Area  Ranked 3rd  - Total 158,302 sq mi (410,000 km²)  - Width 250 miles (400 km)  - Length 770 miles (1,240 km)  - % water 4. ... The current corporate logo Hy-Vee Food Stores is an employee-owned chain of supermarkets located in the Midwestern United States. ...

Impact

States affected by the E. coli outbreak

As of 2006-09-19, 21 states are affected, and 111 cases of the disease are currently reported. 10 cases are reported to be serious, with one death.. Spinach has also been distributed to Canada and Mexico. There have been over 400 produce-related outbreaks in North America since 1990 ^[9]. Image File history File links Download high-resolution version (886x578, 52 KB) File history Legend: (cur) = this is the current file, (del) = delete this old version, (rev) = revert to this old version. ... Image File history File links Download high-resolution version (886x578, 52 KB) File history Legend: (cur) = this is the current file, (del) = delete this old version, (rev) = revert to this old version. ... Binomial name Escherichia coli T. Escherich, 1885 Escherichia coli (usually abbreviated to E. coli) is one of the main species of bacteria that live in the lower intestines of warm-blooded animals (including birds and mammals) and are necessary for the proper digestion of food. ... 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 19 is the 262nd day of the year (263rd in leap years). ...

The states reported to be affected are:

• Connecticut
• Idaho
• Indiana
• Kentucky
• Michigan
• New Mexico
• Ohio
• Oregon
• Utah
• California
• Washington
• Wisconsin
• Maine
• Minnesota
• Nevada
• New York
• Pennsylvania
• Virginia
• Wyoming
• Illinois
• Nebraska

A death occured in Wisconsin where 29 are reported affected, 11 of which are from Milwaukee. This article or section does not cite its references or sources. ... Official language(s) None Capital Boise Largest city Boise Area  Ranked 14th  - Total 83,642 sq. ... Official language(s) English Capital Indianapolis Largest city Indianapolis Area  Ranked 38th  - Total 36,418 sq mi (94,321 km²)  - Width 140 miles (225 km)  - Length 270 miles (435 km)  - % water 1. ... This article or section does not cite its references or sources. ... Official language(s) None (English, de-facto) Capital Lansing Largest city Detroit Area  Ranked 11th  - Total 97,990 sq mi (253,793 km²)  - Width 239 miles (385 km)  - Length 491 miles (790 km)  - % water 41. ... Capital Santa Fe Largest city Albuquerque Area  Ranked 5th  - Total 121,665 sq mi (315,194 km²)  - Width 342 miles (550 km)  - Length 370 miles (595 km)  - % water 0. ... Official language(s) None Capital Columbus Largest city Columbus Largest metro area Cleveland Area  Ranked 34th  - Total 44,825 sq mi (116,096 km²)  - Width 220 miles (355 km)  - Length 220 miles (355 km)  - % water 8. ... Official language(s) None Capital Salem Largest city Portland Area  Ranked 9th  - Total 98,466 sq mi (255,026 km²)  - Width 260 miles (420 km)  - Length 360 miles (580 km)  - % water 2. ... Official language(s) English Capital Salt Lake City Largest city Salt Lake City Area  Ranked 13th  - Total 84,876 sq mi (219,887 km²)  - Width 270 miles (435 km)  - Length 350 miles (565 km)  - % water 3. ... Official language(s) English Capital Sacramento Largest city Los Angeles Area  Ranked 3rd  - Total 158,302 sq mi (410,000 km²)  - Width 250 miles (400 km)  - Length 770 miles (1,240 km)  - % water 4. ... This article does not cite its references or sources. ... Official language(s) None Capital Madison Largest city Milwaukee Area  Ranked 23rd  - Total 65,498 sq. ... Official language(s) None Capital Augusta Largest city Portland Area  - Total   - Width   - Length    - % water  - Latitude  - Longitude Ranked 39th 33,414 sq mi  86,542 km² 190 miles  305 km 320 miles  515 km 13. ... Capital Saint Paul Largest city Minneapolis Area  Ranked 12th  - Total 87,014 sq mi (225,365 km²)  - Width 250 miles (400 km)  - Length 400 miles (645 km)  - % water 8. ... This article does not cite its references or sources. ... Official language(s) English de facto Capital Albany Largest city New York City Area  Ranked 27th  - Total 54,520 sq mi (141,205 km²)  - Width 285 miles (455 km)  - Length 330 miles (530 km)  - % water 13. ... Official language(s) None Capital Harrisburg Largest city Philadelphia Area  Ranked 33rd  - Total 46,055 sq mi (119,283 km²)  - Width 160 miles (255 km)  - Length 280 miles (455 km)  - % water 2. ... This article does not cite its references or sources. ... This article does not cite its references or sources. ... Official language(s) English Capital Springfield Largest city Chicago Area  Ranked 25th  - Total 57,918 sq mi (149,998 km²)  - Width 210 miles (340 km)  - Length 390 miles (629 km)  - % water 4. ... Official language(s) English Capital Lincoln Largest city Omaha Area  Ranked 16th  - Total 77,421 sq mi (200,520 km²)  - Width 210 miles (340 km)  - Length 430 miles (690 km)  - % water 0. ... This article is about Milwaukee in Wisconsin. ...

Effects of E. coli

For further information, see the article on E. coli

E. coli is generally found in animal manure, uncooked produce, raw milk, unpasteurized juice, untreated water and meat, including raw hamburgers. The bacteria can be destroyed through thorough cooking, though some say that it doesn't necessarly destroy all the bacteria.^[10] Binomial name Escherichia coli T. Escherich, 1885 Escherichia coli (usually abbreviated to E. coli) is one of the main species of bacteria that live in the lower intestines of warm-blooded animals (including birds and mammals) and are necessary for the proper digestion of food. ... Phyla Subregnum Parazoa Porifera (sponges) Subregnum Agnotozoa Placozoa (trichoplax) Orthonectida (orthonectids) Rhombozoa (dicyemids) Subregnum Eumetazoa Radiata (unranked) (radial symmetry) Ctenophora (comb jellies) Cnidaria (coral, jellyfish, anemones) Bilateria (unranked) (bilateral symmetry) Acoelomorpha (basal) Myxozoa (slime animals) Superphylum Deuterostomia (blastopore becomes anus) Chordata (vertebrates, etc. ... Animal manure is often a mixture of animals feces and bedding straw, as in this example from a stable. ... Supermarket produce section Produce is a general term for a group of farm-produced goods, generally limited to fruits and vegetables. ... Impact of a drop of water. ... Raw describes material that is in its natural unprocessed form, or has not had the final stages of processing. ... Subgroups Actinobacteria Aquificae Bacteroidetes/Chlorobi Chlamydiae/Verrucomicrobia Chloroflexi Chrysiogenetes Cyanobacteria Deferribacteres Deinococcus-Thermus Dictyoglomi Fibrobacteres/Acidobacteria Firmicutes Fusobacteria Gemmatimonadetes Nitrospirae Planctomycetes Proteobacteria Spirochaetes Thermodesulfobacteria Thermomicrobia Thermotogae Bacteria (singular: bacterium) is everything in the kingdom Monera make up the majority of all living organisms. ...

Timeline

On 2006-09-14, the FDA warned consumers about an E. coli outbreak that was tied to bags of fresh spinach. The FDA reported that they received complaints from 19 states in the United States. ^[11][12] The FDA advised "that consumers not eat bagged fresh spinach" ^[13]. Three days later, their updated warning said not to eat "fresh spinach or fresh spinach-containing products" ^[14]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 14 is the 257th day of the year in the Gregorian calendar (258th in leap years). ... The United States Food and Drug Administration is the government agency responsible for regulating food, dietary supplements, drugs, cosmetics, medical devices, biologics and blood products in the United States. ... Binomial name Escherichia coli T. Escherich, 1885 Escherichia coli (usually abbreviated to E. coli) is one of the main species of bacteria that live in the lower intestines of warm-blooded animals (including birds and mammals) and are necessary for the proper digestion of food. ...

On 2006-09-17, the United States expanded the warning to avoid all fresh spinach ^[15]. The Centers for Disease Control started to investigate the E. Coli outbreak. Wisconsin Governor Jim Doyle formally requested the federal aid on 2006-09-15. His office said the CDC will help assess the causes and the magnitude of the outbreak in his state ^[16]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 17 is the 260th day of the year (261st in leap years). ... The Centers for Disease Control and Prevention (CDC) in Atlanta is recognized as the lead United States agency for protecting the public health and safety of people by providing credible information to enhance health decisions, and promoting health through strong partnerships with state health departments and other organizations. ... James Edward Doyle (born November 23, 1945) is an American politician and member of the Democratic Party. ... In economics, a subsidy is generally a monetary grant given by a government to lower the price faced by producers or consumers of a good, generally because it is considered to be in the public interest. ... 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 15 is the 258th day of the year (259th in leap years). ...

On 2006-09-18, Illinois and Nebraska reported their first cases of E. coli infection due to spinach, bringing the total number of affected states to 21. Ohio public health officials are investigating a 2-year-old's death that may also be linked ^[17]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 18 is the 261st day of the year (262nd in leap years). ... Official language(s) English Capital Springfield Largest city Chicago Area  Ranked 25th  - Total 57,918 sq mi (149,998 km²)  - Width 210 miles (340 km)  - Length 390 miles (629 km)  - % water 4. ... Official language(s) English Capital Lincoln Largest city Omaha Area  Ranked 16th  - Total 77,421 sq mi (200,520 km²)  - Width 210 miles (340 km)  - Length 430 miles (690 km)  - % water 0. ...

On 2006-09-19, it was reported that there may be a link to a further death in Ohio and irrigation water is being investigated as a possible source ^[18][19]. This is the 9th outbreak traced to the Salinas Valley in California and the 25th leafy green E. coli outbreak (spinach or lettuce) in the United States since 1993 ^[20]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 19 is the 262nd day of the year (263rd in leap years). ... Official language(s) None Capital Columbus Largest city Columbus Largest metro area Cleveland Area  Ranked 34th  - Total 44,825 sq mi (116,096 km²)  - Width 220 miles (355 km)  - Length 220 miles (355 km)  - % water 8. ... The Salinas Valley in the Central Coast region of California lies along the Salinas River between the Gabilan Mountains and the Santa Lucia Range. ... Official language(s) English Capital Sacramento Largest city Los Angeles Area  Ranked 3rd  - Total 158,302 sq mi (410,000 km²)  - Width 250 miles (400 km)  - Length 770 miles (1,240 km)  - % water 4. ... Binomial name Escherichia coli T. Escherich, 1885 Escherichia coli (usually abbreviated to E. coli) is one of the main species of bacteria that live in the lower intestines of warm-blooded animals (including birds and mammals) and are necessary for the proper digestion of food. ... Binomial name Spinacia oleracea L. Percentages are relative to US RDI values for adults. ... Binomial name Lactuca sativa L. Percentages are relative to US RDI values for adults. ...

As of 2006-09-18, the number of people sickened by the E. coli laced fresh spinach has reached 111 ^[21]. 2006 (MMVI) is a common year starting on Sunday of the Gregorian calendar. ... September 18 is the 261st day of the year (262nd in leap years). ...

References