Scotland County Memorial Hospital: Caring for you when you need us  

LOCATIONS

Ambulance:
660-465-2131

Hospital:
660-465-8511

Poison Control:
800-222-1222

Email:

Address:
Rt. 1, Box 53
Memphis, MO
63555
 

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For more information or other questions you may have call 660-465-8511.

Multi-State Outbreak of Human Salmonella - Ongoing

Centers for Disease Control (CDC)
July (2008)

CDC is collaborating with public health officials in many states, the Indian Health Service

U.S. Food and Drug Administration (FDA) to investigate an ongoing multi-state outbreak of human Salmonella serotype Saintpaul infections.

An initial epidemiologic investigation comparing foods eaten by ill and well persons identified consumption of raw tomatoes as strongly linked to illness.

Recently, many clusters of illnesses have been identified in Texas and other states among persons who ate at restaurants.

These clusters have led us to broaden the investigation to be sure that it encompasses food items that are commonly consumed with tomatoes.

Since April, 943 persons infected with Salmonella Saintpaul with the same genetic fingerprint have been identified in 40 states, the District of Columbia, and Canada.

Patients range in age from <1 to 99 years; 50% are female.

The rate of illness is highest among persons 20 to 29 years old; the rate of illness is lowest in children 10 to 19 years old and in persons 80 or more years old.

At least 130 persons were hospitalized. One death in a man in Texas in his eighties has been associated with this outbreak.

In addition, a man in his sixties who died in Texas from cancer had an infection with the outbreak strain of Salmonella Saintpaul at the time of his death; the infection may have contributed to his death.

Missouri Reports Two in Salmonella Outbreak - 6 others

Missouri Department of
Health & Senior Services (DHSS)
July(2008)


Nanci Gonder
Office of Public Information
573-751-6062

State health department issues cautions about tomatoes
In the wake of a nationwide salmonella outbreak believed to be tied to eating certain types of raw red tomatoes.

Officials with the federal Centers for Disease Control and Prevention say two cases in Missouri match the outbreak pattern: both cases are from Eastern Missouri.

In addition, the State Public Health Laboratory says there have been six more cases of salmonella that fall into the same timeframe but are currently not counted as part of the outbreak by the CDC.

This has prompted the state Department of Health and Senior Services to advise Missourians to be careful which tomatoes they eat, and limit their tomato consumption to those that are not the likely source of this outbreak.

Generally, the tomatoes in question are raw red plum, Roma or round red tomatoes that have come from unapproved areas.

Those that are all right to eat include cherry tomatoes, grape tomatoes, those sold with the vine still attached and homegrown tomatoes.

A complete list of approved tomatoes and the areas from which they come is available on the federal Food and Drug Administration’s (FDA) web site: http://www.fda.gov/oc/opacom/hottopics/tomatoes.html.

“Currently, we are working with the Centers for Disease Control and Prevention, the FDA and a number of other states to try and determine the source,” says Harvey Marx, chief of the health department’s Bureau of Communicable Disease Control and Prevention.

“In the meantime, limit your consumption of raw tomatoes to those from the FDA’s approved list.”

Marx also wants consumers to be aware that raw tomatoes are often used in fresh salsa, guacamole and pico de gallo (a condiment made from fresh vegetables); are part of fillings for tortillas; and are used in many other dishes.

Officials warn the salmonella organism could actually be inside the tomatoes themselves, and no amount of washing will clean that away.

Health officials say that salmonella infections are marked by diarrhea, fever and abdominal cramps that can start anywhere from 12 to 72 hours after exposure.

The symptoms can last for four to seven days. Although most people recover without treatment, severe infections might occur.

Infants, elderly persons and those with impaired immune systems are more likely than others to develop severe illness.

When severe infection occurs, salmonella may spread from the intestines to the bloodstream and then to other body sites, and can cause death.

In these severe cases, antibiotic treatment may be necessary.

In addition to the cautions for this salmonella outbreak, people are generally advised to:

Refrigerate tomatoes within 2 hours or discard cut, peeled or cooked tomatoes.

Avoid purchasing bruised or damaged tomatoes and discard any that appear spoiled.

Thoroughly wash all tomatoes under running water.

Keep tomatoes that will be consumed raw separate from raw meats, raw seafood and raw produce items.

Wash cutting boards, dishes, utensils and counter tops with hot water and soap when switching between types of food products.

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