A multistate outbreak of hepatitis A caused by the consumption of raw oysters

Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We co...

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Published in:American journal of public health (1971) Vol. 81; no. 10; pp. 1268 - 1272
Main Authors: Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France), Klontz, K.C, Wilder, M.H, Nainan, O.V, Margolis, H.S, Gunn, R.A
Format: Journal Article
Language:English
Published: Washington, DC Am Public Health Assoc 01-10-1991
American Public Health Association
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Abstract Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish
AbstractList BACKGROUND. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. METHODS. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. RESULTS. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P less than .001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. CONCLUSIONS. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish.
Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Results. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P 0.001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. Conclusions. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish
In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P less than .001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish.
In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Cases of hepatitis A (HA) with onset in July-August 1988 were identified among persons who ate seafoods harvested in the coastal waters of Panama City, Florida. We conducted a case-control study, using eating companions of case-patients, and calculated attack rate (AR) per 1000 dozen raw oysters served. Enzyme immunoassay (EIA) and a polymerase chain reaction (PCR) technique were performed on samples of raw shellfish obtained from Panama City coastal waters. Sixty-one case-patients were identified in five states: Alabama (23), Georgia (18), Florida (18), Tennessee (1), and Hawaii (1). We found an increased risk of HA for raw oyster eaters (odds ratio = 24.0; 95% confidence interval = 5.4-215.0; P less than .001). The AR of HA in seafood establishments was 1.9/1000 dozen raw oysters served. The EIA and PCR revealed HA virus antigen and nucleic acid in oysters from both unapproved and approved oyster beds, in confiscated illegally harvested oysters, and in scallops from an approved area. The monitoring of coastal waters and the enforcement of shellfish harvesting regulations were not adequate to protect raw oyster consumers. More emphasis should be placed on increasing public awareness of health hazards associated with eating raw shellfish.
Author Desenclos, J.C.A. (European Centre for the Epidemiological Monitoring of AIDS, Saint Maurice, France)
Klontz, K.C
Gunn, R.A
Wilder, M.H
Nainan, O.V
Margolis, H.S
AuthorAffiliation Division of Field Epidemiology, Centers for Disease Control, Atlanta
AuthorAffiliation_xml – name: Division of Field Epidemiology, Centers for Disease Control, Atlanta
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  fullname: Nainan, O.V
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  fullname: Margolis, H.S
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  fullname: Gunn, R.A
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Issue 10
Keywords Infectious focus
Human
Edible mollusc
Microbiological testing
Epidemiology
Contamination
Infection
Viral hepatitis A
Bivalvia
Oyster
Viral disease
Food poisoning
Quality control
Water quality
Digestive diseases
Invertebrata
Mollusca
Public health
Food
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References p_27
p_28
p_23
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Mason JO (p_4) 1962; 75
p_20
p_21
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Lumsden LL (p_1) 1925; 50
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  doi: 10.4315/0362-028X-41.9.743
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  doi: 10.1017/S0022172400060149
– ident: p_14
  doi: 10.4315/0362-028X-43.2.95
– ident: p_2
  doi: 10.1056/NEJM198502073120604
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  doi: 10.1056/NEJM198603133141109
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  doi: 10.7326/0003-4819-83-1-107
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  doi: 10.1093/oxfordjournals.aje.a120968
– ident: p_16
  doi: 10.1093/oxfordjournals.aje.a113311
– ident: p_23
  doi: 10.1099/0022-1317-69-8-2129
– ident: p_8
  doi: 10.1001/jama.233.10.1065
– ident: p_26
  doi: 10.2105/AJPH.75.3.280
– ident: p_11
  doi: 10.1016/S0140-6736(83)92203-1
– ident: p_28
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– ident: p_5
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– ident: p_15
  doi: 10.4315/0362-028X-44.4.294
– ident: p_18
  doi: 10.1136/bmj.292.6537.1726
– volume: 50
  start-page: 1
  year: 1925
  ident: p_1
  publication-title: Public Health Rep.
  contributor:
    fullname: Lumsden LL
– ident: p_3
– ident: p_9
  doi: 10.1016/S0163-4453(79)80010-9
– ident: p_17
  doi: 10.1056/NEJM198603133141103
– ident: p_25
  doi: 10.1002/hep.1840110107
– ident: p_12
  doi: 10.1016/S0140-6736(77)92960-9
– ident: p_21
– ident: p_22
  doi: 10.1016/S0022-1759(87)80005-4
– ident: p_24
  doi: 10.1016/0168-1702(89)90016-6
– volume: 75
  start-page: 90
  year: 1962
  ident: p_4
  publication-title: Am J Hyg.
  contributor:
    fullname: Mason JO
– ident: p_7
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– ident: p_20
  doi: 10.1080/01621459.1985.10478212
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Snippet Background. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Methods. Cases of hepatitis A (HA)...
In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Cases of hepatitis A (HA) with onset in...
BACKGROUND. In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. METHODS. Cases of hepatitis A (HA)...
In August 1988 we investigated a multistate outbreak of hepatitis A caused by Panama City, Florida, raw oysters. Cases of hepatitis A (HA) with onset in...
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SubjectTerms Adolescent
Adult
ALIMENTOS
Animals
BACTERIA COLIFORME
BACTERIE COLIFORME
Biological and medical sciences
Case-Control Studies
Child
CONTAMINACION
CONTAMINATION
CONTEO DE CELULAS
Disease Outbreaks
ENFERMEDADES TRANSM POR ALIMENTOS
ENTEROVIRUS
Enzyme-Linked Immunosorbent Assay
EPIDEMIOLOGIA
EPIDEMIOLOGIE
ESTADOS UNIDOS DE AMERICA
ETATS UNIS
Female
Florida
Food contamination & poisoning
Food Microbiology
Foodborne Diseases - epidemiology
Foodborne Diseases - etiology
Health hazards
Hepatitis
Hepatitis A
Hepatitis A - epidemiology
Hepatitis A - etiology
HUITRE
Human viral diseases
Humans
Infectious diseases
MALADIE TRANSMISSIBLE PAR ALIMENT
Male
Medical sciences
Middle Aged
NUMERATION CELLULAIRE
OSTRA
Ostreidae - microbiology
Oysters
Perceptions
PRODUIT ALIMENTAIRE
Public health
Shellfish
Viral diseases
Viral hepatitis
Water Microbiology
Title A multistate outbreak of hepatitis A caused by the consumption of raw oysters
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Volume 81
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