A multistate outbreak of Escherichia coli O157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers. The Washington experience.

Abstract

OBJECTIVE To determine the source of and describe a large outbreak of Escherichia coli O157:H7 infections in Washington State. DESIGN Case-control study; environmental investigation; provider-based surveillance for E coli O157:H7 infections. SETTING Chain of fast-food restaurants, hospitals, physician offices, local laboratories, and local health… (More)

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