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Michigan State University assists in identification of lettuce as E. coli culprit

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East Lansing, Michigan
October 3, 2008

Public health officials, with support from Michigan State University (MSU), have identified a brand of lettuce as the source of the recent multi-statewide outbreak of E. coli, an outbreak that sickened a number of MSU students.

The lettuce, which had been distributed nationally by Detroit-based vendor Aunt Mid’s Produce Company, is identified as shredded and chopped iceberg lettuce.

The Michigan Department of Community Health will soon be posting a news release at www.michigan.gov/mdch.

The affected lettuce products were immediately removed from MSU’s dining halls, even though there have been no new cases with symptom onset reported at the university since Sept. 20.

“We will continue to be as cautious as possible, until this issue is completely resolved,” said MSU University Physician Beth Alexander.

On Friday, Sept. 26, the Michigan Department of Community Health reported 26 cases of genetically linked E. coli were spread throughout eight Michigan counties. In addition, that same strain has also been identified in cases in Illinois, New York, Ohio and Oregon.

Health officials said it was the out-of-state cases that helped to track down a common distributor of the affected food.

“We recognize the hard work contributed by the Michigan Department of Community Health, the Ingham County Health Department, and everyone – including the University Physician, the Division of Housing and Food Services, MSU students and staff – who took part in this investigation,” said MSU President Lou Anna K. Simon. “MDCH’s persistence in getting to the bottom of this multi-state mystery is most appreciated. It was a great team effort by everyone involved.”

The week of Sept. 22 MSU made the decision to temporarily discontinue the service of all cooked turkey products, although state and local health officials did not recommend it. While turkey had not been determined as the source of the outbreak, health officials were considering it an “item of interest.”

Turkey products are now being offered again in MSU’s dining halls.

As part of the effort to trace the source of the E. coli outbreak, MSU students were asked to take part in a case control study. On Thursday afternoon, more than 4,000 questionnaires were sent to students in Akers, Holmes and Hubbard halls, asking them to outline their food-eating habits for the last three weeks.

In less than 24 hours, more than 400 students responded to the call.

“We were very proud of our students in their efforts to help,” Alexander said. “They came through in fine Spartan fashion.”

At the Thursday news conference, MDCH chief medical executive Greg Holzman thanked various institutions involved for their efforts to keep the state informed, and he thanked them for assisting in the investigation.

“As a result of this recent outbreak, MDCH is working with the Michigan Department of Agriculture, Michigan State University, the Lenawee County Jail, the Centers for Disease Control, the Food and Drug Administration, the U.S. Department of Agriculture and local health departments to track down the common food source,” Holzman said. “I want to thank everyone for their cooperation and efforts in this matter to help us find a common food source.”

Dean Sienko, medical director for the Ingham County Health Department, said that on an annual basis, the country sees approximately 73,000 E. coli cases. There are about 2,000 every year in Michigan and approximately 60 in Ingham County.

The one food item typically associated with E. coli outbreaks is undercooked hamburger. Health officials advise all chefs to cook their hamburgers until the juice runs clear.

Thorough hand washing remains the most effective way of fighting communicable diseases.

“Always wash your hands before preparing any foods,” said Alexander. “Make sure your countertops are clean and don’t do any food preparation if you are sick.”

A total of eight MSU students had been hospitalized, seven of whom had tested positive for E. coli 0157:H7. All have since been released.

Other agencies which took part in the investigation were the Michigan Department of Agriculture, the Centers for Disease Control, the Food and Drug Administration and the U.S. Department of Agriculture.

 

 

 

 

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