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American Journal of Epidemiology Vol. 122, No. 5: 884-889
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health


research-article

EPIDEMIOLOGIC AND LABORATORY INVESTIGATION OF AN OUTBREAK OF CAMPYLOBACTER ENTERITIS ASSOCIATED WITH RAW MILK

ARNOLD N. KORNBLATT1,2, TIMOTHY BARRETT1, GEORGE K. MORRIS1 and FRED E. TOSH3

1Enteric Bacteriology Section, Division of Bacterial Diseases, Center for Infectious Diseases, Centers for Disease Control Atlanta, GA 30333
2Dr. Kornblatt's current address isWeizmann Institute of Science Rehovot, Israel
3Wichita-Sedgwick County Department of Community Health Wichita, KS

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An outbreak of gastroenteritis occurred in March-April 1981, in Wichita, Kansas, and involved more than 250 persons who drank raw milk from a single local dairy. Campylobacter jejuni was recovered from 60 of 116 (52%) persons in households that had one or more ill family members. A cohort study of families that belonged to a food cooperative that purchased raw milk from the implicated dairy showed a significant association between illness and having drunk raw milk. Thirty-nine of 55 (71%) persons who drank raw milk became ill compared with four of 36 (11%) persons who did not drink raw milk (p < 0.01, t test, accounting for clustering). Peak (convalescent) antibody triers to C. jejuni, determined by indirect immunofluorescence, in 20 raw-milk drinkers showed a geometric mean of 1:27 in contrast to geometric mean trter of 1:6 in 10 well persons from the cohort who did not drink raw milk (p 0.002, t test). C. jejuni was recovered from 21 of 34 (66%) raw-milk drinkers, versus none of 26 people who did not drink raw milk (p < 0.001, Fisher's exact test, one tailed). C. jefuni of the same serotype was isolated from the case-patients and from rectal swabs of cows in the dairy. These findings indicate that raw milk contaminated by Campylobacter was the vehicle for this outbreak.

Campylobacter infections; enteritis; dairy products; food contamination


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