2013
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The case definition of cyclosporiasis used in this outbreak investigation was expanded on June 27, 2013. On August 2, 2013, CDC expanded the case definition to include all persons (1) who ate at the restaurants identified in Iowa and Nebraska or (2) who ate at restaurants in the regions around those restaurants or (3) who ate at restaurants in Iowa and Nebraska and visited the sites of ill persons who ate at the restaurants in Iowa and Nebraska. This case definition potentially increases the number of ill persons who may have acquired infection from the salad mix from the Iowa and Nebraska restaurants.
On August 2, 2013, CDC expanded its case definition of cyclosporiasis to include all people (1) who ate at the restaurants identified in Iowa and Nebraska or (2) who ate at restaurants in the regions around those restaurants or (3) who ate at restaurants in Iowa and Nebraska and visited the sites of ill persons who ate at the restaurants in Iowa and Nebraska. This case definition potentially increases the number of ill persons who may have acquired infection from the salad mix from the Iowa and Nebraska restaurants.
CDC conducts outbreak investigations to help prevent and control foodborne disease. In February 2013, a case of cyclosporiasis was identified in New York City. CDC opened an investigation to identify a source and prevent further spread. The investigation later found a common supplier of salad mix at three restaurants in Brooklyn. A variety of fresh produce, including salad mix, was recalled from these restaurants. The CDC investigation identified a total of 569 ill persons, including at least ten ill persons outside New York City, and one death. The salad mix was identified as the likely source of infection. Most (74%) of the ill persons were female. Ill persons ranged in age from less than 1 year to 94 years, with a median age of 29 years.
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