Abstract
Total Tooth Loss Among Persons Aged ≥65 Years—Selected States, 1995-1997
Highlights
Food samples from five outbreaks were negative for B. cereus and S. aureus by culture and toxin analysis; testing from these same outbreaks for alkaloids, biogenic amines, and pesticides did not identify the causative agent
Some metals, such as cadmium, copper, tin, and zinc, can irritate mucosal membranes and cause gastrointestinal illness after short incubation periods; only elemental aluminum was mildly elevated in the burrito samples, and there is no evidence that it causes these symptoms
Epidemiologic Consultation Service (EPICON) team; the findings indicated the outbreak was caused by a Norwalk-like virus (NLV)
Summary
October 1998, 16 outbreaks of gastrointestinal illness associated with eating burritos occurred in Florida, Georgia, Illinois, Indiana, Kansas, North. A case was defined as nausea, abdominal cramps, vomiting, or diarrhea within 24 hours in a person after eating the school lunch on March 23. A case was defined as nausea, abdominal cramps, or vomiting in a person after eating the school lunch on October 8. In both schools, students who initially reported illness and classmates in the three classes with the highest number of cases were interviewed. The predominant symptoms of the 14 ill children identified in one school were abdominal cramps (88%), vomiting (62%), headache (62%), and nausea (39%). Symptoms among the 13 identified ill children were abdominal cramps (82%), vomiting (55%), headache (27%), nausea (18%), and dizziness (18%). B; the fillings, beef at one school and beef and pinto beans at the other, were made in the two school kitchens
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