Abstract
IN THE FALL of 1957 Puerto Rican health authorities investigated a mass outbreak of food poisoning at the Ponce District Hospital and another at the institution for juvenile delinquents of San Juan. Both events were presumably caused by staphylococcal enterotoxins involving a common vehicle-salt-preserved codfish (Atlantic). The food in this form had not previously been incriminated in such intoxications. The incident at the hospital, involving a reported 303 patients in a total population of 457, occurred following lunch on September 5, 1957. There were no reports of acute gastroenteritis in the community outside the hospital. In the juvenile institution, the outbreak followed lunch on November 27, 1957, affecting 236 inmates out of a total of 320. Both outbreaks were first reported to local public health authorities, who in turn informed the bureau of communicable disease control in the Puerto Rico Department of Health.
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