Geographical information software and shopper card data, aided in the discovery of a Salmonella Enteritidis outbreak associated with Turkish pine nuts

2014 ◽  
Vol 142 (12) ◽  
pp. 2567-2571 ◽  
Author(s):  
B. BEDARD ◽  
B. S. KENNEDY ◽  
A. C. WEIMER

SUMMARYIn 2011, from August to November, the Monroe County Department of Public Health (MCDPH) investigated 47 salmonellosis cases. Geographical information software (GIS) was used to map the address locations of these cases. The resulting GIS analysis and culture information indicated that there were two distinct clusters of Salmonella that were geographically different. Pulsed-field gel electrophoresis (PFGE) testing was run at the New York State Department of Health Wadsworth Laboratory and identified S. Enteritidis (23 cases) and S. Typhimurium (10 cases). The epidemiological investigation identified Turkish pine nuts as the link between ill S. Enteritidis cases. Pine nut samples sent for laboratory testing were a PFGE match to human isolates with S. Enteritidis. A national recall of Turkish pine nuts ensued. A multistate outbreak was identified as a result of the initial investigation of MCDPH, in which 43 people were infected with the outbreak strain from five states. GIS software and shopper card data provided important tools in the epidemiological investigation.

2016 ◽  
Vol 144 (14) ◽  
pp. 3013-3016 ◽  
Author(s):  
B. A. BEDARD ◽  
R. ELDER ◽  
L. PHILLIPS ◽  
M. F. WACHUNAS

SUMMARYIn September 2009, the Rensselaer County Department of Health investigated an increase in Giardia duodenalis cases. The epidemiological investigation identified that a source of the illness could be a roadside spring located in the eastern part of the county. Epidemiological and environmental health staff conducted a site visit to the roadside spring and found several concerns. Water samples were collected from the roadside spring and sent to the New York State Department of Health for analysis. The water sample results indicated the presence of empty Giardia cysts. Prevention methods occurred and the roadside spring was destroyed. A total of 36 laboratory-confirmed cases of Giardia were identified from this outbreak that included residents of New York State and Massachusetts.


2020 ◽  
Vol 10 (03) ◽  
pp. e281-e287
Author(s):  
Sangeeta Kumaraswami ◽  
Tana S. Pradhan ◽  
Sorana Vrabie-Wolf ◽  
Sadaf Lodhi ◽  
Geetha P. Rajendran ◽  
...  

Abstract Objective To describe our experiences in preparing our obstetric unit in Westchester County, New York, during the COVID-19 (coronavirus disease of 2019) pandemic. We focus on describing our timeline, continuously evolving actions, observations, and challenges. Methods With guidance from the New York State Department of Health (NYSDOH), our institutional epidemiologist, and key multidisciplinary faculty members, we evaluated emerging national data as well as expert opinions to identify issues and challenges to create action plans. Results We created and modified policies for our patients presenting for obstetrical care on the labor and delivery unit to accommodate their unique needs during this pandemic. Conclusion The COVID-19 pandemic has posed many unique challenges. Balancing communication, risks of infection to providers, patient autonomy and rights, and resources for testing and personal protective equipment were among the valuable lessons learnt. We have shared our experiences and described our observations and challenges in Westchester County, New York.


PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 164-165

Officers Elected: At the annual meeting of the Ambulatory Pediatric Association in Atlantic City in April 1970, the following officers and members of the Executive Council were elected: President John H. Kennell, President Elect Donald L. Fink, Executive Council Members: Ray E. Helfer and Roland B. Scott. Institites for Physicians and Nurses in the Care of Premature and Other Highrisk Infants, sponsored by the New York State Department of Health and the United States Department of Health, Education and Welfare, and conducted at the New York Hospital-Cornell Medical Center five times during the academic year, will begin in September, 1970.


1989 ◽  
Vol 35 (10) ◽  
pp. 2059-2065 ◽  
Author(s):  
P J Parsons ◽  
N V Stanton ◽  
E W Gunter ◽  
D Huff ◽  
J R Meola ◽  
...  

Abstract This interlaboratory study was conducted to examine four erythrocyte protoporphyrin control materials from Aviv Biomedical, Helena Laboratories, Kaulson Laboratories, and the New York State Department of Health for use with hematofluorometers. Our principal aims were to monitor the stability of these materials at three different storage temperatures (room, refrigerator, freezer) and, where appropriate, to validate the manufacturer's target values. Measurements for the study were generated in three reference laboratories that used a total of five hematofluorometers, three from Environmental Science Associates and two from Aviv Biomedical. Each instrument was calibrated against a consensus acetic acid-ethyl acetate extraction procedure. We found the materials from Aviv to be the most stable, followed by the New York State material. However, the target values assigned by Aviv were not within the acceptable range determined by consensus. The target values assigned by Kaulson Laboratories for their materials did fall within the acceptable consensus range, but they were the least stable of the materials evaluated. The materials from Helena Laboratories were originally designed for use as calibrators with Helena's "ProtoFluor Z" hematofluorometer, which reports in different units. They were deemed unsuitable for use as control materials with the Aviv or Environmental Science Associates hematofluorometers because of the narrow range of values and the wide scatter of results.


1988 ◽  
Vol 2 (3) ◽  
pp. 174
Author(s):  
GERALDINE BUNN ◽  
MARY ELLEN HENRY ◽  
TODD GERBER

1915 ◽  
Vol 21 (6) ◽  
pp. 605-616 ◽  
Author(s):  
Mary Butler Kirkbride

While preliminary treatment with culture filtrates or dead cells of the extremely virulent strain A gave rise to varying degrees of immunity, the exudative lung lesions developing after tracheal injection with live organisms of the same virulent strain were not strikingly increased in any group or series of these rabbits. Despite carefully graduated dosage in the preliminary treatment, none of the animals developed symptoms of a definitely anaphylactic nature. In similar experiments following sensitization with the attenuated avirulent culture AA, tracheal injection of virulent or avirulent organisms of the same strain failed to incite any definite increase in the exudative lung reaction. In none of the rabbits were symptoms resembling anaphylaxis noted. The immunity which was induced by the larger sensitizing doses of culture filtrates of the strain in the virulent state was lacking when similar doses of the culture filtrates of organisms in the non-virulent state were used. Extensive lesions developed in both sensitized and unsensitized rabbits when the strain used in the tracheal injection was one apparently combining moderate virulence with exceptional toxicity, indicating that the exudative lung reaction was one of adjustment rather than of acquired hypersusceptibility. When, in the experiments, small amounts of sera from normal rabbits, or from animals immunized to culture filtrates, were added to the culture before tracheal injection, an increased fibrinous lung reaction was frequently found. The present study would seem to give some ground for the view that while in pneumonia a hypersensitive condition probably takes some part in the inception of the infection, the subsequent development of the diffuse exudative reaction in the lung is not directly due to an acquired hypersusceptibility, but to intrinsic qualities possessed by the pneumococcus itself. This study was carried on in the Department of Bacteriology of the College of Physicians and Surgeons of Columbia University, New York, and later, through the courtesy of Dr. Charles Norris, in the Bellevue Hospital Laboratories. It was completed in the Laboratories of the New York State Department of Health at Albany. I am greatly indebted to Dr. Augustus Wadsworth for his advice and criticism.


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