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2014 ; 63
(50
): 1185-8
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gab.com Text
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Outbreak of cryptosporidiosis among responders to a rollover of a truck carrying
calves - Kansas, April 2013
#MMPMID25522085
Webb LM
; Tubach SA
; Hunt DC
MMWR Morb Mortal Wkly Rep
2014[Dec]; 63
(50
): 1185-8
PMID25522085
show ga
In April 2013, the Thomas County Health Department notified the Kansas Department
of Health and Environment's Infectious Disease Epidemiology and Response section
(KDHE) of two cases of cryptosporidiosis among emergency responders to a
tractor-trailer rollover. The truck was carrying approximately 350 preweaned
Holstein calves. An outbreak investigation was led by KDHE with assistance from
the county health department; six cases of cryptosporidiosis were identified
among the 15 emergency responders. No additional primary cases with this exposure
or secondary cases were identified. Disease was associated with carrying calves
(relative risk [RR] = 3.0) and contact with fecal matter (RR = 4.5). The calves
were aged <10 days and reportedly suffered from scours (diarrheal disease), which
is often caused by Cryptosporidium spp., a chlorine-tolerant protozoan parasite.
Because of the age of the calves and the conditions at the rollover scene, a high
potential existed for fecal contamination and subsequent transmission of
Cryptosporidium. This outbreak is the first report of both law enforcement and
volunteer emergency responders contracting cryptosporidiosis, with transmission
of Cryptosporidium attributed solely to direct contact with animals and their
feces. Human illness resulting from contact with animals during an emergency
response might be minimized if 1) all responders are aware of the potential for
zoonotic transmission, 2) education is provided on proper animal handling
including the use of appropriate personal protective equipment, and 3) responders
practice thorough hand hygiene and decontaminate clothing and equipment following
contact with feces.
|*Disease Outbreaks
[MESH]
|*Emergency Responders/statistics & numerical data
[MESH]