{"id":2348,"date":"2016-06-07T23:02:10","date_gmt":"2016-06-07T23:02:10","guid":{"rendered":"http:\/\/www.outbreakmuseum.com\/mobile\/?p=2348"},"modified":"2016-06-07T23:50:31","modified_gmt":"2016-06-07T23:50:31","slug":"pennsylvania-raw-milk","status":"publish","type":"post","link":"https:\/\/www.outbreakmuseum.com\/mobile\/campylobacter\/pennsylvania-raw-milk\/","title":{"rendered":"Pennsylvania Raw Milk"},"content":{"rendered":"\n<table id=\"tablepress-96\" class=\"tablepress tablepress-id-96\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\"><b>Outbreak:<\/b> PENNSYLVANIA RAW MILK <i>CAMPYLOBACTER<\/i><\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><b>Product:<\/b> Raw Milk<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><b>Investigation Start Date:<\/b>  01\/24\/2012<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><b>Location:<\/b> Multi-state<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><b>Etiology:<\/b> <i>Campylobacter jejuni<\/i><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\"><b>Earliest known case onset date:<\/b> 01\/14\/2012<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\"><b>Latest case onset date:<\/b> 02\/01\/2012<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><b>Confirmed \/ Presumptive Case Counts:<\/b>  81 \/ 67<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><b>Positive Samples:<\/b> 2<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\"><b>Hospitalizations:<\/b> 10<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\"><b>Deaths:<\/b> 0<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-96 from cache -->\n<div id=\"metaslider-id-2354\" style=\"width: 100%; margin: 0 auto;\" class=\"ml-slider-3-99-0 metaslider metaslider-flex metaslider-2354 ml-slider ms-theme-default\" role=\"region\" aria-label=\"Penn Raw Milk\" data-width=\"400\">\n    <div id=\"metaslider_container_2354\">\n        <div id=\"metaslider_2354\">\n            <ul class='slides'>\n                <li style=\"display: none; width: 100%;\" class=\"slide-2355 ms-image \" aria-roledescription=\"slide\" data-date=\"2016-06-07 23:11:20\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.outbreakmuseum.com\/mobile\/wp-content\/uploads\/2016\/06\/Family-Cow-raw-milk-2012-PA-400x300.jpg\" height=\"300\" width=\"400\" alt=\"\" class=\"slider-2354 slide-2355 msDefaultImage\" \/><div class=\"caption-wrap\"><div class=\"caption\">Outbreak artifact that currently resides in the International Outbreak Museum.<\/div><\/div><\/li>\n                <li style=\"display: none; width: 100%;\" class=\"slide-2356 ms-image \" aria-roledescription=\"slide\" data-date=\"2016-06-07 23:11:56\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.outbreakmuseum.com\/mobile\/wp-content\/uploads\/2016\/06\/Epicurve-400x300.jpg\" height=\"300\" width=\"400\" alt=\"\" class=\"slider-2354 slide-2356 msDefaultImage\" \/><div class=\"caption-wrap\"><div class=\"caption\">The outbreak epi curve.<\/div><\/div><\/li>\n                <li style=\"display: none; width: 100%;\" class=\"slide-2357 ms-image \" aria-roledescription=\"slide\" data-date=\"2016-06-07 23:12:23\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.outbreakmuseum.com\/mobile\/wp-content\/uploads\/2016\/06\/Headlines-400x300.jpg\" height=\"300\" width=\"400\" alt=\"\" class=\"slider-2354 slide-2357 msDefaultImage\" \/><div class=\"caption-wrap\"><div class=\"caption\">A portion of the outbreak news coverage.<\/div><\/div><\/li>\n            <\/ul>\n        <\/div>\n        \n    <\/div>\n<\/div>\n\n<table id=\"tablepress-97\" class=\"tablepress tablepress-id-97\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Outbreak Summary:<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">While it is legal to sell unpasteurized raw milk in Pennsylvania and illegal to sell in neighboring Maryland, New Jersey and West Virginia, this outbreak included cases in residents from all of these states.   <br \/>\n<br>While additional regulations by state officials could be considered, such as monthly pathogen testing, that could reduce the risks associated with consumption of raw milk, the only way to prevent unpasteurized milk\u2013associated disease outbreaks is for consumers to refrain from consuming unpasteurized milk.<br \/>\n<br \/>\n<ul><li>\u2022 <a href=\"http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6234a4.htm\" target=\"_blank\"><strong>MMWR Recurrent Outbreak of Campylobacter jejuni Infections Associated with a Raw Milk Dairy \u2014 Pennsylvania, April\u2013May 2013.<\/strong><\/a><\/li><br \/>\n<li>\u2022 <a href=\"http:\/\/www.foodsafetynews.com\/2012\/02\/raw-milk-dairy-outbreak-toll-rises-to-78\/#.V1WYuJErJhE\" target=\"_blank\"><strong>News Article, February 24, 2012 \"Raw Milk Dairy Outbreak Toll Rises to 78\"<\/strong><\/a><\/li><br \/>\n<li>\u2022 <a href=\"http:\/\/www.foodsafetynews.com\/2012\/03\/campylobacter-cases-from-pa-raw-milk-outbreak-reach-80\/#.V00TLJErJhF\" target=\"_blank\"><strong>News Article, March 1, 2012 \"Campylobacter Cases from Raw Milk Outbreak Reach 80\"<\/strong><\/a><\/li><br \/>\n<li>\u2022 <a href=\"http:\/\/www.foodsafetynews.com\/2013\/05\/raw-milk-from-pa-dairy-sickens-5-with-campylobacter\/#.V00TLJErJhF\" target=\"_blank\"><strong>News Article, May 29, 2013 \"Raw Milk from PA Dairy Sickens 5 with Campylobacter\"<\/strong><\/a><\/li><br \/>\n<li>\u2022 <a href=\"http:\/\/www.foodsafetynews.com\/2013\/08\/third-campylobacter-outbreak-from-family-cow-dairy-sickens-2\/#.V00THJErJhE\" target=\"_blank\"><strong>News Article, August 5, 2013 \"Third Campylobacter Outbreak from Family Cow Dairy Sickens 2\"<\/strong><\/a><\/li><\/ul><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-97 from cache -->\n\n<table id=\"tablepress-98\" class=\"tablepress tablepress-id-98\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Details:<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">The following is the abstract from the published article <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23575199\" target=\"_blank\"><b>found here<\/b><\/a>. The full, free text can be <a href=\"http:\/\/cid.oxfordjournals.org\/content\/early\/2013\/04\/25\/cid.cit231.full\" target=\"_blank\"><b>found here<\/b><\/a>.<br \/>\n<br \/>\nThis multistate outbreak of campylobacteriosis was among the largest (148 confirmed and probable cases) nationally in recent years associated with consumption of unpasteurized raw milk and was epidemiologically and molecularly linked to consumption of certified unpasteurized milk from a Pennsylvania dairy.<br \/>\n<br \/>\n15 unpasteurized milk samples obtained directly from the dairy during the investigation (but after most of the onsets of the cases) were negative for Campylobacter. However, 2 unopened retail samples collected from Maryland consumers tested at Maryland\u2019s state public health lab, yielded C. jejuni with an indistinguishable PFGE pattern to all clinical isolates. <br \/>\n<br \/>\nThis highlights the importance of testing food and environmental samples linked to actual exposure dates whenever available.<br \/>\n<br \/>\nThis outbreak occurred despite a state program implemented to reduce the risk associated with raw milk consumption.  Although the dairy had tested for Escherichia coli O157:H7 more frequently than required by state regulations, those regulations for testing for other pathogens, such as Campylobacter, was only performed biannually.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-98 from cache -->\n<p><a href=\"https:\/\/www.outbreakmuseum.com\/mobile\/exhibits\/\"><strong>Back to Outbreak Exhibits<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Back to Outbreak Exhibits<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[122],"tags":[],"class_list":["post-2348","post","type-post","status-publish","format-standard","hentry","category-campylobacter"],"_links":{"self":[{"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/posts\/2348","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/comments?post=2348"}],"version-history":[{"count":6,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/posts\/2348\/revisions"}],"predecessor-version":[{"id":2367,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/posts\/2348\/revisions\/2367"}],"wp:attachment":[{"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/media?parent=2348"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/categories?post=2348"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.outbreakmuseum.com\/mobile\/wp-json\/wp\/v2\/tags?post=2348"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}