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PO Box 360
Trenton, NJ 08625-0360
|Fred M. Jacobs, M.D., J.D.|
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The New Jersey Department of Health and Senior Services is investigating 88 cases of illness potentially related to the multi-state outbreak of E. coli 0157 infection associated with Taco Bell restaurants.
Included in the total are 33 cases that meet the federal Centers for Disease Control and Prevention (CDC) case definition as being associated with the outbreak. This includes 25 confirmed cases in Middlesex (19), Somerset (2), Essex (2), Camden (1) and Union (1) counties. All 25 have strains of E. coli 0157 that match those of other confirmed cases in New York, Pennsylvania, Delaware and South Carolina. The other 8 -- all probable cases according to the CDC definition – are from Middlesex (3), Union (2), Camden (1), Hunterdon (1) and Somerset (1) counties.
As of yesterday, the Department was investigating 84 cases with 33 cases (23 confirmed and 10 probable) that met the CDC case definition associated with the outbreak.
New Jersey’s 33 outbreak-associated cases are linked to Taco Bell restaurants in Camden, Middlesex, Union, Passaic, and Somerset Counties. The 33 people ranged in age from 4 to 54, and became ill between November 22 and Dec. 6, 2006. The average age is 19.
Forty-seven cases are considered suspect under the CDC definition and an additional 8 investigations are in the preliminary stages.
"The food source of the outbreak has not been determined. However, federal investigators have found raw ingredients consumed at Taco Bell restaurants to be of particular concern,’’ said Health and Senior Services Commissioner Fred M. Jacobs, M.D., J.D.
Since the beginning of this outbreak, the Department and local health departments have continuously collected data on both ill and well patrons of Taco Bell restaurants. These data have included information on the foods these persons consumed, including specific food ingredients. The Department has been sharing its data with CDC, in addition to conducting its own data analysis. The Department's analysis has demonstrated that some food ingredients, including lettuce, cheese, and ground beef, were consumed more often among the ill persons than well persons; these findings are consistent with CDC's findings based on combined data from all states with cases associated with this outbreak.
In addition, federal agencies have collected information on Taco Bell restaurants and their food distribution and preparation characteristics, including data provided by NJDHSS to the CDC. Evaluation of all the data suggests that shredded lettuce consumed at Taco Bell restaurants in the northeastern United States was the likely source of the outbreak. Public health investigation is ongoing to describe how this shredded lettuce may have become contaminated, but based on current information, federal and Department health officials believe the shredded lettuce likely became contaminated prior to reaching the Taco Bell restaurants.
People who develop symptoms of possible E. coli infection should contact their health care provider immediately. Symptoms could include bloody diarrhea, abdominal cramps or vomiting, but usually not fever.
The Department will provide daily updates of case counts and test results at www.state.nj.us/health.
Department of Health
P. O. Box 360, Trenton, NJ 08625-0360