1992 Outbreak of E. coli O157:H7 Infections Linked to Commercially Distributed Unpasteurized Milk, Oregon

Commercially sold, raw milk, from a single dairy in Oregon was implicated in a prolonged outbreak of E. coli O157:H7 infections. The outbreak was first detected in April, 1993 when six cases were identified. At the time the sale of raw milk from grocery stores was legal. The public was told of the hazards of drinking raw milk, however, sales of the milk were allowed to continue. Legal analysis suggested that Oregon public health agencies lacked clear authority to restrict milk sales unless it could be demonstrated that specific containers destined for sale were contaminated. E. coli O157:H7 had not been isolated from the milk. Additional E. coli O157:H7 cases linked to the milk were identified in June, 1993. In December, 1993, the milk was required to carry a label that warned that the milk could contain disease-producing organisms. The dairy agreed to suspend retail sales if additional cases were identified. In May, 1994, six additional cases were identified. The court restricted further sale of this milk, however secret sales persisted until October, 1995. At that time the dairy owner was fined and jailed for contempt of court. At least three indistinguishable strains of E. coli O157:H7 were identified and matched strains isolated from cattle on the dairy.

Overview

Outbreak began:December 1992
Affected country:US
States/territories:OR
Pathogen:E. coli O157:H7
Vehicle(s):Milk
Location(s):Retail
Molecular test results:Not reported

Health impact

Total ill:14
Number hospitalized:2

Sources & documents

Report / reference links