2000 Multistate Outbreak of Salmonella Bareilly Linked to Well, Spring, and Bottled Water, Southeastern US

In June, 2000, an increase in infections caused by Salmonella Bareilly was noted in the southeastern United States. The specific states were not identified. Salmonella Bareilly is an amphibian-associated Salmonella serotype. Illnesses were detected in at least ten southeastern states. Subtyping of 87 isolates yielded 58 distinct pulsed-field gel electrophoresis (PFGE) patterns, suggesting multiple sources of infection. Twenty-five (5 8%) case-patients reported drinking well or spring water in the week before illness, compared with 17 (22%) of 76 controls (matched odds ratio [OR] 4.59, p<0.001). Water from one case-patient’s well yielded Salmonella Bareilly that matched the case-patient’s isolate. Among case-patients who had not drunk well or spring water, 14 (78%) drank bottled water, compared with 14 (42%) of 33 controls (OR 6.75, p=0.02); 8 (44%) case-patients drank bottled water processed by Company A, compared with 1 (3%) control (OR undefined, p=0 .001). Although Company A bottled water from a southeastern spring, no defects in its water purification system were found.

Overview

Outbreak began:April 2000
Affected country:US
Pathogen:Salmonella Bareilly
Vehicle(s):drinking water
Location(s):Unknown
Molecular test results:Not reported

Health impact

Total ill:95
Number hospitalized:19

Sources & documents

Report / reference links