In August 2021, the Oregon Health Authority Public Health Division (OPHD) investigated an outbreak diarrhea at a child care center in Hood River County. Stool specimens were collected from day care attendees and staff. Nine specimens contained evidence of an enteric pathogen, including seven with enteropathogenic E. coli (EPEC), four with norovirus, and one each with rotavirus, sapovirus, astrovirus and Campylobacter. Four specimens yielded more than one pathogen. Among seven persons with EPEC, three were symptomatic, as were three of four with norovirus. Ten cases were identified. No one was hospitalized and no one died.

After reviewing laboratory results, the local health officer recommended temporarily closing the child care center for 7 days; the child care center complied, household members of children and staff members were informed of the outbreak and asked to monitor for symptoms, and no additional cases were reported.