Health Department warns of E. coli symptoms amid statewide outbreak; one case found in 7-county district

April 11, 2019 | 3:20 am

Updated April 10, 2019 | 10:39 pm

As of last week, there were 50 confirmed cases of E. coli statewide.

The Kentucky Department of Public Health announced on an outbreak of E. coli O103 on March 29. As of last week, there were 50 confirmed cases statewide. The Green River District Health Department confirmed that one case has been found in their seven-county district, but they continue to investigate all possible cases to verify if they are part of the outbreak.

“It is likely that many cases of E. coli will not be included in the outbreak as E. coli O103 is not commonly seen in our area,” said GRDHD Epidemiologist Leslie Ford. “The rarity of this form of E. coli is what triggered the initial concern, as multiple counties across the state were reporting cases. This prompted the state health department to declare an outbreak and begin the statewide investigation.”

According to Ford, E. coli is a bacteria that is commonly found in someone’s environment. It is contained in the intestines of both humans and animals and is an important part of a healthy intestinal tract. Some forms of E. coli, however, can cause illness in humans. Typically these result in mild symptoms like diarrhea, urinary tract infections or respiratory illness.

In some cases certain types of E. coli form a toxin known as shiga toxin which increases the severity of symptoms making it dangerous for vulnerable groups such as children, the elderly, and those who are immunocompromised. According to Ford, E. Coli O103, which is the form that prompted the state’s investigation, is a STEC or shiga toxin producing E. coli. Symptoms associated with this illness include stomach cramps, diarrhea which may be bloody, vomiting, and low grade fever. These symptoms typically last for 5 to 7 days and can range in severity.

“If you have these symptoms it is important that you see a medical provider as the symptoms can worsen in some individuals leading to kidney failure and even death,” Ford said.

The cause of the outbreak is currently unknown, Ford said. E. coli is typically transmitted through contaminated food, water or contact with animals.

“Because of the locations of the confirmed cases, the current investigation is focusing on possible food exposure, however there is currently no indicator that another source is not the cause,” Ford said.

E. coli has a fecal oral transmission so Ford said the best way to prevent contamination is by washing hands frequently for at least 20 seconds with soap and water.

“This is critically important before eating, after going to the bathroom and after handling raw meat, eggs or petting animals,” she said. “Around half of the cases reported have been in children, so caregivers should ensure children are also practicing good hand hygiene.”

While preparing food, Ford recommends to wash fruits and vegetables before eating, cook meats thoroughly to the recommended temperatures and clean and sanitize food preparation areas. It is also recommended that to avoid unpasteurized milk.

Bathrooms faucets and door handles should be sanitized and anyone engaging in outdoor activities should practice good hand hygiene and avoid swallowing water from lakes and pools.

April 11, 2019 | 3:20 am

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