Temporally distinct Escherichia coli
0157 outbreaks associated with alfalfa sprouts linked to a common seed
source--Colorado and Minnesota, 2003.
Epidemiol Infect.
2005 Jun;133(3):439-47
Ferguson DD, Scheftel J, Cronquist A, Smith K, Woo-Ming A, Anderson E, Knutsen
J, De AK, Gershman K.
Epidemic Intelligence Service,
Colorado
Department of Public Health and Environment, Denver, CO 80246, USA.
dayna.ferguson@state.co.us
Escherichia coli O157 outbreaks were identified in Minnesota
in February 2003 involving seven persons and in
Colorado in July
2003
involving 13 persons. Case isolates from the two states had matching
pulsed-field gel electrophoresis (PFGE) patterns. Independent case-control
studies linked infections in each outbreak with eating alfalfa sprouts that were
traced to the same seed distributor. The Colorado
sprouter reportedly complied with the Food and Drug Administration (FDA) sprout
guidance, whereas the Minnesota sprouter did not. These investigations revealed
that increased compliance with existing FDA guidance is needed and that
additional research is needed to improve the alfalfa seed decontamination
process. This reaffirms the FDA recommendation that raw alfalfa sprouts should
be considered potentially contaminated and avoided by persons at high-risk such
as the elderly, young children, and immunocompromised persons. PFGE played an
essential role in linking these two temporally and geographically distinct E.
coli O157 outbreaks.

From SproutNet: Other
articles related to those outbreaks:
"E.
coli 0157 NM Summary" Georgia Department of Human Resources, Division of Public
Health, Stuart T. Brown, M.D., Director
"An Outbreak of
Escherichia coli O157:Nonmotile Associated with Alfalfa Sprouts - Colorado, July
2003" DD Ferguson, MD, A Cronquist, MPH, J Scheftel, DVM, MPH, A Woo-Ming, K
Gershman, MD, MPH, J Knutsen, AK De, PhD
"Escherichia coli 0157
Infection and Hemolytic Uremit Syndrome (HUS), 2003" Minnesota Department of
Health, Disease Control Newsletter
“Outbreak of Escherichia coli
O157:NM Associated Alfalfa Sprout Consumption Colorado, 2003" Dayna
Ferguson, MD, CDC Epidemic Intelligence Service Officer, CDPHE
"E. coli
O157:H7 Infections Associated with Alfalfa Sprouts January (2003) ~ Hennepin and
Ramsey Counties" Minnesota Department of Health 2003 Gastroenteritis
Outbreak Summary.
"2003 Outbreak of
Escherichia coli 0157 Infections Associated with Consumption of Alfalfa Sprouts
produced in Minneapolis" Kevin Elfering, Program Director, Dairy, Food
and Meat Inspection Division, Minnesota Department of Agriculture.