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Introduction Content Special Features Case Studies in the Classroom Features of Outbreak, Second Edition Recommendations for Using the Case Studies Acknowledgments

About the Author

SECTION I: Outbreaks of Diseases of the Respiratory Tract OUTBREAK I‐1 A Legionellosis Outbreak—Barceloneta OUTBREAK I‐2 An Outbreak of Respiratory Syncytial Virus Infection—Arviat, Canada OUTBREAK I‐3 A Tuberculosis Outbreak in a Prison Housing Inmates Infected with HIV—South Carolina OUTBREAK I‐4 An Otitis Media Outbreak in a Child Care Center—Georgia OUTBREAK I‐5 An Outbreak of a Rash—Venezuela and Colombia OUTBREAK I‐6 Hantavirus Pulmonary Syndrome Outbreak—Vermont OUTBREAK I‐7 A Diphtheria Outbreak—Newly Independent States of the Former Soviet Union OUTBREAK I‐8 An Outbreak of Mycoplasmal Pneumonia—Ohio OUTBREAK I‐9 A Pneumonia Outbreak in a Nursing Home—New Jersey OUTBREAK I‐10 Past and Future Pandemics of Influenza A—Worldwide, 1918 to Present OUTBREAK I‐11 A Pharyngitis Outbreak in the Marine Corps—San Diego OUTBREAK I‐12 A Measles Outbreak in Kosovar Refugee Children—Albania OUTBREAK I‐13 A Swimming Pool‐Related Outbreak of Pharyngitis and Conjunctivitis—Spain OUTBREAK I‐14 A Cruise Ship‐Associated Legionnaires’ Disease Outbreak OUTBREAK I‐15 A Pertussis Epidemic—Washington State OUTBREAK I‐16 COLLEGE PERSPECTIVE OUTBREAK I‐17 GLOBAL PERSPECTIVE REFERENCE MATERIAL

SECTION II: Outbreaks of Disease of the Gastrointestinal Tract OUTBREAK II‐1 A Salmonella enterica serovar Enteritidis Outbreak from Eating Eggs—Multistate OUTBREAK II‐2 A Diarrhea Outbreak Associated with Swimming Pool Use—Ohio OUTBREAK II‐3 Diarrhea among Attendees of the Washington County Fair—New York OUTBREAK II‐4 An Amoebiasis Outbreak—Georgia OUTBREAK II‐5 A Typhoid Fever Outbreak Linked with a Frozen Fruit Drink—Florida OUTBREAK II‐6 A Diarrhea Outbreak in a Day Care Nursery—Juneau, Alaska OUTBREAK II‐7 A Foodborne Outbreak of Bloody Diarrhea—Multistate OUTBREAK II‐8 A Multistate Outbreak of Listeriosis—Northeastern United States OUTBREAK II‐9 An Outbreak of Rotaviral Gastroenteritis among Children—Jamaica OUTBREAK II‐10 Bloody Diarrhea Associated with Eating Ground Beef—United States OUTBREAK II‐11 A Hepatitis Outbreak Associated with Restaurant Onions—Pennsylvania OUTBREAK II‐12 A Rotavirus Outbreak among College Students—District of Columbia OUTBREAK II‐13 A Cholera Outbreak in a Refugee Camp—Democratic Republic of the Congo OUTBREAK II‐14 A Diarrhea Outbreak Associated with Raw Milk and Cheese Consumption—Pennsylvania OUTBREAK II‐15 A Listeriosis Outbreak Associated with Pasteurized Milk—Massachusetts OUTBREAK II‐16 An Outbreak Associated with Seasonal Consumption of Raw Ground Beef—Wisconsin OUTBREAK II‐17 COLLEGE PERSPECTIVE A Diarrhea Outbreak Associated with an Adventure Race—Nevada OUTBREAK II‐18 GLOBAL PERSPECTIVEA Case‐Control Study of an Outbreak of Clostridioides difficile at a Tertiary Care Medical Center—Amsterdam, The Netherlands

SECTION III: Pathogens and Diseases That Are Transmitted Sexually OUTBREAK III‐1 An STD Outbreak among Teenagers—Georgia OUTBREAK III‐2 An STD Outbreak among Hispanic Men—California OUTBREAK III‐3 An Outbreak of HIV Disease in the Adult‐Film Industry—California OUTBREAK III‐4 An Outbreak of Azithromycin‐Resistant Gonorrhea—Kansas City OUTBREAK III‐5 Invasive Cervical Cancer among Women—United States OUTBREAK III‐6 A Proctitis Outbreak among Men Who Have Sex with Men—Netherlands OUTBREAK III‐7 A Syphilis Outbreak Connected to a Cybersex Chat Room—San Francisco OUTBREAK III‐8 STDs in Operation Iraqi Freedom/Operation Enduring Freedom—Iraq OUTBREAK III‐9 Herpes Simplex Virus Type 2 Infection among U.S. Military Service Members OUTBREAK III‐10 COLLEGE PERSPECTIVE STD Risk Increased by Using the Internet To Find Casual Sexual Partners OUTBREAK III‐11 GLOBAL PERSPECTIVE REFERENCE MATERIAL

SECTION IV: Outbreaks of Diseases of the Skin, Soft Tissues, and Eyes OUTBREAK IV‐1 An Outbreak of Pseudomonas Dermatitis from Hotel Pool and Hot Tubs—Colorado OUTBREAK IV‐2 An Outbreak of Skin Lesions in a Wrestling Team—Alaska OUTBREAK IV‐3 An Outbreak of Conjunctivitis at an Elementary School—Maine OUTBREAK IV‐4 A Measles Outbreak among Internationally Adopted Children—United States OUTBREAK IV‐5 An Outbreak of “Flesh‐Eating Bacterium” Disease—Saint John, Brunswick, Canada OUTBREAK IV‐6 An Outbreak of Invasive Group A Streptococcus at a Child Care Center—Boston OUTBREAK IV‐7 An Outbreak of a Rash at a Camp for HIV‐Infected Children—Connecticut OUTBREAK IV‐8 A Rubella Outbreak—Arkansas OUTBREAK IV‐9 An Outbreak of Invasive Disease Associated with Varicella in a Child Care Center—Boston OUTBREAK IV‐10 An Outbreak of Boils Associated with Footbaths at a Nail Salon—California OUTBREAK IV‐11 An Outbreak of Boils Associated with Steam Bathing, Alaska OUTBREAK IV‐12 A Skin Infection Outbreak at a Local School—Houston, Texas OUTBREAK IV‐13 An Outbreak of MRSA at Surgical Sites—Paris OUTBREAK IV‐14 An Outbreak of Necrotizing Fasciitis and Cellulitis Associated with Vein Sclerotherapy—Australia OUTBREAK IV‐15 COLLEGE PERSPECTIVE Skin Infections among Tattoo Recipients—Ohio OUTBREAK IV‐16 GLOBAL PERSPECTIVE A Gas Gangrene Outbreak after a Tsunami—Papua New Guinea REFERENCE MATERIAL

SECTION V: Outbreaks of Diseases of the Cardiovascular and Lymphatic Systems OUTBREAK V‐1 An Outbreak of Typhus—Burundi OUTBREAK V‐2 An Outbreak of Cyclic Fevers—India OUTBREAK V‐3 An Outbreak of Mononucleosis—Puerto Rico OUTBREAK V‐4 Fever in a Traveler Returning from Venezuela—California OUTBREAK V‐5 Cases of Rash and Fever, One Fatal, in a Family Cluster—Kentucky OUTBREAK V‐6 An Outbreak of Ebola Hemorrhagic Fever—Uganda OUTBREAK V‐7 An Outbreak of Leptospirosis during Eco‐Challenge—Malaysia OUTBREAK V‐8 A Dengue Fever Outbreak—Puerto Rico OUTBREAK V‐9 A Disease Outbreak Associated with International Travel—Chicago OUTBREAK V‐10 Pseudomonas Bloodstream Infections Associated with a Heparin‐Saline Flush—Missouri OUTBREAK V‐11 A Brucellosis Outbreak Due to Unpasteurized Raw Goat Cheese—Andalusia, Spain OUTBREAK V‐12 An Acute Respiratory Illness Associated with Dried Animal Hides—New York City OUTBREAK V‐13 A Plague Outbreak—India OUTBREAK V‐14 A Hepatitis Outbreak from a Pain Clinic—Oklahoma OUTBREAK V‐15 An Outbreak of Staphylococcus aureus with Increased Vancomycin Resistance—Illinois OUTBREAK V‐16 COLLEGE PERSPECTIVE An Outbreak of Lyme Disease—United States OUTBREAK V‐17 GLOBAL PERSPECTIVEThe Zika Virus Spreads from Uganda to the United States REFERENCE MATERIAL

SECTION VI: Outbreaks of Diseases of the Nervous System OUTBREAK VI‐1 An Outbreak of Acute Flaccid Paralysis—Cape Verde OUTBREAK VI‐2 An Outbreak of Paralysis from Eating Fermented Beaver Tails—Alaska OUTBREAK VI‐3 Rabies Infections from Organ Donor Tissues—Multistate OUTBREAK VI‐4 A Tetanus Outbreak—Puerto Rico OUTBREAK VI‐5 An Outbreak of Aseptic Meningitis among Recreational Vehicle Campers—Connecticut OUTBREAK VI‐6 A Mad Cow Disease Outbreak in Humans and Cattle—United States, Canada, Europe, and Japan OUTBREAK VI‐7 Foodborne Paralysis from Eating Home‐Pickled Eggs—Illinois OUTBREAK VI‐8 An Outbreak of Encephalitis—New York OUTBREAK VI‐9 An Outbreak of Haemophilus influenzae Type b Meningitis—Alaska OUTBREAK VI‐10 An Outbreak of Foodborne Botulism from Home‐Prepared Fermented Tofu—California OUTBREAK VI‐11 Meningitis among Travelers Returning from Saudi Arabia—United States OUTBREAK VI‐12 COLLEGE PERSPECTIVE Meningitis Outbreaks Traced to Raves and Clubs—Michigan and Argentina OUTBREAK VI‐13 GLOBAL PERSPECTIVE An Outbreak of Pneumococcal Meningitis—Central African Republic REFERENCE MATERIAL

10  APPENDIX: Selected Sources

11  Index

12  End User License Agreement

Outbreak

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