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Shigella Blog

Surveillance & Analysis on Shigella News & Outbreaks

Texas Shigella Outbreak Tops 98

Four more cases of Shigella have been reported in Grayson County bringing the total countywide cases to 98.

Shigella began spreading in November mainly at Sherman and Denison ISD.

Officials with the Grayson County Health Department hoped that school winter breaks would halt the spread of the bacterial infection.

Amanda Ortez with the department says she believes children with shigella, home for the holidays, have been infecting their family members.

Siouxland District Health Reports 205 Shigella Cases

According to press reports, cases of shigellosis continue to grow in Woodbury County nearly two months after health officials reported an outbreak of the contagious bacterial infection that causes diarrhea.

205 cases had been reported to Siouxland District Health Department as of Friday afternoon. About 100 had been diagnosed in early November.

District Health Deputy Director Tyler Brock said the majority of the sick are children, but a number of adults have contracted shigellosis too.

 

Shigella Hits Texas Big

A Shigella outbreak continues to hit Grayson County hard. Health Department officials say new cases are being reported every day.

News 12 last reported there were 36 cases just before Thanksgiving. But, in just 13 days that number has jumped to 61 confirmed cases in Grayson County.

A command center has been set up at the Health Department, where they say employees are working to stop Shigella from spreading.

“It may never be known, but we are trying to determine how this started and of course how we can stop it, most importantly. Because it needs to be stopped,” Amanda Ortez said.

Grayson County Health Department’s Amanda Ortez says Shigella continues to make dozens sick in Grayson County.

There are now 61 confirmed cases of the highly contagious bacteria In people ranging from two years old to 72.

Shigella hits Iowa

According to press reports, cases of shigellosis continue to grow in Woodbury County nearly a month after health officials reported an outbreak of the contagious bacterial infection that causes diarrhea.

Ninety-five cases had been reported to Siouxland District Health Department as of Friday afternoon. About 20 had been diagnosed in early November.

District Health Deputy Director Tyler Brock said the majority of the sick are children, but a number of adults have contracted shigellosis too.

Shigella in Stanly, Cabarrus, Rowan, Union, and Mecklenburg Counties

There is a regional outbreak of shigella related illnesses throughout Stanly, Cabarrus, Rowan, Union, and Mecklenburg counties.  Cabarrus County has over 40 lab confirmed cases reported which is the highest number of reported cases in all these counties,” said Cindy Russell, Stanly County Health Department communicable disease nurse.

“We want to call your attention to this outbreak as many Stanly County residents participate in activities that cross county lines. As of this week, Stanly County has had two reported cases of shigella and one probable case.”

Shigella is a highly infectious disease. Most of those that are infected with shigella develop watery stools, fever and stomach cramps starting a day or two after they are exposed to the bacteria, according to the health department. The watery stools are often bloody. Shigellosis usually resolves in five to seven days.

Most shigella infections result when basic hygiene and handwashing practices are inadequate. The bacterium passes from stools or soiled fingers of one person to another person, according to the health department. It is particularly likely to occur with toddlers who are not fully toilet-trained. Family members and playmates of toddlers are at high risk of becoming infected.

Shigella infections may be acquired from eating contaminated food. Contaminated food usually looks and smells normal. Food may become contaminated by infected food handlers who forget to or improperly wash their hands with soap after using the bathroom.

Stanly County Health Department staff is consulting with staff from the surrounding county health departments as well as the State Division of Public Health.   Health department staff has alerted the schools, day care centers and health care providers as to the incidence of this infectious disease.  Staff members are also informing them how to prevent the spread of this as it is highly infectious.

Grayson County Texas Public Health Information Bulletin Shigella Infections (Shigellosis) Fall 2013

Shigellosis is an infectious disease of the digestive system caused by a group of bacteria called Shigella. Most people who are infected with Shigella develop diarrhea, fever, and stomach cramps starting a day or two after they swallow the bacteria. The diarrhea is often bloody. Shigellosis usually goes away in 4 to 7 days. Persons with shigellosis in the United States rarely require hospitalization. A severe infection with high fever may be associated with seizures in children less than 2 years old. Some persons who are infected may have no symptoms at all, but may still pass the Shigella bacteria to others.

Many different kinds of germs can cause diarrhea. Bacteria like Salmonella, E. coli, and Shigella are common causes of intestinal infections, but several kinds of viruses also can be responsible. If you or your child develops diarrhea which does not clear up quickly, see your doctor or other health care provider. A stool test ordered by your doctor will reveal which type of germ is responsible, and whether an antibiotic will help. The following symptoms may indicate a Shigella infection:

• Diarrhea that may contain mucus and blood

• Fever

• Stomach cramps

• Nausea

Tips for preventing the spread of shigellosis include:

• Wash hands with soap carefully and frequently, especially after going to the bathroom, after changing diapers, and before preparing foods or beverages

• Dispose of soiled diapers properly

• Disinfect diaper changing areas after using them

• Keep children with diarrhea out of child care settings

• Supervise handwashing of toddlers and small children after they use the toilet

• Do not prepare food for others while ill with diarrhea

• Avoid swallowing water from ponds, lakes, or untreated pools

Shigella in Texas

A health warning was issued for Grayson county residents Friday after health officials and Sherman schools report an outbreak of a highly contagious disease.

Friday, Sherman ISD sent letters out to parents notifying them of a Shigella outbreak in three of their schools.

“We do have three different campuses that were impacted. We have Sory Elementary that had multiple cases on that campus, five specific cases that I’m aware of. And we have two other campuses that only had one case, one student case in those particular campuses. They are Dillingham and Fairview Intermediate,” said Assistant Superintendent Dr. Tyson Bennett.

Grayson County Health Director, John Teel, said there are 14 reported cases of Shigellosis–an infection caused by the Shigella bacteria–that causes high fever, vomiting and diarrhea.

“We either catch it from someone we have close contact with, and it’s usually children, it’s usually young children who don’t know how to wash their hands very well,” he said.

That’s why Bennett said they are disinfecting campuses.

Shigella in Iowa

Woodbury County Health officials are urging those sick with diarrhea to stay home from work and school to prevent the spread of shigellosis, an extremely contagious bacterial infection of the lining of the intestines.

Siouxland District Health Deputy Director Tyler Brock said 42 cases of the non-life-threatening illness transmitted through human contact have been reported recently in the county, and he only expects those numbers to grow. Last year Woodbury County recorded a single case of shigellosis.

Brock said only about 20 of the cases were diagnosed; the others, he said, were identified during phone interviews with family members suffering similar symptoms. Patients include school and daycare-age children, as well as adults. None of the patients have been hospitalized as a result of the illness.

North Carolina Seeing Shigella Uptick

The Cabarrus Health Alliance is continuing to investigate Shigella-related illnesses and officials are urging everyone to be aware of the symptoms and use precautionary measures.

As of Friday, October 25: 47 people have reported symptoms and 14 of those are confirmed Shigellosis. The non-confirmed cases have symptoms but lack a lab test with a positive or negative diagnosis.

The onset of Shigella began at Bethel Elementary and has spread to CC Griffin Middle School. While all 47 people are not students or staff at those schools, they do link back to the schools in some way.

Florida Health Officials Warn of Shigella Increase

Health officials at the Florida Department of Health in Broward County are advising parents, schools and daycare centers to take precautionary action to prevent the spread of Shigellosis. Shigellosis is a highly contagious form of diarrhea caused by Shigella bacteria. Shigella can spread through person to person contact and may cause severe diarrhea, fever and stomach cramps. Parents of children, or anyone with symptoms of Shigellosis should contact their healthcare provider for diagnosis and treatment. Careful attention to handwashing is the single most important measure to decrease transmission of Shigella bacteria. Symptoms may last from 48 to 72 hours, and frequently include diarrhea (may be watery or bloody), fever, and stomach cramps. School aged children and children in daycare should be excluded from school until symptoms have ceased and laboratory cultures test negative for Shigella.