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Rising serpent @rising_serpent
, 6 tweets, 2 min read Read on Twitter
1. 59 people infected with the outbreak strain of Shiga toxin-producing E. coli O157:H7 have been reported from 15 states. Same E. coli identified in Canada
All traced to CA
So far 23 hospitalizations, 0 deaths.
We're playing with fire here. Mortality rates: 2-5% (see below)
2. What makes E. coli O157:H7 remarkably dangerous is its very low infectious dose, as few as 20 organisms may be sufficient to infect a person. Unlike generic E. coli, O157:H7 multiplies at temperatures up to 44° F, survives freezing and thawing, is heat-resistant, up to 111 F
3. As if that wasn't enough, to make it even more of a threat, E. coli O157:H7 bacteria are easily transmitted by person-to-person contact.
4. The duration of an uncomplicated illness ranges from one to twelve days.  In reported outbreaks, the rate of death is 0-2%, with rates running as high as 16-35% in outbreaks involving the elderly, like those that have occurred at nursing homes.…
5. Thus, the biggest factor in determining mortality and morbidity with shiga-toxin producing E. coli is the health status of the host. Elderly, immunocompromised and people with comorbid conditions are at increased risk for adverse outcomes.
6. When you factor in the person to person transmissibility, increased mortality and morbidity in the vulnerable, it should be clearly apparent that we are sitting on a powder keg and that nobody has died (yet), is pure good luck.
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