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Food Safety News

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Daniel B. Cohen

Articles Written by Daniel B. Cohen

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A Parallel Clinical Pattern to O104:H4

The O104:H4 serotype has an unusual clinical pattern for Shiga toxin-producing E. coli (STEC) pathogens, including bloody diarrhea in adults followed by a high conversion rate to adult hemolytic uremic syndrome (HUS) or to severe non-HUS enterohemorrhagic symptoms in adults. There is another STEC group that parallels the unusual pattern of the current outbreak in… Continue Reading

Notes, Observations on Europe’s Epidemic

What are the lessons learned so far from the O104:H4 outbreak? German medical and public health authorities are burdened by the equivalent of more than 10 normal years worth of case loads occurring in a single month, the continuing need for secondary infection prevention, the outbreak source investigation and perhaps other issues as well. Despite… Continue Reading

Q&A: Dr. Robert Tauxe on the Outbreak in Germany

As of Tuesday, the toll in the outbreak of E. coli O104:H4 in Germany was 3,697 illnesses, 856 cases of hemolytic uremic syndrome (HUS) and 40 deaths. Major Shiga toxin-producing E. coli (STEC) outbreaks in the past have been transformative events for epidemiology and approaches to food safety. An hour-long conversation last Thursday with Dr…. Continue Reading

O104:H4: A New Disease with Old Preventions

“I watched my friends get sick, just melt away, and die in hours.” A senior, returning to our college from Nepal in 1968, after participating in a 5 year program allowing students a year abroad. His education included what we now would describe as post traumatic stress. Many readers will recognize the disease course of… Continue Reading

Moment of Truth in E. coli Outbreak

I have been following the outbreak in Germany rather intensively for sustainable agriculture groups and local organic farmers, because of my past work on E. coli O157:H7 and spinach for CAFF (the Community Alliance with Family Farmers). This is the moment when there may be a breakthrough in the epidemiology and investigation of the origins… Continue Reading