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October 2, 1996

Outbreaks of Salmonella Serotype Enteritidis Infection Associated With Consumption of Raw Shell Eggs—United States, 1994-1995

JAMA. 1996;276(13):1017-1019. doi:10.1001/jama.1996.03540130015006

SALMONELLA serotype Enteritidis (SE) accounts for an increasing proportion of all Salmonella serotypes reported to CDC's National Salmonella Surveillance System. During 1976-1994, the proportion of reported Salmonella isolates that were SE increased from 5% to 26%. During 1985-1995, state and territorial health departments reported 582 SE outbreaks, which accounted for 24 058 cases of illness, 2290 hospitalizations, and 70 deaths. This report describes four SE outbreaks during 1994-1995 associated with consumption of raw shell eggs (i.e., unpasteurized eggs) and underscores that outbreaks of egg-associated SE infections remain a public health problem.

Washington, D.C.  In August 1994, a total of 56 persons who ate at a Washington, D.C., hotel had onset of diarrhea; 20 persons were hospitalized. Salmonella group D was isolated from stools of the 29 patrons who submitted specimens; 27 of the 29 isolates further typed were identified as SE.An investigation by the