The epidemic here reported, which includes 487 cases of septic sore throat, with twenty-two deaths, occurred almost exclusively among the customers of a single raw-milk dairy. All but one of the patients who died had drunk this milk. Prompt detection of the cause of the epidemic and equally prompt control of the milk supply by heating were made possible by complete cooperation between the clinicians, the city health bureau and the dairy management, and resulted in checking further extension of the epidemic within twenty-four hours after the suspicion of a milk-borne epidemic was first brought to the attention of the health bureau, March 27, 1922.
HISTORY OF THE OUTBREAK
A child, aged 2 years, died, March 25, 1922, with the clinical picture of sore throat and acute encephalitis. Other cases occurred in various parts of the west side of Portland on this day and the next two days, all evidently
BENSON RL, SEARS HJ. A MILK-BORNE EPIDEMIC OF SEPTIC SORE THROAT IN PORTLAND, OREGON. JAMA. 1923;80(22):1608–1612. doi:10.1001/jama.1923.02640490028009
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