title: An outbreak of Escherichia coli O157:H7 infections traced to jerky made from deer meat.
abstract: OBJECTIVE
  To investigate a 1995 outbreak of Escherichia coli O157:H7 infections and to assess the safety of meat dehydration methods.
  
  
  METHODS
  Survey subsequent to routine surveillance report, environmental investigations, and laboratory experimentation.
  
  
  METHODS
  Oregon community.
  
  
  METHODS
  Members of an extended household and their social contacts with confirmed or presumptive E coli O157:H7 infections.
  
  
  RESULTS
  A total of 6 confirmed and 5 presumptive cases were identified. Homemade venison jerky was implicated as the source of transmission. E coli O157:H7 with the same distinctive, pulsed-field gel electrophoresis pattern seen in the case isolates was recovered from leftover jerky, uncooked meat from the same deer, a saw used to dismember the carcass, and fragments of the deer hide. In a subsequent survey, E coli O157:H7 was recovered from 3 (9%) of 32 deer fecal pellets collected in nearby forest land. In the laboratory, inoculated venison was dried at several time and temperature combinations, ranging up to 10 hours at 62.8 degrees C. Viable organisms were recovered under all conditions tested.
  
  
  CONCLUSIONS
  Deer can be colonized by E coli O157:H7 and can be a source of human infections. Conditions necessary to ensure the safety of dried meat deserve further review. Game should be handled with the same caution indicated for commercially slaughtered meat.
authors.affiliation: Acute and Communicable Disease Program, Oregon Health Division, Portland 97232, USA. keene@ohsu.edu
authors.forename: W E
authors.initials: WE
authors.lastname: Keene
authors.forename: E
authors.initials: E
authors.lastname: Sazie
authors.forename: J
authors.initials: J
authors.lastname: Kok
authors.forename: D H
authors.initials: DH
authors.lastname: Rice
authors.forename: D D
authors.initials: DD
authors.lastname: Hancock
authors.forename: V K
authors.initials: VK
authors.lastname: Balan
authors.forename: T
authors.initials: T
authors.lastname: Zhao
authors.forename: M P
authors.initials: MP
authors.lastname: Doyle
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D015373:Bacterial Typing Techniques; D002648:Child; D002675:Child, Preschool; D003670:Deer / Q000382:microbiology; D003967:Diarrhea / Q000382:microbiology; D004196:Disease Outbreaks; D004927:Escherichia coli Infections / Q000453:epidemiology* / Q000209:etiology; D019453:Escherichia coli O157 / Q000302:isolation & purification*; D005511:Food Handling; D005517:Foodborne Diseases / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D007223:Infant; D008460:Meat / Q000382:microbiology*; D008875:Middle Aged; D009922:Oregon / Q000453:epidemiology