title: Hepatitis A associated with consumption of frozen strawberries--Michigan, March 1997.
abstract: In March 1997, a total of 153 cases of hepatitis A were reported in Calhoun County, Michigan (1990 population: 136,000); 151 case-patients have been students or staff of schools in four different school districts. Investigation by public health officials has not implicated a single event, foodhandler or contaminated water as a source for the outbreak. However, most case-patients ate lunch in schools, and preliminary analysis of both a case-control and cohort study conducted in two different school districts established a strong association between illness and consumption of food items containing frozen strawberries. This report presents the preliminary findings of the ongoing outbreak investigation.
mesh_terms: D004196:Disease Outbreaks; D005516:Food Microbiology; D005525:Food-Processing Industry; D005638:Fruit / Q000821:virology*; D006506:Hepatitis A / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D007116:Immunization, Passive; D008824:Michigan / Q000453:epidemiology