title: The first reported cluster of food-borne cyclosporiasis in Canada.
abstract: BACKGROUND
  Prior to 1996, sporadic cases of cyclosporiasis in Canada were most often associated with foreign travel and outbreaks throughout the world were associated with contaminated drinking water. In May 1996, the North York Public Health Department was notified of three laboratory-confirmed cases of cyclosporiasis among persons who attended a luncheon at a religious institution. A ceremonial bath (mikvah) was initially identified as a possible source of exposure to contaminated water.
  
  
  METHODS
  Guests of a luncheon were interviewed regarding food, beverage and water exposure. The institution kitchen and water sources were inspected and environmental testing was performed.
  
  
  RESULTS
  Eating strawberry flan, decorated with rasberries and blueberries, was associated with developing illness (relative risk = 2.13, p = 0.02). There was no evidence that water exposure was associated with illness.
  
  
  CONCLUSIONS
  This event was the index Canadian cluster of a widespread North American outbreak associated with imported Guatemalan raspberries. The local investigation highlights the role of public health departments in multijurisdictional food-borne outbreaks of emerging pathogens.
authors.affiliation: Community Medicine Residency Program, University of Toronto, ON.
authors.forename: D G
authors.initials: DG
authors.lastname: Manuel
authors.forename: R
authors.initials: R
authors.lastname: Shahin
authors.forename: W
authors.initials: W
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: Grmusa
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000818:Animals; D002170:Canada / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D016000:Cluster Analysis; D003048:Coccidiosis / Q000453:epidemiology*; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D016783:Eucoccidiida; D005517:Foodborne Diseases / Q000453:epidemiology* / Q000469:parasitology*; D005638:Fruit / Q000469:parasitology*; D006166:Guatemala; D006801:Humans; D008875:Middle Aged; D015980:Public Health Practice; D012307:Risk Factors; D011795:Surveys and Questionnaires