title: [Epidemiologic investigation on an outbreak of salmonellosis in Yeongcheon-si, 2004].
abstract: OBJECTIVE
  An outbreak of salmonellosis occurred among the students and staff of D primary school in Yeongcheon-si, 2004. This investigation was carried out to prevent any recurrence of this outbreak and to study the infection source and transmission of the salmonellosis.
  
  
  METHODS
  The authors conducted a questionnaire survey among 1,205 students and staff members from D primary school about the ingestion of the school lunch and drinking water, and the manifestation of their symptoms. The author examined rectal swabs, the tap water and microorganism cultures, and we also investigated the dining facility and water supply facility.
  
  
  RESULTS
  The diarrheal cases were defined as the confirmed cases or the persons who had diarrhea more than one time with symptoms such as fever, vomiting and tenesmus. The diarrheal attack rate was 28.0%. Ingestion of fried bean curd with egg had a significantly high association with the diarrheal attack rate (p<0.05), and the relative risk of the fried bean curd with egg was 10.68 (95% CI=3.88-29.41), as was determined by logistic regression analysis. The bacterial counts in the tap water of the food preparation room and toilet (first floor) exceeded the maximum permissible counts. S. Enteritidis bacteria were only cultured from the fried bean curd with egg of all the supplied foods on September 3, 2004.
  
  
  CONCLUSIONS
  The major cause of salmonellosis was presumed to be the contaminated bean curd via contaminated tap water due to a water leak of a school water pipe. This contaminated bean curd was under prepared, which allowed the S. Enteritidis to survive and multiply prior to its ingestion.
authors.affiliation: Department of Preventive Medicine, College of Medicine, Dongguk University.
authors.forename: Hyun-Sul
authors.initials: HS
authors.lastname: Lim
authors.forename: Young-Sun
authors.initials: YS
authors.lastname: Min
authors.forename: Hwan-Seok
authors.initials: HS
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D005260:Female; D005506:Food Contamination / Q000032:analysis; D006306:Health Surveys; D006801:Humans; D007723:Korea / Q000453:epidemiology; D008297:Male; D012306:Risk; D018570:Risk Assessment; D012307:Risk Factors; D012480:Salmonella Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D012477:Salmonella enteritidis / Q000302:isolation & purification*; D012574:Schools; D011795:Surveys and Questionnaires