title: Outbreaks of enteric disease associated with animal contact: not just a foodborne problem anymore.
abstract: In the past 10 years, an increasing number of outbreaks of enteric disease associated with animals in public settings, such as fairs and petting zoos, have been reported. Fifty-five of these outbreaks that occurred in the United States during 1991-2005 are reviewed in this article. Lessons learned from these outbreaks and recommendations for prevention are also discussed. Physicians should be aware of this important public health problem and play an active role in prevention of human illness associated with animals in public settings.
authors.affiliation: Enteric Diseases Epidemiology Branch, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Steinmuller
authors.forename: Linda
authors.initials: L
authors.lastname: Demma
authors.forename: Jeff B
authors.initials: JB
authors.lastname: Bender
authors.forename: Millicent
authors.initials: M
authors.lastname: Eidson
authors.forename: Frederick J
authors.initials: FJ
authors.lastname: Angulo
mesh_terms: D000820:Animal Diseases / Q000503:physiopathology; D000818:Animals; D000829:Animals, Domestic; D004196:Disease Outbreaks; D005517:Foodborne Diseases / Q000150:complications; D005759:Gastroenteritis / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D011634:Public Health