Skip directly to search Skip directly to A to Z list Skip directly to site content
CDC Home

Notes from the Field: Multistate Outbreak of Human Salmonella Infections Linked to Live Poultry from a Mail-Order Hatchery in Ohio — March–September 2013

Colin Basler, DVM1, Tony M. Forshey, DVM2, Kimberly Machesky, MPH3, C. Matthew Erdman, DVM, PhD4, Thomas M. Gomez, DVM4, Thai-An Nguyen, MPH5, Casey Barton Behravesh, DVM, DrPH5 (Author affiliations at end of text)

In early 2013, four clusters of human Salmonella infections were identified through PulseNet, the national molecular subtyping network for foodborne bacteria. Many of the ill persons in these four clusters reported contact with live poultry, primarily chicks and ducklings, from a single mail-order hatchery; therefore, these investigations were merged. During March 4–October 9, 2013, a total of 158 persons infected with outbreak strains of Salmonella serotypes Infantis, Lille, Newport, and Mbandaka were reported from 30 states.

Forty-two percent (65 of 155) of ill persons were aged ≤10 years, and 28% (29 of 103) were hospitalized; no deaths were reported. Eighty-six percent (80 of 93) of ill persons who were interviewed reported live poultry contact in the week before illness onset. Sixty-nine percent (44 of 64) of ill persons who completed a supplemental live poultry questionnaire reported chick exposure, and 40% (26 of 64) reported duckling exposure. Seventy-five percent (33 of 44) of respondents reported live poultry exposure at their home; 59% (26 of 44) specifically reported keeping poultry inside their home.

Of the 40 ill persons who had recently purchased young poultry, the average time from purchase of poultry to illness onset was 21 days (range = 2–52 days); 48% (19 of 40) ill persons reported illness onset within 2 weeks of poultry purchase. Among persons with purchase information, 94% (62 of 66) reported buying young poultry sourced from a single mail-order hatchery in Ohio.

This outbreak investigation identified an Ohio hatchery as the likely source of the outbreak. This hatchery previously has been linked with multiple, large human Salmonella outbreaks (1,2). These recurring outbreaks highlight the need for comprehensive Salmonella prevention and control programs to be implemented and maintained at this mail-order hatchery and its associated breeder farms. Mail-order hatcheries and their source flocks should comply with management and sanitation practices outlined by the U.S. Department of Agriculture's National Poultry Improvement Plan.* Additional owner education is necessary because healthy birds can still transmit Salmonella to humans. Educational material warning customers and advising them on how to reduce the risk for Salmonella infection from live poultry should be distributed by farm/feed stores and mail-order hatcheries with all live poultry purchases (3). Reducing the spread of Salmonella in mail-order hatcheries, in their source flocks, and in the feed store environment is critical to reduce the risk for human illness. This outbreak highlights the need for a comprehensive approach involving human and animal health officials and practitioners, industry, and backyard poultry flock owners.

1EIS Officer, CDC; 2Ohio Department of Agriculture; 3Ohio Department of Health; 4US Department of Agriculture; 5Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, CDC (Corresponding author: Colin Basler, cbasler@cdc.gov, 404-639-2214)

References

  1. CDC. Notes from the field: multistate outbreak of Salmonella Altona and Johannesburg infections linked to chicks and ducklings from a mail-order hatchery—United States, February–October 2011. MMWR 2012;61:195.
  2. CDC. Notes from the field: multistate outbreak of Salmonella Infantis, Newport, and Lille infections linked to live poultry from a single mail-order hatchery in Ohio—March–September 2012. MMWR 2013;62:213.
  3. CDC. Gastrointestinal (enteric) diseases from animals. Atlanta, GA: US Department of Health and Human Services, CDC; 2013. Available at http://www.cdc.gov/zoonotic/gi.



Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.

References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of pages found at these sites. URL addresses listed in MMWR were current as of the date of publication.


All MMWR HTML versions of articles are electronic conversions from typeset documents. This conversion might result in character translation or format errors in the HTML version. Users are referred to the electronic PDF version (http://www.cdc.gov/mmwr) and/or the original MMWR paper copy for printable versions of official text, figures, and tables. An original paper copy of this issue can be obtained from the Superintendent of Documents, U.S. Government Printing Office (GPO), Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for current prices.

**Questions or messages regarding errors in formatting should be addressed to mmwrq@cdc.gov.

 
USA.gov: The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Rd. Atlanta, GA 30333, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
A-Z Index
  1. A
  2. B
  3. C
  4. D
  5. E
  6. F
  7. G
  8. H
  9. I
  10. J
  11. K
  12. L
  13. M
  14. N
  15. O
  16. P
  17. Q
  18. R
  19. S
  20. T
  21. U
  22. V
  23. W
  24. X
  25. Y
  26. Z
  27. #