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JAMA. 2000;283:2517-2518.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

MMWR. 2000;49:321-324

1 figure omitted.

In June 1999, the Tarrant County Health Department reported to the Texas Department of Health (TDH) that a group of teenagers attending a cheerleading camp during June 9-11 became ill with nausea, vomiting, severe abdominal cramps, and diarrhea, some of which was bloody. Two teenagers were hospitalized with hemolytic uremic syndrome (HUS), and two others underwent appendectomies. Routine stool cultures from eight ill persons failed to yield a pathogen. Stools subsequently were sent to laboratories at the Texas Department of Health and CDC, where Escherichia coli O111:H8 was isolated from two specimens. This report summarizes the investigation of this outbreak.

To identify additional cases, surveillance for non-O157 Shiga toxin-producing E coli (STEC) illnesses in Texas was enhanced by alerting all local health departments, hospitals, clinical laboratories, and physicians about the outbreak. A cohort study of all campers attending the 3-day camp was conducted to . . . [Full Text of this Article]

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