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JAMA. 2001;285:2320-2322.

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

MMWR. 2001;50:293-297

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During the spring and fall of 2000, outbreaks of Escherichia coli O157:H7 infections among school children in Pennsylvania and Washington resulted in 56 illnesses and 19 hospitalizations. Illness was associated with school and family visits to farms where children came into direct contact with farm animals. This report summarizes the findings of investigations of these outbreaks and includes strategies to reduce the transmission of enteric pathogens from farm animals to children.

Pennsylvania

During September-November 2000, the Montgomery County Health Department (MCHD) identified 51 persons who had diarrhea within 10 days of visiting a dairy farm (farm A) in Montgomery County. Fifteen (29%) persons had either E coli O157 isolated from stool specimens or hemolytic-uremic syndrome (HUS); patients ranged in age from 1-52 years (median: 4 years), 26 (51%) were male, and dates of illness onset ranged from September 4 to November 8. Symptoms reported by . . . [Full Text of this Article]

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