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JAMA. 2006;295:378-380.

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

MMWR. 2005;54:1277-1280

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During 2004-2005, three outbreaks of Escherichia coli O157:H7 infections occurred among agricultural fair, festival, and petting zoo visitors in North Carolina, Florida, and Arizona. One hundred eight cases, including 15 cases of hemolytic uremic syndrome* (HUS), were reported in the North Carolina outbreak; 63 cases, including seven HUS cases, were reported in the Florida outbreak; and two cases were reported in Arizona. No fatalities occurred. Illnesses primarily affected children who visited petting zoos at these events. This report summarizes findings from these outbreak investigations, which indicated the need for adequate control measures to reduce zoonotic transmission of E. coli O157:H7.

North Carolina

On October 29, 2004, the North Carolina Division of Public Health (NCDPH) received a report of a cluster of three HUS cases among children who visited a petting zoo at the North Carolina State Fair. Approximately 800,000 visitors attended this fair during October 15-24, 2004. . . . [Full Text of this Article]