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File: aackr_01.txtMEMO FOR THE RECORD 27 Jan 91 SUBJECT: Suspected Foodborne Illness, 1701 PAREFW TO: Brig Gen Caruana 1. Between 1545 on 20 January and 1000 on 23 January 1991, 648 patients reported to the 325TH TAC Hospital with acute gastroenteritis. Fifty-three were hospitalized and seven were placed in a duty not including flying status. All were returned to duty on or before 26 January 1991. 2. A smoked veal sandwich in a box meal served all day on 20 January 1991 was incriminated. Clostridium perfringens was the suspected organism. This was based on clinical signs, the incubation period, and the fact that no aerobic organisms were cultured. Clostridium requires anaerobic conditions for growth. Clostridium perfringens could not be confirmed because the host nation laboratory did not incubate the sample under anaerobic conditions. 3. The contractor providing the boxed meals had a poor sanitary history and Environmental Health had recommended before the outbreak that another contractor be used. Following the outbreak, the contractor was stopped from providing boxed meals. However, despite Environmental Health's recommendation, it was decided that the contractor would continue to prepare and serve meals at the Lockheed Compound where pilots are housed. [(b)(6)] DONALD W. BUTTS' Col, USAF, BSC Director of Professional Services Office of the Command Surgeon
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