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File: 970805_DOC_213_FOODBORNE_ILLNESS_02.txt
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 J   Bateen.   August 990.  A tlignt Surgeon reported 20 to 40 cases
 a day for , ~o 10 days (210-400).  Contractor was preparing 400
 meals in an 3 X 10 room witn one refrigerator   Several organisms,
 including Giardia and E.histolytica were isolated from stools.
 There was reportedly coliforms in ice but the sample was not
 properly obtained (taken from metal container used to chill drinks).

 4.  Al Minhad.  August 1990.  Flight surgeon estimated 30 to 40
 cases of Entamoeba histolytica per day for 2 weeks (420-560).
 People were eating in a host nation feeding facility which needed GI
 supervision.  Sanitary practices were grossly inadequate.  Their
 vegetable washing practices were questionable.  They did not
 sanitize pots and pans.

 5.  Masirah.  20 - 25 August 1990.  A flight surgeon reported 65
 cases of possible foodborne illness.  Etiology was unknown.   It may
 have been caused from poor sanitation of fresh vegetables.

 6.  King Fahd airport.  September 1990.  Approximately 100 people
 were affected by an unknown organism.  The investigation
 incri~inated salads.

 7.  Al Dafara.  September 1990.  Over 300 cases of
 fOodborne/waterborne illness occurred during a ten day period.
 Sanitation was less than satisfactory.  Giardia, E.histolytica and
 Salmonella were isolated.  The ice was positive for coliforms,
 suggestive of fecal contamination.

 8.  Riyadh.   5 - 16 October 1990. Four hundred (400) personnel were
 involved in a foodborne outbreak attributable to Shigella sonni.
 The probable food item was fresh salads prepared by third country
 nationals  CTcN).

 9.  Taif.  2 - 8 December 1990.  There were 86 patients, 79 were
 hospitalized.  Nursing services personnel were sent from two other
 facilities to help treat cases.  Salmonella type C was isolated from
 41 of 48 stool cultures.  Entamoeba histolytica was isolated from 13
 of 48 stools examined.  Eggs from an `Inapproved source and grossly
 contaminated with chicken feces were served undercooked.

 10.  Doha.  March 1991.  There were 17 cases of Possible foodborne
 illness.   Five were hospitalized. Salmonella was isolated from
 stool samples.  A specific meal was not implicated.  Meals were from
 a U.S  military dining hall.


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