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April 23, 1997, Vol 277, No. 16 >
ARTICLE | April 23, 1997

Outbreak of Aseptic Meningitis— Whiteside County, Illinois, 1995 FREE

JAMA. 1997;277(16):1272-1273. doi:10.1001/jama.1997.03540400022010
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ASEPTIC meningitis (AM) is a severe, nonbacterial infection of the central nervous system that affects an estimated 30000-50000 persons each year in the United States.1 On July 21, 1995, the infection-control coordinator of the county hospital in Whiteside County (1990 population: 60000), Illinois, reported to CDC an outbreak of AM. From June 7 through July 21, 1995, a total of 29 persons had onset of clinical AM, characterized by fever, headache, stiff neck, and photophobia. Many cases had cerebrospinal fluid (CSF) pleocytosis, and all had negative bacterial cultures. Preliminary identification of an enterovirus was made from virus-isolation studies. This report describes the investigation of this outbreak by county and state health officials, which indicated that, although members of the community were concerned about possible transmission at large public gatherings and several swimming locations, there was no risk for illness in these settings.

Whiteside County

REFERENCES

1 +
Morens DM, Pallansch MA, Moore M.  Polioviruses and other enteroviruses . In: Belshe RB, ed. Textbook of human virology . 2nd ed. St. Louis: Mosby Yearbook, 1991;:427-97.
2 +
Wenner HA, Abel D, Olson LC, Burry VF.  A mixed epidemic associated with echovirus types 6 and 11: virologic, clinical, and epidemiologic studies . Am J Epidemiol 1981;;114:369-78.
3 +
Kee F, McElroy G, Stewart D, Coyle P, Watson J.  A community outbreak of echovirus infection associated with an outdoor swimming pool . J Pub Health Med 1994;;16:145-8.
4 +
D'Alessio D, Minor TE, Allen CI, Tsiatis AA, Nelson DB.  A study of the proportions of swimmers among well controls and children with enterovirus-like illness shedding or not shedding an enterovirus . Am J Epidemiol 1981;;113:533-41.
5 +
Hawley HB, Morin DP, Geraghty ME, Tomkow J, Phillips CA.  Coxsackievirus B epidemic at a boys' summer camp: isolation of virus from swimming water . JAMA 1973;;226:33-6.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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1 +
Morens DM, Pallansch MA, Moore M.  Polioviruses and other enteroviruses . In: Belshe RB, ed. Textbook of human virology . 2nd ed. St. Louis: Mosby Yearbook, 1991;:427-97.
2 +
Wenner HA, Abel D, Olson LC, Burry VF.  A mixed epidemic associated with echovirus types 6 and 11: virologic, clinical, and epidemiologic studies . Am J Epidemiol 1981;;114:369-78.
3 +
Kee F, McElroy G, Stewart D, Coyle P, Watson J.  A community outbreak of echovirus infection associated with an outdoor swimming pool . J Pub Health Med 1994;;16:145-8.
4 +
D'Alessio D, Minor TE, Allen CI, Tsiatis AA, Nelson DB.  A study of the proportions of swimmers among well controls and children with enterovirus-like illness shedding or not shedding an enterovirus . Am J Epidemiol 1981;;113:533-41.
5 +
Hawley HB, Morin DP, Geraghty ME, Tomkow J, Phillips CA.  Coxsackievirus B epidemic at a boys' summer camp: isolation of virus from swimming water . JAMA 1973;;226:33-6.

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