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Original Question

Case Study Analysis 1. In the E. coli outbreak, inspectors noted that “many opportunities for cross-contamination existed.” What types of cross contamination were the inspectors referring to? 2. Also with regard to the E. coli case, why was it significant that all five ill persons were infected with the same strain of the bacterium? 3. Shigella is spread along what is known to microbiologists as the oral-fecal route. Explain what is meant by this term. 4. E. coli is found in the gastrointestinal tract of many animals, including cows, pigs and sheep, while Shigella is found almost exclusively within the GI tract of humans (some species of apes may also harbor the bacterium). How would investigation of an E. coli outbreak differ from an investigation of a Shigella outbreak? 5. Children under five years of age were much more likely to be sickened in the Salmonella outbreak than were any other age group. Why do you think this is? 6. Infection with Salmonella, Shigella, or E. coli are all considered to be underreported diseases, meaning that the actual number of cases in an outbreak is much greater than the number of reported cases. Why do you think this discrepancy exists?

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