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M S Dworkin

Publications and source records attributed to M S Dworkin.

39 records · Page 3Linked to original sources

Outbreak of trichinellosis associated with eating cougar jerky.

There has been a decline in the number of human trichinellosis cases associated with consumption of commercial pork in the United States, while the relative importance of trichinellosis from game meats has increased. An investigation of an outbreak of trichinellosis in Idaho occurring after consumption of improperly prepared cougar jerky is described. Ten cases of trichinellosis were identified among 15 persons who ate the implicated meat. Viable Trichinella larvae were recovered from frozen cougar tissue. Polymerase chain reaction on parasite DNA yielded results consistent with genotypes T. nativa and Trichinella type T6. This report of cougar meat as a source of human trichinellosis and the finding of freeze-resistant Trichinella organisms in wildlife in Idaho extends the range of this genotype. Consumers of game need to cook the meat thoroughly, since even frozen meat may harbor viable Trichinella that can cause illness.

Adolescent↗

Cryptosporidiosis in Washington State: an outbreak associated with well water.

In 1994, an outbreak of cryptosporidiosis occurred in a rural community in Washington State where water was supplied by two deep unchlorinated wells. Confirmed case-patients had a stool specimen containing Cryptosporidium parvum oocysts. Probable case-patients had diarrhea lasting > or = 5 days. Sixty-two households (68.1% of 91) responded to a survey. Eighty-six cases (15 confirmed, 71 probable) were identified, for an attack rate of 50.9% (86/169 residents). Drinking unboiled well water was associated with being a case-patient (relative risk, 1.84; 95% confidence interval, 0.89-3.82), and a significant dose-response relationship was found between water consumption and illness (P = .004). Water that was presumed to be treated wastewater from a piped irrigation system was found dripping along one well's outer casing, which was extensively rusted. Presumptive Cryptosporidium oocysts were found in well water and in treated wastewater. This investigation demonstrates that even underground water systems are vulnerable to contamination.

Adolescent↗

Hong Kong.

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Culture↗