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. 2011 Dec 23;3(1):20.
doi: 10.1186/1757-4749-3-20.

The Broad Street pump revisited: dairy farms and an ongoing outbreak of inflammatory bowel disease in Forest, Virginia

Ellen S Pierce  1 , Stephen M Borowitz, Saleh A Naser
Affiliations

The Broad Street pump revisited: dairy farms and an ongoing outbreak of inflammatory bowel disease in Forest, Virginia

Ellen S Pierce et al. Gut Pathog. .

Abstract

We report an ongoing outbreak of ulcerative colitis and Crohn's disease in Forest, Virginia involving 15 unrelated children and teenagers who resided in close proximity to dairy farms. Some of our cases demonstrated serologic evidence of Mycobacterium avium subspecies paratuberculosis infection, suggesting its potential role as an etiologic agent.

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Figures

Figure 1
Figure 1
Map of the 1854 London cholera outbreak. The pump is indicated by a circle in the upper right hand corner of the figure. Deaths from cholera in each household are indicated by bars. Reprinted with the very kind permission of Dr. Ralph Frerichs from his John Snow website, http://www.ph.ucla.edu/epi/snow/mapsbroadstreet.html.
Figure 2
Figure 2
Map of seven of the 15 cases' homes from the 1994-2011 Forest, Virginia inflammatory bowel disease outbreak. Note that two case homes are immediately adjacent to dairy farms currently located in Forest, and the others are close to Otter River, Elk Creek or Ivy Creek tributaries.
See this image and copyright information in PMC

References

    1. Mapping the 1854 Broad Street Pump Outbreak. http://www.ph.ucla.edu/epi/snow/mapsbroadstreet.html
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