A large and unusually severe outbreak reported by McWeeney[65] occurred
in November, 1908, among the inmates of an industrial school for girls
at Limerick, Ireland. There were 73 cases with 9 deaths out of the total
number of 197 pupils. The brunt of the attack fell on the first or
Senior class comprising 67 girls between the ages of thirteen and
seventeen. Out of 55 girls belonging to this class who partook of beef
stew for dinner 53 sickened, and 8 of these died. One of the two who
were not affected ate the gravy and potatoes but not the beef. Some of
the implicated beef was also eaten as cold meat by girls in some of the
other classes, and also caused illness. Part of the meat had been eaten
previously without producing any ill effects. "The escape of those who
partook of portions of the same carcass on October 27 and 29 [five days
earlier] may be accounted for either by unequal distribution of the
virus, or by thorough cooking which destroyed it. Some of the infective
material must, however, have escaped the roasting of the 29th, and,
multiplying rapidly, have rendered the whole piece intensely toxic and
infective during the five days that elapsed before the fatal Tuesday
when it was finally consumed." The animal from which the fore quarter of
the beef was taken had been privately slaughtered by a local butcher. No
reliable information could be obtained about the condition of the calf
at, or slightly prior to, slaughter. The meat, however, was sold at so
low a price that it was evidently not regarded as of prime quality. In
this outbreak the agglutination reactions of the blood of the patients
and the characteristics of the bacilli isolated showed the infection to
be due to a typical strain of _Bacillus enteritidis_.
An epidemic of food poisoning occurred in July, 1915, at and near
Westerly, Rhode Island.[66] The outbreak was characterized by the usual
symptoms of acute gastro-enteritis, and followed the eating of pie which
was obtained at a restaurant in Westerly. All the circumstances of the
outbreak showed that a particular batch of pies was responsible. About
sixty persons were made seriously ill and four died. There was no
unusual taste or odor to the pies to excite suspicion. The symptoms
followed the eating of various kinds of pie: custard, squash, lemon,
chocolate, apple, etc., that had been made with the same pie-crust
mixture. _Bacillus paratyphosus_ B was isolated from samples of pie
that were examined. No definite clue was obtained as to the exact source
of infection of the pie mixture. It is possible that the pie became
infected in the restaurant through the agency of a paratyphoid-carrier,
but since there had been no change in the personnel of the restaurant
for several months, this explanation is largely conjectural. Possibly
some ingredient of animal origin was primarily infected.
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