Shigella infection (shigellosis) is an intestinal disease caused by a family of bacteria known as shigella. The main sign of shigella infection is diarrhea, which often is bloody.

For Physicians

Shigellosis: Clinical Differentials, Workup, Treatment, Medication, Followup (eMedicine)
http://www.emedicine.com/med/topic2112.htm

Shigellosis Case Investigation - State Form #49694 (R2/1-05) (Indiana State Department of Health )

http://www.in.gov/isdh/files/49694_Shigellosis.pdf (180kb, 5 pages)

Diagnosis and management of foodborne illnesses: A primer for physicians and other health care professionals, 2nd Edition February 2004
http://www.ama-assn.org/ama/pub/category/3629.html (fulltext pdf files)

For The Public
Factsheet, Preventing the Spread in Childcare Settings, Flyers in English and Spanish (Marion County Health Department)
http://www.mchd.com/shigella_prevention.htm

Shigella: Information for Parents (FamilyDoctor.org, American Academy of Family Physicians)
http://www.kidshealth.org/PageManager.jsp?dn=familydoctor&lic=44&cat_id=20028&article_set=23014&ps=104

Shigellosis (CDC)
http://www.cdc.gov/nczved/dfbmd/disease_listing/shigellosis_gi.html

For Physicians
Centers for Disease Control and Prevention in collaboration with the American Medical Association et. al. Diagnosis and Management of Foodborne Ilnesses, 2004
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5304a1.htm

Centers for Disease Control and Prevention, Investigation of Outbreak of Infections Caused by Salmonella Saintpaul
http://www.cdc.gov/salmonella/saintpaul/

Indiana State Department of Health Case Investigation Form
http://www.in.gov/isdh/files/49693_Salmonellosis.pdf

Centers for Disease Control and Prevention, Reporting a Foodborne Illness-Healthcare Professionals
http://www.cdc.gov/foodborneoutbreaks/reporting_professionals.htm

eMedicine Salmonella Infection
http://www.emedicine.com/PED/topic2033.htm

For Patients
Centers for Disease Control and Prevention, Advice to Consumers
http://www.cdc.gov/salmonella/saintpaul/#advice

MEDLINEPlus, Salmonella Infections
http://www.nlm.nih.gov/medlineplus/salmonellainfections.html

For Physicians

CDC Factsheet West Nile Virus (WNV) Infection:  Information for Clinicians
http://www.cdc.gov/ncidod/dvbid/westnile/resources/fact_sheet_clinician.htm

CDC Statistics, Surveillance and Control (includes guidelines and case definition)
http://www.cdc.gov/ncidod/dvbid/westnile/surv&control.htm

Indiana State Department of Health, Mosquito-borne Encephalitis Case Investigation Form (PDF file, 138KB)
http://www.in.gov/isdh/files/51382.pdf

Indiana State Department of Health, West Nile Virus Information of Health Professionals
http://www.in.gov/isdh/23594.htm

eMedicine West Nile Virus
http://www.emedicine.com/pmr/TOPIC236.HTM

eMedicine West Nile Encephalitis
http://www.emedicine.com/med/topic3160.htm

For Patients

MEDLINEPlus, National Library of Medicine, West Nile Virus
http://www.nlm.nih.gov/medlineplus/westnilevirus.html

Links for Physicians
http://www.bt.cdc.gov/disasters/hurricanes/pdf/dguidelines.pdf
Guidelines for the Management of Acute Diarrhea

http://www.atsdr.cdc.gov/publications/100233-RelocationStress.pdf
Helping Families Deal With the Stress of Relocation After a Disaster

http://www.aafp.org/afp/20070315/841.html
Disaster-Related Physical and Mental Health: A Role for the Family Physician

Links for the Public
http://www.bt.cdc.gov/disasters/floods/cleanupwater.asp
After a Hurricane or Flood: Cleanup of Flood Water

http://www.bt.cdc.gov/disasters/foodwater/facts.asp
Keep Food and Water Safe After a Disaster or Power Outage

http://www.bt.cdc.gov/disasters/wellsdisinfect.asp
Disinfecting Wells Following an Emergency

http://www.bt.cdc.gov/disasters/floods/after.asp
After a Flood

http://www.epa.gov/safewater/privatewells/whatdo.html
Private Drinking Water Wells: What to Do After a Flood

http://www.bt.cdc.gov/disasters/mold/protect.asp
Protect Yourself from Mold

http://www.bt.cdc.gov/disasters/floods/sanitation.asp
Sanitation and Hygiene

http://www.bt.cdc.gov/disasters/handhygienefacts.asp
Clean Hands Save Lives: Emergency Situations

http://www.bt.cdc.gov/disasters/animalhazards/facts.asp
Protect Yourself from Animal- and Insect-Related Hazards After a Disaster

http://www.bt.cdc.gov/disasters/electrical.asp
How to Protect Yourself and Others from Electrical Hazards Following a Natural Disaster

http://www.bt.cdc.gov/disasters/cofacts.asp
Preventing Carbon Monoxide Poisoning After an Emergency

Links For Physicians

Click Here for Links for the Public
Click Here for the Marion County Health Department Syphilis Links

Treatment
Treatment Guidelines for Sexually Transmitted Diseases (Center for Disease Control)
http://www.cdc.gov/std/treatment/

Syphilis (eMedicine)
http://www.emedicine.com/med/topic2224.htm (Adult)
http://www.medicine.com/ped/topic2193.htm (Pediatrics)

Confidential Report of Communicable Disease Form (Indiana State Department of Health)
http://www.in.gov/isdh/programs/hivstd/forms/Forms.htm

Where to Fax STD Morbidity Reports (Indiana State Department of Health)
http://www.in.gov/isdh/programs/hivstd/std/STD%20DIS%20map-fax%20numbers.pdf

Special Populations
Press Release 3/12/08: New Data Reveal 7th Consecutive Syphilis Increase in the U.S. and Opportunities to Improve STD Screening and Prevention for Gay and Bisexual Men (Centers for Disease Control and Prevention)
http:/www.cdc.gov/stdconference/2008/media/release-12march2008.htm

Syphilis and HIV from the HIV InSite Knowledge Base
(University of California San Francisco and San Francisco General Hospital)
http://hivinsite.ucsf.edu/InSite?page=kb-00&doc=kb-05-01-04 (last updated June 2006)

Syphilis from the Clinical Manual for Management of the HIV-Infected Adult (AIDS Training and Education Centers)
http://www.aidsetc.org/aidsetc?page=cm-531_syphilisSee Section 6: Disease-Specific Treatment

For the Public
Syphilis (MedlinePlus, National Library of Medicine)
http://www.nlm.nih.gov/medlineplus/syphillis.html

INHealthConnect (Database of health services in Indiana)
http://apps.nlm.nih.gov/medlineplus/local/indiana/list_location.cfm?areaid=13&service_type=topic&invokedby=services&service_id=400&ntopic_id=3017

Syphilis CDC Fact Sheet (Centers for Disease Control and Prevention)
http://www.cdc.gov/std/syphillis/STDFact-Syphilis.htm”

Syphilis and MSM (Men Who have Sex with Men) CDC Fact Sheet (Centers for Disease Control and Prevention)
http://www.cdc.gov/std/syphilis/STDFact-MSM&Syphilis.htm

Shigella infection (shigellosis) is an intestinal disease caused by a family of bacteria known as shigella. The main sign of shigella infection is diarrhea, which often is bloody.

For Physicians

Shigellosis: Clinical Differentials, Workup, Treatment, Medication, Followup (eMedicine)
http://www.emedicine.com/med/topic2112.htm

Shigellosis Case Investigation - State Form #49694 (R2/1-05) (Indiana State Department of Health )
http://www.in.gov/isdh/form/pdfs/49694_Shigellosis.pdf” (180kb, 5 pages)

Diagnosis and management of foodborne illnesses: A primer for physicians and other health care professionals, 2nd Edition February 2004
http://www.ama-assn.org/ama/pub/category/3629.html (fulltext pdf files)

For The Public
Factsheet, Preventing the Spread in Childcare Settings, Flyers in English and Spanish (Marion County Health Department)
http://www.mchd.com/shigella_prevention.htm

Quick Facts About Shigellosis (Indiana State Department of Health)
http://www.in.gov/isdh/healthinfo/shigellosis.htm

Shigella: Information for Parents (FamilyDoctor.org, American Academy of Family Physicians)
http://www.kidshealth.org/PageManager.jsp?dn=familydoctor&lic=44&cat_id=20028&article_set=23014&ps=104

Shigellosis (CDC)
http://www.cdc.gov/nczved/dfbmd/disease_listing/shigellosis_gi.html

Public health officials in Indiana, Texas, and at CDC are investigating an outbreak of botulism associated with canned hot dog chili sauce manufactured by Castleberry’s Food Company.

ACP Observer - Botulism
www.acponline.org/journals/news/may04/bio/botulism.htm

Botulism Associated with Canned Chili Sauce, July 2007
www.cdc.gov/botulism/botulism.htm

Botulism Castleberry Product Recall 7/21/2007
www.castleberrys.com/news_productrecall.asp

Botulism as a bioterrorism agent. Indiana State Department of Health.
www.in.gov/isdh/bioterrorism/manual/section_6.htm

One Salmonella case in Indiana – The Indianapolis Star 10/31/2006

ATLANTA — A salmonella outbreak possibly linked to produce has sickened one person in Indiana and dozens more in 17 other states, health officials say. Erik Deckers, spokesman for the Indiana State Department of Health, said the agency is investigating the case and working with officials at the Centers for Disease Control……..
http://www.indystar.com/apps/pbcs.dll/article?AID=2006610310437

Salmonella - Indiana State Department of Health
http://www.in.gov/isdh/healthinfo/salmonella.htm

Salmonella Treatment – Emedicine
http://www.emedicine.com/emerg/topic515.htm

Salmonella Infections – MedlinePlus
http://www.nlm.nih.gov/medlineplus/salmonellainfections.html

From Indianapolis Star:
Possibly tainted egg salad recalled. http://www.indystar.com/apps/pbcs.dll/article?AID=2006610220442

News item October 22, 2006:
“…Ballard’s Farm Sausage said Saturday it is recalling its egg salad in 17 states, including Indiana, because of possible contamination.
The company said tests showed mixed results for Listeria monocytogenes. The bacterium can cause serious or fatal infections in young children or elderly people. It also can cause miscarriages and stillbirths in pregnant women.
Ballard’s President David Ballard said the company has temporarily suspended producing egg salad while it investigates the contamination. Consumers can return the 12-ounce containers of egg salad for a refund.
The company did not say where the containers were sold.
The states involved in the recall are Alabama, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Michigan, New Jersey, New York, North and South Carolina, Ohio, Pennsylvania, Tennessee, Virginia and West Virginia”

Related Links:

From the AMA:
Listeria monocytogenes infection: a patient scenario:
http://www.ama-assn.org/ama/pub/category/13767.html
or
Diagnosis and Management of Listeria monocytogenes infection:
http://www.ama-assn.org/ama/upload/mm/36/foodborne_listeria.pdf

From the CDC:
Listeriosis http://www.cdc.gov/ncidod/dbmd/diseaseinfo/listeriosis_g.htm

From the FDA:
Listeria monocytogenes Risk Assessment Questions and Answers
http://www.foodsafety.gov/~dms/lmr2qa.html

From MedlinePlus (for consumers):
Listeria Infectionshttp://www.nlm.nih.gov/medlineplus/listeriainfections.html

E coli O157.H7 Outbreak from Fresh Spinach
http://www.cdc.gov/foodborne/ecolispinach/

CDC National Center for Infectious Diseases Escherichia coli Infection (E. coli Infection)
http://www.cdc.gov/ncidod/dbmd/diseaseinfo/escherichiacoli_g.htm

FDA Spinach and E. coli Outbreak
http://www.fda.gov/oc/opacom/hottopics/spinach.html

Indiana State Department of Health, E. coli 0157:H7 Infection
http://www.in.gov/isdh/publications/2002communicable_disease_ref_guide/ecoli.htm

WHO Enterohaemorrhagic Escherichia coli (EHEC) Fact Sheet
http://www.who.int/mediacentre/factsheets/fs125/en/

American Society for Microbiology, Slugs May Spread E. coli to Salad Vegetables
http://www.asm.org/Media/index.asp?bid=40450

USDA Food Safety and Inspection Service Escherichia coli O157:H7 Fact Sheet
http://www.fsis.usda.gov/Fact_Sheets/E_coli/index.asp

NIAID Fact Sheet Foodborne E. coli
http://www.niaid.nih.gov/factsheets/ecoli.htm

USDA Food Safety and Inspection Service Directive 10,010.1, Microbiological Testing Program for Escherichia Coli O157:H7 in Raw Ground Beef
http://www.fsis.usda.gov/OPPDE/rdad/FSISDirectives/10.010.1.pdf

MedlinePlus E. Coli Infections:
http://www.nlm.nih.gov/medlineplus/ecoliinfections.html