Multi-state outbreaks of human Salmonella infections linked to live poultry

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With recent reports of sick and dying songbirds in Ohio and surrounding states, the Ohio Department of Agriculture and the Ohio Department of Natural Resources are encouraging hobby and backyard poultry owners to take steps to protect their flocks.
With recent reports of sick and dying songbirds in Ohio and surrounding states, the Ohio Department of Agriculture and the Ohio Department of Natural Resources are encouraging hobby and backyard poultry owners to take steps to protect their flocks. (© Can Stock Photo/monticello)

From the Centers for Disease Control

The Centers for Disease Control, USDA, and several states are investigating multiple outbreaks of human Salmonella infections linked to live poultry in backyard flocks. This year saw the largest number of illnesses linked to contact with backyard poultry ever recorded by CDC.

The CDC and multiple states investigated 10 separate multi-state outbreaks of Salmonella infections in people who had contact with live poultry in backyard flocks. The outbreak strains of Salmonella infected a reported 1,120 people in 48 states and the District of Columbia.

Illnesses started on dates ranging from Jan. 4, 2017 to Sept. 22, 2017 and 249 ill people were hospitalized. One death was reported from North Carolina. Epidemiologic, traceback, and laboratory findings linked the 10 outbreaks to contact with live poultry, such as chicks and ducklings, from multiple hatcheries.

In interviews, 542 (70 percent) of 774 ill people reported contact with live poultry in the week before illness started. The outbreaks were caused by Salmonella bacteria with several DNA fingerprints: Salmonella Braenderup, Salmonella Enteritidis, Salmonella Hadar, Salmonella I 4,[5],12:i-, Salmonella Indiana, Salmonella Infantis, Salmonella Litchfield, Salmonella Mbandaka, Salmonella Muenchen, and Salmonella Typhimurium.

Contact with live poultry or their environment can make people sick with Salmonella infections. Live poultry such as chickens and ducks can be carrying Salmonella bacteria but appear healthy and clean, with no sign of illness.

As raising backyard flocks becomes more popular, more people are having contact with chickens and ducks – and may not know about the risk of Salmonella infection.

These outbreaks are a reminder to always wash hands thoroughly with soap and water right after touching live poultry. Live poultry, such as chickens, ducks, geese, and turkeys, often carry germs such as Salmonella. After you touch a bird, or anything in the area where birds live and roam, wash your hands so you don’t get sick.

Owning backyard chickens and other poultry can be a great experience. However, children and other groups of people have a greater chance of illness from handling live poultry or anything in the area where they live and roam. Even handling baby birds displayed at stores can cause a Salmonella infection.

Sometimes, people can become so sick from a Salmonella infection that they have to go to the hospital. Children younger than 5 years, adults older than 65, and people with weakened immune systems, including pregnant women, are more likely to have a serious illness from Salmonella.

The CDC’s Salmonella website has more information about Salmonella infections. If you suspect you or your child has a Salmonella infection, contact your healthcare provider immediately.

How do people get Salmonella infections from live poultry?

Live poultry might have Salmonella germs in their droppings and on their bodies (feathers, feet, and beaks), even when they appear healthy and clean. The germs can get on cages, coops, feed and water dishes, hay, plants, and soil in the area where the birds live and roam. Germs also can get on the hands, shoes, and clothes of people who handle or care for the birds.

People become infected with Salmonella germs when they put their hands or equipment that has been in contact with live poultry in or around their mouth. Young children are more likely to get sick because their immune systems are still developing and they are more likely to put their fingers or pacifiers and other items into their mouths.

Some people who have contact with items, like coops or water dishes, in the area where poultry live can get sick without actually touching one of the birds. Germs on your hands can spread easily to other people or surfaces, which is why it’s important to wash hands immediately with soap and water after touching poultry or anything in the area where they live and roam.

How do I reduce the chance of Salmonella infection?

• Always wash your hands with soap and water right after touching live poultry or anything in the area where they live and roam.
• Adults should supervise hand-washing by young children.
• Use hand sanitizer, if soap and water are not readily available.
• Don’t let live poultry inside the house, especially in areas where food or drink is prepared, served, or stored.
• Set aside a pair of shoes to wear while taking care of poultry and keep those shoes outside of the house.
• Don’t let children younger than 5 years, adults older than 65, or people with weakened immune systems from conditions such as cancer treatment, HIV/AIDS or organ transplants, handle or touch chicks, ducklings, or other live poultry.
• Don’t eat or drink in the area where the birds live or roam.
• Avoid kissing your birds or snuggling them, then touching your mouth.
• Stay outdoors when cleaning any equipment or materials used to raise or care for live poultry, such as cages or feed or water containers.
• Buy birds from hatcheries that participate in the U.S. Department of Agriculture National Poultry Improvement Plan (USDA-NPIP) U.S. voluntary Salmonella Monitoring Program [279 KB]. This program is intended to reduce the incidence of Salmonella in baby poultry in the hatchery, which helps prevent the spread of illness among poultry and people.
• Poultry may carry bacteria such as Salmonella that can contaminate the inside of eggs before the shells are formed. Eggs can also become contaminated from the droppings of poultry.

Safe handling tips for eggs from backyard poultry

Shell eggs may become contaminated with Salmonella through the laying process, once the eggs are laid, through poultry feed or bedding.
 To keep your family healthy, follow the tips below when collecting and handling eggs from a backyard flock:
• Always wash your hands with soap and water after handling eggs, chickens, or anything in their environment.
• Maintain a clean coop. Cleaning the coop, floor, nests and perches on a regular basis will help to keep eggs clean.
• Collect eggs often. Eggs that spend a significant amount of time in the nest can become dirty or break. Cracked eggs should be thrown away.
• Eggs with dirt and debris can be cleaned with fine sandpaper, a brush or cloth. Don’t wash eggs, because colder water can pull bacteria into the egg.
• Refrigerate eggs after collection.
• Cook eggs thoroughly. Raw and undercooked eggs contain Salmonella bacteria that can make you sick.
• Know the local regulations around sale of eggs. If you sell eggs, it is important to follow local licensing requirements.

Learn more about Salmonella and Eggs

What are the signs and symptoms of Salmonella infection? Salmonella germs can make people sick with:
• Diarrhea
• Vomiting
• Fever
• Abdominal cramps
Live poultry also can carry avian influenza (flu) viruses. Avian flu very rarely makes people sick. Learn more about avian flu and steps you can take to protect yourself.

What are the rules for owning live poultry?

Rules and regulations vary by city, county, and state, so check with your local government to know the rules for where you live.

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