On June 20, 2011, the Indiana Department of Homeland Security notified the Indiana State Department of Health (ISDH) of an Indiana fire station that reported gastrointestinal illness among a substantial percentage of their workers, causing missed workdays and one hospitalization as a result of cryptosporidiosis. All ill firefighters had responded to a barn fire in Michigan, 15 miles from the Michigan-Indiana border on June 6.
On June 6, 2011, a fire occurred in a barn housing approximately 240 week-old calves. A total of 34 firefighters responded from three Michigan fire stations and one Indiana fire station. Local hydrant water and on site swimming pond water were used to extinguish the fire. Investigators hypothesized that exposures to calves or contaminated drinking water were potential infection sources.
The incident was investigated with the following findings, the following public health recommendations were issued: 1) discontinue swimming in the pond, 2) practice thorough hygiene to reduce fecal contamination and fecal-oral exposures, and 3) decontaminate firefighting equipment properly. No additional primary or secondary cases associated with this exposure have been reported. The findings highlight a novel work-related disease exposure for firefighters and the need for public education regarding cryptosporidiosis prevention.
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