In the past 10 years, an increasing number of outbreaks of enteric disease associated with animals in public settings, such as fairs and petting zoos, have been reported. Fifty-five of these outbreaks that occurred in the United States during 1991-2005 are reviewed in this article. Lessons learned from these outbreaks and recommendations for prevention are also discussed. Physicians should be aware of this important public health problem and play an active role in prevention of human illness associated with animals in public settings.
Bibliographical noteFunding Information:
Financial support. National Center for Infectious Diseases and CDC; N.S. was funded by Pfizer Public Health Group through the CDC Foundation as a CDC Experience Fellow. Potential conflicts of interest. All authors: no conflicts.