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An outbreak investigation identified 26 patients (18 from Sonora, eight from Arizona) with onset of GBS 4 May\u201321 July 2011, exceeding the expected number of cases (<jats:italic>n<\/jats:italic>\u00a0=\u00a01\u20132). Twenty-one (81%) patients reported antecedent diarrhoea, and 61% of 18 patients tested were seropositive for<jats:italic>C. jejuni<\/jats:italic>IgM antibodies. In a case-control study matched on age group, sex, ethnicity, and neighbourhood of residence, all Arizona GBS patients travelled to SLRC during the exposure period<jats:italic>vs.<\/jats:italic>45% of matched controls (matched odds ratio 8\u00b71, 95% confidence interval 1\u00b75\u2013\u221e). Exposure information and an environmental assessment suggested that GBS cases resulted from a large outbreak of<jats:italic>C. jejuni<\/jats:italic>infection from inadequately disinfected tap water in SLRC. Binational collaboration was essential in investigating this cross-border GBS outbreak, the first in mainland North America since 1976.<\/jats:p>","DOI":"10.1017\/s0950268813001908","type":"journal-article","created":{"date-parts":[[2013,8,7]],"date-time":"2013-08-07T14:03:34Z","timestamp":1375884214000},"page":"1089-1099","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":57,"title":["Binational outbreak of Guillain\u2013Barr\u00e9 syndrome associated with<i>Campylobacter jejuni<\/i>infection, Mexico and USA, 2011"],"prefix":"10.1017","volume":"142","author":[{"given":"B. R.","family":"JACKSON","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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