{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T13:32:39Z","timestamp":1751981559040,"version":"3.38.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perspect Public Health"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:p> In June 2017, an outbreak of Shiga toxin\u2013producing Escherichia coli (STEC) O157 infection with phage type 21\/28 and identical genotypic profiles involving three children from Staffordshire was reported. Two cases developed haemolytic uraemic syndrome (HUS). Person-to-person transmission via a shared inflatable home paddling pool was the most likely route of infection, following contamination by the first case. The source of infection in the first case was not identified. We recommend that individuals experiencing gastroenteritis should not bathe in paddling pools and that water should be changed at frequent intervals throughout the day to minimise the spread of infection. <\/jats:p>","DOI":"10.1177\/1757913918774072","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T09:28:37Z","timestamp":1525944517000},"page":"279-281","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Shiga toxin\u2013producing <i>Escherichia coli<\/i> (STEC) O157 outbreak associated with likely transmission in an inflatable home paddling pool in England, June 2017"],"prefix":"10.1177","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1591-8362","authenticated-orcid":false,"given":"MTR","family":"Pereboom","sequence":"first","affiliation":[{"name":"Field Epidemiology Training Fellow, UK Field Epidemiology Training Programme, Public Health England, UK"},{"name":"Field Epidemiology Service, National Infection Service, Public Health England, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Todkill","sequence":"additional","affiliation":[{"name":"Consultant Epidemiologist (locum), Field Epidemiology Service, National Infection Service, Public Health England, Birmingham, UK"},{"name":"Division of Health Sciences, Warwick Medical School, The University of Warwick, Coventry, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Knapper","sequence":"additional","affiliation":[{"name":"Health Protection Nurse, Public Health England, West Midlands, Health Protection Team, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Head of E. coli, Shigella, Yersinia and Vibrio Reference Service, National Infection Service, Gastrointestinal Bacteria Reference Unit, Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Hawker","sequence":"additional","affiliation":[{"name":"Consultant Epidemiologist, Field Epidemiology Service, National Infection Service, Public Health England, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Coetzee","sequence":"additional","affiliation":[{"name":"Consultant in Communicable Disease Control, Public Health England, West Midlands, Health Protection Team, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,10]]},"reference":[{"key":"bibr1-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1002\/9781444346961"},{"key":"bibr2-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268807007947"},{"key":"bibr3-1757913918774072","volume":"6","author":"Hildebrand JM","year":"1996","journal-title":"Commun Dis Report CDR Rev"},{"key":"bibr4-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800051141"},{"key":"bibr5-1757913918774072","doi-asserted-by":"crossref","first-page":"E0608312","DOI":"10.2807\/esm.11.11.00661-en","volume":"11","author":"Kirkpatrick A","year":"2006","journal-title":"Euro Surveill"},{"key":"bibr6-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.33.6.1602-1605.1995"},{"key":"bibr7-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500070063030"},{"key":"bibr8-1757913918774072","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268808001702"},{"volume-title":"Code of practice for swimming pool water","year":"2016","author":"PWTAG","key":"bibr9-1757913918774072"},{"volume-title":"Healthy swimming","year":"2011","author":"Centers for Disease Control and Prevention","key":"bibr10-1757913918774072"},{"volume-title":"Why diarrhea & swimming don\u2019t mix","year":"2017","author":"Centers for Disease Control and Prevention","key":"bibr11-1757913918774072"}],"container-title":["Perspectives in Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757913918774072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1757913918774072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1757913918774072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T15:41:46Z","timestamp":1741016506000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1757913918774072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,10]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,9]]}},"alternative-id":["10.1177\/1757913918774072"],"URL":"https:\/\/doi.org\/10.1177\/1757913918774072","relation":{},"ISSN":["1757-9139","1757-9147"],"issn-type":[{"type":"print","value":"1757-9139"},{"type":"electronic","value":"1757-9147"}],"subject":[],"published":{"date-parts":[[2018,5,10]]}}}