About Shigella

Presented By Marler Clark The nation’s leading law firm representing victims of Shigella and other foodborne illness outbreaks.


1.  American Public Health Association (APHA), “Shigellosis,” in CONTROL OF COMMUNICABLE DISEASES MANUAL, pp. 556-60, edited by Heymann, David L., (19th Ed. 2008).

2.  Angulo, F.J., et al., “Antimicrobial Use in Agriculture: Controlling the Transfer of Antimicrobial Resistance to Humans,” SEMINARS IN PEDIATRIC INFECTIOUS DISEASES, Vol. 15, No. 2, pp. 78-85 (April 2004).

3.  Angulo, F.J., et al., “Evidence of an Association Between Use of Anti-microbial Agents in Food Animals and Anti-microbial Resistance Among Bacteria Isolated from Humans and the Human Health Consequences of Such Resistance, JOURNAL OF VETERINARY MEDICINE, Series-B, Vol. 51, Issue 8-9, pp. 374-79 (Oct. 2004).

4.  Baer, JT, et al., “HIV Infection as a Risk Factor for Shigellosis,” EMERGING INFECTIOUS DISEASES, Vol. 5, No. 6, pp. 820-823 (1999).  Full text available online at http://wwwnc.cdc.gov/eid/article/5/6/99-0614_article.htm

5.  Bennett,  JV, et al., “Infectious and Parasitic Diseases,” AMERICAN JOURNAL OF PREVENTIVE MEDICINE, Vol. 3, pp. 102–14 (1987).

6.  Carter, JD and Hudson, AP, “Reactive Arthritis: Clinical Aspects and Medical Management,” RHEUMATIC DISEASE CLINICS OF NORTH AMERICA, Vol. 35, No. 1, pp. 21-44 (Feb. 2009). Abstract available online at http://www.ncbi.nlm.nih.gov/pubmed/19480995

7.  Buzby, Jean and Roberts, Tonya, “The Economics of Enteric Infections: Human Foodborne Disease Costs,” GASTROENTEROLOGY,  Vol. 136, No. 6, pp. 1851-62 (May 2009).  Abstract available online at http://www.gastrojournal.org/article/S0016-5085(09)00341-2/abstract

8.  CDC, “Preliminary FoodNet data on the incidence of foodborne illnesses - Selected sites, United States, 1999,” MORBIDITY AND MORTALITY WEEKLY REPORT, Vol. 49, No. 10, pp. 201-03 (March 17, 2000).  Available online at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4910a1.htm

9.  CDC, “Preliminary FoodNet Data on the Incidence of Infection with Pathogens Transmitted Commonly through Food—10 States, 2006,” MORBIDITY AND MORTALITY WEEKLY REPORT, Vol. 56, No. 14, pp. 336-9 (April 13, 2007).  Available online at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm

10.  CDC, “Preliminary FoodNet Data on the Incidence of Infection with Pathogens Transmitted Commonly through Food—10 States, 2009,” MORBIDITY AND MORTALITY WEEKLY REPORT, Vol. 59, No. 14, pp. 418-22 (April 16, 2010).  Available online at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5914a2.htm

11.  CDC, National Center for Zoonotic, Vector-Borne, and Enteric Diseases, “Shigellosis—General Information and Frequently Asked Questions,” (updated: Nov.16, 2009).  Available online at http://www.cdc.gov/nczved/divisions/dfbmd/diseases/shigellosis/

12.  CDC, SHIGELLA SURVEILLANCE: ANNUAL SUMMARY: 2005 (2007).  Available online at http://www.cdc.gov/ncidod/dbmd/phlisdata/shigtab/2005/ShigellaIntroduction2005.pdf

13.  Council for Agriculture, Science and Technology (CAST), “Foodborne Pathogens: Risks and Consequences: Task Force Report No.122,” pp. 1-87 (Sept. 1994).  Full text available online at http://www.cast-science.org/publications/index.cfm/foodborne_pathogens_risks_and_consequences?show=product&productID=2852

14.  Cramer, EH, Blanton CJ, and Otto C., “Shipshape: Sanitation Inspections on Cruise Chips, 1990-2005,” CDC Vessel Sanitation Program, JOURNAL OF ENVIRONMENTAL HEALTH, Vol. 70, No. 7, pp. 15-21 (March 2008).  Full text available online at http://www.cdc.gov/nceh/vsp/pub/biblio/cramer08.pdf

15.  Doyle, MP, et al., “Reducing Transmission of Infectious Agents in the Home,”  DAIRY, FOOD AND ENVIRONMENTAL SANITATION, Vol. 96, No. 1, pp. 330-37 (June 2000).

16.  DuPont, HL, “Shigella species (bacillary dysentery),” in Mandell, Douglas, and Bennett’s PRINCIPLES AND PRACTICE OF INFECTIOUS DISEASES, Fifth Edition,. p. 2363-9 (2000, Mandell, Bennett, and Dolan, Editors)

17.  DuPont, HL, et al., “Inoculum Size in Shigellosis and Implications for Expected Mode of Transmission,”  THE JOURNAL OF INFECTIOUS DISEASES, Vol. 159, No. 6, pp. 1126-28 (June 1989).  Available for purchase online at http://www.jstor.org/pss/30137443

18.  Gomez HF, et al., “Lactoferrin Protects Rabbits from Shigella flexneri-Induced Inflammatory Enteritis,” INFECTION AND IMMUNITY, Vol. 70, No. 12, pp. 7050-53 (Dec. 2002). Full text at http://iai.asm.org/content/70/12/7050.full

19.  Gupta, Amita, et al., “Laboratory-confirmed Shigellosis in the United States, 1989–2002: Epidemiologic Trends and Patterns,” CLINICAL INFECTIOUS DISEASES, Vol. 38, pp. 1372–77 (May 15, 2004).  Full text available at http://cid.oxfordjournals.org/content/38/10/1372.full.pdf+html

20.  Hale, TL and Keusch, GT, “Shigella: Structure, Classification, and Antigenic Types,” in BARON’S MEDICAL MICROBIOLOGY (4th ed. 1996).

21.  Haley, CC, et al., “Risk Factors for Sporadic Shigellosis, FoodNet 2005,” FOODBORNE PATHOGENS AND DISEASES, Vol. 7, pp. 741–47 (July 72010).  Abstract available online http://www.ncbi.nlm.nih.gov/pubmed/20113209

22.  Keusch, GT and Acheson, DW, “Shigella Infection,” in ENTERIC INFECTIONS AND IMMUNITY (1996).

23.  Kotloff, K. L., et al., “Global burden of Shigella infections: implications for vaccine development and implementation of control strategies,” BULLETIN OF THE WORLD HEALTH ORGANIZATION, Vol. 77, No. 8 (1999).  Full text available online at http://www.who.int/bulletin/archives/77(8)651.pdf

24.  Krilov, LR, et al., “Impact of an infection control program in a specialized preschool,” AMERICAN JOURNAL OF INFECTION CONTROL, Vol. 24, pp. 167-173 (1996).  Abstract available online at http://www.ncbi.nlm.nih.gov/pubmed/8806992

25.  Lee, LA, et al., “Hyperendemic Shigellosis in the United States: A Review of Surveillance Data for 1967–1988,” JOURNAL OF INFECTIOUS DISEASES, Vol. 164, pp. 894-900 (Nov. 1991).  Full text available for purchase online at http://jid.oxfordjournals.org/content/164/5/894.full.pdf+html

26.  Mayo Clinic, “Shigella. Infection,”  Mayo Clinic Web site, information last updated April 14, 2010, at http://www.mayoclinic.com/health/shigella/DS00719

27.  Mead, Paul M, et al., “Food-related Illness and Death in the United States,” EMERGING INFECTIOUS DISEASES, Vol. 5, No. 5, pp. 607-25 (September-October 1999).  Full text available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627714/pdf/10511517.pdf

28.  Mohle-Boetani, JC, et al., “Communitywide Shigellosis: Control of an Outbreak and Risk factors in Child Day-Care Centers,” AMERICAN JOURNAL OF PUBLIC HEALTH, Vol. 85, pp. 812-6 (1995). Full text available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615492/?tool=pubmed

29.  Philpott, DJ, Edgeworth, JD, and Sansonetti, PJ, “The Pathogenesis of Shigella flexneri Infection: Lessons from in vitro and in vivo studies,” PHILOSOPHICAL TRANSACTIONS OF THE ROYAL SOCIETY—BIOLOGICAL SCIENCES,  Vol. 355,  pp. 575-586 (2000).  Full text available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1692768/pdf/10874731.pdf

30.  Replogle, Marilyn, et al., “Emergence of Antimicrobial-Resistant Shigellosis in Oregon,” CLINICAL INFECTIOUS DISEASE (2000) 30 (3): 515-519 (2000). Full text available online at http://cid.oxfordjournals.org/content/30/3/515.long

31.  Ringrose, JH, et al., “Influence of Infection of Cells with Bacteria Associated with Reactive Arthritis on the Peptide Repertoire Presented by HLA-B27,”  JOURNAL OF MEDICAL MICROBIOLOGY, Vol. 50, pp. 385-389 (2001). Full text available online at http://jmm.sgmjournals.org/content/50/4/385.long

32.  Reller, ME, et al., “A Large, Multiple-Restaurant Outbreak of Infection with Shigella flexneri serotype 2a Traced to Tomatoes,” CLINICAL INFECTIOUS DISEASES, Vol. 42, No. 2, pp. 163-169 (2006). Full text available online at http://cid.oxfordjournals.org/content/42/2/163.long

33.  Roberts, T, “Human Illness Costs of Foodborne Bacteria,” AMERICAN JOURNAL OF AGRICULTURE ECONOMICS, Vol. 71, No. 2, pp. 468-474 (1989).  Full text available for purchase online at http://www.jstor.org/pss/1241614

34.  Rooney, RM, et al., “A Review of Outbreaks of Foodborne Disease Associated with Passenger Ships: Evidence for Risk Management,” PUBLIC HEALTH REPORTS, Vol. 119, No. 4, pp. 427-434 (July-August 2004).  Full text available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1497653/pdf/15219800.pdf

35.  Scharf, Robert, “Health-Related Costs from Foodborne Illness in the United States,” The Produce Safety Project at Georgetown University (March 3, 2010).  Full text available online at http://www.producesafetyproject.org/admin/assets/files/Health-Related-Foodborne-Illness-Costs-Report.pdf-1.pdf

36.  Tauxe, RV, et al., “The Persistence of Shigella flexneri in the United States: Increasing Role of Adult Males,” AMERICAN JOURNAL OF PUBLIC HEALTH, Vol. 78, No. 11, pp. 1432-5 (Nov. 1988). Full text available online at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1350234/pdf/amjph00250-0046.pdf

37.  Trofa, Andrew, et al., “Dr. Kiyoshi Shiga: Discover of Dysentery Bacillus,” CLINICAL INFECTIOUS DISEASES, Vol. 29, pp. 1303-06 (1999).  Full available online at http://cid.oxfordjournals.org/content/29/5/1303.long

38.  USDA Economic Research Service, “Bacterial Foodborne Disease—Medical Costs and Productivity Losses,” AER-741, August 1996 (authors: Jean C. Buzby, et al.).  Full text available online at http://www.ers.usda.gov/Publications/AER741/

39.  Wallinga, D, “Antimicrobial Use in Animal Feed:  An Ecological and Public Health Problem,” MINNESOTA MEDICINE, Vol. 85, No. 10 pp. 12-16 (Oct. 2002).  Full text available online at http://www.mmaonline.net/publications/MNMed2002/October/Wallinga.html


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