Today's Date
This is an update to the e-mail many of you received a few days ago regarding Salmonella infections that occurred during the DOL/ DOT Summit held in late June in Washington DC.
The District of Columbia Department of Health (DC DOH) and the Centers for Disease Control and Prevention (CDC), Foodborne and Diarrheal Diseases Branch, have been notified of Salmonella infections among persons who attended a conference from June 25 to June 27 located in the same Washington DC Hotel as the DOL/ DOT Summit.
Because of the number of illnesses, the DC DOH with the assistance of CDC and a number of state health departments have begun an investigation to determine the source of this outbreak, with the goal of preventing additional illnesses. To assist with this, we request that you complete a CDC web-based survey. To protect your confidentiality, you will not be asked your name. Instead, you will need to enter the Unique Survey Number below in order to submit a response to the survey. This survey includes questions about the places that you ate, events you attended, and foods you ate while in Washington DC. It may be easier if you are looking at your convention agenda and/or calendar to help remind you of the meals eaten and your activities. For people who became ill, there are also a few questions about symptoms. The questions will take about 10 minutes. Please complete this survey even if you did not become ill. It is by comparing the responses of ill and well persons that we can identify the source of illness.
To complete the survey, copy your Unique Survey Number: ________ and then click here: _________________________________________ .
Thank you very much for your assistance in this investigation.
More information about Salmonella infections is available from CDC's website: Salmonellosis
Unique ID: ______________________________
State/ Providence/ Country of residence: _______
Country of residence (if not U.S.):______________________
Year of birth: 19___ :
What is your gender: Male Female
Did you attend the DOL/ DOT Conference held from June 25 - 27, 2002?
ٱ Yes ٱ No ٱ Don’t know
(If no- skip to thank you at end)
Did you attend activities at the DOL/ DOT Summit on:
Tuesday, June 25, 2002 ٱ Yes ٱ No ٱ Don’t know
Wednesday, June 26, 2002 ٱ Yes ٱ No ٱ Don’t know
Thursday, June 27, 2002 ٱ Yes ٱ No ٱ Don’t know
Did you have an illness with diarrhea (loose stools) that began between June 25 and July 2? ٱ Yes ٱ No ٱ Don’t know
(If no, skip to symptoms)
If yes, On what date did your diarrhea begin? (Please check a response for EACH date)
Tuesday, June 25, 2002 ٱ Yes ٱ No ٱ Don’t know
Wednesday, June 26, 2002 ٱ Yes ٱ No ٱ Don’t know
Thursday, June 27, 2002 ٱ Yes ٱ No ٱ Don’t know
Friday, 28 June, 2002 ٱ Yes ٱ No ٱ Don’t know
Saturday, 29 June, 2002 ٱ Yes ٱ No ٱ Don’t know
Sunday, 30 June, 2002 ٱ Yes ٱ No ٱ Don’t know
Monday, 1 July, 2002 ٱ Yes ٱ No ٱ Don’t know
Tuesday, 2 July, 2002 ٱ Yes ٱ No ٱ Don’t know
What time did your diarrhea begin? AM PM
What is the maximum number of stools you had in any 24-hour period? _____
Are you still ill? ٱ Yes ٱ No ٱ Don’t know
How long did your diarrheal illness last? (days) _______
Did you have any of the following symptoms? (Please check a response for EACH symptom)
Bloody diarrhea ٱ Yes ٱ No ٱ Don’t know
Watery diarrhea ٱ Yes ٱ No ٱ Don’t know
Nausea ٱ Yes ٱ No ٱ Don’t know
Vomiting ٱ Yes ٱ No ٱ Don’t know
Abdominal cramps ٱ Yes ٱ No ٱ Don’t know
Headache ٱ Yes ٱ No ٱ Don’t know
Fever ٱ Yes ٱ No ٱ Don’t know
Did you seek medical attention?
ٱ Yes ٱ No ٱ Don’t know
(If no, skip to antibiotics questions)
If yes, On what date you did you receive medical attention?: (_____/_____/2002)
Did you submit a stool sample? ٱ Yes ٱ No ٱ Don’t know
Were you hospitalized overnight? ٱ Yes ٱ No ٱ Don’t know
Did you take antibiotics for this illness? ٱ Yes ٱ No ٱ Don’t know
if yes, Were the antibiotics prescribed for this illness?
ٱ Yes ٱ No ٱ Don’t know
Did you treat yourself with antibiotics leftover from a previous infection?
ٱ Yes ٱ No ٱ Don’t know
Thank you for your responses to the above questions about your illness and treatment. Now, we would like you to think back to each day of the conference and think about items that you may have eaten. We will ask questions about foods eaten from June 25 – June 27, 2002
Breakfast
Did you eat breakfast on ANY day at the Renaissance Hotel ?
ٱ Yes ٱ No ٱ Don’t know [If no skip next question.?]
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat? ______________________________ (skip to June 25 snack
Which of the following items offered by the DOL/ DOT Summit did you eat/ drink for breakfast from June 25 to June 27? (Please complete for each food/ beverage item):
Fruit Juices
Grapefruit juice ٱ Yes ٱ No ٱ Don’t know
Orange juice ٱ Yes ٱ No ٱ Don’t know
Apple juice ٱ Yes ٱ No ٱ Don’t know
Cranberry juice ٱ Yes ٱ No ٱ Don’t know
Fresh fruits
Honeydew ٱ Yes ٱ No ٱ Don’t know
Cantaloupe ٱ Yes ٱ No ٱ Don’t know
Pineapple ٱ Yes ٱ No ٱ Don’t know
Seasonal berries ٱ Yes ٱ No ٱ Don’t know
Honey/ yogurt dressing ٱ Yes ٱ No ٱ Don’t know
Pastries
Danish ٱ Yes ٱ No ٱ Don’t know
Muffins ٱ Yes ٱ No ٱ Don’t know
Croissants ٱ Yes ٱ No ٱ Don’t know
Fruit breads with butter ٱ Yes ٱ No ٱ Don’t know
Jams, jellies,or preserves ٱ Yes ٱ No ٱ Don’t know
Sweet butter ٱ Yes ٱ No ٱ Don’t know
Other breakfast item(s):please list ________________________________________________________________________________________________________________________________
Snacks
Did you eat snacks at the Renaissance Hotel?
ٱ Yes ٱ No ٱ Don’t know
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat? ______________________________ (skip to Lunch, June 25)
Which of the following items offered by the DOL/ DOT Summit did you eat/drink? (Please complete for each food/ beverage item):
Still mineral water ٱ Yes ٱ No ٱ Don’t know
Jumbo cookies ٱ Yes ٱ No ٱ Don’t know
Brownies and Blondies ٱ Yes ٱ No ٱ Don’t know
Other: ______________________________
Tuesday, June 25: Luncheon
Did you eat lunch at the Renaissance Hotel on Tuesday, June 25?
ٱ Yes ٱ No ٱ Don’t know
[If no, skip to Tuesday, June 25 Dinner)
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat? ______________________________ (skip to Dinner , June 25)
Which of the following items offered by the DOL/ DOT Summit did you eat/drink? (Please complete for each food/ beverage item):
Caesar salad ٱ Yes ٱ No ٱ Don’t know
Foccacia and breadsticks ٱ Yes ٱ No ٱ Don’t know
Cheese ravioli with marinara sauce ٱ Yes ٱ No ٱ Don’t know Tiramisu squares ٱ Yes ٱ No ٱ Don’t know
Other: _________________________
Tuesday June 25: Dinner
Did you eat at the Renaissance Hotel for dinner on Tuesday June 25?
ٱ Yes ٱ No ٱ Don’t know
If yes, where were the food items from:
The conference? ٱ Yes ٱ No ٱ Don’t know
Room service ٱ Yes ٱ No ٱ Don’t know
Snack bar ٱ Yes ٱ No ٱ Don’t know
Any restaurant in the hotel ٱ Yes ٱ No ٱ Don’t know
Wednesday, June 26: Luncheon
Did you eat luncheon at the Renaissance Hotel on Wednesday, June 26?
ٱ Yes ٱ No ٱ Don’t know
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat lunch on Wednesday June 26? ___________ (skip to Dinner, Wednesday, June 26)
Which of the following items offered by the DOL/ DOT Summit did you eat/ drink? (Please complete for each food/ beverage item )
French rolls ٱ Yes ٱ No ٱ Don’t know
with sweet butter ٱ Yes ٱ No ٱ Don’t know
Grilled chicken breast ٱ Yes ٱ No ٱ Don’t know
with olive-caper sauce ٱ Yes ٱ No ٱ Don’t know Wild rice and barley pilaf ٱ Yes ٱ No ٱ Don’t know
Fresh seasonal vegetables ٱ Yes ٱ No ٱ Don’t know
Wednesday, June 26: Dinner
Did you eat dinner at the Renaissance Hotel on Wednesday, June 26?
ٱ Yes ٱ No ٱ Don’t know
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat dinner on Wednesday June 26? ___________ (skip to Lunch, Thursday June 27)
Which of the following items offered by the DOL/ DOT Summit did you eat/ drink? (Please complete for each food/ beverage item):
Pasta station
Pasta with tomato basil sauce ٱ Yes ٱ No ٱ Don’t know
Fettucine with alfredo sauce ٱ Yes ٱ No ٱ Don’t know
Bread sticks ٱ Yes ٱ No ٱ Don’t know
Garlic toast ٱ Yes ٱ No ٱ Don’t know
Breast of turkey ٱ Yes ٱ No ٱ Don’t know
mango chutney ٱ Yes ٱ No ٱ Don’t know
mayonnaise ٱ Yes ٱ No ٱ Don’t know
cranberry sauce ٱ Yes ٱ No ٱ Don’t know
Rolls ٱ Yes ٱ No ٱ Don’t know
Cheese platter ٱ Yes ٱ No ٱ Don’t know
Fresh fruit ٱ Yes ٱ No ٱ Don’t know
French bread ٱ Yes ٱ No ٱ Don’t know
Crackers ٱ Yes ٱ No ٱ Don’t know
Lavosh ٱ Yes ٱ No ٱ Don’t know
Salmon cake ٱ Yes ٱ No ٱ Don’t know
Beef tenderloin brochette ٱ Yes ٱ No ٱ Don’t know
with shallot sauce ٱ Yes ٱ No ٱ Don’t know
Thursday, June 27: Luncheon
Did you eat lunch at the Renaissance Hotel on Thursday, June 27?
ٱ Yes ٱ No ٱ Don’t know
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat lunch on Thursday June 27? ___________ (skip to Mid-afternoon snack, Thursday, June 27)
Which of the following items offered by the DOL/ DOT Summit did you eat/ drink? (Please complete for each food/ beverage item from the box lunch(es) from which you ate)
Box Lunch
Assorted sandwiches ٱ Yes ٱ No ٱ Don’t know
Sandwich filling: _____________________________________________
Potato chips ٱ Yes ٱ No ٱ Don’t know
Jumbo cookie ٱ Yes ٱ No ٱ Don’t know
Whole fruit ٱ Yes ٱ No ٱ Don’t know
Thursday, June 27: Mid-Afternoon Snack
Did you eat a mid-afternoon snack at the Renaissance Hotel on Thursday, June 27?
ٱ Yes ٱ No ٱ Don’t know
If yes, were the items eaten offered by the DOL/ DOT Summit?
ٱ Yes ٱ No ٱ Don’t know
If not, where did you eat a mid-afternoon snack on Thursday June 27? ___________ (skip to Dinner, Thursday 27 June)
Which of the following items offered by the DOL/ DOT Summit did you eat/ drink? (Please complete for each food/ beverage item):
Assortment of cookies ٱ Yes ٱ No ٱ Don’t know
Brownies ٱ Yes ٱ No ٱ Don’t know
Blondies ٱ Yes ٱ No ٱ Don’t know
________________________________________________________________
________________________________________________________________
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End of questionnaire
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