<P>Two girls who swam with pet turtles in a backyard pool
were among 107 people sickened in the largest salmonella outbreak
blamed on turtles nationwide, researchers report.</P>
<P>The 2007-08 outbreak involved mostly children in 34
states; one-third of all patients had to be hospitalized. In many
cases, parents didn't know that turtles can carry
salmonella.</P> <P>Despite a 1975 ban on selling small
turtles as pets, they continue to be sold illegally.</P>
<P>The American Veterinary Medical Association estimates that
the number of pet turtles nationwide doubled from 950,000 in 1996
to almost 2 million in 2006.</P> <P>"It's very easy to
think of turtles as being a very gentle and nice pet," but many
carry salmonella, without showing any signs, said Julie Harris, a
scientist at the federal <a
href="http://www.cdc.gov/Features/ReptilesSalmonella/"
target="_blank">Centers for Disease Control and
Prevention</a> and the report's lead author.</P>
<P>Salmonella in turtle feces can end up on their shells and
body, and can spread to people who handle them.</P>
<P>An infected turtle can spread the same strain of
salmonella to others during shipping, which may be how the outbreak
occurred. Turtles involved were bought at pet shops, flea markets,
from street vendors and online. The Food and Drug Administration
contacted retailers involved and their investigation is ongoing,
the report said.</P> <P>"Continued, collective efforts
are needed, both on state and federal levels, to enforce the ban
and protect public health," the report said. It appears in
October's Pediatrics, released Monday.</P>
<P>Authorities began investigating in September 2007 after a
Union County, N.C., teen swam in her backyard pool with two pet
turtles and a friend from South Carolina. Both girls developed
bloody diarrhea, vomiting, fever and stomach cramps; one developed
kidney failure and spent eight days in the hospital.</P>
<P>Salmonella bacteria traced to those turtles matched
salmonella later found in three other North Carolina children.
Other cases turned up elsewhere, many involving direct contact with
turtles, including children kissing turtles or putting them in
their mouths, Harris said.</P> <P>Indirect contact
likely also occurred, she said. For example, children playing with
turtles at school may have brought the germs home and spread them
to family members, Harris said.</P> <P>Illnesses from
the same kind of salmonella turned up coast to coast through
January 2008, including 12 people in California, 10 each in
Pennsylvania and Texas, and nine in Illinois.</P> <P>No
one died in the outbreak but many required several days of hospital
treatment, Harris said.</P> <P>"Everyone from
pediatricians to other public health professionals needs to really
stress that reptiles and especially turtles are a source of
salmonella infections," she said.</P> <P>The ban only
affects turtles less than about 4 inches in diameter because of
reports that young children had gotten sick after putting the small
reptiles in their mouths.</P> <P>David Bergmire-Sweat,
a North Carolina epidemiologist who investigated the Union County
case, said he's heard of families letting turtles walk on kitchen
surfaces where food is prepared, and babies being bathed in sinks
where turtle cages are washed.</P> <P>Because the
federal ban was enacted more than 30 years ago, "many people just
don't remember," he said.</P> <P>Recent efforts to
overturn the ban, backed by turtle farmers, have failed.</P>
<P>Veterinarian Mark Mitchell, a University of Illinois
zoological medicine professor, has been working with Louisiana
turtle farmers in research aimed at raising salmonella-free
turtles. Initial efforts involved cleansing turtle eggs with
antibiotics, but that led to strains of antibiotic-resistant
bacteria.</P> <P>Mitchell said now he's focusing on
washing eggs in disinfectants similar to chlorine. He says the
industry has been unfairly saddled with harsher restrictions than
producers of human foods also blamed for recent salmonella
outbreaks.</P> <P> </P> <p>See
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