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Backup Documents 10/08/2019 Item #12A CDC Presentation MLPet stores, Center For Disease Control and Campylobacter jejuni 1 1 In August 2017, the Florida Department of Health notified CDC of six Campylobacter jejuni infections linked to company A, a national pet store chain based in Ohio. CDC examined whole-genome sequencing (WGS) data and identified six isolates from company A puppies in Florida that were highly related to an isolate from a company A customer in Ohio. By February 28, 2018, a total of 118 persons meeting the case definition for Campylobacter infection, including 29 pet store employees, were reported from 18 states. Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure — United States, 2016–2018 Final Report 2 2 Case Count Map 3 3 4 4 US Department of Health and Human Services/Centers for Disease Control and Prevention MMWR / September 21, 2018 / Vol. 67 / No. 37 Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure — United States, 2016–2018 Final Report 5 5 “Epidemiologic, laboratory, and trace-back evidence indicates that puppies sold through the commercial dog industry, an uncommon source of Campylobacter outbreaks, were the source of a multistate outbreak of multidrug-resistant Campylobacter infections.” “However, potential for Campylobacter transmission among puppies exists because puppies from different breeders were co-mingled at distributors, during transport, and in stores.” Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure — United States, 2016–2018 Final Report 6 6 “This evidence, combined with the prolonged nature of the outbreak and the potential for puppy co-mingling, indicates a potential for continued transmission of multidrug-resistant Campylobacter industrywide, including at breeders, distributors, transporters, and stores, and ultimately in customers’ homes.” “Although the investigation is completed, the risk for multidrug-resistant Campylobacter transmission to employees and consumers continues.” Multidrug-Resistant Campylobacter jejuni Outbreak Linked to Puppy Exposure — United States, 2016–2018 Final Report 7 7 “Of significant concern, Petland also did not appear to fully cooperate with the CDC during the investigation. Emails obtained via public records requests indicate that Petland did not allow CDC to share traceback information with state health department partners and that Petland failed to provide requested information to the CDC that would have assisted with their investigation. CDC noted in an email to Petland attorneys that the agency had requested specific information from Petland on several occasions and that: ‘Any further delay in providing this information to CDC hinders our ability to conduct a thorough and expedient investigation which in turn hinders our ability to prevent potential additional infections with this multidrug resistant pathogen’.” 8 Pet Industry’s Inaction Contributed to the Ongoing Threat 8 CDC internal email ”During the course of this investigation, information was collected for 22 Campylobacter-positive puppies…These animals were traced back through 8 distributors to 30 individual breeders across 8 states. 9 breeders are located in Indiana as well as 1 distributor. The names and addresses of the dog breeding facilities are in the attached document.” 9 9 According to the CDC internal email, Levi Graber of Blue Ribbon Puppies was one of the distributors where Campylobacter could be traced back. 10 9 breeders are located in Indiana as well as 1 distributor. “The names and addresses of the dog breeding facilities are in the attached document.” 10