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Information on Iowa's reportable diseases and conditions.

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CADE publishes a weekly update on health related topics relevant to current events in Iowa. To view the current and past issues of the Epi Update, click here.

Epi Manual

An online guide for public health officials and health care providers to surveillance, investigation, and reporting.

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Vaccines and Immunizations

IDPH Bureau of Immunization & TB

Foodborne Outbreak Investigation Manual

An online resource for foodborne outbreak management.

Hemolytic uremic syndrome (HUS)


There is no known medical treatment that will prevent the development of HUS. You can greatly reduce the risk of HUS by reducing the chances of becoming infected with E. coli O157:H7 or Shigella dysenteriae:

  • Do not fix food for others while having diarrhea.
  • Always wash hands thoroughly with soap and water before eating and before and after fixing any food, especially raw meat.
  • Wash hands after using the toilet and after changing diapers. (Wash the diapered child’s hands also.)
  • When caring for someone with diarrhea, wash your hands with plenty of soap and water after cleaning the bathroom, helping the person use the toilet, or changing diapers, soiled clothes or soiled sheets. Be sure to wash their hands also.
  • Always refrigerate meat. Never leave raw meat at room temperature.
  • Keep food that will be eaten raw, such as fruits and vegetables, from being in contact with food products from animals. (Wash thoroughly, especially those that will not be cooked.)
  • Never eat raw meat. If you are served an undercooked hamburger or other ground beef product in a restaurant, send it back for further cooking.
  • Cook all ground beef and hamburger thoroughly - to a temperature of 155 degrees F for at least 15 - 16 seconds or until juices run clear and no pink is visible.
  • Always wash hands, cutting boards and utensils between fixing raw meat or poultry and other items such as fruits and vegetables.
  • Drink only pasteurized milk, juice, or cider.
  • Avoid sexual practices that may permit fecal-oral transmission. Latex barrier protection (condoms) should be used to prevent the spread of pathogenic E. coli to sexual partners as well as other pathogens.

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