By NewsDesk  @infectiousdiseasenews 

Multnomah County health officials have closed the Small Pharaoh #1 food cart in downtown Portland (SW 5th and Stark) late Tuesday, Aug. 11, 2020 after linking the business to an outbreak of shigellosis. This is the first food cart closure in Multnomah County in many years due to health concerns. Food carts are inspected, regulated and scored the same as brick and mortar restaurants.


Health officials took the unusual step of ordering the closure of the food cart at 5th and SW Stark after several individuals from different households were confirmed to have shigellosis after eating food from the facility. Four cases have been confirmed with three additional presumptive cases with symptoms who have not been tested. Shigella is a very contagious bacteria and can spread after swallowing a very small amount of the bacteria.

Anyone with symptoms of shigellosis who ate at the downtown location of Small Pharaoh between July 27 and August 11 should contact their care provider or seek medical care as needed.

Shigellosis is caused by a type of bacteria known as shigella that can cause severe gastrointestinal illness in people, including diarrhea, fever and cramps. It can also lead to more severe illnesses such as sepsis and kidney injury. Local data indicate that one out of three diagnosed infections typically require hospitalization.

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Shigella is spread through food, through water, or person to person by swallowing fecal matter. Most people recover without treatment, and  this particular strain is highly resistant to the most common antibiotics used to treat shigellosis.

Shigella is a reportable illness, and 47 cases have been reported to the Health Department in 2020. Historically, the majority of shigella infections in the Portland area are acquired during international travel or through intimate contact among men who have sex with men. Since 2015, Multnomah County has identified cases among persons experiencing homelessness that were caused by shigella strains that had been previously circulating in the area among housed individuals. In other parts of the United States, shigella frequently causes outbreaks in childcare and long-term care facilities.