Eucestoda the "broad tapeworm" or "fish tapeworm") and related species. Humans become infected by eating raw, undercooked, or marinated fish acting as a second intermediate or paratenic host harboring metacestodes or plerocercoid larvae. Clinical symptoms are due to the large size of the tapeworm, which often reaches a length exceeding 15 m. The most common symptom is pernicious anemia, caused by the absorption of vitamin B12 by the worm. Other symptoms include various intestinal issues, slight leukocytosis, and eosinophilia. This condition is caused by the plerocercoid larvae of the tapeworm "Spirometra". Humans become infected by drinking contaminated water, eating raw or
Foodborne illness which results in a failure to kill the dangerously elevated bacterial levels. Outbreaks are usually identified when those affected know each other. However, more and more, outbreaks are identified by public health staff from unexpected increases in laboratory results for certain strains of bacteria. Outbreak detection and investigation in the United States is primarily handled by local health jurisdictions and is inconsistent from district to district. It is estimated that 1–2% of outbreaks are detected. In postwar Aberdeen (1964) a large-scale (>400 cases) outbreak of typhoid occurred, caused by contaminated corned beef which had been imported from Argentina. The corned