Increase in Pneumococcus Macrolide Resistance, USA

washing facilities were located near the lamb-petting area, and considerable effort was required to locate a handwashing basin in the wildlife center complex. Several alcohol hand sanitizers were located on site, but the microbicidal effects on Cryptosporidium spp. are insuffi cient to prevent infection, especially after direct contact with livestock (4,5). After publication of the outbreak report, an assessment of hand-washing and hygiene facilities elsewhere in Scotland found them to be suboptimal and that stronger education, regulation, and other control measures were needed to protect the public. Recent Escherichia coli O157 outbreaks in England have accentuated the unresolved issues for UK petting farms concerning hand hygiene and zoonotic infections (6).