Farm X's raw milk was the outbreak source despite no violations of current raw milk regulatory standards. This outbreak resulted in substantial costs and proposed legislation to prohibit nonfarm retail sale, strengthen advisory labels, and increase raw milk testing for pathogens.

We identified multiple enteroviruses among the travelers. Clustered illness onsets suggest point-source exposure, which likely was a sea swim in sewage-contaminated seawater. Novel molecular amplification and sequencing methodologies were required to recognize the rarely identified CVA1, but it is ambiguous whether CVA1 infection caused illness. Travelers should be aware of risks associated with swimming in natural waters when visiting areas where there is limited sewage treatment.

of &i5$ohia M W School, #an Fra&coWe' have previously reported that patients with achlorhydria and hypochromic anemia fail to show increased hemoglobin formation upon the daily ingestion of a diet rich in food iron. Holwever, with the feeding of a similar meal previously digested irt &yo with hydrochloric acid and pepsin, satisfactory hemoglobin production did occur. In addition, a group of patients with a similar type of anemia responded to large doses of iron. It was concluded from these studies that chronic idiopathic hypchromic anemia was presumably due to a deficiency of iron wherein gastric dysfunction lea to a failure in utilization of organic (dietary) iron.Another group of experiments2 completed in our laboratory show that in dogs gastrectomy greatly decreased the ability to form hemoglobin from beef protein. The results of such an experiment are recorded in Fig. 1. It is to be noted that the average daily output of hemoglobin was about 0.86 gm. while the dogs were on the standard bread ration, but was increased to 2.26 gm. when 250 gm. of beef were added to the diet. Following gastrectomy the hemoglobin was reduced to an average daily output of 0.4 grn. and 0.21 gm., on the standard bread diet and beef diet respectively.The present study was undertaken to determine the effects of pre-*Supported by a grant from %he Christine Breon Fund for Medical Research. t Research Fellow of the Amrican College of Pahydciam.

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