Epidemiological and laboratory evidence have linked this outbreak to Estes Hatchery in Springfield, Missouri. People who got sick reported having contact with chicks, ducklings and other live baby poultry sold at Estes Hatchery.
Illnesses onset dates range from 28 February to 6 June. However, infections that occurred after 29 May might not have been reported, which can take two to three weeks from the time of infection.
The CDC has advised people not to kiss or snuggle live poultry and not to let children handle them. Those who handle live poultry have been urged to wash their hands immediately afterwards.