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Sent: Monday, February 11, 2002 12:54 AM

Subject: Subject Reference: AWAiting Mystery Illness Test Results/ gigi*

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Awaiting Mystery Illness Test Results

1 Dead, 7 Hospitalized, 80 Others Examined By Doctors CHERRY HILL, N.J. , Feb. 11, 2002

AP

An ambulance stands by during an eight-hour quarantine that was imposed on the hotel.

(AP) A mysterious illness killed one woman attending a weekend convention and sent seven others to hospitals, but health officials said Sunday they didn't think anyone else who didn't already have symptoms would get sick. The woman, who died early Sunday at Kennedy Memorial Hospitals-Cherry Hill, had a viral, flu-like illness for about two days before becoming seriously ill Saturday night, said Dr. V. Condoluci, chief of infectious diseases for Kennedy Health System. Joanne Hemstreet, 45, of Kingston, Mass., was attending a national sales convention at the Cherry Hill Hilton with about 500 other employees of Cendant Mortgage. "We do not know the exact cause of her demise," Condoluci said at a news conference outside the hospital in this Philadelphia suburb. "This looks like possibly a case of pneumococcal pneumonia," worsened by a subsequent, aggressive bacterial infection. Health officials had worried the outbreak was caused by meningococcus, anthrax or Legionnaires' disease, but Condoluci said none of those appeared to be involved. Results of an autopsy on Hemstreet and preliminary test results on the seven people admitted to the hospital should be available Monday. Condoluci said hotel guests who did not have close contact with Hemstreet and had not shown any symptoms such as fever, chills, sore throat and general weakness were unlikely to get sick. "They should not worry. They should be fine," he said. One man and six women were taken to the hospital early Sunday after also developing a viral, flu-like illness, Condoluci said. Their symptoms included fever, chills, sore throat and general weakness, and two had pneumonia. None was in critical condition. None was known to have been in close contact with Hemstreet. They were given antibiotics and admitted for further treatment and observation as a precaution. About 80 other people who might have had contact with Hemstreet had gone to the hospital's emergency room for evaluation, hospital spokeswoman Pensiero said. Antibiotics were given to people who had close contact with Hemstreet, perhaps by sharing drinking glasses or eating utensils. Condoluci said investigators from the state and Camden County health departments were at the hotel Sunday, interviewing convention guests. The hotel was quarantined for several hours early in the day but the restriction was lifted before noon. Hemstreet had developed a fever, headache, vomiting and shortness of breath Saturday and was rushed to the emergency room that night. Condoluci said the woman's initial flu-like illness worsened to pneumococcal pneumonia, which is not generally contagious. In her weakened condition she also got a secondary infection called purpura fulminans, an overwhelming bacterial infection with about a 70 percent mortality rate. Within four to five hours she developed a rash, her blood pressure plunged and she went into shock, Condoluci said. The illnesses brought back memories of an outbreak of Legionnaires' disease at a Philadelphia-area convention 25 years ago. Legionnaires' disease, caused by a bacterium that grows in water and can be spread through air conditioning ducts, takes its name from a July 1976 outbreak that killed 29 people at the Pennsylvania American Legion convention at a hotel in Philadelphia. It also causes pneumonia-like symptoms. By A. © MMII The Associated Press. . This material may not be published, broadcast, rewritten, or redistributed. ============================================================

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