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E. coli bacteria was found in water at a popular ziplining attraction in Tennessee where more than 500 people reportedly fell ill, health officials said.

The state’s health department said last week one person who visited the CLIMB Works Zipline Canopy Tour in Gatlinburg tested positive for norovirus and enteropathogenic E. coli, while at least another 550 people tested positive for norovirus.

The article goes on to state the following:

“At this time we cannot point to one simple cause of this outbreak,” said TDH Deputy State Epidemiologist John Dunn, DVM, PhD, in a statement.

Norovirus causes acute gastrointestinal illness and is often characterized by sudden onset of nausea, vomiting and diarrhea; symptoms typically last one to two days. Enteropathogenic E. coli causes watery diarrhea; symptoms may last several days.

“Preliminary testing and environmental health assessments indicate the water system at the zipline facility may have contributed to the outbreak; however, there are likely other sources involved in the spread of the illnesses, including contaminated surfaces and person-to-person transmission,” Dunn said

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