Table 2. Outbreaks of EHEC infection, 2009

No.    Prefecture/CityPeriodSuspected route
of infection
    Setting of
    outbreak
SerotypeVT typeSymptomatic
cases
ConsumersPositives
/examined
Familial
infection
Reference in IASR

1Oita P.Jan. 26-Mar. 16Person to personNursery schoolO121:H19VT22431/318Yesp. 162 of this issue
2Niigata P.Apr. 1-11FoodborneHotelO157:H7VT1&2319019/140NoVol. 30, No. 10
3Okinawa P.May 25-Jul. 24Person to personNursery schoolO26:HNTVT1&21636/198Yes
4Ehime P.May 23-Jun. 3Person to personNursery schoolO26:H11VT12746/131Yesp. 164 of this issue
5Chiba P.Jun. 15-30FoodborneRestaurant (meat)O157:HNTVT1&264410/32No
6Fukuoka C.Jul. 8-13Person to personNursery schoolO157:H7VT2314/112YesVol. 30, No. 11
7Ishikawa P.Jul. 12-31Person to personNursery schoolO26:HNTVT1411/53Yesp. 165 of this issue
8Miyazaki P.Jul. 18-Aug. 11UnknownNursery schoolO26:H11VT1N.D.22/??
9Kanto to Kansai area and
Chugoku to Shikoku area
Aug. 16-Sep. 2FoodborneRestaurant (meat)*1O157:H7VT1&238N.D.35/??p. 156 of this issue
10Saitama and Gunma P.Aug. 17-Sep. 14FoodborneRestaurant (meat)*2O157:H7VT1&220N.D.24/??p. 157&158 of this issue
11Miyagi P.Aug. 17-Sep. 10Person to personNursery schoolO145:H-*5VT13812/88Yesp. 166 of this issue
12Kyoto C.Aug. 31-Oct. 23Person to personNursery schoolO157:H7VT1&2525/145Yesp. 167 of this issue
13Saga P.Oct. 21-Nov. 14UnknownNursery school*3O26:H11VT1N.D.133/1,093Yes
14Metropolitan areaNov. 14-Jan. 2FoodborneRestaurant (meat)*4O157:H7VT1&2207120/??p. 159 of this issue

Including 10 or more EHEC-positives, P.: Prefecture, C.: City, N.D.: No data, *1&2 Cubically assembled beef meat, *3 EHEC was isolated from lettuce, *4 Hanger steak,
*5 O111 and O157 were also detected, … No information was entered because person-to-person infection was suspected.
(Data based on the outbreak reports from public health institutes received before May 20, 2010 and references in IASR)
"Cubically assembled beef meat" is the type of processed meat, made by mixing and filling a different part of chopped meat, and beef fats are added with binding agents like casein.
And then, the assembled meat were frozen and cut in cubes to make appearance of cube cut steak.