to know about that rick so you can sort out a little bit of background so over the past four months we've seen about seven times as many thought sam and our cases among people of east african descent than we've seen in the past four years that's that's a lot and that obviously kind of sparked our interest and made us want to investigate so we've had a total of forty one cases the majority of them have been east african we have had four people sick and in doing that when you can talk more about how the interview went and what we learned through the process of interviewing so we usually try to interview everyone who gets sick and we ask everybody the same questions and things that it deals with usually is during the exposure period so the time when you would have likely have been in contact with whatever germ got you sick we try to ask things about travel some people come back after you know going abroad and they come back from their vacation with famine or so we try to read those out that's not really a pressing public health concern for us what we do then is we compare all they had says that people give us about things they were exposed to so things that all people recently have said and see if there's anything in common and that's actually how we started to kind of get to the bottom of this outbreak here too so what we learned in the process of  asking questions we learned there was a question that was uncertain by most of the people that we interviewed and out was people consume for all beef during the exposure period just before they got and then the doctor ordered the correct tests and the correct tests got reported as you can see how things don't necessarily get from here to here a lot of people don't go to their doctors a lot of people aren't even sick and after that they you know they feel they need to go to the doctor that many about nineteen thousand about twenty thousand of them are actually believed to be hospitalized and at about four hundred of them with roughly and died so what are the what are so most of the time it's just like a diarrheal illness and it can be bad it can be very bad or it can be very mild other symptoms might include firing that's not so common stomach cramps stomach aches it can also get into your blood and that's sometimes where it gets a little bit more severe and you can do that people can develop fevers and people can have to be hospitalized wanting to try to that point as far as now bringing it to our community in particular when people are sick and they have diarrhea for multiple days they need to seek out medical care  source is raw beef consumption offer all meat is a prime opportunity for backyard to infect human beings so the consumption of meat there are any preventive methods that our community can take to prevent themselves from been affected by the disease and a couple of prevention methods that our community could follow  is the most effective prevention measure is took me to come for all the meats that are cooked for ollie have much less likelihood of making people sick in our community so that's one sure way of doing the second method is to make sure that people opt in meat from approved sources these are sources that are inspected and regulated by  below forty one degree four and not keep it really recommend across the board that people who are at high risk of getting infected so very enough so young children pregnant women elderly people are or people whose immune systems are compromised either because there is you know of an illness or because of medications they're taking i think just across the board we recommend that they you know so in terms of its treatment anderson there's no there's no blacks and  for either that's right some unknown eco like there aren't any vaccines to the best way is just prevention through food safety hand washing things like that so are there any remedies that people can who can provide the best recommendations for treatment and things like that if you have any sort of diarrhea i mean the most important thing is to stay hydrated so just replenishing fluids things like that monitoring for other symptoms like if you children are not your anything that's not good you need to go see a doctor fever things like that that indicates that it might be a more severe illness and what i'm getting from that is it's probably more com kids adults or if it's kids more than adults kids are more easily infected but anybody can get sick and that's a problem too even if for example with you know things like oh even if it's never made you sick before in your life and you've been eating it for people need to be aware of some of that having come from a variety of things usually you're right we associate it mostly actually with with poultry with chicken things like that it can also be like if you have exposure to farmers are animals outdoors they can carry a salmon i get it that way unfortunately it's in a variety you know it can get into a variety of food so it can get into things like there was when there was an outbreak linked with just a b c fresh produce you know you need to make sure that they get washed animals people can also pass that person to person so that's why it's really important that if you're sick or your child sick you know if you're sick you shouldn't be preparing food if you work at a restaurant you need to not go to work while you're sick you need to wait at least a day before returning to work if you're to fix your child they need to not go to daycare because they can get other kids sick as well if you're a health care provider like a nurse or a doctor you shouldn't be seeing patients until at least twenty four hours same and lastly i want to ask you that there's been an outreach effort done by your department recently in our community and other communities if you can tell us a little bit more about that and other any future plans can't you can't the only way to know that you don't have bacteria on it is to cook it only unfortunately you could have meat that was processed in a facility that is regulated by u s d a or deadliest year and it could still have one thing we hear from our community members is that that you know it's very common to eat this kind of food in our community but why now what happened now that you know that happen to be an outbreak is prevent them the fact of the matter is we cannot predict outbreaks many circumstances have to come together for an outbreak to take place all it takes is one contaminated hospitalized i believe two or three the infection actually quite to their blood which can be more severe can cause fevers and at least one of those was hospitalized for more than a week some of the younger children had bloody diarrhea which is one of the more severe symptoms so with the seriously ill i'm assuming because they did not report it right away yeah sometimes waiting to you can wait too long before you go seek medical care and that you know that prevents your illness from being caught early when it's so in terms of getting additional information whether about  officer for protection with public health c l king county two or six two six three nine five six six again two zero six two six three nine five six six or they can check our web site  then search for food safety we also have information about salmonella and e coli if you if you search our web site and you search for those items as well we even have some materials that are in  in time it becomes political contemporary for the commercial side of music making in ethiopia is based exclusively on cassettes there are no records certainly no digital record cassettes and not cheap they retail for thirteen but each to the equipment at the official rate of about two hundred pounds a lot of money for the average ethiopia to deal with problems like this the government to set up the ethiopian music association its job is to control all professional music making it means that sin is they want to make it have to submit both lyrics and school to do so ca sions quality control panel this they explained and sure standards are maintained and there is no plagiarism the musicians are in fact reasonably happy with the cassette produces they wonder why the association itself doesn't lead the way with its own state financed recording facility instead of just criticizing the private sector before you replace something you yeah still have something in order to go and in life still regent discovered in jerusalem some armenian orphans survivors of the turkish holocaust he brought them to ethiopia and established what he called the b then in the late fifties became a revolution as in all other aspects of cultural life the government believes popular music must