--- title: "Shigella & Northwest Airlines - Arkansas DOH" date: 2007-12-26T23:25:00-08:00 author: Bill Marler canonical_url: "https://marlerclark.com/news_events/shigella-northwest-airlines-arkansas-doh" section: News --- [All News](/news_events) / [Case News](https://marlerclark.com/news_events/case-news) / # Shigella & Northwest Airlines - Arkansas DOH September 9, 2004 The Hawaii State Department of Health is asking for assistance in identifying S. sonnei infections that may be linked to an in-flight exposure . As of Friday, 9/3/04 the HDOH has identified 17 confirmed shigella infections that may be linked to airline travel. Thus far the cases come from 3 clusters: Cluster 1 . Japan : 12 confirmed infections from 9 different prefectures; onset 1-2 days after flying from Hawaii to Japan on flights detailed below: Originating on 8/23 NW # 9 Hnl-Japan - 2 confirmed S. sonnei NW # 15 Hnl-Japan - 5 confirmed S. sonnei NW # 21 Hnl- Japan - 4 confirmed S. sonnei Originating on 8/24 NW #15 Hnl to Japan - 1 case confirmed S sonnei. No common exposure other than the Northwest flights has been identified. PFGE pending. Cluster 2. Ohio resident: 1 confirmed Shigella (sp. ?) and 2 companions with illness; flight originated on 8/22 NW # 920 Honolulu to Minneapolis , MN Cluster 3 . Minnesota : anecdotal data: 4 S. sonnei infections with indistinguishable PFGE pattern - at least one of which traveled on a NW flight from Honolulu . 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