The Kentucky Department for Public Health has announced that 20 Kentuckians have tested positive with a strain of E. coli O103. Public health investigators have not yet identified the source of the outbreak, but have noted that some sort of food distribution is a likely mechanism for this outbreak among many of the individuals afflicted. The reported cases involve a number of children as well as adults, many of whom reside in Central Kentucky. No deaths linked to the outbreak have been reported, but six people have been hospitalized. Symptoms of E. coli O103 illness include stomach cramps and diarrhea, including bloody diarrhea, and people generally become ill two to five days after consuming contaminated food. The public can help prevent E. coli infections by washing hands frequently, especially before eating, after going to the bathroom, and handling raw meat and eggs, washing produce, thoroughly cooking meeting, and cleaning and sanitizing food preparation areas.