CDC HAN: Source Identified and Case Definition Established: Multistate Investigation of Non-travel Associated Burkholderia pseudomallei infections (Melioidosis) in Four Patients November 3, 2021 Burkholderia pseudomallei, CDC, LAHAN, Long Beach Health and Human Services, Los Angeles, Los Angeles County, Pasadena Public Health 1009 The Centers for Disease Control and Prevention (CDC) have issued an update regarding the multi-state outbreak of non-travel associated Burkholderia pseudomallei infections. As detailed in the last CDC Health Update on this outbreak, the contaminated product was identified as Better Homes and Gardens-branded Essential Oil Infused Aromatherapy Room Spray with Gemstones. This product was sold online nationwide through Walmart and distributed to a limited number of Walmart stores between February and October 21, 2021 The purpose of this CDC HAN Health Update is to share an interim case definition, case notification guidance, and case reporting and notification. To read the full communication click here. Report suspect, probable, and confirmed cases to your local public health jurisdiction: Los Angeles County DPH Acute Communicable Disease Control: Weekdays 8:30am–5pm: call 213-240-7941. After-hours: call 213-974-1234 and ask for the physician on call. Long Beach Health and Human Services Weekdays 8am-5pm: call 562-570-4302. After hours: call the Duty Officer at 562-500-5537. Pasadena Public Health Department: Weekdays 8am-5pm: call 626-744-6089. After hours: call the Duty officer at 626-744-6043.