Outbreak of Quake Ache Associated with a LAN party - Massachusetts, 1998 The findings in this report document an growing recreational source for an emergent disease called Quake Ache PRESS CONTACT: Max Payne, M.D. Massachusetts Department of Health (413) 577--5000 (Amherst, MA) On July 10, 1998, the Massachusetts Department of Health was notified of fifteen cases of an emergent disease known as Quake Ache among a group of University students who had attended a LAN party at their place of employment, UMass Transit Service. UTMS provided the health department with a list of people that had "Quaked until their brains leaked out" during the weekend of June 28-30. A total of 20 case- patients were identified; 18 laboratory confirmed with Quake Ache symptoms. All but one of the case-patients reported failing relationships; 16, severe headache; 14, markedly diminished social skills; 11, broken wrists from slamming their hands on their desks with frustration, and 8, bloody stools (reason unknown. It is hypothesized that this may be due to a steady diet of pepperoni pizza, the most easily available food during the LAN party). Six patients were hospitalized. The conference room of UMTS in this outbreak was designed as a meeting area for business purposes and not as an interactive play area. However, the room was a popular attraction for college students who are trying to get away from their significant others, who don't have significant others due to profoundly inadequate socialization, or who are too poor to buy an air conditioner. The median age among case-patients in this outbreak was 22 years. It appears that the disease uses a hitherto undisovered vector: it spreads through computer-to-computer contact via network cables, then jumps to the users through their eyeballs. The CDC advised users in July not to play Quake, but after they were pelted with pencils, staplers, and copies of "Teach Yourself Access in 14 Days" they rescinded the advice. At this time, the only known cure for Quake Ache is to a regimen of Pong, played for 14 days.