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Foodborne outbreaks of shigellosis in the USA, 1998–2008

  • B. L. NYGREN (a1), K. A. SCHILLING (a1), E. M. BLANTON (a1), B. J. SILK (a1), D. J. COLE (a1) and E. D. MINTZ (a1)...

We examined reported outbreaks of foodborne shigellosis in the USA from 1998 to 2008 and summarized demographic and epidemiological characteristics of 120 confirmed outbreaks resulting in 6208 illnesses. Most reported foodborne shigellosis outbreaks (n = 70, 58%) and outbreak-associated illnesses (n = 3383, 54%) were restaurant-associated. The largest outbreaks were associated with commercially prepared foods distributed in multiple states and foods prepared in institutional settings. Foods commonly consumed raw were implicated in 29 (24%) outbreaks and infected food handlers in 28 (23%) outbreaks. Most outbreaks (n = 86, 72%) were caused by Shigella sonnei. Targeted efforts to reduce contamination during food handling at multiple points in the food processing and distribution system, including food preparation in restaurants and institutional settings, could prevent many foodborne disease outbreaks and outbreak-related illnesses including those due to Shigella.

Corresponding author
*Author for correspondence: Mr B. L. Nygren, Waterborne Diseases Prevention Branch, Division of Foodborne, Waterborne and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS-A38, Atlanta, GA, USA. (Email:
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1. HL DuPont , Inoculum size in shigellosis and implications for expected mode of transmission. Journal of Infectious Diseases 1989; 159: 11261128.

6. E Scallan , Foodborne illness acquired in the United States – major pathogens. Emerging Infectious Diseases 2011; 17: 712.

7. ML Rosenberg , Shigellosis from swimming. Journal of the American Medical Association 1976; 236: 18491852.

9. TJ Aragon , Case-control study of shigellosis in San Francisco: the role of sexual transmission and HIV infection. Clinical Infectious Diseases 2007; 44: 327334.

10. CC Haley , Risk factors for sporadic shigellosis, FoodNet 2005. Foodborne Pathogens and Disease 7: 741747.

12. CW Hedberg , KL MacDonald , MT Osterholm . Changing epidemiology of food-borne disease: a Minnesota perspective. Clinical Infectious Diseases 1994; 18: 671680; quiz 681–682.

13. CW Hedberg , An international foodborne outbreak of shigellosis associated with a commercial airline. Journal of the American Medical Association 1992; 268: 32083212.

14. A Gupta , Laboratory-confirmed shigellosis in the United States, 1989–2002: epidemiologic trends and patterns. Clinical Infectious Diseases 2004; 38: 13721377.

15. T Rosenberg , Shigellosis on Indian reserves in Manitoba, Canada: its relationship to crowded housing, lack of running water, and inadequate sewage disposal. American Journal of Public Health 1997; 87: 15471551.

20. AC Kimura , Multistate shigellosis outbreak and commercially prepared food, United States. Emerging Infectious Diseases 2004; 10: 11471149.

22. ME Reller , A large, multiple-restaurant outbreak of infection with Shigella flexneri serotype 2a traced to tomatoes. Clinical Infectious Diseases 2006; 42: 163169.

24. BR Warren , HG Yuk , KR Schneider . Survival of Shigella sonnei on smooth tomato surfaces, in potato salad and in raw ground beef. International Journal of Food Microbiology 2007; 116: 400404.

27. B Swaminathan , PulseNet: the molecular subtyping network for foodborne bacterial disease surveillance, United States. Emerging Infectious Diseases 2001; 7: 382389.

29. PS Mead , Food-related illness and death in the United States. Emerging Infectious Diseases 1999; 5: 607625.

30. SA Kolavic , An outbreak of Shigella dysenteriae type 2 among laboratory workers due to intentional food contamination. Journal of the American Medical Association 1997; 278: 396398.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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