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Produce-associated foodborne disease outbreaks, USA, 1998–2013

  • S. D. Bennett (a1), S. V. Sodha (a1), T. L. Ayers (a1), M. F. Lynch (a1), L. H. Gould (a1) and R. V. Tauxe (a1)...
Abstract

The US Food Safety Modernization Act (FSMA) gives food safety regulators increased authority to require implementation of safety measures to reduce the contamination of produce. To evaluate the future impact of FSMA on food safety, a better understanding is needed regarding outbreaks attributed to the consumption of raw produce. Data reported to the US Centers for Disease Control and Prevention's Foodborne Disease Outbreak Surveillance System during 1998–2013 were analysed. During 1998–2013, there were 972 raw produce outbreaks reported resulting in 34 674 outbreak-associated illnesses, 2315 hospitalisations, and 72 deaths. Overall, the total number of foodborne outbreaks reported decreased by 38% during the study period and the number of raw produce outbreaks decreased 19% during the same period; however, the percentage of outbreaks attributed to raw produce among outbreaks with a food reported increased from 8% during 1998–2001 to 16% during 2010–2013. Raw produce outbreaks were most commonly attributed to vegetable row crops (38% of outbreaks), fruits (35%) and seeded vegetables (11%). The most common aetiologic agents identified were norovirus (54% of outbreaks), Salmonella enterica (21%) and Shiga toxin-producing Escherichia coli (10%). Food-handling errors were reported in 39% of outbreaks. The proportion of all foodborne outbreaks attributable to raw produce has been increasing. Evaluation of safety measures to address the contamination on farms, during processing and food preparation, should take into account the trends occurring before FSMA implementation.

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Corresponding author
Author for correspondence: S. D. Bennett, E-mail: iyk3@cdc.gov
References
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1.Scallan, E et al. (2011) Foodborne illness acquired in the United States – major pathogens. Emerging Infectious Diseases 17, 715.
2.Sivapalasingam, S et al. (2004) Fresh produce: a growing cause of outbreaks of foodborne illness in the United States, 1973 through 1997. Journal of Food Protection 67, 23422353.
3.Crowe, SJ et al. (2015) Vital signs: multistate foodborne outbreaks – United States, 2010–2014. Morbidity and Mortality Weekly Report 64, 12211225.
4.CDC (2016) Surveillance for Foodborne Disease Outbreaks, United States, 2014, Annual Report. Atlanta, GA: US Department of Health and Human Services, CDC.
5.CDC (2015) Surveillance for Foodborne Disease Outbreaks, United States, 2013, Annual Report. Atlanta, GA: US Department of Health and Human Services, CDC.
6.Nguyen, VD et al. (2015) Increase in multistate foodborne disease outbreaks – United States, 1973–2010. Foodborne Pathogens and Disease 12, 867872.
7.CDC (2014) Surveillance for Foodborne Disease Outbreaks, United States, 2012, Annual Report. Atlanta, GA: US Department of Health and Human Services, CDC.
8.CDC (2014) Surveillance for Foodborne Disease Outbreaks, United States, 2011, Annual Report. Atlanta, GA: US Department of Health and Human Services, CDC.
9.Painter, JA et al. (2013) Attribution of foodborne illnesses, hospitalizations, and deaths to food commodities by using outbreak data, United States, 1998–2008. Emerging Infectious Diseases 19, 407415.
10.US Department of Health and Human Services and US Department of Agriculture (2015) 2015–2020 Dietary Guidelines for Americans. 8th Edn. Washington DC: US Department of Health and Human Services, USDA.
11.United States Congress (2011) FDA Food Safety Modernization Act. Vol. H.R. 2751. Washington DC: US Government Printing Office.
12.United States Department of Health and Human Services, United States Food and Drug Administration (2015) Standards for the growing, harvesting, packing, and holding of produce for human consumption. Federal Register 80, 7435474568.
13.Interagency Food Safety Analytics Collaboration (IFSAC). Food categories with examples. Available at: https://www.cdc.gov/foodsafety/pdfs/IFSAC_Food_Categories_examples-H.pdf (Accessed 30 March 2018).
14.CDC. Guide to confirming a diagnosis in foodborne disease. Available at: http://www.cdc.gov/foodsafety/outbreaks/investigating-outbreaks/confirming_diagnosis.html (Accessed 20 January 2017).
15.Naugle, AL et al. (2006) Sustained decrease in the rate of Escherichia coli O157:H7-positive raw ground beef samples tested by the food safety and inspection service. Journal of Food Protection 69, 480481.
16.Braden, CR (2006) Salmonella enterica serotype Enteritidis and eggs: a national epidemic in the United States. Clinical Infectious Diseases 43, 512517.
17.Gottlieb, SL et al. (2006) Multistate outbreak of Listeriosis linked to turkey deli meat and subsequent changes in US regulatory policy. Clinical Infectious Diseases 42, 2936.
18.Lynch, M, Tauxe, R and Hedberg, C (2009) The growing burden of foodborne outbreaks due to contaminated fresh produce: risks and opportunities. Epidemiology & Infection 137, 307315.
19.Wells, HF and Buzby, JC (2008) Dietary Assessment of Major Trends in U.S. Food Consumption, 1970–2005. Washington DC: United States Department of Agriculture, Economic Research Service.
20.Blanck, HM et al. (2008) Trends in fruit and vegetable consumption among US men and women, 1994–2005. Preventing Chronic Disease 5, 110.
21.Rehm, CD et al. (2016) Dietary intake among US adults, 1999–2012. Journal of the American Medical Association 315, 25422553.
22.Moore, LV and Thompson, FE (2015) Adults meeting fruit and vegetable intake recommendations – United States, 2013. Morbidity and Mortality Weekly Report 64, 709713.
23.Verrill, L, Lando, AM and O'Connell, KM (2012) Consumer vegetable and fruit washing practices in the United States, 2006 and 2010. Food Protection Trends 32, 164172.
24.Herman, KM, Hall, AJ and Gould, LH (2015) Outbreaks attributed to fresh leafy vegetables, United States, 1973–2012. Epidemiology & Infection 143, 30113021.
25.Bennett, SD et al. (2015) Multistate foodborne disease outbreaks associated with raw tomatoes, United States, 1990–2010: a recurring public health problem. Epidemiology & Infection 143, 13521359.
26.Walsh, KA et al. (2014) Outbreaks associated with cantaloupe, watermelon, and honeydew in the United States, 1973–2011. Foodborne Pathogens and Disease 11, 945952.
27.Beuchat, LR (2002) Ecological factors influencing survival and growth of human pathogens on raw fruits and vegetables. Microbes and Infection 4, 413423.
28.Burnett, S and Beuchat, L (2000) Human pathogens associated with raw produce and unpasteurized juices, and difficulties in decontamination. Journal of Industrial Microbiology & Biotechnology 25, 281287.
29.Gu, G et al. (2011) Internal colonization of Salmonella enterica serovar Typhimurium in tomato plants. PLoS ONE 6, e27340.
30.Zheng, J et al. (2013) Colonization and internalization of Salmonella enterica in tomato plants. Applied Environmental Microbiology 79, 24942502.
31.Hanning, IB, Nutt, J and Ricke, SC (2009) Salmonellosis outbreaks in the United States due to fresh produce: sources and potential intervention measures. Foodborne Pathogens and Disease 6, 635648.
32.United States Food and Drug Administration (1999) Guidance for industry: reducing microbial food safety hazards for sprouted seeds and guidance for industry: sampling and microbial testing of spent irrigation water during sprout production. Federal Register 64, 5789357902.
33.Dechet, AM et al. (2014) Outbreaks caused by sprouts, United States, 1998–2010: lessons learned and solutions needed. Foodborne Pathogens and Disease 11, 635644.
34.United States Food and Drug Administration. Lettuce Safety Initiative. Available at: https://www.fda.gov/Food/FoodborneIllnessContaminants/BuyStoreServeSafeFood/ucm115906.htm (Accessed 31 March 2017).
35.California Leafy Green Handler Marketing Board. The California Leafy Green Products Handler Marketing Agreement (LGMA) frequently asked questions. Available at: http://www.lgma.ca.gov/about-us/faq/ (Accessed 31 March 2017).
36.United States Food and Drug Administration. Tomato Safety Initiative. Available at: http://www.fda.gov/Food/FoodborneIllnessContaminants/BuyStoreServeSafeFood/ucm115334.htm (Accessed 28 May 2013).
37.Imanishi, M et al. (2014) Factors contributing to decline in foodborne disease outbreak reports, United States. Emerging Infectious Diseases 20, 15511553.
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