Outbreaks of salmonellosis associated with eating uncooked tomatoes: implications for public health

Autor:	C. W. HEDBERG, F. J. ANGULO, K. E. WHITE, C. W. LANGKOP, W. L. SCHELL, M. G. STOBIERSKI, A. SCHUCHAT, J. M. BESSER, S. DIETRICH, L. HELSEL, P. M. GRIFFIN, J. W. McFARLAND, M. T. OSTERHOLM, null THE INVESTIGATION TEAM
Rok vydání:	1999
Předmět:	South carolina Salmonella medicine.medical_specialty Agricultural commodity Epidemiology Public health Outbreak medicine.disease_cause Infectious Diseases Geography Environmental protection Fruits and vegetables Environmental health medicine Salmonella javiana
Zdroj:	Epidemiology and Infection. 122:385-393
ISSN:	1469-4409 0950-2688
Popis:	Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo). Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16·0; 95% CI 2·1, 120·6; PP=0·01) as the likely vehicle. Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath. These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items. Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::34a723e50dee58b89182992136b96d2c https://doi.org/10.1017/s0950268899002393 Zobrazit plný text záznamu