Food-borne diseases—The challenges of 20 years ago still persist while new ones continue to emerge
Open accessAbstract
The burden of diseases caused by food-borne pathogens remains largely unknown. Importantly data indicating trends in food-borne infectious intestinal disease is limited to a few industrialised countries, and even fewer pathogens. It has been predicted that the importance of diarrhoeal disease, mainly due to contaminated food and water, as a cause of death will decline worldwide. Evidence for such a downward trend is limited. This prediction presumes that improvements in the production and retail of microbiologically safe food will be sustained in the developed world and, moreover, will be rolled out to those countries of the developing world increasingly producing food for a global market. In this review evidence is presented to indicate that the microbiological safety of food remains a dynamic situation heavily influenced by multiple factors along the food chain from farm to fork. Sustaining food safety standards will depend on constant vigilance maintained by monitoring and surveillance but, with the rising importance of other food-related issues, such as food security, obesity and climate change, competition for resources in the future to enable this may be fierce. In addition the pathogen populations relevant to food safety are not static. Food is an excellent vehicle by which many pathogens (bacteria, viruses/prions and parasites) can reach an appropriate colonisation site in a new host. Although food production practices change, the well-recognised food-borne pathogens, such as Salmonella spp. and Escherichia coli, seem able to evolve to exploit novel opportunities, for example fresh produce, and even generate new public health challenges, for example antimicrobial resistance. In addition, previously unknown food-borne pathogens, many of which are zoonotic, are constantly emerging. Current understanding of the trends in food-borne diseases for bacterial, viral and parasitic pathogens has been reviewed. The bacterial pathogens are exemplified by those well-recognized by policy makers; i.e. Salmonella, Campylobacter, E. coli and Listeria monocytogenes. Antimicrobial resistance in several bacterial food-borne pathogens (Salmonella, Campylobacter, Shigella and Vibrio spp., methicillin resistant Staphylcoccus aureas, E. coli and Enterococci) has been discussed as a separate topic because of its relative importance to policy issues. Awareness and surveillance of viral food-borne pathogens is generally poor but emphasis is placed on Norovirus, Hepatitis A, rotaviruses and newly emerging viruses such as SARS. Many food-borne parasitic pathogens are known (for example Ascaris, Cryptosporidia and Trichinella) but few of these are effectively monitored in foods, livestock and wildlife and their epidemiology through the food-chain is poorly understood. The lessons learned and future challenges in each topic are debated. It is clear that one overall challenge is the generation and maintenance of constructive dialogue and collaboration between public health, veterinary and food safety experts, bringing together multidisciplinary skills and multi-pathogen expertise. Such collaboration is essential to monitor changing trends in the well-recognised diseases and detect emerging pathogens. It will also be necessary understand the multiple interactions these pathogens have with their environments during transmission along the food chain in order to develop effective prevention and control strategies.
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Investments in food safety over the last 20 years have had limited impact, not because the strategies are ineffective, but because of other factors such as globalisation, changes in eating habits and changes in farming practice increasing risk.
“A review argues that the investments in food safety over the last 20 years have had limited impact, not because the strategies are ineffective, but because of other factors such as globalisation, changes in eating habits and changes in farming practice increasing risk [78].”
From Food Safety in Low and Middle Income Countries (2015) · cites this paper as [78]
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- Authors
- Newell, D. G., Koopmans, M., Verhoef, L., Duizer, E., Aidara-Kane, A., Sprong, H., Opsteegh, M., Langelaar, M., Threfall, J., Scheutz, F., der Giessen, J. V., & Kruse, H.
- Affiliations
- Animal and Plant Health Agency (GB)
- National Institute for Public Health and the Environment (NL)
- Statens Serum Institut (DK)
- World Health Organization Regional Office for Europe (DK)
- Corresponding author
- Newell, Diane G.
- ORCID
- Venue
- International Journal of Food Microbiology
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 139
- Pages
- S3-S15
- ISSN
- 0168-1605 (ISSN-L)
- PMC
- PMC7132498
- OpenAlex
- W2127029141
- Cited by
- 1,257
- References
- 68
- Citations by year
- 2026: 41 · 2025: 60 · 2024: 65 · 2023: 79 · 2022: 78 · 2021: 100 · 2020: 86 · 2019: 90 · 2018: 83 · 2017: 93 · 2016: 87 · 2015: 95 · 2014: 98 · 2013: 77 · 2012: 57
- FWCI
- 7.62
- Type
- journal article
- Language
- en
- Update notices
- erratum (2011-02-28)
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Food Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Listeria monocytogenes in Food Safety
- Keywords
- food poisoning, food safety, foodborne pathogens, emerging pathogens, antimicrobial resistance, Salmonella, Campylobacter, Escherichia coli, Listeria monocytogenes, norovirus, hepatitis A, rotavirus, SARS, zoonotic pathogens, food security, surveillance and monitoring, fresh produce, climate change
- MeSH terms
- Consumer Product Safety, Food Microbiology, Foodborne Diseases, Humans, Food Parasitology
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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