The growing burden of foodborne outbreaks due to contaminated fresh produce: risks and opportunities
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SUMMARY: Foodborne outbreaks from contaminated fresh produce have been increasingly recognized in many parts of the world. This reflects a convergence of increasing consumption of fresh produce, changes in production and distribution, and a growing awareness of the problem on the part of public health officials. The complex biology of pathogen contamination and survival on plant materials is beginning to be explained. Adhesion of pathogens to surfaces and internalization of pathogens limits the usefulness of conventional processing and chemical sanitizing methods in preventing transmission from contaminated produce. Better methods of preventing contamination on the farm, or during packing or processing, or use of a terminal control such as irradiation could reduce the burden of disease transmission from fresh produce. Outbreak investigations represent important opportunities to evaluate contamination at the farm level and along the farm-to-fork continuum. More complete and timely environmental assessments of these events and more research into the biology and ecology of pathogen-produce interactions are needed to identify better prevention strategies.
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In HIC, the proportion of outbreaks of foodborne disease attributed to fresh produce has increased since the 1980s.
“In HIC, the proportion of outbreaks of FBD attributed to fresh produce has increased in since the 1980s (Lynch et al., 2009).”
From Burden of foodborne disease in low-income and middle-income countries and opportunities for scaling food safety interventions (2023) · cites this paper as Lynch et al., 2009
The Introduction (page not supplied) reports that the proportion of US outbreaks linked to fresh produce rose from under 1% in the 1970s to 6% in the 1990s. It does not establish an increase across high-income countries generally or give the 1980s as the starting point; the Australian figure is for one period only. (LLM, conf=0.84)
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Self-citation
- Authors
- LYNCH, M. F., TAUXE, R. V., & HEDBERG, C. W.
- Affiliations
- Centers for Disease Control and Prevention (US)
- University of Minnesota (US)
- Corresponding author
- LYNCH, M. F.
- ORCID
- HEDBERG, C. W.
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009-02-09
- Volume
- 137
- Issue
- 3
- Pages
- 307-315
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- OpenAlex
- W1968274808
- Cited by
- 803
- References
- 65
- Citations by year
- 2026: 5 · 2025: 17 · 2024: 23 · 2023: 27 · 2022: 36 · 2021: 38 · 2020: 42 · 2019: 64 · 2018: 61 · 2017: 60 · 2016: 60 · 2015: 71 · 2014: 79 · 2013: 61 · 2012: 64
- FWCI
- 4.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Infection (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Listeria monocytogenes in Food Safety
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Life Sciences › Agricultural and Biological Sciences › Food Science › Food Safety and Hygiene
- Keywords
- foodborne outbreak, fresh produce contamination, pathogen internalization, irradiation, outbreak investigation, prevention
- MeSH terms
- Consumer Product Safety, Disease Outbreaks, Food Handling, Food Microbiology, Foodborne Diseases, Fruit, Humans, Vegetables, Global Health
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