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The growing burden of foodborne outbreaks due to contaminated fresh produce: risks and opportunities

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LYNCH, M. F., TAUXE, R. V., HEDBERG, C. W.·2009·Epidemiology and Infection

DOI 10.1017/s0950268808001969

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Abstract

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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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
DOI: 10.1017/s0950268808001969
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
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Epidemiology and Infection (publishedVersion)
PubMed (publishedVersion)
Funders: Centers for Disease Control and Prevention
Topics: Life Sciences › Agricultural and Biological Sciences › Food Science › 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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The growing burden of foodborne outbreaks due to contaminated fresh produce: risks and opportunities

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