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Outbreaks of salmonellosis associated with eating uncooked tomatoes: implications for public health
Open accessAbstract
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; P<0·0001 in 1990 and again in 1993 (MOR 5·7; 95% CI 1·5, 21·9; P=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.
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Cited by
Fresh fruit and vegetables as vehicles for the transmission of human pathogens
Berger, C. N., Sodha, S. V., Shaw, R. K., Griffin, P. M., Pink, D., Hand, P., & Frankel, G. (2010) · Environmental Microbiology · doi:10.1111/j.1462-2920.2010.02297.x · Cited by 889
Self-citationThe growing burden of foodborne outbreaks due to contaminated fresh produce: risks and opportunities
LYNCH, M. F., TAUXE, R. V., & HEDBERG, C. W. (2009) · Epidemiology and Infection · doi:10.1017/s0950268808001969 · Cited by 803
Self-citationFitness of Human Enteric Pathogens on Plants and Implications for Food Safety
Brandl, M. T. (2006) · Annual Review of Phytopathology · doi:10.1146/annurev.phyto.44.070505.143359 · Cited by 587
GREENE, S. K., DALY, E. R., TALBOT, E. A., DEMMA, L. J., HOLZBAUER, S., PATEL, N. J., HILL, T. A., WALDERHAUG, M. O., HOEKSTRA, R. M., LYNCH, M. F., et al. (2008) · Epidemiology and Infection · doi:10.1017/s095026880700859x · Cited by 379
Foley, S. L., Lynne, A. M., & Nayak, R. (2008) · Journal of Animal Science · doi:10.2527/jas.2007-0464 · Cited by 356
Metadata
- Authors
- HEDBERG, C. W., ANGULO, F. J., WHITE, K. E., LANGKOP, C. W., SCHELL, W. L., STOBIERSKI, M. G., SCHUCHAT, A., BESSER, J. M., DIETRICH, S., HELSEL, L., GRIFFIN, P. M., McFARLAND, J. W., OSTERHOLM, M. T., & THE INVESTIGATION TEAM
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 1999-06
- Volume
- 122
- Issue
- 3
- Pages
- 385-393
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- OpenAlex
- W2066824964
- Cited by
- 211
- References
- 0
- FWCI
- 8.87
- Type
- journal article
- Language
- en
- Open access
- bronze
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- HEDBERG, C. W., ANGULO, F. J., WHITE, K. E., LANGKOP, C. W., SCHELL, W. L., STOBIERSKI, M. G., SCHUCHAT, A., BESSER, J. M., DIETRICH, S., HELSEL, L., GRIFFIN, P. M., McFARLAND, J. W., OSTERHOLM, M. T., & THE INVESTIGATION TEAM. (1999). Outbreaks of salmonellosis associated with eating uncooked tomatoes: implications for public health. Epidemiology and Infection. https://doi.org/10.1017/s0950268899002393
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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