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Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006
Open accessAbstract
Although pasteurization eliminates pathogens and consumption of nonpasteurized dairy products is uncommon, dairy-associated disease outbreaks continue to occur. To determine the association of outbreaks caused by nonpasteurized dairy products with state laws regarding sale of these products, we reviewed dairy-associated outbreaks during 1993-2006. We found 121 outbreaks for which the product's pasteurization status was known; among these, 73 (60%) involved nonpasteurized products and resulted in 1,571 cases, 202 hospitalizations, and 2 deaths. A total of 55 (75%) outbreaks occurred in 21 states that permitted sale of nonpasteurized products; incidence of nonpasteurized product-associated outbreaks was higher in these states. Nonpasteurized products caused a disproportionate number (≈150× greater/unit of product consumed) of outbreaks and outbreak-associated illnesses and also disproportionately affected persons <20 years of age. States that restricted sale of nonpasteurized products had fewer outbreaks and illnesses; stronger restrictions and enforcement should be considered.
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Cited by
Surveillance for Foodborne Disease Outbreaks—United States, 2006
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Painter, J. A., Hoekstra, R. M., Ayers, T., Tauxe, R. V., Braden, C. R., Angulo, F. J., & Griffin, P. M. (2013) · Emerging Infectious Diseases · doi:10.3201/eid1903.111866 · Cited by 1,146
Self-citationThe Complex Microbiota of Raw Milk
Quigley, L., O'Sullivan, O., Stanton, C., Beresford, T. P., Ross, R. P., Fitzgerald, G. F., & Cotter, P. D. (2013) · FEMS Microbiology Reviews · doi:10.1111/1574-6976.12030 · Cited by 919
Surveillance for Foodborne Disease Outbreaks—United States, 2009-2010
(2013) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2013.04.001 · Cited by 721
Reservoirs of antimicrobial resistance genes in retail raw milk
Liu, J., Zhu, Y., Jay-Russell, M., Lemay, D. G., & Mills, D. A. (2020) · Microbiome · doi:10.1186/s40168-020-00861-6 · Cited by 99
Metadata
- Authors
- Langer, A. J., Ayers, T., Grass, J., Lynch, M., Angulo, F. J., & Mahon, B. E.
- Venue
- Emerging Infectious Diseases
- Published
- 2012-03
- Volume
- 18
- Issue
- 3
- Pages
- 385-391
- ISSN
- 1080-6040 (ISSN-L)
- 1080-6059
- OpenAlex
- W2161569769
- Cited by
- 221
- References
- 0
- FWCI
- 32.04
- Type
- journal article
- Language
- en
- Open access
- diamond
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- Langer, A. J., Ayers, T., Grass, J., Lynch, M., Angulo, F. J., & Mahon, B. E. (2012). Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006. Emerging Infectious Diseases. https://doi.org/10.3201/eid1803.111370
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