Multistate product traceforward investigation to link imported romaine lettuce to a US cyclosporiasis outbreak – Nebraska, Texas, and Florida, June–August 2013

@article{Buss2015MultistatePT,
  title={Multistate product traceforward investigation to link imported romaine lettuce to a US cyclosporiasis outbreak – Nebraska, Texas, and Florida, June–August 2013},
  author={Bryan F. Buss and M V Joshi and Jamie Dement and Venessa Cantu and Thomas J. Safranek},
  journal={Epidemiology and Infection},
  year={2015},
  volume={144},
  pages={2709 - 2718}
}
SUMMARY During June–August 2013, 25 US states reported 631 cyclosporiasis cases including Nebraska and Iowa where a regional investigation implicated common-source imported salad mix served in two chain restaurants. At least two common-origin growing fields were likely sources of contaminated romaine lettuce. Using producer- and distributor-provided data, we conducted a grower-specific traceforward investigation to reveal exposures of ill US residents elsewhere who reported symptom onset during… 
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Regional investigation of a cyclosporiasis outbreak linked to imported romaine lettuce – Nebraska and Iowa, June–August 2013

An investigation into a cyclosporiasis outbreak conducted in Nebraska, Iowa, and neighbouring states found a single production lot code of salad mix supplied by both a common producer and distributor was linked to the majority of confirmed cases in persons reporting regional chain A/B exposure.

Incidental Detection of Cyclospora Cayetanensis during General Health Screening: A Case Study from Singapore

This report could serve to raise awareness about Cyclospora cayetanensis and the asymsptomatic carriage of enteritic protozoa, and as a reminder about the risk of cyclosporiasis especially in the most susceptible populations such as: children, elderly and immunocompromised.

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An increasing number of foodborne outbreaks has been associated with the consumption of fresh produce that is difficult to clean thoroughly and is consumed without processing, and the necessity to increase the awareness in clinicians of this infection is revealed.

Microbial Contamination of Fresh Produce: What, Where, and How?

There is a critical need for standardized datasets regarding all aspects of disease outbreaks, including how foodstuffs are contaminated with pathogenic microorganisms, to allow food business operators to implement better strategies to improve safety and quality of fresh produce.

Survival of Escherichia coli and Listeria innocua on Lettuce after Irrigation with Contaminated Water in a Temperate Climate

The results demonstrate that E. coli and L. innocua strains are able to persist on lettuce after a single contamination event up until the plants reach a harvestable state, illustrating the potential for multiple plant contamination events from stored irrigation water, emphasising the importance of ensuring that irrigation water is of a high quality.

Regulatory Issues Associated with Preharvest Food Safety: United States Perspective.

The preharvest and preslaughter steps of food production constitute a first stage at which food can become contaminated with foodborne and toxigenic pathogens, accentuating the crucial need to address hazards and establish science-based metrics that are feasible to implement.

The Hurdle Approach–A Holistic Concept for Controlling Food Safety Risks Associated With Pathogenic Bacterial Contamination of Leafy Green Vegetables. A Review

Hurdles should be combined so as to decrease the risk due to pathogenic microbes and also to improve microbial stability, shelf-life, nutritional properties and sensory quality of leafy vegetables through intelligently applied hurdles.

Assessment of Salmonella spp. and Escherichia coli O157:H7 growth on lettuce exposed to isothermal and non-isothermal conditions.

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An investigation into a cyclosporiasis outbreak conducted in Nebraska, Iowa, and neighbouring states found a single production lot code of salad mix supplied by both a common producer and distributor was linked to the majority of confirmed cases in persons reporting regional chain A/B exposure.

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