+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Multistate foodborne disease outbreaks associated with raw tomatoes, United States, 1990-2010: a recurring public health problem



Multistate foodborne disease outbreaks associated with raw tomatoes, United States, 1990-2010: a recurring public health problem



Epidemiology and Infection 143(7): 1352-1359



We examined multistate outbreaks attributed to raw tomatoes in the United States from 1990 to 2010. We summarized the demographic and epidemiological characteristics of 15 outbreaks resulting in 1959 illnesses, 384 hospitalizations, and three deaths. Most (80%) outbreaks were reported during 2000-2010; 73% occurred May-September. Outbreaks commonly affected adult (median age 34 years) women (median 58% of outbreak cases). All outbreaks were caused by Salmonella [serotypes Newport (n = 6 outbreaks), Braenderup (n = 2), Baildon, Enteritidis, Javiana, Montevideo, Thompson, Typhimurium (n = 1 each); multiple serotypes (n = 1)]. Red, round (69% of outbreaks), Roma (23%), and grape (8%) tomatoes were implicated. Most (93%) outbreaks were associated with tomatoes served predominantly in restaurants. However, traceback investigations suggested that contamination occurred on farms, at packinghouses, or at fresh-cut processing facilities. Government agencies, academia, trade associations, and the fresh tomato industry should consider further efforts to identify interventions to reduce contamination of tomatoes during production and processing.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054506137

Download citation: RISBibTeXText

PMID: 25167220

DOI: 10.1017/S0950268814002167


Related references

Increase in Multistate Foodborne Disease Outbreaks-United States, 1973-2010. Foodborne Pathogens and Disease 12(11): 867-872, 2016

Vital Signs: Multistate Foodborne Outbreaks - United States, 2010-2014. Mmwr. Morbidity and Mortality Weekly Report 64(43): 1221-1225, 2016

Improving Response to Foodborne Disease Outbreaks in the United States: Findings of the Foodborne Disease Centers for Outbreak Response Enhancement (FoodCORE), 2010-2012. Journal of Public Health Management and Practice 21(4): E18-E26, 2016

Surveillance for foodborne disease outbreaks--United States, 2009-2010. Mmwr. Morbidity and Mortality Weekly Report 62(3): 41-47, 2013

Epidemiology of foodborne disease outbreaks caused by Clostridium perfringens, United States, 1998-2010. Foodborne Pathogens and Disease 10(2): 131-136, 2013

Multistate outbreaks of Salmonella infections associated with raw tomatoes eaten in restaurants--United States, 2005-2006. Mmwr. Morbidity and Mortality Weekly Report 56(35): 909-911, 2007

Involvement of closely related strains of a new clonal group of Listeria monocytogenes in the 1998-99 and 2002 multistate outbreaks of foodborne listeriosis in the United States. Foodborne Pathogens and Disease 3(3): 292-302, 2006

A summary of health outcomes: multistate foodborne disease outbreaks in the U.S., 1998-2007. Journal of Environmental Health 75(4): 8-13, 2013

Summary of Notifiable Noninfectious Conditions and Disease Outbreaks: Foodborne and Waterborne Disease Outbreaks - United States, 1971-2012. Mmwr. Morbidity and Mortality Weekly Report 62(54): 86-89, 2016

Foodborne disease outbreaks in United States schools. Pediatric Infectious Disease Journal 21(7): 623-628, 2002

Outbreaks of foodborne disease in the United States, 1972-1978. Journal of Infectious Diseases 142(1): 122-125, 1980

Surveillance for foodborne disease outbreaks--United States, 2008. Mmwr. Morbidity and Mortality Weekly Report 60(35): 1197-1202, 2011

Surveillance for foodborne disease outbreaks --- United States, 2007. Mmwr. Morbidity and Mortality Weekly Report 59(31): 973-979, 2010

Surveillance for foodborne disease outbreaks - United States, 2006. Mmwr. Morbidity and Mortality Weekly Report 58(22): 609-615, 2009