Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Langer, Adam J. ; Ayers, Tracy ; Grass, Julian ; Lynch, Michael ; Angulo, Frederick J. ; Mahon, Barbara E.
• Description:
  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.
• Subjects:
  Adolescent Adult CME Dairy Products Disease Outbreaks Female Foodborne Diseases Food Microbiology Humans Incidence Male Nutrition Policy Pasteurization Young Adult

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• Source:
  Emerg Infect Dis. 18(3):385-391.
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  18
• Issue:
  3
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:32c0093613ba3e8351c09018e5bf7a5e83cab06001984bbb7a95a336ecc88933
• Download URL:
  https://stacks.cdc.gov/view/cdc/23835/cdc_23835_DS1.pdf
• File Type:
  [PDF - 268.25 KB ]