Outbreak-Related Disease Burden Associated with Consumption of Unpasteurized Cow’s Milk and Cheese, United States, 2009–2014

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Costard, Solenne ; Espejo, Luis ; Groenendaal, Huybert ; Zagmutt, Francisco J.
• Description:
  The growing popularity of unpasteurized milk in the United States raises public health concerns. We estimated outbreak-related illnesses and hospitalizations caused by the consumption of cow's milk and cheese contaminated with Shiga toxin-producing Escherichia coli, Salmonella spp., Listeria monocytogenes, and Campylobacter spp. using a model relying on publicly available outbreak data. In the United States, outbreaks associated with dairy consumption cause, on average, 760 illnesses/year and 22 hospitalizations/year, mostly from Salmonella spp. and Campylobacter spp. Unpasteurized milk, consumed by only 3.2% of the population, and cheese, consumed by only 1.6% of the population, caused 96% of illnesses caused by contaminated dairy products. Unpasteurized dairy products thus cause 840 (95% CrI 611-1,158) times more illnesses and 45 (95% CrI 34-59) times more hospitalizations than pasteurized products. As consumption of unpasteurized dairy products grows, illnesses will increase steadily; a doubling in the consumption of unpasteurized milk or cheese could increase outbreak-related illnesses by 96%.
• Subjects:
  Animals Cattle Cheese/microbiology Disease Notification Disease Outbreaks Escherichia Coli Infections/epidemiology Female Foodborne Diseases/epidemiology Humans Incidence Listeria Monocytogenes/isolation & Purification Listeriosis/epidemiology Milk/microbiology Pasteurization Public Health/statistics & Numerical Data Research Salmonella/isolation & Purification Salmonella Infections/epidemiology Shiga-Toxigenic Escherichia Coli/isolation & Purification

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• Source:
  Emerg Infect Dis. 23(6):957-964.
• Pubmed ID:
  28518026
• Pubmed Central ID:
  PMC5443421
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  23
• Issue:
  6
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:530667e585e347e092a5d87df0a8e460496979b7cc5c2642a35683456474c349
• Download URL:
  https://stacks.cdc.gov/view/cdc/45962/cdc_45962_DS1.pdf
• File Type:
  [PDF - 950.98 KB ]