Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health

C. W. Hedberg; F. J. Angulo; K. E. White; C. W. Langkop; W. L. Schell; M. G. Stobierski; A. Schuchat; J. M. Besser; S. Dietrich; L. Helsel; P. M. Griffin; J. W. McFarland; M. T. Osterholm; D. Swerdlow; R. Tauxe; J. Townes; J. Hospedales; L. Wilson; R. Kingdon; R. Roy; J. Feldman; R. Marrs; J. Scharmann; S. Bohm; K. J. Kuo; R. Martin; P. McDonnell; K. Michalak; K. Pannaralla; M. Schwartz; W. Hall; C. Klammer; T. Masso; K. MacDonald; J. Soler; L. Gabriel; R. Danila; J. Forfang; J. Korlath; J. Clare; E. Anderson; J. Mariotti; T. Ristinen; F. Mitchell; C. Schneider; M. Miller; G. Killiam; J. Tucker; E. Smyth; M. Proctor; J. Davis

doi:10.1017/S0950268899002393

Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health

C. W. Hedberg, F. J. Angulo, K. E. White, C. W. Langkop, W. L. Schell, M. G. Stobierski, A. Schuchat, J. M. Besser, S. Dietrich, L. Helsel, P. M. Griffin, J. W. McFarland, M. T. Osterholm, D. Swerdlow, R. Tauxe, J. Townes, J. Hospedales, L. Wilson, R. Kingdon, R. RoyJ. Feldman, R. Marrs, J. Scharmann, S. Bohm, K. J. Kuo, R. Martin, P. McDonnell, K. Michalak, K. Pannaralla, M. Schwartz, W. Hall, C. Klammer, T. Masso, K. MacDonald, J. Soler, L. Gabriel, R. Danila, J. Forfang, J. Korlath, J. Clare, E. Anderson, J. Mariotti, T. Ristinen, F. Mitchell, C. Schneider, M. Miller, G. Killiam, J. Tucker, E. Smyth, M. Proctor, J. Davis

Research output: Contribution to journal › Article › peer-review

176 Scopus citations

Abstract

Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo). Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16.0; 95% CI 2.1, 120.6; P < 0.0001 in 1990 and again in 1993 (MOR 5.7; 95% CI 1.5, 21.9; P = 0.01) as the likely vehicle. Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath. These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items. Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.

Original language	English (US)
Pages (from-to)	385-393
Number of pages	9
Journal	Epidemiology and Infection
Volume	122
Issue number	3
DOIs	https://doi.org/10.1017/S0950268899002393
State	Published - Jun 1999
Externally published	Yes

ASJC Scopus subject areas

Epidemiology
Infectious Diseases

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Hedberg, C. W., Angulo, F. J., White, K. E., Langkop, C. W., Schell, W. L., Stobierski, M. G., Schuchat, A., Besser, J. M., Dietrich, S., Helsel, L., Griffin, P. M., McFarland, J. W., Osterholm, M. T., Swerdlow, D., Tauxe, R., Townes, J., Hospedales, J., Wilson, L., Kingdon, R., ... Davis, J. (1999). Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health. Epidemiology and Infection, 122(3), 385-393. https://doi.org/10.1017/S0950268899002393

Hedberg, CW, Angulo, FJ, White, KE, Langkop, CW, Schell, WL, Stobierski, MG, Schuchat, A, Besser, JM, Dietrich, S, Helsel, L, Griffin, PM, McFarland, JW, Osterholm, MT, Swerdlow, D, Tauxe, R, Townes, J, Hospedales, J, Wilson, L, Kingdon, R, Roy, R, Feldman, J, Marrs, R, Scharmann, J, Bohm, S, Kuo, KJ, Martin, R, McDonnell, P, Michalak, K, Pannaralla, K, Schwartz, M, Hall, W, Klammer, C, Masso, T, MacDonald, K, Soler, J, Gabriel, L, Danila, R, Forfang, J, Korlath, J, Clare, J, Anderson, E, Mariotti, J, Ristinen, T, Mitchell, F, Schneider, C, Miller, M, Killiam, G, Tucker, J, Smyth, E, Proctor, M & Davis, J 1999, 'Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health', Epidemiology and Infection, vol. 122, no. 3, pp. 385-393. https://doi.org/10.1017/S0950268899002393

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title = "Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health",

abstract = "Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo). Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16.0; 95% CI 2.1, 120.6; P < 0.0001 in 1990 and again in 1993 (MOR 5.7; 95% CI 1.5, 21.9; P = 0.01) as the likely vehicle. Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath. These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items. Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.",

author = "Hedberg, {C. W.} and Angulo, {F. J.} and White, {K. E.} and Langkop, {C. W.} and Schell, {W. L.} and Stobierski, {M. G.} and A. Schuchat and Besser, {J. M.} and S. Dietrich and L. Helsel and Griffin, {P. M.} and McFarland, {J. W.} and Osterholm, {M. T.} and D. Swerdlow and R. Tauxe and J. Townes and J. Hospedales and L. Wilson and R. Kingdon and R. Roy and J. Feldman and R. Marrs and J. Scharmann and S. Bohm and Kuo, {K. J.} and R. Martin and P. McDonnell and K. Michalak and K. Pannaralla and M. Schwartz and W. Hall and C. Klammer and T. Masso and K. MacDonald and J. Soler and L. Gabriel and R. Danila and J. Forfang and J. Korlath and J. Clare and E. Anderson and J. Mariotti and T. Ristinen and F. Mitchell and C. Schneider and M. Miller and G. Killiam and J. Tucker and E. Smyth and M. Proctor and J. Davis",

year = "1999",

month = jun,

doi = "10.1017/S0950268899002393",

language = "English (US)",

volume = "122",

pages = "385--393",

journal = "Epidemiology and Infection",

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TY - JOUR

T1 - Outbreaks of salmonellosis associated with eating uncooked tomatoes

T2 - Implications for public health

AU - Hedberg, C. W.

AU - Angulo, F. J.

AU - White, K. E.

AU - Langkop, C. W.

AU - Schell, W. L.

AU - Stobierski, M. G.

AU - Schuchat, A.

AU - Besser, J. M.

AU - Dietrich, S.

AU - Helsel, L.

AU - Griffin, P. M.

AU - McFarland, J. W.

AU - Osterholm, M. T.

AU - Swerdlow, D.

AU - Tauxe, R.

AU - Townes, J.

AU - Hospedales, J.

AU - Wilson, L.

AU - Kingdon, R.

AU - Roy, R.

AU - Feldman, J.

AU - Marrs, R.

AU - Scharmann, J.

AU - Bohm, S.

AU - Kuo, K. J.

AU - Martin, R.

AU - McDonnell, P.

AU - Michalak, K.

AU - Pannaralla, K.

AU - Schwartz, M.

AU - Hall, W.

AU - Klammer, C.

AU - Masso, T.

AU - MacDonald, K.

AU - Soler, J.

AU - Gabriel, L.

AU - Danila, R.

AU - Forfang, J.

AU - Korlath, J.

AU - Clare, J.

AU - Anderson, E.

AU - Mariotti, J.

AU - Ristinen, T.

AU - Mitchell, F.

AU - Schneider, C.

AU - Miller, M.

AU - Killiam, G.

AU - Tucker, J.

AU - Smyth, E.

AU - Proctor, M.

AU - Davis, J.

PY - 1999/6

Y1 - 1999/6

N2 - Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo). Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16.0; 95% CI 2.1, 120.6; P < 0.0001 in 1990 and again in 1993 (MOR 5.7; 95% CI 1.5, 21.9; P = 0.01) as the likely vehicle. Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath. These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items. Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.

AB - Laboratory-based surveillance of salmonella isolates serotyped at four state health departments (Illinois, Michigan, Minnesota and Wisconsin) led to the identification of multistate outbreaks of salmonella infections during 1990 (176 cases of S. javiana) and 1993 (100 cases of S. montevideo). Community-based case-control studies and product traceback implicated consumption of tomatoes from a single South Carolina tomato packer (Packer A) MOR 16.0; 95% CI 2.1, 120.6; P < 0.0001 in 1990 and again in 1993 (MOR 5.7; 95% CI 1.5, 21.9; P = 0.01) as the likely vehicle. Contamination likely occurred at the packing shed, where field grown tomatoes were dumped into a common water bath. These outbreaks represent part of a growing trend of large geographically dispersed outbreaks caused by sporadic or low-level contamination of widely distributed food items. Controlling contamination of agricultural commodities that are also ready-to-eat foods, particularly fruits and vegetables, presents a major challenge to industry, regulators and public health officials.

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JO - Epidemiology and Infection

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ER -

Outbreaks of salmonellosis associated with eating uncooked tomatoes: Implications for public health

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