Journal article
Multistate Outbreak of Listeriosis Linked to Turkey Deli Meat and Subsequent Changes in US Regulatory Policy
Clinical infectious diseases, v 42(1), pp 29-36
01 Jan 2006
PMID: 16323088
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background. Listeriosis, a life-threatening foodborne illness caused by Listeria monocytogenes, affects ∼ 2500 Americans annually. Between July and October 2002, an uncommon strain of L. monocytogenes caused an outbreak of listeriosis in 9 states. Methods. We conducted case finding, a case-control study, and traceback and microbiological investigations to determine the extent and source of the outbreak and to propose control measures. Case patients were infected with the outbreak strain of L. monocytogenes between July and November 2002 in 9 states, and control patients were infected with different L. monocytogenes strains. Outcome measures included food exposure associated with outbreak strain infection and source of the implicated food. Results. Fifty-four case patients were identified; 8 died, and 3 pregnant women had fetal deaths. The case-control study included 38 case patients and 53 control patients. Case patients consumed turkey deli meat much more frequently than did control patients (P =.008, by Wilcoxon rank-sum test). In the 4 weeks before illness, 55% of case patients had eaten deli turkey breast more than 1–2 times, compared with 28% of control patients (odds ratio, 4.5; 95% confidence interval, 1.3–17.1). Investigation of turkey deli meat eaten by case patients led to several turkey processing plants. The outbreak strain was found in the environment of 1 processing plant and in turkey products from a second. Together, the processing plants recalled >30 million pounds of products. Following the outbreak, the US Department of Agriculture' Food Safety and Inspection Service issued new regulations outlining a L. monocytogenes control and testing program for ready-to-eat meat and poultry processing plants. Conclusions. Turkey deli meat was the source of a large multistate outbreak of listeriosis. Investigation of this outbreak helped guide policy changes designed to prevent future L. monocytogenes contamination of ready-to-eat meat and poultry products.
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Details
- Title
- Multistate Outbreak of Listeriosis Linked to Turkey Deli Meat and Subsequent Changes in US Regulatory Policy
- Creators
- Sami L. Gottlieb - Centers for Disease Control and Prevention, AtlantaE. Claire Newbern - Centers for Disease Control and Prevention, AtlantaPatricia M. Griffin - Centers for Disease Control and Prevention, AtlantaLewis M. Graves - Centers for Disease Control and Prevention, AtlantaR. Michael Hoekstra - Centers for Disease Control and Prevention, AtlantaNicole L. Baker - Centers for Disease Control and Prevention, AtlantaSusan B. Hunter - Centers for Disease Control and Prevention, AtlantaKristin G. Holt - United States Department of Agriculture—Food Safety and Inspection Service, AtlantaFred Ramsey - United States Department of Agriculture—Food Safety and Inspection Service, AtlantaMarcus Head - United States Department of Agriculture—Food Safety and Inspection Service, AtlantaPriscilla Levine - United States Department of Agriculture—Food Safety and Inspection Service, Washington, DCGeraldine Johnson - New York State Department of Health, AlbanyDianna Schoonmaker-Bopp - New York State Department of Health, AlbanyVasudha Reddy - New York City Department of Health and Mental HygieneLaura Kornstein - New York City Department of Health and Mental HygieneMichal Gerwel - New Jersey Department of Health and Senior Services, TrentonJohnson Nsubuga - Massachusetts Department of Public HealthLeslie Edwards - Maryland Department of HealthShelley Stonecipher - Michigan Department of Community Health, LansingSharon Hurd - Connecticut Emerging Infections Program, New HavenDeri Austin - Delaware Health and Social Services, DoverMichelle A. Jefferson - Centers for Disease Control and Prevention, AtlantaSuzanne D. Young - Centers for Disease Control and Prevention, AtlantaKelley Hise - Centers for Disease Control and Prevention, AtlantaEsther D. Chernak - Philadelphia Department of Public HealthJeremy Sobel - Centers for Disease Control and Prevention, AtlantaListeriosis Outbreak Working Grp
- Publication Details
- Clinical infectious diseases, v 42(1), pp 29-36
- Publisher
- The University of Chicago Press
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Environmental and Occupational Health
- Web of Science ID
- WOS:000233698900011
- Scopus ID
- 2-s2.0-33748358837
- Other Identifier
- 991020547450104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases
- Microbiology