Author:
ANGELO K. M.,NISLER A. L.,HALL A. J.,BROWN L. G.,GOULD L. H.
Abstract
SUMMARYAlthough contamination of food can occur at any point from farm to table, restaurant food workers are a common source of foodborne illness. We describe the characteristics of restaurant-associated foodborne disease outbreaks and explore the role of food workers by analysing outbreaks associated with restaurants from 1998 to 2013 reported to the Centers for Disease Control and Prevention's Foodborne Disease Outbreak Surveillance System. We identified 9788 restaurant-associated outbreaks. The median annual number of outbreaks was 620 (interquartile range 618–629). In 3072 outbreaks with a single confirmed aetiology reported, norovirus caused the largest number of outbreaks (1425, 46%). Of outbreaks with a single food reported and a confirmed aetiology, fish (254 outbreaks, 34%) was most commonly implicated, and these outbreaks were commonly caused by scombroid toxin (219 outbreaks, 86% of fish outbreaks). Most outbreaks (79%) occurred at sit-down establishments. The most commonly reported contributing factors were those related to food handling and preparation practices in the restaurant (2955 outbreaks, 61%). Food workers contributed to 2415 (25%) outbreaks. Knowledge of the foods, aetiologies, and contributing factors that result in foodborne disease restaurant outbreaks can help guide efforts to prevent foodborne illness.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Epidemiology
Reference26 articles.
1. Centers for Disease Control and Prevention. Guide to confirming an etiology in a foodborne disease outbreak (http://www.cdc.gov/foodsafety/outbreaks/investigating-outbreaks/confirming_diagnosis.html). Accessed 21 June 2016.
2. Factors impacting food workers’ and managers’ safe food preparation practices: a qualitative study;Green;Food Protection Trends,2005
3. Systematic Environmental Evaluations To Identify Food Safety Differences between Outbreak and Nonoutbreak Restaurants
4. Centers for Disease Control and Prevention. National outbreak reporting system guidance document (http://www.cdc.gov/outbreaknet/pdf/NORS_Guidance_5213_06232009(compliant).pdf). Accessed 27 September 2015.
5. Centers for Disease Control and Prevention. National Outbreak Reporting System (http://www.cdc.gov/nors/about.html). Accessed 10 September 2015.
Cited by
105 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献