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Leafy vegetable-related STEC infections that are more likely to occur in spring or autumn

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September 16, 2020

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Marshall KE and others Emerg Infect Dis.. 2020; doi:10.3201 / eid2609.

Disclosure: The author has not reported any relevant financial disclosure.

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Outbreak of Shiga toxin production E. coli Studies show that while leafy vegetables are grown all year round in the United States, those related to leafy vegetables are more likely to occur in spring or autumn.

The illness is often serious and widespread, researchers report Emerging infectious diseases. Among leafy vegetables, romaine lettuce causes more than half of the outbreaks.

“Shiga toxin infection-infectious disease E. coli (STEC) bacteria cause an estimated 265,000 illnesses and cost $ 280 million annually in the United States. ” Catherine E. Marshall of Written by epidemiologists and colleagues in the CDC’s Outbreak Response and Prevention Department Emerging infectious disease.

Marshall and his colleague STEC Outbreak, which was associated with leafy vegetables in Canada and the United States from 2009 to 2018, has caused 77 cases of 1,212 illnesses, deaths and hemolytic uremic syndrome.

54% of outbreaks are related to romaine lettuce, with the majority of outbreaks occurring in autumn (45%) and spring (28%). Investigator efforts to assess outbreak-related green treatment and growth through traceback research in the food supply chain have often failed.

Leafy vegetables were the most common cause of food-borne STEC outbreaks. Ground beef.

“There remains a knowledge gap, including knowledge about the seasonal factors of the lush green outbreak and why the outbreak is disproportionately associated with romaine lettuce,” he concluded. “Investigators need to work with federal and state health partners, research communities, lush industries, and retailers to bridge these knowledge gaps and gather additional information. Additional efforts occur. Includes identification of data points that improve the traceability of greens in greens. Overall, these efforts help inform preventive strategies to avoid or mitigate future outbreaks, and in food cultivation and processing. It has the potential to bring further changes to the method and make it safer to consume leafy vegetables. “

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