Abstract:Foodborne disease outbreaks associated with fresh fruits and vegetables have been increasing in occurrence worldwide. Canada has one of the highest per capita consumption rates of fresh fruits and vegetables in the world. In this article, we review the foodborne disease outbreaks linked to produce consumption in Canada from 2001 through 2009. The 27 produce-related outbreaks included an estimated 1,549 cases of illness. Bacterial infection outbreaks represented 66% of the total. Among these, Salmonella was the most frequent agent (50% of outbreaks) followed by Escherichia coli (33%) and Shigella (17%). Cyclospora cayetanensis was the only parasite detected and was associated with seven outbreaks. Among the foodborne viruses, only hepatitis A was implicated in two outbreaks. The food vehicles most commonly implicated in outbreaks were leafy greens and herbs (26% of outbreaks), followed by seed sprouts (11%). Contamination sources and issues related to the future control of fresh produce-related foodborne disease outbreaks also are discussed.
Document Type: Review article
Affiliations: 1: Bureau of Microbial Hazards, Health Canada, Ottawa, Ontario, Canada K1A 0K9 2: Office of Public Health Practice, Public Health Agency of Canada, Ottawa, Ontario, Canada K1A 0K9 3: Outbreak Management Division, Public Health Agency of Canada, Guelph, Ontario, Canada N1H 8J1 4: Bureau of Microbial Hazards, Health Canada, Ottawa, Ontario, Canada K1A 0K9. firstname.lastname@example.org
Publication date: 2013-01-01