2017
DOI: 10.1017/s0950268816003083
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Multistate outbreak of Listeria monocytogenes infections linked to whole apples used in commercially produced, prepackaged caramel apples: United States, 2014–2015

Abstract: Whole apples have not been previously implicated in outbreaks of foodborne bacterial illness. We investigated a nationwide listeriosis outbreak associated with caramel apples. We defined an outbreak-associated case as an infection with one or both of two outbreak strains of Listeria monocytogenes highly related by whole-genome multilocus sequence typing (wgMLST) from 1 October 2014 to 1 February 2015. Single-interviewer open-ended interviews identified the source. Outbreak-associated cases were compared with n… Show more

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Cited by 164 publications
(100 citation statements)
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“…Typically, pregnant women are advised to avoid consumption of foods at high risk of Listeria contamination. However, a series of deadly Listeria outbreaks in fresh produce, fruit, and other foods traditionally at low risk of Listeria contamination, highlight the need for alternative and novel approaches to safeguarding the food supply (32)(33)(34).…”
Section: Therapeutic Potential Of Listeria-specific V H Hmentioning
confidence: 99%
“…Typically, pregnant women are advised to avoid consumption of foods at high risk of Listeria contamination. However, a series of deadly Listeria outbreaks in fresh produce, fruit, and other foods traditionally at low risk of Listeria contamination, highlight the need for alternative and novel approaches to safeguarding the food supply (32)(33)(34).…”
Section: Therapeutic Potential Of Listeria-specific V H Hmentioning
confidence: 99%
“…The persistence of certain subtypes of L. monocytogenes in food processing facilities or on equipment has been reported for up to 10 years and linked to food contamination from farm to fork [5]. The persistence of such strains in the food system has also been observed to play a significant role in listeriosis outbreaks during the last decades [6][7][8].…”
Section: Introductionmentioning
confidence: 99%
“…An outbreak lasting from October 2014 to February 2015 in the United States was caused by L. monocytogenes contaminated whole apples. 71 This outbreak caused 35 illnesses across 12 states; 34 of the affected were hospitalized and seven died. A major outbreak occurred due to the consumption of contaminated cantaloupes originating from Jensen Farms in Colorado, in 2011 in the United States was the cause of 147 illnesses, 33 deaths, and one miscarriage.…”
Section: Listeria Monocytogenesmentioning
confidence: 99%