“…Our findings suggest, for the first time, that V. parahaemolyticus could survive food processing and cooking criteria [ 15 ], which could be an overlooked root cause of the persistent vibriosis in the US, and that they could be activated/recovered using the modified, two-step enrichment of combined nourishment (APW, 48 h), heating selection (80 °C, 20 min), and cooling steps. As previously noted, the prevalence of the V. parahaemolyticus variant [ 5 , 21 , 55 ], such as heat-resistant strains of environmental V. parahaemolyticus , could be attributed to specific gene transfers within the bacterial complex/mixture community, that could consist of Vibrio species and heat-resistant symbionts [ 73 ], and induced by global warming [ 74 ]. The results revealing positive KP activity and tlh amplicons suggest the presence of environmental V. parahaemolyticus pathogens [ 19 , 20 ], and that these strains (i.e., VHT1 and VHT2 derived strains, VHT79, VHT80, and VHT81) ( Table 5 and Table 7 ) possess heat-stable hemolysin gene(s), such as tlh , and that it encodes a heat-stress protecting product, possibly suggesting a positive correlation between V. parahaemolyticus heat resistance (i.e., 62 °C, 8 h) and persistent vibriosis cases, as noted by Ueda et al [ 75 ], whose work determined a positive correlation between thermolabile protein expression and thermotolerance in a member of Gram-negative bacteria.…”