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Author (up) Angelo, K.M.; Nisler, A.L.; Hall, A.J.; Brown, L.G.; Gould, L.H. doi  openurl
  Title Epidemiology of restaurant-associated foodborne disease outbreaks, United States, 1998-2013 Type Journal Article
  Year 2017 Publication Epidemiology and infection Abbreviated Journal Epidemiol Infect  
  Volume 145 Issue 3 Pages 523-534  
  Corporate Author Thesis  
  Address Division of Foodborne, Waterborne, and Environmental Diseases,National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention,Atlanta, GA,USA  
  Keywords *Disease Outbreaks; Food Contamination; *Food Handling; Foodborne Diseases/*epidemiology/etiology; Humans; *Restaurants; United States/epidemiology; Infectious disease epidemiology; outbreaks; public health  
  Abstract Although 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 Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0950-2688 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:27751201 Approved no  
  Call Number NCSU @ edshirle @ Serial 3360  
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