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Volume 10, Number 5—May 2004

Multidrug-resistant Salmonella Typhimurium Infection from Milk Contaminated after Pasteurization

Sonja J. Olsen*Comments to Author , Michelle Ying*, Meghan F. Davis*, Marshall P. Deasy†, Ben Holland*, Larry Iampietro†, C. Michael Baysinger‡, Frances Sassano§, Lewis D. Polk§, Betty Gormley¶, Mary Jane Hung#, Keith Pilot#, Maria Orsini#, Susan Van Duyne*, Shelley Rankin**, Carol Genese#, Eddy A. Bresnitz#, Joseph Smucker††, Maria Moll†, and Jeremy Sobel*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, GA, USA; †Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA; ‡Montgomery County Department of Health, Norristown, Pennsylvania, USA; §Bucks County Department of Health, Doylestown, Pennsylvania, USA; ¶Gloucester County Health Department, Turnersville, New Jersey, USA; #New Jersey State Department of Health and Senior Services, Trenton, New Jersey, USA; **University of Pennsylvania, Philadelphia, Pennsylvania, USA; ††U.S. Food and Drug Administration, Washington, D.C., USA

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Review of pasteurized milk outbreaks in the United States, 1960–2000

Date Location (ref) Pathogen Setting Total no. ill (confirmed) Mechanism of contamination
Nov 1966
Florida (8)
Shigella flexneri type 2
97 (97)
After pasteurization
Jul–Aug 1975
Louisiana (9)
Salmonella Newport
Military base/community
49 (49)
Sep–Oct 1976
New York (10)
Yersinia enterocolitica O:8
38 (38)
After pasteurization
Oct 1978
Arizona (11)
S. Typhimurium
23 (23)
After pasteurization
Jun–Jul 1982
Tennessee, Arkansas, Mississippi (12)
Y. enterocolitica O:13, 18
172 (172)
Jun–Aug 1983
Massachusetts (13)
Listeria monocytogenes 4b; phage type 2425A
49 (40)
Apr 1984
Kentucky (14)
S. Typhimurium
16 (16)
Inadequate pasteurization
Mar–Apr 1985
Illinois (1)
S. Typhimurium
>150,000 (>16,000)
After pasteurization
Mar–Apr 1986
Vermont (15)
Campylobacter jejuni O:2, 36
33 (8)
Inadequate pasteurization
Jul 1994
Illinois (2)
L. monocytogenes 1/2b
45 (11)
After pasteurization
Oct 1995
Vermont, New Hampshire (3)
Y. enterocolitica O:8
10 (10)
After pasteurization
Mar–Apr 2000 Pennsylvania, New Jersey S. Typhimurium, phage type 21, R-type AKSSuT Community 93 (93) After pasteurization

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