TY - JOUR AU - Langer, Adam AU - Ayers, Tracy AU - Grass, Julian AU - Lynch, Michael AU - Angulo, Frederick AU - Mahon, Barbara T1 - Nonpasteurized Dairy Products, Disease Outbreaks, and State Laws—United States, 1993–2006 T2 - Emerging Infectious Disease journal PY - 2012 VL - 18 IS - 3 SP - 385 SN - 1080-6059 AB - Although pasteurization eliminates pathogens and consumption of nonpasteurized dairy products is uncommon, dairy-associated disease outbreaks continue to occur. To determine the association of outbreaks caused by nonpasteurized dairy products with state laws regarding sale of these products, we reviewed dairy-associated outbreaks during 1993–2006. We found 121 outbreaks for which the product’s pasteurization status was known; among these, 73 (60%) involved nonpasteurized products and resulted in 1,571 cases, 202 hospitalizations, and 2 deaths. A total of 55 (75%) outbreaks occurred in 21 states that permitted sale of nonpasteurized products; incidence of nonpasteurized product–associated outbreaks was higher in these states. Nonpasteurized products caused a disproportionate number (≈150× greater/unit of product consumed) of outbreaks and outbreak-associated illnesses and also disproportionately affected persons <20 years of age. States that restricted sale of nonpasteurized products had fewer outbreaks and illnesses; stronger restrictions and enforcement should be considered. KW - dairy products KW - nonpasteurized KW - unpasteurized KW - foodborne illnesses KW - disease outbreaks KW - regulations KW - Campylobacter KW - Salmonella KW - Escherichia coli KW - Shigella KW - Listeria KW - Brucella KW - bacteria KW - United States DO - 10.3201/eid1803.111370 UR - https://wwwnc.cdc.gov/eid/article/18/3/11-1370_article ER - End of Reference