TY - JOUR AU - Costard, Solenne AU - Espejo, Luis AU - Groenendaal, Huybert AU - Zagmutt, Francisco T1 - Outbreak-Related Disease Burden Associated with Consumption of Unpasteurized Cow’s Milk and Cheese, United States, 2009–2014 T2 - Emerging Infectious Disease journal PY - 2017 VL - 23 IS - 6 SP - 957 SN - 1080-6059 AB - The growing popularity of unpasteurized milk in the United States raises public health concerns. We estimated outbreak-related illnesses and hospitalizations caused by the consumption of cow’s milk and cheese contaminated with Shiga toxin–producing Escherichia coli, Salmonella spp., Listeria monocytogenes, and Campylobacter spp. using a model relying on publicly available outbreak data. In the United States, outbreaks associated with dairy consumption cause, on average, 760 illnesses/year and 22 hospitalizations/year, mostly from Salmonella spp. and Campylobacter spp. Unpasteurized milk, consumed by only 3.2% of the population, and cheese, consumed by only 1.6% of the population, caused 96% of illnesses caused by contaminated dairy products. Unpasteurized dairy products thus cause 840 (95% CrI 611–1,158) times more illnesses and 45 (95% CrI 34–59) times more hospitalizations than pasteurized products. As consumption of unpasteurized dairy products grows, illnesses will increase steadily; a doubling in the consumption of unpasteurized milk or cheese could increase outbreak-related illnesses by 96%. KW - milk KW - cheese KW - raw foods KW - pasteurization KW - risk assessment KW - risk KW - foodborne diseases KW - foodborne illnesses KW - disease outbreaks KW - food safety KW - public health KW - Escherichia coli KW - E. coli KW - Salmonella KW - Listeria KW - Campylobacter KW - bacteria KW - United States DO - 10.3201/eid2306.151603 UR - https://wwwnc.cdc.gov/eid/article/23/6/15-1603_article ER - End of Reference