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Published on: October 2, 2018
Outbreak of Listeria monocytogenes infections associated with pasteurized milk from a local dairy--Massachusetts,
Abstract:
On November 27, 2007, a local health officer in central Massachusetts contacted the Massachusetts Department of Public Health (MDPH) to report listeriosis in a man aged 87 years. Pulsed-field gel electrophoresis (PFGE) performed on the patient's Listeria monocytogenes isolate produced a pattern indistinguishable from that of isolates from three other cases identified in residents of central Massachusetts in June, October, and early November 2007. MDPH, in collaboration with local public health officials, conducted an investigation, which implicated pasteurized, flavored and nonflavored, fluid milk produced by a local dairy (dairy A) as the source of the outbreak. This report summarizes the results of that investigation. In all, five cases were identified, and three deaths occurred. This outbreak illustrates the potential for contamination of fluid milk products after pasteurization and the difficulty in detecting outbreaks of L. monocytogenes infections.
Insights
A Listeria monocytogenes outbreak in Massachusetts was linked to pasteurized milk, causing five illnesses and three deaths. This highlights the risk of post-pasteurization contamination in fluid milk products.
Area of Science:
- Foodborne illness surveillance
- Microbial forensics
- Public health microbiology
Background:
- Listeriosis is a serious infection caused by Listeria monocytogenes.
- Outbreaks can be challenging to detect, especially when linked to widely consumed products like fluid milk.
Observation:
- A cluster of Listeria monocytogenes infections in central Massachusetts was identified.
- Pulsed-field gel electrophoresis (PFGE) linked patient isolates to a common source.
Findings:
- An investigation implicated pasteurized fluid milk from a local dairy as the source of the outbreak.
- The outbreak resulted in five confirmed cases and three fatalities.
Implications:
- This case underscores the potential for contamination of pasteurized milk products after the pasteurization process.
- Effective surveillance and rapid response are crucial for controlling foodborne outbreaks.
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