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Infectious diseases associated with molluscan shellfish consumption

¹Northeast Seafood Laboratory, Food and Drug Administration, Davisville, Rhode Island 02852.

Clinical Microbiology Reviews

|October 1, 1994

Summary

Shellfish consumption historically caused typhoid fever, now largely eliminated by improved sewage treatment. Current risks from shellfish involve viral and environmental bacterial pathogens from wastewater.

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Area of Science:

Public Health
Food Safety
Microbiology

Background:

Reviews nine decades of shellfish-vectored illnesses, focusing on public health impacts.
Highlights typhoid fever as a major historical concern linked to raw molluscan shellfish consumption.

Observation:

Effective sewage treatment and national programs eradicated shellfish-associated typhoid fever.
Current shellfish safety concerns include bacterial illnesses from wastewater.

Findings:

The primary public health risks from shellfish are now viral pathogens from wastewater.
Environmental bacteria also pose a significant risk associated with shellfish consumption.

Implications:

Understanding pathogen sources is crucial for preventing future shellfish-borne disease outbreaks.
Continued monitoring and improved wastewater management are essential for public health protection.

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