ArticleEmerging infectious diseases2020
Lessons Learned from a Decade of Investigations of Shiga Toxin-Producing Escherichia coli Outbreaks Linked to Leafy Greens, United States and Canada.
Article in Emerging infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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Who cites it
45 citing papers in PubMed, 112 citations in OpenAlex.
- Exometabolomic-enabled discovery of compounds associated with Escherichia coli O157:H7 population dynamics in the lettuce phyllosphere.BMC plant biology · 2026Article
- Evaluation of the Disinfection Capacity of Electrolyzed Water and Growth Rates ofFoods (Basel, Switzerland) · 2026Article
- First Reported Outbreak of Persistent Shiga Toxin-producingOpen forum infectious diseases · 2026Article
- Efficacy of chemical sanitizers againstFrontiers in microbiology · 2026Article
- Microbe-plant interactions ofEcoSal Plus · 2025Review
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- Validation of Core and Whole-Genome Multi-Locus Sequence Typing Schemes for Shiga-Toxin-ProducingMicroorganisms · 2025Article
- Genomic Characterization of Escherichia coli O157:H7 Associated with Multiple Sources, United States.Emerging infectious diseases · 2025Article
- Exploring the Complexities of Seafood: From Benefits to Contaminants.Foods (Basel, Switzerland) · 2025Review
- Association of the PhoQ/PhoP Stress Response System with the Internalization ofMicroorganisms · 2025Article
- Consumer willingness-to-pay for blockchain-based QR code traceability of leafy greens.PloS one · 2025Article
- Article
- Colorimetric and electrochemical analysis of DNAzyme-LAMP amplicons for the detection of Escherichia coli in food matrices.Scientific reports · 2024Article
- Overview of pathogenic Escherichia coli, with a focus on Shiga toxin-producing serotypes, global outbreaks (1982-2024) and food safety criteria.Gut pathogens · 2024Review
- A multi-provincial outbreak ofEpidemiology and infection · 2024Article
- Aggregative Swab Sampling Method for Romaine Lettuce Show Similar Quality and Safety Indicators and Microbial Profiles Compared to Composite Produce Leaf Samples in a Pilot Study.Foods (Basel, Switzerland) · 2024Article
- Determinants of Sporadic Shiga Toxin-ProducingMicroorganisms · 2024Article
- Quantitative Analysis of Genomic DNA Degradation ofGels (Basel, Switzerland) · 2024Article
- Cultivar was more influential than bacterial strain and other experimental factors in recovery ofMicrobiology spectrum · 2024Article
- Applied microbiology of the phyllosphere.Applied microbiology and biotechnology · 2024Review
Corrections and comments
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Authors and funding
18 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Shiga toxin-producing Escherichia coli (STEC) cause substantial and costly illnesses. Leafy greens are the second most common source of foodborne STEC O157 outbreaks. We examined STEC outbreaks linked to leafy greens during 2009-2018 in the United States and Canada. We identified 40 outbreaks, 1,212 illnesses, 77 cases of hemolytic uremic syndrome, and 8 deaths. More outbreaks were linked to romaine lettuce (54%) than to any other type of leafy green. More outbreaks occurred in the fall (45%) and spring (28%) than in other seasons. Barriers in epidemiologic and traceback investigations complicated identification of the ultimate outbreak source. Research on the seasonality of leafy green outbreaks and vulnerability to STEC contamination and bacterial survival dynamics by leafy green type are warranted. Improvements in traceability of leafy greens are also needed. Federal and state health partners, researchers, the leafy green industry, and retailers can work together on interventions to reduce STEC contamination.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.