{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:12:57Z","timestamp":1770142377514,"version":"3.49.0"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T00:00:00Z","timestamp":1568246400000},"content-version":"unspecified","delay-in-days":254,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2019]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>We investigated a large multistate outbreak that occurred in the United States in 2015\u20132016. Epidemiologic, laboratory, and traceback studies were conducted to determine the source of the infections. We identified 907 case-patients from 40 states with illness onset dates ranging from July 3, 2015 to March 2, 2016. Sixty-three percent of case-patients reported consuming cucumbers in the week before illness onset. Ten illness sub-clusters linked to events or purchase locations were identified. All sub-clusters investigated received cucumbers from a single distributor which were sourced from a single grower in Mexico. Seventy-five cucumber samples were collected, 19 of which yielded the outbreak strain. Whole genome sequencing performed on 154 clinical isolates and 19 cucumber samples indicated that the sequenced isolates were closely related genetically to one another. This was the largest US foodborne disease outbreak in the last ten years and the third largest in the past 20 years. This was at least the fifth multistate outbreak caused by contaminated cucumbers since 2010. The outbreak is noteworthy because a recall was issued only 17 days after the outbreak was identified, which allowed for the removal of the contaminated cucumbers still available in commerce, unlike previous cucumber associated outbreaks. The rapid identification and response of multiple public health agencies resulted in preventing this from becoming an even larger outbreak.<\/jats:p>","DOI":"10.1017\/s0950268819001596","type":"journal-article","created":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T02:52:12Z","timestamp":1568256732000},"source":"Crossref","is-referenced-by-count":39,"title":["Multistate outbreak of <i>Salmonella<\/i> Poona infections associated with imported cucumbers, 2015\u20132016"],"prefix":"10.1017","volume":"147","author":[{"given":"M.","family":"Laughlin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Bottichio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Higa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"McDonald","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Sowadsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Fejes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Saupe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Provo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Seelman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Concepci\u00f3n-Acevedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0575-4579","authenticated-orcid":false,"given":"L.","family":"Gieraltowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"The Outbreak Investigation Team","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,9,12]]},"reference":[{"key":"S0950268819001596_ref21","unstructured":"Multistate outbreak of Salmonella Saintpaul infections linked to imported cucumbers (2013) Centers for Disease Control and Prevention. Available at http:\/\/www.cdc.gov\/salmonella\/saintpaul-04-13\/index.html (Accessed 3 November 2016)."},{"key":"S0950268819001596_ref18","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X-66.9.1587"},{"key":"S0950268819001596_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800068412"},{"key":"S0950268819001596_ref15","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1100443"},{"key":"S0950268819001596_ref14","unstructured":"National Retail Federation. Top 100 Retailers Chart 2015. Available at https:\/\/nrf.com\/2015\/top100-table (Accessed 6 November 2016)."},{"key":"S0950268819001596_ref13","unstructured":"National Outbreak Reporting System (NORS). Centers for Disease Control and Prevention. Atlanta, Georgia (Accessed 3 November 2016)."},{"key":"S0950268819001596_ref11","unstructured":"U.S. Food and Drug Administration. 99-23 Detention Without Physical Examination of Produce Due to Contamination with Human Pathogens. Available at https:\/\/www.accessdata.fda.gov\/cms_ia\/importalert_266.html (Accessed 4 June 2019)."},{"key":"S0950268819001596_ref4","first-page":"1044","article-title":"Multistate outbreaks of Salmonella serotype Poona infections associated with eating cantaloupe from Mexico\u2013United States and Canada, 2000\u20132002","volume":"51","year":"2002","journal-title":"MMWR Morbidity and Mortality Weekly Report"},{"key":"S0950268819001596_ref12","unstructured":"U.S. Food and Drug Administration. 99-35 Detention Without Physical Examination of Fresh Produce That Appears to Have Been Prepared, Packed or Held Under Insanitary Condition. Available at https:\/\/www.accessdata.fda.gov\/cms_ia\/importalert_1128.html (Accessed 4 June 2019)."},{"key":"S0950268819001596_ref2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1701.P11101"},{"key":"S0950268819001596_ref9","doi-asserted-by":"publisher","DOI":"10.4315\/0362-028X.JFP-16-364"},{"key":"S0950268819001596_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodres.2011.11.004"},{"key":"S0950268819001596_ref3","doi-asserted-by":"publisher","DOI":"10.3201\/eid0303.970304"},{"key":"S0950268819001596_ref1","first-page":"749","article-title":"Vital signs: incidence and trends of infection with pathogens transmitted commonly through food \u2013 foodborne diseases active surveillance network, 10 U.S. Sites, 1996\u20132010","volume":"60","year":"2011","journal-title":"MMWR Morbidity and Mortality Weekly Report"},{"key":"S0950268819001596_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115652"},{"key":"S0950268819001596_ref20","first-page":"144","article-title":"Outbreak of Salmonella newport infections linked to cucumbers \u2013 United States, 2014","volume":"64","author":"Angelo","year":"2014","journal-title":"MMWR Morbidity and Mortality Weekly Report"},{"key":"S0950268819001596_ref6","doi-asserted-by":"publisher","DOI":"10.1089\/fpd.2006.3.59"},{"key":"S0950268819001596_ref7","volume-title":"Foodborne Active Surveillance Network (FoodNet) Population Survey Atlas of Exposures","year":"2006\u20132007"},{"key":"S0950268819001596_ref22","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm655051a3"},{"key":"S0950268819001596_ref16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0055254"},{"key":"S0950268819001596_ref10","unstructured":"Centers for Disease Control and Prevention (2015) National Antimicrobial Resistance Monitoring System for Enteric Bacteria: Annual Report, 2013. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention."},{"key":"S0950268819001596_ref8","volume-title":"Bacteriological Analytical Manual","year":"2016"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268819001596","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,12]],"date-time":"2019-09-12T02:52:18Z","timestamp":1568256738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268819001596\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":22,"alternative-id":["S0950268819001596"],"URL":"https:\/\/doi.org\/10.1017\/s0950268819001596","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e270"}}