title: Control of the transmission of Vibrio cholerae and other enteropathogens by foods originating from endemic areas in South America and elsewhere as a model situation.
abstract: The cholera-pandemic raging in South and Middle America and endemic cholera in other countries call for measures of health protection of the local population, but particularly with respect to the young, old, pregnant and immunocompromised citizens of countries importing food from the areas where the disease has struck. Instead of harshly barring importation, a more humanitarian policy is recommended, relying on assistance of areas presenting risks, with the introduction of and adherence to rigorous measures of longitudinally integrated microbiological safety assurance. This model is equally applicable to other enteric diseases transmitted by food. Examples are given of how canned foods of neutral pH, fishery products, vegetables and certain fruits should be processed for safety. Importation monitoring strategies, linked to this proactive approach to consumer protection, are briefly summarized.
authors.affiliation: Eijkman Foundation, Utrecht, The Netherlands.
authors.forename: D A
authors.initials: DA
authors.lastname: Mossel
authors.forename: C B
authors.initials: CB
authors.lastname: Struijk
authors.forename: J T
authors.initials: JT
authors.lastname: Jansen
mesh_terms: D002771:Cholera / Q000453:epidemiology / Q000517:prevention & control / Q000635:transmission*; D004196:Disease Outbreaks / Q000517:prevention & control*; D005511:Food Handling / Q000592:standards*; D005516:Food Microbiology; D005519:Food Preservation / Q000592:standards; D006801:Humans; D013020:South America / Q000453:epidemiology; D014734:Vibrio cholerae / Q000254:growth & development*