title: Vital Signs: Multistate Foodborne Outbreaks - United States, 2010-2014.
abstract: BACKGROUND
  Millions of U.S. residents become ill from foodborne pathogens each year. Most foodborne outbreaks occur among small groups of persons in a localized area. However, because many foods are distributed widely and rapidly, and because detection methods have improved, outbreaks that occur in multiple states and that even span the entire country are being recognized with increasing frequency.
  
  
  METHODS
  This report analyzes data from CDC's Foodborne Disease Outbreak Surveillance System to describe multistate foodborne outbreaks that occurred in the United States during 2010-2014.
  
  
  RESULTS
  During this 5-year period, 120 multistate foodborne disease outbreaks (with identified pathogen and food or common setting) were reported to CDC. These multistate outbreaks accounted for 3% (120 of 4,163) of all reported foodborne outbreaks, but were responsible for 11% (7,929 of 71,747) of illnesses, 34% (1,460 of 4,247) of hospitalizations, and 56% (66 of 118) of deaths associated with foodborne outbreaks. Salmonella (63 outbreaks), Shiga toxin-producing E. coli (34), and Listeria monocytogenes (12) were the leading pathogens. Fruits (17), vegetable row crops (15), beef (13), sprouts (10), and seeded vegetables (nine) were the most commonly implicated foods. Traceback investigations to identify the food origin were conducted for 87 outbreaks, of which 55 led to a product recall. Imported foods were linked to 18 multistate outbreaks.
  
  
  CONCLUSIONS
  Multistate foodborne disease outbreaks account for a disproportionate number of outbreak-associated illnesses, hospitalizations, and deaths relative to their occurrence. Working together, food industries and public health departments and agencies can develop and implement more effective ways to identify and to trace contaminated foods linked to multistate outbreaks. Lessons learned during outbreak investigations can help improve food safety practices and regulations, and might prevent future outbreaks.
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Crowe
authors.forename: Barbara E
authors.initials: BE
authors.lastname: Mahon
authors.forename: Antonio R
authors.initials: AR
authors.lastname: Vieira
authors.forename: L Hannah
authors.initials: LH
authors.lastname: Gould
mesh_terms: D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005517:Foodborne Diseases / Q000453:epidemiology*; D006801:Humans; D011159:Population Surveillance; D014481:United States / Q000453:epidemiology