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Volume 23, Number 6—June 2017
Research

Outbreak-Related Disease Burden Associated with Consumption of Unpasteurized Cow’s Milk and Cheese, United States, 2009–2014

Solenne CostardComments to Author , Luis Espejo, Huybert Groenendaal, and Francisco J. Zagmutt
Author affiliations: EpiX Analytics, Boulder, Colorado, USA (S. Costard, H. Groenendaal, F.J. Zagmutt); Consultant, St. Augustine, Florida, USA (L. Espejo)

Main Article

Table 2

Incidence rates and risk differences for illness and hospitalization per 1 billion servings of milk or cheese, by pasteurization status and pathogen, United States, 2009–2014*

Pathogen
Illnesses

Hospitalizations
Unpasteurized
Pasteurized
Risk difference†
Unpasteurized
Pasteurized
Risk difference†
STEC 3.5 
(2.7–4.5) 3.4 x 10−4 (3.1 x 10−7 to 1.7 x 10−3) 3.5 
(2.7 to 4.5) 0.9 
(0.6 to 1.2) 3.4 x 10−4 (3.0 x 10−7 to 1.7 x 10−3) 0.9 
(0.6 to 1.2)
Salmonella spp. 49.1 
(32.7–76.7) 3.4 x 10−4 (3.3 x 10−7 to 1.7 x 10−3) 49.1 
(32.7 to 76.7) 0.6 
(0.4 to 0.9) 3.5 x 10−4 (3.4 x 10−7 to 1.7 x 10−3) 0.6 
(0.4 to 0.9)
Listeria monocytogenes 0.04 
(0.003–0.100) 0.1 
(0.08 to 0.12) −0.06 
(−0.11 to 0.02) 0.03 
(2.2 x 10−3 to 0.1) 0.06 
(0.05 to 0.07) −0.03 
(−0.06 to 0.04)
Campylobacter spp.
39.0 
(30.8–48.3)
5.8x10−3 (2.4 x 10−3 to 1.1 x 10−2)
39.0 
(30.8 to 48.3)

1.2 
(0.9 to 1.5)
3.5 x 10−4 (3.5 x 10−7 to 1.7 x 10−3)
1.2 
(0.9 to 1.5)
Overall 91.7 
(71.8–120.9) 0.11 
(0.09 to 0.13) 91.6 
(71.7 to 120.8) 2.7 
(2.2 to 3.3) 6.1 x 10−2 (4.9 x 10−2 to 7.5 x 10−2) 2.7 
(2.2 to 3.2)

*Values are shown as mean incidence (95% credibility interval). STEC, Shiga toxin–producing Escherichia coli.
†Excess risk is attributable to unpasteurized dairy.

Main Article

Page created: May 16, 2017
Page updated: May 16, 2017
Page reviewed: May 16, 2017
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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