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Is Foodborne Illness on the Rise?

AUBURN, APRIL 6---After more than 20 years of heightened public awareness about food safety, it’s easy for many people to assume outbreaks of foodborne illness have dropped sharply.

In fact, by some measures, they haven’t. A few studies even show a steep increase since 1948.

Can it be true? Have all efforts to protect us failed?

Actually, what is widely perceived as an increase in foodborne illness actually may stem from better detection methods that have been developed within the last few decades, says Dr. Jean Weese, an Alabama Cooperative Extension System food scientist. To put it another way, what is interpreted by many as an increase in foodborne illnesses may stem from the fact these illnesses have been underreported in the past.

"It’s partly due to the knowledge most consumers now have about foodborne illness," Weese says. "In recent years, people have become better informed about how to detect symptoms associated with these illnesses, even as doctors have become better equipped at diagnosing them.

Even so, Weese acknowledges there may be some truth to widespread public fears that foodborne illness is on the rise.

Several factors may account for this increase, she says.

For starters, Americans are eating out as never before – a factor that increases the likelihood of food poisoning since larger numbers of people are susceptible to the bad habits of only one careless food handler.

"In the old days, when more Americans ate at home, outbreaks were confined to the family dinner table," Weese says. "Now with more people eating out, it may not only be you and your family getting sick but your neighbors as well."

Ironically, the efforts many Americans have made in recent decades to eat fresh fruits and vegetables in order to safeguard their health may contribute to a greater risk of outbreaks.

Coupled with this is the fact more Americans are eating precooked meals, such as seafood salads and deli meats, which, instead of being eaten immediately after cooking, are often left to sit for days on grocery store and restaurant counters.

Another factor may stem from the fact that food is now imported from all over the world, Weese says.

"Instead of eating from the family farm as we did only a few decades ago, we’re eating off an international table," Weese says. "The advantage to this is that we now have fresh supplies of fruits and vegetables all year round."

However, the globalization of the food supply also carries a risk, Weese says. Case in point: a recent outbreak of salmonella that ultimately was traced to tainted fruit juice.

As it turned out, the fruit-juice manufacturer, in order to meet rising demand, used unpasteurized orange juice from a Mexican tanker – juice that was chilled with contaminated ice.

Experts believe the outbreak of illness that followed probably affected about 400 people. One elderly man died.

As the New York Times recently reported, one of the people affected by this outbreak, 7-year-old Taylor Lake Holt, was exposed to the tainted orange juice from a fruit shake purchased for him by his parents to celebrate the end of yearlong chemotherapy treatment for cancer. After landing back in the hospital, Holt had to endure 4 more days of recovery.

Unfortunately, Weese says, there are no easy solutions.

Some experts are calling on the Food and Drug Administration to post more inspectors at food processing plants.

The FDA currently employs fewer than one-tenth the inspectors used by the U.S. Department of Agriculture to check for traces of pathogens in meat and poultry plants. In one sense, this is ironic, since more than 85 percent of food poisoning is linked to fruit, vegetable and seafood products, rather than to meat and poultry.

On the other hand, Weese says, this ignores the fact that FDA inspectors can call on legions of public health inspectors, located in every county in the United States, to assist with local plant inspection.

Other experts have called for posting more inspectors at docks in order to inspect imported food. However, even so ambitious an effort as this would not ensure our food is 100 percent safe.

"The problem with this approach is that even if every shipment were inspected, there’s always the possibility of one tainted apple out of one hundred getting by without being detected," Weese says. "If, for example, these apples eventually are squeezed into juice, you’ve essentially ended up contaminating the whole shipment, and the dock inspection will have ended up accomplishing nothing."

Ultimately, she says, the burden for safeguarding the food supply necessarily rests with the food manufacturers.

"No matter whether this food comes from Kentucky or Katmandu, it’s the responsibility of the food manufacturer to ensure it’s purchased from a reliable source," Weese says.

Studies have shown that while less serious forms of food poisoning have tapered off in recent years, other, more serious types actually have increased.

For example, the New York Times reports that cases of E.coli infection, commonly linked with undercooked red meat but sometimes detected on unwashed fruits and vegetables, has more than doubled in the last five years, from 1,667 in 1995 to 4,341 in 2000.

(Source:  Dr. Jean Weese, Alabama Cooperative Extension System food scientist, 334-844-3269.)