Summary of Possible Multistate Enteric (Intestinal) Disease Outbreaks in 2017–2020 - CDC

Of the 199 solved multistate outbreaks, 130 were confirmed or suspected to be linked to contaminated foods.

Among all illnesses related to solved foodborne outbreaks, 9% occurred in children under 5, and 20% occurred among adults over 65 years, age groups at higher risk for severe illness.

These multistate outbreaks were associated with 7,659 illnesses, 2,044 hospitalizations, and 41 deaths. Ill people in these outbreaks ranged in age from less than 1 year to 105 years, with a median age of 39; 57% were female. Among all illnesses related to solved multistate foodborne outbreaks, 9% occurred in children under 5, and 20% occurred among adults over 65 years, age groups at higher risk for severe illness. When compared with Salmonella and STEC infections, a higher proportion of Listeria infections occurred in adults over 65 years (56%).

Salmonella caused the most multistate outbreaks (83 outbreaks, 64%), followed by STEC (29 outbreaks, 22%), then Listeria (18 outbreaks, 14%). Among multistate foodborne outbreaks, Salmonella outbreaks tended to be larger (median: 30 illnesses, range: 2–1,132) compared to those caused by STEC (median: 21 illnesses, range: 6–239) and Listeria (median: 7.5 illnesses, range: 2–36).

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