TABLE 4.
Multistate foodborne outbreaks in the U.S. from 2010 to 2017 due to Salmonella enterica associated with fresh produce.
| Year | Fresh produce category | Associated S. enterica serotype(s) | Total # of states | Illnesses | Hospitalizations [total (% of illnessesa)] | Deaths [total (% of illnessesb)] | References (in addition to NORS database) |
| 2010 | Sprouts | I 4,[5],12:i:- | 26 | 140 | 31(NA) | 0(NA) | CDC, 2011c |
| Tomato | Newport | NA | 64 | NA | NA | ||
| Sprouts | Newport | 11 | 44 | NA | NA | CDC, 2010b | |
| Tomato | Javiana | NA | 30 | 8(NA) | NA | ||
| Tomato | Newport | NA | 24 | NA | NA | ||
| Sprouts | Newport | NA | 9 | NA | NA | ||
| Sprouts | Cubana | NA | 3 | NA | NA | ||
| 2011 | Tomato | Newport | NA | 166 | 0 (0) | 0 (0) | |
| Papaya | Agona | 25 | 106 | 10 (9.6) | 0 (0) | CDC, 2011a | |
| Sprouts | Enteritidis | 5 | 27 | 3 (11.1) | 0 (0) | CDC, 2011b | |
| Cantaloupe | Uganda | NA | 25 | 4 (16.0) | 0 (0) | ||
| Cantaloupe | Panama | 10 | 20 | 3 (21.4) | 0 (0) | CDC, 2011e | |
| 2012 | Cantaloupe | Typhimurium, Newport | 24 | 261 | 94 (36.1) | 3 (1.1) | CDC, 2012c |
| Mango | Braenderup, Worthington | 15 | 129 | 33 (32.7) | 0 (0) | CDC, 2012b | |
| Cucumber | Javiana | NA | 49 | 14 (35.0) | 0 (0) | ||
| Cantaloupe | Newport | NA | 33 | 11 (42.3) | 1 (3.8) | ||
| Cantaloupe | Newport | NA | 24 | 5 (33.0) | 0 (0) | ||
| Sprouts | Cubana | 3 | 19 | 0 (0) | 0 (0) | FDA, 2012c | |
| Romaine | Newport | NA | 15 | 1 (100.0) | 0 (0) | ||
| Cantaloupe | Typhimurium | NA | 14 | 1 (16.7) | 0 (0) | ||
| 2013 | Tomato | Saintpaul | NA | 131 | 23 (26.4) | 0 (0) | |
| Cucumber | Saintpaul | 18 | 84 | 17 (28.3) | 0 (0) | CDC, 2013 | |
| Papaya | Thompson | NA | 13 | 6 (46.2) | 1 (7.7) | ||
| Unspecified fruit | Virchow | NA | 7 | 1 (14.3) | 0 (0) | ||
| 2014 | Cucumber | Newport | 29 | 275 | 48 (34.0) | 1 (0.4) | Angelo et al., 2014 |
| Sprouts | Enteritidis | 12 | 115 | 19 (25.3) | 0 (0) | CDC, 2015b | |
| Cucumber | Javiana | NA | 36 | 8 (25.0) | 0 (0) | ||
| Grapes | Saintpaul | NA | 27 | 10 (28.5) | 0 (0) | ||
| Peppers | Paratyphi B | NA | 21 | 5 (26.3) | 0 (0) | ||
| Cantaloupe | Baildon | NA | 20 | 6 (35.3) | 0 (0) | ||
| Mango | Minnesota | NA | 4 | 1 (25.0) | 0 (0) | ||
| 2015 | Cucumber | Poona | 40 | 907 | 204 (28.3) | 6 (0.8) | CDC, 2016b |
| Sprouts | Muenchen, Cubana, Kentucky | 12 | 32 | 10 (32.3) | 1 (3.2) | CDC, 2016a | |
| Tomato | Hartford | NA | 19 | 4 (33.3) | 0 (0) | ||
| Lettuce | Paratyphi B | NA | 11 | 2 (20.0) | 0 (0) | ||
| 2016 | Avocado | Enteritidis | 19 | 59 | 7 (17.1) | 0 (0) | CDC, 2017f |
| Sprouts | Ready, Abony | 9 | 36 | 7 (20.6) | 0 (0) | CDC, 2016c | |
| Peppers | Anatum | 9 | 32 | 8 (32.0) | 0 (0) | Hassan et al., 2017 | |
| Sprouts | Braenderup | NA | 32 | 6 (24.0) | 0 (0) | ||
| Onions | Javiana | NA | 29 | 6 (20.7) | 0 (0) | ||
| Sprouts | Enteritidis | NA | 20 | 3 (21.4) | 0 (0) | ||
| Cucumber | Oslo | 8 | 14 | 3 (23.1) | 0 (0) | Bottichio et al., 2016 | |
| Cantaloupe | Minnesota | NA | 10 | 3 (24.9) | 0 (0) | ||
| Cucumber | Saintpaul | NA | 10 | 3 (30.0) | 0 (0) | ||
| Leafy greens | Enteritidis | NA | 7 | 0 (0) | 0 (0) | ||
| 2017 | Papaya | Agona, Gaminara, Kiambu, Thompson, Seftenberg | 23 | 213 | 68 (31.9) | 1 (0.5) | CDC, 2017a |
| Romaine | Enteritidis | 36 | 151 | 31 (20.5) | 0 (0) | Clark, 2017 | |
| Sprouts | Montevideo, Cubana | NA | 62 | 3 (4.8) | 0 (0) | ||
| Papaya | Braenderup | NA | 55 | 18 (32.7) | 0 (0) | ||
| Mango | Infantis | NA | 48 | 15 (31.3) | 0 (0) | ||
| Leafy greens | Javiana | NA | 27 | 4 (14.8) | 0 (0) | ||
| Melon | Newport | 2 | 24 | 6 (25.0) | 1 (4.2) | FSN, 2017 | |
| Coconut | Chailey | 7 | 14 | 2 (14.3) | 0 (0) | Luna et al., 2017 | |
| Papaya | Urbana | 3 | 7 | 4 (57.1) | 0 (0) | CDC, 2017c | |
| Papaya | Infantis, Newport | 4 | 4 | 2 (50.0) | 0 (0) | CDC, 2017b |
a% of illnesses was calculated based on available hospitalization information in the NORS database. b% of deaths was calculated based on available death information in the NORS database. NA, information not available in the NORS database or CDC website.