Abstract
The FDA has recently mandated that all 100% fruit/vegetable juices sold wholesale be produced under a Hazard Analysis and Critical Control Point (HACCP) plan. As part of their HACCP plan, juice processors must identify and meet a target for reduction of the most resistant microorganism of public health significance that is likely to occur in the juice. This 7-page fact sheet aids juice processors in the identification of these “pertinent microorganisms,” and reviews the locations of juice preparations and severity of juice-associated outbreaks. Written by M. D. Danyluk, R. M. Goodrich-Schneider, K. R. Schneider, L. J. Harris, and R. W. Worobo, and published by the UF Department of Food Science and Human Nutrition, January 2012.
References
Alarcón de Noya, B., Z. Díaz-Bello, C. Colmenares, R. Ruiz-Guevara, L. Mauriello, R. Zavala-Jaspe, J. A. Suarez, T. Abate, L. Naranjo, M. Paiva, L. Rivas, J. Castro, J. Márques, I. Mendoza, H. Acquatella, J. Torres, and O. Noya. 2010. Large urban outbreak of orally acquired acute Chagas disease at a school in Caracas, Venezuela. Journal of Infectious Disease 201:1308-1315. https://doi.org/10.1086/651608
Besser, R. E., S. M. Lett, J. T. Weber, M. P. Doyle, T. J. Barrett, J. G. Wells, and M. P. Griffin. 1993. An outbreak of diarrhea and hemolytic uremic syndrome from Escherichia coli O157:H7 in fresh-pressed apple cider. Journal of the American Medical Association 269:2217-2220. https://doi.org/10.1001/jama.1993.03500170047032
Birkhead, G. S., D. L. Morse, W. C. Levine, J. K. Fudala, S. F. Kondracki, H. G. Chang, M. Shaydgani, L. Novick, and P. A. Blake. 1993. Typhoid fever at a resort hotel in New York: A large outbreak with an unusual vehicle. Journal of Infectious Diseases 167:1228-1232. https://doi.org/10.1093/infdis/167.5.1228
Butler, M. E. 2000. Salmonella outbreak leads to juice recall in Western states. Food Chemical News April 24, 2000.
Buzby, J. C., and S. R. Crutchfield. 1999. New Juice Regulations Underway. Food Review. http://www.ers.usda.gov/publications/foodreview/may1999/frmay99f.pdf. Accessed October 5, 2011.
CDC (Centers for Disease Control and Prevention). 1975. Salmonella typhimurium outbreak traced to a commercial apple cider-New Jersey. Morbidity and Mortality Weekly Report 24:87-88.
CDC. 1991. Cholera associated with imported frozen coconut milk-Maryland. Morbidity and Mortality Weekly Report 40:844-843.
CDC. 1995. Outbreak of Salmonella Hartford infections among travelers to Orlando, Florida. EPI-AID Trip Report 95-62.
CDC. 1996. Outbreak of Escherichia coli O157:H7 infections associated with drinking unpasteurized commercial apple juice-British Columbia, California, Colorado, and Washington, October 1996. Morbidity and Mortality Weekly Report 45:975.
CDC. 1997. Outbreaks of Escherichia coli O157:H7 infection and cryptosporidiosis associated with drinking unpasteurized apple cider-Connecticut and New York, October 1996. Morbidity and Mortality Weekly Report 46:4-8.
CDC. 1999. Outbreak of Salmonella serotype Muenchen infections associated with unpasteurized orange juice-United States and Canada, June 1999. Morbidity and Mortality Weekly Report 48:582-585.
CDC. 2006. Botulism associated with commercial carrot juice-Georgia and Florida. Morbidity and Mortality Weekly Report 55:1098-1099.
CDC. 2010. Investigation Update: Multistate Outbreak of Human Typhoid Fever Infections Associated with Frozen Mamey Pulp. http://www.cdc.gov/salmonella/typhoidfever/index.html. Accessed October 4, 2011.
CDC. 2011. Foodborne Outbreak Online Database (FOOD). http://wwwn.cdc.gov/foodborneoutbreaks/Default.aspx. Accessed October 4, 2011.
Cody, S. H., K. Glynn, J. A. Farrar, K. L. Cairns, P. M. Griffin, J. Kobayashi, M. Fyfe, R. Hoffman, A. S. King, J. H. Lewis, B. Swaminathan, R. G. Bryant, and D. J. Vugia. 1999. An outbreak of Escherichia coli O157:H7 infection from unpasteurized commercial apple juice. Annals of Internal Medicine 130:202-209. https://doi.org/10.7326/0003-4819-130-3-199902020-00005
Cook, K. A., T. E. Dobbs, W. G. Hlady, J. G. Wells, T. J. Barrett, N. D. Puhr, G. A. Lancette, D. W. Bodager, W. L. Toth, C. A. Genese, A. K. Highsmith, K. E. Pilot, L. Finelli, and D. L. Swerdlow. 1998. Outbreak of Salmonella serotype Hartford infections associated with unpasteurized orange juice. Journal of the American Medical Association 280:1504-1509. https://doi.org/10.1001/jama.280.17.1504
Duncan, T. G., J. A. Coull, E. R. Miller, and H. Bancroft. 1946. Outbreak of typhoid fever with orange juice as the vehicle illustrating the value of immunization. American Journal of Public Health 36:34-36. https://doi.org/10.2105/AJPH.36.1.34
Eisenstein, A. B., R. D. Aach, W. Jacobson, and A. Goldman. 1963. An epidemic of infectious hepatitis in a general hospital. Journal of the American Medical Association 185:171-174. https://doi.org/10.1001/jama.1963.03060030029020
FDA (U.S. Food and Drug Administration). Federal Register Proposed Rules - 63 FR 20449 April 24, 1998 - HACCP; Procedures for the Safe and Sanitary Processing and Importing of Juice; Food Labeling: Warning Notice Statements; Labeling of Juice Products. Federal Register: April 24, 1998 63:20449-20486. http://www.fda.gov/Food/FoodSafety/HazardAnalysisCriticalControlPointsHACCP/JuiceHACCP/ucm082031.htm. Accessed October 4, 2011.
FDA. Federal Register Final Rule - 66 FR 6137, January 19, 2001: Hazard Analysis and Critical Control Point (HACCP); Procedures for the Safe and Sanitary Processing and Importing of Juices. Federal Register: January 19, 2001 66:6137-6202.
FDA. 2010. DHMH Issues Consumer Alert Regarding Recall of Baugher's Apple Cider. http://www.fda.gov/Safety/Recalls/ucm232878.htm. Accessed October 4, 2011.
IFT/FDA (Institute of Food Technologists/U.S. Food and Drug Administration). Outbreaks associated with fresh and fresh-cut produce: Incidence, growth, and survival of pathogens in fresh and fresh-cut produce. In Analysis and Evaluation of Preventive Control Measures for the Control and Reduction/Elimination of Microbial Hazards on Fresh and Fresh-Cut Produce, A Report of the Institute of Food Technologists for the Food and Drug Administration of the United States Department of Health and Human Services, September 30, 2001. http://www.fda.gov/Food/ScienceResearch/ResearchAreas/SafePracticesforFoodProcesses/ucm091270.htm. Accessed October 4, 2011.
INS DOH (Indiana State Department of Health). Summary of Special Disease Outbreak Investigations-1997, Appendix E. http://www.in.gov/isdh/21186.htm. Accessed October 5, 2011.
Jain, S., S. A. Bidol, J. L. Austin, E. Berl, F. Elson, M. L. Williams, M. Deassy III, M. E. Moll, V. Rea, J. D. Vojdani, P. A. Yu, R. M. Hoekstra, C. R. Braden, and M. F. Lynch. 2009. Multistate outbreak of Salmonella Typhimurium and Saintpaul infections associated with unpasteurized orange juice-United States, 2005. Clinical Infectious Diseases 48:1065-1071. https://doi.org/10.1086/597397
Katz, D. J., M. A. Cruz, M. J. Trepka, J. A. Sarez, P. D. Filrella, and R. M. Hammond. 2002. An outbreak of typhoid fever in Florida associated with an imported fruit. Journal of Infectious Diseases 186:234-239. https://doi.org/10.1086/341208
Krause, G., R. Terzagian, and R. Hammond. 2001. Outbreak of Salmonella serotype Anatum infection associated with unpasteurized orange juice. Southern Medical Journal 94:1168-1172. https://doi.org/10.1097/00007611-200194120-00009
Lester, R., T. Stewart, J. Carnie, S. Ng, and R. Taylor. 1991. Air travel-associated gastroenteritis outbreak, August 1991. Communicable Disease Intelligence 15:292-293.
LSDEPC (Laboratory Surveillance Data for Enteric Pathogens in Canada). Annual summary 2005. http://www.nml-lnm.gc.ca/NESP-PNSME/index-eng.htm. Accessed October 4, 2005.
Millard, P. S., K. F. Gensheimer, D. G. Addiss, D. M. Sosin, G. A. Beckett, A. Houck-Jankoski, and A. Hudson. 1994. An outbreak of cryptosporidiosis from fresh-pressed apple cider. Journal of the American Medical Association 272:1592-1596. https://doi.org/10.1001/jama.1994.03520200048034
National Centre for Disease Control/Communicable Diseases Network Australia New Zealand, Australian Department of Health and Aged Care. 1999. Salmonellosis outbreak, South Australia. Communicable Diseases Intelligence 23(3):73.
Paquet, P. 1923. Épidémie de fièvre typhoïde: Déterminée par la consommation de petit citre. Revue d'Hygiène 45:165-169.
Parish, M. E. 1998. Coliforms, Escherichia coli, and Salmonella serovars associated with a citrus-processing facility implicated in a salmonellosis outbreak. Journal of Food Protection 61:280-284. https://doi.org/10.4315/0362-028X-61.3.280
Parish, M. 2000. Relevancy of Salmonella and pathogenic E. coli to fruit juices. Proceedings IFU-Workshop "Microbiology." Fruit Processing 10:246-250.
Pereira, K. S., F. L. Schmidt, A. M. A. Guaraldo, R. M. B. Franco, V. L. Dias, and L. A. C. Passos. 2009. Chagas' disease as a foodborne illness. Journal of Food Protection 72:441-446. https://doi.org/10.4315/0362-028X-72.2.441
SVS (Secretaria de Vigilância em Saúde do Ministério da Saúde, Brasil). 2005a. Doença de Chagas Aguda relacionada à ingestão de caldo de cana em Santa Catarina. Nota Técnica, 4 de abril de 2005. http://portal.saude.gov.br/portal/saude/visualizar_texto.cfm?idtxt=21270.
SVS. 2005b. Doença de Chagas Aguda no município de Santana-Amapá. Nota Técnica, 4 de abril de 2005. http://portal.saude.gov.br/portal/saude/visualizar_texto.cfm?idtxt=21310.
SVS. 2007a. Doença a de Chagas Aguda. Nota Técnica, 9 de outubro de 2007. http://portal.saude.gov.br/portal/arquivos/pdf/nota_chagas_091007.pdf.
SVS. 2007b. Surto de doença de Chagas agudo (DCA) em Coari/Amazonas-abril de 2007. Nota Técnica, 11 de maio de 2007. http://portal.saude.gov.br/portal/saude/visualizar_texto.cfm?idtxt=26087. Accessed December 12, 2007.
Singh, B. R., S. B. Kulshreshtha, and K. N. Kapoor. 1995. An orange juice-borne diarrhoeal outbreak due to enterotoxigenic Escherichia coli. Journal of Food Science and Technology 32:504-506.
Steele, B. T., N. Murphy, and C. P. Rance. 1982. An outbreak of hemolytic uremic syndrome associated with ingestion of fresh apple juice. Journal of Pediatrics 101:963-966. https://doi.org/10.1016/S0022-3476(82)80021-8
Tabershaw, I. R., L. L. Schmelzer, and H. B. Bruhn. 1967. Gastroenteritis from an orange juice preparation. Archives of Environmental Health 15:72-77. https://doi.org/10.1080/00039896.1967.10664878
Tamblyn, S., J. de Grosbois, D. Taylor, and J. Stratton. 1999. An outbreak of Escherichia coli O157:H7 infection associated with unpasteurized non-commercial, custom-pressed apple cider - Ontario, 1998. Canada Communicable Disease Report 25:113-117; discussion 117-120.
Taylor, J. L., J. Tuttle, T. Pramukul, K. O'Brien, T. J. Barrett, B. Jolbaito, Y. L. Lim, D. J. Vugia, J. G. Morris, Jr., R. V. Tauxe, and D. M. Dwyer. 1993. An outbreak of cholera in Maryland associated with imported commercial frozen fresh coconut milk. Journal of Infectious Diseases 167:1330-1335. https://doi.org/10.1093/infdis/167.6.1330
Thurston, H., J. Stuart, B. McDonnell, S. Nicholas, and T. Cheasty. 1998. Fresh orange juice implicated in an outbreak of Shigella flexneri among visitors to a South African game reserve. Journal of Infectious Diseases 36:350. https://doi.org/10.1016/S0163-4453(98)94927-1
Tsai, H-C., S. Lee, C-K. Huang, C-M. Yen, E-R.Chen, and Y-C. Liu. 2004. Outbreak of eosinophilic meningitis associated with drinking raw vegetable juice in southern Taiwan. American Journal of Tropical Medicine and Hygiene 71:222-226. https://doi.org/10.4269/ajtmh.2004.71.222
Vojdani, J., L. Beuchat, and R. Tauxe. 2008. Juice-associated outbreaks of human illness in the United States, 1995 through 2005. Journal of Food Protection 71(2):356-364. https://doi.org/10.4315/0362-028X-71.2.356