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1 Table s, illnesses and recalls linked to raw (un) and products, United States (January 1, 21 - May 15, 211) Year Month Location Pathogen Number ill Vehicle* 21 Jan NY Campylobacter 5 21 Feb WA Shiga-toxin producing E. coli 21 Feb WA Listeria monocytogenes 5 21 Feb - Mar 6 from Queso fresco WA Listeria monocytogenes Recall of 6- day aged raw s 21 Mar MI/IL/IN Campylobacter Shiga toxin-producing E. coli also found in raw s during the investigation 12 Type/size of ** Willow Marsh - small, local, pasture-based raw Jackie s Jerseys -small, local grassfed raw Queseria Bendita unspecified Estrella Family Creamery small, grassfed cow and goat raw Forest Grove Dairy small (~75 jerseys), grassfed raw Sales (legal/illegal) Farm Store Cow-share and multi-state Buyer s Club (illegal interstate shipment) Ref 1 2, 3 4, 5 6, 7 8 1

2 21 Mar PA Campylobacter 1 adult hospitalized with GBS paralysis 21 Apr UT Salmonella Newport 1 hospitalization Apr UT Campylobacter Apr WA Listeria monocytogenes Recall of Pasteurized Queso fresco 21 May WA E. coli O157:H May MN E. coli O157:H7 1 child hospitalized with HUS strain found in farm samples Pathogenic E. coli isolated from raw 8 Pasture Maid small, local raw Redmond Heritage Farms small, pasture fed (no grain) raw Ropelato Dairy medium sized ( ~16 cow) raw Del Bueno unspecified Jackie s Jerseys -small, local grassfed raw Hartmann Dairy Farm no pesticides, herbicides, antibiotics or genetically modified grains fed to raw cows Farm and Buyer s Club (illegal off-farm sales) 1,

3 21 May NV Campylobacter 1 child hospitalized 1 21 Jun PA Listeria monocytogenes 21 Jun DE 21 Jun-Jul CO 21 Jul NY 21 Jul PA 21 Jul NY Brucella and Listeria monocytogenes 2 adults hospitalized Campylobacter and E. coli O157:H7 2 3 Illness from Mexicanstyle raw Recall of raw cow Illnesses from raw products from raw goat 2 children hospitalized with HUS Listeria and Campylobacter Recall of raw cow Staphylococcus aureus Listeria monocytogenes Recall of 6- day aged raw cow hard cheddar Recall of Queso fresco Unknown Alvin J. Stoltzfus Raw Dairy Farm, small, local raw Unknown Billy Goat Dairy small (~54 goats) raw Breese Hollow Dairy small, local grassfed jersey cow raw Milky Way Dairy small (~3 cows) Holstein- Friesian raw Azteca Linda Corp. unspecified Door-to-door sale (illegal) Unknown (illegal) 16 Farm, Goatshare 17 Farm and retail 18 Farm Store and

4 21 Aug PA Salmonella 21 Aug CA/OR/WA Salmonella Braenderup 21 Aug RI 21 Aug MO 21 Sep- Oct 2 hospitalizations Listeria monocytogenes Listeria monocytogenes and Staphylococcus aureus 23 Recall of raw cow from cow and cream Pasteurized juices from same farm also recalled Recall of Queso fresco () Recall of 6- day aged raw cow Cheese WA Listeria monocytogenes Recall of 6- day aged raw cow s Jersey Hollow Farm small, local raw Sources and pasteurizes from certified rbst-free independent farms in southern Oregon Azteca Linda Corp. unspecified Morningland Dairy medium sized, pasturebased raw Estrella Family Creamery small, grassfed cow and goat raw , 25 6, 7, 26, 27 4

5 21 Oct MN 21 Nov AZ, CA, CO, NM, NV Campylobacter and Cryptosporidium parvum E. coli O157:H7 15 hospitalizations 1 child with HUS strain found in 7 38 from raw products from 6-day aged raw gouda ; other s Hartmann Dairy Farm no pesticides, herbicides, antibiotics or genetically modified grains fed to raw cows Bravo Farms Cheese Factory medium-sized, hormone and antibiotic free Farm and Buyer s Club (illegal off-farm sales) 13, 28 29, 3 21 Nov CO Linked to Costco Cheese Road Show; recall expanded to all company s on 11/17/1; no Listeria illnesses reported; Listeria monocytogenes also found in E. coli O157:H7 Recall of imported Gorgonzola Imported from Italy Retail/Imported 31 5

6 21 Nov WA Listeria monocytogenes Recall of Queso and ricotta Mexicanstyle s 21 Nov TX Salmonella 1 adult hospitalization (septicemia) strain found in 21 Dec MN/OR/VT/WA E. coli O157:H7 1 hospitalization strain found in s 211 Jan CA Listeria monocytogenes Staphylococcus aureus 211 Feb WA Shiga toxin-producing E. coli 4 from raw cows 8 from sheep, goat, and cow 6-day aged raw s Recall of Oaxaca string Cheese La Original Recall of raw cow Del Bueno unspecified Lavon Farms medium sized (~2 cows) Guernsey and Jersey raw Sally Jackson Cheeses small, raw with cows, sheep and goats Surtex Foods unspecified The Country Market small size, pastured (summer) and fed hay (winter) raw 32 Farm Store

7 211 Mar TX None Recall of whole chocolate due to inadqueate pasteurization (positive alkaline phosphatase test) 211 Apr MA High coliform counts (15 times allowable level) Cease and desist order of raw cow GBS = guillain-barre syndrome; HUS = hemolytic uremic syndrome *Preliminary data; **Descriptions based on farm websites and/or state outbreak reports. REFERENCES Oak Farms Dairy processor that s from rbst hormone free dairies Eastleigh Farm medium sized (~2 cows), mostly grassfed and pastured raw 37 Farm Store New York State press release: 29_campylobactor_contamination_in_raw_.htm 2. Washington State press release: 3. Washington State food recalls: 4. Food and Drug Administration press release: 5. Food Poison Journal: 6. Food and Drug Administration press release: 7. Food and Drug Administration press release: 8. Food and Drug Administration press release: 7

8 9. Pennsylvania State press release: 1. Utah State press release: Centers for Disease Control and Prevention Report: Food and Drug Administration press release: Minnesota State report: Washoe County, Nevada press release: Pennsylvania State press release: Delaware State press release: Boulder County, Colorado Epidemilogy newsletter: New York State press release: Pennsylvania State press release: 2. Food and Drug Administration press release: Pennsylvania State press release: Oregon Health Authority press release: Rhode Island Department of Health press release: California Department of Agriculture press release: Missouri Attorney General s press release: Food and Drug Administration press release: United States Attorney s Office press release: Minnesota Department of health press release: Centers for Disease Control and Prevention update: 3. Food and Drug Administration press release: Food and Drug Administration press release: Food and Drug Administration press release: Dallas County DHHS press release: 8

9 34. Food and Drug Administration press release: Food and Drug Administration press release: Article on state recall: Food and Drug Administration press release: Article on state cease and desist order: Farms-raw--sales?photo= For more information, visit 9

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