Stelios Viazis Ph.D.

Ice cream has historically been associated with human cases of infection by various foodborne pathogens. Pathogen introduction into ice cream can occur at various points throughout the production process for a range of reasons, which can be addressed through proper food safety controls. 

The primary role of FDA's Coordinated Outbreak Response and Evaluation (CORE) Network is to conduct outbreak surveillance, manage the response efforts, and initiate post-outbreak activities for incidents involving FDA-regulated products. This article explores the evolution, work, and perpetual improvement of the CORE Network.

Salmonella spp. have long been associated with low-moisture foods such as nuts and nut-derived products, with varying prevalence observed in tree nuts, including cashews, at retail. Virtually all cashews are imported to the U.S. Some nuts, including cashews, are imported as a "raw" product (i.e., one that has not been subjected to a process to adequately reduce pathogens, such as a kill step). Salmonella contamination of such products has resulted in several notable outbreaks in the U.S. in the past ten years, including those in which cashew-containing products have been implicated as a vehicle. This article presents a brief overview of outbreak investigations of Salmonella infections linked to the consumption of cashews and cashew-containing food products. It also presents challenges encountered, lessons learned, and relevant regulatory requirements for importers and manufacturers of cashews and cashew-containing products.

This article presents the key findings of outbreak investigations from 2014–2021 that have been linked to the consumption of fresh, soft queso fresco-type cheeses in the U.S. The authors outline some of the specific circumstances that small manufacturers of all cheeses may encounter in an effort to provide lessons learned and highlight available resources.

During foodborne illness outbreak investigations, public health and regulatory authorities collect three types of data to determine a common food consumed by ill people: epidemiologic, traceback, and laboratory. State and local partners work with FDA to conduct traceback investigations and examine the food supply chain to determine the origin of the foods identified by the epidemiologic investigations. This article looks at the benefits of using incident command system (ICS) principles during emergency response coordination activities for foodborne illness outbreaks, with input from members of the FDA's CORE Network.

FDA Coordinated Outbreak Response and Evaluation Network (CORE), in collaboration with the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health and regulatory partners, conduct foodborne illness outbreak investigations, including those related to Cyclospora cayetanensis infections. In this article, the authors review the successes and challenges of identifying and responding to outbreaks caused by C. cayetanensis infections since 2013, the progress made, the challenges remaining, and what the future holds.

After a foodborne outbreak is identified, specific food vehicles may become the focus of an investigation based on the pathogen implicated and past outbreaks linked to the pathogen.