Between August 19 and September 5, symptomatic enteritis from Shiga toxin–producing E. coli O157:H7 infection was reported in 199 persons in 26 states in association with consumption of fresh spinach or spinach-containing products. Dr. Dennis Maki asks why outbreaks continue to occur in a country where food production and distribution are intensively regulated at every level.
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Dennis G. Maki (2006) studied this question.
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