Over 160 individuals fell ill due to suspicious food contaminated with salmonella, as detailed in a recent report
California Raw Milk Outbreak Affects Over 160 People
In a significant public health event, a salmonella outbreak linked to raw milk products in California has affected over 170 people, primarily children and adolescents, between September 2023 and March 2024. This outbreak, one of the largest linked to raw milk in recent U.S. history, prompted a recall and production halt at the affected dairy farm and extensive public health interventions.
The outbreak was first reported when nine individuals presented symptoms after consuming raw milk products from the same dairy. Subsequent investigations revealed 171 confirmed cases of Salmonella Typhimurium, with 70% of the total cases affecting children and teens. Sixty-seven cases occurred in children under the age of 5, 40 cases in children between the ages of 5 and 12, and 13 cases in teens under the age of 18.
Despite no reported deaths, 22 cases required hospitalization, and 18 of those patients were children under the age of 18. This underscores the vulnerability of young children to severe disease from raw milk consumption.
Raw milk, which has not been pasteurized, carries a significant risk of foodborne illnesses such as salmonella, E. coli, listeria, campylobacter, cryptosporidium, and brucella. Contamination can occur at various points throughout the milking process, as bacteria linger everywhere from the cow's udders to the farmer's hands. Commercially distributed raw dairy products have the potential to cause large and widespread infectious disease outbreaks.
In response, California public health officials conducted inspections of the dairy farm and related facilities, removed infected animals, and enforced sanitary protocols to allow safe resumption of production by the end of October 2023. Public health messaging strongly recommended consumers discard recalled products and advised especially at-risk populations to avoid raw dairy products, emphasizing the protective benefits of pasteurization to prevent infections.
This outbreak is not an isolated incident. Between 2009 and 2021, there were 16 raw milk-related outbreaks in the United States, affecting between two and 33 people. In California, raw milk is regulated by the California Department of Food and Agriculture (CDFA), which requires raw milk dairy farms to obtain a permit, pass inspections, and meet strict bacterial and cell count limits.
Dr. Uzma Syed, a board-certified infectious disease specialist, previously stated, "There are many risks of consuming raw milk." For children under 5, pregnant people, the elderly, and the immunocompromised, these pathogens can be life-threatening. Illness from salmonella typically occurs 12 to 72 hours after consuming contaminated food.
As the investigation continues, public health officials are reminding consumers of the importance of regulatory oversight and consumer education to prevent future outbreaks.
[1] California Department of Public Health. (2023). California raw milk outbreak investigation. Retrieved from https://www.cdph.ca.gov/programs/cdph-programs/pages/raw-milk-outbreak-investigation.aspx [2] Centers for Disease Control and Prevention. (2024). California raw milk outbreak investigation. Retrieved from https://www.cdc.gov/salmonella/typhimurium-09-23/outbreak.html [4] Food and Drug Administration. (2023). Raw milk and your health. Retrieved from https://www.fda.gov/food/buy-store-serve-safe-food/raw-milk-and-your-health [5] Pennsylvania Department of Health. (2024). The Family Cow raw milk brand Salmonella outbreak. Retrieved from https://www.health.pa.gov/topics/disease/Pages/The-Family-Cow-Raw-Milk-Brand-Salmonella-Outbreak.aspx
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