Supplementary materials for the article "Recent trends in unpasteurized fluid milk outbreaks, legalization, and consumption in the United States."

Article abstract:

Introduction: Determining the potential risk of foodborne
illness has become critical for informing policy decisions, due to the
increasing availability and popularity of unpasteurized (raw) milk.

Methods: Trends in foodborne illnesses reported to the Centers for
Disease Control in the United States from 2005 to 2016 were analyzed,
with comparison to state legal status and to consumption, as estimated
by licensing records.

Results: The rate of unpasteurized milk-associated outbreaks has been
declining since 2010, despite increasing legal distribution.
Controlling for growth in population and consumption, the outbreak rate
has effectively decreased by 74% since 2005.

Discussion: Studies of the role of on-farm food safety programs to
promote the further reduction of unpasteurized milk outbreaks should be
initiated, to investigate the efficacy of such risk management tools.