Outbreak reportcited by the Tayebat archiveabstract only checked A-VEG-03 standard review
Listeria in packaged salads
Multistate Outbreak of Listeriosis Associated with Packaged Leafy Green Salads, United States and Canada, 2015-2016.
Overview
Self JL et al.. Emerg Infect Dis 2019 · PMID 31310227 · DOI 10.3201/eid2508.180761
33 listeriosis cases linked to salads from one factory.
Does the study support the specific claim? Partly · Methodological quality: high
Plain-language summary
Study explained simply
- What did the researchers want to find out?
Investigate outbreak
- How was the study done?
Genomic outbreak study
- How many people, animals or samples were studied?
33 cases
- What was actually found?
One facility
- How large was the observed effect?
Not applicable
- What do the results mean in everyday life?
High-risk groups need care with packaged salads.
- What are the study's limitations?
Single event
- What does it say about Elawady's specific claim?
Partly supports
- Do the results apply to Germany and Europe?
Moderate
- What can explicitly not be concluded from this study?
Cannot show salads are generally harmful.
Scientific in-depth review
1. Full reference
- Authors
- Self JL, Conrad A, Stroika S, Jackson A, Whitlock L, Jackson KA, Beal J, Wellman A, Fatica MK, Bidol S, Huth PP, Hamel M, Franklin K, Tschetter L, Kopko C, Kirsch P, Wise ME, Basler C
- Journal
- Emerg Infect Dis
- Year
- 2019
- Identifier
- PMID 31310227 DOI 10.3201/eid2508.180761 · PMC6649349
- Verification
- verified – PubMed E-utilities efetch, 2026-10-25
- Retracted
- no
- Corrections
- none
- Extent checked
- abstract only
- Conflicts of interest and funding
not stated in abstract
2. Research question
Investigate listeriosis cluster.
3. Study design and population
- Study design
- Outbreak report – Outbreak investigation with whole-genome MLST
- Population
Case-patients
- Country
USA, Canada
- Period
July 2015 - January 2016
- Sample size
19 US + 14 Canadian cases
- Inclusion and exclusion criteria
WGS-linked cases
4. Methods and endpoints
- Exposure / intervention
Packaged salads from one facility
- Comparator
None
- Endpoints
Listeriosis
- Statistical methods
Genomic comparison
5. Actual results
- Results
19 US cases; all 16 interviewed ate salad; 9 recalling brand linked to one facility; 14 Canadian cases; facility and product isolates closely related; recall.
- Absolute risks
not reported
- Authors' conclusion
Research needed to reduce Listeria contamination of fresh produce.
6. Strengths
- Genomic confirmation
7. Weaknesses
- Small
8. Risk of bias
- Orienting tool
- none applicable
- Type of assessment
- simplified assessment (abstract only)
- Full formal assessment
- no
- Overall risk of bias
- low
- Rationale
Robust.
9. Assessment of the statistical interpretation
Descriptive.
10. Relevance to the specific claim
Supports C-VEG-03.
11. Independent contrary findings
Context of rarity.
12. Transferability to Germany and Europe
Moderate.
13. Overall methodological judgement
Correct but generalised.
| Multidimensional assessment | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | high |
| Risk of bias | low |
| Precision of results | not applicable |
| Directness | direct |
| Reproducibility | replicated |
| Consistency with the overall evidence | consistent |
| Regional transferability | moderate |
| Adequacy of the interpretation (by the archive) | essentially correct but incomplete |
14. Open questions
None.
15. Linked fact checks
- Leafy greens and cucurbits are at the centre of the modern fresh-produce outbreak record (E. coli, Salmonella, Listeria). – Studies supporting the claim
Use by the Tayebat archive
Note: according to the archive, the studies were compiled by the archive operators. Whether Dr. Elawady himself cited this study is not established.
- What the archive says about the study
Bibliography: Listeria in packaged salads.
- A. What was actually studied?
Listeriosis outbreak.
- B. What did the authors find?
Facility-linked salads.
- C. What conclusions do the authors themselves draw?
Prevention research needed.
- D. What does the archive derive from it?
Greens are dangerous.
- E. Is this derivation scientifically justified?
Shows a processing-facility contamination, not inherent harm.
- Adequacy of the interpretation (by the archive)
- essentially correct but incomplete