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May 26, 1999

Are Enteric Infections Associated With Unpasteurized Orange Juice?—Reply

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(20):1892-1893. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-20-jbk0526

In Reply: Contrary to Mr Martinelli's assertion, in our article we state that 5 previous outbreaks were associated with consumption of orange juice, not unpasteurized orange juice. Our purpose in reviewing prior orange juice–associated outbreaks was to demonstrate that despite its acidity, orange juice (whether pasteurized or not) can be a vehicle of transmission for enteric pathogens. This is important because the Food and Drug Administration (FDA) has not considered foods with a pH level of 4.6 or less to be "potentially hazardous" (the orange juice in this outbreak had a pH of 4.3).1