Copyright 1999 American Medical Association.
All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999
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
Cook KA, Swerdlow DL. Are Enteric Infections Associated With Unpasteurized Orange Juice?—Reply. JAMA. 1999;281(20):1892–1893. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-20-jbk0526
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