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The heterogeneous factors usually involved in outbreaks of "food poisoning," more especially the vehicular food, the numbers of persons affected, the delayed reporting of the incident to the health authorities and, particularly, the causative bacteria responsible, constitute a problem that too frequently does not lend itself to easy solution. Much of the information obtained has to be discarded since it is irrelevant to the solution of the problem by accepted epidemiologic technic. As an added complication, the problem is not infrequently confused by the lack of agreement between data obtained by direct epidemiologic methods and data obtained by bacteriologic study; or specimens of the incriminated food and of feces and urine from the affected individuals even may not be available for bacteriologic investigation.
Ice cream, as a possible and potential vehicle for the causative factor in food poisoning, offers particular difficulty since there is no uniformity or standardization of procedures
GEIGER JC, CROWLEY AB, GRAY JP. FOOD POISONING FROM ICE CREAM ON SHIPS. JAMA. 1935;105(24):1980–1981. doi:10.1001/jama.1935.02760500032008
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