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6:04 an ideal system for new pathogens 5 Var EVERY DAY IN THE United States, roughly 20U,0UU people ar Sincucu vy a wuuvome disease, 900 are hospitalized, and fourteen die. According to the Centers for Disease Control and Prevention (CDC), more than a quarter of the American population suffers a bout of food poisoning each year. Most of these cases are never reported to authorities or properly diagnosed. The widespread outbreaks that are detected and identified represent a small fraction of the number that actually occurs. And there is strong evidence not only that the incidence of food- related illness has risen in the past few decades, but also that the lasting health consequences of such illnesses are far more serious than was previously believed. The acute phase of a food poisoning the initial few days of diarrhea and gastrointestinal upset in many cases may simply be the most obvious manifestation of an infectious disease. Recent studies have found that many foodborne pathogens can precipitate long-term ailments, such as heart disease, inflammatory bowel disease, neurological problems, autoimmune disorders, and kidney damage. Although the rise in foodborne illnesses has been caused by many complex factors, much of the increase can be attributed to recent changes in how American food is produced. Robert V. Tauxe, head of the Foodborne and Diarrheal Diseases Branch at the CDC, believes that entirely new kinds of outbreaks are now occurring. A generation ago, the typical outbreak of food poisoning involved a church supper, a family picnic, a wedding reception. Improper food handling or storage would cause a small group of people in one local area to get sick. Such traditional outbreaks still take place. But the nation's industrialized and centralized system of food processing has created a whole new sort of outbreak, one that can potentially sicken millions of people. Today a cluster of illnesses in one small town may stem from bad potato salad at a school barbecue or it may be the first sign of an outbreak that extends statewide, nationwide, or even overseas