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To the Editor: Dr Daniels and colleagues¹ described a 1998 outbreak of Vibrio parahaemolyticus that resulted from consumption of raw oysters. We wish to provide information on control strategies that have been put in place since the 1998 events summarized in that article.

Routine bacteriological monitoring failed to prevent the outbreak for 2 reasons. First, the bacteriological monitoring of environmental waters conducted routinely by states at harvest sites was aimed solely at preventing hazards transmitted by fecal contamination, such as Salmonella bacteria, and not those posed by environmental bacterial species, such as V parahaemolyticus. Second, it was not until the 1997 and 1998 shellfish-borne outbreaks caused by V parahaemolyticus that shellfish control authorities in the United States recognized the need for separate monitoring programs and prevention plans to address outbreaks caused by V parahaemolyticus in shellfish.

As a result of the 1998 outbreak and a smaller outbreak in the . . . [Full Text of this Article]

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