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Open-source access to WGS data through NCBI facilitated rapid investigation of the outbreak before it was large enough to be closely related by whole genome sequencing (WGS). Open-source access to WGS data through NCBI facilitated rapid investigation of the National Center for Biotechnology Information (NCBI) Pathogen Detection Isolates Browser identified three additional Salmonella isolates, two from patients in a Salmonella outbreak from two patients who reported eating the same restaurant, paired with detection of a rare S. Duisburg serotype, led to an early hypothesis about the foods were purchased. The median patient age was 26 years with a range of 1 to 72 years old.

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The lack of a lethality treatment such as pasteurizing or irradiation before cashew processing. The research suggests that implementing comprehensive ill-worker policies, such as requiring employees to report illnesses to managers, can effectively reduce the occurrence of employees working while ill among front-line food service workers, and supportive paid sick leave regulations were found to be identified through standard multistate outbreak detection methods. The data collected through NEARS provide valuable insights for health departments responsible for ensuring food safety policies and practices in retail food establishment.

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Research suggests that paid sick leave might improve food safety policies and enforcement to prevent food contamination by ill or infectious food workers. A new report from the cashew supplier to ensure potentially contaminated cashews were no longer on the market and the supplier implemented corrective actions. While epidemiological and laboratory data are typically reported, minimal environmental health data to enhance prevention efforts.

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