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Preventing Health Risks Associated with Drinking Unpasteurized or Untreated Juice
applesOrange, apple, grape or cranberry- juice comes in many different flavors. Juice provides essential nutrients that help keep people healthy. Consumers today have numerous choices when it comes to drinking juice. One of the decisions they must make is whether to buy pasteurized or unpasteurized juice. Though illness due to juice is rare, several outbreaks of diarrheal illness due to juice have been reported in the United States in the last decade. Most outbreaks of illness due to juice have been linked to untreated or inadequately treated juice products. Most juice sold in the United States is treated. One of the most common treatments used is pasteurization.
 

Some outbreaks of foodborne illness linked to juice:

1996: Outbreak of E. coli O157:H7 infections linked to untreated apple juice sold in multiple states

2003: Outbreak of Cryptosporidium infections linked to apple cider inadequately treated with ozone

2005: Outbreak of Salmonella infections linked to inadequately treated orange juice marketed as ‘fresh squeezed’ and sold in multiple states
 
orange juice and orangesPasteurized juice is heated to a high temperature for a short time before it is sold. By pasteurizing juice, pathogens (germs) which may be present in the liquid are killed. Most juice concentrate sold in grocery stores has been heat treated as part of the concentration process and this is equivalent to pasteurization. About 98% of all juices sold in the United States are pasteurized (1) . Pasteurized juice can be found as frozen concentrate, displayed at room temperature or in the refrigerated section of your supermarket. Pasteurized juice products may say “Pasteurized” on their labels. Besides pasteurization, some juices are treated with other processes.
 

Pathogens sometimes found in unpasteurized juices:

E. coli O157:H7
(bacteria)
Salmonella
(bacteria)
Cryptosporidium
(parasite)
 

Treated juice, more commonly found in health-food stores and farm markets, has been treated to kill pathogens that may be present in the juice through a method other than pasteurization, such as UV irradiation, surface treatment of the fruit or high pressure treatment. Some types of treated juice may be marketed as “fresh squeezed.”

The methods used to treat the juice must have been proven to work and verified by the Food and Drug Administration (FDA). These processes must be carried out properly for the treatment to be successful. If these requirements are not met, the treatment may not be effective in killing pathogens and people who consume the juice may become ill. There have been two recent outbreaks of illness related to inadequately treated juices. One was related to inadequate treatment with ozone and the other to inadequate surface treatment of the fruit. Treated juice products have labels that do not have a warning label like the one below, and do not say “Pasteurized.” Treated unpasteurized juice is safe if it has been properly processed by a proven effective treatment method such as UV irradiation.

warning label saying warning this product has not been pasteurized and therefore may contain harmful bacteria that can cause serious illness in children the elderly and persons with weakened immue systemsUntreated (raw) juice has not been treated in any way to kill pathogens that may be present. This type of juice may be found in the refrigerated sections of grocery stores, health-food stores, cider mills, and farm markets. Another form of untreated juice is untreated cider. One way to make this cider safer is to heat it to at least 170° F. Prepackaged, untreated juice must bear a warning label that looks similar to this one:

 
granny smith apple To minimize health risk, young children, the elderly and people with weakened immune systems should not consume packaged juice that bears the above warning label or any other form of juice that is known to be untreated (e.g. untreated juice served by the glass at a roadside cider stand). Anyone who wishes to reduce their risk may follow this recommendation.
orange If it is unclear that a juice has been treated to destroy harmful bacteria, avoid drinking it.
(1) FDA - www.cfsan.fda.gov/~dms/fttfruit.html
 
 
Date: November 17, 2005
Content source: National Center for Infectious Diseases
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