“…These shifts in infectious diseases are caused by the adaptation of microorganisms to changes in human behavior, demographics, and life style (Cascio et al, 2011); changes in economic development and land use (Suhrcke et al, 2011); loss of biodiversity (Swaddle and Calos, 2008;Ostfeld, 2009); global travel (Hufnagel et al, 2004); immigration (Schmid et al, 2008); air conditioning; crowded intensive care units in large hospitals; global environmental and climate changes (Semenza et al, 2012); evolution of susceptible populations, exotic pets, exotic foods and pathogen adaptation (Casadevall et al, 2011;Price et al, 2012); as well as advances in detection techniques Allerberger, 2012;van Doorn, 2014). With industrialization of food processing, worldwide shipment of fresh and frozen food and an increased demand for fresh bagged produce foodrelated outbreaks shifted from local, often family-based, outbreaks to multistate or multicountry outbreaks, often caused by a single source (Shane et al, 2002;Tauxe, 2002;Denny et al, 2007;Nygren et al, 2013;Schmid et al, 2014;Ruppitsch et al, 2015b;Inns et al, 2016). Disease surveillance is an inevitable cornerstone for early identification of infectious disease outbreaks and for timely implementation of accurate measures to combat transmission and morbidity (Johns et al, 2011).…”