Quantifying exposure to vero-cytotoxigenic Escherichia coli O157 in milk sold as pasteurized: a model-based approach.

Milk sold as pasteurized has historically been implicated in the UK and worldwide as a vehicle for outbreaks of food-borne gastrointestinal disease, with a number of causative pathogenic organisms. One such organism is verocytotoxigenic Escherichia coli, or E. coli, O157 (VTEC O157). We present a quantitative assessment of likely exposure to VTEC O157 via milk sold as pasteurized in the UK. Particular interest in our assessment concerns whether there is any differential risk between milk which is processed in on- and off-farm dairies. We model the milk production chain from the farm through to the point of retail and make a comparison between these two production environments. Our model is an example of the Modular Process Risk Modelling (MPRM) approach and represents uncertainty and variability in input parameters using probability distributions. We conclude that milk processed on farm poses the comparatively greater risk, although that risk is still small.