There are hundreds of millions of cases of foodborne illness worldwide every year, costing billions of dollars. It’s believed that low- and middle-income countries bear the brunt of these illnesses.

Evidence is limited, but the author of a new report believes this to be the case because of the high level of hazards often reported in these countries, the high prevalence of foodborne pathogens in surveys of people with diarrhea, the lack of clean water for washing food and utensils, and the use of human sewage or animal waste in agriculture.

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