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Microbial quality and prevalence of foodborne pathogens of cheeses commercialized at different retail points in Mexico

Abstract

Microbial quality and the prevalence of foodborne pathogens (E. coli 0157:H7, Salmonella spp., Listeria monocytogenes and Campylobacter jejuni) of cheeses sold at three retail points (supermarkets [SM], street markets [ST], and convenience grocery stores [CGS]) in Chihuahua, Mexico, were evaluated (n=90). The most commonly found cheeses in the retail points were Chihuahua (60%) and Ranchero (28.8%). According to Mexican standards, three SM, two CGS, and none of the ST cheeses complied with the regulations. Two cheeses (cheddar and Ranchero) from SM (2.22%) were positive for L. monocytogenes. Eight cheeses (8.88%) were positive for Salmonella spp. (5 from ST and 3 from CGS). E.coli 0157:H7 and Campylobacter jejuni were negative in all samples. In the Ranchero cheese, total coliforms (TC), faecal coliforms (FC), and yeast and moulds (Y&M) showed no significant differences (P > 0.05) among retail points. Nevertheless, in Chihuahua cheese, the numbers of total coliforms, faecal coliforms, and yeast and moulds were statistically different (P < 0.05) among retail points. PSM Chihuahua cheese had the lowest numbers of total (0.99 ± 1.0 Log10CFU/g) and faecal coliforms (166 ± 154 Log10CFU/g). CGS cheeses had the lowest counts in terms of yeast and moulds (3.1 ± 2.2 Log10CFU/g). The results revealed that most cheeses, regardless of the retail point, did not conform to Mexican standards. The number of total and faecal coliforms indicates either flaws during the production and commercialization processes or the ill-handling of raw materials.

Keywords:
Mexican cheese; foodborne pathogens; microbial quality

1 Introduction

Cheese manufacturing and trade are a major industry worldwide (Organisation for Economic Co-operation and Development, 2016Organisation for Economic Co-operation and Development – OECD, Food and Agriculture Organization – FAO. (2016). Dairy and dairy products. In: Organisation for Economic Co-operation and Development – OECD, Food and Agriculture Organization – FAO. OECD-FAO Agricultural Outlook 2016-2025. Paris: OECD Publishing.) and of great importance in Mexico mainly due to cheese’s ease of fabrication and acceptance among consumers. This dairy sector has presented an increase in demand due to the recognition that some cheeses receive as functional foods, especially regarding the contribution of prebiotics and probiotics (Dantas et al., 2016Dantas, A. B., Jesús, V. F., Silva, R., Almada, C. N., Esmerino, E. A., Cappato, L. P., Silva, M. C., Raices, R. S. L., Cavalcanti, R. N., Carvalho, C. C., Sant’Ana, A. S., Bolini, H. M. A., Freitas, M. Q., & Cruz, A. G. (2016). Manufacture of probiotic Mina Frescal cheese with Lactobacillus casei Zhang. Journal of Dairy Science, 99(1), 18-30. http://dx.doi.org/10.3168/jds.2015-9880. PMid:26519974.
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; Belsito et al., 2017Belsito, P. C., Ferreira, M. V. S., Cappato, L. P., Cavalcanti, R. N., Vidal, V. A. S., Pimentel, T. C., Esmerino, E. A., Balthazar, C. F., Neto, R. P. C., Tavares, M. I. B., Zacarchenco, P. B., Freitas, M. Q., Silva, M. C., Raices, R. S. L., Pastore, G. M., Pollonio, M. A. R., & Cruz, A. G. (2017). Manufacture of Requeijão cremoso processed cheese with galactooligosaccharide. Carbohydrate Polymers, 174, 869-875. http://dx.doi.org/10.1016/j.carbpol.2017.07.021. PMid:28821142.
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). They also present components such as peptides, polysaccharides, fatty acids, organic acids, gamma aminobutyric acid (GABA), and conjugated linolenic acid (CLA), all recognized as bioactive components that exert positive effects on consumer health (Santiago-López et al., 2017Santiago-López, L., Aguilar-Toalá, J. E., Hernández-Mendoza, A., Vallejo-Cordoba, B., Liceaga, A. M., & González-Córdova, A. F. (2017). Bioactive compounds produced during cheese ripening and health effects associated with aged cheese consumption. Journal of Dairy Science, 101(5), 3742-3757. http://dx.doi.org/10.3168/jds.2017-13465. PMid:29477517.
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).

The dairy industry in Mexico is the third most important agricultural economic activities, which accounts for more than half of the national production. Chihuahua is the Mexican state with the highest production of milk and cheeses (mainly Chihuahua cheese), some of which are still produced using traditional techniques and still prevail in the manufacturing of unpasteurised cheeses at the small and medium scale (Servicio de Información Agroalimentaria y Pesquera, 2016Servicio de Información Agroalimentaria y Pesquera – SIAP. (2016, Abril-Junio). Boletín de la Leche. México: Secretaria de Agricultura, Ganadería, Desarrollo Rural, Pesca y Alimentación.). As almost all genuine Mexican cheeses are made from raw milk, innocuousness cannot be fully ensured, which might be risky for consumers (Villegas & Cervantes, 2011Villegas, A., & Cervantes, F. (2011). La genuinidad y tipicidad en la revalorización de los quesos artesanales mexicanos. Estudios Sociales (Santo Domingo, Dominican Republic), 19(38), 146-164.). It is so that the adoption of pasteurizing the milk with which the cheeses are made has not been successful among the producers of artisan cheeses and farms that produce small quantities of cheese; this due to the demand of cheeses made with raw milk by consumers (Johnson, 2017Johnson, M. E. (2017). A 100-year review: cheese production and quality. Journal of Dairy Science, 100(12), 9952-9965. http://dx.doi.org/10.3168/jds.2017-12979. PMid:29153182.
http://dx.doi.org/10.3168/jds.2017-12979...
). As cheese does not regularly undergo further cooking before consumption, it might be considered as a ready-to-eat (RTE) food. As such, any improper manufacturing practices and handling during production, distribution, and sale pose an important health risk for consumers (Reij & Den Aantrekker, 2004Reij, M. W., & Den Aantrekker, E. D. (2004). Recontamination as a source of pathogens in processed foods. International Journal of Food Microbiology, 91(1), 1-11. http://dx.doi.org/10.1016/S0168-1605(03)00295-2. PMid:14967555.
http://dx.doi.org/10.1016/S0168-1605(03)...
). Producing cheese with raw milk is not permitted under Mexican health regulations (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.). However, in the US, federal regulations permit the manufacture and sale of cheese using raw milk, but only if the cheeses have been aged at least 60 days at a temperature higher than 1.7 °C (CFR 21, Part 133) (FDA, 2017aFood and Drug Administration – FDA. (2017a). CFR - Code of Federal Regulations Title 21. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?cfrpart=133
https://www.accessdata.fda.gov/scripts/c...
).

Contamination of the cheeses can be of chemical, physical or biological origin, nevertheless the origin or the cause of the last two have been the most studied. The most reported physical hazards in dairy products are: foreing objects, insects, hair, plastics, metal and fabric (Aguiar et al., 2018Aguiar, R. S., Esmerino, E. A., Rocha, R. S., Pimentel, T. C., Alvarenga, V. O., Freitas, M. Q., Silva, M. C., Sant’Ana, A. S., Silva, A. C. O., & Cruz, A. G. (2018). Physical hazards in dairy products: incidence in a consumer complaint website in Brazil. Food Control, 86, 66-70. http://dx.doi.org/10.1016/j.foodcont.2017.11.020.
http://dx.doi.org/10.1016/j.foodcont.201...
). Most common biological hazards found in cheeses are Salmonella spp., Listeria monocytogenes, E.coli 0157:H7 and S.aureus (Saltijeral et al., 1999Saltijeral, J. A., Alvarez, V. B., & Garcia, B. (1999). Presence of Listeria in Mexican cheeses. Journal of Food Safety, 19(4), 241-247. http://dx.doi.org/10.1111/j.1745-4565.1999.tb00249.x.
http://dx.doi.org/10.1111/j.1745-4565.19...
; Torres-Vitela et al., 2012Torres-Vitela, M. R., Mendoza-Bernardo, M., Castro-Rosas, J., Gomez-Aldapa, C. A., Garay-Martinez, L. E., Navarro-Hidalgo, V., & Villarruel-López, A. (2012). Incidence of Salmonella, Listeria monocytogenes, Escherichia coli 0157:H7, and Staphylococcal enterotoxin in two types of Mexican Fresh cheeses. Journal of Food Protection, 75(1), 79-84. http://dx.doi.org/10.4315/0362-028X.JFP-11-258. PMid:22221358.
http://dx.doi.org/10.4315/0362-028X.JFP-...
; Cody et al., 1999Cody, S. H., Abbott, S. L., Marfin, A. A., Schulz, B., Wagner, P., Robbins, K., Mohle-Boetani, J. C., & Vugia, D. J. (1999). Two outbreaks of multidrug-resistant Salmonella serotype typhimurium DT104 infectios linked to raw-milk cheese in northen California. Journal of the American Medical Association, 281(19), 1805-1810. http://dx.doi.org/10.1001/jama.281.19.1805. PMid:10340367.
http://dx.doi.org/10.1001/jama.281.19.18...
; Gould et al., 2014Gould, L. H., Mungai, E., & Barton Behravesh, C. (2014). Outbreak attributed to cheese: differences betweem outbreaks caused by unpasteurized and pasteurized dairy products, United States., 1998-2011. Foodborne Pathogens and Disease, 11(7), 545-551. http://dx.doi.org/10.1089/fpd.2013.1650. PMid:24750119.
http://dx.doi.org/10.1089/fpd.2013.1650...
; Torres-Vitela et al., 2012Torres-Vitela, M. R., Mendoza-Bernardo, M., Castro-Rosas, J., Gomez-Aldapa, C. A., Garay-Martinez, L. E., Navarro-Hidalgo, V., & Villarruel-López, A. (2012). Incidence of Salmonella, Listeria monocytogenes, Escherichia coli 0157:H7, and Staphylococcal enterotoxin in two types of Mexican Fresh cheeses. Journal of Food Protection, 75(1), 79-84. http://dx.doi.org/10.4315/0362-028X.JFP-11-258. PMid:22221358.
http://dx.doi.org/10.4315/0362-028X.JFP-...
; Le et al., 2014Le, S., Bazger, W., Hill, A. R., & Wilcock, A. (2014). Awareness and perceptions of food safety of artisan cheese makers in southwestern Ontario: A qualitative study. Food Control, 41, 158-167. http://dx.doi.org/10.1016/j.foodcont.2014.01.007.
http://dx.doi.org/10.1016/j.foodcont.201...
). However, the survival of pathogens present in cheese, as a result of contamination during processing, maturation or packaging, depends on various factors such as water activity, antagonism with other microorganisms and pH history since its preparation (Johnson, 2017Johnson, M. E. (2017). A 100-year review: cheese production and quality. Journal of Dairy Science, 100(12), 9952-9965. http://dx.doi.org/10.3168/jds.2017-12979. PMid:29153182.
http://dx.doi.org/10.3168/jds.2017-12979...
)

Foodborne diseases are a major public health problem worldwide. However, as Mexico lacks an effective surveillance program in terms of foodborne outbreaks, few cheese-borne outbreaks have been reported. A retrospective study of foodborne outbreaks in Mexico found that 29% of outbreaks were associated with cheese consumption (Parrilla-Cerillo et al., 1993Parrilla-Cerillo, M. C., Vázquez-Castellanos, J. L., Saldate-Castañeda, E. O., & Nava-Fernández, L. M. (1993). Brotes de toxiinfecciones alimentarias de origen microbiano y parasitario. Salud Pública de México, 35(5), 456-463. PMid:8235891.), but these numbers might be higher. In the US, seven cheese-borne outbreaks were reported from 2010 to 2017, six due to Listeria monocytogenes and one to E.coli 0157:H7 (Center for Disease Control and Prevention, 2017Center for Disease Control and Prevention – CDC. (2017). List of Selected Multistate Foodborne Outbreak Investigations. Atlanta: CDC. Retrieved from https://www.cdc.gov/foodsafety/outbreaks/multistate-outbreaks/outbreaks-list.html
https://www.cdc.gov/foodsafety/outbreaks...
). Cheese consumption has historically been implicated in important outbreaks; the predominant organisms included Salmonella, L. monocytogenes, E. coli, and S. aureus (Little et al., 2008Little, C. L., Rhoades, J. R., Sagoo, S. K., Harris, J., Greenwood, M., Mithani, V., Grant, K., & McLauchlin, J. (2008). Microbiological quality of retail cheeses made from raw, thermized or pasteurized milk in the U.K. Food Microbiology, 25(2), 304-312. http://dx.doi.org/10.1016/j.fm.2007.10.007. PMid:18206773.
http://dx.doi.org/10.1016/j.fm.2007.10.0...
; Guzman-Hernandez et al., 2016Guzman-Hernandez, R., Contreras-Rodriguez, A., Hernandez-Velez, R., Perez-Martinez, I., Lopez-Merino, A., Zaidi, M. B., & Estrada-Garcia, T. (2016). Mexican unpasteurised fresh cheeses are contaminated with Salmonella spp., non-0157 Shiga toxin producing Escherichia coli and potential urophatogenic E. coli strains: a public health risk. International Journal of Food Microbiology, 237, 10-16. http://dx.doi.org/10.1016/j.ijfoodmicro.2016.08.018. PMid:27541977.
http://dx.doi.org/10.1016/j.ijfoodmicro....
; Alcázar Montañez et al., 2006Alcázar Montañez, C. D., Rubio Lozano, M. S., Núñez Espinosa, F., & Alonso Morales, R. A. (2006). Detection of Salmonella spp. and Listeria monocytogenes in fresh and semi-cured cheese that are sold on the street markets on México city. Veterinaria (México), 37(4), 417-429.). The identification of foodborne pathogens in foods can provide insights into the safety of retail foods and, therefore, the potential risk to consumers’ health.

The state of Chihuahua is located along the border with Texas in the US, where the introduction of cheese is allowed by US regulations. In this sense, three different sale points can be differentiated: supermarkets (SM), public street markets (ST) (tianguis), and convenience grocery stores (CGS) (tienda de abarrotes).

Public street markets are installed in open, free-access areas within a city and change locations regularly. Most do not follow health and safety regulations, and occasionally local authorities supervise them; hence, the wholesomeness of the products might not be guaranteed. A convenience grocery store is a small store located within a neighbourhood and offers an assortment of RTE foods. As in ST, some RTE products might pose a risk for the consumer, as they are manufactured in small family businesses without sanitary licenses. On the other hand, supermarkets are establishments constantly monitored by the proper authority. Hence, the aims of this study were 1) to evaluate the overall microbiological quality of cheeses sold in three retail points (supermarkets, street markets, and convenience grocery stores) and 2) to identify the prevalence of E.coli 0157:H7, Salmonella spp., Listeria monocytogenes, and Campylobacter jejuni. It is hypothesized that cheeses sold in SM would have better microbiological quality than those from ST and CGS.

2 Materials and methods

2.1 Sample collection

Ninety samples of cheeses were purchased from three types of establishments (30 from each retail point: street market (ST), supermarket (SM), and convenience grocery store(CGS)) located in the city of Chihuahua, México. All samples were transported in iceboxes to the laboratory, where they are stored at 5 °C-7 °C and processed the next day.

2.2 Cheese characteristics

Five different types of cheeses were analysed. Fresh cheeses included 1) Panela, 2) Ranchero, and 3) mozzarella (fresh cheese from cooked pasta). Mature cheeses included 4) Chihuahua (might be sold without aging) and 5) Gouda.

2.3 Microbiological analysis

Ten grams from each cheese were aseptically homogenized in 90 mL of phosphate buffer and mixed with a Stomacher (Lab Blender, London, UK) at a maximum speed for 2 min. The homogenized sample was serially diluted (1:10) in a sterile phosphate buffer according to the Official Mexican Standards (NOM-243-SSA1-2010) (México, 2010México. (2010, Septiembre 27). Norma Oficial Mexicana NOM-243-SSA1-2010, Productos y servicios. Leche, fórmula láctea, producto lácteo combinado y derivados lácteos. Disposiciones y especificaciones sanitarias. Métodos de prueba. Diario Oficial de la Federación.).

Each dilution was plated on specific media and incubated aerobically as follows. Plate count agar (PCA; CM0325, Oxoid, Basingstoke, UK) was incubated at 30 °C for aerobic mesophilic microorganisms. Baird-Parker agar (BP; 276840, BD Bioxon, Heidelberg, Germany) was supplemented with egg yolk tellurite (BDTM D212357) at 37 °C for Staphylococcus aureus. Potato dextrose agar (PDA; 213300, BD Bioxon, Heidelberg, Germany) was acidified with 10% tartaric acid (T400 DL-tartaric, Merck, Saint Louis, MO, US) at 25 °C for moulds-yeasts. Violet red bile agar (VRB; CM0107, Oxoid, Basingstoke, UK) was incubated at 32 °C for total coliforms. Media were inoculated by spreading 100 µL of the diluted sample onto the agar, except for VRB, which was inoculated using the pour plate method (1000 µL). Media were incubated for the following times: VRB and BP 24 h, PCA 72 h, and PDA 120 days (Renye et al., 2008Renye, J. A., Somkuti, G. A., Vallejo-Cordoba, B., Van Hekken, D. L., & Gonzalez-Cordova, A. F., (2008). Characterization of the microflora isolated from queso Fresco made from raw and pasteurized milk. Journal of Food Safety, 28(1), 59-75. http://dx.doi.org/10.1111/j.1745-4565.2007.00095.x .
http://dx.doi.org/10.1111/j.1745-4565.20...
). Numbers of colony-forming units (CFU) were counted on the plates, with numbers ranging between 10 and 200 CFU.

Faecal coliforms (FC) were determined using Mexican Official Standard Guidelines NOM-243-SSA1-2010 (México, 2010México. (2010, Septiembre 27). Norma Oficial Mexicana NOM-243-SSA1-2010, Productos y servicios. Leche, fórmula láctea, producto lácteo combinado y derivados lácteos. Disposiciones y especificaciones sanitarias. Métodos de prueba. Diario Oficial de la Federación.) and the Food and Drug Administration (2017b)Food and Drug Administration – FDA. (2017b). Conventional Method for coliforms, fecal coliforms and E. Coli. Retrieved from https://www.fda.gov/Food/FoodScienceResearch/LaboratoryMethods/ucm064948.htm#conventional
https://www.fda.gov/Food/FoodScienceRese...
(FDA, most probable number (MPN)). Therefore, one millilitre of each dilution was inoculated into lactose broth (211835, BD Bioxon, Heidelberg, Germany) in fermentation tubes in triplicate. After 48 h of incubation at 37 °C, a loopful from positive cultures (determined by turbidity and gas production) was transferred to tubes containing Escherichia coli broth and incubated at 44.5 ± 0.02 °C for 48 h. Tubes with turbidity (growth) and gas production were considered positive for FC.

2.4 Molecular detection of Salmonella spp., E. coli O157:H7, Staphylococcus aureus, Listeria monocytogenes, and Campylobacter jejuni

DNA was obtained from 25 g of enriched cheese samples using the PrepSEQTM Rapid Spin Sample Preparation Kit (4407760, Applied Biosystems, Foster City, US). Following the manufacturer’s instructions, 750 μL of the enriched samples were used to isolate the DNA; eluted DNA samples were stored at -20 °C until further use.

Specific primers and sensitive probes were used for the detection of foodborne pathogens using real-time PCR. Detection kits (Applied Biosystems, Foster City, US) for each pathogen—MicroSEQ® Salmonella spp. (4403930), MicroSEQ® E. coli O157:H7 (4427409), TaqMan® Staphylococcus aureus (4368606), TaqMan® Listeria monocytogenes (4366102), and TaqMan® Campylobacter jejuni (4366570)—were used by setting up reactions with 18 L of DNA obtained from each cheese samples. The reactions were performed in duplicate; two positive internal controls and negative controls were added. The real-time PCR was performed on the 7500 Fast (Applied Biosystems) using 7500 Software v2.0

2.5 Statistical analysis

Microbial (Log10CFU/g) data were recorded as mean ± standard deviation and statistically analysed using a one-way analysis of variance (ANOVA) followed by Tukey’s comparison test to stablish the significance of mean differences at the 5% level of significance (P < 0.05) using SAS software (version 9.3, SAS Institute Inc., Carry, NC, US) (Statistical Analysis System, 2006Statistical Analysis System – SAS. (2006). Version 9.1.3 for Windows. Cary: SAS Institute Inc.).

3 Results

The most commonly found cheeses in the retail points were Chihuahua (60%) and Ranchero (28.8%). Results from each cheese were compared with Mexican regulations (Table 1), and the characteristics of the 90 samples are described in Table 2. None of the cheeses from ST met the requirements established by the Mexican standards, and only three SM and two CGS were in accordance with the regulations (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.). Ranchero cheeses were not elaborated with pasteurized milk and did not meet the standards. Of the 54 Chihuahua cheeses, three were made with unpasteurized milk and four fully complied with regulations. Similarly, none of the Panela cheeses met the microbiological standards, and 3 out of 4 (75%) from ST were made from unpasteurized milk.

Table 1
Mexican standard overview of microbiological criteria for cheeses (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.).
Table 2
Characteristics of cheeses sold at different retail points in Chihuahua, Mexico.

Table 3 describes the microbiological characteristics of Panela cheeses. None of them met the microbiological standards for FC and M&Y, and two samples from ST were positive for Salmonella spp.

Table 3
Microbial quality of Panela cheese sold at different retail points in Chihuahua, Mexico.

Microbial characteristics of Ranchero cheeses are described in Table 4. One sample (17T) met the microbiological standards for FC, but not the standards for Y&M. Four out of 26 samples (15.38%) were positive for Salmonella spp.: three from ST and one from a CGS. One sample from a SM was positive for Listeria monocytogenes.

Table 4
Microbial quality of Ranchero cheese sold at different retail points in Chihuahua, Mexico.

Microbial quality from Chihuahua cheese is shown in Table 5. Three out of 54 samples (5.55%) met the regulations: two from CGS (11A and 13A) and one from SM (24S). Two samples (3.70%) from CGS were positive for Salmonella spp. One sample from SM was positive for Listeria monocytogenes.

Table 5
Microbial quality of Chihuahua cheese sold at different retail points in Chihuahua, Mexico.

There were no significant differences (P > 0.05) when comparing the numbers of TC, FC, and Y&M for Ranchero cheese among retail points (Table 6). Cheese from SM was expected to have lower counts as retail points are usually the most regulated by the National Health Department. However, these samples had the highest numbers. Nevertheless, in Chihuahua cheese, the microbial numbers of total coliforms, faecal coliforms, and yeast and moulds (Table 6) were statistically different (P < 0.05) among retail points. PSM Chihuahua cheese had the lowest numbers of total coliforms (0.99 ± 1.0 Log10CFU/g) and faecal coliforms (166 ±154 Log10CFU/g), and CGS cheese had the lowest counts in terms of yeast and moulds (3.1 ± 2.2 Log10CFU/g).

Table 6
Microbial quality of Ranchero and Chihuahua cheeses (means ± S.D.) sold at different retail points.

Importantly, none of the samples was positive for E.coli 0157:H7 or Campylobacter jejuni using real-time PCR. These types of rapid test systems are only used as screening techniques. Hence, negative results are accepted as such, but positive results require further confirmation using appropriate official methods (Feng, 2017Feng, P. (2017). Rapid methods for detecting foodborne pathogens: bacteriological analytical manual online. USA: FDA. Appendix 1.).

4 Discussion

In this study, five out of 90 (5.5%) samples were in accordance with the regulations (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.), and a third (32.2%) were produced using unpasteurized milk, which is a known source of pathogens (Kousta et al., 2010Kousta, M., Mataragas, M., Skandamis, P., & Drosinos, E. H. (2010). Prevalence and source of cheese contamination with pathogens at farm and processing levels. Food Control, 21(6), 805-815. http://dx.doi.org/10.1016/j.foodcont.2009.11.015.
http://dx.doi.org/10.1016/j.foodcont.200...
). There is a benefit to using pasteurized milk, and this is because the cheeses have greater consistency in quality. However, pasteurization does not guarantee that the cheeses are free of pathogens, although it could be guaranteed if contamination of the cheeses after pasteurization is avoided (Johnson, 2017Johnson, M. E. (2017). A 100-year review: cheese production and quality. Journal of Dairy Science, 100(12), 9952-9965. http://dx.doi.org/10.3168/jds.2017-12979. PMid:29153182.
http://dx.doi.org/10.3168/jds.2017-12979...
).

SM was expected to comply with Mexican official standards because they are closely monitored; however, there were no differences among retail points. The results might be normal for the country, as similar data have been reported for unpasteurized fresh cheese in a southeast Mexico state (Guzman-Hernandez et al., 2016Guzman-Hernandez, R., Contreras-Rodriguez, A., Hernandez-Velez, R., Perez-Martinez, I., Lopez-Merino, A., Zaidi, M. B., & Estrada-Garcia, T. (2016). Mexican unpasteurised fresh cheeses are contaminated with Salmonella spp., non-0157 Shiga toxin producing Escherichia coli and potential urophatogenic E. coli strains: a public health risk. International Journal of Food Microbiology, 237, 10-16. http://dx.doi.org/10.1016/j.ijfoodmicro.2016.08.018. PMid:27541977.
http://dx.doi.org/10.1016/j.ijfoodmicro....
).

One third of the samples were produced with unpasteurized milk, and most were positive for FC and did not met official regulations (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.). As previously stated, US federal regulations permit the manufacture and sale of cheese made with raw milk, but only if they have been aged at least 60 days at a temperature higher than 1.7°C (CFR 21, Part 133) (Food and Drug Administration, 2017aFood and Drug Administration – FDA. (2017a). CFR - Code of Federal Regulations Title 21. Retrieved from https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?cfrpart=133
https://www.accessdata.fda.gov/scripts/c...
). This regulation implies that pathogens, if present in the raw milk, would not survive the process (including aging). Furthermore, unpasteurized cheese aged for at least 60 days has rarely been associated with foodborne diseases. However, several studies have suggested that some pathogens in raw milk could survive cheese manufacturing and aging (Bachmann & Spahr, 1995Bachmann, H. P., & Spahr, U. (1995). The fate of potentially pathogenic bacteria in Swiss hard and semi-hard cheeses made form raw milk. Journal of Dairy Science, 78(3), 476-483. http://dx.doi.org/10.3168/jds.S0022-0302(95)76657-7. PMid:7782504.
http://dx.doi.org/10.3168/jds.S0022-0302...
; Leyer & Johnson, 1992Leyer, G. J., & Johnson, E. A. (1992). Acid adaptation promotes survival of Samonella spp. in cheese. Applied and Environmental Microbiology, 58(6), 2075-2080. PMid:1622286.), as shown in the outbreaks linked to the consumption of unpasteurized cheeses in the US (Center for Disease Control and Prevention, 2010Center for Disease Control and Prevention – CDC. (2010). Multistate Outbreak of E. coli O157:H7 Infections Associated with Cheese (Final Update). Atlanta: CDC. Retrieved from https://www.cdc.gov/ecoli/2010/bravo-farms-cheese-11-24-10.html
https://www.cdc.gov/ecoli/2010/bravo-far...
, 2013Center for Disease Control and Prevention – CDC. (2013). Multistate Outbreak of Listeriosis Linked to Crave Brothers Farmstead Cheeses (Final Update). Atlanta: CDC. Retrieved from https://www.cdc.gov/listeria/outbreaks/cheese-07-13/index.html
https://www.cdc.gov/listeria/outbreaks/c...
, 2014aCenter for Disease Control and Prevention – CDC. (2014a). Oasis Brands, Inc. Cheese Recalls and Investigation of Human Listeriosis Cases (Final Update). Atlanta: CDC. Retrieved from https://www.cdc.gov/listeria/outbreaks/cheese-10-14/index.html
https://www.cdc.gov/listeria/outbreaks/c...
, bCenter for Disease Control and Prevention – CDC. (2014b). Multistate Outbreak of Listeriosis Linked to Roos Foods Dairy Products (Final Update). Atlanta: CDC. Retrieved from https://www.cdc.gov/listeria/outbreaks/cheese-02-14/index.html
https://www.cdc.gov/listeria/outbreaks/c...
, 2015Center for Disease Control and Prevention – CDC. (2015). Multistate Outbreak of Listeriosis Linked to Soft Cheeses Distributed by Karoun Dairies, Inc. (Final Update). Atlanta: CDC. Retrieved from https://www.cdc.gov/listeria/outbreaks/soft-cheeses-09-15/index.html
https://www.cdc.gov/listeria/outbreaks/s...
).

In this study, two cheeses (cheddar and Ranchero) from PSM (2.22%) were positive for L. monocytogenes while 8 cheeses (8.88%; 5 from PSM and 3 from CGS) were positive for Salmonella spp. According to Mexican regulations (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.), Salmonella spp. and L. monocytogenes present in 25 g of cheese is not acceptable in fresh, matured, and processed cheese (México, 1996México. (1996, Enero 23). Norma Oficial Mexicana NOM-121-SSA1-1994, Bienes y servicios. Quesos: frescos, madurados y procesados. Especificaciones sanitarias. Diario Oficial de la Federación.). Despite the deficient epidemiological surveillance in Mexico, the presence of L. monocytogenes in different types of fresh cheese have been reported in previous studies (Saltijeral et al., 1999Saltijeral, J. A., Alvarez, V. B., & Garcia, B. (1999). Presence of Listeria in Mexican cheeses. Journal of Food Safety, 19(4), 241-247. http://dx.doi.org/10.1111/j.1745-4565.1999.tb00249.x.
http://dx.doi.org/10.1111/j.1745-4565.19...
; Torres-Vitela et al., 2012Torres-Vitela, M. R., Mendoza-Bernardo, M., Castro-Rosas, J., Gomez-Aldapa, C. A., Garay-Martinez, L. E., Navarro-Hidalgo, V., & Villarruel-López, A. (2012). Incidence of Salmonella, Listeria monocytogenes, Escherichia coli 0157:H7, and Staphylococcal enterotoxin in two types of Mexican Fresh cheeses. Journal of Food Protection, 75(1), 79-84. http://dx.doi.org/10.4315/0362-028X.JFP-11-258. PMid:22221358.
http://dx.doi.org/10.4315/0362-028X.JFP-...
; Moreno-Enriquez et al., 2007Moreno-Enriquez, R. I., Garcia-Galaz, A., Acedo-Felix, E., Gonzalez-Rios, H., Call, J. E., Luchansky, J. B., & Diaz-Cinco, M. E. (2007). Prevalence, types, and geographical distribution of Listeria monocytogenes from a survey of retail Queso Fresco and associated cheese processing plants and dairy farms in Sonora, Mexico. Journal of Food Protection, 70(11), 2596-2601. http://dx.doi.org/10.4315/0362-028X-70.11.2596. PMid:18044440.
http://dx.doi.org/10.4315/0362-028X-70.1...
; Soto Beltran et al., 2015Soto Beltran, M., Gerba, C. P., Porto Fett, A., Luchansky, J. B., & Chaidez, C. (2015). Prevalence and characterization of Listeria monocytogenes, Salmonella and Shiga toxin-producing Escherichia coli isolated from PSMall Mexican retail markets of Queso Fresco. International Journal of Environmental Health Research, 25(2), 140-148. http://dx.doi.org/10.1080/09603123.2014.915016. PMid:24809389.
http://dx.doi.org/10.1080/09603123.2014....
; Rosas-Barbosa et al., 2014Rosas-Barbosa, B. T., Luis-Juan Morales, A., Alaniz-de la O., R., Ramírez-Álvares, A., Soltero-Ramos, J. P., de la Mora-Quiroz, R., Martin, P., & Jacquet, C. (2014). Presence and persistence of Listeria in four artisanal cheese plants in Jalisco, Mexico. E-Cucba, 2, 3-37. https://doi.org/10.32870/e-cucba.v0i0.17.
https://doi.org/10.32870/e-cucba.v0i0.17...
). Cases of pathogens in aged cheeses, such as Chihuahua, have not been reported (Saltijeral et al., 1999Saltijeral, J. A., Alvarez, V. B., & Garcia, B. (1999). Presence of Listeria in Mexican cheeses. Journal of Food Safety, 19(4), 241-247. http://dx.doi.org/10.1111/j.1745-4565.1999.tb00249.x.
http://dx.doi.org/10.1111/j.1745-4565.19...
; Alcázar Montañez et al., 2006Alcázar Montañez, C. D., Rubio Lozano, M. S., Núñez Espinosa, F., & Alonso Morales, R. A. (2006). Detection of Salmonella spp. and Listeria monocytogenes in fresh and semi-cured cheese that are sold on the street markets on México city. Veterinaria (México), 37(4), 417-429.); however, in this study one pasteurized SM Chihuahua cheese was positive for L. monocytogenes. Studies have suggested that contamination from L. monocytogenes occurs predominantly post-processing (Moreno-Enriquez et al., 2007Moreno-Enriquez, R. I., Garcia-Galaz, A., Acedo-Felix, E., Gonzalez-Rios, H., Call, J. E., Luchansky, J. B., & Diaz-Cinco, M. E. (2007). Prevalence, types, and geographical distribution of Listeria monocytogenes from a survey of retail Queso Fresco and associated cheese processing plants and dairy farms in Sonora, Mexico. Journal of Food Protection, 70(11), 2596-2601. http://dx.doi.org/10.4315/0362-028X-70.11.2596. PMid:18044440.
http://dx.doi.org/10.4315/0362-028X-70.1...
; Rosas-Barbosa et al., 2014Rosas-Barbosa, B. T., Luis-Juan Morales, A., Alaniz-de la O., R., Ramírez-Álvares, A., Soltero-Ramos, J. P., de la Mora-Quiroz, R., Martin, P., & Jacquet, C. (2014). Presence and persistence of Listeria in four artisanal cheese plants in Jalisco, Mexico. E-Cucba, 2, 3-37. https://doi.org/10.32870/e-cucba.v0i0.17.
https://doi.org/10.32870/e-cucba.v0i0.17...
; Kabuki et al., 2004Kabuki, D. Y., Kuaye, A. Y., Wiedmann, M., & Boor, K. J. (2004). Molecular subtyping and tracking of Listeria monocytogenes in Latin-style fresh-cheese processing plants. Journal of Dairy Science, 87(9), 2803-2812. http://dx.doi.org/10.3168/jds.S0022-0302(04)73408-6. PMid:15375038.
http://dx.doi.org/10.3168/jds.S0022-0302...
) because this pathogen has been be isolated in cheese factories from floors, drains, containers (Kabuki et al., 2004Kabuki, D. Y., Kuaye, A. Y., Wiedmann, M., & Boor, K. J. (2004). Molecular subtyping and tracking of Listeria monocytogenes in Latin-style fresh-cheese processing plants. Journal of Dairy Science, 87(9), 2803-2812. http://dx.doi.org/10.3168/jds.S0022-0302(04)73408-6. PMid:15375038.
http://dx.doi.org/10.3168/jds.S0022-0302...
), and staff (Kousta et al., 2010Kousta, M., Mataragas, M., Skandamis, P., & Drosinos, E. H. (2010). Prevalence and source of cheese contamination with pathogens at farm and processing levels. Food Control, 21(6), 805-815. http://dx.doi.org/10.1016/j.foodcont.2009.11.015.
http://dx.doi.org/10.1016/j.foodcont.200...
; O’Brien et al., 2009O’Brien, M., Hunt, K., McSweeney, S., & Jordan, K. (2009). Ocurrance of foodborne pathogens in Iris farmhouse cheese. Food Microbiology, 26(8), 910-914. http://dx.doi.org/10.1016/j.fm.2009.06.009. PMid:19835780.
http://dx.doi.org/10.1016/j.fm.2009.06.0...
). In Mexico, studies have shown that L. monocytogenes is found throughout the cheese-making process, plant environment, milk, and retail points, suggesting that surfaces in contact with food would be the most common source of contamination, although it is more common than raw or inadequate pasteurized milk (Moreno-Enriquez et al., 2007Moreno-Enriquez, R. I., Garcia-Galaz, A., Acedo-Felix, E., Gonzalez-Rios, H., Call, J. E., Luchansky, J. B., & Diaz-Cinco, M. E. (2007). Prevalence, types, and geographical distribution of Listeria monocytogenes from a survey of retail Queso Fresco and associated cheese processing plants and dairy farms in Sonora, Mexico. Journal of Food Protection, 70(11), 2596-2601. http://dx.doi.org/10.4315/0362-028X-70.11.2596. PMid:18044440.
http://dx.doi.org/10.4315/0362-028X-70.1...
; Rosas-Barbosa et al., 2014Rosas-Barbosa, B. T., Luis-Juan Morales, A., Alaniz-de la O., R., Ramírez-Álvares, A., Soltero-Ramos, J. P., de la Mora-Quiroz, R., Martin, P., & Jacquet, C. (2014). Presence and persistence of Listeria in four artisanal cheese plants in Jalisco, Mexico. E-Cucba, 2, 3-37. https://doi.org/10.32870/e-cucba.v0i0.17.
https://doi.org/10.32870/e-cucba.v0i0.17...
; Kousta et al., 2010Kousta, M., Mataragas, M., Skandamis, P., & Drosinos, E. H. (2010). Prevalence and source of cheese contamination with pathogens at farm and processing levels. Food Control, 21(6), 805-815. http://dx.doi.org/10.1016/j.foodcont.2009.11.015.
http://dx.doi.org/10.1016/j.foodcont.200...
; O’Brien et al., 2009O’Brien, M., Hunt, K., McSweeney, S., & Jordan, K. (2009). Ocurrance of foodborne pathogens in Iris farmhouse cheese. Food Microbiology, 26(8), 910-914. http://dx.doi.org/10.1016/j.fm.2009.06.009. PMid:19835780.
http://dx.doi.org/10.1016/j.fm.2009.06.0...
).

Salmonella spp. was present in 8 cheese samples (8.88%). Five were fresh cheeses made with raw milk acquired at ST; the remaining three samples were acquired at CGS, two Chihuahua cheeses made with pasteurized milk and one Ranchero cheese made from raw milk. The pasteurization of milk is one of the most effective measures to prevent microbial contamination. It has been widely reported that the consumption of raw milk cheeses is microbiologically unsafe (Gould et al., 2014Gould, L. H., Mungai, E., & Barton Behravesh, C. (2014). Outbreak attributed to cheese: differences betweem outbreaks caused by unpasteurized and pasteurized dairy products, United States., 1998-2011. Foodborne Pathogens and Disease, 11(7), 545-551. http://dx.doi.org/10.1089/fpd.2013.1650. PMid:24750119.
http://dx.doi.org/10.1089/fpd.2013.1650...
; Alcázar-Montañez et al., 2006; MacDonald et al., 2005MacDonald, P. D., Whitwam, R. E., Boggs, J. D., MacCormack, J. N., Anderson, K. L., Reardon, J. W., Saah, J. R., Graves, L. M., Hunter, S. B., & Sobel, J. (2005). Outbreak of listeriosis among Mexican inmigrants as a result of consumption of illicity produced Mexican-style cheese. Clinical Infectious Diseases, 40(5), 677-682. http://dx.doi.org/10.1086/427803. PMid:15714412.
http://dx.doi.org/10.1086/427803...
; Torres-Vitela et al., 2012Torres-Vitela, M. R., Mendoza-Bernardo, M., Castro-Rosas, J., Gomez-Aldapa, C. A., Garay-Martinez, L. E., Navarro-Hidalgo, V., & Villarruel-López, A. (2012). Incidence of Salmonella, Listeria monocytogenes, Escherichia coli 0157:H7, and Staphylococcal enterotoxin in two types of Mexican Fresh cheeses. Journal of Food Protection, 75(1), 79-84. http://dx.doi.org/10.4315/0362-028X.JFP-11-258. PMid:22221358.
http://dx.doi.org/10.4315/0362-028X.JFP-...
; Villar et al., 1999Villar, R. C., Macek, M. D., Simons, S., Hayes, P. S., Goldoft, M. J., Lewis, J. H., Rowan, L. L., Hursh, D., Patnode, M., & Mead, P. S. (1999). Investigation of multidrug-resistant Salmonella serotype typhimurium DT104 infections linked to raw-milk cheese in Washington State. Journal of the American Medical Association, 281(19), 1811-1816. http://dx.doi.org/10.1001/jama.281.19.1811. PMid:10340368.
http://dx.doi.org/10.1001/jama.281.19.18...
). Meanwhile, the presence of Salmonella in cheese is a result of insufficient pasteurization (D’Aoust, Warburton & Sewell, 1985D’Aoust, J. Y., Warburton, D. W., & Sewell, A. M. (1985). Salmonella typhimurium phage-type 10 from cheddar cheese implacated in a major Canadian foodborne outbreack. Journal of Food Protection, 48(12), 1062-1066. http://dx.doi.org/10.4315/0362-028X-48.12.1062. PMid:30939718.
http://dx.doi.org/10.4315/0362-028X-48.1...
).

Mexican fresh cheeses have had a high incidence of Salmonella spp. and, therefore, foodborne outbreaks (Cody et al., 1999Cody, S. H., Abbott, S. L., Marfin, A. A., Schulz, B., Wagner, P., Robbins, K., Mohle-Boetani, J. C., & Vugia, D. J. (1999). Two outbreaks of multidrug-resistant Salmonella serotype typhimurium DT104 infectios linked to raw-milk cheese in northen California. Journal of the American Medical Association, 281(19), 1805-1810. http://dx.doi.org/10.1001/jama.281.19.1805. PMid:10340367.
http://dx.doi.org/10.1001/jama.281.19.18...
; Gould et al., 2014Gould, L. H., Mungai, E., & Barton Behravesh, C. (2014). Outbreak attributed to cheese: differences betweem outbreaks caused by unpasteurized and pasteurized dairy products, United States., 1998-2011. Foodborne Pathogens and Disease, 11(7), 545-551. http://dx.doi.org/10.1089/fpd.2013.1650. PMid:24750119.
http://dx.doi.org/10.1089/fpd.2013.1650...
; Torres-Vitela et al., 2012Torres-Vitela, M. R., Mendoza-Bernardo, M., Castro-Rosas, J., Gomez-Aldapa, C. A., Garay-Martinez, L. E., Navarro-Hidalgo, V., & Villarruel-López, A. (2012). Incidence of Salmonella, Listeria monocytogenes, Escherichia coli 0157:H7, and Staphylococcal enterotoxin in two types of Mexican Fresh cheeses. Journal of Food Protection, 75(1), 79-84. http://dx.doi.org/10.4315/0362-028X.JFP-11-258. PMid:22221358.
http://dx.doi.org/10.4315/0362-028X.JFP-...
). However, the statistics of foodborne outbreaks, due to the consumption of cheese, in Mexico would be higher than those reported since the health department does not oblige physicians to report cases of this type of illnesses they treat. Obtaining this data then represents a challenge for those interested. In Brazil, the website Reclame Aquí was successfully created, this page being a communication channel between the industry and the final consumer, and is currently the 33 most visited website in Brazil; in a span of 4 years they received 515 quality complaints of dairy products. This page has been used successfully to investigate the incidence of physical contamination in dairy products (Aguiar et al., 2018Aguiar, R. S., Esmerino, E. A., Rocha, R. S., Pimentel, T. C., Alvarenga, V. O., Freitas, M. Q., Silva, M. C., Sant’Ana, A. S., Silva, A. C. O., & Cruz, A. G. (2018). Physical hazards in dairy products: incidence in a consumer complaint website in Brazil. Food Control, 86, 66-70. http://dx.doi.org/10.1016/j.foodcont.2017.11.020.
http://dx.doi.org/10.1016/j.foodcont.201...
). The opinion of consumers is important because it is an indicator of the hygienic and sanitary quality of dairy products, which affects the credibility of the food industry.

Some of the cheeses that were found in the sampled points, mainly rancheros cheeses, come from artisan cheese producers. In Mexico, to our knowledge, there is no research pertaining to the perceptions and knowledge that artisan cheese producers have about the sanitary rules of food management. This is important because even when artisan cheese producers recognize biological hazards (L. monocytogenes, E. coli, Salmonella spp., and S. aureus), the potential sources of these and the impact they have on health of the consumer and in the business. They also recognize that there are various barriers to compliance with sanitary regulations, such as the documentation required by various plans (for example, HACCP) and the need for additional resources to be in compliance with them (Le et al., 2014Le, S., Bazger, W., Hill, A. R., & Wilcock, A. (2014). Awareness and perceptions of food safety of artisan cheese makers in southwestern Ontario: A qualitative study. Food Control, 41, 158-167. http://dx.doi.org/10.1016/j.foodcont.2014.01.007.
http://dx.doi.org/10.1016/j.foodcont.201...
). However, it has been found that the implementation of good manufacturing practices, by itself, helps increase the percentage of compliance with regulations (Costa Dias et al., 2012Costa Dias, M. A., Sant’Ana, A. S., Cruz, A. G., Faria, J. F., Oliveira, A. A. F., & Bona, E. (2012). On the implementation of good manufacturing practices in a small processing unity of mozzarella cheese in Brazil. Food Control, 24(1-2), 199-205. http://dx.doi.org/10.1016/j.foodcont.2011.09.028.
http://dx.doi.org/10.1016/j.foodcont.201...
). In a mozzarella cheese processing plant, where 60% of the non-conformities were due to non-compliance in relation to personnel hygiene, the implementation of good manufacturing practices that included: GMP training (personnel hygiene, chemical handling for sanitization) and the use of posters highlighting hygienic practices during the process, such as hand washing, proper use of sanitary and hygiene of uniforms, reduced this percentage of non-compliance by half (Costa Dias et al., 2012Costa Dias, M. A., Sant’Ana, A. S., Cruz, A. G., Faria, J. F., Oliveira, A. A. F., & Bona, E. (2012). On the implementation of good manufacturing practices in a small processing unity of mozzarella cheese in Brazil. Food Control, 24(1-2), 199-205. http://dx.doi.org/10.1016/j.foodcont.2011.09.028.
http://dx.doi.org/10.1016/j.foodcont.201...
). Likewise, factors that have been associated with the presence of S.aureus, E.coli, L.monocytogenes and Salmonella spp., are those related to the handling or manipulation, type of milk (pasteurized or raw) and the knowledge they present. employees about various aspects of cheese making such as microbiology of cheeses, hygiene practices and cleaning programs (Carrascosa et al., 2016Carrascosa, C., Millán, R., Saavedra, P., Jaber, J. R., Raposo, A., & Sanjuán, E. (2016). Identification of the risk factors associated with cheese production to implement the hazard analysis and critical control points (HACCP) system on cheese farms. Journal of Dairy Science, 99(4), 2606-2616. http://dx.doi.org/10.3168/jds.2015-10301. PMid:26851842.
http://dx.doi.org/10.3168/jds.2015-10301...
). This is important because most of the medium and small producers of cheese in Mexico do not have financing for the implementation of food safety programs, which are costly; however, most could access training in good manufacturing practices.

5 Conclusion

The results reveal that most cheeses, regardless of the retail point, did not conform to Mexican standards. Surprisingly, although supermarkets follow strict hygienic codes and regulations, Ranchero cheeses from these retail points were not microbiologically different from those from street markets and convenience grocery stores. The high numbers of total and faecal coliforms show the contamination of the product, either by the raw materials or by flaws in the production or commercialization process before reaching the consumer. The high count of mould and yeast shows poor sanitary conditions of the production practices. The presence of S. aureus represents a potential risk to the health of the consumed. Most dairies should implement and maintain a food safety plan that contains a risk analysis, preventive controls, monitoring procedures and a plan of corrective actions, this must also contain a training program on good manufacturing practices for their employees. Thus, one of the main challenges of the cheese industry is to ensure the training of personnel. Likewise is important to assess the cheese chain process thoroughly, from the milk to the plate.

  • Practical Applications: The assessment of the microbial quality of cheeses from different retail points in México describes the potential risk that the cheeses might represent for the consumer. The results must also be considered when issuing public policies that aim to protect the health of the population.

References

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Publication Dates

  • Publication in this collection
    06 June 2019
  • Date of issue
    Dec 2019

History

  • Received
    03 Oct 2018
  • Accepted
    28 Feb 2019
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