Outbreaks & Recalls

Raw Milk in Pennsylvania Likely Responsible for Uptick in Pediatric Salmonella Cases Across the State

Raw milk in Pennsylvania could be responsible for many cases of Salmonella infection in children across the state, says Pennsylvania Department of Health.

The Department issued a Health Advisory, putting healthcare workers and local health departments on alert of the observed trend. Additional instructions were provided for how these cases should be handled.

What does this mean?

A Salmonella outbreak linked to raw milk in Pennsylvania is likely, and/or ongoing.

Here’s what we know so far, and what you should do if you become sick.

Pennsylvania Department of Health Warns About Pediatric Cases of Salmonella Associated with Raw Milk in Pennsylvania

On September 15, 2025, the Pennsylvania Department of Health issued a Health Advisory for “Statewide Increase in Salmonellosis Cases who Reported Raw Milk Consumption in Pennsylvania,” distributing this missive throughout its network.

“The Pennsylvania Department of Health has identified an increase in the percentage of salmonellosis cases in 2025 that reported consuming raw or unpasteurized milk prior to illness onset compared to the previous 5 years.”

Those receiving the Advisory were given the following instructions:

  • HOSPITALS: Please share with all medical, pediatric, infection control, nursing, and laboratory staff in your hospital
  • EMS COUNCILS: Please distribute as appropriate
  • FQHCs: Please distribute as appropriate
  • LOCAL HEALTH JURISDICTIONS: Please distribute as appropriate

The most alarming finding involved occurrence in children.

“The observed increase in raw milk consumption among salmonellosis cases was particularly high among pediatric salmonellosis cases.

Those experiencing the highest rates include the southeast, south central, and north central regions of Pennsylvania.

Raw Milk Is Legal in Pennsylvania

It is legal to buy and sell raw (unpasteurized) milk in the state of Pennsylvania. As long as the seller holds an active Pennsylvania Department of Health permit.

“In Pennsylvania, raw milk sales from permitted dairies is legal”

These dairies must comply with state mandated testing.

Twice monthly, certain bacterial count, coliform count, and drug testing is required. However, pathogenic bacteria testing is only required from a batch every six months. This includes harmful germs like Salmonella, Listeria monocytogenes, Campylobacter, and E. coli 0157:H7.

What is Raw Milk and Why Should Pennsylvania Residents Be Concerned?

Raw milk is milk that has not undergone pasteurization. A heat step designed to kill harmful germs.

Pasteurization is a widely used process dating back to 1864, where the namesake inventor, Louis Pasteur discovered a way to treat beverages to kill harmful microorganisms that are responsible for diseases such as listeriosis, typhoid fever, tuberculosis, diphtheria, Q fever, and brucellosis.

The original purpose was to help increase the shelf life of things like beer, wine, and other beverages. However, it is most commonly associated with milk. As a result, the number of milk-related outbreaks has dropped from the 25% of annual outbreaks prior to mainstream pasteurization to only 1% now. It is important to note that of that 1%, 70% of those outbreaks were linked to raw milk.

Pasteurization involves heating the liquid to a minimum temperature of 145 °F for at least 30 minutes. Other methods have been developed to achieve this same result faster.

For example, one modern procedure is known as continuous flow pasteurization. This method involves heating at a High-Temperature, Short Time (HSTS) parameter. This method increases the temperature to 161 °F, but shortens the required time to just 15 seconds.

There are other pasteurization methods as well. Some extend the time and heat to a lower temperature. Others increase both for “ultra pasteurization” that allows milk to have an even longer shelf life.

All while killing harmful germs like Salmonella. But Salmonella isn’t the only bacteria to look out for.

Salmonella Isn’t the Only Risk for Raw Milk in Pennsylvania!

There are several other germs commonly associated with raw milk that can cause preventable illnesses and diseases.

Other illnesses caused by raw milk pathogens may include:

  • Listeriosis (the illness associated with Listeria infection)
  • Salmonellosis (the illness associated with Salmonella infection)
  • Typhoid fever (the illness associated with Salmonella typhi bacteria)
  • Campylobacteriosis (the illness associated with Campylobacter infection)
  • Brucellosis (the illness associated with Brucella infection)
  • Tuberculosis (the illness associated with Mycobacterium tuberculosis infection)
  • Diptheria (the illness associated with Cornyebacterium diphtheriae infection)

Milk pasteurization is internationally recognized as an effected means of preventing foodborne illness outbreaks, including salmonellosis. But unfortunately, raw/unpasteurized milk is the common factor in these reported illnesses.

What Is Salmonella and How Bad Is It?

Symptoms of Salmonella infection usually include diarrhea, stomach cramps, and fever.

People usually begin feeling sick anywhere from 6 hours to 6 days after exposure. Most of the time people feel better within a week.

Most normally healthy people generally recover on their own without medical assistance and are not recommended to take antibiotics unless illness becomes severe. This practice is in place to reduce the risk of spreading antibiotic-resistant strains. Severity, however, can vary from person to person.

In some cases, the germ can get into the bloodstream and cause additional, potentially life-threatening complications. You may develop arterial infections (infected aneurysms, endocarditis, or a condition known as reactive arthritis that can persist long-term).

Who is Most at Risk When It Comes to Raw Milk Contamination

Anyone consuming potentially contaminated raw milk can become sick. But certain people are more vulnerable to becoming sick when exposed to germs in contaminated raw milk.

These people include:

  • Adults 65 years or older
  • Pregnant women
  • People with a weakened immune system (such as those with a blood disorder, with AIDS, or receiving chemotherapy)

Everyone should consider the significant health risks associated with raw milk.

Pennsylvania Department of Health Urges Health Care Providers to Test for Salmonellosis and Enteric Pathogens

With the recent uptick of pediatric Salmonella infections related to raw milk in Pennsylvania, the Department of Health is urging health care providers to be vigilant.

The Department requests that health care providers “maintain a high index of suspicion for salmonellosis or other enteric pathogens” in patient, especially young children, with these types of symptoms. Even more so in those who report consuming raw or unpasteurized milk or milk processing.

Culture tests are requested, as this method not only provides results that include the germ causing the illness, but also allows for bacterial isolates for later whole genome sequencing. This technology is useful in connecting genetically similar cases and better understand an outbreak.

What Should You Do If You Consumed Raw Milk in Pennsylvania?

If you have consumed potentially contaminated raw milk in Pennsylvania, there are a few things you should do.

Monitor for Symptoms

If you have consumed potentially contaminated raw milk, you may become sick. In some cases, it could take a week or more for symptoms to appear. Seek medical attention if you become sick. Even if you are not severely ill. Your sample may be linked to a potential outbreak investigation.

Retain Packaging and Receipts if Possible

If you still have it, retain packaging and receipts if possible. Your purchase may help investigators narrow or widen the scope of the investigation. Your assistance may be able to help prevent others from becoming sick.

Get Advice from a Listeria Lawyer

Finally, reach out to a Salmonella lawyer. Salmonellosis can cause serious illness and loss. A Salmonella Lawyer can help answer questions, investigate your illness, and file a claim to recover the financial burden associated with your illness.

The Lange Law Firm Can Help!

The Lange Law Firm, PLLC has recovered millions of dollars for families with cases just like yours. With a specialty in contamination, products liability, and food safety cases, you can trust the Salmonella and Raw Milk Lawyers of The Lange Law Firm, PLLC to navigate this complicated legal process on your behalf.

They know the questions to ask, the information to obtain, and how to build your case. Their compassionate team will help you through this unfortunate situation and get you the justice you deserve.

Don’t wait! Contact The Lange Law Firm, PLLC today!

Call (833) 330-3663 or click here to fill out an online submission form to get started today with a free consultation.

By: Heather Van Tassell (contributing writer, non-lawyer)

Heather Van Tassell

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