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Which of the following is NOT a major food borne illness?

  1. Nontyphoidal Salmonella

  2. Escherichia coli

  3. Norovirus

  4. Lyme disease

The correct answer is: Lyme disease

Lyme disease is not classified as a major foodborne illness because it is primarily transmitted through ticks, not through the consumption of contaminated food or water. Foodborne illnesses are typically caused by pathogens that contaminate food and are ingested, leading to gastrointestinal issues and other health problems. In contrast, nontyphoidal Salmonella, Escherichia coli, and Norovirus are all well-documented causes of foodborne illnesses, often associated with improper handling, cooking, or food storage practices. These pathogens can lead to outbreaks that affect large numbers of people, highlighting the importance of food safety practices in preventing illness.