The Pure Food and Drug Act of 1906 was the first US law to provide federal inspection of meat products and prohibit adulterated food. Upton Sinclair's book The Jungle had unintentionally increased public support for this law. Today, the CDC estimates 48 million cases of foodborne illness annually in the US, resulting in over 3,000 deaths. Outbreaks in the 1990s sickened hundreds and led to increased public pressure and policy changes to improve food safety. However, outbreaks continued into the 2000s, showing that more work was still needed to build an even safer food system. Stakeholders from industry, government and the public need to continue collaborating to make further reductions in foodborne illness.