Abstract
The Caribbean is a net importer of food, and with billions of dollars' worth of food products being imported each year, territorial governments are now seeking to encourage local production of foods in an attempt to stem the loss of foreign exchange from these economies with little resilience. The Caribbean, however, lacks the comprehensive food safety system that should be a corollary to successful food production. Regional authorities underestimate the burden of foodborne diseases especially on its workforce and major economic base, the tourism industry. Anecdotally after every mass event in the region, many officially unreported cases of gastroenteritis are recognized. This short communication makes the argument of the importance of food borne illnesses specific to the Caribbean, and improvements that could be made to surveillance to reduce negative outcomes associated with the food supply chain.