From 2010-2016, over 250 outbreaks of gastroenteritis (GE) from 23 countries were reported to the CARPHA, 15% occurring in hotels/resorts, and accounting for over 25,000 cases. One outbreak in 2012 resulted in over 800 ill persons, hotel closure and a 20% decline in arrivals. Investigations of FBD outbreaks have repeatedly demonstrated that they were costly, yet preventable. The root causes of these illnesses were traced to inconsistent attention to existing food and environmental safety standards, inadequately trained staff and a lack of an effective monitoring and reporting system. Reducing the incidence of FBD is, therefore, a continuing challenge to the Caribbean hospitality industry. The most effective tools for preventing foodborne and other illnesses are science-based food safety management, education and training.