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This report analyzes food import shipments that were refused entry into the United States by the U.S. Food and Drug Administration (FDA) from 2005 to 2013 and assesses patterns in import refusals. It highlights which products are most often found in violation, identifies the most common types of violations, and discusses countryproduct patterns of note and changes in import refusal patterns over time. The industry group with the most shipments refused over 2005-13 was fishery and seafood products, with 20.5 percent of refused shipments. This was followed by vegetables/vegetable products (16.1 percent) and fruit/fruit products (10.5 percent). The share of refusals for fishery/seafood products was slightly higher over 2005-2013 than over 1998-2004, while the shares for vegetables and fruit both decreased. The share of refusals for spices, flavors, and salts increased substantially, with more than one-third of refusals originating from India. Sanitary violations were the most common reason for a shipment refusal in both fishery/seafood products and fruit/fruit products, whereas pesticide residues were the most common violation for vegetables. FDA inspectors target certain firms or product categories that are prone to greater risks, so records do not represent a random sample of all U.S. food imports.