The outbreak is the first since 2015. The impact on the domestic poultry industry has been so severe that the US will import egg products from the Netherlands for the first time in more than a decade. Up until now only Canada's liquid egg products have been certified for sale in the US. The DOA's Food Safety Inspection Service has determined the Netherland's food safety system is equivalent to the United States and is able to insure product standards meet US regulations. Consumers have responded to the egg shortages by buying more expensive organic and cage-free eggs, which is also better for the chickens.