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Foodborne
Illness: What Consumers
Need to Know |
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What Is Foodborne
Illness?
Foodborne illness often presents itself as flu-like symptoms
such as nausea, vomiting, diarrhea, or fever, so many people
may not recognize the illness is caused by bacteria or other
pathogens in food.
Thousands of types of bacteria are naturally present in our
environment. Not all bacteria cause disease in humans. For example,
some bacteria are used beneficially in making cheese and yogurt.
Bacteria that cause disease are called pathogens. When certain
pathogens enter the food supply, they can cause foodborne illness.
Millions of cases of foodborne illness occur each year. Most
cases of foodborne illness can be prevented. Proper cooking
or processing of food destroys bacteria.
Age and physical condition place some persons at higher risk
than others, no matter what type of bacteria is implicated.
Very young children, pregnant women, the elderly and people
with compromised immune systems are at greatest risk from any
pathogen. Some persons may become ill after ingesting only a
few harmful bacteria; others may remain symptom free after ingesting
thousands.
How Bacteria Get in Food
Bacteria may be present on products when you purchase them.
Plastic-wrapped boneless chicken breasts and ground meat, for
example, were once part of live chickens or cattle. Raw meat,
poultry, seafood, and eggs are not sterile. Neither is fresh
produce such as lettuce, tomatoes, sprouts, and melons.
Foods, including safely cooked, ready-to-eat foods, can become
cross-contaminated with bacteria transferred from raw products,
meat juices or other contaminated products, or from food handlers
with poor personal hygiene.
The "Danger Zone"
Bacteria multiply rapidly between 40 °F and 140 °F.
To keep food out of this "Danger Zone," keep cold food
cold and hot food hot.
- Store food in the refrigerator (40 °F or below) or
freezer (0 °F or below).
- Cook food to a safe minimum internal temperature.
- Beef, veal, and lamb steaks, roasts, and chops may
be cooked to 145 °F.
- All cuts of pork to 160 °F.
- Ground beef, veal and lamb to 160 °F.
- All poultry should reach a safe minimum internal temperature
of 165 °F.
- Maintain hot cooked food at 140 °F or above.
- When reheating cooked food, reheat to 165 °F.
In Case of Suspected Foodborne Illness
Follow these general guidelines:
- Preserve the evidence. If a portion of
the suspect food is available, wrap it securely, mark "DANGER"
and freeze it. Save all the packaging materials, such as
cans or cartons. Write down the food type, the date, other
identifying marks on the package, the time consumed, and
when the onset of symptoms occurred. Save any identical
unopened products.
- Seek treatment as necessary. If the victim
is in an "at risk" group, seek medical care immediately.
Likewise, if symptoms persist or are severe (such as bloody
diarrhea, excessive nausea and vomiting, or high temperature),
call your doctor.
- Call the local health department if the
suspect food was served at a large gathering, from a restaurant
or other food service facility, or if it is a commercial
product.
- Call the USDA Meat and Poultry Hotline
if the suspect food is a USDA-inspected product and you
have all the packaging.
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Bacteria that Causes Foodborne Illness |
Bacteria |
Found |
Transmission |
Symptoms |
Campylobacter
jejuni |
intestinal tracts of animals and
birds, raw milk, untreated water, and sewage sludge. |
Contaminated water, raw milk, and
raw or undercooked meat, poultry, or shellfish. |
Fever, headache and muscle pain
followed by diarrhea (sometimes bloody), abdominal pain, and
nausea that appear 2 to 5 days after eating; may last 7 to 10
days. |
Clostridium
Botulinum |
Widely distributed in nature; soil,
water, on plants, and intestinal tracts of animals and fish.
Grows only in little or no oxygen. |
Bacteria produce a toxin that causes
illness. Improperly canned foods, garlic in oil, vacuum-packed
and tightly wrapped food. |
Toxin affects the nervous system.
Symptoms usually appear 18 to 36 hours, but can sometimes appear
as few as 4 hours or as many as 8 days after eating; double
vision, droopy eyelids, trouble speaking and swallowing, and
difficulty breathing. Fatal in 3 to 10 days if not treated. |
Clostridium
perfringens |
Soil, dust, sewage, and intestinal
tracts of animals and humans. Grows only in little or no oxygen. |
Called "the cafeteria germ" because
many outbreaks result from food left for long periods in steam
tables or at room temperature. Bacteria destroyed by cooking,
but some toxin-producing spores may survive. |
Diarrhea and gas pains may appear
8 to 24 hours after eating; usually last about 1 day, but less
severe symptoms may persist for 1 to 2 weeks. |
Escherichia coli
O157:H7 |
Intestinal tracts of some mammals,
raw milk, unchlorinated water; one of several strains of E.
coli that can cause human illness. |
Contaminated water, raw milk, raw
or rare ground beef, unpasteurized apple juice or cider, uncooked
fruits and vegetables; person-to-person. |
Diarrhea or bloody diarrhea, abdominal
cramps, nausea, and malaise; can begin 2 to 5 days after food
is eaten, lasting about 8 days. Some, especially the very young,
have developed hemolytic-uremic syndrome (HUS) that causes acute
kidney failure.
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Listeria
monocytogenes |
Intestinal tracts of humans and
animals, milk, soil, leaf vegetables; can grow slowly at refrigerator
temperatures. |
Ready-to-eat foods such as hot dogs,
luncheon meats, cold cuts, fermented or dry sausage, and other
deli-style meat and poultry, soft cheeses and unpasteurized
milk. |
Fever, chills, headache, backache,
sometimes upset stomach, abdominal pain and diarrhea; may take
up to 3 weeks to become ill; may later develop more serious
illness in at-risk patients (pregnant women and newborns, older
adults, and people with weakened immune systems). |
Salmonella
(over 2300 types) |
Intestinal tracts and feces of animals;
Salmonella Enteritidis in eggs. |
Raw or undercooked eggs, poultry,
and meat; raw milk and dairy products; seafood, and food handlers. |
Stomach pain, diarrhea, nausea,
chills, fever, and headache usually appear 8 to 72 hours after
eating; may last 1 to 2 days. |
Shigella
(over 30 types) |
Human intestinal tract; rarely found
in other animals. |
Person-to-person by fecal-oral route;
fecal contamination of food and water. Most outbreaks result
from food, especially salads, prepared and handled by workers
using poor personal hygiene. |
Disease referred to as "shigellosis"
or bacillary dysentery. Diarrhea containing blood and mucus,
fever, abdominal cramps, chills, and vomiting; 12 to 50 hours
from ingestion of bacteria; can last a few days to 2 weeks. |
Staphylococcus
aureus |
On humans (skin, infected cuts,
pimples, noses, and throats). |
Person-to-person through food from
improper food handling. Multiply rapidly at room temperature
to produce a toxin that causes illness. |
Severe nausea, abdominal cramps,
vomiting, and diarrhea occur 1 to 6 hours after eating; recovery
within 2 to 3 days -- longer if severe dehydration occurs. |
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Last Modified:
April 3, 2006 |
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