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What You Should Know About Foodborne Illness
 
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In Asia, we are lucky to have a wide variety of both fresh and processed foods available all year round. And the choices increase all the time!

Modern methods of food production including agriculture, food processing, biotechnology and transportation systems ensure the availability of a safe and plentiful food supply. Strict regulations safeguard the food supply and minimise potential health risks.

In spite of advances in food variety, convenience and quality, cases of disease caused by foodborne illness (often called food poisoning) are on the rise globally. In many cases, we have only ourselves to blame. According to the Food and Agriculture Organization (FAO) of the United Nations, among the most important causes of foodborne illness are errors in food handling and preparation at home, restaurants or other eating-places. This brochure outlines what everyone needs to know about how best to protect themselves from foodborne illness.

What causes foodborne illness?

The most common causes of foodborne illnesses are bacteria. Foods may also be contaminated with parasites, viruses and chemicals including natural toxins. It is important to note that you cannot tell if a food contains any of these contaminants by looking at it, smelling it or tasting it. However, proper hygiene and correct food handling practices can prevent most cases of food poisoning.

What are the symptoms of foodborne illness?

Symptoms can vary depending on the type of bacteria or pa-rasite responsible, the level of toxin ingested and differences in an individual's reaction. Symptoms may start within an hour of eating contaminated food however, in some cases, symptoms do not appear for several hours, or even days. Most food poisoning symptoms last for a day or two. Symptoms include:

Muscle aching tiredness
Dizziness stomach upset
Vomiting diarrhoea
Mild fever chills
Headaches severe cramps
Problems with vision  

How can I prevent food-borne illness?

To help prevent foodborne illness the following basic rules of food handling and preparation are recommended, which are in line with the Codex Alimentarius Basic Principles for Food Hygiene.

Purchase and transport

  • Always check the "Use-By" or "Best Before" date marking on packaged foods.
  • Do not purchase dairy products or products marked as "Keep Chilled" or "Keep Frozen" that have not been stored under refrigeration.
  • Make sure the packaging on foods is not damaged. Avoid dented and bloated cans, torn or warped packaging and damaged safety seals.
  • Check that the retailer keeps raw and cooked products apart and uses different utensils for each.
  • Take food that needs refrigeration home quickly and place it in the refrigerator or freezer promptly.

Storage

  • Avoid contact between raw and cooked foods. This reduces the risk of cross-contamination (bacteria passing from one food to another). Store raw meats, poultry and fish near the bottom of the refrigerator and cooked foods on higher shelves.
  • Store foods wrapped or in covered containers in the refrigerator.
  • Do not put hot food in the refrigerator as it will cause the temperature to rise.
  • Store canned foods in a clean, cool, dry place.
  • Protect food from insects, rodents and other animals.

Food Preparation

  • Always wash your hands in hot, soapy water before and after handling food.
  • Do not prepare food for others if you are feeling unwell.
  • Keep all kitchen surfaces clean by washing with hot soapy water and disinfectant to prevent cross-contamination.
  • Wash utensils and boards used in the preparation of foods. Use separate cutting boards and utensils for raw and cooked foods.
  • Wash raw fruit and vegetables thoroughly before eating and further preparation.
  • Only use clean water.
  • Thaw frozen food in the refrigerator and cook it immediately it has thawed. Do not refreeze thawed foods except after cooking.
  • Do not leave raw food that is likely to become contaminated or cooked food at room temperature longer than necessary, and never for more than two hours.

Cooking

  • Cook foods thoroughly to kill any bacteria that may be present. Make sure that frozen foods are thawed thoroughly before cooking. All parts of the food should reach a temperature of at least 75 degrees Celsius. Food should be kept hot and not left standing at room temperature for long periods.
  • Cool cooked foods as quickly as possible (preferably in large shallow pans), then refrigerate. This slows down the growth of bacteria, which occurs best at temperatures between 5 and 60 degrees Celsius (the "danger zone").
  • Reheat cooked foods thoroughly to kill any bacteria, which may have developed during storage.
  • Keep hot food hot and cold food cold.
  • Play it safe. If you are not sure about a food's safety, throw it out rather than risk foodborne illness.

What about food eaten outside of the home?

By taking some simple pre-cautions, you can reduce the risk of foodborne illness when eating foods outside of the home.

  • Always wash your hands well before eating.
  • Choose the restaurant, food stall or eating-place carefully. Make sure the staff are clean and tidy and glasses and cutlery are free of spots and dirt.
  • Hot food should be piping hot and cold food should be kept cold. Avoid places where foods are left at room temperature for long periods of time.
  • If you are in a country where you are unsure about the safety of the food, the golden rule is "boil it, cook it, peel it or forget it". Avoid raw foods, unpeeled fruits and vegetables and products made from unpasteurised milk. Eat only cooked foods that are still steaming hot and fruits and vegetables that you have peeled yourself.
  • Boiled water and canned or bottled beverages are good options if the water supply is not safe to drink. Avoid ice if the water supply is unsafe.

Trouble makers

Among the most common causes of foodborne illness are:

Bacteria

Bacillus cereus - causes diarrhoea or vomiting depending on the types of toxins produced. Associated with contaminated meats, milk, vegetables, fish and rice products.

Campylobacter jejuni - a common cause of diarrhoea. Associated with raw and undercooked meat and poultry, raw milk and unclean water.

Clostridium perfringens - these bacteria grow fastest in foods held at room temperature for long periods of time and cooked foods which are cooled slowly such as buffet dishes, cooked meat and poultry, stews and soups.

Clostridium botulinum - spore-forming bacteria that grow and produce toxin in the absence of oxygen such as in a sealed container or below the surface of the food. Associated with improperly canned low-acid foods (such as vegetables, fish, meat and poultry), smoked fish and poorly handled cooked foods.

Escherichia coli (E.coli) - these bacteria are commonly found in the gut and for the most part are harmless. Some strains can cause diarrhoea. One strain - E.coli 0157:H7 - found in raw or undercooked meat and unpasteurised milk, has been responsible for many deaths

Listeria monocytogenes - commonly found in unpasteurised milk and milk products such as soft cheeses, raw meat, poultry, seafood, vegetables, fermented and smoked meat and fish. This bacteria can cause an illness called "listeriosis". Pregnant women, infants and those with weakened immune systems are most at-risk.

Salmonella - found mostly in undercooked poultry, meat, eggs, fish and unpasteurised milk.

Staphylococcus aureus - carried on the skin, nose, and throat and in skin infections, these bacteria can be spread from the improper handling of food or poor hygiene.

Vibrio parahaemolyticus and other marine vibrio - these bacteria are mainly associated with raw and undercooked fish and shellfish. Vibrio cholerae, which is mainly associated with poor sanitation, can be found in shellfish harvested from faecal-contaminated water. This bacteria produces a toxin which causes cholera.

Parasites

Trichinella spiralis - a parasite found in infected, under-cooked pork or game.

Toxoplasma gondii - another parasite that can cause a condition called "toxoplasmosis". The parasite may be found in undercooked meat and poultry and raw milk. Pregnant women are at particular risk.

Viruses

Hepatitis A virus - this virus can be passed down in foods contaminated by faeces or through shellfish harvested from contaminated waters. Food handlers infected with hepatitis A may also pass on the infection if they don't wash their hands properly before preparing foods.

AFIC appreciates the technical collaboration of the Food and Agriculture Organization (FAO) of the United Nations in the production of this brochure.

 

 

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