What is a food-borne illness?
Food-borne illness often shows itself as flu-like symptoms such as nausea, vomiting, diarhhoea, or fever, so many people may not recognise the illness is caused by bacteria or other pathogens on 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 yoghurt.
Bacteria that cause disease are called “pathogens.” When certain pathogens enter the food supply, they can cause food-borne illness. Only a few types cause millions of cases of food-borne illness each year. Ironically, most cases of food-borne illness can be prevented. Proper cooking or processing of food destroys bacteria. They can grow in just about any food, but are fond of protein foods, such as meat, poultry, seafood, eggs, and dairy products in particular, as well as high-protein vegetables such as beans and grains.
How bacteria get in food
1. Bacteria may be present on products when you purchase them. Raw meat, poultry, seafood, and eggs are not sterile. Neither is produce such as lettuce, tomatoes, sprouts, and melons.
2. Foods, including safely cooked, ready-to-eat foods, can become cross-contaminated with bacteria introduced on raw products, meat juices, or other contaminated products, or by poor personal hygiene.
The “danger zone”
Bacteria multiply rapidly between 4° and 60° C','40° and 140° F'. To keep food out of this “danger zone,” keep cold food cold and hot food hot.
- Store food in the refrigerator ('4° C'); or below) or freezer ('-17° C','0° F'); or below).
- Cook food to ,'71° C','160° F','63° C','145° F' for roasts, steaks, and chops of beef, veal, and lamb).
- Maintain hot cooked food at '60° C'.
- Reheat cooked food to 74° C.
Which Bacteria are Responsible for Food-borne Illness?
Some bacteria cause more serious illness than others, but only a few are responsible for the majority of cases. Below is information regarding nine prominent bacteria.
Campylobacter jejuni
Found: intestinal tracts of animals and birds, raw milk, untreated water, and sewage sludge.
Transmission: contaminated water, raw milk, and raw or under-cooked meat, poultry, or shellfish.
Symptoms: fever, headache, and muscle pain followed by diarhhoea (sometimes bloody), abdominal pain and nausea that appear 2 to 5 days after eating; may last 7 to 10 days.
Clostridium botulinum
Found: widely distributed in nature: in soil and water, on plants, and in intestinal tracts of animals and fish. Grows only in little or no oxygen.
Transmission: bacteria produce a toxin that causes illness. Improperly canned foods, garlic in oil, and vacuum-packaged and tightly wrapped food.
Symptoms: toxin affects the nervous system. Symptoms usually appear within 18 to 36 hours, but can sometimes appear within 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
Found: soil, dust, sewage, and intestinal tracts of animals and humans. Grows only in little or no oxygen.
Transmission: 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.
Symptoms:diarhhoea 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
Found: intestinal tracts of some mammals, raw milk, unchlorinated water; one of several strains of E. coli that can cause human illness.
Transmission: contaminated water, raw milk, raw or rare ground beef, unpasteurized apple juice or cider, uncooked fruits and vegetables; person-to-person.
Symptoms: diarhhoea or bloody diarhhoea, 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. A similar illness, thrombotic thrombocytopenic purpura (TTP), may occur in older adults.
Salmonella (over 1600 types)
Found: intestinal tract and feces of animals; Salmonella enteritidis in raw eggs.
Transmission: raw or undercooked eggs, poultry, and meat; raw milk and dairy products; seafood.
Symptoms: stomach pain, diarhhoea, nausea, chills, fever, and headache usually appear 6 to 48 hours after eating; may last 1 to 2 days.
Streptococcus A
Found: noses, throats, pus, sputum, blood, and stools of humans.
Transmission: people-to-food from poor hygiene, ill food handlers, or improper food handling; outbreaks from raw milk, ice cream, eggs, lobster, salads, custard, and pudding allowed to stand at room temperature for several hours between preparation and eating.
Symptoms: sore throat, painful swallowing, tonsillitis, high fever, headache, nausea, vomiting, malaise; occurs 1 to 3 days after eating, lasting a few days to about a week.
Listeria monocytogenes
Found: intestinal tracts of humans and animals, milk, soil, leaf vegetables, and processed foods; can grow slowly at refrigerator temperatures.
Transmission: soft cheese, raw milk, improperly processed ice cream, raw leafy vegetables, meat, and poultry. Illness caused by bacteria that do not produce toxin.
Symptoms: fever, chills, headache, backache, sometimes abdominal pain and diarhhoea; 12 hours to 3 weeks after ingestion; may later develop more serious illness (meningitis or spontaneous abortion in pregnant women); sometimes just fatigue.
Shigella (over 30 types)
Found: human intestinal tract; rarely found in other animals.
Transmission: 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.
Symptoms: disease referred to as “shigellosis” or bacillary dysentery. Diarhhoea containing blood and mucus, fever, abdominal cramps, chills, vomiting; 12 to 50 hours from ingestion of bacteria; can last a few days to 2 weeks. Sometimes, no symptoms seen.
Staphylococcus aureus
Found: on humans (skin, infected cuts, pimples, noses, and throats).
Transmission: people-to-food through improper handling. Multiply rapidly at room temperature to produce a toxin that causes illness.
Symptoms: severe nausea, abdominal cramps, vomiting, and diarhhoea occur 1 to 6 hours after eating; recovery within 2 to 3 days—longer if severe dehydration occurs.
