|
Feature:
Food Safety Always a Concern
Although the United
States has reduced the incidents of food borne illness, the threat
of disease as a result of unsafe food is still a global concern.
Food borne illness is defined as a disease either toxic or infectious
in nature, caused by substances that enter the body with the consumption
of food.Everyone eats; therefore everyone is at risk.
In the year 2000, an
estimated 2.1 million people died from diarrhoeal disease. Although
food borne illness is mainly considered a problem of the developing
world, this is not true, as 30 % of all cases happen in industrialized
countries. For example, the United States reported approximately
76 million cases of food borne illness resulting in 5000 deaths
annually5.In addition, roughly 2 million Australians
suffer from food borne illness each year1.
Jointly, the Food and
Agriculture Organization (FAO) and the World Health Organization
(WHO) have launched an evaluation of their food standard programs,
including the Codex Alimentarius. The Codex Alimentarius was established
40 years ago and is recognized as the food standards reference for
foodstuff traded under the World Trade Organization7.
Those who are very
young or very old, pregnant woman, or people with weakened immune
systems are at the highest risk. In general, symptoms are flu-like
with nausea, vomiting, diarrhoea or fever3.
Over 250 different
food borne illness have been described. The large percentages are
caused by bacteria, parasites and viruses2. However,
toxins or other agents may be at fault (see insert box “Other Food
Safety Contaminants).
| Other
Food Safety Contaminants5 6 |
|
Natural toxins
Persistent Organic
Pollutants
Metals
|
Aflatoxin,
Ciguatoxin
Dioxins and PCB's
Unusual agents'
(BSE) and association with variant
Creutzfeldt-Jakob disease
Lead, mercury |
Bovine spongiform encephalopathy |
The major food borne
micro-organisms are5 1 3Salmonella
Campylobacter
Escherichia Coli (commonly referred to as E. coli)
Listeria monocytogenes
Cholera
Clostridium perfringens or botulinum
Many types of salmonella
exist. This bacterium is a worldwide problem found in poultry, eggs,
chocolate, other meats, seafood, raw milk and dairy products5
3.Symptoms usually occur in 8 to 72 hours after ingestion
of food.
Campylobacter is also
an international concern. This bacterium is considered the major
cause of food borne illness in Australia1.The bacteria
may be found in contaminated water, raw or undercooked meat, poultry
or seafood, and raw milk. The infections may lead to long term health
concerns, such as neurological disorders and reactive arthritis5.
Many E. coli bacteria
are harmless and naturally found in the digestive tract of humans
and animals. The E. coli 0157 produces a toxin than cause infection
of the colon, which results in bloody diarrhoea. This strain of
E. coli can also cause kidney failure, especially in the very young
where the child develops haemolytic-uremic syndrome (HUS). In adults,
a similar disease known as thrombotic thrombocytopenic purpura (TTP)
may occur3. E. coli 0157 has been found mainly in beef,
sprouts, lettuce and juice5. E. coli contamination may
also occur through contaminated water, raw milk, raw or under cooked
ground beef, uncooked fruits and vegetables, unpasteurized apple
juice or cider, and person to person contact3.
Like E. coli, Listeria
infection is most severe in the very young or old. Listeria infection
has a mortality rate of up to 30 %. Meningitis or miscarriages are
the most frequent effects. Meningitis may also occur in the foetus
or newborn infant. Foods of concern are generally those that have
undergone long term refrigeration5. Foods such as luncheon
meats, hot dogs, fermented or dried sausage, soft cheese and unpasturized
milk can be contaminated. Pinpointing the source of the contamination
may be difficult as the illness may take up to 3 weeks to occur3.
Rapid treatment is essential for survival.
Cholera is generally
associated with developing countries.It is caused by the bacteria
Vibrio cholerae. Water or contaminated foods are the source of the
infection. Severe dehydration accompanies the flu-like symptoms.
Death may occur, unless fluid and salt is replenished5.
Clostridium botulinum
releases a toxin that causes a very severe food borne illness; luckily
the prevalence of this bacterium is rare. Improperly canned food
is the main source of the contaminant. Vacuumed packed food may
also be a source1 3. Symptoms appear generally within
18 to 36 hours of ingestion of the food, but are not flu-like in
nature. Double visions, droopy eyelids, difficulty speaking, swallowing
and breathing are symptomatic of this toxin’s affect on the nervous
system. Medical treatment is required to eliminate fatalities3.
The “cafeteria germ”
is what clostridium perfringens is sometimes referred to. This is
because food borne illness outbreaks are associated with food left
for extended periods of time at room temperature or in steam tables3.
Around
the world different governments, world organizations, regulatory
bodies, and food industries associations are continually working
to make our food safer. As mentioned above, both the WHO and FAO
are re-evaluating their food safety programs. Pasteurisations of
milk and fruit juices and irradiation of meat are examples of technological
advancements that are making our food safer. Food canning standards
have helped eliminate botulism as a threat. Programs, such as HACCP
(Hazard Analysis Critical Control Point) that look at quality control
from the farm gate to the consumer are also important. This program
identifies the principal areas of hazards of contamination for prevention,
limiting or elimination. HACCP was first developed to ensure the
food eaten by astronauts was safe2.
What can you do as
a consumer to ensure food safety is maintained? Four key factors
should be remembered : CLEAN,
SEPARATE, COOK and CHILL(as
seen above) 4.
CLEAN
To help eliminate the
spread of bacteria, wash hands with hot soapy water prior to handling
food. Prior to preparing food, clean all surfaces and utensils with
hot soapy water. In addition, clean everything again after preparation
is completed. The use of plastic or non-porous cutting boards helps
to eliminate bacteria from growing. Using paper towels to clean
up prevents spreading contamination, however if cloth towels are
used be sure to wash them in the hot cycle of your washing machine4.
SEPARATE
Bacteria can cross contaminate
from one food to another, however certain simple hints can help
fight this problem. For example, have a special cutting board just
for raw meat. Keep raw meat separate from other food in the refrigerator.
Always use a clean plate to place cooked food on, never use the
plate where the previous raw meat had been held4.
Table 14
| Food
Item |
Thermometer
Temperature |
| Roasts and steaks |
145 F
|
(63 C)
|
| Poultry |
180 F
|
(82 C)
|
| Ground Beef
|
160 F
|
(71 C)
|
| Left Overs
|
165 F
|
(74 C)
|
| COOK
Each food has a special temperature and physical indicator when
they are properly cooked. Remember to keep cook food hot prior
to serving. Use a thermometer to test when meat is done (see
table 1) 4. |
CHILL
Chill food
quickly to keep bacteria from growing. Make sure your refrigerator
is no higher than 40 F( 4 C) and the freezer no higher than 0 F
(-18 C). Check these temperatures periodically. Do not over pack
neither your refrigerator nor freezer, as air must circulate to
allow proper cooling. Modern refrigerators can handle placing hot
items directly in the refrigerator, however to help the cooling
process occur rapidly divide food into smaller portions. Remember
the importance of always defrosting in the refrigerator, the microwave,
or by using cold running water4 .
These four basic hints
will help you and your family remain safe from food borne illness.
Reference
for Food Safety Always a Concern
- Australian Food
Safety Web. Fact Sheets. www.safefood.net.au
- CDC. Foodbourne
Infections. www.cdc.gov/ncidod/dbmd/diseaseinfo/foodborneinfections_g.htm
- FDA. 2001.Foodbourne
illness: What consumers need to know. www.foodsafety.gov/~dms/fsefborn.html
- FDA/USDA .2001.Fight
Bac! Four simple steps to food safety. www.foodsafety.gov/~dms/fsefbac.html
- WHO. 2002.Food Safety
and Foodborne Illness. Fact Sheet No. 237. http://www.who.int/inf-fs/en/fact237.html
- WHO Food Safety
– a worldwide public health issue. www.who.int/fsf/fctshtfs.htm
- WHO.2002. Improving
international food standards work – FAO and WHO launch independent
evaluation with call for public comment. www.who.int/inf/en/pr-202-26.html
www.who.int/inf/en/pr-2002-26.html
Back
to newsletter archive |