Preventing foodborne illness is simple if you follow these four steps

Preventing foodborne illness is simple if you follow these four steps
Although certain bacteria and toxins may be inherently present in some foods, foodborne illnesses are easily preventable. (Photo: Adobe Stock)
As time has advanced, so too has our technology. One of the greatest development humanity has achieved on a cultural and technological level is advanced food procurement and preparation. Nevertheless, we still struggle to ensure that the food we eat is safe and healthy. Many foods spoil easily, both at home and in restaurants. When foods are not handled properly, this can cause foodborne illnesses that bring quite serious effects.اضافة اعلان

Foodborne illness is a broad term used to describe any sickness that comes from contaminated food. The majority of foodborne illnesses are the result of infections from bacteria, viruses, or in rare instances, parasites. The overwhelming majority of foodborne illnesses are caused by bacteria.

Another form of foodborne illness is food poisoning, which occurs when toxins and chemicals contaminate food and cause sickness. In conversation, these terms are often used interchangeably, however, food poisoning actually falls under the broader category of foodborne illnesses.

When an illness becomes life-threatening
Symptoms of foodborne illness are usually easy to spot. The most common symptoms are nausea, vomiting and/or diarrhea, as the body attempts to expel as much of the contaminated food as possible. Other related symptoms include abdominal cramps, nausea, fever, headache, joint/back aches, and fatigue.

Although the body is trying its best to purge itself of the source of sickness, it can cause some potentially life-threatening complications in the process. The greatest concern is severe dehydration. Diarrhea and vomiting cause the body to lose large quantities of fluids and electrolytes. Coupled with a stomach that is already upset, this can make it difficult to replenish fluids, resulting in severe dehydration, which can range from mild to life-threatening.

Mild dehydration is typically characterized by thirst, dry mouth, dizziness especially when standing up, and headaches. Dehydration can also be diagnosed through the urine when output is weak and the color is dark. More severe and potentially life-threatening symptoms include hypotension (low blood pressure), seizures, coma, or death.

For this reason, if you suffer from diarrhea and/or vomiting for more than three days, a fever greater than 38.9°C, symptoms of dehydration, or difficulty seeing or speaking, you should seek medical treatment immediately.

Four steps for prevention
Although certain bacteria and toxins may be inherently present in some foods, foodborne illnesses are easily preventable. The US Center for Disease Control and Prevention (CDC) has outlined four steps to prevent the occurrence of this illness. The first step is to make sure that, when preparing food, your hands and your workspace are clean. This means washing hands with soap and water before, during, and after handling food, especially with uncooked meats. Additionally, surfaces, utensils, and cutting boards should be cleaned with soap and water as well as disinfectants.

The second step is to avoid cross-contamination, which is the transfer of bacteria or other contaminates from one food source to another. Foods such as raw meat, poultry, seafood, and eggs often carry bacteria that can cause foodborne illness. When cooked, these bacteria are killed off and the food becomes safe. However, if ready-to-eat foods, such as vegetables and fruits, come into contact with these contaminates, the bacteria may transfer. In order to prevent this, separate different categories of food and use different utensils and cutting boards while preparing.
In the case of the 2020 outbreak, it was found that improper refrigeration of the meat resulted in the contamination. Although some effort has been made to more closely regulate food safety in Jordan, more should still be done to train workers properly.
The third step is to cook foods at the right temperature. The heat from cooking naturally kills bacteria, viruses, and parasites. However, the food must be cooked completely through to the inside. The only way to ensure proper cooking with the utmost certainty is by using a food thermometer. Different raw meats must reach different temperatures to be fully cooked. This temperature information is readily available online. Additionally, even precooked meals (e.g., leftovers) should be reheated to a specific temperature.

The final step is to properly chill foods once done. The refrigerator should be kept at around 5°C and the freezer should be set to -18°C (0°F) or colder. This is due to the fact that bacteria can easily and rapidly multiply at room temperature and cause foods to spoil. Additionally, thaw frozen foods in the refrigerator, cold water, or the microwave instead of on the counter at room temperature.

Jordan and foodborne illness
Jordan has witnessed instances of foodborne illness outbreaks, most notably in July of 2020, when more than 800 people were hospitalized after spoiled shawarma meat, contaminated with bacteria, was served at a discounted price. This outbreak also resulted in the death of a five-year-old boy as well as four others in intensive care.

A 2013 study conducted in Jordan had assessed the food safety knowledge among food workers and warned of a potential outbreak such as this. It noted that foodborne outbreaks were largely caused by poor handling practices. The study asked a series of questions of food workers that covered personal hygiene, cross-contamination, storage safety, and general knowledge of food safety. It was found that participants had good knowledge of personal hygiene and cross-contamination principles. However, their knowledge was considered poor in regards to the safe storage, thawing, cooking, and reheating of foods. In its conclusion, the study recommended that workers undergo training courses through food regulatory agencies and be periodically re-evaluated on their knowledge.

In the case of the 2020 outbreak, it was found that improper refrigeration of the meat resulted in the contamination. Although some effort has been made to more closely regulate food safety in Jordan, more should still be done to train workers properly.

A similar 2014 study looked into the types of bacteria were found in shawarma meat. This study took 100 samples from sandwiches ready to be served to customers. From the 100 sandwiches sampled, 145 different samples of bacteria related to foodborne illness were found. Of these bacteria, E. coli and Salmonella were the most common.

These two types of bacteria are among the most prevalent causes of foodborne illness and are usually present due to meat being raw or under-cooked. What is more concerning is that the majority of E. coli and Salmonella samples are resistant to three or more different antibiotics. These bacteria can be transmitted through various ways, and carry a high risk for contamination to other food products if not properly handled.

How to manage foodborne illness
In many cases, all foodborne illnesses are manageable from home. The two most important measures are replenishing fluids and rest. Sports drinks that contain high quantities of electrolytes may be especially useful in these cases. Additionally, over-the-counter medications such as Imodium and Pepto-Bismol can help manage diarrhea and suppress nausea. However, you should consult a healthcare professional before taking any medications.

If you are having difficulty holding down fluids, you may need to see a doctor, especially if you are experiencing signs of dehydration. Loss of appetite is common with foodborne illnesses, and it is best to eat simple foods and avoid solid foods until diarrhea and vomiting have passed. These foods should also be low in fat. Examples of such foods include saltine crackers, oatmeal, chicken broth, and sodas without caffeine such as ginger ale.


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