Lesson 12-Part 2-1

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Toxicants in Food and Foodborne Disease LESSON 12-PART 2
What are the main causes of foodborne illnesses in the order of importance? From the general public perspective ……. From the Regulatory Agency perspective ……..
What are the main causes of foodborne illnesses in the order of importance? From the general public perspective Food Additives From the Regulatory Agency perspective Microorganisms
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E.coli Listeria Shigella Campylobacter Salmonella Microbial contaminant and toxicants
Soft Unripened Cheese in Vegetable Oil recalled Quebec, Nov 18, 2022 - Mounet Group brand Labneh is recalling product because they may permit the growth of Clostridium botulinum Tahini Extra Sesame Seed Paste recalled Ontario, Oct 24, 2022 Family's Choice Distribution brand recalled from the market place due to Salmonella Sandwiches Quebec and possibly national, Oct 14, 2022 Certain Circle K / Couche Tard brand recalled from the market place due to possible Listeria monocytogenes contamination. Smoothies recalled Revive Orgnaics Inc. June 18, 2022- is recalling smoothies from the marketplace due to possible norovirus . Cheese recalled Quebec, November 16, 2021 La Daria brand cheese is recalled due to E. coli. Kimchi recalled National, February 6, 2022, T- Brothers Food & Trading Ltd is recalling the Hankook Original Kimchi brand from the marketplace due to possible E. coli O157:H7 contamination Cheese recalled National, December 2, 2021, Fromage de Bellelay brand Tête de Moine (Firm Ripened Cheese) is recalled due to S. aureus
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Facts on Foodborne illness 48 million US residents get sick, 128,000 hospitalize and 3000 die from foodborne diseases Centers for Disease Control (US) 4 million Canadians suffer every year from foodborne illnesses. Leads to11,600 hospitalization and 238 death Health Canada foodborne illnesses can result in chronic health problems in 2 to 3 per cent of cases Health Canada
Some definitions… Incident Simple occurrence of foodborne illness Outbreak 2 or more people after ingestion of the same food Epidemiological evidence Outbreak of unknown etiology No Epidemiological evidence
Table 12.8 Foodborne disease incidents… Known Etiology (causes) Parasitic Parasites such as C ryptosporidium (water); Anisakiasis (fish) Acquired from consumption of infested water/foods Plant Amanita mushrooms, taro leaves, green potatoes, etc. Animal Poisonous animals (e.g. Shellfish containing paralytic toxins, puffer fish, etc.) Chemical cleaning & sanitizing agents, etc Microbiological = Food/Waterborne Diseases (FBD)
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Number of foodborne cases in British Columbia (BCCDC) Microorganis m Type Cases 2015 Cases 2016 Cases 2017 Cases 2018 Salmonella Bacteria 1217 1194 1073 979 Shigella Bacteria 181 163 115 122 E. Coli (Shigatoxgenic) Bacteria 109 132 168 193 Vibrio Bacteria 90 36 51 64 Cyclospora Parasite 39 53 57 41 Hepatitis A Virus 26 22 16 25 Listeria Bacteria 14 18 11 9
Why is Foodborne Diseases Emerging ?
A century ago most of our food came from local sources . Today Globalization of food supply Pathogens introduced to new areas Travel Change in lifestyle
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Reasons why only some FBD outbreaks are documented: Lack of reporting- only 1-4% are reported! Mistakenly diagnosis Mild cases of FBD wrongly attributed to 24 hour flu , virus , eating too much Physicians fail to report the case to local health units Not enough evidence/research available
Who is most at risk? The very old The very young Those with weakened immune systems Expectant (pregnant) mothers
Food intoxication O’s toxins / toxicants responsible for FBD produced in foods as by-products of MOs, plants or animals - cause disease upon ingestion Food infection multiplication of pathogenic MOs responsible for FBD viable MOs in the food at the time of consumption growth in the host - causing illness Note: Difference between Intoxication and Infection
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Clostridium botulinum Foods: low acid foods (pH > 4.6) & anaerobic conditions, e.g. potatoes, carrots, mushrooms actively growing cells botulism neurotoxin Symptoms: double vision, dry mouth, paralysis, respiratory collapse, death LD for humans 1 ng/kg b.w. Prevention : vegetative cells easily killed by heat Spores- heat resistant " botulinum cook " (Lesson 6: 12D to destroy 10 12 spores) Keep pasteur. Carrot juice refrigerated (< 4 C) Examples of Food intoxication :
Escherichia coli 0157:H7 Foods : undercooked ground beef; unpasteur. milk & fruit juice, alfalfa sprouts, spinach, drinking water o acid-tolerant : often survive in acidic foods (e.g. apple juice) Symptoms : bloody diarrhea kidney failure; hemolytic uremic syndrome esp. in children Prevention : easily inactivated by heat (pasteur.); irradiation o cook food especially ground beef well; o does not grow well at temperatures < 8 - 10 o C o Hygiene (sanitary food handling) Examples of Food intoxication :
Escherichia coli 0157:H7 W hy are hamburgers a concern, but not the beef steak that is consumed blue or rare ?
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Activity: Meat Glue ( testable) Watch the video ( 6 min) and go to the link below and discuss the following questions https://www.youtube.com/watch?v=hXXrB 3rz-xU https://laws-lois.justice.gc.ca/eng/regulations/C.R.C.%2C_c._870/page-72.html#h-108 Scroll down to table V in division 16 http://files.constantcontact.com/ 0515061c001/d47de54f-e992-48fb-abab-7366aa8f02dc.pdf What is meat glue? Is it allowed in Canada? What are your thoughts on its use?
Activity: Mechanical tenderization (Testable) Watch the video and read the report http://www.kcra.com/news/Mechanically-tenderized-meat-may-pose-health-hazard/20028568#!bxvI4K http://www.consumerreports.org/cro/magazine/2013/06/has-your-steak-been-mechanically-tenderized/index.htm http://www.inspection.gc.ca/food/general-food-requirements-and-guidance/labelling-standards-of-identity-and-grades/for- industry/meat-and-poultry-products/eng/1393979114983/1393979162475?chap=17 Discuss when and why mechanical tenderization might pose a hazard
Examples of Food intoxication : Staphylococcus aureus Foods : contaminated and undercooked food exposed to open wounds and nasal fluid. Produce heat-resistant enterotoxin. Symptoms : rapid onset of nausea, vomiting, abdominal pain, cramps, and diarrhea. 20 ng toxin can cause the illness Prevention : easily inactivated by heat (pasteur.) cook food well; does not grow well at temperatures < 4 o C Hygiene (sanitary food handling)
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Salmonella Foods : raw or undercooked poultry, eggs, hogs, ground beef, milk & dairy products Symptoms : cramps, chills, vomiting, diarrhea, fever symptoms usually start within 6 to 72 hours after exposure. Most symptoms end within 4 to 7 days. Prevention : killed by heat (cooking, pasteur.) & irradiation ; hygiene (sanitary food handling) Examples of Food infection
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Listeria Foods : refrigerated smoked fish, raw or unpasteurized milk, soft and unpasteurized cheeses, ready-to-eat meats Symptoms : Fever , nausea, cramps, diarrhea, vomiting,…. Symptoms of severe listeriosis may appear up to 70 days after you have been exposed to Listeria. It is reported to cause miscarriage and stillbirth Prevention : killed by heat (cooking, pasteur.) & irradiation ; hygiene (sanitary food handling) Examples of Food infection
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Do not multiply in the food Usually oral-fecal route of contamination; infect upon ingestion e.g. shellfish from contaminated water Examples: Hepatitis A Norovirus formerly known as Norwalk-like viruses Prevention : Inactivated by thermal processing hygiene (sanitary food handling) Selected causes of microbial food-poisoning - Viruses
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Norovirus Foods : Raw shellfish, any food prepared or touched by an infected person. Easily spread from the infected person up to at least 3 day after they recover Symptoms : Diarrhea, vomiting (children usually experience more vomiting than adults), nausea, stomach cramps Other symptoms :low-grade fever, headache, chills, muscle aches, fatigue (a general sense of tiredness) symptoms of gastroenteritis within 24 to 48 hours, but symptoms can start as early as 12 hours after exposure. The illness often begins suddenly Prevention : killed by heat (cooking, Pasteur.) hygiene (sanitary food handling) Example of Viruses
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Factors in Foodborne Disease Most pathogenic MOs do not alter the colour, aroma, flavour or texture of food !! 1. Inadequate cooling of foods 2. Preparation of food several hours in advance 3. Poor personal hygiene and Cross-contamination 4. Insufficient cooking or reheating of food 5. Improper hot storage
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Top 4 places where food can be mishandled and lead to foodborne disease incidents 1. Food Service Establishments 2. Food Processing Establishments 3. Retail Food Establishments 4. Homes
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Public health inspections of food establishments Public health inspec . - regular inspections of restaurants, food service establishments, food stores, etc. e.g. of the type of info. that inspectors look for List of closures of food establishments, including dates & reasons for these closures. http://www.inspections.vcha.ca/
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CLEAN - hands, utensils, cooking surfaces - soap and hot water Sanitize with a mild bleach solution ( or approved sanitizer) SEPARATE - Avoid cross - contamination: - separate raw & cooked food COOK - Prepare foods quickly and cook them thoroughly & serve immediately CHILL - Refrigerate or freeze leftovers within two hours - Refrigerator is set at < 4 ° C , freezer set at -18 ° C Safe food handling practices Preparing, Serving, cooking, Storage
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HACCP The Hazard Analysis and Critical Control Points ( HACCP ) system is designed to anticipate and control problems before they happen. Processing flow diagram -> Identifying Critical Control Points
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HACCP-Steps http://www.youtube.com/watch?v=53PiVRadZAY&feature=youtu.be 1. Identify hazard FATTOM 2. Determine CCP 3. Institute Control Measures 4. Monitor CCP 5. Take Corrective Action 6. Keep records 7. Verify Procedures
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Food Safety… is in Your Hands….
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