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Using Your Symptoms, Suspected Food(s), Duration of Your Illness and Time Symptoms Appeared, Determine the Most Likely Microorganism That Caused Your Food Borne Illness |
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| Type of Organism | Microorganism | Type of Illness | Onset Time for Symptoms | Duration of Illness | Symptoms | Foods Commonly Implicated | Preventative Measures |
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Bacteria |
Bacillus cereus | Infection and or intoxication |
Intoxication:
1\2 - 5 hours Infection: 8-16 hours |
1 day or less | Vomiting, diarrhea, nausea and abdominal discomfort | Boiled and fried rice, custards, cereal products, puddings, casseroles, pastries sauces, and other starchy foods, vegetable dishes, soups, and meatloaf. | Store foods at proper temperature. Chill foods rapidly in small quantities. Avoid storage at room temp. Thoroughly reheat leftovers. |
| Campylobacter jejuni | Infection | 1 - 2 days | 1 - 5 days | Diarrhea, sometimes bloody stools, abdominal pain, nausea, vomiting, fever, muscle pain and headaches. | Poultry, raw milk, meat, raw beef liver, raw clams, mushrooms, unpasteurized milk and dairy products. | Cook food thoroughly. Consume only pasteurized milk and egg products. Avoid cross contamination. Observe strict hygiene and eliminate all vermin. | |
| Clostridium botulinum | Intoxication | 12 - 36 hours |
Days.
Fatality Rate: <10% |
Headache. double vision, vertigo or dizziness, loss of reflex to light. weakness, droopy eyelids, constipation, dry mouth, muscle and respiratory paralysis. | Improperly canned low-acid foods (green beans, corn, beets, asparagus, chili peppers, mushrooms, spinach, figs, olives, tuna), improperly home- cured hams, smoked fish. Baked potatoes wrapped in aluminum foil, cooked beef, turkey, gravy, dressings, stews, casseroles and meat pies. |
Use proper canning practices. Discard swollen cans. Minimize temperature abuse.
Boil thoroughly (10 min.) all home canned food before serving. |
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| Clostridium perfringens | Intoxication | 8 - 16 hours | 1 day or less | Diarrhea, acute abdominal pain, gas pains. Nausea, vomiting, fever and chills are rare. | Cooked beef, turkey, gravy, dressings, stews, casseroles and meat pies. Cooked beans and other thick stews and soups that have been cooled slowly in deep containers. | Store hot & cold foods at proper temperatures. Cool foods quickly and reheat thoroughly. Divide large portions into smaller containers. | |
| Escherichia coli O157:H7 | Intoxication | 2 – 8 days | 5 - 10 days | Watery or bloody diarrhea, abdominal cramps and pain, vomiting, hemolytic uremic syndrome (HUS) | Raw and undercooked ground beef, sprouts, lettuce, spinach, salami, unpasteurized milk and juice, imported cheeses | Cook all ground beef and hamburger thoroughly, Drink only pasteurized milk, juice, or cider. | |
| Listeria monocytogenes | Infection | A few days to 3 weeks |
Days.
Fatality rate as high as 70 % |
Persistent fever, muscle aches, gastrointestinal symptoms such as nausea or diarrhea | Raw milk, pasteurized fluid milk[, cheeses (particularly soft-ripened varieties), ice cream, raw vegetables, fermented raw-meat sausages, raw and cooked poultry, raw meats (of all types), and raw and smoked fish | Thoroughly cook raw food from animal sources, such as beef, pork, or poultry. Wash raw vegetables thoroughly before eating. Keep uncooked meats separate from vegetables and from cooked foods and ready-to-eat foods. Avoid unpasteurized (raw) milk or foods made from unpasteurized milk. | |
| Salmonella | Infection | 12 - 36 hours | Several Days | Headaches, vomiting, abdominal pain, cramps, fever, chills, diarrhea, dehydration | Raw milk, eggs and egg products, shellfish, meat. poultry and smoked fish. | Cook food thoroughly. Consume only pasteurized milk and egg products. Avoid cross contamination. Observe strict hygiene and eliminate all vermin. | |
| Shigella | Infection | 1 - 7 days | 1 - 8 days | Mild to severe abdominal cramps, fever, chills, diarrhea (sometimes bloody), watery stools, nausea, vomiting, lassitude, prostration and dehydration | Salads (potato, tuna, shrimp, pasta, turkey and chicken), raw vegetables, milk and dairy products, and meat, beans, poi | Personal hygiene, proper sewage disposal. Chill foods rapidly and in small quantities. Sanitary food preparation: ovoid touching foods that will not be cooked before eating, cook thoroughly. treat and protect water and control flies | |
| Staphylococcus aureus | Intoxication | 4 - 6 hours | 1 - 2 days | Nausea, vomiting, cramps, retching, weakness, sweating, diarrhea, , dehydration, usually no fever | Starchy foods, cooked & cured meats(ham), poultry & dressings, sauces and gravy, cream-filled pastry, high-protein leftover foods | Store foods at proper temp. Avoid contact of food by infected skin, sores. Reheat food thoroughly. | |
| Vibrio parahaemolyticus | Infection | 12 - 24 hours | 3 days | Diarrhea, cramps, vomiting, headache and fever | Recontamination of cooked foods or eating raw seafood. Seafood most often implicated includes squid, mackerel, tuna, sardines, crab, shrimp, and bivalves like oysters and clams | Cook shellfish (oysters, clams, mussels) thoroughly. Do not eat shellfish that do not open during cooking. Do not allow seafood already cooked to touch raw seafood, and do not touch cooked seafood after you have handled raw seafood without washing your hands first. | |
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Viruses |
Hepatitis A | Viral Infection | 2 - 6 weeks | 6 - 12 months | Fatigue, Fever, Abdominal pain, Nausea, Diarrhea, Appetite loss, Jaundice, a yellowing of the skin or whites of the eyes. | Raw or undercooked seafood or shellfish. Can be on any ready to eat foods that have been contaminated by an infected food handler. | Do not eat raw or undercooked seafood or shellfish such as oysters from areas of questionable sanitation (just about everywhere). |
| Norwalk Viruses | Viral Infection | 1 - 2 days | Several Days | Nausea, vomiting, diarrhea, and abdominal pain. General lethargy, weakness, muscle aches, headache, and low-grade fever may occur | Cold Salads, Sandwiches, Fresh Produce, Shellfish, Raw or insufficiently steamed clams and oysters | Cook all shellfish thoroughly before eating; wash raw vegetables before eating; make sure your food handlers are frequently washing their hands. | |
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Other |
Scombroid fish poisoning | Histamine poisoning | A few minutes - 2 hours | 12 hours | Metallic, sharp or peppery taste to food, followed by Intense headache, dizziness, nausea, vomiting, facial swelling and flushing, burning of throat, thirst, difficulty in swallowing, itching, wheezing and diarrhea | Tuna, bonito, mackerel. skipjack, blue dolphin (mahi mahi), sardines, anchovies | Ice or refrigerate fish soon after capture and maintain cold temperature until cooked. Discard any fish with sharp or peppery taste. |
About the Author
Michael Doom worked as a Registered Environmental Health Specialist (REHS) for Los Angeles County for more than 21 years. For most of these years he worked as a field inspector and Supervising Senior REHS in the retail food inspection programs. His experience within Los Angeles County has taken him to some of the smallest “mom and pop” restaurants and markets in the poorest areas of south Los Angeles, as well as to the largest facilities and affluent areas on the west side. He has literally conducted thousands of inspections of numerous types of restaurants, food markets, warehouses, events, and more; educated hundreds, if not more than a thousand, food facility owners, managers and employees on food sanitation and food safety, and how to prevent food poisoning hazards; has supervised more than 50 field inspectors that were responsible for an inventory of food facilities larger than many U.S. states.
Mr. Doom has a B.S. in Biology from Loyola Marymount University, an REHS with the state of California, holds a Project Management Professional (PMP®) credential from the Project Management Institute, and a Masters Certificate in Project Management from George Washington University. Mr. Doom continuously works to expand his knowledge and experience in the subject of food safety, sanitation and food poisoning prevention.
He can be reached at Mike@foodpoisoningprevention.com