Food Hygiene Essentials

Food makes the holidays more festive. At this time of year you enjoy family dinners, church potlucks, office parties, buffet lunches, cookie exchanges, and cups of cheer. Gifts are exchanged, too, and food poisoning is the “gift” you don’t want.

Though it’s relatively rare in the US, food poisoning can happen to anyone, according to MedlinePlus. That doesn’t mean much if you’re the one who gets it. You may get food poisoning at home or while traveling. Each year 60-80 million (that’s MILLION) people around the globe get food poisoning.

If you’ve had food poisoning you know it’s awful, so awful you thought you were going to die. Some people do die. The FDA says food poisoning is especially threatening to kids five years old and younger, and the elderly. E.coli can cause hemolyptic uremic syndrome, which can lead to kidney damage and, in some cases, death.

The symptoms of food poisoning are nasty: nausea, vomiting, diarrhea, fever, headaches, and weakness. Food poisoning strikes within two-to-four hours after eating contaminated food and it can last as long as 10 days. Prevetion is the best defense against food poisoning.

Mayo Clinic, in an Internet article called “Serve it Up Safe: 8 Ways to Prevent Food-Bourne Illness,” lists some prevention tips, such as washing linens often and washing equipment, including your meat thermometer, in hot, soapy water. To be in the safe side, the article says you should reheat leftovers to an internal temperature of 165 degrees.

Practice safe food handling during the holidays. Unsure about what to do? The USDA Food and Safety Inspection Service has published a colorful booklet called “Cooking for Groups.” You’ll find the booklet on www.FoodSafety.gov. You’ll find additional information on www.fightingbac.org. And follow these tips to keep your tummy safe during the holidays.

AT HOME

1. Wash your hands well before handling food.

2. Use paper or cloth dishcloths, not sponges.

4. Separate raw foods from ready-to-eat foods.

5. Store washed produce in a different container, not the original.

6. Keep cold foods at 40 degrees or less.

7. Keep hot foods at 140 degrees or more.

8. Double-bag leaking meat and poultry packages or seal them in plastic wrap.

9. Thaw meat and poultry in the refrigerator, not on the counter.

10. NEVER eat frozen meat, poultry or fish that has been thawed and refrozen.

11. Check internal temperature of meat and poultry with a thermometer.

12. Use a clean spoon every time you taste food.

13. Clear leftover food quickly and refrigerate.

AT WORK

1. Ask a knowledgable person to be in charge.

2. Refrigerate donated food immediately.

3. Wash hands before handling food. (Buy several bottles of hand sanitizer.)

4. Label foods so people know what they’re eating.

5. Tell people if food contains nuts or soy.

6. Serve food in small batches, not all at once.

7. Keep mayonnaise-based foods icy cold.

8. Keep hot foods really hot.

9. Don’t leave food out for more than two hours.

10. Provide clean storage containers for leftovers. Write the food and date on all containers.

11. Discard food that hasn’t been refrigerated for more than four hours.

AT A RESTAURANT

1. Check to see if food handlers are wearing plastic gloves.

2. Find out if the food handlers are handling money. (Money is often contaiminaed with human feces.)

3. Is there a cough shield over the food table?

4. Skip the salad bar if the ingredients aren’t on ice.

5. Check to see if the restaurant has a clean plate policy for additional servings of salad.

6. Don’t eat salad dressing that’s in open bowls on the table.

7. Make sure hot food is kept in warming pans, kettles, and hot plates.

8. Each dish should have its own serving spoon or fork.

9. Servers should bring buffet foods out in small batches.

10. Does the menu say all beef will be cooked to medium temperature?

11. Hamburgers should be cooked until the internal temperature is 160 degrees.

12. Write the food and date on your doggie bag/box.

“Everyone is at risk for foodbourne illness,” according to the FDA’s Food Safety Education Website. That makes food safety your business. Call the local public health department if you see unsafe food practices. And follow the FDA’s advice during the holidays: When in doubt throw it out!

Copyright 2005 by Harriet Hodgson. To learn more about her work go to http://www.harriethodgson.com/.

Harriet Hodgson has been a nonfiction writer for 27 years and is a member of the Association of Health Care Journalists. Before she became a health writer she was a food writer for the former “Rochester Magazine,” in her hometown of Rochester, MN. Her 24th book, “Smiling Through Your Tears: Anticipating Grief,” written with Lois Krahn, MD, is available from http://www.amazon.com. A five-star review of the book is also posted on Amazon. The book is packed with Healing Steps – 114 in all – that lead readers to their own healing path.

Article Source: http://EzineArticles.com/?expert=Harriet_Hodgson

Food poisoning is something that is becoming more and more commonplace. Sadly, we are seeing more and more news items about salmonella, staphylococcus and similar harmful bacteria, and the havoc they can cause.

To say that encountering this complaint would spoil your whole day would be a gross understatement. In fact you’re likely to spend several days recovering from it. In extreme cases it can be fatal.

So is there any way to make sure you never succumb to food poisoning? Well, there may be no infallible approach, but you can certainly act in such a way that your chances of becoming a victim are drastically reduced.

Personal hygiene is a good starting point. This question is perhaps a trifle taboo, but I’m going to ask it anyway – do YOU wash your hands after going to the toilet? If you don’t, you will after reading this. This is to me the most basic and essential step in keeping even a reasonable level of personal cleanliness. Yet so many people neglect to do this. To me, that’s just asking for trouble sooner or later, and is in any event a betrayal of everyone else you come into contact with.

Who do you think really wants to share with you the myriad of germs and microbes that you have on your hands immediately after attending to the bodily functions that we all have to attend to several times a day? And you will share them with everyone who touches almost anything fairly soon after you’ve touched it, or with whom you shake hands. It’s the reason why most PC keyboards are as rife with germs as a toilet seat.

I still see people coming out of public lavatories without so much as a glance at the wash basins. Yet they’ve been in a place rife with both air borne and surface bound germs and microbes. The very smell of them broadcasts their nature. Until such people actually DO wash their hands everything they touch will be contaminated with the harmful bacteria and shigella that is without doubt increasing and multiplying on their hands.

For this reason I always wash my hands carefully every time I return home from a trip out, even if I’ve only been to the corner shop. It makes sense, doesn’t it?

If all the doctors and nurses, patients and visitors, hospital workers and porters and everyone else to be found in hospitals simply washed their hands after doing what we all have to do a few times a day, then all the so-called hospital super-bugs, the MRSA and everything else that we spend millions of pounds or dollars trying to fight each year, all of it would simply disappear.

However, don’t hold your breath waiting for that to happen.

Always make a point of washing your hands thoroughly before preparing food. If the ingredients of the meal include meat, fish, fowl or eggs then wash after each time you’ve handled them.

The next point is to never eat raw food that comprises meat, fish, fowl, milk or eggs. Sea food is especially prone to harbour harmful bacteria, so be particularly careful when eating this. Wash all food under the cold tap before cooking or eating.

Above 65.5 or below 4.5. Those are the figures to remember concerning the temperatures in degrees Celsius or Centigrade in which bacteria cannot multiply. That’s why raw food has to be kept chilled until it is ready for cooking, when it should be heated to at least the temperature required to kill bacteria.

To be sure of this, meat should be cooked until there is no more pink left in it, fowl until none of the joints are red and fish should be flaking by the time it’s taken out of the oven.

If using a microwave oven you should use a meat thermometer to check the internal temperature. Keep meat gravy or juice away from other food. Use separate utensils, chopping board, etc for meat and other animal products on the one hand and everything else on the other. Wash them with bleach or lathered water afterwards. In fact wash the whole kitchen work top area regularly and always after preparing dishes containing animal products. Replace sponges regularly and use paper kitchen towels for wiping down.

Food that’s been left at room temperature for 2 hours or more can be contaminated, especially if it is high in protein, eg meat, eggs, chips.

Be careful when defrosting meat or poultry, as the surface will defreeze more quickly than the inside. Bacteria may therefore be growing on the outside by the time the inside is unfrozen. Defreeze it in the refrigerator to avoid this problem. If keeping anything for another meal, replace it in the refrigerator immediately. And never keep meat or poultry, or fish, above vegetables or other kinds of non-meat food in the refrigerator in case anything falls down to cause contamination.

Trust your instincts. If food doesn’t somehow look right then it usually isn’t. A quick test with your nose should detect any tell-tale smell of decay or contamination.

Finally, eat your food slowly, relish it and allow your body and digestive system ample time and optimum conditions for digesting it. Bon appetit!

Philip Gegan is a writer and practitioner of Acupressure. He challenges you to read his advice and NOT be able to press away at least 10 kinds of pain, including headaches, colds, flu, hangovers, asthma, heartburn, and even… acne(!) at… http://www.pressawaypain.com

Article Source: http://EzineArticles.com/?expert=Philip_Gegan

Apart from saving you money, making your own baby food provides fantastic nutrition for your little one and gives you peace of mind. After all you know exactly what’s gone into your baby’s food, how it was prepared and the quality of ingredients used.

Common sense is the rule of thumb in preparing food for toddlers. It is not enough to think how to cut food so that it will be small enough to chew, it is also necessary to think of how to cut food so that it will not cause an obstruction of the wind pipe. A responsible attitude and forward thinking prevents tragedies!

OK, enough of the serious stuff for a while. Now it’s time for some frivolity in the form of cooking a couple of good chicken recipes. Here’s a two of my favorites. I hope you will like them too.

Remember that in order to keep your chicken bacteria free and to avoid all forms of food contamination please adhere to all the principles frood hygiene essentials stated throughout this blog.

Chicken Fillet Snitzels
This one’s so easy
Ok, Bascially you need to serve about 3-5 pieces per person to really sastisfy the apetite.
So work out how many pieces you need and then flatten the fillets gently between a plastic sheet (I prefer using a rolling pin for this).

Ingredients:
Chicken fillets.
3-4 eggs
1 cup of flour
bread crumbs
salt & pepper
sesame seeds.
Italian Herb mixture (optional).

We have already covered how to prepare the Fillets so I won’t go into that again. Next you will need 3 bowls or plates. In one you put the eggs which you will beat, in another the flour and in the last the bread crumbs, sesame and herbs. Add a little salt and pepper to the flour and to the crumbs.

Take each fillet individually and flour. Ater flouring dip into the egg. Shake off any excess liquid and place into the bread crumbs. Cover the fillet with the crumbs and press lightly. Remove onto a clean and dry tray or plate and repeat the precedure until all the fillets are breaded. If you have a lot of pieces you can divide the layers by using grease proof paper or baking paper.

To avoid the possibility of bacterial growth within the chicken or cross contamination between the eggs and the chicken keep the preparation time as short as possible. Twenty minutes should be ample time for this process and it will help to prevent the the devision of bacteria. Wile you are breading the shnitzels start to heat your oil. The time interval between finishing breading and frying should also be as brief as possible. It you can, serve straight from the frier, if not keep at a temperature of at least 65 degrees celsius until served. Any leftovers should be cooled and refrigerated to avoid bacterial contamination.

Now take a frying pan and add about 1/2cm. of cooking oil. Heat and fry the snitzels on both sides until golden brown. Serve with fries , rice or pasta. Add a little lemon and your favorite dip to the side of the plate. Don’t forget to eat plenty of fresh vegetable salad at least once a day.

Chicket Fillet Fajitas in fried Tortillas
My Personal Recipe
This recipe make a great main course, Brunch or between meal hunger stopper.

For this you will need about 5 fillets per portion.

Other Ingredients:
1 medium tomato (sliced) per 2 portions
1/2 green pepper per 2 portions(sliced)
1/2 medium sized onion per 2 portions(sliced)
Tomato puree
1-2 cloves of garlic
salt and pepper
Cumin
Chopped corriander
Corn starch
Cooking oil
Chilli Pepper or sweet chilli pepper sauce.
Tortillas

Equipment:
2 frying pans.

Before you start to fry rub the bottom of the pan with the garlic cloves. Slice the chicken fillets length ways and fry on a deep skillet. Add the onions and work in stir frying carefully for about 1 minute. Add peppers stir frying for about 1 minute also. Now add the tomatoes mixing gently until they begin to show signs of softening. Add salt & black pepper to taste. Put in about 1/2 teaspoon of cumin per 2 portions (reducing by 1/4 teaspoon for each 2 extra portions added). Add the chilli pepper or sweet chilli sauce. Add a little tomato puree to intensify the colour.

Now blend in the chopped corriander adding an ammount according to your own taste preference. Add a little sugar if the mixture needs it. Because you are going to fill the tortillas with the fajitas mixture it needs to be a little firm so mix a teaspoon of corn starch diluted in a little water into the fajitas to make the sauce a little less runny. Put the tortillas onto a table and fill them lenghwise with your fajitas mix. Roll them up gently making sure not to split them. Add a little beaten egg onto the lip of the tortilla and set aside. Now heat another frying pan with about 11/2 cm. of coking oil. Heat to a temperature of the oil 150 degrees centigrade Now add your tortillas to the oil carefully taking care not to get burned or to spill the content of the tortillas out. Fry until golden brown on both sides. Remove and place on kitchen paper to soak up the excess oil. Serve on lutuce with salza mexican rice or fries. Buon Apetite

A few weeks ago a leading Israeli fruit juice manufacturing plant had several hundred tons of water melon concentrate condemned by the ministry of heath on the pretext that there were unacceptable contaminants within the juice.

The concentrate in question was destined for use on the home market where it is used by the ice cream and iced lollie factories to manufacture a popular range of water melon flavored products. This set back has put additional pressure on a market sector which is already struggling to survive the current market recession.

Israel has suffered several consecutive years of very low rainfall. The sea of Galilee which is the major fresh water reservoir for Israel and it’s neighbours has reached dangerously low levels and as a result of this crisis water prices have risen several fold. As a result of this new state of affairs the profit margins in which vegetable and fruit growers operate have been cut even further and it is really uncertain from year to year if it will be worth growing anything at all.

The jordan valley which enjoys a milder winter than many other parts of Israel is famous for producing early fruit and vegetable harvests both for the home and export markets.

Seemingly, some of the areas water melon growers took it upon themselves to irrigate this years water melon harvest that was intended for industry with grey water instead od fresh water. The logic behind this decision being that grey water does not contain more contaminants than those already presant in ordinary soil.

What is not clear is if the water used for irrigation was indeed just grey water or if the suppliers of the grey water added certain quantities of first stage black water filtrate to the grey water that was being supplied to the farmers. It is also possible that the farmers used grey water for the initial stages of germination and consequent stages before the development of the water melon itself, switching over to fresh water once the melon began to develop. In any case, whatever the sequence of events was, contaminants entered the melons.

Samples of the water melon concentrate were tested both for chemical and microbial contaminants and found to test positive for both categories of contaminates within the concentrate. the concentrate was deemed to be a risk to public health and presented a food hygiene problem. The water melon concentrate was condemned and will not be used to make the iced products that it was intended to make.

The case is being looked into more closely by the public prosecutors office and charges are expected to be issued to those responsible for taking these regretable discisions to used contaminated water for growing water melons.

What is listeriosis?
Listeriosis is a bacterial infection caused by the bacterium Listeria monocytogenes. Until several years ago it was thought that this bacteria only infected animals but it is now accepted that humans are also at risk from this disease. While many bacteria are generally seen to infect specific locations within the human body, Listeria may infect many different locations, such as the brain or the spinal cord membranes or the bloodstream.

Classification:
L. monocytogenes is a gram positive, non-spore forming, motile, facultatively anaerobic, rod shaped bacterium. It is catalase positive, oxidase negative, and expresses a Beta hemolysin which causes destruction of red blood cells. This bacterium exhibits characteristic tumbling motility when viewed with light microscopy. [6] Although L. monocytogenes is actively motile by means of peritrichous flagella at room temperature (20-25C), the organism does not synthesize flagella at body temperatures (37C). [7]

Who gets listeriosis?
Anyone can get this disease, but those at highest risk for serious illness from this bacterium are newborns, the elderly, people with weakened immune systems, and pregnant women. Healthy adults and children occasionally get infected with Listeria, but they rarely become seriously ill. Listeria Monocytogenes is classified as an intracellular paracite. This means that it invades and lives within cells of the body thereby managing to evade the body’s immune system. Infection by as few as 1000 individual bacteria is considered enough for the disease to take hold. When listeric meningitis occurs, the overall mortality may reach 70%; from septicemia 50%, from perinatal/neonatal infections greater than 80%. In infections during pregnancy, the mother usually survives.

When do Listeria infections occur?
Infections occur throughout the year. Although most cases occur sporadically, food-borne outbreaks of this disease do frequently occur. Poor food hygiene and poor personal hygiene conditions are responsible for many of the recently recorded outbrakes.

How is listeriosis spread?
Listeria bacteria are widely distributed in nature and can be found both in water and soil. Infected animals may also serve as sources of contamination. Unlike other organisms, Listeria can be spread through several different methods. Ingestion or food-borne transmission of the organism, such as through the ingestion of unpasteurized milk or by the eating of contaminated vegetables, is often a source of many cases. In newborn infections, the organism can be transmitted from mother to fetus in utero, or directly to the fetus at the time of birth through the contact of the fetus’ blood supply with that of the mothers. Direct contact with the organism can cause lesions on the skin.

What are the symptoms of listeriosis?
Because listeriosis can affect many different parts of the body, the symptoms vary. For meningoencephalitis, the onset can be sudden with fever, intense headache, nausea, vomiting and signs of meningeal irritation. In other body locations, various types of lesions at the site of infection are the primary symptom. In most cases, Listeria infection causes fever and influenza-like symptoms resembling a host of other illnesses.

How soon after exposure do symptoms of listeriosis appear?
Listeriosis has an extremely variable incubation period. It can range from 3 to seventy days, but symptoms usually will typically appear within a month of infection.

How is listeriosis diagnosed?
Specific laboratory tests are the only way to effectively identify this disease. Since many cases may be mild, the disease may be much more common than is realized.

Are there any unusual features of listeriosis?
Listeria infections are a significant risk for pregnant women, who may not experience obvious symptoms. Infection of the fetus can occur before delivery and can cause abortion as early as the second month of pregnancy, but more often in the fifth and six months. An infection later in pregnancy may cause exposure during birth, sometimes resulting in infection of the newborn child which may be fatal.

Does past infection with Listeria make a person immune?
Past infection does not appear to produce immunity.

What is the treatment for Listeria infection?
Several antibiotics are effective against this organism. Ampicillin, either on it’s own or in combination with other types of antibiotics, is frequently used.

What can be done to prevent the spread of Listeriosis?
Since the organism is widly distributed throughout nature, basic sanitary measures such as only using pasteurized dairy products, by only eating cooked meats and washing hands thoroughly prior to the preparation of foods offer the best protection against infection by this disease.

In addition, the following recommendations are for persons who are categorized to be at high risk of infection, such as pregnant women, the elderly and persons with compromised immune systems:

Do not eat hot dogs, luncheon meats, or deli meats, unless they are reheated until they are steaming hot.
Avoid getting the liquid from hot dog packages onto other foods sources, utensils, and food preparation surfaces, and remember to wash hands after handling hot dogs, luncheon meats, and deli meats.
Do not eat soft cheese products such as feta, Brie, and Camembert, blue-veined cheeses, or Mexican-style cheeses such as queso blanco, queso fresco, and Panela, unless they clearly state they are made from pasteurized milk written on the labelling of the product.
Do not eat chilled pâtés or meat spreads. Canned or shelf-stable pâtés and meat spreads can be eaten.
Do not eat refrigerated smoked seafood, unless it is contained in a cooked dish, such as a casserole. Refrigerated smoked seafood, such as salmon, trout, whitefish, cod, tuna or mackerel, is most often labeled as “nova-style,” “lox,” “kippered,” “smoked,” or “jerky.” The fish is found in the refrigerator section or sold over deli counters of grocery stores and delicatessens and supermarkets. Canned or shelf-stable smoked seafood may be eaten.

There has always been a lot of speculation around the reason the humble pie was invented. Nowadays our adoration of this clever invention is liable to cloud the objective perspective of those who lived in bygone years. A pie is made of two main ingredient categories, 1) a crust and 2) a pie filling. Nowadays we can enjoy a vast array of crusts or pastries. Their flavors and textures vary to suit both the filling and the sensation that the pastry chef wants the diner to enjoy.

Man has know how to make dough for many thousands of years. Ever since man began to gather cereal crops he has experimented with the possibilities it presented him with. Whole grain bread, in one form or another has been a staple of many civilizations throughout history. Initially, it would have been the job of the women of the house to make bread in a small earthenware oven. As man moved from living in extended family groups or clans resources began to come under the control of chieftains.

This had several consequences for the common man. 1) he had to find ways of pooling resources in order to use fuel more efficiently, 2) if fuel was to be used at a central place somebody would have to be chosen to oversee the baking of the bread. 3) if people would have to pay for these services they would have to work more outside of the home to cover the cost, 4) if they mad less time to mill the grain somebody would have to undertake that function too. And so two important professions were born. The baker and the miller. Now I know that in explaining this process in this way it may seem that I mean that this happened overnight. No, this was a process that may have taken quite some time.

So now we have our bread being baked centrally. What has this got to do with pies you may ask. OK, I’m building up to it. A baker has to keep his oven very hot and at a constant temperature. Because of the design of the bakers oven it has the capacity to hold residual heat for a very long time, even after no more fuel is added. We have already defined heat as a resource that people of bygone eras could not let go to waste. When the baker was not using his oven for baking he would earn a bit more money by letting the women of the village put their pots of stew or hot pot into the oven to cook slowly overnight. This was a very clever idea that was used in many European villages until quite recently and maybe still is in some remote areas.

Now bakers had boys or apprentices working for them who did not get very much to eat. To see an oven full of stew pots simmering away in the oven would have been a type of torture for them and it is told of an evening they would sneak back into the bakery and sample a “little” from all the pots in the oven. The ladies who had given the cooking of their stews to the baker were very disconcerted to find that the level of their pot had reduced somewhat more than they had anticipated. They looked for a solution for this ongoing problem and eventually came up with the idea of wrapping a piece of dough around the rim of the pot and the lid. The pot was now effectively sealed and woe betide the bakers apprentice who broke into one of those seals.

During the evolution of mankind trial and error has led to a great number of observations and the very same ladies who used the bakers oven to cook their weekly stew would have undoubtedly noticed that the condition of the stew would have been better with the pastry seal left on than if it were removed. This would have led to the observation that factors leading to the spoilage of cooked food came from without rather than from within. Therefore, maintaining the state of separation from the environment was seen to preserve the “shelf life” of your stew or hot pot. In those days this was very important news indeed.

If pastry or a dough surround was accepted as being the secret of preventing the rapid spoilage of food, could it be possible to put a filling into pastry and cook it in an oven when one needed to make smaller more individual portions of food? Experimentation along these lines obviously happened. The original ides would have been to eat the filling and discard the pastry crust as if probably wasn’t designed for taste in those early days. As time went on it was obviously realized that to discard the crust was a waste of food resources and hence bakers and women alike began to experiment into ways of making the pastry an integral, edible and tasty part of the pie “experience”. The next time you eat a pie, give a thought for how important it’s development was to the growth of civilization as we know it and the development of insight into food hygiene.

He violated the trust placed in him when he was awarded a licence to run a food business. He attempted to make cynical use of his religious beliefs to justify his actions and discriminated against the inspectors when he called them non believers. His crass, lazy and obstinate attitude worked against him and he got his just deserves.

Campylobacter is one of the most common bacterial causes of gastro intestinal diarrheal sickness in the United States of America. The vast majority of these cases occur as isolated and sporadic events and not as part of recognized epidemic like outbreaks. Ongoing surveillance by FoodNet demonstrates that about thirteen cases are diagnosed each year for each 100,000 persons in the population. Many more cases go undiagnosed or unreported, and campylobacteriosis is estimated to affect more than 2.4 million persons each year, or 0.8% of the total population of the USA. This disease is also very common in Europe, the Middle East and Asia. Campylobacteriosis occurs far more frequently in the summer months than in the winter months. The organism is isolated from infants and young adults more frequently than from persons in other age groups and from males more frequently than females. Although Campylobacter does not commonly cause death, it has been estimated that approximately 124 persons with Campylobacter infections die each year in the USA.

Campylobacter organisms are spiral-shaped bacteria that can cause disease in humans and animals. Most human illness is caused by one species, called Campylobacter jejuni, but human illness can also be caused by other species. Campylobacter jejuni grows best at the body temperature of a bird, and seems to be well adapted to birds, who carry it without becoming ill. These bacteria are fragile. They cannot tolerate drying and can be killed by oxygen. They grow only in places with less oxygen than the amount in the atmosphere. Freezing reduces the number of Campylobacter bacteria on raw meat.

Almost all persons infected with Campylobacter recover without any specific treatment. Patients should drink extra fluids as long as the diarrhea lasts. In more severe cases, antibiotics such as erythromycin or a fluoroquinolone can be used, and can shorten the duration of symptoms if given early in the illness. Your doctor will decide whether antibiotics are necessary.

Most people who get campylobacteriosis make a complete recovery within two to five days after the onset of symptoms, although sometimes in more serious cases recovery can take up to 10 days. Rarely, Campylobacter infection results in long-term consequences. Some people may develop arthritis. Others may develop a rare disease called Guillain-Barré syndrome that affects the nerves of the body which begins several weeks after the onset diarrheal illness. This occurs when a person’s immune system is triggered to attack the body’s own nerves which results in temporary paralysis that lasts several weeks and usually requires an intensive care regime. It is estimated that approximately one in every 1,000 reported Campylobacter illnesses leads to Guillain-Barré syndrome. As many as 40% of Guillain-Barré syndrome cases in this country may be triggered by campylobacteriosis.Campylobacteriosis usually occurs in single, sporadic cases, but it can also occur in outbreaks, when a number of people become ill at one time. Most cases of campylobacteriosis are associated with eating raw or undercooked poultry meat or from cross-contamination of other foods by these poultry items. Infants may get the infection by contact with poultry meat wrappings in shopping carts. Outbreaks of Campylobacter are usually associated with unpasteurized milk or contaminated water. Animals can also be infected, and some people have acquired their infection from contact with the stool of infected dogs or cats. The organism is not usually spread from one person to another, but this can happen if the infected person is producing large volumes of diarrhea and/or vomit. A very small number of Campylobacter organisms (fewer than 500) can cause illness in humans. Even one drop of juice from raw chicken meat can infect a person. One way to become infected is to cut poultry meat on a chopping board, and then use the unwashed chopping board and knife or other utensils which came into contact with the raw meat to prepare vegetables or other raw or lightly cooked foods. The Campylobacter organisms from the raw meat can by these means spread to the other food products.

Many chicken flocks are infected with Campylobacter but may very well show no signs of illness. Campylobacter can be easily passed from bird to bird through a common water source or through contact with infected feces of other birds. When an infected bird is slaughtered, Campylobacter organisms can be transferred from the intestines to the meat. Likewise, the bacteria can infect a whole batch of birds via the presence of the bacteria being present on equipment and on the hands and/or the gloves of the slaughter house workers who do not wash hands between each bird they handle. In 2005, Campylobacter was present on 47% of raw chicken breasts tested through the FDA-NARMS Retail Food program. Campylobacter is also present in the giblets, especially the liver.

Unpasteurized milk can become contaminated if the cow has an infection with Campylobacter in her udder or milk which has been contaminated with manure. Surface water and mountain streams can become contaminated from infected feces from cows or wild birds. This infection is common in the developing world, and travelers to foreign countries are also at risk for becoming infected with Campylobacter.