Food Hygiene Essentials

Pseudomonas bacteria are a genus of bacteria which exist widely in the environment. They are gram negative, rod shaped, non spore forming, motile, flagellated aerobes. Pseudomonas aeruginosea, probably the most well know of all pseudomonas strains, is an opportunistic pathogen that has the capability of adapting to many niches. It can infect animals and humans alike and can cross the species barrier and for this reason it is considered a potentially zoonotic pathogen. This type of bacteria is immune to many types of bacteria because it has within it’s cell wall a mechanism known as an efflux pump which pumps antibiotics back out of the cell before they have had time to take effect. It is the second most common bacterial contaminant in hospitals and it is known to be paticularly malicious in burn units where it prevents the regeneration of healthy tissue. Bacteria of the pseudomonas family are grown on blood agar which turns from a blood red color to a marine blue/green hue. It also gives off a quite pleasant slightly minty smell.

One form of Pseudomonas pathogen causes a highly contageous disease in horses which is also highly infectious to humans. The disease in horses is know as glanders because it affects the glands in and around the throat and jaws of the horse. This disease was common when colonial forces shipped large quantities of horses to places like Africa, the Middle East and the Far East. Now, this disease is more rarer. The scientific name of this pathogen is Pseudomonas Mallei and it is registered as one of the possible bacterial strains that could be used in bacterial warefare together with Clostridium Botolinum and Anthrax.

Other forms of Pseudonas bacteria are known to cause spoilage in food at low temperatures. These psicrophilic Pseudomonas strains include: P. fragi which causes spoilage of dairy products , P. taetrolens which causes mustiness in eggs and P. mudicolens, and P. lundensis, which causes spoilage of milk, cheese, meat, and fish.

The term spoilage is used in food hygiene for a condition by which the food takes on an unpleasant texture, color change smell taste. This does not mean that the food has necessarily become a serious health risk in the same way as if meat were infected with e.coli or salmonella, for instance, but at the same time it is definitely not advisable to eat spoiled food. It means that the food has been infected with bacteria which cause the physical nature of the food to change. For instance, meat may become slimy to the feel or the outer lawyer of certain foods may become pulpy, it may also smell slightly sour and change color. This happens to food which has been stored in refrigerated conditions for long periods of time in places which have not been properly cleaned with anti bacterial disinfectants. I often see this condition in places such as deli counters where meat is sliced in front of the customer.

However a little slime on meat, such as with cured pastrami in particular and with other types of processed meats is not always a sign of spoilage. It may well be due to a reaction between the protein of the meat, the curing chemicals and the air. Many manufacturers now use preservatives to prevent such spoilage. In addition, the reaction of the preservative with the air and other factors within the meat can cause the color of the product to change slightly as well. The color of the may become slightly irridescent or take on a greenish hue. If the meat smells even the slightest bit sour, feels or looks slimy or has a bad color refuse to accept it.

Spoiled food such as cured meats meat can cause stomach discomfort, diarrhea, vomiting or mild allergic symptoms in some people and may even become more serious in people whose immune system is compromised. Remember this central rule of food hygiene, “When in doubt throw it out”.

Fish products are particularly susceptible to spoilage and it can be very difficult to guess from a casual inspection if the deterioration of the fish is due to spoilage bacteria such as the psicrophilic pseudonmonas species stated above or if the cause is due to more dangerous, pathogenic forms of bacteria. If fish looks even slightly slimy, discolored or smells in the least sour don’t buy it or if it has turned bad in your fridge throw it out and clean you fridge thoroughly with disinfectant. (A tactic used by many fresh fish mungers to hide the tell tale smell of fish which has started to show signs of going off is to constantly pour sea water over it. Watch out for this trick. If you are not sure if you are smelling the actual fish or sea water, don’t buy the fish). Most importantly, keep all fish products in closed containers to avoid cross contamination with of by other food products in your fridge.

The same goes for eggs milk and cheese, if you distinguish any changes in color texture or smell, don’t take any risks, better to throw out and buy fresh. To lower the risk being sold spoiled or food which is about to spoil, buy only from supermarkets and stores which are very busy and have a high turnover of merchandise, particularly in the deli sections. Don’t be embarrassed to inspect what you buy, you are paying for fresh and healthy food and the decision to take what is on offer or not is entirely your own. The customer is always right. If you notice that the food you buy goes off quickly and you know that a). your fridge is clean and b). the temperature of the fridge is as it should be then take the food back to the store with your receipt and demand a refund or a fresh replacement. If the problem continues report your findings to your local authority for food hygiene.

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.

Last Monday morning I received a phone call from the area superintendent of the department of public health. She told me that there was a steady stream of people falling sick due to eating food prepared by one of the large kitchens in our area. She continued to tell me that her department had been through the place with a fine tooth comb but still couldn’t find the source of the contamination. I arranged to meet them at the premises in question the following day to conduct an inspection.

To tell you the truth, I had a pretty good idea what I would be looking for because I had been to that particular kitchen several times in the past and had spotted a few things that seemed problematic. However, I had to make it seem as if I was earning my money so I decided that we would start somewhere quite far from the place that I suspected to be the problem.

We started by taking swabs of everything we saw and asked staff to provide swabs, blood, urine and stool samples. We checked the toilets of staff and diners alike and took swabs from all manner of cooking pots and trays,

I knew that this kitchen was using a type of bread basket within which to thaw meats and fish. The bread baskets were stacked one upon the other and left inside the two degree Celsius anti room of the freezer complex for up to four days. I also knew that the baskets were loaded onto a low level service trolley and brought up to the kitchen. I had known the chef of this kitchen for a number of years and I also knew that it was his practice to unload the baskets into plastic tubs after the lunch had gone out to the dining room. I always made a practice of doing this first thing in the morning before we started on the days chores.

What this meant was that the contents of the baskets were left to warm up from between seven o’clock in the morning until 11 o’clock in the morning. This wasn’t a very good practice. Every chef has his ways but I knew that this was not the exact point I wanted to look at closely. What bothered me were the baskets themselves. I had a word with the chef and asked him to make an exception today and vacate the baskets earlier. What i notices was what I suspected. After rinsing the basket with water to remove the blood I saw that there was a light colored plaque stuck to the plastic. I took a scraper and saw that it came away fairly easily. I took scrapings from all the baskets used that day and then took the baskets to the aluminium washing machine to see what happened.

The man working on the machine proudly took a stack of five baskets and but them onto the machine and presses the operating handle down. The baskets disappeared into the machine for a few seconds and then came out. The worker informed me that this was a very efficient way of washing the baskets. he then placed them back onto the service trolley which had not been washed only sprayed with a water gun and placed the baskets next to the lift ready to by taken back down to the freezers.

The guy in charge of the freezer units the proceeded to re fill them with produce for another day. I had noticed several things, 1) the baskets had not been scrubbed with a stiff plastic brush of Brillo pad with detergent, 2) they had only been rinsed inside the machine which used high pressure but was ineffective due to the fact that the stacking of baskets inside the machine rendered the high pressure ineffective,3) chicken, beef, pork and fish had been set out to thaw in the same tower of eight baskets.

All of this led us to believe that we had quite possibly found the missing link of the food contamination dilemma. What had been happening was that liquid released from the thawing meat and fish had been dripping onto the plaque in the bottom of the baskets which in turn had been dripping onto the neat inside the baskets below. Then we discovered something else. The worker who had been handling the baskets went to work on the dish washing machine that cleaned the crockery and cutlery merely wiping his hands on a towel and removing his plastic apron before going onto the dish washing machine. It was his job to remove the clean cutlery off the dish washing machine. We clearly saw that he could be contaminating the cutlery.

All we needed to do now was to take the cultures we had taken back to the lab and have them checked out. These were the findings. Camphilobacter, Staph Aureus, Salmonella, e. coli, vibrio an listeria were all present in large quantities within the plaque which we removed from the bread baskets. Our findings were relayed to the company management with the following recommendations. All bread baskets to receive immediate soaking in caustic soda. 2) All bread baskets to be scrubbed individually before putting them onto the aluminium machine,3) all bread baskets to be put into the aluminium machine individually and 4) all bread baskets to receive a weekly soaking in caustic soda. 4) aluminium machine worker was to thoroughly wash his hands and change overalls before helping out anywhere else.

A re check will be conducted in two weeks from the day all the baskets were washed in caustic soda.

When visiting China or any other country with a Chinese orientated culture it can be very challenging to try some of the exotic culinary preparations on offer. People of Chinese origin eat just about anything that is a source of protein. Local delicacies may include insects, reptiles, amphibians, all types of seafood and shellfish, many types of mamals and just about anything else you can think of.

Food poisoning among adventurous western tourists is quite common simply because of the fact that they have no or little awareness of the things which a local can stomach but would be very problematic for them. The prospect of being able to come home and show family and friends pictures of yourself munching on freshly fried cockroaches may be appealing but it may also turn out to be a mistake you might regret for a very long time.

Locals may have a much higher resistance to various food toxins and allergens that you. Their immune systems may well recognize and destroy bacteria which would make you very sick. Remember, they have been exposed to these things all their lives whereas for you it is completely new.

Many good hotels will keep lists of hotels which they feel that it is safe for tourists to eat and in addition they may also have a residential general practitioner on duty or be able to call a reputable GP within a very short space of time.

A good rule of thumb when eating in Chinese restaurants is only to eat in respectable busy places. Only accept your food it it is sizzling hot and do not order anything which your stomach is not used to. Also, never accept fruit which has been peeled for you, always opt to peel it yourself. Never eat salads. In fact, there are no salads in Chinese cuisine. Is it a coincidence that they all eat their food piping hot? Food for thought!

If you do fall sick in China or South East Asia always go to a doctor who has been recommended to you by a respectable establishment. Street doctors are often not qualified by internationally recognized medical schools and may make bad mistakes in diagnosis. Also some doctors may recommend unnecessary treatment and prescribe drugs that you do not need and which may do you more harm than good. It is also most unadvised to go to traditional practitioners because many of the herbal remedies which they prescribe may be infected with mold and cause more harm than good.

Common sense is an absolute must when eating of receiving medical treatment in China. The Chinese government itself are now organizing themselves to bring in a national standards authority which will act upon identical lines to those practiced in Eu regulations and the American FDA. The Chinese government has fully accepted that to continue to operate as they have until now is contrary to the Chinese national interest and prosperity of the Chinese nation. Please, be careful what you eat in China.

I’m a qualified chef, life coach and psychotherapist. In the following article I would like to share with you a whole new approach to loosing weight safely. This is a system that I have formulated after years of working with clients who have problems maintaining a diet regimen.

This system does not require you to count calories, drink weird powder blends or feel hungry. Instead, what I advise my clients to do requires a change in their whole approach to food and drink but at the same time still keeps eating a pleasurable experience without causing any inbalences in the diet.

There are actually more than ten points in the system. What I require you to do is to choose at least ten points that you know that you can adopt into your daily routine. However the first point in the list is the only obligatory point in the system and it acts as the basis for all the others.

Read the list carefully and take time to understand the implications of all the different points. You can change points if you like. Your first choice may not be the ideal choice for you. Have fun with the system and look at it as a form of rehabilitation rather than a way of punishing yourself for how you look and feel.

Here is the list of points.

1) (obligatory). Drink one cup of water first thing in the morning and thereafter one cup of water before each meal, one cup of water during the meal and one cup of water after the meal. In addition drink one cup of water two hours before going to bed.

2) Always eat at a set table. Never eat standing up or laying down. Never eat in front of the TV, the movie screen or the theatre.

3) Cook your own food. Do not buy pre cooked dinners because they contain substances that are put there to make you feel hungrier.

4) Eat three pieces of fruit from the following list every day: apples, pears, oranges, grapefruits.

5) Eat four or five pieces of raw vegetables from the following list: carrots, radishes, tomatoes, cucumbers, lettuce, onion, bell peppers.

6) Eat at least three portions of cooked vegetables per day.

7) Eat three portions of grilled chicken or turkey breast per week.

Eat three portions of fish per week. (Instead of meat)

9) Eat in restaurants only once per week.

10) Eat Bread only with one meal of the day and eat no more than three slices. Eat whole grain bread. Whit bread is addictive because it gives the body no nutrients other than empty calories therefore causing the body to ask to be fed again. Whole grain bread constituted eighty percent of a healthy diet before the technology of making white flour was invented.

11) Do not eat anything that has a filling, especially cheese fillings. These are usually processed cheese and not good for you.

12) Do Not eat anything that is salted. (This relates to salted snacks)

13) Eat no more than one portion of desert per day, prefer fruit to desert.

14) Eat ice cream only once per week.

15) Do not eat fried food unless it has been fried with hot air. Poached eggs are healthier.

16) Prefer to eat food without heavy sauces.

17) Proportion you carbohydrate intake so that it makes up no more than one third of your total food intake.

18) Do Not drink any sweet sodas, no cola.

19) limit yourself to one alcoholic drink per day.

20) Cut out chocolate and sweets.

If there are any of the above points that are already incorporated in to your lifestyle then don’t choose these points to be among the ten, pick another choice instead.

See if you can adhere to ten points for ten weeks. If you manage this you are then ready for the advanced stage which includes adding the other ten points, For life.

Good Luck.

In my previous article on shellfish and crustaceans I referred to instances of when seafood became contaminated once it was out of the sea. There are many forms of seafood poisoning and I would like to talk of one of the more problematic and undetectable forms of seafood poisoning that we encounter quite often.

In the field of food hygiene we must also look at the condition of food which has been caught in the wild. This includes the world’s fisheries industry. Wild sea food, particularly that which has been caught on or around coral reefs, is thought to be superior to sources which are grown by aquaculture technologies. Locus, red snapper, lobster and shrimp caught and served fresh from the coral reef are prized as delicacies.

All creatures that live on the coral reef are part of a food chain. Everybody is eaten by somebody else eventually. The food chain begins with single cell creatures such as plankton.  Some forms of plankton emit a toxin called “ciguatoxin”. The reaction to this toxin in humans is called “ciguatera“. (sig-ua-terra).

The plankton enters the food chain at the bottom end where it is eaten my small coral reef creatures. The small creatures are eaten by bigger ones until, finally we arrive at the sea creatures that we love to sea on our plates at the seafood restaurant.

It is important to stress that although the toxin is released into the flesh of the fish it has little or no effect upon them and they can continue to live out there lives and function quite well despite being infected by the toxin. The toxin tends to accumulate mostly in the liver, pancreas, gills and head but is also present in potentially problematic concentrations throughout the muscle tissue as well.

Cases of ciguatera are seen mostly where raw seafood flesh is served but it is important to stress that the toxin is not destroyed or neutralized by the cooking process nor is it destroyed by the powerful acid (HCl) which is present in our stomachs during the digestive process.

The reaction experienced by victims of ciguatera include all or most of the classic allergic reaction symptoms. Sufferers may experience sweating, dizziness, nausea, fainting, tightness of breath, burning of the mouth, itchiness, rashes, blurring of the vision and other symptoms.

This may sound frightening but although highly unpleasant, Ciguatera is very rarely fatal, especially if the victim arrives promptly to a place where he or she can receive modern medical treatment. Patients usually make a full recover within three to five days.

Some cases can be fatal but these cases are usually where people have severe medical conditions or other sensitivities that can be sparked off in conjunction with the symptoms of Ciguatera.

The only way to protect yourself is never to eat seafood in restaurants in locations that you have no prior knowledge of. Prefer to eat fish species from the open sea or freshwater sources. Eat or buy seafood from reputable businesses that have no previously reported incidences of Ciguatera.