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Seeing your child choking on a piece of hotdog, carrot or anything else for that matter is a very stressful experience for any parent. Here’s a few tip on how to avoid child choking. The subject of food safety also includes how we prepare food for specific groups who may encounter problems swallowing the food correctly if it’s presented to them in the wrong way.

Never feed a child anything that is hard and round always cut into strips lengthwise. Cutting this way will in no way disturb training your child how to chew corectly. This is particularly important if your child was born with a weakness of the jaw muscles or any other type of bucal cavity disorder, tongue disorder or other disorders of the oesophagus, larynx or pyloric stenitis. Some problematic types of food which demand special attention for toddlers include: hotdogs, sausages, carrots, cellery, cucumbers, olives, cheries, strawberries, cherry tomatoes, small beets, small Parisienne potatoes, melon balls, large whole beans, etc. Children may also encounter food which is difficult to swallow such as peanut butter on bread, boiled egg sandwiches and the like, so always have a glass of water on hand to help to wash those pasty dry foods down should the need arise.

Do not feed your children hard candies, boiled sweets, jelly beans, toffee, mentos, gob stoppers, wine gums, chewing gum or any tye of peanut, hazel nut, almond, macademia nut or pistachio until they are at least 7 years old. Prefer fudge, jelly babies, marsh mallows or any other soft and non round sweet.
Do not feed your children buscuits made out of fine corn starch because this can form a glue like mass that can clog the back of the throat. Likewise do not allow your child to eat any fruit with large pips and/or seeds before you take the pip or seed out.

It is also not advisable to feed children any type of fish that may contain bones until they are at least ten years old. All fish products for small children should be ground into a paste.

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 work to prevent unnecessary stress for both parent and child and can even prevent what amount to unnecessary tragedies in quite a few cases. Keep food safety in mind when preparing food for your children.

NB. Round objects in a childs mouth can be mistaken for a bolus of food which can cause the mouth’s sensory organs to become confused and to send the object to the throat cavity. By being too large to swallow the epiglottis tries to eject the foreign object from the larynx which leaves the object hovering over the open trachea. The natural instinct to take a deep breath can cause the object in question to be drawn into the wind pipe where it causes an obstruction to air flow. In the following educational film clip you will be shown how to perform safe rescue techniques on children and infants. Every parent should become familiar with these techniques.

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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.

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At the bottom of this article you will find a full video presentation in six parts on the subject of food hygiene.

Most of us spend a great deal of attention to cases of food poisoning outside the home. Stories of food poisoning incidents hit the news and cause a great deal of anxiety and public interest. Someone once told me that food scares in the media are a bit like stories of air crashes. Although tragic and dramatic they do not amount to many deaths compared to road accidents. The same is true for incidences of food poisoning. Most instances of food poisoning do occur in the home environment.

However it is only natural to have this  concern about food hygiene from without the home because the food we buy and bring into the home environment comes from without. It is for precisely this reason that we are naturally tuned into collecting as much information as possible about where the best sources of food are and which places to avoid.

Even if we do manage to locate excellent food sources there will always be some bacteria present on it. We can never get completely away from this fact. Bacteria are everywhere. What we are looking for is sources that have not been exposed to unnecessary sources of contamination. Taking this fact into to account, the reason for promptly storing our food becomes clear. We need to keep it as fresh as possible.

Restaurants are involved solely in the preparation of food and if they work along strict hygienic guidelines the risk of food contamination is minimal. On the other hand, the home kitchen serves many functions. If only I had a dollar for the number of times I saw muddy football boots in the kitchen sink. The multi functionality of the home kitchen allows for many different possibilities for the cross contamination of food.

The kitchen is the place where any number of family mishaps are solved and family members come to the kitchen to clean themselves when really they should be using the bathroom. Kids may have been playing with their pet rabbits or the dog and the man of the house may have been unblocking a drain. In both of these instances the family members in question may go to take a drink from the fridge without properly washing and changing clothes. We all know this happens. Any kind of contaminant could spill onto food,

Another reason for food poisoning in the home is the direct and indirect interaction between the kitchen area and animal.s By animals I mean cats, dogs, mice, rats, birds, cockroaches, ants, flies, spiders, moths and in some countries maybe lizards and geckos. All animal species carry a huge variety of bacteria on their skin and in the feces and urine. Animals should not be allowed to jump onto kitchen work surfaces or eat from human utensils. If you are working with food avoid touching animals. Food should be kept in air tight food containers to stop insects and rodents from getting at it and work surfaces must be kept spotlessly clean at all times and sterilized with an anti bacterial spray such as Lysol spray.

Not everybody cleans their fruit and vegetables before storing them but I do like to wash it with a fruit and vegetable detergent. The soil upon your produce may come from many different areas of the world and it is better to clean it off than to have exotic strains of bacteria infecting your whole fridge. The special detergents for fruit and vegetables should also remove any insecticide residue from your fruit.

A major source of food poisoning in the home is failure to clean the fridge regularly and to check the freshness of the produce within it. Your fridge is a humid environment in which air circulates. This means that bacteria and molds can spread throughout your fridge in aerosol and contaminate many different items in a very short space of time. Always check your stock for food spoilage.

Preparing barbecue food is another common source of food poisoning in the home. People often leave food in containers in hot conditions while they are cooking. This gives bacteria an opportunity to grow. Grilling raw chicken takes a very long time until it is cooked through to the bone and bacteria have ample time to proliferate throughout the food. It is always best to precook chicken drumsticks, wings and chunks and to grill them just for the added taste of the grill. Thick hot dogs and burgers are also problematic for grilling on the barbecue. It takes a very long time for the heat to penetrate throughout and more often than not people eat only partially cooked food.

Thawing meat and fish. It is absolutely amazing when one learns just how few people understand how to thaw food. In the age when we constantly want things to be ready in a flash it seems time wasting to wait a few hours for meat to thaw. The solution is generally the microwave or to thaw in hot water. Both of this areas create hot spots on the surface of the meat where bacteria can develop. Meat should be defrosted in cold water but my personal advice is to plan three days ahead and defrost meat in your fridge at four degrees Celsius and in a closed container.

Ground meat and eggs are particularly sensitive items in the home kitchen. Ground meat is animal muscle whose surface area has been greatly increased. This increase of surface area is excellent for bacterial development. if other contaminants such as unclean spices or herbs are added to it as well as raw eggs, bacteria will be provided with the ideal environment. Raw egg is another perfect culture medium for bacteria. Ground meat should not be left out for long periods. It should be mixed with the other ingredients as quickly as possible and either cooked or re refrigerated until cooking. Personally I try not to exceed twenty minutes outside of refrigerated conditions.

Failure to follow manufacturers instructions is also an area in which much food poisoning in the home. Many pre made products are not suitable for baking, especially meat products which have been breaded but not pre fried.  Always read manufacturers instructions if you are using a product for the first time. Adhere to warnings stated on packaging.

The last area of concern that I want to talk about is the cleaning of eating and cooking utensils and equipment. Wash everything in very hot water and washing up liquid. Clean all grease from ovens and ranges promptly. Store equipment in clean cupboards and replace dish cloths and dish towels after each task. Use all kitchen equipment only for the function that it was intended. Personal hygiene is the function of the bathroom not the kitchen. Train your family on how to use the kitchen correctly and the risks of food poisoning in the home will be greatly reduced.

© 2019 Food Hygiene Essentials