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Communicable Diseases

 

Food poisoning

 

 

Food poisoning affects thousands of people in the UK each year. It is likely that many cases go unreported because people do not visit their GP to have a formal diagnosis.
 
 
Generally the very young and the elderly are more likely to suffer; however, anyone who is ill or who has a weakened immune system could also be vulnerable to food poisoning.
 
 
 
Food poisoning occurs after eating food contaminated with sufficiently high numbers of bacteria or viruses or contaminated with toxins or chemicals
 
 
 
The symptoms of food poisoning generally include some or all of the following:-
 
  • Headache
  • Fever
  • Stomach pains
  • Diarrhoea
  • Vomiting

 

 
 
There are four main types of food poisoning:
 
  • Bacterial - the most common cause.
  • Viral - viruses do not actually grow on food but may be carried in food.
  • Chemicals including metals - food poisoning caused by chemicals is rare and is usually caused through carelessness e.g. allowing cleaning chemicals to contaminate food.
  • Poisonous plants - food poisoning symptoms as a result of eating poisonous plants e.g. deadly nightshade or some fungi.

 

 
 
Bacteria cannot be detected by the naked eye as many as 3 million can fit on the end of a pin. Harmful bacteria are called pathogens and it is these that cause food poisoning. Bacteria are destroyed during cooking, however some of them may produce spores and toxins (poisons) which can survive even very high temperatures, and are therefore able to re-contaminate food as it cools.
 
 
 
  • People - people commonly carry food poisoning bacteria on their skin and also within the nose, mouth, ears and intestines. These bacteria contaminate food when touched by unwashed hands, or alternatively by food handlers sneezing and coughing on the food.
  • Raw food - particularly poultry, red meat and uncooked shellfish may carry food poisoning bacteria. Unwashed salad products may also carry bacteria.
  • Pests - many insect pests, notably flies and cockroaches, carry food poisoning bacteria on their legs and bodies. They contaminate food and work surfaces when they walk on them. Rodents excrete bacteria and their urine and droppings contaminate food and preparation surfaces.
  • Dirt - bacteria may be present in dirt and dust. It is for this reason that thorough cleaning is essential.

 

 
 
  • Food prepared too far in advance and then kept at room temperature. Food poisoning bacteria grow rapidly at room temperature. Any food prepared in advance must be refrigerated in order to slow bacterial growth.
  • Undercooking. This is dangerous because any harmful bacteria in the food will not be destroyed.
  • Not reheating food to high enough temperatures. Reheated products are those which have been previously cooked. If the subsequent cooling has not been rapid enough, any spores in the food will have had time to germinate. It is vital that these products are thoroughly reheated in order to destroy any bacteria which may have been produced by the spores.
  • Cross contamination. Food poisoning bacteria are very often present in raw food, especially raw meat, poultry and salad vegetables. If these bacteria are transferred to ready-to-eat foods, food poisoning can result. Cross contamination occurs for example during storage when the juices from raw meat are allowed to drip onto cooked food, or via an unwashed chopping board, work surface or unwashed hands.
  • Poor personal hygiene and infected food handlers. Poor personal hygiene can result in food becoming contaminated with bacteria. It is also possible for persons who have suffered from vomiting or diarrhoea to contaminate the food they prepare.

 

 
 
If you are only mildly unwell, take plenty of fluids and rest until you feel ready to eat solid food again.
Consult your doctor if:
  • you experience painful or persistent symptoms;
  • you are working as a food handler or if you are elderly, pregnant or if the sufferer is a child.
You must avoid preparing food for other people while you are suffering from vomiting or diarrhoea; however if it is unavoidable, take extra care with hand washing.
 

Commercial food handlers must not, under any circumstances, prepare food whilst suffering food poisoning symptoms.

 
 
 
If you or your doctor have good reason to suspect the infection was linked to a particular food or to a specific food premises, you should contact Environmental Health at the Council for advice. If an investigation is appropriate it will be necessary to ask you to provide a faecal specimen so that the exact type of bacteria can be identified. The Environmental Health Officer (EHO) will also be able to offer advice on the specific type of food poisoning you have and how to manage it until you are well.
 
Note: You must always inform your doctor and EHO if you work in the following areas:
 
  • A food handler whose work is connected with the preparation or handling or food or drink.
  • A health care, or nursery employee who has direct contact or contact through serving food, with vulnerable groups such as the elderly or children.

 

 
 

Wash hands regularly when preparing food but especially:

  • After going to the toilet
  • Before handling for
  • In between handling raw and cooked food
  • Before eating
  • After blowing your nose or coughing ino your hand
  • After handling refuse
 
 

Also

  • Cover cuts and boils using a waterproof plaster
  • Avoid habits such as touching your nose, mouth, and hair, when handling food
  • No smoking during food preparation
  • Clean all utensils and other food contact surfaces thoroughly before use with different foods
  • Avoid leaving food at room temperature
  • Thaw frozen food completely before cooking
  • Cook food thoroughly
  • Reheat food correctly
  • Cool cooked food quickly
  • Refrigerate cooked food as soon as possible within 90 minutes
  • Store raw and cooked foods separately - cooked food above raw food
  • Closely wrap all food before putting into fridge or freezer
 
If you would like further advice, please contact Environmental Health at the Civic Offices on telephone (023) 9244 6654. Alternatively you can email us.
 
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