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a disease transmitted to people by food
What is a foodborne illness?
1. two or more people have the same symptoms from eating the same food
2. an investigation is conducted by state and local regulatory authorities
3. the outbreak is confirmed by a laboratory analysis
What 3 things make a foodborne illness considered an outbreak?
1. fast paced environment with short time frame
2. differenced in language and culture between employers and employees
3. differences in education making it hard to teach employees
4. illness-causing pathogens can get into food
5. unapproved suppliers
6. high-risk costumers
7. high staff turnover leads to less time to train in food safety
What are the 7 things that can lead to unsafe food practices?
1. young children
2. elderly
3. pregnant women
4. immunocompromised
What 4 groups of people are considered high-risk customers for getting a foodborne illness?
biological, physical, and chemical
What are the 3 types of contaminants?
pathogens such as bacteria, viruses, parasites, and fungi
What are biological contaminants?
foreign objects such as metal shavings, bandages, and fish bones
What are physical contaminants?
foodservice chemicals such as cleaners, sanitizers, and polishes
What are chemical contaminants?
when food has stayed in the temperatures that are good for the growth of pathogens (temperature danger zone) for too long
What is time-temperature abuse?
pathogens transferred from one surface/food to another
What is cross-contamination?
TCS (temperature control for safety) and ready-to-eat foods
What 2 types of food are the most likely to become unsafe and cause foodborne illnesses?
food that can be eaten without further preparation, washing, or cooking
What are ready-to-eat foods?
all food types except meat, poultry, and eggs
What foods does the FDA inspect?
FDA
Who issues Food Codes?
meat, poultry, and eggs
What foods does the USDA regulate (3)
c). sea salt
Which is a ready-to-eat food?
a). uncooked rice
b). raw deboned chicken
c). sea salt
d). unwashed green beans
c). sprouts
Which of the following is a TCS food?
a). bread
b). flour
c). sprouts
d). strawberries
time-temperature abuse
What risk does leaving raw chicken breasts out at room temperature demonstrate?
when a food handler uses the bathroom and doesn't wash their hands before touching food or food-preperation surfaces
What is the fecal-oral route of contamination?
harmful microorganisms that can make you sick or produce toxins/poisons that make you sick
What are pathogens?
bacteria, viruses, parasites, and fungi/molds
What are the 4 types of pathogens?
1. Shigella spp.
2. Salmonella Typhi
3. Nontyphoidal Salmonella (NTS)
4. Shiga toxin-producing Escherichia coli (STEC), also known as E. coli
5. Hepatitis A
6. Norovirus
What are the Big Six pathogens?
can be found on nearly every surface including on and in our body
What is the location of bacteria?
no
Can bacteria be seen, smelled, or tasted?
FAT TOM
What acronym is the 6 characteristics needed for bacteria to grow?
control time and temperature
What is the most important way to prevent bacteria from causing a foodborne illness?
food
What does the F in FAT TOM stand for?
most bacteria need nutrients to survive
Why is food a characteristic needed for bacterial growth?
TCS foods
What type of food support the most growth of bacteria?
acidity
What does the A in FAT TOM stand for?
neutral to slightly acidic
What type of pH do bacteria grow best?
temperature
What does the first T in FAT TOM stand for?
41-135 degrees F
What is the temperature danger zone?
70-125 degrees F
What portion of the temperature danger zone has the most rapid bacterial growth?
time
What does the second T in FAT TOM stand for?
bacteria need time to grow and the longer bacteria spend in the temperature danger zone, the more bacteria grow
Why is time a characteristic of bacterial growth?
oxygen
What does the O in FAT TOM stand for?
not all, some grow only when oxygen is not present
Do all bacteria require oxygen to grow?
moisture
What does the M in FAT TOM stand for?
high moisture levels
What type of moisture level do bacteria grow best in?
water activity
What is the amount of moisture available in food for bacterial growth?
0.0 (lowest)-1.0 (highest)
What does the water activity scale range from?
salmonella typhi, nontyphoidal salmonella, shigella spp., E. coli
What are the 4 main types of bacteria that cause foodborne illness?
only in humans (can be found in feces weeks after symptoms cease)
Where does salmonella typhi live?
ready-to-eat foods and beverages
What 2 types of food are linked with salmonella typhi?
many farm animals
Where is nontyphoidal salmonella found?
poultry, eggs, meat, milk/dairy products, and produce
What 5 foods are linked with nontyphoidal salmonella?
human feces and flies (transferred feces bacteria to food)
What are the 2 sources of shigella spp.?
food that is easily contaminated by hands and food that comes into contact/washed with contaminated water
What 2 types of food are linked with shigella spp.?
inside the intestines of cattle
Where can E.coli be found?
ground beef and contaminated produce
What 2 foods are linked with E.coli?
need a living host
What is the location of viruses?
fecal-oral route
What is the most common way viruses get into food?
not always (ex. Hep A)
Can viruses get cook off by normal cooking temperatures?
norovirus and Hepatitis A
What are the 2 viruses that are most likely to cause a foodborne illness?
jaundice
What symptom of illness is associated with Hepatitis A?
at least 7 days
How long must an employee with jaundice be excluded from the operation?
ready-to-eat foods and shellfish from contaminated water
What 2 types of food are viruses linked with?
require a live host to live and reproduce in
What is the location of parasites?
seafood, wild game, and foods processed with contaminated water (produce)
What are the 3 sources of parasites?
1. purchase food from approved, reputable supplier
2. cook food to required internal temperature
3. ensure fish that is being served raw/undercooked has been correctly frozen by manufacturer
What are the 3 ways to prevent parasite foodborne illness?
yeasts, molds, and mushrooms
What 3 things are considered fungi?
throw out all moldy foods unless mold is natural part of food and purchase mushrooms from approved, reputable supplier
What 2 ways do you prevent fungi foodborne illness?
certain plants, mushrooms, and seafood
What 3 foods are biological toxins associated with?
made by pathogens found on fish when fish is time-temperature abused
How can histamine infect fish?
tuna, bonito, mackerel, and mahimahi
What 4 fish can be infected with histamine?
a biological toxin that can contaminate fish that eat smaller contaminated fish
What is ciguatera toxin?
barracuda, snapper, grouper, and amberjack
What 4 fish can be infected with ciguatera toxin?
biological toxins
What type of biological contamination can cause neurological symptoms and allergic reactions (hives, difficulty breathing, burning in mouth/on tongue)?
no
Can biological toxins be destroyed by cooking or freezing?
purchase plants, mushrooms, and seafood from reputable, approved suppliers and control time and temperature when handling raw fish
What are the 2 ways to prevent biological toxin foodborne illness?
pewter, copper, zinc, and painted pottery
What 4 types of cookware can cause chemical contamination?
acidic foods (tomato sauce)
What type of food is most likely to be chemically contaminated by pewter, copper, zinc, and painted pottery cookware?
vomiting and diarrhea
What are the 2 most common symptoms of foodborne illness caused by chemical contaminants?
call the emergency number in your area and call the poison control center
What 2 steps should be taken if an illness caused by a chemical contaminant is suspected?
1. store chemicals away from prep areas, food storage areas, and service areas
2. chemicals must be separated from food and food-contact surfaces via spacing/partitions
3. chemicals must never be stored above food and food-contact surfaces
4. chemicals must have readable manufacturer's labels on original chemical containers
How do you properly store chemicals to prevent chemical contamination (4)?
make a food defense plan
What is the best way to protect food from being tampered with?
ALERT
What is the acronym the FDA created to help businesses create a food defense plan?
assure
What does the A in ALERT stand for?
make sure that products are received from safe sources
What is involved in the assure step of a food defense program?
assure
What step of the food defense program encourages supervising product deliveries, using approved suppliers that practice food defense, and making requests that delivery vehicles are locked/sealed?
look
What does the L in ALERT stand for?
monitor the security of products in the facility
What is involved in the look step of a food defense program?
look
What step of the food defense program encourages limiting access to prep and storage areas, creating a system for handling damaged products, storing chemicals in a secure location, and training staff to spot food defense threats
employees
What does the E in ALERT stand for?
know who is in your facility
What is involved in the employee step of a food defense program?
employee
What step in the food defense program encourages limiting access to prep and storage areas, identifying all visitors and verifying their credentials, and conducting background checks on staff?
reports
What does the R in ALERT stand for?
keep information related to food defense accessible
What is involved in the reports step of a food defense program?
reports
What step of the food defense program encourages employers to maintain records/save receiving logs and staff files, and conduct random food-defense self-inspections?
threat
What does the T in ALERT stand for?
identify what you will do and who you will contact if there is suspicious activity or a threat to the operation
What is involved in the threat step of a food defense program?
threat
What step of a food defense program encourages holding products that are suspected to be contaminated, contacting regulatory authority immediately if a threat occurs, and maintaining an emergency contact list?
general contact information, food(s) that were eaten at establishment, description of symptoms, and timeline of when symptoms first started
What 4 things should you ask when gathering information to respond to a foodborne illness outbreak?
contact the local regulatory authority
After you gather information, what should you do next when responding to a foodborne illness outbreak?
segregate the suspected product
After you have contacted the authorities, what should you do next when responding to a foodborne illness outbreak?
label it with do not use and do not discard/throw away
How should you label a segregated product that is suspected to have caused a foodborne illness outbreak (2)?
document information about the suspected product
After segregating suspected contaminated product, what should you do next when responding to a foodborne illness outbreak?
product description, production date, lot number, sell-by date, and pack size
What 5 things should be included when documenting information about a suspected contaminated product when responding to a foodborne illness outbreak?
identify staff who were scheduled at the time of the suspected contamination
After documenting information about a suspected contaminated product, what should you do next when responding to a foodborne illness outbreak?