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Foodborne Illness
any disease that occurs as a result of eating contaminated food
Foodborne outbreak
two or more people who get sick from eating the same food.
What happens when outbreak occurs?
regulatory authorities conduct investigations to identify the contaminated food and prevent other people from getting sick
Food service establishments involved in a foodborne outbreak also face serious challenges
Damaged reputation
Loss of customers
Higher insurance premiums
Permanent closures
Lawsuits
highly susceptible populations
Infants and Young Children, the Elderly, and people who are Immunocompromised
TCS foods
Certain foods are more likely to cause foodborne illness because they make it easier for bacteria to thrive - Time and Temperature Control for Safety
low acidity, high protein content, and/or high moisture content
Examples of TCS foods
Meats, Sprouts, Sliced Tomatoes, Eggs, Shellfish, Fish, Dairy Products, Plant-based foods, Leafy greens, Bake Potato, Soy-based products, Untreated garlic + oil mixtures
How food gets contaminated
Obtaining Food from Unsafe Sources
Poor Personal Hygiene
Improper Cooking of Food
Improper Holding of Food
Use of Contaminated Equipment
Sources of Contamination
Biological
Physical
Chemical
Biological Hazards
bacteria, viruses, parasites, fungi, and toxins.
Chemical Hazards
chemical agents, such as pesticides, heavy metals, and cleaning or sanitizing solutions that may come into contact with the food.
Additives/Preservatives
excessive use of additives may also be a source of chemical contamination
How to Prevent Chemical Contamination
approved suppliers, keep food separate from other chemicals, do not store chemicals above food or food-contact surfaces, do not store food in empty chemical containers, chemicals must be properly labeled, poisonous materials are not allowed must be locked up, retain safety data sheets for chemical usage,
Physical Contamination
foreign objects that end up in the food, which can be seen with the naked eye
Biological Contamination - Bacteria
Bacteria are the most common microorganisms that affect food and cause foodborne illness.
Conditions for growth - FATTOM
Food (TCS)
Acidity - 4.6 - 7.5 on pH scale
Temperature - 41 - 135 F in TDZ
Time - longer than 4 hours in TDZ
Oxygen - Some bacteria need oxygen to grow, while others thrive in the absence of it
Moisture - Bacteria thrives in foods with a high moisture level, which is measured by water activity (aw) in the food.
Shiga Toxin-producing E.Coli (STEC)
E. coli bacteria are commonly found in human intestines and other warm-blooded animal, found in ground beef, raw fruits/veggies, and unpasteurized milk + juices
Nontyphoidal Salmonella
A bacteria found especially in poultry and eggs, including their shells,. Also found in human intestines, and in domestic and wild animal
Raw meat, poultry and seafood, raw eggs, unpasteurized milk, and other dairy products.
Salmonella Typhi
A bacteria found only in the human bloodstream and intestinal tract. It is only transmitted from human to human.
Food or beverages which are handled by or in contact with someone who carries the bacteria.
Listeria
A bacteria that causes Listeriosis. Listeriosis commonly affects pregnant women, young children, and other populations with weakened immune systems, and may lead to miscarriages and stillbirths.
Lunch and deli meats, unpasteurized dairy products, raw meat, and soft cheeses.
Shigella
A bacteria found in human intestines and feces. Most foodborne illnesses caused by this microorganism are the result of not washing hands after using the bathroom and then touching ready-to-eat foods
Salads (potato, shrimp, tuna, macaroni, and chicken), raw vegetables, and any food easily contaminated by dirty hands.
Staphylococcus Aureus ("Staph")
A type of bacteria commonly found on our skin, nose, and mouth. It is easily transmitted by sneezing, coughing, scratching skin, and touching facial hair.
Sandwiches, deli meat, custards, and ready-to-eat foods like salads or sandwiches
Clostridium Botulinum
A bacteria that can only grow in the absence of oxygen (anaerobic bacteria), typically in foods with low acid content
Vacuum-packed and home-canned foods (ex. corn, asparagus, beets, etc.), chopped garlic in oil, baked potatoes wrapped in foil, fermented fish.
Viruses
Viruses are microorganisms that will cause illnesses, but which cannot reproduce on food
In other words, viruses require a host or living organism to grow.
Hepatitis A
A virus that causes an infection of the liver. In some severe cases, it can lead to hospitalization, permanent liver damage, or even death. It is transmitted through contaminated food or water, and even close contact with an infected person (jaundice symptom)
Water, frozen fruits (berries), contaminated shellfish, salads, and other ready-to-eat foods.
Norovirus
Norovirus is transmitted through the fecal-oral route or vomit-oral route. This means that you can get sick when feces or vomit particles are present in the food or beverages you consume, or when you touch contaminated surfaces
Leafy greens, fresh fruits, and shellfish (oysters, mussels, scallops, clams)
Parasites
Parasites are organisms that live within or feed off another organism or host.
Trichinella
A Parasite (or roundworm) found in pork and some wild animals like bears. The parasite produces trichinosis
Pork, homemade jerky, and sausages.
Anisakis
Parasite found in fish and seafood that produces anisakiasis
Salmon, cod, monkfish, herring, and flounder.
Giardia
Giardia is a parasite that is transmitted by exposure to feces from an infected animal or person
Contaminated water, produce.
Toxins
Toxins are harmful substances produced by living organisms like bacteria, plants, algae, and animals, especially fish
Scombroid
Scombroid poisoning comes from histamine toxins produced after fish begins to spoil after being time and temperature abused
Mahi-mahi, anchovies, bonito, skipjack tuna, herring, sardines, yellow fin tuna, and black marlin.
Ciguatoxin
Ciguatera is a type of seafood poisoning most commonly associated with tropical predatory fish. The cause is not the fish, but what the fish eats. Some small fish eat algae found around coral reefs that may contain ciguatoxin
Barracuda, snapper, grouper, moray eel, fish liver, eggs or intestines.
Fungi
Molds are a natural part of many food products such as cheese. They rarely cause foodborne illnesses, but are responsible for much food spoilage
Cross Contamination
Cross-Contamination refers to the transfer of bacteria or harmful microorganisms from one place to another
Prevention
Clean and sanitize regularly, correctly store food, use separate equipment, and make sure equipment is in good repair
Proper Work Attire
Clean Clothing
Hair Restraints
have short and clean nails
The only jewelry allowed is a plain band, such as a wedding band.
Gloves and regularly change
Proper Handwashing
The temperature of the water must be at least 85° F.
Handwashing must take place in a designated handwashing sink only.
Scrub 15 seconds, rinse thoroughly
Caring for Wounds
Cover your wounds and everything
Eating, Drinking, or Smoking
Food employees should only eat, drink or use tobacco (i.e. smoking, vaping, chewing tobacco, etc.) in designated areas away from food or food preparation areas.
Employees are allowed to drink from a cup as long as the container is closed and does not result in contamination of the employee's hands or the food or equipment they are working with.
Proper Use of Gloves
The use of gloves does not replace handwashing. Hands must always be washed prior to putting on a pair of gloves.
After switching from handling raw food to ready-to-eat food
After 4 hours of use
After touching contaminated surfaces, such as a cell phones or your hair
If they tear, become damaged or dirty
Reportable Illnesses and Symptoms
Jaundice, diarrhea, infected wound, vomiting, sore throat with fever
Reportable Illnesses
Norovirus
Hepatitis A Virus
Shigella spp.
Shiga-toxin-producing Eschericia Coli
Typhoid fever (caused by Salmonella Typhy)
Salmonella (nontyphoidal)
Purchasing
Purchase from approved vendors
Inspecting
Schedule deliveries during slow times to inspect all items received p
Inspecting packaging
Packaged foods should be clear of defects and include expiration date or use-by date
Inspecting appearance
Check for signs of mold, dirt, pest activity, discoloration, or anything out of the norm for that food
Documentation for inspection
Documents for specific foods must be provided upon delivery and kept for 90 days in chronological order and keep everything in the same container
Temperature inspection
Cold foods should be at 41 F or less, frozen at 0 F or less, and hot foods at 135 F or higher
Eggs can be at 45 F or less, but receiving at lower temps is recommended
Frozen food with ice crystals should be rejectedM
Meat Receiving Criteria
41 F or low
USDA approval/good appearance
Beef should be bright red, firm flesh, good smell, and stamp on box
Poultry Receiving Criteria
41 F or low
No color or odor, firm texture, no dark wing tips, USDA approved F
Fish Receiving Criteria
41 F or low
Bright skin, Moist and red gills, attached skin, eyes must be clear and bulging, flesh must be firm and elastic
Crustaceans Receiving Criteria
Receive alive or 41 F or below if processed
Live, mild ocean smell
Live Shellfish Receiving Criteria
Receive 45 F or below, cooled to 41 F in 4 hours or less
Must be alive with shells closed and unbroken, delivered with ID tags
Shucked Shellfish Receiving Criteria
Must be received at 45 F or below and cooled to 41 F withn 4 hours
Eggs Receiving Criteria
Received at 45 F or below must be clean and intact
Pooled or liquid eggs must be received at 41 F or below
UHT Items Receiving Criteria
Delivered at room temperature if in germ-free packaging unless otherwise stated in label
Once opened must be stored 41 F or less
MAP Packaging Receiving Criteria
41 F or below unless stated by manufacturer
Must be intact, not swollen or leaking packaging
Vacuum packed meats may be purpose upon arrival, will turn red when exposed to air
Frozen Foods Receiving Criteria
Receive at temperature between 0 F to - 10 F
No ice crystals in food (sign of refreezing)
Dairy Receiving Criteria
Receive at 41 F or below and pasteurized and Grade A
Milk Receiving Criteria
Received at 45 F or below and pasteurized and Grade A, cooled to 41 F in under 4 hours
In-Shell Product
non-living molluskan shellfish, where one or both shells are present
Storage of Dry Foods
On slatted shelves at least 6 inches off flor and away from wall to minimize rodent or pest activity
Do not store in locker areas, toilet rooms, or mechanical rooms
Protect from dripping, condensation, or leakage from overhead plumbing pipes
Storage of Refridgerated Foods
Store in freezer or fridge
Store ready-to-eat foods in upper shelves above raw food
Keep raw foods separate from each other
Store raw meat in order of required cooking temperatures
Order of Foods by Shelves
Top Shelf - Ready-to-eat foods include deli meats, washed fruits and veggies (salads), and cooked foods, including plant foods that are cooked for hot holding
Second Shelf - Fish, minimum cooking temp of 145 F
Third Shelf - 145 F cooking like pork or cuts of meat
Fourth Shelf - Require cooking to 155 F (ground meats)
Bottom Shelf - Highest cooking temps of 165 F such as poultry
Product Rotation
Foods with earliest use-by-date must be at front and later-use date foods in the back
Past expiration date must be discarded
Date Marking
If ready-to-eat foods are held longer than 24 hours, must be stored in fridge at 41 F or below and discarded after 7 days
CROW Method for Thawing
Cooking
Refrigeration - 41F or below
Oven
Water - 70 F or below
Bimetallic stemmed thermometer
Long stem inserted into food to measure its temp (e.g. used to take temp of thick cuts of meat)
Thermocouples and thermistors
Used to take temp of thin foods, like beefy patty
Sensor is on tip of device and does not need to be inserted deep to get accurate reading
Infrared Thermometers
Used to check surface temperatures of surfaces and food
Calibration of Thermometer
Adjust it to boiling point of water (212F) or freezing water (32F)
165 F internal temperature
Poultry
Food prepared using previously cooked TCS ingredients
Stuffed dishes made of meat, fish, pasta, or poultry
Stuffing containing poultry, fish, seafood, or beef
155°F held for 17 seconds
Ground beef
Ground Pork
All ground meats (except poultry)
Ratites (ex. ostrich, emu)
Shelled eggs that will be hot held (buffet, catered breakfast lines)
Meat that is mechanically tenderized
Cubed or pounded meat (except ground poultry)
Ground seafood
145°F held for 15 seconds
Whole cuts of meat, such as steaks or chops (beef, pork, veal, lamb)
Seafood (shellfish, fish, and crustaceans)
Eggs (when cooked for immediate service)
145°F held for 4 minutes
Roasts (veal, beef, pork, lamb)
135°F (no minimum time required)
Vegetables
Fruits
Grains (rice, quinoa, corn, barley, oats, rye, wheat, pasta, etc.)
Legumes (beans, lentils, chickpeas, soybeans, peas)
Cooking Using a Microwave Oven
Cooked to a minimum internal temperature of 165°F.
Reheating Food
165°F for 15 seconds within 2 hours.
Two-Stage Cooling Process
The First Stage is to cool the food from 135°F to 70°F within 2 hours.
The Second Stage is to cool the food from 70° F to 41°F with an additional 4 hours.
Approved Cooling Methods
Smaller Portions
Rapid Cooling Equipment
Stir Food in an Ice Water Bath
Using Containers that Facilitate Heat Transfer
Using an Ice Wand or Ice Paddle
Q: What temperature must hot food be held at to stay safe?
A: 135°F or higher.
Q: What temperature must cold food be held at to stay safe?
A: 41°F or lower.
Q: Can you use a holding unit’s built-in gauge to check food temperature?
A: Every 2 hours (to allow time for corrective action).
Q: How often should cold foods be checked for temperature?
A: At least every 4 hours.
Q: Can you use the unit's built-in gauge to measure food temperature?
A: No, use a calibrated food thermometer.
Q: What should you do if food is found in the temperature danger zone?
A: Discard it.
Q: What must be in place to use TPHC?
A: Written procedures and regulatory approval.
Q: Can TPHC be used for high-risk populations (e.g., nursing homes)?
A: No.
Q: Max time cold food can be out of refrigeration using TPHC?
A: 6 hours.
Q: What must cold food's temp stay below while out?
A: 70°F.
Q: Max time hot food can be held without temp control (TPHC)?
A: 4 hours.
Q: Temp and time requirement for reheating food for hot holding?
A: 165°F for 15 seconds within 2 hours.
Q: How many times can food be reheated?
A: Once.
Q: What equipment can be used for reheating?
A: Stove, oven, microwave (NOT heat lamps or steam tables).
Q: What’s required to protect buffet food from contamination?
A: Sneeze guards/covers.
Q: Where must utensils be placed?
A: Inside the food, one utensil per dish.
Q: Can customers reuse dirty plates or utensils?
A: No.
Q: What’s the one item customers may reuse at a buffet?
A: Cups, only if refilled safely (no contact between dispenser and rim).
Q: When is it acceptable to re-serve food?
A: If it's in an unopened package or a closed container (e.g., ketchup bottle).