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Microorganism Small, living organism 

Pathogen Disease-causing microorganism

Toxin Poison 

Spoilage Microorganism Microorganism that causes spoilage,but not illness spoilage,

but not illness

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Microorganisms That Can ContaminateFood and Cause Foodborne Illness

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Living, single-celled

Can be carried by

food, water, soil, humans, or insects

Can reproduce rapidlyunder favorable conditions

Basic Characteristics

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Basic Characteristics continued

Some survive freezing

Some form spores

Some spoil food; others cause illness

Some produce toxins that cause illness

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FoodMicroorganisms require nutrients found

in potentially hazardous food to grow

Proteins

Carbohydrates

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Acidity

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Pathogenic bacteria grow well in food that

is slightly acidic or neutral (pH of 4.6 to 7.5)

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Time 

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Foodborne microorganisms need

sufficient time to grow

4 hours or more in TDZ = growth high

enough to cause illness 

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Oxygen

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Some pathogens require oxygen to grow,

while others grow when oxygen is absent

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Moisture

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Most microorganisms grow well in moist food

Moisture is calculated using a measurement

called water activity (aw)

Potentially hazardous food typically has an aw of .85 or higher  

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Major Foodborne Illnesses Caused by Viruses

Viral Foodborne Illnesses

 – Hepatitis A

 –  Norovirus gastroenteritis

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Hepatitis A

Illness:  Hepatitis A 

Virus: Hepatitis A

Commonly Linked FoodMost Common

Symptoms

Ready-to-eat food Fever mild)

Shellfish fromcontaminated water General weakness

Nausea

Abdominal pain

Jaundice appears

later)

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Preventing Hepatitis A

Most Important Prevention Measure

 –  Practice personal hygiene

Other Prevention Measures

 –  Keep employees with jaundice out of the operation

 –  Keep employees diagnosed with hepatitis A out of

the operation

 –  Wash hands

 – Minimize bare-hand contact with ready-to-eat food

 –  Purchase shellfish from approved, reputable

suppliers

i i i

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 Norovirus Gastroenteritis

Commonly Linked FoodMost Common

Symptoms

Ready-to-eat food Vomiting

Shellfish from contaminatedwater Diarrhea

Nausea

Abdominal cramps

Illness:  Norovirus gastroenteritis 

Bacteria: Norovirus

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Preventing Norovirus Gastroenteritis

Most Important Prevention Measure

 –  Practice personal hygiene

Other Prevention Measures

 –  Keep employees with diarrhea and vomiting out of

the operation

 –  Keep employees diagnosed with Norovirus out of

the operation

 – Wash hands

 –  Minimize bare-hand contact with ready-to-eat food

 –  Purchase shellfish from approved, reputable

suppliers 

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Li i i

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Listeriosis

Commonly Linked Food Most Common Symptoms

Raw meat Pregnant women: 

Miscarriage

Ready-to-eat food

such as:

 – 

 Deli-meat

 –  Hot dogs

 –  Soft cheese

Newborns:

  Sepsis

  Pneumonia

  Meningitis

Unpasteurized dairy

products

Illness:  Listeriosis

Bacteria: Listeria monocytogenes 

P i Li i i

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Preventing Listeriosis

Most Important Prevention Measure

 – Control time and temperature

Other Prevention Measures

 – Throw out any product that has passed its use-by or

expiration date

 – Cook raw meat to minimum internal temperatures

 – Prevent cross-contamination between raw or

undercooked food and ready-to-eat food

 – Avoid using unpasteurized dairy products

H h i C li i

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Hemorrhagic Colitis

Commonly Linked Food Most CommonSymptoms

Ground beef raw andundercooked)

Diarrhea becomesbloody)

Contaminated produceAbdominal crampsKidney failure insevere cases)

Illness:  Hemorrhagic colitis

Bacteria: Shiga toxin-producing

Escherichia coli including:

O157:H7, O26:H11, O111:H8,

and O158:NM 

P e e ti He h i C liti

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Preventing Hemorrhagic Colitis

Most Important Prevention Measure

 – Control time and temperature

Other Prevention Measures – Cook food, especially ground beef, to minimum

internal temperatures

 – Purchase produce from approved, reputablesuppliers

 – Prevent cross-contamination between raw meat andready-to-eat food

 – Keep employees with diarrhea out of the operation

 – Keep employees diagnosed with hemorrhagiccolitis out of the operation

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Major Foodborne Illnesses Caused by Bacteria

Illnesses Prevented by Preventing

Cross-Contamination

 –  Salmonellosis

S l ll i

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Salmonellosis

Commonly Linked Food Most CommonSymptoms

Poultry and eggs Diarrhea

Dairy products Abdominal cramps

Produce Vomiting

Fever

Illness:  Salmonellosis

Bacteria:  Salmonella spp.

P ti S l ll i

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Preventing Salmonellosis

Most Important Prevention Measure

 – Prevent cross-contamination

Other Prevention Measures

 – Cook poultry and eggs to minimum internal

temperatures

 – Prevent cross-contamination between poultry and

ready-to-eat food

 – Keep foodhandlers who have been diagnosed withsalmonellosis out of the operation

M j F db Ill C d b B t i

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Major Foodborne Illnesses Caused by Bacteria

Illnesses Prevented by Practicing

Personal Hygiene

 – Shigellosis

 – Staphylococcal gastroenteritis

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Preventing Shigellosis

Most Important Prevention Measure

 – Practice personal hygiene

Other Prevention Measures

 – Keep foodhandlers with diarrhea out of the

operation

 – Keep foodhandlers diagnosed with shigellosis out

of the operation

 – Wash hands

 – Control flies inside and outside the operation

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Staphylococcal Gastroenteritis

Commonly LinkedFood Most CommonSymptoms

Food requiringhandling during

preparation,including:

Salads containing TCS food

(i.e., egg, tuna, chicken, macaroni)

Nausea

Deli meat Vomiting and

Illness:  Staphylococcal gastroenteritis

Bacteria: Staphylococcus aureus

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Preventing Staphylococcal

GastroenteritisMost Important Prevention

Measure

 – Practice personal hygiene

Other Prevention Measures

 – Wash hands, particularly after touching the

hair, face, or body

 – Cover wounds on hands or arms

 – Hold, cool, and reheat food correctly 

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Major Foodborne Illnesses Caused

 by BacteriaIllnesses Prevented by Purchasing

from Approved, Reputable Suppliers

 –  Vibrio gastroenteritis

 –  Vibrio vulnificus primary septicemia

Vibrio vulnificus primary septicemia/gastroenteritis

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Vibrio vulnificus primary septicemia/gastroenteritis

Commonly LinkedFood Most CommonSymptoms

Oysters from contaminatedwater

Diarrhea

Abdominal cramps and

nausea

Vomiting

Low-grade fever and chills

Illness:  Vibrio vulnificus primary

septicimia Vibrio gastroenteritis

Bacteria: Vibrio vulnificus

Major Foodborne Illnesses Caused by Parasites

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Major Foodborne Illnesses Caused by Parasites

Foodborne Illnesses from Parasites

 – Anisakiasis

 – Cryptosporidiosis

 – Giardiasis

Anisakiasis

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Anisakiasis

Commonly LinkedFood Most CommonSymptoms

Raw and undercooked fish,

including:

Tingling in throat

 –  Herring

 –  Cod  –  Halibut

 –  Mackerel

 –  Pacific salmonCoughing up worms

Illness:   Anisakiasis 

Parasite:  Anisakis simplex

Preventing Anisakiasis

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Preventing Anisakiasis

Most Important Prevention Measure

 – Purchase from approved, reputable suppliers

Other Prevention Measures

 – Cook fish to minimum internal temperatures

 –  If serving raw or undercooked fish, purchase sushi-

grade fish that has been frozen to the right time-

temperature requirements

Cryptosporidiosis

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Cryptosporidiosis

Commonly Linked Food Most CommonSymptoms

Contaminated water Watery diarrhea

Produce Abdominal cramps

Nausea

Weight loss

Illness:  Cryptosporidiosis

Parasite: Cryptosporidium  parvum

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Preventing Cryptosporidiosis

Most Important Prevention Measure

 – Purchase from approved, reputable suppliers

Other Prevention Measures 

 – Use properly treated water

 – Keep foodhandlers with diarrhea out of the

operation

 – Wash hands

Giardiasis

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Giardiasis

Commonly Linked Food Most CommonSymptoms

Improperly treated water  Initially

Produce  Fever

Later

 Diarrhea

 Abdominal cramps

 Nausea

Illness:  Giardiasis 

Parasite: Giardia duodenalis

(G.lamblia or  G. Intestinalsis)

Preventing Giardiasis

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Preventing Giardiasis

Most Important Prevention Measure 

 –  Purchase from approved, reputable suppliers

Other Prevention Measures

 – 

Use properly treated water –  Keep foodhandlers with diarrhea out of the operation

 –  Wash hands

Major Foodborne Illnesses from Fish Toxins

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Major Foodborne Illnesses from Fish Toxins

Fish Toxin Illnesses

 –  Scombroid poisoning

 –  Ciguatera fish poisoning

Scombroid Poisoning

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Scombroid Poisoning

Illness:  Scombroid poisoning Toxin: Histamine

Commonly Linked FoodMost Common

Symptoms

Tuna Initially 

Bonito Burning/tingling in mouth

or throat

MackerelReddening of the face and

neck

Mahi mahi Sweating Headache

Possibly later

Diarrhea Vomiting

Preventing Scombroid Poisoning

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Preventing Scombroid Poisoning

Most Important Prevention Measure

 – Purchase from approved, reputable suppliers

Other Prevention Measures

 – Prevent time-temperature abuse during storage and

 preparation

Ciguatera Fish Poisoning

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Ciguatera Fish Poisoning

Illness:  Ciguatera fish poisoning Toxin: Ciguatoxin

Commonly Linked Food Most Common Symptoms

Predatory tropical reef fishfrom

Pacific Ocean, Western Indian

Ocean, and Caribbean Sea:

Reversal of hot and cold

sensations

 Barracuda  Grouper Tingling in fingers, lips, or toes

 Jacks  Snapper Joint and muscle pain

Nausea

Vomiting

Preventing Ciguatera Fish Poisoning

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Preventing Ciguatera Fish Poisoning

Most Important Prevention

Measure

 – Purchase predatory tropical reef fish from

approved, reputable suppliers

Major Foodborne Illnesses from Shellfish Toxins

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Major Foodborne Illnesses from Shellfish Toxins

Shellfish Toxin Illnesses

 – Paralytic shellfish poisoning (PSP)

 –  Neurotoxic shellfish poisoning

(NSP)

 – Amnesic shellfish poisoning (ASP)

Paralytic Shellfish Poisoning (PSP)

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Paralytic Shellfish Poisoning (PSP) 

Illness:  Paralytic shellfish poisoning (PSP) 

Toxin: Saxitoxin

Commonly Linked FoodMost Common

Symptoms

Shellfish found in colder

waters

such as those of the Pacific

and New England coasts: 

Numbness

 Clams  MusselsTingling in mouth, face,

arms, and legs

 Oysters  Scallops Dizziness

Nausea

Vomiting

Diarrhea

Preventing Paralytic Shellfish Poisoning (PSP)

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Preventing Paralytic Shellfish Poisoning (PSP) 

Most Important Prevention Measure

 – Purchase shellfish from approved, reputable

suppliers

Neurotoxic Shellfish Poisoning (NSP)

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 Neurotoxic Shellfish Poisoning (NSP) 

Illness:  Neurotoxic shellfish poisoning (NSP) 

Toxin: Brevetoxin

Commonly Linked Food Most Common Symptoms

Shellfish in warmer waters of

west coast of Florida, Gulf ofMexico, and Caribbean Sea: 

Tingling and numbness of thelips, tongue, and throat

 Clams Dizziness

 Mussels

Reversal of hot and cold

sensations

 Oysters Vomiting

Diarrhea

Preventing Neurotoxic Shellfish Poisoning (NSP)

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Preventing Neurotoxic Shellfish Poisoning (NSP)

Most Important Prevention Measure

 – Purchase shellfish from approved, reputable

suppliers

Amnesic Shellfish Poisoning (ASP)

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Amnesic Shellfish Poisoning (ASP)

Illness:  Amnesic shellfish poisoning (ASP) 

Toxin: Domoic acid

Commonly Linked

Food

Most Common

SymptomsShellfish found in coastal

waters of Pacific Northwest

and east coast of Canada:

Initially

 Vomiting

 Diarrhea

 Abdominal pain

 Clams Mussels Oysters

 Scallops

Possibly later

 Confusion

 Memory loss

 Disorientation

 Seizure

 Coma

Preventing Amnesic Shellfish Poisoning (ASP)

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Preventing Amnesic Shellfish Poisoning (ASP)

Most Important Prevention Measure

 – Purchase shellfish from approved, reputable

suppliers

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2-14

Caused by BacteriaSalmonellosis

Shigellosis

Listeriosis

Staphylococcal  Gastroenteritis 

Clostridium perfringens

Gastroenteritis 

Bacillus cereus Gastroenteritis

Botulism

Campylobacteriosis

Hemorrhagic colitisVibrio Gastroenteritis/Septicemia 

Yersiniosis

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Identify the Pathogen

1. _____________________________________________  

I can be found in water contaminated by feces. 

I am sometimes found in shellfish. 

I can produce fatigue and jaundice. 

Obtaining shellfish from an approved source can be a safeguard against me. 

2. _____________________________________________  

I can be carried in the intestinal tract of humans. 

I am sometimes found in shell eggs. 

I can produce fever and diarrhea. 

My growth can be slowed by refrigeration.

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Hepatitis A

Salmonella spp.

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Fungi

FungiCommonly cause food spoilage and

sometimes illness

Molds Yeasts

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Basic Characteristics

Spoil food and sometimes cause illness 

Grow well in acidic food with a low water activity 

Freezing prevents or reduces their growth, but

does not destroy them

Some produce toxins such as aflatoxins

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Basic Characteristics

Grow well in acidic food with

low water activity

May produce a smell or taste of alcoholas they spoil food 

May appear as a pink discoloration or slime

and may bubble

Some spoil food rapidly

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Foodborne InfectionsResult when a person eats food containing pathogens, which then

grow in the intestines and cause illness 

Foodborne Intoxications Result when a person eats food containing toxins that cause illness 

Foodborne Toxin-Mediated Infections Result when a person eats food containing pathogens, which then

produce illness-causing toxins in the intestines