مقدمه :

مسموميت هاي غذائي (Food poisoning)

مسموميت هاي غذائي، به مفهوم جامع آن يعني مسموميت هاي ناشي از مصرف مواد غذائي شامل مسموميت هاي ناشي از سموم طبيعي (كه نمونه هايي از آن ها ذكر خواهد شد)، سموم باكتريال، قارچي، سموم شيميائي و مصنوعي (سموم فلزي، سموم دفع آفات نباتي و غيره) و سمومي كه به عنوان متابوليت ناشي از فعاليت هاي آنزيماتيك عوامل خارجي يا داخلي در مواد غذائي پيدا مي شوند بخش مهمي از بيماري هاي ناشي از مصرف غذا را تشكيل مي دهند.

مواد سمي طبيعي

هنگامي كه سخن از مسموميت هاي غذائي به ميان مي ايد غالبا توجه همه به سموم باكتريال و گاهي به مواد سمي شيميائي معطوف مي شود، ليكن علاوه بر اين ها تعداد قابل توجهي از مواد سمي طبيعي در گياهان و محصولات غذائي حيواني يا ناشي از فعاليت هاي كپك ها وجود دارند كه در حد خود، مهم مي باشند .

مواد سمي طبيعي در مواد غذائي گياهي (Phytoalexine)

در بسياري از مواد غذائي با منشا گياهي به طور طبيعي تركيبات شيميائي خاصي يافت مي شوندكه آثار سمي و زيان بخش آن ها مورد مطالعه قرار گرفته است و در مواردي كه مقدار يا طول زمان مصرف آن ها زياد بوده نشانه هاي باليني ناشي از آن ها در اشكال شديد و خفيف ظاهر گرديده است. قبل از اشاره به نمونه اي از فيتوآلكسين ها تذكر يك نكته مهم لازم است: توجه به وجود فيتوآلكسين ها در مواد غذائي مورد مصرف را به هيچ عنوان نبايد به معناي ضرورت اجتناب از مصرف اينگونه مواد غذائي، نتيجه گيري نمود بلكه در كنار آثار نامطلوب شناخته شده براي اين تركيبات شيميائي طبيعي، آثار بسيار مفيدي نيز براي بسياري از آن ها شناخته شـده است (به عنوان مثال مي توان به آثار ضد سرطاني و آنتي اكسيداني بسياري از اين تركيبات و نقش آن ها در خنثي كردن راديكال هاي آزاد مثبت اشاره كرد.

بعضی از اين تركيبات را كه به طور طبيعي در موادغذائي مورد مصرف وجود دارند به شرح زیر می باشند :

· تركيبات سيانوژنتيك: در بادام تلخ، هسته هاي تلخ، لوبيا و برخي حبوبات ديگر، ذرت خوشه اي، مانيوك.

· تركيبات گواتروژن : (تيوسيانات ـ گواترين، آليل ايزوسيانات) موجود در انواع كلم، شلغم، تخم خردل (سفيد و سياه)، سويا، گردو وبادام زميني . . .

· فوراتو كومارين : در پوست ليمو، كرفس، جعفري

· اگزالات ها : در ريواس، اسفناج، سيب زميني شيرين (Pomea Status) (سيب زميني شيرين كه بيش از يك سوم آن معمولا در طول نگهداري و عرضه خراب ميشود در فرايند خراب شدن آن يك تركيب زيان بخش فورانوسزگوئي ترپن بنام Ipomeamaron با اثر هپاتوتوكسيك و تعدادي از مشتقات Ipomeanine با اثر ايجاد كننده ادم ريوي ايجاد مي گردد) كاكائو، چاي، گوجه فرنگي، كنجد و جعفري.

· نيترات ها : در چغندر، اسفناج، هويج.

· سولانين و مشتقات آن : در سيب زميني (در سيب زميني معمولي نيز در فرايند سبز شدن و خراب شدن، لپتين كه مهار كننده آنزيم كولين استراز است ايجاد مي گردد)، سيب زميني جوانه زده و پوست آن، بادنجان نارس، گوجه فرنگي نارس، فلفل سبز ( Capsidiol در فلفل سبز وجود دارد).

· تانن ها : در پوست انار، چاي، قهوه

· گلوكزيدها : شامل گلوكزيدهاي سيانوژنتيك نظير آنچه كه در بادام تلخ و لوبياها وجود دارد، همچنين ساپونين ها، گليكوزينولات ها و . . .

· آلكالوئيدها : كه در برخي گياهان داروئي و مورد مصرف در تغذيه يافت مي شود.

· فاكتورهاي ضد تغذيه اي (Antinutritional) : كه شامل مهار كننده هاي آنزيم هاي گوارشي، لسيتين ها (با خاصيت آگلوتينه كردن گلبول هاي قرمز)، آمينواسيدهاي سمي و غيره مي باشند.

· فلاوينوئيدها

سولانین :

این ماده سمی که مشخصاً در سیب زمینی وجود دارد از نظر شیمیایی یک گلیکوآلکالوئیداستروئیدی است. وجود آن در سیب زمینی با ظاهر شدن رنگ سبز به خصوص در قشر زیر پوست این ماده مشخص می شود . به طور طبیعی سیب زمینی دارای 15-2 میلی گرم به ازای هر صد گرم وزن خود از این ماده است اما قرار گرفتن آن در معرض نور می تواند این رقم را تا صد میلی گرم افزایش دهد . مکانیزم اثر آن ، جلوگیری از اثر آنزیم استیل کولین استراز (Acetylcholinesterase) که در سیستم عصبی نقش اساسی دارد ، می باشد . اگر چه حتی مواردی از مرگ در اثر مصرف سیب زمینیهای دارای مقدار زیاد سولانین گزارش گردیده است ولی به دلیل آنکه به موازات افزایش این ماده ( بیش از 20 میلی گرم در هر 100 گرم ) و گسترش رنگ سبز در سیب زمینی یک تلخی مشخصی نیز در آن ظاهر می گردد از این نظر اساساً چنین سیب زمینی هایی مورد مصرف قرار نمی گیرند .

سیب زمینی حاوی گلیکوآلکالوئید و مواد سمی دیگری است که مهم ترین این مواد سمی، سولانین می باشد. معمولاً با پختن سیب زمینی در حرارت بالا (بالاتر از 170 درجه سانتی گراد) سولانین نابود می شود. گلیکوآلکالوئید معمولاً در زیر پوست سیب زمینی فراوان یافت می شود و اغلب با افزایش مدت نگهداری سیب زمینی (معمولاً در انبار) و همچنین قرار گرفتن در معرض نور، تراکم این ماده در زیر پوست این سبزی افزایش می یابد. مصرف گلیکوآلکالوئید می تواند باعث سردرد، اسهال، دل پیچه و در موارد شدیدتر، سبب رفتن به حالت کما و حتی مرگ شود. البته مسمومیت با مصرف سیب زمینی بسیار نادر است.

قرار گرفتن در معرض نور هم اغلب باعث سبز شدن سیب زمینی می شود و همان قسمت های سبز، احتمالاً سمی هستند. پرورش دهندگان سیب زمینی در حال انجام آزمایشات گوناگون به منظور بررسی میزان آلکالوئید در سیب زمینی های مختلف هستند، چون برخی انواع سیب زمینی میزان بیشتری از این ماده دارند.

برخی تحقیقات نشان داده اند که مصرف آن مقدار سیب زمینی که حاوی 200 میلی گرم سولانین باشد، احتمالاً خطرناک است. این میزان سولانین با خوردن یک عدد سیب زمینی متوسط فاسد و یا 4 تا 9 عدد سیب زمینی سالم در یک وعده، وارد بدن می شود.

سولانين مخدر و آرام بخش است ولي بعلت سمي بودن نبايد مورد مصرف داخلي قرار گيرد و بايد فقط بعنوان ضماد و استعمال خارجي استفاده شود.

سیب زمینی : نام گیاه شناسی آن، (سولانوم توبروزوم) یک ریزوم ساقه زیر زمینی چند ساله از خانواده ی گیاهان تاج ریزی می باشد. این گیاه یکی از مهم ترین سبزیجات است که در سراسر جهان، مخصوصاً اروپا، آمریکای شمالی و جنوبی از آن بسیار زیاد استفاده می کنند. سیب زمینی انواع مختلفی دارد که به روش کشت آن بستگی دارد.

سيب زميني نارس و همچنين برگ ، گل و ميوه سيب زميني داراي كمي آلكالوئيد سمي بنام سولانين است . بنابراين بايد از مصرف سيب زميني نارس و ينز برگ و گل و ميوه سيب زميني خودداري كرد

جوانه زدن سیب زمینی باعث افزایش سولانین(S o l a n in) كه یك الكالوئید است، می شود. سیب زمینی های دارای پوست سبز رنگ، نارس و یا جوانه زده حاوی سولانین هستند و این ماده سبب سمی شدن سیب زمینی می شود. اغلب در ۱۰۰ گرم سیب زمینی های میزان ۴/۹-۸/۱ میلی گرم سولانین وجود دارد افزایش مقدار سولانین به ۱۰ الی ۱۳ میلی گرم در ۱۰۰ گرم باعث مسمومیت انسان می شود. در سال ۱۹۷۸ در تعداد ۷۸ نفر از ۳۰۰ دانش آموز( سن متوسط ۱۳ سال) یك مدرسه انگلیسی كه توسط سیب زمین جوانه زده تغذیه شده بودند، مسمومیت شدیدی مشاهده شد. در فرد بالغ مقدار ۲۵ میلی گرم سو لانین باعث مسمومیت و ۴۰۰ میلی گرم آن باعث مرگ می شود. چنانچه سیب زمینی با آب و سركه پخته شود فاقد سولانین خواهد شد و آب و سركه بعد از پختن باید دور ریخته شود.

نگه داری سیب زمینی

در نگه داری سیب زمینی به روش استفاده از انبارهای سنتی از چهار نوع انبار مختلف خانگی، نیمه زیرزمینی و مخروطی شكل( حفره ای) به شرح زیر استفاده می شود.

در انبارهای خانگی برای نگه داری سیب زمینی در خانه ها بهتر است آن را در حجم كم در جعبه های چوبی كه از كف زمین انبار به اندازه ۴۰ سانتی متر بالاتر است قرارداد. در انبارهای خانگی هوای متعادل باید ۴+ درجه سانتی گراد باشد در غیر این صورت سیب زمینی شروع به جوانه زدن می كند و در آن سولانین به وجود می آید كه برای انسان سمی است.

برگ و ميوه سيب زميني بعلت داتشن سولانين مخدر و آرام بخش است ولي بعلت سمي بودن نبايد مورد مصرف داخلي قرار گيرد و بايد فقط بعنوان ضماد و استعمال خارجي استفاده شود.

بادمجان

بادمجان به علت داشتن یک ماده سمی به نام سولانین برای اشخاصی که سابقه حساسیت دارند خوب نیست. مخصوصا این افراد نسبت به نمونه‌های تخم‌دار بادمجان حساسیت داشته و بلافاصله بعد از خوردن دچار چشم درد شده و یا در بدنشان جوش پیدا می‌شود و دسته‌ای از افراد مبتلا به کهیر می‌شوند.

در حدود یک سوم از افرادی که از بیماری آرتریت روماتوئید رنج می برند به سولانین ها و یا بعضی گیاهان حساس اند که از آن جمله می توان سیب زمینی, فلفل ها, بادمجان ,گوجه فرنگی و تنباکو را نام برد که باید از رژیم غذایی این افراد حذف شوند.توصیه می شود که حداقل 6 تا 8 لیوان آب خالص در طول روز جهت دفع سموم از بدن مصرف شود.

بادمجان داراي آلكالوئيدي بنام سولانين Solanine مي باشد كه ممكن است در معده هاي ضعيف ايجاد آلرژي و مسموميت كند . بنابراين براي طبخ بادمجان بايد ابتدا اين ماده را از بادمجان خارج كرد و بهترين طرز پخت بدین صورت است که ابتدا باید بادمجان را پوست كند و سپس ورقه ورقه نمود و لابلاي آنرا نمك پاشيد تا آب آن كه زرد رنگ و محتوي سولانين است خارج شود ، سپس آنرا فشار داده و پخت .

زمیمه انگلیسی :

INFORMATION RESOURCE Page 1

1.0 REASONS FOR HYGIENE

Because it is necessary to take into our body, through the alimentary system, all manner of substances providing

nutrients necessary for body energy building repair and maintenance, WE ARE ALL POTENTIALLY AT RISK

FROM FOOD-BORNE DISEASE!

It follows that any person involved in the production, handling processing and serving of food for consumption by

others carries a heavy responsibility. Their action can reflect directly upon the physical health and well-being of

others.

This obligation and responsibility is not just moral and ethical, but is also enshrined in legislation, through various

Food Acts and Regulations made thereunder

Unfortunately, it is not easy to gain a clear measure of the prevalence or incidence of illness due to food ingestion.

Let us take the commonly recognized classification of "Food Poisoning" as an important example. It is true that the

actual level of food poisoning occurring Queensland each year is relatively hidden. Those that are formally notified

and recorded are considered to be only the "tip of the iceberg". This is partly because in many cases symptoms

would be relatively minor and do not receive medical attention. In other cases, circumstances mitigate against

confirmation of a food poisoning diagnosis (eg illness may be attributed to overindulgence in alcohol, or due to

some common infection "going around").

In 1983/84 for example, 392 cases of salmonellosis were notified inQueensland.

In addition, in that year there were 7 notified cases described as food poisoning.

In 1982/83 there were 17 notified cases of food poisoning [in two or more

associated cases] (Annual Report, Queensland Health & Medical Services, 1984).

Those relatively small numbers reported must not induce complacency

"There has recently been controversy over an estimate that up to 100,000 cases of food

poisoning may occur each year in

Australia. This is only one half of the average incidence if each person experienced only one bout

of food poisoning in a lifetime of 70 years. Clearly, the real figure is very much greater and

makes a strong case for improving the microbiological status of

our foods, either by specification or education, or preferably, both" (Christian, 1975)

If you add to food poisoning the wide range of other infections potentially carried by food, plus the array of possible

toxins, both of an acute and also of a more insidious nature, the significance of proper food hygiene procedures to

public health can be readily understood.

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It has been argued (Bourke and Isaacson, 1982) that the opportunities for food poisoning cases to occur are

increasing due to lifestyle factors, such as:

• increased communal eating;

• trends towards greater use of frozen, pre-cooked and convenience foods;

• bulk distribution of food; and

• public expectation of more rapid preparafion and serving of food

However, these factors can be readily off-set by an increased commitment to high standards in food handling.

To understand what procedures to apply, and how best to apply them, we need to examine the ways in which food

may be contaminated and made potentially unsafe for human consumption.

Food Hygiene Training - Infonnaiion Resource Page 3

2.0 SOURCES OF CONTAMINATION

Potential sources of food contamination are constantly present within the environment in which food is grown,

transported, processed and displayed. Contamination sources can include dust and soil, insects, source animals

(carcase foods), other animals and birds (including household pets and rodents), humans, water droplets, equipment,

containers and other foods.

The following SEVEN categories of contamination demonstrate how these sources may result in contamination and

will also underline the potential risks to health that can follow.

2.1 CHEMICAL CONTAMINATION

2.1.1 PESTICIDES

Do not spray household (or commercial) pesticides on food, utensils or food surfaces. All pesticides should be

treated as potentially poisonous in relation to food for human consumption.

2.1.2 METALS

Food and drink should be prepared and held only in containers made of metals and other materials which are known

to be suitable. These include stainless steel, aluminium, pyrex and other types of glass, good quality glazed

earthenware, various metals coated with good quality enamel, tin plate and non-stick (teflon and similar) surfaces.

Galvanized iron is unsuitable for cooking and storing foods and drink. The surface of the metal is covered with a

thin layer of zinc and this can easily be dissolved and get into food to poisonous levels, This is especially likely to

happen with liquids, particularly if they are acid. Never put lemon cordials or other such drinks into a galvanized

container, eg a bucket or refuse bin.

The use of discarded metal drums, whether made of steel or any other metaL for preparing and holding food, or for

use by the home beer-maker for fermentation is very dangerous. Large amounts of iron, zinc, lead and other

poisonous metals can be taken up in this way and cause poisoning.

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While copper saucepans are traditionally used by the cook, they must be kept perfectly clean. Foods can form

soluble compounds with the metal and these can accumulate on the surface of the pan unless deaned off. The failure

to clean out copper coffee pots and tea boilers, allowing such compounds to build up to dangerous levels on the

inside, has been responsible for instances of food poisoning. Care should also be taken not to use copper vessels for

deep fat frying or other forms of cooking involving oils and fats. The copper can cause the fats and oils to go rancid

and lead to spoilage of the food.

Cadmium-plated steel was used in the past to make ice trays and other parts of refrigerators and coolers. However, it

was discovered that this metal was easily dissolved by foods and drinks and caused serious poisoning when

consumed. Today it is no longer used for food-handling equipment, but cases of cadmium poisoning still occur

where old refrigerators and containers are used. Care should be taken to see that old equipment of this type is not

used for food preparation.

Lead is a very poisonous metal which sometimes gets into food. Poor quality tinplate can sometimes contain large

amounts of lead and this can contaminate food. Care should be taken that cheap tinplate pots and pans are not used

in the kitchen. Lead also enters food from the misuse of solder to repair breaks in metal utensils. Only lead-free

solder should be used wherever it is likely to come into direct contact with food (eg inside seams of containers and

pans).

The glazes on enamel and on earthenware contain poisonous metals such as lead and cadmium. If the glazes have

been improperly applied, as is sometimes the case with "bargain" pottery, casseroles, crockpots and similar utensils,

these metals can be dissolved out by food during cooking and storage, with unpleasant consequences for those who

consume the contents. The same thing can happen with enamel surfaces, especially if they have become chipped and

aacked. Do not try to save money by buying cheap utensils of this type.

Some plastics are suitable for use with food, others are not. Do not use garbage bags, other plastic bags, drums and

containers not designed for food use (eg garbage cans, no matter how well washed out) to hold food and drink.

Apart from various toxic organic chemicals, the plastic may also contain lead and other metals which can get into

food, with resultant food poisoning.

2.1.3 DISINFECTANTS

Ensure all containers are properly labelled. Provide separate storage for cleaning agents, etc.

Food Hygiene Training - Information Resource Page 5

2.1.4 Pvc PLASTICS

Leaching out of vinyl chloride monomers from packaging materials is well established.

2.1.5 ADDITIVES

Examples include deliberate or accidental addition of additives to food which may either be not an approved type, or

an approved type in excessive quantities (eg monosodium glutamate leading to "Chinese Food Headache").

It is important that containers not meant for food (eg plastic or galvanized garbage bins, garbage bags, emptied

cleaning containers, etc) are not so used.

NOTE: In the following discussion, scientific terms are used for organisms, This has not been avoided, as, far

most of these organisms, they are also the common-used terms.

2.2 CONTAMINATION BY DISEASE ORGANISMS WHERE FOOD ACTS AS A PASSIVE CARRIER

In such cases, the food is the equivalent of a door knob, tea-towel, hand, etc. It is simply a non-amplifying vehicle

for transmission - a vehicle that does not support the growth of disease organisms.

Examples of disease spread this way are infectious hepatitis (case or carrier), by sharing of items such as utensils

and air, or by water-borne transmission or possibly by vermin (flies, cockroaches, rats and mice).

A likely source would also be seafood grown in contaminated waters, eg adjacent to sewage outfails.

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2.3 CONTAMINATION BY DISEASE ORGANISMS (COMMONLY OF HUMAN ORIGIN) WHERE FOOD

MAY SERVE AS A CULTURE MEDIUM FOR GROWTH

Where food served as a culture medium, it is an amplifying vehicle.

Examples: Typhoid - Salmonella typhi Source: Urine and faeces of

patients and carriers

Cholera - Vibrio cholerae Source: Faeces of patients

and carriers

Badillary Dysentery (shigellosis) Source: Faeces of patients

NOTE: A carrier is a person who harbours the organism of an infectious disease in his body, without

showing the symptoms of the disease. This state may occur during the incubation period of an

infection or following an occurrence of the disease when symptoms were evident for a period until

apparent full recovery.

2.4 CONTAMINATION BY DISEASE ORGANISM OF HUMAN AND ANIMAL ORIGIN WHERE FOOD

SERVES AS A CULTURE MEDIUM FOR GROWTH

Examples: Salmonella spp Clostridium perfringens

Staphylococcus aureus

2.5 CONTAMINATION BY DISEASE ORGANISMS OF ENVIRONMENTAL ORIGIN WHERE FOOD

SERVES AS A MEDIUM FOR GROWTH

Examples: Clostridium botulinum - including infant botulism (under processed food

Clostridium perfringens (spore form)

Vibrio parahaemolyticus (shellfish) - cross contamination is

important

Food Hygiene Training - Information Resource Page 7

2.6 CONTAMINATION BY TOXINS FROM FUNGAL GROWTHS ON FOOD

Examples: Alfatoxin (from a fungus that grows on peanuts, grains and animal feeds)

Ergotism (from a fungus which grows on rye)

NOTE: Toxins:

• are water soluble, and may permeate through food from the

fungal growth site; and

• come through the food chain.

When in doubt discard a food item with fungal growths where they are not expected to be. Obviously, such growths

are expected on certain cheeses and fermented sausages.

Food has to be obviously mouldy.

To prevent contamination by toxins:

(a) store food correctly (away from high humidity and high temperatures)

(b) rotate stock regularly;

(d) discard contaminated food immediately when found, to reduce cross-contamination; and

(e) ensure susceptible foods are adequately covered in storage.

2.7 CONTAMINATION FROM TOXINS NATURALLY OCCURRING IN A SUBSTANCE INGESTED

Examples: poisonous mushrooms (toxic alkaloids) solanin toxin - "green" potatoes

poisonous fish (puffer fish)

There is another problem similar to the "green" potatoes. The problem is usually referred to as zucchini poisoning

and is due to the formation of a toxic substance CUCTJRBITACIN E in the food. This problem has been reported in

other forms of cucurbits other than zucchini, eg melons. Queensland would receive more than a half dozen

complaints annually.

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Ciguatera poisoning can be classified in this category, although stridily speaking, the toxin does not naturally occur

in ALL examples of the particular species which have been incriminated. This is of sporadic occurrence in certain

fish and is related to the food of the fish.

Do not accept non-commercial crops or products.

2.7.1 CIGUATOXIN

Of all the seafood-borne disease occurring in Queensland, the most frequent and possibly the most economically

important has been ciguatera poisoning. This is essentially a tropical to sub-tropical disease, as toxic fish have been

harvested only as far south as the Gold Coast on the east of Australia and Geraldton on the west. In the last four

years, there have been some 300 authenticated cases of ciguatera reported in Queensland. Newspaper reports on

some of these sporadic epidemic "flare-ups", which are often of a strictly local nature, have resulted in dramatic

reductions in the sale of such fish as mackerel and snapper

The word "ciguatera" is an old Cuban term used to describe a shellfish poisoning that afflicted early Spanish settlers

after they consumed a certain marine snail. Today it is a term that refers to a toxin found in more than 400 species of

fish living in and around coral reefs and the margins of tropical islands. The freshness of the fish has no bearing on

its toxicity and the toxin cannot be removed by washing or soaking the flesh in water, vinegar or lemon juice.

It is stable to cooking freezing salting and drying so that there is no culinary method available that will destroy or

remove the toxin. Unfortunately, the presence of ciguatoxin does not alter the appearance, smell or taste of the fish

and its occurrence is both variable and unpredictable. In any one catch, an occasional fish may be toxic while others

of the same species are not.

Ciguatera has both gastro-intestinal and neurological symptoms (listed below) within 4 to 5 hours of ingestion, and

has resulted in one death in Queensland. A second exposure (dose) causes a more severe reaction, as does the

concurrent drinking of alcohol.

- Castro-intestinal symptoms- nausea, vomiting, abdominal pain and diarrhoea;

- persist up to 2 to 3 days.

- Neurological symptoms - headaches, dizziness, itching

temperature inversion and numbness of

hands, feet, mouth and tongue;

- persists up to several weeks or longer.

Food Hygiene Training - Information Resource Page 9

2.7.2 PREVENTIVE MEASURE

(a) Beware of large marine shore or reef fish, particularly spanish mackerel, snapper, coral trout and reef

cod. Choose fish that are less than 3 kilograms in total weight.

(b) Do not eat viscera (brain, heart, liver) or gonads (testis or ovary) from fish caught in tropical or subtropical

waters.

[Information prepare by Dr Peter Wood, Senior Lecture in Microbiology Queensland Institute of Technology]

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3.0 IMPORTANT FORMS OF FOOD POISONING

3.1 STAPHYLOCOCCUS AUREUS

S. aureus is a small round bacterium or coccus that acts as a common agent of food poisoning. Staphylococci are

frequently present in the nose and throat and on the hands and skin of 30% to 40% of the population, but they are

particularly prevalent on sore throats and in infected cuts, scratches, boils and pimples. In most instances of food

poisoning involving this organism, the food handler acts as the source of contamination. The organism is transferred

to the food by poor personal hygiene such as:

- the direct handling of foods which are not to be further heat treated;

- coughing and sneezing over foods;

- neglecting to cover cuts and sores on the hands with waterproof

dressings;

- touching the face or hair during food preparation; and

- the return of spoons directly to a dish after tasting.

Staphylococcus may also gain access into raw milk from infected udders and teats of dairy cattle (mastitis) and into

pork products from the skin of the pig during manufacture.

Normally, the bacterium is poorly competitive and so tends to dominate in foods in which the natural microflora has

been inhibited or destroyed by cooking, pasteurization or curing eg cooked chicken, pasteurized cream, custard or

sliced ham and corned beef. Should these foods be contaminated by the food-handler and left to stand at ambient

warm temperatures for several hours, the organism will multiply and excrete metabolic toxins into the food. Even if

the foods are reheated to temperatures which would kill the bacteria, the toxins are relatively heat stable and would

persist being present in the food at the time of consumption. The toxins cause rapid onset of symptoms some I to 6

hours after eating. Severe nausea, vomiting, diarrhoea and abdominal pains may be experienced for 6 to 24 hours,

but seldom are fatal.

3.1.1 PREVENTIVE MEASURES

(a) Maintain a high standard of personal hygiene during food

preparation, storage and handling.

(b) Keep foods refrigerated to less than SC to prevent the growth of the bacterium.

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(d) Remember that through washing will seldom remove all

staphylococci from the hands, so use disposal gloves when handling or mixing foods.

3.2 CLOSTRIUM BOTIJLINUM

This organism gives rise to the relatively rare but often fatal form of food poisoning called botulism. These rodshaped

bacteria occur in soil and marine muds and produce highly-resistant endospores which may be distributed

throughout the environment. Inadequate heating of these spores in canned food stimulates them to germinate and

multiply, secreting into the food, potent toxins which affect the nervous system. The neurological symptoms that

occur 1 to 8 days after consumption include dilated pupils, double vision, dryness of the mouth, difficulty in

speaking and swallowing loss of muscle control and breathing difficulty due to paralysis of the respiratory system.

Botulism is not normally a disease associated with poor hygiene, but rather the result of under-processing or

sometimes post-heating contamination. It has often been associated with home-preserved, low-add vegetables and

meats that have been boiled instead of being cooked in a pressure cooker. These foods were stored at ambient

temperatures for several months before consumption and eaten unheated. This is important as the toxins are

destroyed by heat. The most important commercially canned product involved in recent outbreaks of botulism has

been canned seafood.

Cases of infant botulism have comprised a small percentage of deaths due to the sudden infant death syndrome.

Endospores present in the baby's general environment gain access to the intestine and become established as part of

the intestinal microflora. The release of low levels of toxin in the intestine results in the death of the child. Although

the spores may be present in the dust and air about the baby, there is evidence that some honeys have contained

viable spores of C. botulin urn.

3.2.1 PREVENTIVE MEASURES

(a) Pressure cook low-acid preserved foods;

(b) Reject canned foods which are "blown", deformed, leaky, corroded or otherwise spoilt. DO NOT

TASTE.

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3.3 SALMONELLA

There are many strains of Salmonella and all are thought to be pathogenic to man. They are short, thin, rod-shaped

bacteria that reside in the intestines of most forms of animals, including man. They are shed during defecation and

can contaminate the food we eat. Raw meats, including poultry, are often contaminated with low numbers of

salmonella during slaughter and dressing, and so these products must be handled with care in the kitchen to prevent

multiplication and cross-contamination. If the food-handler is suffering from an intestinal upset or is a symptomless

carrier, he may act as a source of infection if he does not wash his hands thoroughly after visiting the toilet.

The organisms can easily pass through the toilet paper and lodge on the hands, particularly if the stools are loose.

The carrier condition is commonly established for several months after a bout of salmonellosis (especially in

infants), although this obvious previous exposure of the organism need not always be evident. The third common

source of Salmonella is the domestic pets, birds, rodents, flies or any other animal that may gain access to the

kitchen or food storage areas. These may defecate directly onto the food or carry the organism on their fur, hait

feathers

or skin.

Salmonella do not form spores and so are readily killed by adequate cooking. The minimal internal temperature of a

food necessary for their destruction is 65k. This is most important when roasting large pieces of meat or poultry and

should be checked with a meat thermometer. If this is done, the remaining problem is the prevention of

contamination of the food after cooking. The food-handler, benches, storage shelves, equipment, utensils, cuffing

boards or contact with other raw meats may all act as a source of the organism. Once located on the cooked food, the

cells will multiply rapidly if left at ambient warm temperatures and soon build up an infective dose. The organism

invades the intestinal lining and generates symptoms of fever, headache, abdominal pains, diarrhoea and vomiting

12 to 36 hours after eating. The infection can be severe and may require medical assistance or hospitalization,

especially if the patient is young, elderly or debilitated.

3.3.1 PREVENTIVE MEASURES

(a) Wash hands thoroughly after visiting the toilet or when changing

from handling raw foods to cooked foods.

(b) Report an intestinal upset to the person in charge.

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Food Hygiene Training - Information Resource

(d) Use separate benches, equipment, cutting boards and utensils for raw and cooked foods and wash

thoroughly between each use.

(e) Domestic animals, birds, rodents and flies must be excluded from the food storage and

preparation areas.

(0 Eat foods soon after cooking otherwise keep hot at 6WC or greater, or promptly refrigerate to less

than 5~C.

(g) Raw foods for storage or thawing should be placed below cooked foods in the cold room or

refrigerator to prevent drip contamination.

(h) Frozen meat and poultry should be thawed for 24 to 48 hours in the cold room or refrigerator,

depending on its size, to avoid the practice of thawing at room temperature, which may promote the

growth of the organisms.

* If the microwave oven is being used for thawing the cooking process should continue IMMEDIATELY by either

transferring to a conventional oven, or proceeding uninterrupted in the microwave oven. Observe manufacturer's

instructions regarding power levels and thawing/cooking time in relation to food types and weights.

3.4 CLOSTRIDIUM PERFRINGENS

C. perfringens is an anaerobic, rod-shaped bacterium that produces high resistant endospores when conditions are

unfavourable for growth. It is frequently present in human and animal intestines and the spores are shed into the

environment where they contaminate soil and dust or are picked up by flies. Animal carcases are often contaminated

during slaughter and dressing and it is most often that raw meat or poultry acts as the source of the organism in the

kitchen.

This irritates the intestinal mucosa and gives rise to abdominal pains and

explosive diarrhoea some 8 to 20 hours after eating. The patient rarely

vomits.

Perfringens food poisoning commonly arises from foods prepared in bulk, eg

large roasts, chickens or turkeys, casseroles, stews, soups and gravies.

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3.4.1 PREVENTIVE MEASURE

(a) If cooked meats, meat dishes or meat gravies are to be kept for several hours before serving,

either keep hot 60'C or divide into small

portions and refrigerate to less than 5'C.

(b) If food is to be reheated, do so thoroughly to >7(YC and eat soon

after.

storage and each should have their own preparation area, utensils

and cuffing boards.

(d) Wash hands thoroughly after visiting the toilet or after handling

raw meats or vegetables.

(e) Exclude domestic animals, rodents, ifies and cockroaches from the

food preparation area.

3.5 BACILLUS CEREUS

Like the clostridia, B. cereus is a rod-shaped bacterium that produces endospores, but it can

grow aerobically as well as anaerobically They are often present in high

numbers in cereals, flours and spices. Again, cooking seldom destroys the

spores present in these food ingredients, but rather stimulates them to germinate. Slow

cooling or storage at ambient temperatures will give rise to rapid

multiplication. Large numbers of cells need to be consumed for onset of

symptoms.

B. cereus can cause two distinct forms of food-borne illness. The diarrhoea type

is similar to perfringens poisoning and gives rise to abdominal pain and

profuse watery diarrhoea some 10 to 12 hours after eating. Various meat and

poultry dishes containing flour or spices and desserts containing custard

powder have been implicated. In all instances, the food was left to stand at room

temperature for several hours and often overnight. The vomiting type is similar to staphylococcal food

poisoning and gives rise to an acute attack of nausea and vomiting some I to 5

hours after a meal. The most commonly implicated food has been boiled or fried

rice from Chinese restaurants or take-away shops. The major problem has been

leaving boiled rice booked in bulk to "dry off" at kitchen temperature for

from 3 hours to 3 days, but commonly overnight.

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3.5.1 PREVENTIVE MEASURES

(a) Ideally, prepare meat and rice dishes a short time before serving.

(b) Boiled or fried rice should be kept hot at >6XC or spread in

shallow containers and refrigerated at <5t. Under no circumstances

should cooked rice be stored at room temperature for longer than 2

hours.

small quantities on several occasions during the day

(d) Vanilla custards and similar desserts should be refrigerated and

not

left to stand on a bench or shelf at room temperature.

3.6 VIBRIO PARAHAEMOLYrICUS

V parahatmolyticus is a marine vibrio of worldwide distribution that occurs in

unpolluted coastal waters and sediments. Its isolation from such areas appears

temperature-dependent, in that it may be isolated all year round from tropical

and sub-tropical waters, but only in summer months from temperate waters when

the water temperature is greater than 1St.

Hence, although outbreaks of this type of seafood poisoning in Japan and the

USA occur mainly in the summer months, here in Queensland it is an ever

present menace. Because of the sensitivity of the organism to heat processes, cold temperatures

and fresh water, it can be controlled by good food handling practices. In the

food preparation area, raw seafoods and sea water are the most common source

of the organism.

Approximately 12 to 15 hours after consumption of contaminated food, a person

suffers abdominal pain, diarrhoea, vomiting, fever, chills and headaches, but

seldom requires hospitalization.

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3.6.1 PREVENTIVE MEASURES

(a) Do not consume raw or semi-cooked fish or shellfish.

(b) Do not use sea-water to thaw, cool or freshen foods which are not

be further heat heated before consumption.

infective dose by leaving contaminated food at ambient temperatures for several

hours.

(d) Prevent cross-contamination from raw seafoods to cooked foods or salads via direct contact, workers'

hands, refrigerator drip, shelving, cutting boards, knives or storage containers.

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4.0 CONDITIONS NECESSARY FOR FOOD POISONING TO OCCUR

There are five conditions or circumstances which must normally be met for food

poisoning to eventuate. They are:

(a) Contamination of the food with the organism or toxic substances.

In the latter case, sufficient must be present to produce symptoms.

(b) The food must be a good culture medium for multiplication of the

organism to reach an infective does or in the case of S. aureus and C.

perfringens, for example, for the production and accumulation of

sufficient toxin.

(d) Enough time must elapse, at the above temperature range, to permit

appreciable growth.

(e) The food must be ingested in a sufficient amount so that an

infective does is consumed.

In some circumstances, not all the above conditions need apply, eg viruses do

not multiply in foods. But these are essentially the five key areas where we

can intervene to ensure the safety of the food. In the case of forms of

contamination other than the food poisoning organism, our lines of defence can

only be drawn at Conditions (a) and (e).

Now, let us look in more detail at each of these conditions.

4.1 CONTAMINATION OF THE FOOD WITH THE ORGANISM

This area provides us with our greatest range of possibilities for

intervention. Contamination may occur through:

(a) Poor personal hygiene.

(I,) Inadequate environmental hygiene (accumulated dirt and dust,

presence of animals and birds, poor garbage disposal, vermin).

contaminated food received at premises).

(d) Organisms occurring naturally in or on food (especially poultry carcase, meat, and soil on fruit and

vegetables).

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Prevention comes through putting up BARRIERS TO CONTAMINATION (eg good

personal hygiene, cleaning and sanitizing, vermin control, etc)

4.2 FOOD MUST BE A GOOD CULTURE MEDIUM FOR GROWTH

The three main factors are:

- high protein food

- moisture present

- low add (Ph >4.5)

The foods which are most frequently implicated are: -

- meat (and meat products)

- poultry

- eggs (and egg products)

- seafood

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4.3 TEMPERATURE MUST BE FAVOURABLE FOR GROWTH

For general commercial purposes, the following temperature scale should be

used

as a guide:Eood spoilage organisms may be active beyond this range (5~C to

6(YC) and at

any temperature where liquid water is available.

Freezing of food does not destroy bacteria or "fix up" the food. Freezing

places bacteria in a dormant (sleep) stage.

A frozen contaminated food remains a hazard - and during the thawing process

the hazard is likely to magnify.

Frozen foods, in the commercial environment, which have thawed through

refrigeration breakdown or flaws in the transport system or storage, MUST BE

DISCARDED.

Frozen food is to be held at -15"C. frozen seafood is to be held at -18~C for

transport and -25~C to -3O~C for freezer storage.

4.4 ENOUGH TIME MUST ELAPSE

Time and temperature are clearly linked togethet

The fundamental rule is that foods (particularly the perishable or more

susceptible foods) must be handled as quickly as possible while within the

growing (or danger) temperature zone (5"C to 60'C).

Zone of destruction - >60C

Zone of growth

(temp danger zone) - 5-60'C

Zone of inactivity - c5'C

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In commercial circumstances where highly perishable food is to be~ kept for a

period longer than 48 hours, the refrigerated storage temperature should not

exceed 2'C.

The thawing of a frozen food (at <5"C) should not exceed 48 hours. Thawed

foods should be discarded after a maximum of 24 hours form initial

preparation, providing a maximum temperature of 10'C has not been exceeded.

No food should be left longer than one hour at room temperature.

The speed at which bacteria multiply depends upon prevailing conditions, but

they can double every twenty minutes. As an exercise, use a calculator, and

staffing with one bacterium, calculate how many may be present after six

hours. Unfortunately, a food item would not carry just one bacterium, but is

likely to have at least hundreds!

4.5 THE FOOD MUST BE INGESTED

Food that is unsafe to consume does not necessarily look or smell "off". In

fact, food can appear perfectly wholesome and yet be heavily contaminated with

food poisoning bacteria. Pathogenic bacteria do not compete well with spoilage

organisms (the ones producing odour and slime) and grow best when spoilage

organisms are absent or few in number

If spoilage organisms are obviously present, however, it could be a clear

indication that there has been a breakdown in hygiene and handling procedures.

NOTE: Infants, the very old, and the debilitated in general, can be infected

at lower dosage levels. Therefore, particular care is needed with baby food,

hospital food, and special diets (eg diabetic food).

THE STORAGE RULE

KEEP IT HOT - >60~C

KEEP IT COLD - c5~C OR

DON'T KEEP IT!

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5.0 BASIC PRINCIPLES OF FOOD PROTECTION

5.1 ERECTING BARRIERS TO CONTAMINATION

The avenues available to us include:

(a) establishment of high standards of personal hygiene;

(b) the hygienic handling of food;

and display;

(d) cleaning and sanitizing of equipment, surfaces and building

(e) controlled and efficient garbage disposal facilities and methods;

(f) effective pest control; and

(g) work area layout and construction designed to facilitate hygiene

and efficiency - encouragement of use of facilities.

5.2 PRUDENT USE OF TEMPERATURE CONTROLS

5.2.1 THE "ZONE OF DESTRUCTION" END OF THE TEMPERATURE RANGE FOR COOKING AND

RE-HEATING

Large pieces of food and "pocketed" foods (including chicken carcases) should

be thawed before cooking.

Cooking: Minimum internal temperature - 65'C (based upon Salmonella). (Food can

still be rare at the above temperatures. Well-cooked requires

temperatures between 70'C and 8O'C).

(a) Cooking destroys cells that do not produce heat-resistant spores.

(b)Staphylococcal contamination can create a problem to the extent

that if conditions have existed which have permitted growth and

development of toxins, final cooking may destroy the bacterial

cells, but may not destroy the heat-stable toxins.

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It is strongly recommend that a probe thermometer be used.

When re-heating an internal temperature in excess of 70C should be obtained.

Food warmers (whether using heated air or water bath) should be kept at a

constant temperature of 70'C. They should be switched on and brought to the

required temperature before use. Do not use warmers for heating or re-heating -but for the reception of already hot

food.

5.2.2 USING THE "ZONE OF INACTIVITY" END OF THE TEMPERATURE RANGE

This, naturally enough, revolves around refrigeration. There needs to be

adequate provision of refrigeration capacity to provide for rapid cooling and

storage of foods at <5"C.

Freezer storage is recommended at - 15C or below.

Thawing of frozen meat, poultry, fish and other foods is best accomplished

over a 24 hour period in a refrigerator or cold room set at 4"C or in a

microwave oven.

NEVER THAW HAZARDOUS FOODS AT ROOM TEMPERATURE.

NOTE: ALWAYS CHECK TEMPERATURE RECORDING DEVICES TO

ENSURE THAT THEY HAVE BEEN PROPERLY AND ACCURATELY

RECORDED. These devices should be regularly checked to ensure that

they are functioning correctly.

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6.0 ENSURING FOOD QUALITY

The foregoing reinforces the earlier observation that the preparation and

service of food to the public carries with it a significant responsibility for

the maintenance of public health.

While many in the industry acknowledge this responsibility, and indeed act

appropriately to meet it, the need for some monitoring and control is obvious.

The mechanisms that are available to provide the oversight can be divided into five categories:

• Microbiological Standards

• Chemical and Physical Standards - including foreign bodies / adulteration

• Packaging and Labelling Requirements

• Legislation establishing minimum food handling standards/practices

• Codes of Practice - and the establishment of rules and standards for the

construction and alteration of premises.

The prime responsibility for carrying out the monitoring and enforcing of standards, rests with the Health Surveyor

at either State or Local Government level.

6.1 MICROBIOLOGICAL STANDARDS

Many people ask, "Well, why don't we jut have set microbiological standards

for everything and establish procedures for regular testing?" It sounds a straight forward a'nd

simple guarantee for safe food. So what is the problem?

Let us consider the issue further.

Indeed, microbiological standards can achieve:

(a) a general improvement in quality

(b) reduction in faulty end products (reduced losses to the industry);

(d) increased safety (health protection)

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But, there are difficulties such as with sampling, statistics and timing associated with setting microbiological

standards.

While certain limited areas of the food industry may establish their own "in

house" standards, probably the more important from a broader public health perspective

are the statutory requirements initiated and administered by the State Department of Health.

In Australia, microbiological standards do exist for several foods, including milk and frozen pre-cooked foods.

6.2 CHEMICAL STANDARDS

Statutory food chemical and physical standards apply under the provisions of relevant Food Acts and Regulations.

These are to ensure the supply of food free from adulteration and contamination and establish standards for the use

of food additives.

Such possible food contaminants as pesticide resides and heavy metal traces are the concern of these provisions.

Regular food monitoring through sampling is undertaken by units of the various State Health Departments, and local

authorities in some regions.

6.3 PACKAGING & LABELLING (UNDER PROVISIONS OF THE FOOD ACT AND FOOD

STANDARDS REGULATIONS)

Food labelling may be used to:

(a) describe the food;

(b) list the ingredients;

(d) advise on conditions of storage and/or handling

(e) advise on recommended life of food (date marking);

(f) indicate a batch number;

(g) advise on appropriate use of food;

(h) indicate the name and address of manufacturer (packer or vendor);

and

(i) indicate country of origin and importer

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Such information on the label can assist in ensuring that:

(a) there is proper identification of food;

(b) handling and storage is adequate;

and increases the manufacturer's and supplier's responsibility for the produce

being provided.

Food labelling is therefore an important provision enhancing the overall

standard of food hygiene.

6.4 CODES OF PRACTICE

There are many Codes of Practice operating within the food service industry. For example, local routines are

established and enforced by owners, managers and supervisors. These may include appliance operating instructions,

cleaning schedules, dress requirements, etc. In fact at the local business leveL operators should be encouraged to

establish planned, written guidelines, so that all staff know clearly what is expected of them. Further, it makes it

easier to maintain checks on the operational and maintenance procedures.

The large franchise organizations are noted for their very precise and diligently-enforced standards of practice.

Industry sectors can also establish voluntary or self-regulated codes of practice. Simply, these are in-house" routines

and procedural guidelines monitored and administered by supervisors and managers.

Codes are often developed to compliment and clarify some provisions of legislation which are intentionally drafted

to enable broad interpretation.

6.5 ~LEGISLATION ESTABLISHING MINIMUM STANDARDS OF

PRACTICE

Statutory requirements, administered under the authority of the relevant Food Acts, establish compulsory standards

for premises (use, construction and modification) facilities, equipment, handling practices and personal hygiene.

Sections 7.0 to 12.0 following, incorporate most of the provisions established through legislation.

These regulations are primarily administered by local authority Environmental Health Officers.

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7.0 PERSONAL HYGIENE

The observance of a high standard of personal hygiene is important for the following reasons:

(a) to promote the health of the individual; and

(b) to prevent the spread of disease from one person to another

These reasons are valid enough in our ordinary day to day living and contact with one another

But, when it comes to food handling, then the risks are compounded and the

need for extra diligence in personal hygiene is of paramount importance.

Essentially, there are three ways in which the food handler can provide the e

link in the chain of infection; as a:

(a) Case (a person with symptoms);

(b) Carrier (a person carrying the organism, but without symptoms);

and

to other foods or utensils by hands or clothing)

So, the first important point is that you should not handle food if you have:

(a) a sore throat;

(b)an upset stomach (diarrhoea or vomiting);

(d) a fever or cold.

Also people with any infection on their fingers or hands, or who are wearing

absorbent bandages, should not handle food.

Report any illness or infection to the supervisor. Recognize that even a general

feeling of not being well (non-specific) may be indicative of a major infection (eg

Hepatitis) and may require medical investigation.

Food handling statutory regulations are quite definite on the point that NO

person with any contagious or infection disease should handle food.

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Now we will address 4 other important issues of personal hygiene:

• hand washing and drying

• hand habits

• smoking

• uniforms and hair

7.1 HAND WASHING AND DRYING

You should be scrupulous in your hand-washing routine.

Always wash hands before handling food, but particuarly:

(a) on arrival at work, before commencing duty;

(b) immediately after handling chemicals or poisons (such as cleaning

compounds, pesticides);

(d) after sneezing, coughing, blowing nose or smoking,

(e) after rubbing or scratching ears, eyes, nose, mouth or scalp;

(f) after scratching (even through clothes) any part of the body below

the waist

(g) after each contact with raw (uncooked) foods, such as poultry, meat or

unwashed vegetables; and

(h) after handling garbage or filth.

Take care to keep fingernails short and clean. If nail brushes are provided,

they should be kept clean and scalded under hot water after each use.

The wearing of jewellery should be kept to a minimum. Also, avoid the use of

perfumes on the wrist which may transfer odours to food items.

Page 28 Food Hygiene Training - Information Resource

7.1.1 HAND BASINS SHOULD BE CONVENIENTLY PLACED WITHIN

WORK AREA - TO DISCOURAGE THE INADVERTENT USE OF SINKS, ETC

Sinks can be fouled or contaminated from the dirty hands and this could then be passed on to food

preparation and service items.

To significantly reduce the number of n-urcro-organisms on your hands, each

hand-washing occasion should include at least TWO separate lathering and

rinsing procedures, before drying. Include the forearm in the washing and

drying. Hot water (bearable temperature) should always be used - and preferably

a liquid medicated soap (common cake soap can be a source of aoss-infection).

Taps can be a source of cross-contamination. The following options are recommended

in order of preference:

• sensor-operated controls;

• foot-operated controls;

• elbow-operated (hospital type) taps; and

• regular cleaning of hand taps with hot water and a disinfectant cleaner (at

least twice daily).

7.1.2 HAND DRYING

Disposable paper towels or hot air dryers are the preferred methods. If re-usable hand towels are used for

hand drying, they can be a dangerous source of cross-contamination. Tea towels

must not be used for hand towels.

7.2 HAND HABITS

Hand habits are essentially the ways in which we subconsciously occupy our

hands. We all have hand habits of one form or another They become very much apart of us - a

little like our signature - as we constantly tend to repeat certain basic patterns of

hand behaviours. Some hand habits are completely innocuous, but unfortunately

many are not only aesthetically unpleasant, but potentially hazardous when

associated with food handling. Consider, for example, rubbing or scratching hair, nose,

eyes; and stroking mouth or beard. No doubt you can think of others. Just take

note of those around you, or those with whom you work. And what about

yourself?

Food Hygiene Training - Information Resource Page 29

Food-borne organisms in which bad hand habits may play a role in their spread

include, Staphylococcus aureus, Streptococcus and enteric viruses, including

hepatitis.

SO, WHAT DO WE DO ABOUT BAD HAND HABITS?

With the help of supervisors, food handlers need to be made aware of their

inappropriate hand habits - then efforts made to help train them into

acceptable behaviour.

7.3 SMOKING

The statutory requirements are quite specific - FOOD HANDLERS MUST NOT

SMOKE IN ANY CIRCUMSTANCES WHERE FOOD MAYBE CONTAMINATED

BY SUCH A PRACTICE.

• Possible foreign bodies (ash butts) in food. Yes, it does happen!

• Contamination form saliva contact, as the cigarette is placed in and removed from the mouth.

(Staphylococcus aureus may be transmitted in this fashion).

• Humidified smoke is a suitable aerosol for bacterial and viral transfer.

7.4 UNIFORMS/HAIR

An appropriate clean, washable, light-coloured uniform should be worn by persons engaged in food handling, and

specifically set aside for the purpose. Street clothes should not be used, as they may contain dust and other

contaminants.

Hair should be clean and tidy and off the face - preferably covered, while in the preparation

area. Note that Staphylococcal contamination is possible from scalp infections - other foreign bodies

may also be present.

Page 30 Food Hygiene Training - Information Resource

8.0 FOOD HANDLING GUIDELINES

The following are important hygiene issues associated with food handling. The ten points listed represent common

breaches of good hygiene practice, which must be dealt with to help ensure safe and

hygienic food:

1. Food Being Handled with the Hands

Keep handling of food (particuarly cooked and prepared foods) with the

hands to an absolute minimum. Where handling of prepared foods cannot

be avoided, disposable plastic gloves should be employed.

2. Food Exposed on Benches, Tables and Display Areas

In these instances, there is possible contamination from dust and vermin (eg c. perfringens and B. cereus

may be readily transmitted this way). Provide suitable facilities for adequate protection (containers,

cabinets, covers).

3. Cooked Food in Direct Physical Contact with Uncooked Foods

Always separate raw from cooked foods in freezers and cold rooms. Provide shelves

or compartments separate horizontally. Arrange the storage so that

droplets from thawing food do not fall upon and contaminate food stored below.

Particularly avoid placing uncooked foods above cooked foods.

Beware of cross-contamination via cutting boards, utensils, benches, etc. For example, do

not place cooked crabs on a surface immediately after raw fish. Surfaces and utensils

should be washed thoroughly and treated with hot water (75'C) or sanitizer solution after each use.

4. Staff Sitting on Benches or Leaning Against Equipment Faecal contamination has been found to be

passed on this way.

5. Utensils Dropped on Floor and Re-used Without Cleaning and Sanitizing

The could be a source of B. cereus, C. perfi-ingens and parasites, for example.

Food Hygiene Training - Information Resource Page 31

6. Mixing Old Food with New (topping up)

Unused left-overs which have been left at room temperature for more than an hour, should be discarded.

7. Thawing Frozen Foods on a Bench at Room Temperature

Preferred methods of thawing are in the refrigerator compartment where the temperature is below the

growing range of food poisoning bacteria (5'C) or rapid thawing in a microwave oven.

8. Testing Food with Fingers or Tasting from Utensils in Use

9. Containers Used which were not Designed for Preparation and Storage of Food

This raises the possibility of contamination with chemicals, metals and substances with cancer-including

properties. Also, there could be contamination of food with traces of the substance previously stored in

that container.

10. Pets Within the Preparation and Storage Areas

Salmonella contamination may be readily transmitted from domestic pets.

Page 32 Food Hygiene Training - Information Resource

9.0 CLEANING AND VERMIN CONTROL

With cleaning we are essentially establishing bafflers to contamination. But, more specifically, our objectives are to:

(a) remove food and waste particles that would provide ideal culture media for bacterial growth;

(b) destroy micro-organisms present on surfaces, which could provide for the contamination of food;

and

Cleaning routines are therefore needed for tableware, utensils, equipment, storage and premises.

Current food hygiene regulations are quite specific with regard to tableware. Regulations stipulate either an

automatic dishwashing machine (a commercial variety would be essential for most operations) or a double bowl sink

with draining area. The water temperatures are specified (see below).

With a double bowl sink operation, the procedure should be as follows:

(a) Removal of surface material (ie scraping of plates)

(b)A thorough cleaning in the first bowL using detergent and hot water, at a minimum temperature of

49'C.

(d) Sanitizing with hot water (second bowl) - at a minimum temperature of 75'C for a minimum of 2

minutes.

(e) Air drying (using draining baskets of racks of impervious material), at room temperature.

• Chemical sanitizers are not as effective as hot water or steam for this type of operation and must

follow a thorough cleaning. If a chemical sanitizer is used, cleaning and sanitizing should be

separated.

Food Hygiene Training - Information Resource Page 33

NOTE: There is no provision for tea towels. They should not be used in

commercial operations. Tea towels can provide a suitable environment to sustain bacterial life.

Having been cleared properly, tableware should be stored in clean, dust-proof and vermin-proofed cupboards.

9.1 CLEANING OF UTENSILS, EQUIPMENT & PREMISES

All cleaning operations should be planned - not left for when there is enough time; or when staff are not busy; or

when something becomes so obviously in need of cleaning that it cannot be ignored any longer That is a prescription

for trouble. And, under those circumstances, something will always be completely overlooked - or, at the very least,

never done properly.

THE BASIS RULE IS TO DRAW UP A REGULAR CLEANING SCHEDULE.

This means guidelines committed to writing, which cover all cleaning needs and with which every member of staff

can be readily acquainted.

This routine should describe:

• WHAT what is to be cleaned;

• WHO which section, member of staff is responsible;

• WI-TEN the required cleaning frequency; set times or circumstances; and

• HOW the method of cleaning should be spelt out; equipment, chemicals used, etc.

Where thd relevant food hygiene regulations are specific, eg tableware or ice cream servers, ensure that these

requirements are met in the cleaning schedule.

It is not easy to establish "hard and fast" rules as to cleaning frequency, to cover the full array of possible types of

operations. The frequency schedule needs to be specific, therefore, to particular premises or types of operations.

Page 34 Food Hygiene Training - Information Resources A few general rules can be

declared;

(a) Any splash or spillage should be cleaned up immediately. (In addition to hygiene, this is also a safety

factor).

(b) Items like cutting boards, chopping blocks and bench tops should

be cleaned and sanitized after each use. Particular diligence should

be applied when moving from raw to prepared foods.

and sanitized after each use (whether food is raw or cooked).

(d) Garbage containers should be thoroughly cleaned after each emptying.

(e) Most appliances and parts of the preparation area (including the

floor) should receive the minimum of a daily cleaning. Usage and type of operation may

dictate a greater frequency

(f) More "out of the way" or inaccessible places - such as around hot

water units, beneath refrigerators, refrigerator shelving, exhaust

canopies - should receive a minimum of a weekly cleaning. Again, the usage and type of

operation may dictate a much greater frequency.

It is desirable that every part of the premises should receive cleaning attention at least weekiy. An exception

would be very high ceilings in factory premises, the condition of which should be regularly

monitored and cleaning carried out as indicated.

WATCH THE OFT-FORGOIrEN AREAS!

There are some areas that are readily overlooked - particularly where cleaning schedules

are nonexistent. These would include:

• refrigerator shelving and walls and floors of cold rooms;

• beneath and behind refrigerators, stoves, ovens and other large

appliances;

• exhaust canopies and filters;

• garbage bins and the garbage area;

• sliding door tracks; and

• machines, such as slicers.

In the schedule for cleaning of machinery, a very detailed dismantling and assembly guideline should be included.

Food Hygiene Training - Information Resource Page 35

92 CLEANING FACILITIES & EQUIPMENT

First, clearly label all cleaning and disinfectant agents - and ensure that

their storage is physically separated from food storage and preparation,

preferably in clearly identified specific area.

Ensure that cleaning and sanitizing agents are being used in solutions of

adequate strength. If a hypochlorite is being used, the "in use" solution

contain at least 200

- 250ppm of available chlorine. Read labels for dilution rates.

Also, it is important that the actual cleaning is adequate - the use of

disinfectant without adequate cleaning is unlikely to be effective in the destruction of bacteria.

If the sanitizer is used in the incorrect sequence in the cleaning cycle, its

efficiency will be diminished.

9.2.1 EQUIPMENT

After use, cleaning equipment should be thoroughly cleaned and dried. For

example, mops should never be carried from one day to the next without

cleaning (in hot water) and drying.

Cleaning and "wipe down" rags are a hazard. They should be of a disposal variety, able to be disposed of

after each use.

9.3 VERMIN

The following groups are most often found in food premises.

Flies - breed in filth and decaying matter This, coupled with their body structure and eating

habits, makes them a potential carrier of a number of food-borne infections.

Cockroaches - live closely with man and his food and are considered to be readily involved in crosscontamination

of food.

Birds - potential carrier of salmonella.

Rats/Mice - Potential carriers of a number of food-borne infections, including Salmonella - as well as

being destructive of food stocks and the physical premises.

Page 36 Food Hygiene Training - Information Resource There are four simple rules

for vermin control:

• Do your best to keep them out. Do not provide harbourage internally

- deny them access. This includes such measures as fly-proofing, birdproofing,

rat- proofing of floors, and sealing off holes into cavities and through walls. Check incoming

food containers in which they may be harbouring (eg fruit and vegetable

cartons).

• Always be on the look out for vermin. Do not be complacent - expect that they may be around.

Regularly check places that are not often disturbed - monitor for droppings or damaged

stocks.

• Keep the place clean! Basic cleaning and hygiene of premises eliminates their food and

harbourage. Keep storage off floor and away from walls, a sufficient distance to

enable cleaning (250mm -300mm).

• Leave pest destruction to licensed pest control operators. The pests

we are dealing with can be uncannily difficult to dislodge. Trained personnel who understand the

proper use of the most effective and appropriate chemicals are required.

But remember - pesticide treatment is the last line of defence.

9.4 GARBAGE DISPOSAL

Garbage, of course, is a by-product of any food service operation. Due

consideration must be given to its collection and removal.

Garbage can be a source of cross-contamination, whether by a food handler, who comes into contact with the

garbage and then proceeds to handle food, or by vermin, which may be harbouring, breeding and feeding in this

area.

Certain basic guidelines should be followed:

• Provide a separate garbage area with facilities for washing of containers.

• Ensure that containers are adequate in size and number to avoid overflow and spillage and maintain

them rate-proof and fly-proof. Service frequency may need to be varied to suit the needs.

• Be scrupulous in hand-washing after handling garbage or containers.

Food Hygiene Training - Information Resource Page 37

• Clean garbage containers after each emptying.

• Garbage bins for receiving waste food should be provided with plastic liners,

replaced after each emptying.

10.0 CONSTRUCTION AND DESIGN

Kitchen design, construction and out-fitting play a significant part in the maintenance of food hygiene. Obviously, if

premises are old, decrepit, difficult to maintain, poorly laid out, and inadequately equipped with poorly maintained

appliances, then hygiene will suffer

Kitchen design and construction should have three principle aims - each of

which are really complimentary:

• Maximum output at minimum cost;

• Quality of service; and

• Hygiene and safe food handling.

Statutory regulations usually provide general requirements for standards and usage of food premises.

Under that umbrella, most local authorities establish more specific

requirements for the construction alteration and setting-up of premises.

THE RULE: Before any work is contemplated, discuss it first with your local

Environmental Health Officer

Essentially, design and constructional requirements provide for:

(a) convenient work-flow patterns;

(b) the elimination of inaccessible, "uncleanable", filth collection areas;

(most local authorities have minimum standards for the various surfaces);

(d) adequate ventilation and lighting

(e) vermin-proofing and vermin protection;

(f) adequate provisions for cleaning

Page 38 Food Hygiene Training - Information Resource (g) adequate and appropriate storage (including

refrigeration); and (h) adequate waste disposal provision.

(The instructor can insert details of local requirements as may seem relevant

the groups).

11.0 PRESENTATION OF FOOD

Responsibility for food protection does not stop when food is finally prepared.

Food on display can be contaminated by:

• vermin

• dust

• coughs and sneezes (staff and customers)

• hands (staff and/or customers)

The FOOD HYGIENE REGULATIONS require that unwrapped or unpacked food which is

ordinarily consumed without further preparation, should be protected against

contamination from any source.

Food, therefore, should be covered or wrapped, placed in cases, or behind

"cough barriers" (in the case of cafeteria-style services). Appropriate covers

must also be provided for drink straws and such items as sugar bowls and jam

containers placed upon tables.

In setting up displays, avoid handling food with the hands. Take care that food does not contact unclean

surfaces or items not intended to contact food.

Ensure suitable and sufficient food-handling utensils are readily available at

the display

Sandwich Fillings

Sandwich fillings (and hamburger fillings) should be kept covered between each

individual use, and maintained chilled (.clO'C). Discard remnants at the end

of the day Potentially hazardous food items, eg prepared meats, chicken,

seafood products, should be kept below 5'C.

Sandwiches and cold rolls should also be kept chilled.

Page 39 Food Hygiene Training - nformation Resource I

Smorgasbord

Various local authorities have specific requirements for smorgasbord. Essentially,

all smorgasbord food should be handled as little as possible, afforded all reasonable protection, and kept below 14"C

(4'C for high protein food items).

Delay between the preparation and arrangement of food and subsequent consumption

should be kept to a minimum. The food should definitely not remain longer than one hour at room

temperature. DO NOT MIX FOOD REMNANTS WITH FRESH OR PROPERLY STORED FOODS

Warming Trays and Hot Displays

Temperatures should be kept at a constant 70C. It should certainly never fall

below 60C.

12.0 RESPONSIBILITY AND SUPERVISION

12.1 PERSONAL RESPONSIBILITY

The individual food handler is liable under relevant regulations for breaches in matters of personal hygiene and food

handling. Therefore it is important for each person employed in the food industry to have an understanding of

statutory requirements relative to their particular job.

However, threat of penalty should not be the basis of motivation to maintain

good standards of hygiene. The motivation should stem from an appreciation of the considerable responsibility each

food handler has for public health, and a determination to be truly professional in the way

the job is conducted.

12.2 SUPERVISORY OBLIGATIONS

Those who are owners, managers or supervisors carry even greater responsibilities. Under rel~vant regulations,

owners or occupiers (the licensed person) carries the ultimate responsibility for the condition

of the premise and its operahons. This includes situation, construction, amenities, cleaning,

condition and state of repair.

Managers and supervisors also have a responsibility for the standard of staff performance. The performance of staff

in the area of food hygiene is in large part a reflection of the manger/supervisor's commitment to and understanding

of, the principles and practice of food handling.

It is vital that supervisors maintain and demonstrate their commitment,

enthusiasm and loyalty to their job, their place of work and acceptable

practices of hygiene. Apathetic and careless supervisors may result in apathetic and careless workers.

Page 40 Food Hygiene Training - Information Resource To effectively carry out their

role, the supervisor must:

(a) ensure adequate preparation and training of staff;

(b) establish standards of performance and achievement

to be monitored and adjusted as required (refer to example of

supervisor's checklist) [see PART F - 3.0]; and

(d) encourage staff in a sense of commitment to their work and an awareness of the importance of their

job, through:

- providing recognition for good performance, either as spoken

approval or through a tangible reward system;

- consistency in discipline when performance is not reaching required

standards;

- creating an environment where failure is not "fatal" so that staff can be flexible

enough to use discretion when confronted with a new situation, crisis or

difficulty;

- acceptance of new ideas and suggestions and willing to give them an adequate hearing

and trial - this includes suggestions from staff; and

- discussion of problems and difficulties of operation and

performance with relevant staff members.

In delegating jobs, the supervisor should know the capacities, training and abilities of staff well enough to have the

right people in the right jobs. The supervisor should carefully clarify the scope of

responsibilities and authority when delegating a task. Care must be taken to

ensure that a responsibility is not delegated WITHOUT the appropriate level of

authority to enable that responsibility to be undertaken.

Supervisors should also maintain a high level of understanding of the practical aspects of the various work processes

under their direction and control.

Food Hygiene Training - Information Resource Page 41

Those how have overall responsibility (eg owners and managers) should consider the establishment of a written

policy on food hygiene for the business. This policy statement provides a standard and a framework for all facets of

the operation relative to food hygiene. It is also a declared determination on the part of management to

ascribe to high standards and to indicate how this will be achieved. Irefer to the

example of a policy statement, PART F - 3.0].

12.3 TRAINING

The benefits of well-trained staff cannot be over-stressed. Effective food hygiene training could result in the saving

of quite prohibitive costs, eg:

(a) the cost of an outbreak of food-borne illness traced to that particular food outlet;

(b) the cost of conviction for breaches of the relevant regulations; and

Furthermore, sound training usually results in staff who adopt a more professional approach to their

work. This reduces demands upon the supervisor, and usually means happier, more

efficient staff.

Training is best undertaken on an on-going basis, but with two distinct categories:

• orientation training; and

• continuous in-service training.

12.3.1 ORIENTATION TRAINING

Orientation training is the time when the new employee gets to "know the ropes". This frequently occurs at a fairly

informal level and is usually related to the simple mechanics of doing the job. All too often,

food hygiene plays no part in the orientation of a new employee. However, to ensure proper

practices of hygienic food handling, new employees should be made aware of:

(a) the significance of food-borne disease;

(b) their responsibility for the health of customers and their

responsibilities under the relevant food hygiene regulations;

Page 42

Food Hygiene Training - Information Resource (d) the basic principles of food hygiene;

(e) personal hygiene requirements; and

(f) specific food handling procedures pertinent to their particular set of tasks.

To achieve this satisfactorily, a formal training procedure needs to be established.

12.3.2 ON-GOING TRAINING

Skills and knowledge gained at the orientation training need to be reinforced and updated on a continual

basis. More specifically, ongoing training can achieve the following purposes:

(a) updating and revising of previously gained knowledge and skills; (b) training for new tasks, new

positions;

(d) the addressing of specific problems identified in the course of observations

/ inspections.

12.3.3 THE WHEN AND WHERE OF TRAINING

The manner in which training if fitted into the work routine is a decision

which can only be made at the level of individual organizations. The first decision that must be made is

that food hygiene training has a priority. If that principle is established, the

other arrangements can then be more readily developed.

As weil as formal training provisions, immediate supervisors should also be given a training and reinforcing role on

a one-to-one basis.

In small organizations, the trainer is likely to be the owner or manager.

Where the owner or manager is unable to carry it out, they may be dependent upon courses run by the

local authority health department or some other "outside" body.

For training coune details, contact Noosa Council Environmental Health Section

on 5449 5232.

منابع:

www.elib.hbi.ir

www.hamputer.mihanblog.com

www.iranhealers.com/index.php

www.myisfahan.com

www.daneshnameh.roshd.ir

www.taamasrar.com

وكتاب

شيمي مواد غذایی

چاپ چهارم (( صفحات 471 و472)

تأليف ح.فاطمی

ناشر : شرکت سهامی انتشار