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Introduction: Food Borne Disease

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Foodborne disease:disease caused by consuming contaminated food or drink. Myriad microbes and toxic substances can contaminate foods. There are more than 250 known foodborne diseases. The majority are infectious and are caused by bacteria, viruses, and parasites.

Foodborne illness (also foodborne disease and colloquially referred to as food poisoning) is any illness resulting from the food spoilage of contaminated food, pathogenic bacteria, viruses, or parasites that contaminate food, as well as toxins such as poisonous mushrooms and various species of beans that have not been boiled for at least 10 minutes.



Causes

Foodborne disease usually arises from improper handling, preparation, or food storage. Good hygiene practices before, during, and after food preparation can reduce the chances of contracting an illness. There is a consensus in the public health community that regular hand-washing is one of the most effective defenses against the spread of foodborne illness. The action of monitoring food to ensure that it will not cause foodborne illness is known as food safety.

Foodborne disease can also be caused by a large variety of toxins that affect the environment.

Furthermore, foodborne illness can be caused by pesticides or medicines in food and natural toxic substances such as poisonous mushrooms or reef fish.

Bacteria

Bacteria are a common cause of foodborne illness. In the United Kingdom during 2000, the individual bacteria involved were the following: Campylobacter jejuni 77.3%, Salmonella 20.9%, Escherichia coli O157:H7 1.4%, and all others less than 0.56%.

Most common bacterial foodborne pathogens are:

Viruses

Viral infections make up perhaps one-third of cases of food poisoning in developed countries. In the US, more than 50% of cases are viral and noroviruses are the most common foodborne illness, causing 57% of outbreaks in 2004. Foodborne viral infection are usually of intermediate (1–3 days) incubation period, causing illnesses which are self-limited in otherwise healthy individuals; they are similar to the bacterial forms described above.

  • Enterovirus
  • Hepatitis A is distinguished from other viral causes by its prolonged (2–6 week) incubation period and its ability to spread beyond the stomach and intestines into the liver. It often results in jaundice, or yellowing of the skin, but rarely leads to chronic liver dysfunction. The virus has been found to cause infection due to the consumption of fresh-cut produce which has fecal contamination.
  • Hepatitis E
  • Norovirus
  • Rotavirus

Parasites

Most foodborne parasites are zoonoses.

  • Platyhelminthes:
    • Diphyllobothrium sp.
    • Nanophyetus sp.
    • Taenia saginata
    • Taenia solium
    • Fasciola hepatica

 

  • Nematode:
    • Anisakis sp.
    • Ascaris lumbricoides
    • Eustrongylides sp.
    • Trichinella spiralis
    • Trichuris trichiura

 

  • Protozoa:
    • Acanthamoeba and other free-living amoebae
    • Cryptosporidium parvum
    • Cyclospora cayetanensis
    • Entamoeba histolytica
    • Giardia lamblia

Natural toxins

Several foods can naturally contain toxins, many of which are not produced by bacteria. Plants, in particular, may be toxic; animals which are naturally poisonous to eat are rare. In evolutionary terms, animals can escape being eaten by fleeing; plants can use only passive defences such as poisons and distasteful substances, for example, capsaicin in chilli peppers and pungent sulfur compounds in garlic and onions. Most animal poisons are not synthesised by the animal but acquired by eating poisonous plants to which the animal is immune, or by bacterial action.


Read Next

A. Types (Infections and intoxications)

B. Common diseases caused by foodborne pathogens

C. Preventive measures


 

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Syllabus BHM207

01 Basic Introduction to Food Safety, Food Hazards & Risks, Contaminants and Food Hygiene

02 Micro-organisms in Food

  1. General characteristics of Micro-Organisms based on their occurrence and structure.
  2. Factors affecting their growth in food (intrinsic and extrinsic)
  3. Common food-borne micro-organisms:
    1. Bacteria (spores/capsules)
    2. Fungi
    3. Viruses
    4. Parasites

03 Food Spoilage & Food Preservation

  1. Types & Causes of spoilage
  2. Sources of contamination
  3. Spoilage of different products (milk and milk products, cereals and cereal products, meat, eggs, fruits and vegetables, canned products)
  4. Basic principles of food preservation
  5. Methods of preservation (High Temperature, Low Temperature, Drying, Preservatives & Irradiation)

04 Beneficial Role of Micro-organisms

  1. Fermentation & Role of lactic acid bacteria
  2. Fermentation in Foods (Dairy foods, vegetable, Indian foods, Bakery products and alcoholic beverages)
  3. Miscellaneous (Vinegar & anti-biotics)

05 Food-borne Diseases

  1. Types (Infections and intoxications)
  2. Common diseases caused by foodborne pathogens
  3. Preventive measures

06 Food Additives

  1. Introduction
  2. Types (Preservatives, anti-oxidants, sweeteners, food colours and flavours, stabilizers and emulsifiers)

07 Food Contaminants & Adulterants

  1. Introduction to Food Standards
  2. Types of Food contaminants (Pesticide residues, bacterial toxins mycotoxins, seafood toxins, metallic contaminants, residues from packaging material)
  3. Common adulterants in food
  4. Method of their detection (basic principle)

08 Food Laws and Regulations

  1. National – PFA Essential Commodités Act (FPO, MPO etc.)
  2. International – Codex Alimentarius, ISO
  3. Regulatory Agencies – WTO
  4. Consumer Protection Act

09 Quality Assurance

  1. Introduction to Concept of TQM, GMP and Risk Assessment
  2. Relevance of Microbiological standards for food safety
  3. HACCP (Basic Principle and implementation)

10 Hygiene and Sanitation in Food Sector

  1. General Principles of Food Hygiene
  2. GHP for commodities, equipment, work area and personnel
  3. Cleaning and disinfection (Methods and agents commonly used in the hospitality industry)
  4. Safety aspects of processing water (uses & standards)
  5. Waste Water & Waste disposal

11 Recent Concerns

  1. Emerging pathogens
  2. Genetically modified foods
  3. Food labelling
  4. Newer trends in food packaging and technology
  5. BSE (Bovine Serum Encephthalopathy)