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SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Diarrhea Contaminated
water and soil
Meat and poultry Avoid cross-
contamination
Chills and Fever Insects Fresh produce Refrigeration
Abdominal cramps Animals Fish and shrimp Cooking poultry to
165 for 15 seconds
Headache Human intestinal
tract
Shell Eggs Good hygiene
Nausea
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Abdominal
cramps
Humans Moist and mixed foods,
such as potato, tuna,
shrimp and macaroni
salads
Good handwashing and
hygiene with safe water
source.
Fever and
chills
Contaminated
water
Lettuce Proper refrigeration of
suspect foods
Diarrhea Most outbreaks
associated with
day care centers
Avoid cross contamination
Wash fruits and vegetables
and drink fresh water.
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Nausea and
vomiting
Contaminated
water and soil
Unpasteurized milk and
cheese and soft cheeses -
processed foods
Use only pasteurized
milk and dairy
products
Fever Damp
environments
Ice cream Avoid cross-
contamination
Diarrhea Animals Yogurt Cook foods to proper
internal temperature
Headache Humans Raw vegetables and fruits Check use-by dates
Backache Poultry, seafood and
meats, especially hot
dogs and lunch meats
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Nausea Skin, hair, nose
and throat.
MRSA may be in
1 – 5 % of
population
Reheated foods Handwashing
Stomach cramps Infected sores Good personal
hygiene
Vomiting Avoid cross
contamination
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Nausea Skin, hair,
nose and
throat
Reheated foods Wash hands
Retching Infected
sores
Ham and other meats Good personal hygiene
Diarrhea Animals Egg products and other
protein foods – salads,
custards, and pastry
fillings.
Cooking foods to 165 for
15 minutes or 140 for one
hour, followed by serving or
refrigeration
Abdominal
Cramps
Poultry
SYMPTOMS SOURCES FOODS
INVOLVED
PREVENTION
Abdominal pain Human intestinal
tract
Cooked meat Time-temperature
control when reheating
foods
Nausea Animals Meat products
Diarrhea Poultry
Dehydration Stews and gravies
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Abdominal cramps Soil Cooked food dishes Proper cooking and
cooling procedures.
Nausea Grain and cereal
products
Basic safe food handling
skills.
Diarrhea Dried foods that have
been reconstituted
Vomiting Dairy products
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Watery or bloody
diarrhea
Animals Raw and
undercooked ground
beef
Thoroughly cook
ground beef to 155 F
for 15 seconds
Severe abdominal
pain
Human
intestinal tract
Imported cheeses Avoid cross
contamination
Vomiting Swimming in or
drinking
contaminated
water
Unpasteurized milk,
apple cider, apple
juice
Practice good personal
hygiene
Intestinal tract
of cattle
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Fever Contaminated
water
Water and ice Obtain shell fish from
approved sources
Nausea Humans intestinal
and urinary tract
Shellfish Good personal hygiene
Abdominal pain Salads Prevent hands from
cross contamination
Yellow skin Cold cuts and
sandwiches
Discomfort Fruit and fruit juices
The 2003 United States hepatitis A outbreak
was the worst hepatitis A outbreak in U.S.
history, more than 660 people infected including
4 fatalities.
The infection was from green onions served at
Chi-Chi's restaurants in Pennsylvania and West
Virginia.
The green onions likely were contaminated with HAV in the
distribution system or during growing, harvest, packing, or
cooling. Traceback investigations completed to date have
determined that the green onion source is one or more
farms in Mexico.
HAV is transmitted by the fecal-oral route. Green onions require
extensive handling during harvesting and preparation for
packing.
Contamination of green onions could occur 1) by contact with
HAV-infected workers, especially children, working in the field
during harvesting and preparation and 2) by contact with HAV-
contaminated water during irrigation, rinsing, processing,
cooling, and icing of the product.
Green onions and other selected produce items (e.g.,
strawberries) might be more vulnerable to contamination
because plant surfaces are particularly complex or adherent to
viral or fecal particles. Outbreaks of other enteric pathogens
linked to green onions have been reported.
SYMPTOMS SOURCES FOODS INVOLVED PREVENTION
Nausea, vomiting Human
intestinal tract
Water Obtain fresh foods
from approved sources
Headaches Contaminated
water
Steamed or raw
shellfish
Good personal hygiene
Diarrhea Raw vegetables Proper handwashing
Abdominal pain Fresh fruits and
salads
Cook foods to safe
minimum internal
temperatures
Low grade fever
Should you KEEP or TOSS …
Tacos left on the
kitchen counter
overnight?
Toss it out!
Toss it out!
233
A toxin is something that
can make you sick. The
type of sickness depends
on the type of bacteria
forming the toxin.
Even if you reheat tacos
left out overnight, some bacteria
can form a heat-resistant toxin
which cooking won’t destroy.
Toss it out!
236
Thaw packages of
meat, poultry and
seafood on a plate on
the bottom shelf of
the refrigerator. This
prevents their juices
from dripping on
other foods.
Leftover cold
pizza can be a
GREAT breakfast
food — IF you
handle it safely!
Should you KEEP or TOSS …
Cut or peeled fruits and vegetables
left at room temperature for more
than TWO hours?
Toss it out!
Toss it out!
Should
you
KEEP or
TOSS …
Leftovers
kept in the
refrigerator
for over a
week?
Toss it out!
Even refrigerated
leftovers may become
unsafe within
3 to 4 days.
Toss it out!
You can’t
always see
or smell if a
food is
unsafe. You
could get
sick tasting
a food!
Should you KEEP or TOSS …
A pot of chili soup stored in the refrigerator while still hot?
And….can you guess….
How long would it take a pot of chili to cool to
a safe temperature in your refrigerator?
And….can you guess….
How long would it take a pot of chili to cool to
a safe temperature in your refrigerator?
Would you believe …
at least 24 hours!
Toss it out!
Transfer hot foods to shallow
containers to speed cooling!
Remember:
Toss it out!

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  • 148. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Diarrhea Contaminated water and soil Meat and poultry Avoid cross- contamination Chills and Fever Insects Fresh produce Refrigeration Abdominal cramps Animals Fish and shrimp Cooking poultry to 165 for 15 seconds Headache Human intestinal tract Shell Eggs Good hygiene Nausea
  • 149.
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  • 156. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Abdominal cramps Humans Moist and mixed foods, such as potato, tuna, shrimp and macaroni salads Good handwashing and hygiene with safe water source. Fever and chills Contaminated water Lettuce Proper refrigeration of suspect foods Diarrhea Most outbreaks associated with day care centers Avoid cross contamination Wash fruits and vegetables and drink fresh water.
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  • 163. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Nausea and vomiting Contaminated water and soil Unpasteurized milk and cheese and soft cheeses - processed foods Use only pasteurized milk and dairy products Fever Damp environments Ice cream Avoid cross- contamination Diarrhea Animals Yogurt Cook foods to proper internal temperature Headache Humans Raw vegetables and fruits Check use-by dates Backache Poultry, seafood and meats, especially hot dogs and lunch meats
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  • 170. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Nausea Skin, hair, nose and throat. MRSA may be in 1 – 5 % of population Reheated foods Handwashing Stomach cramps Infected sores Good personal hygiene Vomiting Avoid cross contamination
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  • 174. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Nausea Skin, hair, nose and throat Reheated foods Wash hands Retching Infected sores Ham and other meats Good personal hygiene Diarrhea Animals Egg products and other protein foods – salads, custards, and pastry fillings. Cooking foods to 165 for 15 minutes or 140 for one hour, followed by serving or refrigeration Abdominal Cramps Poultry
  • 175.
  • 176.
  • 177.
  • 178.
  • 179. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Abdominal pain Human intestinal tract Cooked meat Time-temperature control when reheating foods Nausea Animals Meat products Diarrhea Poultry Dehydration Stews and gravies
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  • 181.
  • 182.
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  • 184.
  • 185. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Abdominal cramps Soil Cooked food dishes Proper cooking and cooling procedures. Nausea Grain and cereal products Basic safe food handling skills. Diarrhea Dried foods that have been reconstituted Vomiting Dairy products
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  • 191. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Watery or bloody diarrhea Animals Raw and undercooked ground beef Thoroughly cook ground beef to 155 F for 15 seconds Severe abdominal pain Human intestinal tract Imported cheeses Avoid cross contamination Vomiting Swimming in or drinking contaminated water Unpasteurized milk, apple cider, apple juice Practice good personal hygiene Intestinal tract of cattle
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  • 200. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Fever Contaminated water Water and ice Obtain shell fish from approved sources Nausea Humans intestinal and urinary tract Shellfish Good personal hygiene Abdominal pain Salads Prevent hands from cross contamination Yellow skin Cold cuts and sandwiches Discomfort Fruit and fruit juices
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  • 202.
  • 203. The 2003 United States hepatitis A outbreak was the worst hepatitis A outbreak in U.S. history, more than 660 people infected including 4 fatalities. The infection was from green onions served at Chi-Chi's restaurants in Pennsylvania and West Virginia. The green onions likely were contaminated with HAV in the distribution system or during growing, harvest, packing, or cooling. Traceback investigations completed to date have determined that the green onion source is one or more farms in Mexico.
  • 204. HAV is transmitted by the fecal-oral route. Green onions require extensive handling during harvesting and preparation for packing. Contamination of green onions could occur 1) by contact with HAV-infected workers, especially children, working in the field during harvesting and preparation and 2) by contact with HAV- contaminated water during irrigation, rinsing, processing, cooling, and icing of the product. Green onions and other selected produce items (e.g., strawberries) might be more vulnerable to contamination because plant surfaces are particularly complex or adherent to viral or fecal particles. Outbreaks of other enteric pathogens linked to green onions have been reported.
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  • 209. SYMPTOMS SOURCES FOODS INVOLVED PREVENTION Nausea, vomiting Human intestinal tract Water Obtain fresh foods from approved sources Headaches Contaminated water Steamed or raw shellfish Good personal hygiene Diarrhea Raw vegetables Proper handwashing Abdominal pain Fresh fruits and salads Cook foods to safe minimum internal temperatures Low grade fever
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  • 231. Should you KEEP or TOSS … Tacos left on the kitchen counter overnight?
  • 233. Toss it out! 233 A toxin is something that can make you sick. The type of sickness depends on the type of bacteria forming the toxin. Even if you reheat tacos left out overnight, some bacteria can form a heat-resistant toxin which cooking won’t destroy.
  • 234.
  • 236. 236 Thaw packages of meat, poultry and seafood on a plate on the bottom shelf of the refrigerator. This prevents their juices from dripping on other foods.
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  • 242. Leftover cold pizza can be a GREAT breakfast food — IF you handle it safely!
  • 243. Should you KEEP or TOSS … Cut or peeled fruits and vegetables left at room temperature for more than TWO hours?
  • 246. Should you KEEP or TOSS … Leftovers kept in the refrigerator for over a week?
  • 248. Even refrigerated leftovers may become unsafe within 3 to 4 days. Toss it out!
  • 249. You can’t always see or smell if a food is unsafe. You could get sick tasting a food!
  • 250. Should you KEEP or TOSS … A pot of chili soup stored in the refrigerator while still hot?
  • 251. And….can you guess…. How long would it take a pot of chili to cool to a safe temperature in your refrigerator?
  • 252. And….can you guess…. How long would it take a pot of chili to cool to a safe temperature in your refrigerator? Would you believe … at least 24 hours!
  • 254. Transfer hot foods to shallow containers to speed cooling!