Safe in the Kitchen

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    SAFE IN THE KITCHENSAFE IN THE KITCHEN

     Nenni Dwi A. LubisDepartemen Ilmu Gizi – FK USU

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    FOODBORNE ILLNESSFOODBORNE ILLNESS

    Food Poisoning

    Eating contaminated food

    Cause  – Intrinsic hazard

    • Natural toxin

    • Non nutrient

     – Extrinsic hazard

    • Chemical contaminant• Biological contaminant

     – Physical hazard

    http://keracunan%20bp/kracunan%20makanan%20USU.ppthttp://keracunan%20bp/kracunan%20mak.ppthttp://keracunan%20bp/kracunan%20mak.ppthttp://keracunan%20bp/kracunan%20makanan%20USU.ppt

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    !ssible "auses !# F!!$b!rne Illness!ssible "auses !# F!!$b!rne Illness

    Pathogenic Agent Examples

    Bacteria Food poisoning

    Viruses Viral food poisoning

    Viral disease

    Protozoa Amoebic dysentery

    Giardia

    Fungi Fungal poisoning

    Helminthic worms ape worms

    !i"er flu#es

     Algae Paralytic shellfish poisoning

    $hemical %atural to&ins in foods

    $ontamination

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    S%mpt!m !# F!!$b!rne IllnessS%mpt!m !# F!!$b!rne Illness

    Fatigue

    Chills

    A mild fever Dizziness

    Dehydration

    evere cramps!ision pro"lems

    Death

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    #he $ay people react to food"orne"acteria and contaminated food DIFFE%

    Depend on – #he type of "acteria or toxin

     – &o$ extensively the food $as contaminated

     – &o$ much food $as eaten

     – #he person's suscepti"ility to the "acteria

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    BA"&ERIABA"&ERIA

     E. coli 

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    (ost cases of food"orne illness

    #o survive and multiply ) need time and right condition

     – Food* thrive on protein

     – (oisture

     – +arm temperature , -..

     F / 0-..

     F• 1 02.. F* destroy "acteria

    • 3 -.. F* slo$s their gro$th

     – 4xygen

    #he $orst trou"lema5ers 

    Salmonella, Staphylococcus aureus, Campylobacter jejuni,Clostridium perfringens, Clostridium botulinum, Escherichia coli,

    Listeria monocytes, Shigella, Vibrio vulnificus, Y. enterocolitica

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    Salmonella spp.Salmonella spp.

    'ostly found in raw or undercoo#edpoultry( meat( eggs( fish andunpasteurized mil#

    )n"ironmental sources of the organisminclude water( soil( insects( factory

    surfaces( #itchen surfaces( animal feces(raw meats( raw poultry( and rawseafoods

     Acute symptoms ** nausea( "omiting(abdominal cramps( minal diarrhea( fe"er(and headache

    $hronic conse+uences ** arthritic

    symptoms may follow ,*- wee#s afteronset of acute symptoms

    Cooking foods thoroughly, keepingfood clean and consuming only pasteuried milk 

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    Camphylobacter jejuniCamphylobacter jejuni

    $an be transferred to raw andundercoo#ed poultry and meat(unpasteurized mil# and untreatedwater 

    $auses diarrhea( which may bewatery or stic#y and can containblood .usually occult/ and fecalleu#ocytes .white cells/

    0ther symptoms often present arefe"er( abdominal pain( nausea(

    headache and muscle pain he illness usually occurs 1*2

    days after ingestion of thecontaminated food or water 

    http://www.cfsan.fda.gov/cgi-bin/bbbglos?Leukocyteshttp://www.cfsan.fda.gov/cgi-bin/bbbglos?Leukocytes

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    Destroyed easily "yDestroyed easily "y

    afe food handling +ater treatment system Coo5 food thoroughly

    Avoid cross contamination "y$ashing utensils* cutting"oard* and hands afterhandling ra$ poultry and meat

    Avoid ra$* unpasteurized mil5

    If going to camp* al$ays treat$ater from streams or la5es

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    Staphylococcus aureusStaphylococcus aureus

    (eat and meat products6 poultryand egg products6 salads such asegg* tuna* chic5en* potato* andmacaroni6 "a5ery products suchas cream7filled pastries* cream

    pies and chocolate eclairs6sand$ich fillings and mil5 anddairy products

    Exist in air* dust* se$age* $ater*mil5* and food or on foode8uipment* environmentalsurfaces* humans* and animals

    #he most common symptoms arenausea* vomiting* retching*a"dominal cramping andprostration

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    Clostridium botulinumClostridium botulinum

    4nset of symptoms in food"orne "otulism is usually 09 to:2 hours after ingestion of the food containing the toxin*although cases have varied from - hours to 9 days

    Early signs of intoxication consist of mar5ed lassitude*$ea5ness and vertigo* usually follo$ed "y dou"le visionand progressive difficulty in spea5ing and s$allo$ing

    Botulinal toxin has "een demonstrated in a considera"levariety of foods* such as canned corn* peppers* green"eans* soups* "eets* asparagus* mushrooms* ripe olives*spinach* tuna fish* chic5en and chic5en livers and liverpate* and luncheon meats* ham* sausage* stuffed eggplant*lo"ster* and smo5ed and salted fish

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     Escherichia coli Escherichia coli

    #he most fre8uent clinical syndrome of infection includes$atery diarrhea* a"dominal cramps* lo$7grade fever* nauseaand malaise

    Contamination of $ater $ith human se$age may lead tocontamination of foods

    Infected food handlers may also contaminate foods

    #hese organisms are infre8uently isolated from dairy productssuch as semi7soft cheeses

    Infants and travelers to underdeveloped countries are most at7ris5 of infection

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    Who is at High Risk for Foodborne Illness?Who is at High Risk for Foodborne Illness?

    Pregnant $omen

     ;oung children4lder adults

    People $ith $ea5ened

    immune systems orcertain chronic illnesses

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    &a'e "!ntr!l !# (!me F!!$ Sa#et%&a'e "!ntr!l !# (!me F!!$ Sa#et%

    +ash hands often

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    ")e*'list #!r A "lean Kit*)en")e*'list #!r A "lean Kit*)en

    &ands

    +or5 surfaces

    =tensils

    #o$els and dishcloths

    Appliances

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    +as) ,!ur (an$s -!re O#ten+as) ,!ur (an$s -!re O#ten

    !efore you 

    &andle or prepare food Eat meals

    Feed children

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     After you After you

    Prepare food #ouch ra$ food* especially meats

    and poultry $itch food preparation tas5s #ouch eggs and egg7rich foods =se the rest room Change a diaper  Clean an appliance &andle gar"age or dirty dishes mo5e a cigarette Pet animals and scoop animal feces

    =se the phone or computer  #ouch face* hair* "ody and other

    people #ouch a cut or a sore* cough or

    sneeze Clean or touch dirty laundry

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      0 Golden Rules for Safe Food

    0 Golden Rules for Safe Food

    Preparationreparation

    0> Choose foods processed for safety

    ?> Coo5 food thoroughly

    :> Eat coo5ed foods immediately

    -> tore coo5ed foods carefully@> %eheat coo5ed foods thoroughly

    2> Avoid contact "et$een ra$ foods and coo5edfoods

    > +ash hands repeatedly

    9> Protect food from insect* rodents and other

    animals

    0.> =se safe $ater 

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     Should you call your doctor? Should you call your doctor?

    +hen diarrhea is "loody +hen diarrhea or vomiting is excessive +hen these three symptoms all appear stiff nec5*

    severe headache and fever +hen you suspect illness from C> "otulinum or

    !> vulnificus +hen the victim is at high ris5 a young child* an

    elderly person* someone $hose immune system iscompromised due to illness +hen symptoms persist longer than three days

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    What do you do if you suspectWhat do you do if you suspect

     foodborne illness? foodborne illness?

    Call or see a medical professional

    %eport the incident to your localhealth department

    If you are reporting the incident* try

    to preserve the suspected food

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