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Page 1: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Dr. H. Gh. Safaei 04/21/23

Page 2: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Over eating Nutritional deficiency Allergy Chemical poisioning Bacterial contamination

Dr. H. Gh. Safaei 04/21/23

Page 3: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

two primary types◦ food-borne infections◦ food intoxications

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Page 4: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

•Food infections (microbes are transferred to consumer)•Food poisoning (results from the toxin consumption)

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Page 5: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

• Ingestion of toxins in foods in which microbes have grown

• Exotoxin • Neurotoxin• Enterotoxin• Metabolite • Staphylococcal food poisoning,• botulism, • Clostridium perfringens food poisoning,• Bacillus cereus food poisoning

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Page 6: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

ergotism◦ toxic condition caused by growth of a fungus in

grains aflatoxins

◦ carcinogens produced in fungus-infected grains and nut products

fumonisins◦ carcinogens produced in fungus-infected corn

Dr. H. Gh. Safaei 04/21/23

Page 7: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Neurtoxin ( Bacteriophage ) A-G Heat labile Nutrient content ( Glucose , Maltose ) Aw, PH, O-R, NaCl, Temp, Time IP 12-36 h Canned food

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Page 8: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Neurological signsVisual disturbances, vertigo, tingling

sensation & paralysis

Clostridium botulinum

Dr. H. Gh. Safaei 04/21/23

Page 9: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Enterotoxin S.aureus , heat stable 4-46 C PH 4.8- 8 Aw 0.86-0.9 IP 2-4 hour

Dr. H. Gh. Safaei 04/21/23

Page 10: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Upper GIT signsNausea, retching, vomiting, abdominal

pain, diarrhoea S. aureus and its toxins B. cereus and its toxin

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Page 11: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

• C. botulinum, C. perfringens - Soil, hide, faecal material

• Staphylococcus aureus toxin - Human (nostrils and hands)

• Listeria monocytogenes- Soil, hide, faecal material

• Campylobacter spp. - GIT (esp. poultry)

• E. coli O157:H7 - GIT

• Salmonella spp. - GIT / Hide

• Yersinia enterocolitica - GIT

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Page 12: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Dr. H. Gh. Safaei 04/21/23

Page 13: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Upper GIT – nausea & vomiting

Lower GIT – cramps & diarrhoea

Neurological signs

General symptoms

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Page 14: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Lower GIT signsLower abdominal cramps & diarrhoea

Clostridium perfringens, Bacillus cereus Salmonella, Shigella, ET E. coli, Yersinia

enterocolitica, Campylobacter jejuni, Vibrio cholera

Dr. H. Gh. Safaei 04/21/23

Page 15: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Lower GIT signs, continuedLower abdominal cramps &

diarrhoea

Giardia intestinalis Cryptosporidium parvum

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Page 16: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

General symptomsFever, chills, malaise, prostration, aches,

swollen lymph nodes

• S. typhi, L. monocytogenes, C. jejuni• Hepatitis A

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Page 17: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Dr. H. Gh. Safaei 04/21/23

Page 18: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Cause enteritis Occasionally systemic infection

C. jejuni & C. coli infections indistinguishable

2 million case / year in USA

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Page 19: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

• Gram negative Gram negative • Curved or spiral , comma, S , gull wing Curved or spiral , comma, S , gull wing • Motile single polar flagellum Motile single polar flagellum • Thermophile Thermophile

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Page 20: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

1. Temperatures > 55 deg. C destroy

2. Sensitive to desiccation3. Salt, ascorbic acid4. Disinfectants, chlorinated water5. UV radiation

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Page 21: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

EndotoxinCytopathic extracellular toxin

Enter toxin

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Page 22: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Oral route , food , drink , contact infected animals, sexual activity

Sensitive to gastric acid 104 organism should ingested Multiply in small intestine ----invade

epithelial ----inflammation ----white & red blood cell in stool

Occasionally blood stream is invaded Enteritis

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Page 23: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Sources - human – faecal-oral person-to-person - animal – cats, dogs, flies,chickenschickens, ,

cattle, cattle, sheepsheep

Transmitted milk meat productsPublic health control

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Page 24: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

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Page 25: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

consumption of undercooked meat products, unpasteurized

milk, water contaminated by the bacteria. Usually, someone with an infection caused

by Yersinia bacteria recovers within a few days without medical treatment (in some cases, doctors prescribe antibiotics

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Page 26: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

4 to 7 days after exposure and can last up to 3 weeks

fever, stomach pain, nausea, vomiting, and bloody diarrhea. Sometimes, older kids also get pain in the lower right side of the abdomen, which can mimic appendicitis.

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Page 27: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

1. Avoid eating raw or undercooked pork. 2. Consume only pasteurized milk 3. Wash hands with soap and water 4. Prevent cross-contamination in the

kitchen: -Use separate cutting boards for meat and other foods. -Carefully clean all cutting boards, counter-tops, and utensils with soap and hot water after preparing raw meat.

5. Dispose of animal feces in a sanitary manner.

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Page 28: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

is a bacterium in the same family as those that cause cholera.

gastrointestinal illness in humans. V. parahaemolyticus naturally inhabits

coastal waters is present in higher concentrations during summer;

it is a halophilic, or salt-requiring organism.

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Page 29: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

watery diarrhea often with abdominal cramping, nausea, vomiting, fever and chills. Usually these symptoms occur within 24 hours of ingestion. Illness is usually self-limited and lasts 3 days.

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Page 30: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Most people become infected by eating raw or undercooked shellfish, particularly oysters. Less commonly, this organism can cause an infection in the skin when an open wound is exposed to warm seawater.

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Page 31: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Most people become infected by eating raw or undercooked shellfish, particularly oysters. Less commonly, this organism can cause an infection in the skin when an open wound is exposed to warm seawater.

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Page 32: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

•incubation 2 to 5 days •Abdominal painAbdominal pain• DiarrheaDiarrhea• Malaise, fever, headacheMalaise, fever, headache•Usually self-limiting 5-8 days 5-8 days • Antibiotics erythromycin

SymptomsSymptoms

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Page 33: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Micro-organisms – part of nature Chemicals – many are man-made Micro-organisms change numbers Uneven distribution in food Clinical symptoms – acute Variable consumer susceptibility

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Page 34: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Contamination with undesirable micro-organisms

Unacceptable levels of micro-organisms

Treatment did not result in inactivation

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Page 35: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

Preventing/limiting contamination Preventing/limiting spread Preventing growth Preventing survival of organisms &

persistence of metabolites

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Page 36: Dr. H. Gh. Safaei 12/18/2015.  Over eating  Nutritional deficiency  Allergy  Chemical poisioning  Bacterial contamination Dr. H. Gh. Safaei12/18/2015

No contact between raw & cooked Wash hands Keep food preparation surfaces

clean Protect from pests Use potable water

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?Dr. H. Gh. Safaei 04/21/23