Foodborne Pathogens Every Foodservice Employee Should Know by Name

Ask most foodservice employees what they’re trying to prevent when they wash their hands or when they cook chicken to 165°F, or ground beef to 155°F, and you will likely get a vague answer about germs or getting people sick. While that is not incorrect, it just isn’t enough. Of course, every employee’s knowledge of food safety must start somewhere. But understanding which pathogens you’re fighting, how they spread, and what makes them dangerous gives your team a completely different level of ownership over food safety. It turns rule-followers into those who can really solve problems and make sound decisions based on science, rather than old wives’ tales or what grandma may have told them 10 years ago.

The FDA and most food safety regulators have identified six pathogens that warrant special attention in foodservice settings. These aren’t just the most common causes of foodborne illness; they are the ones that are most likely to spread person-to-person or through contaminated food in an operation such as yours. They’re serious enough that most food codes require employees diagnosed with or exposed to these illnesses be restricted or excluded from food-handling duties entirely. And if the topic of restriction or exclusion is unfamiliar to you, be sure to check out our previous blog post on this topic!

 


…knowledge turns the rule-followers into those who can really solve problems and make decisions based on science, rather than old wives’ tales


Norovirus

Norovirus is the leading cause of foodborne illness outbreaks in the United States and is highlycontagious. It takes fewer than 20 viral particles to make a person sick. It spreads easily through contaminated hands, surfaces, and ready-to-eat foods. If you have ever been on a cruise or followed illnesses on cruise ships, you have likely heard of norovirus.

Vomiting and diarrhea are the hallmark symptoms, and infected individuals can shed the virus even before they feel sick. This is why an employee who vomits must be immediately excluded from the operation. There is no cooking temperature that eliminates norovirus once it contaminates ready-to-eat food. Your only defense is keeping infected people out and maintaining rigorous handwashing practices.

Hepatitis A

Unlike the other pathogens on this list, Hepatitis A is a virus that attacks the liver. Symptoms include jaundice, fatigue, and nausea. The illnesses can take 15 to 50 days to appear after exposure, which means an infected employee can unknowingly contaminate food for weeks. It spreads through the fecal-oral route, primarily via unwashed hands. Shellfish harvested from contaminated water are a well-known vehicle. Any employee diagnosed with Hepatitis A must be excluded from work. While it is not mandated, vaccination is available and is recommended for food handlers.

Salmonella

This may be among the most familiar names on the list. Nontyphoidal Salmonella is responsible for more hospitalizations from foodborne illness than most any other pathogen. Poultry, eggs, raw produce, and nut butters are common sources. Symptoms include diarrhea, fever, and abdominal cramps beginning six to 72 hours after exposure. Proper cooking temperatures and preventing cross-contamination, especially between raw poultry products and ready-to-eat foods, are critical in controlling it.

While nontyphoidal Salmonella is common in foodservice, Salmonella Typhi, the strain that causes typhoid fever, is treated separately because of its severity and because some people carry it without ever showing symptoms. It is transmitted through the fecal-oral route, often through contaminated water and food. Any employee diagnosed with typhoid fever must be excluded from the operation until cleared by a medical professional.

Shigella

Shigella causes shigellosis, an intestinal infection characterized by bloody diarrhea, fever, and stomach cramps. Like Norovirus, it requires a very small infectious dose, making it spread easily even with minimal contamination. It is found in the feces of infected people and spreads through poor handwashing, contaminated water, and ready-to-eat foods handled by infected employees. Children, the elderly, and immunocompromised individuals are at the highest risk for severe illness. Excluding ill employees and enforcing strict handwashing are your primary defenses.

Shiga Toxin-Producing E. coli (STEC)

You likely know this one as E. coli O157:H7, though there are other dangerous STEC strains. What makes this pathogen particularly frightening is its potential to cause hemolytic uremic syndrome (HUS), a form of kidney failure that can be fatal, especially in young children. Ground beef is the most associated food, but leafy greens, raw sprouts, and unpasteurized juice have all been vehicles in major outbreaks. Cooking to proper temperatures destroys STEC, but cross-contamination from raw meat to ready-to-eat foods is a serious and persistent risk in any kitchen.

Knowing these pathogens by name and understanding how they spread changes how your employees think about every task, from receiving a delivery to washing their hands after a bathroom break. Post this list in your break room. Include it in your onboarding training. Revisit it at your next pre-shift meeting. The employees who understand why the rules exist are the ones who follow them even when no one is watching. That knowledge is what helps build the culture of food safety in your operation. Risk Nothing.

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Food Gloves & Latex Allergy Education

Politicians joke about the endless stretch of rubber chicken dinners they may consume in an election year. For people with a latex allergy, such a prospect may be no laughing matter. While latex serves as an effective barrier glove material and has the best fit because of its elasticity, the risks associated should not be ignored. The solution is not simple and many options are available for operators today. It should always be mentioned that handwashing (before putting on gloves) is always the primary barrier to contamination and gloves are considered a good secondary barrier.

Foodborne Illness Myths & Facts

“It must have been something I ate.”  That’s the typical statement when a person develops some relatively minor symptoms from food.  Maybe not severe enough to go to the doctor so you choose to tough it out without medical care.  Sudden onset of flu-like symptoms such as onset of stomach cramps, diarrhea, vomiting and fever could possibly mean you are the victim of a foodborne illness.   The illness is sometimes referred to as “food poisoning”, but it’s often misdiagnosed.

Don’t Compromise: Clean and Sanitize

The subject is cleaning and sanitizing. Chefs, food service directors, managers and staff try to practice safe food-handling at every turn in the kitchen. Don’t let that effort go down the drain by slacking off on the many aspects of sanitation. That includes dish and ware-washing techniques (pots, pans, equipment), and cleaning all the areas that give us that “neat as a pin” appearance in your customers eyes. Customers seldom fail to bring that soiled silverware or glass with lipstick on it to the attention of the manager or wait staff. Improperly cleaning and sanitizing of food contact equipment does allow transmission of pathogenic microorganisms to food and ultimately our customer.

The Route to Safer Fresh Fruits and Vegetables

Although fruits and vegetables are one of the healthiest foods sources in our diet, we continue to have foodborne disease outbreaks of significance from produce, sometimes affecting large groups of people in multiple states because of their wide distribution. The CDC estimates that fresh produce now causes a huge number of foodborne illness outbreaks in the United States. Produce needs our continued food safety efforts at the restaurant level as well as at the stages in agricultural production. Occasionally, fresh fruits and vegetables can become contaminated with harmful bacteria or viruses, such as Salmonella, E. coli 0157:H7, Norovirus, and Hepatitis A. This contamination can occur at any point from the field to our table. If eaten, contaminated fruits and vegetables can cause foodborne illness.