How infectious diseases are spread and simple and practical advice for preventing the spread of infection in the home and community
Preventing food poisoning at home
What is food poisoning?
Food poisoning is illness resulting from consumption of contaminated food or water. Food can be contaminated by bacteria, viruses, parasites or fungi, or by toxins produced by them. Food poisoning is one of the most common illnesses in Australia, with an estimated 4 to 7 million cases of foodborne illness each year.
General principles
Many different organisms can cause food poisoning. Most are particular types of bacteria and more than 95% of reported cases of bacterial food poisoning are caused by infection with just two species, Campylobacter and Salmonella. Dangerous bacteria can survive on many foods.
Sources of food Poisoning
- unpasteurised milk (raw or non-heat treated milk)
- improperly handled eggs for example:
- using cracked or dirty eggs
- not washing hands after cracking or handling eggs
- not refrigerating raw egg products
- undercooked meats, including beef, pork and especially chicken
- stored cooked rice, gravies and sauces (including home-made mayonnaise)
- fresh fruit and vegetables.
Contaminated food may not look, smell or taste any different from food that is safe.
The risk of food poisoning is significantly reduced if food is correctly handled and cooked, eaten immediately or stored properly.
Causes of food poisoning
- preparing food without washing hands properly beforehand
- someone who is sick preparing food for others to eat
- eating food that is not cooked thoroughly
- allowing food to be at a temperature, for more than 4 hours, that allows bacteria to grow well.
Keep food cold enough (fridge or freezer) or hot enough (steaming hot) to guard against bacterial growth. However, the bacteria Listeria can grow in refrigerators.
Listeria can cause illness and death in the elderly, people who are immune suppressed and in pregnant women. Infection can also cause miscarriage. - cross contamination from raw meat (red meat or white meat) in the kitchen. Raw meat is the most important source of dangerous bacteria. This is especially so with raw poultry which is nearly always contaminated with Campylobacter and Salmonella. Proper cooking kills these bacteria but they can be easily transferred to foods that won’t be further cooked (for example salads) by hands or utensils such as chopping boards or knives.
Avoid hand contact with raw meat but if this is not practical, wash hands (with soap and running water) thoroughly afterwards.
Thorough cleaning of chopping boards and knives with detergent and warm water is required after each use. Best practice is to have a separate chopping board for raw meat and to clean the board and utensils in a dishwasher. - drinking contaminated water.
Personal hygiene practices
Always wash your hands with soap and running water before preparing or eating food. Remember also to wash your hands after:
- using the toilet for any reason (a variety of surfaces in the toilet may have traces of faeces on them)
- changing nappies
- handling raw meat or eggs
- using a handkerchief or tissue, coughing or sneezing
- smoking
- touching animals
- handling garbage
- gardening.
Do not
- sneeze or cough over food
- prepare food for others if suffering from throat, skin or bowel infections
- smoke in areas where food is prepared
- use a dirty tea towel for drying dishes (it is better to let them air dry on a draining board or dish rack).
Do
- protect cuts and sores on the hands or fingers with a clean dressing and waterproof cover or disposable gloves
- prevent hair from falling into food (tie it away from the face)
- ensure that children wash their hands before eating or assisting with food preparation
- clean inside your cupboards and fridge regularly (crumbs in cupboards can attract pests and dirty fridges can harbour bacteria).
Pests
Pests such as flies, cockroaches and mice carry disease. Keep food safe by:
- keeping flies out of the kitchen, storage and dining areas
- using fly spray thoughtfully (cover all food before you spray and until you can no longer smell the spray)
- keeping food scraps stored in garbage bins with close fitting lids (this prevents pests eating the scraps and breeding)
- storing chemicals used to control pests in areas away from those used to store, prepare or eat food.
Pets
Do not allow animals into kitchens. In particular, do not feed them in the kitchen. Do not wash pet food bowls in the kitchen sink.
Shopping
The inside of a car provides the ideal environment and temperature for bacteria to multiply, so food should be in the car for as short a time as possible.
Get refrigerated and frozen foods at the end of the shopping trip and keep them cold.
Keep hot foods separate from cold foods.
Check date markings on food packages, for example, use by or best before dates.
Never buy or use
- badly dented cans
- leaking cartons, cans, bottles or containers
- food packaged in torn or ripped packaging or packaging that has been tampered with
- food packages or cans that are swollen
- cracked or dirty eggs
- ready-to-eat food that has been in contact with raw meat, chicken or their juices. Take note of how ready-to-eat foods are presented as you shop
- products in vacuum packs if the packaging has become loose.
Storing food
Remember to:
- store eggs in the fridge. This improves quality and minimises any safety risk
- immediately freeze products that you do not intend to use before the use by date. Freezing greatly extends the use by date
- check the temperature of your refrigerator using a fridge thermometer. It should be 5ºC or less.
Cooked food can be allowed to cool to reasonably warm (about 45ºC) before it is put into the fridge; it is not essential to let it completely cool. Food will cool faster in smaller containers, and metal containers lose heat faster than plastic ones.
Store raw meats near the bottom of the fridge to ensure that juices do not drip onto other foods. Alternatively, put meat onto a covered tray or container within the fridge.
Keep raw foods on separate plates from ready- to-eat foods such as cooked foods and salads. Bacteria still grow in foods that have been kept refrigerated – they just take longer to grow.
Handling and preparing food
Safe food handling and preparation practices include:
- washing hands well with soap for at least 10 to 15 seconds and then rinsing with clean running water before preparing food, before eating and after touching raw meats
- asking other people to prepare food if you are not feeling well
- never placing cooked foods on dishes that have contained raw products such as meat, poultry and fish, unless the plates have been thoroughly washed first
- never using a sauce on cooked food if it has been previously used to marinate raw meat or seafood, unless the marinade has been cooked first or will be cooked. For example, do not spoon the uncooked juices or marinade over the cooked food and serve. The uncooked marinade will probably contain harmful bacteria
- all fruit and vegetables should be thoroughly washed if they are to be eaten raw. Sprouts and herbs should be rinsed before serving
- never keep perishable food outside of a fridge for longer than 4 hours
- never refrigerate perishable foods that have been at room temperature for more than 2 hours including preparation and serving time. Never keep perishable food outside of a fridge for longer than 4 hours. For more information see 2 Hour/4 Hour Rule Explained Factsheet (PDF 60KB)
Thawing frozen foods
Thaw meat and other foods in the bottom of the fridge whenever possible. Food can be thawed in a microwave oven, at room temperature (for example, on a bench) or in water, provided the food is cooked immediately after it has thawed.
Take great care if you cook meat when it is only partially thawed. Make sure that it is cooked right through.
Cooking and reheating
The surface of meat is usually the part that is contaminated with bacteria. Problems arise especially when contamination from the outside is moved to the inside, such as when meat is minced or sliced or a skewer is pushed through the meat. Then the meat must be thoroughly cooked right through. Therefore mince, sausages, hamburger patties, rolled roasts, kebabs, yiros, shaslicks and other such foods should be cooked right through. Thorough cooking means that there is no pink meat and the juices run clear when the meat is skewered, cut or pressed.
If you have access to a meat thermometer, you can use it to check the internal temperatures. In the case of hamburgers and poultry, make sure they are cooked throughout. Aim for around 75ºC in the centre of the meat item. See the Food Safety Information Council's infographic (PDF 565KB) with instructions for using a food thermometer.
Microwaves are a quick and convenient way to cook foods, but they tend to heat foods unevenly, leaving cold spots. So, when microwaving foods, always rotate and stir the food during cooking for more even cooking. Also, wait until the required standing time is over before you check that cooking is complete, because foods continue to cook even when the microwave is turned off.
When reheating foods, heat to steaming hot. This will kill any bacteria which may have grown on the food in the fridge.
Raw meat and traditional foods
Raw meat may be contaminated with harmful bacteria including Salmonella, Listeria, Campylobacter and E. coli that can cause food poisoning. These bacteria are destroyed when meat is correctly cooked.
Eating raw meat is not generally recommended, however, there are certain traditional foods containing raw meat that are an important part of many people’s diet, including such dishes as kibbeh, carpaccio and raw liver like kibbeh nayeh.
Traditional ways of preparing these foods can reduce the risk of food poisoning, but raw meat foods are not recommended for people with low or compromised immune systems, children younger than 5 years, people over 70 years of age with certain underlying conditions and pregnant women.
The best advice is to follow the traditional way of preparing and consuming raw meat:
- only buy raw meat from a reputable specialist butcher who understands this is how the meat will be consumed
- confirm with the butcher raw meat is very fresh
- once you have purchased raw meat from your butcher it is important that you refrigerate it as soon as possible
- prepare and consume as soon as possible after slaughter – check with your butcher.
Eating outdoors
(picnics, barbecues, camping, school lunches)
Warm summer weather is perfect for bacteria to grow.
Keep all food cold, unless it has just been cooked and will be eaten hot straight away. Do not pack food if it has just been cooked and will be eaten cool. Let it get cold in the fridge first.
Do the maximum amount of food preparation at home, particularly if hand washing facilities are inadequate at the place where the food will be eaten.
When camping, it is best to pack dried, canned and ultra heat treated (UHT) foods rather than fresh foods.
When packing children’s lunches, either pack a frozen ice block drink in the lunch box to keep food cold (summer and winter) or choose foods that will not ‘go off’. That is, do not pack foods that would normally be kept in the fridge, such as milk, soft cheese, meats or eggs, even in sandwiches.
Fillings for sandwiches that are fairly safe under warmer conditions are often those fillings that can sit on a shelf without needing refrigeration, such as honey, yeast extracts and peanut butter products.
In some schools where there are children with severe allergies to nuts and nut products, parents may be asked not to include nuts and nut products in their children’s school lunches.
Eating out
(restaurants and take-aways)
Cold foods should be cold to the touch and should be displayed on ice or in a fridge.
Poultry, mince, sausages, hamburger patties, rolled roasts, kebabs, yiros, shashliks and other such foods should be cooked right through. If they are not, send them back.
Eat hot foods while they are still hot. Be careful about handling leftovers, including foods taken home in a ‘doggy bag’. They should be put in the refrigerator as soon as possible.
If you are not happy with the safe handling of the food at a restaurant or take-away, contact the Environmental Health Officer at your local council and discuss your concerns.