{"id":452,"date":"2019-03-11T19:13:42","date_gmt":"2019-03-11T19:13:42","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/?post_type=chapter&#038;p=452"},"modified":"2019-04-15T13:47:42","modified_gmt":"2019-04-15T13:47:42","slug":"11-3-food-borne-illness","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/chapter\/11-3-food-borne-illness\/","title":{"raw":"11.3: Food-Borne Illness","rendered":"11.3: Food-Borne Illness"},"content":{"raw":"Many different\u00a0disease-causing germs\u00a0can contaminate foods, so there are many different foodborne infections. The US CDC estimates that each year 48 million people get sick from a foodborne illness, 128,000 are hospitalized, and 3,000 die. Researchers have identified more than 250 foodborne diseases. Most of them are infections, caused by a variety of bacteria, viruses, and parasites. Harmful toxins and chemicals also can contaminate foods and cause foodborne illness.\r\n<div id=\"section_1\" class=\"mt-section\">\r\n<h2 class=\"editable\">Food Poisoning<\/h2>\r\nAlthough\u00a0anyone can get a foodborne illness, some people are more likely\u00a0to develop one. Those groups include Pregnant women,\u00a0Young children,\u00a0Older adults, People with immune systems weakened from medical conditions, such as diabetes, liver disease, kidney disease, organ transplants, HIV\/AIDS, or from receiving chemotherapy or radiation treatment. Most people with a foodborne illness get better without medical treatment, but people with severe symptoms should see their\u00a0doctor.\r\n<div class=\"note1\">\r\n<div class=\"textbox shaded\">\r\n<h3 class=\"boxtitle\">FOOD POISONING SYMPTOMS<\/h3>\r\n\r\n<hr \/>\r\n\r\nCommon\u00a0symptoms of foodborne diseases are nausea, vomiting, stomach cramps, and diarrhea. However, symptoms may differ among the different types of foodborne diseases. Symptoms can sometimes be severe and some foodborne illnesses can even be life-threatening. Most people have only mild illnesses, lasting a few hours to several days. However, some people need to be hospitalized, and some illnesses result in long-term health problems or even death. Infections transmitted by food can result in chronic arthritis, brain and nerve damage, and hemolytic uremic syndrome (HUS), which causes kidney failure.\r\n\r\nFood poisoning symptoms may range from mild to severe and may differ depending on the germ you swallowed (see Table\u00a0<span id=\"MathJax-Element-1-Frame\" class=\"MathJax\" style=\"font-style: normal;font-weight: normal;line-height: normal;font-size: 14.4px;text-indent: 0px;text-align: left;letter-spacing: normal;float: none;direction: ltr;max-width: none;max-height: none;min-width: 0px;min-height: 0px;border: 0px;padding: 0px;margin: 0px\" role=\"presentation\"><span id=\"MathJax-Span-1\" class=\"math\"><span id=\"MathJax-Span-2\" class=\"mrow\"><span id=\"MathJax-Span-3\" class=\"texatom\"><span id=\"MathJax-Span-4\" class=\"mrow\"><span id=\"MathJax-Span-5\" class=\"mn\">11.3.<\/span><span id=\"MathJax-Span-6\" class=\"mn\">1<\/span><\/span><\/span><\/span><\/span><span class=\"MJX_Assistive_MathML\" role=\"presentation\">11.3.1<\/span><\/span>below). After you consume a contaminated food or drink, it may take hours or days before you develop symptoms. See your doctor or healthcare provider if you have symptoms that are severe, including:\r\n<ul>\r\n \t<li>High fever (temperature over 101.5\u00b0F, measured orally)<\/li>\r\n \t<li>Blood in stools<\/li>\r\n \t<li>Frequent vomiting that prevents keeping liquids down (which can lead to dehydration)<\/li>\r\n \t<li>Signs of dehydration, including a marked decrease in urination, a very dry mouth and throat, or feeling dizzy when standing up.<\/li>\r\n \t<li>Diarrhea that lasts more than 3 days<\/li>\r\n<\/ul>\r\n<\/div>\r\n<span style=\"font-size: 1rem;text-align: initial\">The\u00a0top five germs\u00a0that cause illnesses from food eaten in the United States are\u00a0<\/span><em style=\"font-size: 1rem;text-align: initial\">Norovirus,\u00a0Salmonella,\u00a0Clostridium perfringens,\u00a0Campylobacter,\u00a0and\u00a0Staphylococcus aureus\u00a0(Staph).<\/em>\r\n\r\n<\/div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"600\"]<img class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/4092\/ARS_Campylobacter_jejuni.jpg?revision=2\" alt=\"ARS_Campylobacter_jejuni.jpg\" width=\"600\" height=\"283\" \/> <em>Figure\u00a011.3.1:\u00a0(left)\u00a0Campylobacter, a bacteria that is a major cause of food poisoning and (right)\u00a0Salmonella. Images used with permission (Public Domain;\u00a0De Wood, Pooley, USDA (left) and\u00a0Rocky Mountain Laboratories, NIAID, NIH).<\/em>[\/caption]\r\n\r\nSome other germs don\u2019t cause as many illnesses, but when they do, the\u00a0<strong>illnesses are more likely to lead to hospitalizatio<\/strong>n. Those germs include\u00a0<em>Clostridium botulinum<\/em>\u00a0(botulism),\u00a0<em>Listeria,\u00a0Escherichia coli\u00a0(E. coli), and\u00a0Vibrio.<\/em>\r\n<table class=\"mt-responsive-table\"><caption><em><strong>Table\u00a0<span id=\"MathJax-Element-3-Frame\" class=\"MathJax\" style=\"font-style: normal;font-weight: normal;line-height: normal;font-size: 14.4px;text-indent: 0px;text-align: left;letter-spacing: normal;float: none;direction: ltr;max-width: none;max-height: none;min-width: 0px;min-height: 0px;border: 0px;padding: 0px;margin: 0px\" role=\"presentation\"><span class=\"MJX_Assistive_MathML\" role=\"presentation\">11.3.1<\/span><\/span>:\u00a0<\/strong>Symptoms and Sources of 10 Foodborne Germs<\/em><\/caption>\r\n<thead>\r\n<tr>\r\n<th class=\"mt-align-center\"><strong>Germ and\u00a0Typical Time for Symptoms to Appear<\/strong><\/th>\r\n<th class=\"mt-align-center\"><strong>Typical Signs and Symptoms\u00a0<\/strong><\/th>\r\n<th class=\"mt-align-center\"><strong>Common Food Sources<\/strong><\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/campylobacter\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Campylobacter<\/em><\/a>\r\n2\u00a0\u2013 5 days<\/td>\r\n<td class=\"mt-align-center\">Diarrhea (often bloody),\u00a0stomach cramps\/pain,\u00a0fever<\/td>\r\n<td class=\"mt-align-center\">Raw or undercooked poultry,\u00a0raw (unpasteurized) milk, and contaminated water<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/botulism\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Clostridium botulinum<\/em><\/a>\r\n18\u00a0\u2013 36 hours<\/td>\r\n<td class=\"mt-align-center\">Double or blurred vision,\u00a0drooping eyelids, slurred speech.\u00a0Difficulty swallowing, breathing and dry mouth.\u00a0Muscle weakness and\u00a0paralysis.\u00a0Symptoms start in the head and move down as severity increases<\/td>\r\n<td class=\"mt-align-center\">Improperly canned or fermented foods, usually homemade.\u00a0Prison-made illicit alcohol.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/foodsafety\/diseases\/clostridium-perfringens.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Clostridium perfringens<\/em><\/a>\r\n6\u00a0\u2013 24 hours<\/td>\r\n<td class=\"mt-align-center\">Diarrhea, stomach cramps. Vomiting and fever are uncommon. Usually begins suddenly and lasts for less than 24 hours<\/td>\r\n<td class=\"mt-align-center\">Beef or poultry, especially large roasts; gravies; dried or precooked foods<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/parasites\/cyclosporiasis\/gen_info\/faqs.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Cyclospora<\/em><\/a>\r\n1 week<\/td>\r\n<td class=\"mt-align-center\">Watery diarrhea, loss of appetite and weight loss.\u00a0Stomach cramps\/pain, bloating, increased gas, nausea, and fatigue.<\/td>\r\n<td class=\"mt-align-center\">Raw fruits or vegetables, and herbs<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/ecoli\/general\/index.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Escherichia coli<\/em><\/a>\r\n3\u00a0\u2013 4 days<\/td>\r\n<td class=\"mt-align-center\">Severe stomach cramps, diarrhea (often bloody), and vomiting.\u00a0Around 5-10% of people diagnosed with this infection develop a life-threatening complication.<\/td>\r\n<td class=\"mt-align-center\">Raw or undercooked ground beef, raw (unpasteurized) milk and juice,\u00a0raw vegetables (such as lettuce), and\u00a0raw sprouts,\u00a0contaminated water<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/listeria\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Listeria<\/em><\/a>\r\n1\u00a0\u2013 4 weeks<\/td>\r\n<td class=\"mt-align-center\">Pregnant women\u00a0typically experience fever and other flu-like symptoms, such as fatigue and muscle aches.\u00a0Infections during pregnancy\u00a0can lead to\u00a0serious illness or even death in\u00a0newborns.\r\nOther people\u00a0(most often older adults): headache,\u00a0stiff neck,\u00a0confusion, loss of balance and convulsions in addition to fever and muscle aches.<\/td>\r\n<td class=\"mt-align-center\">Raw (unpasteurized) milk,\u00a0soft cheeses made with raw milk, raw sprouts,\u00a0melons,\u00a0hot dogs, p\u00e2t\u00e9s, lunch meats, and cold cuts, smoked seafood<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/norovirus\/about\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\">Norovirus<\/a>\r\n12\u00a0\u2013 48 hours<\/td>\r\n<td class=\"mt-align-center\">Diarrhea,\u00a0nausea\/stomach pain,\u00a0vomiting<\/td>\r\n<td class=\"mt-align-center\">Infected person,\u00a0contaminated food like\u00a0leafy greens, fresh fruits,\u00a0shellfish (such as oysters), or water, or by touching contaminated surfaces<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/salmonella\/\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Salmonella<\/em><\/a>\r\n12\u00a0\u2013 72 hours<\/td>\r\n<td class=\"mt-align-center\">Diarrhea,\u00a0fever, stomach cramps, vomiting<\/td>\r\n<td class=\"mt-align-center\">Eggs,\u00a0raw or undercooked poultry or meat, unpasteurized milk or juice, cheese, raw fruits and vegetables<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/foodsafety\/diseases\/staphylococcal.html\" target=\"_blank\" rel=\"external nofollow noopener\">Staphylococcus aureus<\/a>\u00a0(Staph)\r\n30 minutes\u00a0\u2013 6 hours<\/td>\r\n<td class=\"mt-align-center\">Diarrhea, nausea, stomach cramps, vomiting<\/td>\r\n<td class=\"mt-align-center\">Foods that are handled by people and not cooked (sliced meat, puddings, pastries, and sandwiches).\u00a0Raw (unpasteurized) milk and cheese made from it.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/vibrio\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Vibrio<\/em><\/a>\r\n1\u00a0\u2013\u00a04\u00a0days<\/td>\r\n<td class=\"mt-align-center\">Watery diarrhea, nausea. stomach cramps, vomiting, fever, chills<\/td>\r\n<td class=\"mt-align-center\">Raw or undercooked shellfish, particularly\u00a0oysters<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<\/div>\r\n<div id=\"section_2\" class=\"mt-section\">\r\n<h3 class=\"editable\">Contributors<\/h3>\r\n<ul>\r\n \t<li>US Center for Disease Control<\/li>\r\n<\/ul>\r\n<\/div>","rendered":"<p>Many different\u00a0disease-causing germs\u00a0can contaminate foods, so there are many different foodborne infections. The US CDC estimates that each year 48 million people get sick from a foodborne illness, 128,000 are hospitalized, and 3,000 die. Researchers have identified more than 250 foodborne diseases. Most of them are infections, caused by a variety of bacteria, viruses, and parasites. Harmful toxins and chemicals also can contaminate foods and cause foodborne illness.<\/p>\n<div id=\"section_1\" class=\"mt-section\">\n<h2 class=\"editable\">Food Poisoning<\/h2>\n<p>Although\u00a0anyone can get a foodborne illness, some people are more likely\u00a0to develop one. Those groups include Pregnant women,\u00a0Young children,\u00a0Older adults, People with immune systems weakened from medical conditions, such as diabetes, liver disease, kidney disease, organ transplants, HIV\/AIDS, or from receiving chemotherapy or radiation treatment. Most people with a foodborne illness get better without medical treatment, but people with severe symptoms should see their\u00a0doctor.<\/p>\n<div class=\"note1\">\n<div class=\"textbox shaded\">\n<h3 class=\"boxtitle\">FOOD POISONING SYMPTOMS<\/h3>\n<hr \/>\n<p>Common\u00a0symptoms of foodborne diseases are nausea, vomiting, stomach cramps, and diarrhea. However, symptoms may differ among the different types of foodborne diseases. Symptoms can sometimes be severe and some foodborne illnesses can even be life-threatening. Most people have only mild illnesses, lasting a few hours to several days. However, some people need to be hospitalized, and some illnesses result in long-term health problems or even death. Infections transmitted by food can result in chronic arthritis, brain and nerve damage, and hemolytic uremic syndrome (HUS), which causes kidney failure.<\/p>\n<p>Food poisoning symptoms may range from mild to severe and may differ depending on the germ you swallowed (see Table\u00a0<span id=\"MathJax-Element-1-Frame\" class=\"MathJax\" style=\"font-style: normal;font-weight: normal;line-height: normal;font-size: 14.4px;text-indent: 0px;text-align: left;letter-spacing: normal;float: none;direction: ltr;max-width: none;max-height: none;min-width: 0px;min-height: 0px;border: 0px;padding: 0px;margin: 0px\" role=\"presentation\"><span id=\"MathJax-Span-1\" class=\"math\"><span id=\"MathJax-Span-2\" class=\"mrow\"><span id=\"MathJax-Span-3\" class=\"texatom\"><span id=\"MathJax-Span-4\" class=\"mrow\"><span id=\"MathJax-Span-5\" class=\"mn\">11.3.<\/span><span id=\"MathJax-Span-6\" class=\"mn\">1<\/span><\/span><\/span><\/span><\/span><span class=\"MJX_Assistive_MathML\" role=\"presentation\">11.3.1<\/span><\/span>below). After you consume a contaminated food or drink, it may take hours or days before you develop symptoms. See your doctor or healthcare provider if you have symptoms that are severe, including:<\/p>\n<ul>\n<li>High fever (temperature over 101.5\u00b0F, measured orally)<\/li>\n<li>Blood in stools<\/li>\n<li>Frequent vomiting that prevents keeping liquids down (which can lead to dehydration)<\/li>\n<li>Signs of dehydration, including a marked decrease in urination, a very dry mouth and throat, or feeling dizzy when standing up.<\/li>\n<li>Diarrhea that lasts more than 3 days<\/li>\n<\/ul>\n<\/div>\n<p><span style=\"font-size: 1rem;text-align: initial\">The\u00a0top five germs\u00a0that cause illnesses from food eaten in the United States are\u00a0<\/span><em style=\"font-size: 1rem;text-align: initial\">Norovirus,\u00a0Salmonella,\u00a0Clostridium perfringens,\u00a0Campylobacter,\u00a0and\u00a0Staphylococcus aureus\u00a0(Staph).<\/em><\/p>\n<\/div>\n<div style=\"width: 610px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/4092\/ARS_Campylobacter_jejuni.jpg?revision=2\" alt=\"ARS_Campylobacter_jejuni.jpg\" width=\"600\" height=\"283\" \/><\/p>\n<p class=\"wp-caption-text\"><em>Figure\u00a011.3.1:\u00a0(left)\u00a0Campylobacter, a bacteria that is a major cause of food poisoning and (right)\u00a0Salmonella. Images used with permission (Public Domain;\u00a0De Wood, Pooley, USDA (left) and\u00a0Rocky Mountain Laboratories, NIAID, NIH).<\/em><\/p>\n<\/div>\n<p>Some other germs don\u2019t cause as many illnesses, but when they do, the\u00a0<strong>illnesses are more likely to lead to hospitalizatio<\/strong>n. Those germs include\u00a0<em>Clostridium botulinum<\/em>\u00a0(botulism),\u00a0<em>Listeria,\u00a0Escherichia coli\u00a0(E. coli), and\u00a0Vibrio.<\/em><\/p>\n<table class=\"mt-responsive-table\">\n<caption><em><strong>Table\u00a0<span id=\"MathJax-Element-3-Frame\" class=\"MathJax\" style=\"font-style: normal;font-weight: normal;line-height: normal;font-size: 14.4px;text-indent: 0px;text-align: left;letter-spacing: normal;float: none;direction: ltr;max-width: none;max-height: none;min-width: 0px;min-height: 0px;border: 0px;padding: 0px;margin: 0px\" role=\"presentation\"><span class=\"MJX_Assistive_MathML\" role=\"presentation\">11.3.1<\/span><\/span>:\u00a0<\/strong>Symptoms and Sources of 10 Foodborne Germs<\/em><\/caption>\n<thead>\n<tr>\n<th class=\"mt-align-center\"><strong>Germ and\u00a0Typical Time for Symptoms to Appear<\/strong><\/th>\n<th class=\"mt-align-center\"><strong>Typical Signs and Symptoms\u00a0<\/strong><\/th>\n<th class=\"mt-align-center\"><strong>Common Food Sources<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/campylobacter\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Campylobacter<\/em><\/a><br \/>\n2\u00a0\u2013 5 days<\/td>\n<td class=\"mt-align-center\">Diarrhea (often bloody),\u00a0stomach cramps\/pain,\u00a0fever<\/td>\n<td class=\"mt-align-center\">Raw or undercooked poultry,\u00a0raw (unpasteurized) milk, and contaminated water<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/botulism\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Clostridium botulinum<\/em><\/a><br \/>\n18\u00a0\u2013 36 hours<\/td>\n<td class=\"mt-align-center\">Double or blurred vision,\u00a0drooping eyelids, slurred speech.\u00a0Difficulty swallowing, breathing and dry mouth.\u00a0Muscle weakness and\u00a0paralysis.\u00a0Symptoms start in the head and move down as severity increases<\/td>\n<td class=\"mt-align-center\">Improperly canned or fermented foods, usually homemade.\u00a0Prison-made illicit alcohol.<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/foodsafety\/diseases\/clostridium-perfringens.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Clostridium perfringens<\/em><\/a><br \/>\n6\u00a0\u2013 24 hours<\/td>\n<td class=\"mt-align-center\">Diarrhea, stomach cramps. Vomiting and fever are uncommon. Usually begins suddenly and lasts for less than 24 hours<\/td>\n<td class=\"mt-align-center\">Beef or poultry, especially large roasts; gravies; dried or precooked foods<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/parasites\/cyclosporiasis\/gen_info\/faqs.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Cyclospora<\/em><\/a><br \/>\n1 week<\/td>\n<td class=\"mt-align-center\">Watery diarrhea, loss of appetite and weight loss.\u00a0Stomach cramps\/pain, bloating, increased gas, nausea, and fatigue.<\/td>\n<td class=\"mt-align-center\">Raw fruits or vegetables, and herbs<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/ecoli\/general\/index.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Escherichia coli<\/em><\/a><br \/>\n3\u00a0\u2013 4 days<\/td>\n<td class=\"mt-align-center\">Severe stomach cramps, diarrhea (often bloody), and vomiting.\u00a0Around 5-10% of people diagnosed with this infection develop a life-threatening complication.<\/td>\n<td class=\"mt-align-center\">Raw or undercooked ground beef, raw (unpasteurized) milk and juice,\u00a0raw vegetables (such as lettuce), and\u00a0raw sprouts,\u00a0contaminated water<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/listeria\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Listeria<\/em><\/a><br \/>\n1\u00a0\u2013 4 weeks<\/td>\n<td class=\"mt-align-center\">Pregnant women\u00a0typically experience fever and other flu-like symptoms, such as fatigue and muscle aches.\u00a0Infections during pregnancy\u00a0can lead to\u00a0serious illness or even death in\u00a0newborns.<br \/>\nOther people\u00a0(most often older adults): headache,\u00a0stiff neck,\u00a0confusion, loss of balance and convulsions in addition to fever and muscle aches.<\/td>\n<td class=\"mt-align-center\">Raw (unpasteurized) milk,\u00a0soft cheeses made with raw milk, raw sprouts,\u00a0melons,\u00a0hot dogs, p\u00e2t\u00e9s, lunch meats, and cold cuts, smoked seafood<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/norovirus\/about\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\">Norovirus<\/a><br \/>\n12\u00a0\u2013 48 hours<\/td>\n<td class=\"mt-align-center\">Diarrhea,\u00a0nausea\/stomach pain,\u00a0vomiting<\/td>\n<td class=\"mt-align-center\">Infected person,\u00a0contaminated food like\u00a0leafy greens, fresh fruits,\u00a0shellfish (such as oysters), or water, or by touching contaminated surfaces<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/salmonella\/\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Salmonella<\/em><\/a><br \/>\n12\u00a0\u2013 72 hours<\/td>\n<td class=\"mt-align-center\">Diarrhea,\u00a0fever, stomach cramps, vomiting<\/td>\n<td class=\"mt-align-center\">Eggs,\u00a0raw or undercooked poultry or meat, unpasteurized milk or juice, cheese, raw fruits and vegetables<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/foodsafety\/diseases\/staphylococcal.html\" target=\"_blank\" rel=\"external nofollow noopener\">Staphylococcus aureus<\/a>\u00a0(Staph)<br \/>\n30 minutes\u00a0\u2013 6 hours<\/td>\n<td class=\"mt-align-center\">Diarrhea, nausea, stomach cramps, vomiting<\/td>\n<td class=\"mt-align-center\">Foods that are handled by people and not cooked (sliced meat, puddings, pastries, and sandwiches).\u00a0Raw (unpasteurized) milk and cheese made from it.<\/td>\n<\/tr>\n<tr>\n<td class=\"mt-align-center\"><a class=\"link-https\" href=\"https:\/\/www.cdc.gov\/vibrio\/symptoms.html\" target=\"_blank\" rel=\"external nofollow noopener\"><em>Vibrio<\/em><\/a><br \/>\n1\u00a0\u2013\u00a04\u00a0days<\/td>\n<td class=\"mt-align-center\">Watery diarrhea, nausea. stomach cramps, vomiting, fever, chills<\/td>\n<td class=\"mt-align-center\">Raw or undercooked shellfish, particularly\u00a0oysters<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div id=\"section_2\" class=\"mt-section\">\n<h3 class=\"editable\">Contributors<\/h3>\n<ul>\n<li>US Center for Disease Control<\/li>\n<\/ul>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-452\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Food-Borne Illness. <strong>Authored by<\/strong>: Medical LibreTexts Contributors. <strong>Provided by<\/strong>: LibreTexts. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/med.libretexts.org\/Courses\/Sacramento_City_College\/SCC%3A_Nutri_300_(Coppola)\/Chapters\/11%3A_Food_Safety_Concerns_and_Future_of_our_Food\/11.3%3A_Food-Borne_Illness\">https:\/\/med.libretexts.org\/Courses\/Sacramento_City_College\/SCC%3A_Nutri_300_(Coppola)\/Chapters\/11%3A_Food_Safety_Concerns_and_Future_of_our_Food\/11.3%3A_Food-Borne_Illness<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\">CC BY-NC-SA: Attribution-NonCommercial-ShareAlike<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":44985,"menu_order":7,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Food-Borne Illness\",\"author\":\"Medical LibreTexts 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