{"id":454,"date":"2019-03-11T19:14:42","date_gmt":"2019-03-11T19:14:42","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/?post_type=chapter&#038;p=454"},"modified":"2019-04-15T13:47:58","modified_gmt":"2019-04-15T13:47:58","slug":"11-4-common-food-borne-pathogens","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/chapter\/11-4-common-food-borne-pathogens\/","title":{"raw":"11.4: Common Food-Borne Pathogens","rendered":"11.4: Common Food-Borne Pathogens"},"content":{"raw":"The majority of foodborne illnesses are caused by harmful bacteria and viruses, although some parasites\u00a0also cause foodborne illnesses.\u00a0In the past, bacterial infections were thought to be more prevalent because few places had the capability to test for\u00a0norovirus\u00a0and no active surveillance was being done for this particular agent. Toxins from bacterial infections are delayed because the bacteria need time to multiply. As a result, symptoms associated with intoxication are usually not seen until 12\u201372 hours or more after eating contaminated food. However, in some cases, such as Staphylococcal food poisoning, the onset of illness can be as soon as 30 minutes after ingesting contaminated food.\r\n<div id=\"section_1\" class=\"mt-section\">\r\n<h2 class=\"mt-align-justify editable\">Bacteria<\/h2>\r\nBacteria are tiny organisms that can cause\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.3%3A_Bacterial_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.3%3A_Bacterial_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">infections of the Gastrointestinal\u00a0(GI) tract<\/a>. Not all bacteria are harmful to humans. Some harmful bacteria may already be present in foods when they are purchased. Raw foods including meat, poultry, fish and shellfish, eggs, unpasteurized milk and dairy products, and fresh produce often contain bacteria that cause foodborne illnesses. Bacteria can contaminate food\u2014making it harmful to eat\u2014at any time during growth, harvesting or slaughter, processing, storage, and shipping.\r\n\r\nFoods may also be contaminated with bacteria during food preparation in a restaurant or home kitchen. If food preparers do not thoroughly wash their hands, kitchen utensils, cutting boards, and other kitchen surfaces that come into contact with raw foods, cross-contamination\u2014the spread of bacteria from contaminated food to uncontaminated food\u2014may occur. If hot food is not kept hot enough or cold food is not kept cold enough, bacteria may multiply. Bacteria multiply quickly when the temperature of food is between 40 and 140 degrees. Cold food should be kept below 40 degrees and hot food should be kept above 140 degrees. Bacteria multiply more slowly when food is refrigerated, and freezing food can further slow or even stop the spread of bacteria. However, bacteria in refrigerated or frozen foods become active again when food is brought to room temperature. Thoroughly cooking food kills bacteria.\r\n\r\nMany types of bacteria cause foodborne illnesses. Examples include\r\n<ul>\r\n \t<li class=\"mt-align-justify\"><em>Salmonella<\/em>, a bacterium found in many foods, including raw and undercooked meat, poultry, dairy products, and seafood.\u00a0<em>Salmonella<\/em>\u00a0may also be present on egg shells and inside eggs.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Campylobacter jejuni (C. jejuni),<\/em>\u00a0found in raw or undercooked chicken and unpasteurized milk.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Shigella,<\/em>\u00a0a bacterium spread from person to person. These bacteria are present in the stools of people who are infected. If people who are infected do not wash their hands thoroughly after using the bathroom, they can contaminate food that they handle or prepare. Water contaminated with infected stools can also contaminate produce in the field.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Escherichia coli (E. coli),<\/em>\u00a0which includes several different strains, only a few of which cause illness in humans.\u00a0<em>E. coli O157:H7<\/em>\u00a0is the strain that causes the most severe illness. Common sources of\u00a0<em>E. coli<\/em>\u00a0include raw or undercooked hamburger, unpasteurized fruit juices and milk, and fresh produce.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Listeria monocytogenes (L. monocytogenes),<\/em>\u00a0which has been found in raw and undercooked meats, unpasteurized milk, soft cheeses, and ready-to-eat deli meats and hot dogs.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Vibrio,<\/em>\u00a0a bacterium that may contaminate fish or shellfish.<\/li>\r\n \t<li class=\"mt-align-justify\"><em>Clostridium botulinum (C. botulinum),<\/em>\u00a0a bacterium that may contaminate improperly canned foods and smoked and salted fish.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<div id=\"section_2\" class=\"mt-section\">\r\n<h2 class=\"mt-align-justify editable\">Viruses<\/h2>\r\nViruses are tiny capsules, much smaller than bacteria, that contain genetic material.\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.4%3A_Viral_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.4%3A_Viral_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">Viruses also cause infections to the GI\u00a0tract\u00a0<\/a>that can lead to sickness. People can pass viruses to each other. Viruses are present in the stool or vomit of people who are infected. People who are infected with a virus may contaminate food and drinks, especially if they do not wash their hands thoroughly after using the bathroom.\r\n\r\nCommon sources of foodborne viruses include\r\n<ul>\r\n \t<li class=\"mt-align-justify\">food prepared by a person infected with a virus<\/li>\r\n \t<li class=\"mt-align-justify\">shellfish from contaminated water<\/li>\r\n \t<li class=\"mt-align-justify\">produce irrigated with contaminated water<\/li>\r\n<\/ul>\r\nCommon foodborne viruses include\u00a0the\u00a0<strong>norovirus<\/strong>, which causes inflammation of the stomach and intestines and\u00a0hepatitis A, which causes inflammation of the liver\r\n<div id=\"note\">\r\n<div class=\"textbox\">\r\n<h3 class=\"boxtitle\">HEPATITIS A<\/h3>\r\n\r\n<hr \/>\r\n\r\nHepatitis A\u00a0is an infectious disease of the\u00a0liver\u00a0caused by the\u00a0hepatitis A virus\u00a0(HAV).\u00a0It is usually spread by eating food or drinking water contaminated with infected feces.\u00a0Shellfish\u00a0which have not been sufficiently cooked are a relatively common source and it may also be spread through close contact with an infectious person.\u00a0While children often do not have symptoms when infected, they are still able to infect others.\u00a0Symptoms usually last less than 2 months, although some people can be ill for as long as 6 months: fatigue, fever, nausea, appetite loss, jaundice, a yellowing of the skin or the whites of the eyes,\u00a0and diarrhea.\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"550\"]<img class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/3573\/Jaundice_eye.jpg?revision=1&amp;size=bestfit&amp;width=482&amp;height=345\" alt=\"Jaundice_eye.jpg\" width=\"550\" height=\"394\" \/> <em>The viral disease Hepatitis A is manifested here as jaundice of the conjunctivae and facial skin. HAV is usually spread from person to person by putting something in the mouth (even though it may look clean) that has been contaminated with the stool of a person with hepatitis A. Adults will have signs and symptoms more often than children. Image used with permission (\u00a0CDC\/Dr. Thomas F. Sellers\/Emory University)<\/em>[\/caption]\r\n<p class=\"mt-align-center\"><\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div id=\"section_3\" class=\"mt-section\">\r\n<h2 class=\"mt-align-justify editable\">Parasites<\/h2>\r\nParasites are tiny organisms that live inside another organism and can also\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.5%3A_Protozoan_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.5%3A_Protozoan_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">infect\u00a0the GI tract<\/a>. In developed countries such as the United States, parasitic infections are relatively rare.\u00a0<em>Cryptosporidium parvum<\/em>\u00a0and\u00a0<em>Giardia intestinalis<\/em>\u00a0are parasites that are spread through water contaminated with the stools of people or animals who are infected. Foods that come into contact with contaminated water during growth or preparation can become contaminated with these parasites. Food preparers who are infected with these parasites can also contaminate foods if they do not thoroughly wash their hands after using the bathroom and before handling food.\u00a0\u00a0<em>Trichinella spiralis<\/em>\u00a0is a type of roundworm parasite. People may be infected with this parasite by consuming raw or undercooked pork or wild game.\r\n<div id=\"note\">\r\n<div class=\"textbox\">\r\n<div id=\"section_3\" class=\"mt-section\">\r\n<div id=\"note\">\r\n<h3 class=\"boxtitle\">GIARDIASIS<\/h3>\r\n\r\n<hr \/>\r\n\r\nGiardiasis (also known as \"beaver fever\")\u00a0is a\u00a0parasitic disease\u00a0caused by\u00a0<em>Giardia lamblia<\/em>.\u00a0Once an animal or person has been infected with this protozoan, the parasite lives in the intestine, and is passed in the stool. Because the parasite is protected by an outer shell, it can survive outside the body, and in the environment for long periods of time. Cysts are resistant forms and are responsible for transmission of giardiasis. Both cysts and trophozoites can be found in the feces (diagnostic stages). The cysts are hardy and can survive several months in cold water. Infection occurs by the ingestion of cysts in contaminated water, food, or by the fecal-oral route (hands or fomites).\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"550\"]<img class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/3572\/Giardia_lamblia_SEM_8698_lores.jpg?revision=2&amp;size=bestfit&amp;width=413&amp;height=390\" alt=\"Giardia_lamblia_SEM_8698_lores.jpg\" width=\"550\" height=\"520\" \/> This scanning electron micrograph (SEM) revealed some of the external ultrastructural details displayed by a flagellated\u00a0Giardia lamblia\u00a0protozoan parasite.\u00a0G. lamblia\u00a0is the organism responsible for causing the diarrheal disease \"giardiasis\". Image used with permission (Public Domain;\u00a0CDC \/ Janice Haney)[\/caption]\r\n<p class=\"mt-align-center\"><\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<div id=\"section_4\" class=\"mt-section\">\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<\/div>\r\n<span style=\"color: #6c64ad;font-size: 1em;font-weight: 600\">Contributors<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n<div id=\"section_4\" class=\"mt-section\">\r\n<ul>\r\n \t<li class=\"mt-align-justify\"><a class=\"link-https\" href=\"https:\/\/www.niddk.nih.gov\/\" target=\"_blank\" rel=\"external nofollow noopener\">National Institute of Diabetes and Digestive and Kidney Diseases<\/a>\u00a0(NIDDK)<\/li>\r\n \t<li class=\"mt-align-justify\">Wikipedia<\/li>\r\n<\/ul>\r\n<\/div>","rendered":"<p>The majority of foodborne illnesses are caused by harmful bacteria and viruses, although some parasites\u00a0also cause foodborne illnesses.\u00a0In the past, bacterial infections were thought to be more prevalent because few places had the capability to test for\u00a0norovirus\u00a0and no active surveillance was being done for this particular agent. Toxins from bacterial infections are delayed because the bacteria need time to multiply. As a result, symptoms associated with intoxication are usually not seen until 12\u201372 hours or more after eating contaminated food. However, in some cases, such as Staphylococcal food poisoning, the onset of illness can be as soon as 30 minutes after ingesting contaminated food.<\/p>\n<div id=\"section_1\" class=\"mt-section\">\n<h2 class=\"mt-align-justify editable\">Bacteria<\/h2>\n<p>Bacteria are tiny organisms that can cause\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.3%3A_Bacterial_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.3%3A_Bacterial_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">infections of the Gastrointestinal\u00a0(GI) tract<\/a>. Not all bacteria are harmful to humans. Some harmful bacteria may already be present in foods when they are purchased. Raw foods including meat, poultry, fish and shellfish, eggs, unpasteurized milk and dairy products, and fresh produce often contain bacteria that cause foodborne illnesses. Bacteria can contaminate food\u2014making it harmful to eat\u2014at any time during growth, harvesting or slaughter, processing, storage, and shipping.<\/p>\n<p>Foods may also be contaminated with bacteria during food preparation in a restaurant or home kitchen. If food preparers do not thoroughly wash their hands, kitchen utensils, cutting boards, and other kitchen surfaces that come into contact with raw foods, cross-contamination\u2014the spread of bacteria from contaminated food to uncontaminated food\u2014may occur. If hot food is not kept hot enough or cold food is not kept cold enough, bacteria may multiply. Bacteria multiply quickly when the temperature of food is between 40 and 140 degrees. Cold food should be kept below 40 degrees and hot food should be kept above 140 degrees. Bacteria multiply more slowly when food is refrigerated, and freezing food can further slow or even stop the spread of bacteria. However, bacteria in refrigerated or frozen foods become active again when food is brought to room temperature. Thoroughly cooking food kills bacteria.<\/p>\n<p>Many types of bacteria cause foodborne illnesses. Examples include<\/p>\n<ul>\n<li class=\"mt-align-justify\"><em>Salmonella<\/em>, a bacterium found in many foods, including raw and undercooked meat, poultry, dairy products, and seafood.\u00a0<em>Salmonella<\/em>\u00a0may also be present on egg shells and inside eggs.<\/li>\n<li class=\"mt-align-justify\"><em>Campylobacter jejuni (C. jejuni),<\/em>\u00a0found in raw or undercooked chicken and unpasteurized milk.<\/li>\n<li class=\"mt-align-justify\"><em>Shigella,<\/em>\u00a0a bacterium spread from person to person. These bacteria are present in the stools of people who are infected. If people who are infected do not wash their hands thoroughly after using the bathroom, they can contaminate food that they handle or prepare. Water contaminated with infected stools can also contaminate produce in the field.<\/li>\n<li class=\"mt-align-justify\"><em>Escherichia coli (E. coli),<\/em>\u00a0which includes several different strains, only a few of which cause illness in humans.\u00a0<em>E. coli O157:H7<\/em>\u00a0is the strain that causes the most severe illness. Common sources of\u00a0<em>E. coli<\/em>\u00a0include raw or undercooked hamburger, unpasteurized fruit juices and milk, and fresh produce.<\/li>\n<li class=\"mt-align-justify\"><em>Listeria monocytogenes (L. monocytogenes),<\/em>\u00a0which has been found in raw and undercooked meats, unpasteurized milk, soft cheeses, and ready-to-eat deli meats and hot dogs.<\/li>\n<li class=\"mt-align-justify\"><em>Vibrio,<\/em>\u00a0a bacterium that may contaminate fish or shellfish.<\/li>\n<li class=\"mt-align-justify\"><em>Clostridium botulinum (C. botulinum),<\/em>\u00a0a bacterium that may contaminate improperly canned foods and smoked and salted fish.<\/li>\n<\/ul>\n<\/div>\n<div id=\"section_2\" class=\"mt-section\">\n<h2 class=\"mt-align-justify editable\">Viruses<\/h2>\n<p>Viruses are tiny capsules, much smaller than bacteria, that contain genetic material.\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.4%3A_Viral_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.4%3A_Viral_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">Viruses also cause infections to the GI\u00a0tract\u00a0<\/a>that can lead to sickness. People can pass viruses to each other. Viruses are present in the stool or vomit of people who are infected. People who are infected with a virus may contaminate food and drinks, especially if they do not wash their hands thoroughly after using the bathroom.<\/p>\n<p>Common sources of foodborne viruses include<\/p>\n<ul>\n<li class=\"mt-align-justify\">food prepared by a person infected with a virus<\/li>\n<li class=\"mt-align-justify\">shellfish from contaminated water<\/li>\n<li class=\"mt-align-justify\">produce irrigated with contaminated water<\/li>\n<\/ul>\n<p>Common foodborne viruses include\u00a0the\u00a0<strong>norovirus<\/strong>, which causes inflammation of the stomach and intestines and\u00a0hepatitis A, which causes inflammation of the liver<\/p>\n<div id=\"note\">\n<div class=\"textbox\">\n<h3 class=\"boxtitle\">HEPATITIS A<\/h3>\n<hr \/>\n<p>Hepatitis A\u00a0is an infectious disease of the\u00a0liver\u00a0caused by the\u00a0hepatitis A virus\u00a0(HAV).\u00a0It is usually spread by eating food or drinking water contaminated with infected feces.\u00a0Shellfish\u00a0which have not been sufficiently cooked are a relatively common source and it may also be spread through close contact with an infectious person.\u00a0While children often do not have symptoms when infected, they are still able to infect others.\u00a0Symptoms usually last less than 2 months, although some people can be ill for as long as 6 months: fatigue, fever, nausea, appetite loss, jaundice, a yellowing of the skin or the whites of the eyes,\u00a0and diarrhea.<\/p>\n<div style=\"width: 560px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/3573\/Jaundice_eye.jpg?revision=1&amp;size=bestfit&amp;width=482&amp;height=345\" alt=\"Jaundice_eye.jpg\" width=\"550\" height=\"394\" \/><\/p>\n<p class=\"wp-caption-text\"><em>The viral disease Hepatitis A is manifested here as jaundice of the conjunctivae and facial skin. HAV is usually spread from person to person by putting something in the mouth (even though it may look clean) that has been contaminated with the stool of a person with hepatitis A. Adults will have signs and symptoms more often than children. Image used with permission (\u00a0CDC\/Dr. Thomas F. Sellers\/Emory University)<\/em><\/p>\n<\/div>\n<p class=\"mt-align-center\">\n<\/div>\n<\/div>\n<\/div>\n<div id=\"section_3\" class=\"mt-section\">\n<h2 class=\"mt-align-justify editable\">Parasites<\/h2>\n<p>Parasites are tiny organisms that live inside another organism and can also\u00a0<a class=\"link-https\" title=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.5%3A_Protozoan_Infections_of_the_Gastrointestinal_Tract\" href=\"https:\/\/bio.libretexts.org\/TextMaps\/Map%3A_Microbiology_(OpenStax)\/24%3A_Digestive_System_Infections\/24.5%3A_Protozoan_Infections_of_the_Gastrointestinal_Tract\" target=\"_blank\" rel=\"external nofollow noopener\">infect\u00a0the GI tract<\/a>. In developed countries such as the United States, parasitic infections are relatively rare.\u00a0<em>Cryptosporidium parvum<\/em>\u00a0and\u00a0<em>Giardia intestinalis<\/em>\u00a0are parasites that are spread through water contaminated with the stools of people or animals who are infected. Foods that come into contact with contaminated water during growth or preparation can become contaminated with these parasites. Food preparers who are infected with these parasites can also contaminate foods if they do not thoroughly wash their hands after using the bathroom and before handling food.\u00a0\u00a0<em>Trichinella spiralis<\/em>\u00a0is a type of roundworm parasite. People may be infected with this parasite by consuming raw or undercooked pork or wild game.<\/p>\n<div id=\"note\">\n<div class=\"textbox\">\n<div id=\"section_3\" class=\"mt-section\">\n<div id=\"note\">\n<h3 class=\"boxtitle\">GIARDIASIS<\/h3>\n<hr \/>\n<p>Giardiasis (also known as &#8220;beaver fever&#8221;)\u00a0is a\u00a0parasitic disease\u00a0caused by\u00a0<em>Giardia lamblia<\/em>.\u00a0Once an animal or person has been infected with this protozoan, the parasite lives in the intestine, and is passed in the stool. Because the parasite is protected by an outer shell, it can survive outside the body, and in the environment for long periods of time. Cysts are resistant forms and are responsible for transmission of giardiasis. Both cysts and trophozoites can be found in the feces (diagnostic stages). The cysts are hardy and can survive several months in cold water. Infection occurs by the ingestion of cysts in contaminated water, food, or by the fecal-oral route (hands or fomites).<\/p>\n<div style=\"width: 560px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"internal\" src=\"https:\/\/med.libretexts.org\/@api\/deki\/files\/3572\/Giardia_lamblia_SEM_8698_lores.jpg?revision=2&amp;size=bestfit&amp;width=413&amp;height=390\" alt=\"Giardia_lamblia_SEM_8698_lores.jpg\" width=\"550\" height=\"520\" \/><\/p>\n<p class=\"wp-caption-text\">This scanning electron micrograph (SEM) revealed some of the external ultrastructural details displayed by a flagellated\u00a0Giardia lamblia\u00a0protozoan parasite.\u00a0G. lamblia\u00a0is the organism responsible for causing the diarrheal disease &#8220;giardiasis&#8221;. Image used with permission (Public Domain;\u00a0CDC \/ Janice Haney)<\/p>\n<\/div>\n<p class=\"mt-align-center\">\n<\/div>\n<\/div>\n<div id=\"section_4\" class=\"mt-section\">\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<p><span style=\"color: #6c64ad;font-size: 1em;font-weight: 600\">Contributors<\/span><\/p>\n<\/div>\n<\/div>\n<div id=\"section_4\" class=\"mt-section\">\n<ul>\n<li class=\"mt-align-justify\"><a class=\"link-https\" href=\"https:\/\/www.niddk.nih.gov\/\" target=\"_blank\" rel=\"external nofollow noopener\">National Institute of Diabetes and Digestive and Kidney Diseases<\/a>\u00a0(NIDDK)<\/li>\n<li class=\"mt-align-justify\">Wikipedia<\/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-454\">\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>Common Food-Borne Pathogens. <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\/11.4%3A_Common_Food-Borne_Pathogens\">https:\/\/med.libretexts.org\/Courses\/Sacramento_City_College\/SCC%3A_Nutri_300_(Coppola)\/Chapters\/11%3A_Food_Safety_Concerns_and_Future_of_our_Food\/11.4%3A_Common_Food-Borne_Pathogens<\/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\":\"Common Food-Borne Pathogens\",\"author\":\"Medical LibreTexts Contributors\",\"organization\":\"LibreTexts\",\"url\":\"https:\/\/med.libretexts.org\/Courses\/Sacramento_City_College\/SCC%3A_Nutri_300_(Coppola)\/Chapters\/11%3A_Food_Safety_Concerns_and_Future_of_our_Food\/11.4%3A_Common_Food-Borne_Pathogens\",\"project\":\"\",\"license\":\"cc-by-nc-sa\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-454","chapter","type-chapter","status-publish","hentry"],"part":444,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapters\/454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/wp\/v2\/users\/44985"}],"version-history":[{"count":4,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapters\/454\/revisions"}],"predecessor-version":[{"id":925,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapters\/454\/revisions\/925"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/parts\/444"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapters\/454\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/wp\/v2\/media?parent=454"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=454"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/wp\/v2\/contributor?post=454"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/sunyltnutrition\/wp-json\/wp\/v2\/license?post=454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}