Most
frequently, food poisoning may be due to infection caused by bacteria, viruses,
parasites, and infrequently, prions. More than 200 infectious causes exist.
Sometimes it is not the bacteria that causes the problem, but rather the toxin
that bacteria produce in the food before it is eaten. This is the case with
Staphylococcal food poisoning and with botulism.
Other
illnesses may involve chemical toxins that are produced in certain foods that
are poorly cooked or stored. For example, scombroid poisoning occurs due to a
large release of histamine chemical from the fish when it is eaten.
It causes
facial swelling, itching, and difficulty breathing and swallowing - just like
an allergic reaction. Scombroid poisoning is sometimes confused with a
shellfish allergy.
Some
"food poisonings" may not be due to toxins or chemicals in food but
to infectious agents that happen to contaminate the food. E. coli O157:H7
(hemorrhagic E. coli) usually occurs when contaminated food is eaten, but it
also can spread from contaminated drinking water, a contaminated swimming pool,
or passed from child to child in a daycare center.
Listeria
is a type of bacteria that has caused the two most deadly outbreaks of food
poisoning in United States history.
In 1985,
an outbreak in California was traced to eating a type of fresh cheese, and in
2011, Listeria food poisoning was traced to a cantaloupe farm and processing
operation in Colorado.
It is most
often associated with eating soft cheeses, raw milk, contaminated fruits,
vegetables, poultry, and meats. Newborns, the elderly and others with
compromised immune systems are at higher risk of becoming ill with Listeria
infections.
Pregnant
women are also at higher risk of contracting Listeria infections and are
recommended to avoid soft cheeses like brie, camembert, and blue (cream cheese
is safe) to avoid infection and to prevent transmission to the fetus.
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