Exam 2 Flashcards

1
Q

Parasites are split into 2 groups: ___ and ___

A

Protozoans (single cell)

Heminths (worms)

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2
Q

Parasites, viruses, and prions Can/Can Not grow in food. They enter food by infected handler, infected harvester, contaminated irrigation water/rinse water

A

Can NOT

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3
Q

Name the 5 protozoans

A
  • Cryptosporidium (GI)
  • Cyclospora (GI)
  • Toxoplasma
  • Giardia (GI)
  • Entamoeba histolitica (GI)
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4
Q

Cryptosporidium (GI)

A

Transmission: RTE foods, salads, fruits, unpasteurized apple cider

Symptoms: severe diarrhea (25-50 stools/day) for 2-3 weeks

Tx: control diarrhea replace electrolytes (fluids), antibiotics may work

Additional facts: caused largest waterborne outbreak in US hx, resistant to chlorine, immunocompromised are high risk

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5
Q

Cyclospora (GI)

A

Transmission: grapes, berries, raw vegetables, leafy greens

Onset: contaminated irrigation/rinse water

Symptoms: severe diarrhea (1 month), cramps, loss of appetite, nausea (CAN)

Tx: antibiotics may work

Additional facts: commonly found in Guatemala and Chile, 20,000 cases/yr

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6
Q

Toxoplasma

A

Transmission: consuming infected undercooked meat, cat sheds organism in feces –> litter box emptied

Symptoms: acute) chills, fever, headache, and fatigue. chronic) hepatitis, heart damage, brain inflammation. Disease often chronic

Tx: antibiotics

Additional facts: brain, heart, skeletal muscle and eye affected. Immunocompromised are high risk - cancer/transplant pts, aids, elderly, fatal in fetuses but if not fatal can cause mental retardation and blindness due to serious toxoplasma infections

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7
Q

Giardia (GI)

A

Transmission: contaminated water, RTE foods, salads, fresh vegetables, fruits

Onset: contaminated food handler/water

Symptoms: foul diarrhea, mostly affects diapered children in daycare

Tx: anti-parasiticals

Additional facts: most common parasite in US, flagellate comes in 2 forms: 1) in GI tract –> trophozoite (active form) attaches to wall of small intestine 2) in stool –> cyst form (resting stage) very resistant to environment

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8
Q

Entamoeba histolitica (GI)

A

Transmission: RTE foods, salads, contaminated water

Symptoms: chronic diarrhea lasting months

Tx: anti-parasiticals

Additional facts: very common in developing countries, attaches to wall of large intestine (mucosa), commonly seen in nursing homes and prisons, in stool –> forms cyst –> resistant to environment, left untreated will form amoebic dissentary

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9
Q

Name the 3 types of helminths

A
  • Nematodes (roundworms)
    • Trichinella and Ascaris
  • Cestodes (tapeworms)
  • Trematodes (flute worms)
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10
Q

Nematodes (roundworms)

- Trichinella

A

Transmission: meat of polar bears, seals, and walruses (Alaska), used to be common w/ undercooked pork in southern US

Morphology: Adult form –> worms, Immature form –> larvae, larvae hatches in stomach and enters muscle an organ tissue

Symptoms: small amount = painful but will survive, large amount (>5000) = fatal, can experience severe allergic rx

Prevention: freezing meat for 1 month, cooking meat properly

Additional facts: brain and heart affected

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11
Q

Nematodes (roundworms)

- Ascaris

A

Transmission: fecal/oral, dogs

Morphology: adult female lays eggs –> eggs hatch and larvae enter lungs –. coughing sends them to GI tract (feces)

Symptoms: low # = asymptomatic, high # = may plug GI tract, can cause allergic rx

Additional facts: 1 mil cases (pigs) in north america

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12
Q

Cestodes (tapeworms)

A

Transmission: undercooked pork, beef, fish

Onset: fecal/oral

Morphology: segmented worm –> head (scalix), tail (proglottid). Absorbs nutrients from intestine, can grow between 25 - 30 ft long

Symptoms: low # = asymptomatic, high # = malnutrition, abdominal discomfort, and vitamin deficiencies

Tx: anti-parasiticals

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13
Q

Trematodes (flute worms)

A

Affects GI and urinary tract

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14
Q

Name the 4 types of viruses

A
  • Hepatitis A
  • Hepatitis E
  • Hepatitis B
  • Norovirus
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15
Q

Hepatitis A

A

Transmission: fecal/oral from infected food handlers

Symptoms: Liver inflammation, often with jaundice lasting 2-4 weeks

Prevention: vaccine

Additional facts: Long incubation period of 10-50 days, no carrier state

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16
Q

Hepatitis E

A

Transmission: fecal/oral from contaminated water, raw foods

Symptoms: Liver inflammation

Prevention: proper cooking, no vaccine

Additional facts: very common in developing countries, Long incubation period of 10-50 days, no carrier state, 20% fatality rate of pregnant mothers and fetus

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17
Q

Hepatitis B

A

Transmission: bodily fluids, mother to child

Symptoms: similar to Hep A/E

Prevention: vaccine

Additional facts: 20% fatality rate in pregnant women, common in developing countries

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18
Q

Norovirus “barf bug”

A

Transmission: fecal/oral from food handler, Infects mucosal cells of the small intestine, kills them and spreads through GI tract

Symptoms: Vomiting and diarrhea lasting 1-2 days

Additional facts: Common in schools and residential institutions, stays viable in environment for long periods, No long-lasting immunity, Low infectious dose (1 viruses)

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19
Q

Prions

A
  • Infectious proteins
  • Highly resistant to disinfectants and heat and aren’t
    destroyed by cooking
  • Converts normal proteins into beta-pleated sheets
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20
Q

Name the 5 types of prion diseases

A
  • Scrapie
  • Kuru
  • Mad cow disease
  • CJ disease
  • Chronic wasting disease
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21
Q

Scrapie

A
  • Disease of sheep

- Unusual activity, lose balance and death

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22
Q

Kuru

A
  • In New Guinea natives that were cannibals
  • Mainly women and children affected
  • Causes holes in brain
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23
Q

Mad cow disease

A
  • Appeared in adult cattle in the 1980’s
  • AKA bovine spongiform encephalopathy
  • Fatal
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24
Q

variant CJ disease

A
  • Infections in humans appeared in the 1990’s
  • Transmitted during a transplant or from eating contaminated meat
  • Same symptoms and outcome (death) as mad cow disease
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25
Q

Chronic wasting disease

A
  • Transmissible spongiform encephalopathy (TSE)

- Primarily affects deer, elk, and moose

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26
Q

Lactic Acid Bacteria (LAB)

A
  • A large group of bacteria that ferment sugars to form lactic acid
  • Often used to make fermented dairy products (yogurt, cheeses,
    etc. )
  • LAB starter cultures are added to pasteurized milk
  • The acid produced reduces the pH to reduce spoilage
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27
Q

Foods using LAB

A
● Yogurt
● Buttermilk
● Sour cream
● Cheeses
● Sauerkraut – from cabbage
● Pickles – from cucumbers
● Sausages
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28
Q

Yeast-based fermentation

A
  • Yeasts break down sugars to ethanol and CO2
  • Carbon dioxide production is used to make bread rise
  • Ethanol production is used in making various alcoholic beverages
    but also commercial alcohol – gasoline additives, etc.
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29
Q

Yeast-based products

A
● Breads
● Beer
● Wine 
● Vinegar
● Cocoa
● Coffee
● Soy sauce
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30
Q

Spoilage organisms

A
  • Spoilage: any unacceptable change n a food’s color, texture, taste,
    or smell
  • Meat, poultry, and fish: spoilage usually by Pseudomonas and
    related bacteria
  • Spoilage of bread, fruits, and vegetables: usually molds
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31
Q

Molds

A
  • Many mold species, in addition to spoilage, produce dangerous
    toxins in improperly stored foods
  • Some of these toxins are highly poisonous at the part per BILLION
    level!
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32
Q

Aflatoxins

A
  • From Aspergillus flavus growth in improperly stored grains
  • Produces liver damage and death after acute exposure to high levels and liver cancer after long-term chronic exposure to low levels
  • Animal feed may kill cow, etc. Humans: milk can lead to liver cancer, Peanuts < 10 pph
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33
Q

Ochratoxins

A
  • From other Aspergillus and Penicillium species
  • Causes severe kidney damage from both acute and chronic exposure to contaminated barley, wheat, and bread from these grains
34
Q

Trichothecenes

A
  • From Fusarium species in contaminated wheat, corn, barley, and foods from these grains
  • It is suspected that numerous countries have produced
    trichothecenes as biological weapons
35
Q

Ergot

A
  • From Claviceps purpurea on rye
  • Two separate toxin types are produced:
    - Gangrenous – causing severe vasoconstriction and
    potential loss of limbs due to inadequate circulation
    - Convulsive – causing bizarre behavior, coma, and death in extreme cases (LSD)
  • Now rare, but occurred sporadically in the Middle Ages
36
Q

What are the 2 types of Antimicrobial Preservatives?

A

Chemical and natural

37
Q

Antimicrobial Preservatives

A

● Action: Inhibition of growth rather than killing
● Examples: organic acids – acetic, benzoic, lactic, propionic, and sorbic. Used in wide variety of foods
● Nitrites: Used in cured meats (bacon, hot dogs, bologna)
● Phosphates
● Sodium chloride: Used for centuries; reduces the water activity of a food
● Sulfites: Used mostly for preserving fruits and vegetables
● Chlorine: For sanitizing water and equipment surfaces and treating meat and poultry surfaces
● Quat’s
● Peroxides: Used for equipment surfaces
● Ozone: Water for food processing

38
Q

Natural Preservatives

A

● Lysozyme – a natural enzyme from various sources, used in some countries
● Lactoferrin – can be used in milk
● Avidin – an egg protein
● Spices and oils – cloves, cinnamon, oregano, thyme, and sage
● Onion and garlic
● Phenolics – in wood smoke. For meats, fish, and poultry

39
Q

Probiotics

A
  • Bacteria, usually certain lactic acid bacteria, whose
    consumption promotes a “good” flora of the intestinal tract
    -
40
Q

Organic Food

A
  • Food produced using methods that do not involve use of synthetic pesticides and fertilizers, do not contain GMOs, and are not processed using irradiation, industrial solvents, or chemical food additives
  • Products must be produced by suppliers with organic certification by the federal government
  • Organic certification: Animal manure limited to crops harvested >60 days after application
41
Q

Problems with organic food

A
  • Enforcement
  • Price
  • Quality
  • Yield
  • Use of animal manures presents a possible exposure to
    disease microbes
  • Note: in organic production, sick animals can be treated with abx, but supposedly cannot, after recovery, be returned to ORGANIC use (but can be used for regular products)
42
Q

Physical methods - Food preservation

A

● Have not been proven to be more nutritious
● Dehydration – reduces the water activity; product may be shelf-stable
● Refrigeration/Freezing – long used for extended food storage but does not KILL microbes, only prevent their growth
● Heat treatment
● Pasteurization – mild heat treatment to kill nonsporeforming pathogens
● Canning – usually steam under pressure for a time to assure killing of Cl. Botulinum spores
● UHT/HTST: Ultrahigh temp tx usually allow shelf storage of product but may affect taste. HTST tx of milk provides a longer refrigerated shelf life
● Cooking – reduces the microbial content of a food but doesn’t necessarily kill all bacteria, especially sporeformers, so subsequent refrigeration is required if food is not consumed immediately
● Radiation – a relatively new method to extend shelf life but consumer fears require “treated by irradiation” label

43
Q

Hazard analysis critical control points and good manufacturing practices

A
  • Defect action levels – allow federal regulators to take actions to remove a product from the market if exceeded
  • Examples: four or more rodent hairs per 100 gram of apple butter!!!! Mammalian excreta of 100mg or more per pound of cocoa beans!!
44
Q

HACCP

A

A food manufacturing program that takes preventative steps at each potentially hazardous step in production of a food product and keeps accurate records of these steps

45
Q

Food Recall

A

A voluntary action by a company to protect consumers
from potentially adverse effects of a contaminated, adulterated, or misbranded product. If a company refuses a recall, the appropriate government agency can step in to detain the product and stop production if there is a danger to public health.

46
Q

Responsible Regulatory Agencies

A
  • Dept. of Agriculture: meat and poultry
  • Food and Drug Admin: other foods including fruits, vegetables, fish, and shellfish
  • USDA: regulate pasteurized eggs; FDA regulates other egg products
47
Q

What are the 5 controls used for milk to avoid milk spoilage and food posing.

A
  1. good dairy farm sanitation
  2. safe milk tanker transport from farm to plant
  3. good milk plant processing
  4. safe transport from plant to store
  5. adequate storage/shelf life monitoring in store
48
Q

what technique is the major control for commercial milk. In use in US for over 100 years

A

pasteurization

49
Q

Describe 2 reason for why pasteurization is good control for commercial milk?

A
  1. the heat process destroys all pathogen in the milk products
  2. it extends shelf life by reducing spoilage bacteria
50
Q

Describe the most common pasteurization process for milk

A
  • 165F for 15 seconds

- Requires refrigeration - shelf life typically 16 to 21 days

51
Q

Describe the Ultra high temperature pasteurization process for milk

A
  • 282 for 2 seconds

- Plus aseptic packaging - allow long term storage at room temp

52
Q

describe the ultrapasteurization process for milk

A

similar to ultra high temp pasteurization, but storage at refrigeration temp -typical shelf life 70 days

53
Q

Why do organic milk last longer than non organic milk?

A

many organic producers use ultrapasterization

54
Q

This organic brand milk uses pasteurization techniques

A

organic valley brand milk

55
Q

What are two food poisoning agents that use to be common in milk, but are now rare in the U.S.?

A
  1. bovine tuberculosis

2. brucellosis

56
Q

What are the 6 current food poisoning agents in milk?

A
  1. salmonella
  2. Shigella
  3. campylobacter
  4. yersina
  5. toxin producing e.coli
  6. listeria
57
Q

Can pasteurization eliminate all of the current food poisoning agents in milk?

58
Q

t/f) some health-conscious groups believe that raw milk contains some major substances essential to health that are destroyed by pasteurization.

59
Q

(t/f) current federal regulations require milk sold over state lines to be pasteurized

60
Q

Despite over 100 hundred year of scientific evidence proving that pasteurization of milk is beneficial, what do people who support raw milk claim?

A

They argue that a hundred years ago, before pasteurization,people drank raw milk without ill effects

61
Q

Why can’t we just let the people that want raw milk suffer the consequences

A

they want consumption of raw milk not just for themselves, but for their small children, & infections with milk pathogens often affect children, especially babies, much more seriously than adults–sometimes with fatal outcomes

62
Q

In Miller’s Organic farm case study, what food was infected (1) and what was disease agent that caused it (2)?

A
  1. raw chocolate milk

2. listeria monocytogenes

63
Q

In the Miller’s Organic farm case study, what linked the listeria strains to the 2 ill elderly people in 2014 (1 in cali and 1 in flordia) (1)? how many people died (2)?

A
  1. genetic fingerprinting

2. 1 (the guy from Florida)

64
Q

What law was broken Miller’s Organic farm case study?

A

the sale of raw milk over state lines

65
Q

Which agency regulates milk production (1) and who enforces these regulations (2)

A
  1. FDA

2. each state

66
Q

(t/f) each state has at least 1 FDA-certified & inspected milk testing lab

67
Q

What lab is the FDA-certified & inspected milk testing lab in Mississippi

A

State Public Health Lab

68
Q

How often are raw milk from dairy farms tested?

69
Q

How often are pasteurized milk (all sizes 1/2 pints to gallon; all levels of butterfat content, & all brands sold in state) tested

A

at least every 3 months

70
Q

What are the 3 test done to test microbiolgic quality in Raw milk?

A
  1. somatic cell count
  2. standard plate count
  3. antibiotic screening
71
Q

What is the somatic cell count test for raw milk

A

an indirect test that checks for the number of cow leukocytes (white blood cells) present.

72
Q

What is a recurring problem in dairy cows due to udder infections. This infection causes the cow’s immune system to produce white blood cells

73
Q

What is the standard plate count test for raw milk

A

it determines the total number of bacteria present

74
Q

Describe the antibiotic screening for raw milk.

A

Sick cows require treatment, but some people are highly allergic to small quantities of certain antibiotics. Each tanker of raw milk is checked for presence of PENICILLIN-class antibiotics, & there are monthly random screes for other antibiotics.

75
Q

(t/f) Positive tankers in the antibiotic screening of raw milk cannot be processed, & 1000’s of gallons of milk must be disposed of.

76
Q

(t/f) The coliform count test is done raw milk?

A

false

-it is only done on pasteurized milk, all raw milk contains coliforms

77
Q

t/f) coliforms are usually harmless, however there has been indication of recent fecal contamination in milk?

78
Q

t/f) it is easier to test for coliforms than all the possible milk pathogens?

79
Q

What is the purpose of the coliform count in pasteurized milk?

A

it serves as an indirect measure of adequate pasteurization

80
Q

Regulation of coliform allows howmay coliform/ml in a product?

A

<10 coliforms/ml

81
Q

(t/f) milk is one of the most highly regulated & tested food product

82
Q

(t/f) it is not possible to guarantee 100%, but raw milk is one of the safest food products available

A

false

-it is not possible to guarantee 100%, but raw milk is one of the safest food products available