FOOD POISONING AND SAFTEY Flashcards

1
Q

what are the main causes of food poisoning in the UK?

A
campylobacter
C.diff
norovirus
salmonella
cryptosporidium
rotavirus
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2
Q

whats a fungus that can cause food poisoning?

A

aspergillus

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3
Q

whats a protozoal that can cause food poisoning?

A

cryptosporidia

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4
Q

what are some bacterial toxins that can cause food poisoning?

A

clostridium perfringens
staph aureus
clostridium botulinum

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5
Q

what are some marine bio toxins that can cause food poisoning?

A

scombroid poisoning (histamine poisoning)
shellfish
ciguartera

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6
Q

whats the aim of public health?

A

preventing disease, prolonging life and promoting health through the organized efforts of society

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7
Q

whats an example of a causative organism for food poisoning the has a 2-4 hour incubation period?

A

staph aureus

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8
Q

whats an example of a causative organism for food poisoning the has a 2-7 day incubation period?

A

shigella

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9
Q

whats an example of a causative organism for food poisoning the has a month or more incubation period?

A

giardia or hep A

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10
Q

whats an example of a causative organism for food poisoning the has a 2-5 days incubation period?

A

campylobacter

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11
Q

outline how the incidence of salmonella is changing?

A

decreasing because of how we are managing the food chan and poultry

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12
Q

what type of microorganisms, is salmonella?

A

gram negative enteric bacteria

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13
Q

how is salmonella transmitted?

A

ingestion of contaminated food, mainly of animal origin

faecal contamination

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14
Q

what disease does salmonella cause?

A

salmonellosis

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15
Q

why is typhoid fever?

A

disease caused by salmonella typhi

causes septicaemia that leads to a high fever that can last for weeks

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16
Q

what type of microorganism is staph aureus?

A

gram positive cocci

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17
Q

how does staph aureus get transmitted?

A

bacteria from someones skin/nasal flora gets into food

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18
Q

why is staph aureus not affected by reheating food?

A

they produce enterotoxins which are heat and acid stable

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19
Q

outline the presentation of staph aureus infection?

A
rapid onset of projective vomiting and diarrhoea (6-12 hours)
rapid resolution (12-24 hours)
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20
Q

what microorganism is cryptosporidium?

A

protozoa

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21
Q

how is cryptosporidium transmitted?

A

animal to human, person to person, recreational exposure to contaminated water or land, consumption of contaminated food or water

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22
Q

why is cryptosporidium associated with public water supply e.g. swimming pools

A

oocysts resist chrolination

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23
Q

how does cryptosporidium infection present?

A

watery or mucoid diarrhoea

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24
Q

what type of microorganism is norovirus?

A

RNA virus

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25
whats the most common cause of gastroenteritis in E and W england?
norovirus
26
why can norovirus occur at any age
immunity is not long lasting
27
where are norovirus outbreaks common?
semi closed environments e.g. hospitals, nursing homes, schools and cruise trips
28
whats the incubation period for norovirus?
24-48 hours
29
outline the presentation of norovirus?
nausea, projectile vomiting, low grade fever, diarrhoes
30
how long do norovirus symptoms last?
1-2 days
31
how long does norovirus infectivity last?
48 hours after resolution of symptoms
32
how is norovirus spread?
person to person by faecal oral environmental contamination contaminated food and water
33
what type of microorganism is clostridium perfringens?
a gram-positive spore-forming anaerobic bacteria | part of normal gut flora
34
what is gas gangrene and what can cause it?
most commonly caused by Clostridium perfringens Bacteria gather in an injury or surgical wound that has no blood supply. The bacterial infection produces toxins that release gas and cause tissue death. - life threatening
35
whats the incubation time for clostridium perfringens?
8-22 hours
36
how is clostridium perfringens transmitted?
contaminated cooked meats and poultry and inadequate temperature control during cooling and storage
37
what type of microorganism is campylobacter?
gram negative spiral bacteria
38
whats the most common reported bacterial cause of infectious intestinal disease in England?
campylobacter
39
what are the 2 serotypes of campylobacter that cause the most human infections?
c. jejuni | c. coli
40
how is campylobacter transmitted?
``` raw or undercooked meat unpasteurised milk bird pecked milk untreated water domestic pets with diarrhoea person to person if personal hygiene is poor ```
41
what microorganism is e.coli?
Gram-negative, rod-shaped, facultative anaerobic bacterium
42
what are the 5 main pathogenic e.coli?
``` enter-pathogenic e.coli enteroaggregative e.coli enterotoxigenic e.coli enteroinvasive e.coli enterohaemorrhagic e.coli (e.coli 0157) ```
43
what does enteropathogenic e.coli cause?
infantile diarrhoea
44
what does enteroggregative e.coli cause?
travellers diarrhoea
45
what does enterotoxigenic e.coli cause?
travellers diarrhoea | vaccines available for this
46
what does enteroinvasive e.coli cause?
bacillary dysentery which is common in developing countries (syndrome identical to shigellosis)
47
what does enterohaemorrhagic e.coli cause?
``` E.coli 0158 produces verotoxins (aka shiga toxin which block hosts protein synthesis and cause death ) which colonise the small intestine ```
48
what 2 serious conditions can e.coli 0157 cause?
haemolytic uraemic syndrome and thrombotic thrombocytopaenic purpura
49
how is e.coli transmitted?
contained and undercooked beef products and milk person to person spread contact with infected animals
50
whats the incubation period for e.coli?
1-6 days
51
what is an outbreak?
An outbreak is an incident in which 2+ people thought to have a common exposure, experience a similar illness or proven infection.
52
why do we both to investigate an outbreak?
* potentially can become a huge outbreak * you shouldn't have to worry about what we eat * people do die * we can do something about it to prevent future illness * political implications
53
what are the aims of investigating outbreaks?
reduce the number of primary cases, secondary cases, reduce further outbreaks and reduce the harm consequent on the episode.
54
what are outbreak outliers important for?
they may be the first case or may represent the baseline level of illness. important for finding the source
55
what type of study would you do for a point source outbreak?
cohort study
56
what type of study would you do for a common source outbreak?
case control study
57
who does the Public Health Act allow exclusion from work of people that pose an increased risk of spreading GI infections?
persons with unsatisfactory toilet hand washing or drying facilities children in nurses or pre-school groups people whos work involves food prep or handing of ready to eat foods health and social care staff who have contact with highly susceptible patients
58
what is the Food Safety Act 1990?
sets out environmental regulations for all businesses involved in selling food and buying with a view to sell, supplying food, consigning or delivering it, and in preparing, presenting, labelling, storing, transporting, importing or exporting food
59
what are some offences under the food safety act?
* the sale of food that has been rendered injurious to health, is unfit for human consumption or is so contaminated that it would not be reasonable to expect it to be used for human consumption * the sale of any food which is not of the nature or substance or quality demanded by the purchased * the display of food for sale with a label which falsely describes the food, or is likely to mislead as to the nature or substance or quality of food
60
what is hazard analysis critical control point (HACCP)?
a management system in which food safety is addressed through the analysis and control of biological, chemical, and physical hazards from raw material production, procurement and handling, to manufacturing, distribution and consumption of the finished product.