Grades 9-12
INTRODUCTION TO
FOODBORNE ILLNESS
Intro Question | How many people in the United States get a food borne illness every year?
Terms to Know
Background
November 2014
every year.!
Many people dont even know that they have a foodborne illness
(FBI) because of the short amount of time that they are sick. !
FBIs can be very serious, even life threatening, or can cause
Objectives$
In this unit we will learn five ways to to prevent foodborne
illnesses. We will also highlight some of the major foodborne
pathogens in the United
States. After this lesson, you
should know the basics of
food safety and be able to
make smart choices when
handling your food.
1
Grades 9-12
SOURCE
Answer
Your food comes from all over the country and the world.
Spotlight Pathogen:
Listeria
monocytogenes
Characteristics: gram positive
rods, can live in cold refrigerator
temperatures Primary source:
environmental (soil), Secondary
source: biofilms, contaminated
processing equipment,
refrigerator, etc
Illness:
Infectious Dose: 100 cells
Incubation time: 3-70 days
Symptoms:
Healthy adults: mild
gastrointestinal distress,
fever, head and body aches
In Utero/Newborn infants:
meningitis or sepsis,
spontaneous abortion
Who is most at risk? YOPI,
especially pregnant women and
unborn children.
!
Background
The first step in avoiding foodborne illnesses is to get your
grocery store will help keep you safe from foodborne illnesses,
but its also important for you to keep your food safe at home.!
Clean storage and packaging at home is important for safe
produce
thoroughly
before eating
!
November 2014
Grades 9-12
Outbreaks$
Roos Foods: http://www.cbsnews.com/news/fda-
shuts-down-roos-foods-cheese-plant-over-listeriaoutbreak/
Resources$
http://www.cdc.gov/listeria/ !
F O O D
S A F E T Y
I N F O S H E E T
S E P T E M B E R
1 4 ,
2 0 1 1
http://www.foodsafety.gov/poisoning/causes/
bacteriaviruses/listeria/!
Notes
What you
can do:
Refrigerate
cantaloupes quickly after slicing. Bacteria
such as Listeria can grow quickly on the
orange flesh of the fruit when held above
41F.
Ask suppliers about food safety riskreduction practices including how they
manage water, animal exclusion and staff.
When washing the outside of a cantaloupe,
vigorously use a scrub brush under running
water to remove any easy-to-get to bacteria.
Don't wash many cantaloupes at once by
soaking in a sink. This could lead to pathogen
transfer from one fruit to another.
For more information contact Ben Chapman, benjamin_chapman@ncsu.edu or Doug Powell, dpowell@ksu.edu
November 2014
Grades 9-12
CLEAN
Answer
Spotlight Pathogen:
Norovirus
Characteristics: non-enveloped
virus. Viruses are like zombiesthey are not technically alive,
but they can use their host
(you) to replicate. Transmitted
through the fecal-oral route.
Primary source: infected
person (human enteric virus)
Secondary source:
contaminated food, water or
surfaces. Norovirus is very
stable in the environment and
can survive low temperatures
Illness:
Infectious Dose: 18+
particles
Incubation time: 12-48 hours
Symptoms: acute
gastroenteritis: cramps,
nausea, vomiting, diarrhea,
symptoms usually last for
24-72 hours
Who is most at risk? Everyone!
The young and old are more at
risk for dehydration.
Associated foods: oysters,
shellfish, raw foods, any food
with human preparation
November 2014
Background
Cleaning is a very important step in preventing foodborne
restaurant) !
Clean up spills quickly and thoroughly; clean with disposable
towels and soapy water, and use a fresh bleach solution (1:10)
to disinfect.
Grades 9-12
Outbreaks$
42nd St. Oyster Bar, Raleigh: http://www.foodsafetynews.com/2010/01/norovirus-outbreak-at-raleigh-oyster-bar/
#.VFpv1PR4rck!
Asheville High School: http://www.wspa.com/story/24956061/ocials-fear-spread-after-norovirus-outbreak-
confirmed-in-asheville-school
Noroviru s ou tb r eak at
Califor nia Pizza
Kitchen link ed to ill
food handl ers
Resources$
Proper hand washing instructions: http://kidshealth.org/
parent/general/sick/hand_washing.html# !
http://www.cdc.gov/norovirus/ !
http://www.foodsafety.gov/poisoning/causes/bacteriaviruses/
norovirus/index.html
Notes
O v er 2 0
cu s tomers of
a Califor nia
pizza kitchen
r es tau r ant
w er e il l w it h
vo m it t in g ,
diar r hea,
cr amps and
nau sea. T hr ee
food handl ers
also w er e
par t of t he
ou tbr eak
November 2014
Grades 9-12
SEPARATE
Answer
Spotlight Pathogen:
Salmonella enteritis
Characteristics: gram negative
rod, can survive refrigerator
temperature, prefers body
temperature for growth Primary
source: found in intestinal
tracts of animals and birds,
Secondary source:
contaminated food or water,
cross-contamination, sick
foodhandlers
Illness:
Infectious Dose: Log1- Log7
Incubation time: 12-72 hours
Symptoms: may include
Background
Go over the definition of cross-contamination !
Dierent types of foods need to be kept separate from other
meat and poultry when being stored away and during food
preparation. !
When cooking, do not share a cutting board or utensils among
types of foods. !
Salmonella can also be prevented by cooking all meat, poultry,
temperature of 160
degrees F, while
poultry should be
cooked to an
internal
temperature of 165
degrees F.!
Grades 9-12
Outbreaks$
Deadly UK Eggs: http://www.foodsafetynews.com/2014/08/update-uk-salmonella-outbreak-linked-to-three-
deaths-traced-to-single-egg-source/#.VFvBUvR4rk0
Food Safety Infosheet
Resources$
http://www.cdc.gov/salmonella/ !
October 2, 2013
http://www.foodsafety.gov/poisoning/causes/
bacteriaviruses/salmonella/index.html !
http://www.fightbac.org/storage/documents/
flyers/
separate_fightbac_factsheet_2010_color.pdf!
Notes
At least 13
individuals who ate
at a barbecue event
were hospitalized with
symptoms including
abdominal cramping,
diarrhea and
vomiting
North Carolina health officials
are investigating an outbreak of
salmonellosis linked to food
served at a church fundraiser.
Investigators said that community
members began reporting
illnesses in the days after they
consumed food sold at Sandy
Plains Baptist Church on
September 7, 2013. Symptoms
included abdominal cramping,
nausea, diarrhea and vomiting.
November 2014
Grades 9-12
COOK
Answer
There are many reasons: flavor, texture, ease of digestion,
Spotlight Pathogen:
Escherichia coli
O157:H7
Background
Illness:
Infectious Dose: 10+ cells
Incubation time: 10-5days
Symptoms: gastroenteritis,
cramps, hemorrhagic
diarrhea, Hemolytic Uremic
Syndrome (HUS) in severe
cases (especially with
children)
Who is most at risk? YOPI,
especially young children.
Associated foods: beef,
seafood, produce, sprouts,
unpasteurized juices
NOTE: Not all types of E.coli
are pathogenic. There is good
E.coli in your intestinal tract to
aid with digestion!
November 2014
pathogens into the entire product, which is why ground meat needs to be
cooked more to kill pathogens.!
Grades 9-12
Outbreaks$
Resources$
http://www.cdc.gov/ecoli/ !
http://www.foodsafety.gov/poisoning/causes/
bacteriaviruses/ecoli/index.html !
Food Safety Infosheet
www.foodsafetyinfosheets.org !
www.barfblog.com/infosheets
Contaminated*ground*beef*
linked*linked*to*E.#coli##O157:H7*
outbreak**
2011/11/source-of-nc-state-fair-e-coli-outbreaknamed/#.VFpxnPR4rck !
11*ill*including*2*hospitaliza>ons*a?er*ea>ng*at*
restaurants*
Notes
What*you*can*do:*
Cook*all*ground*beef*products*
(fresh*and*frozen)*to*155F*for*
15*seconds*or*160F.*Use*a*>pK
sensi>ve*digital*thermometer*to*
check*that*food*has*reached*a*
safe*temperature.**
Color*is*not*a*reliable*indicator*
of*doneness.*
Communicate*the*risks*of*
consuming*undercooked*beef*to*
restaurant*patrons.*The*
informa>on*should*include*
messages*about*consequences*
and*pathogens.*
Clean*and*sani>ze*any*
equipment*or*surfaces*where*
raw*meats*have*been*cut*or*
handled;*pathogens*can*remain*
behind*and*contaminate*readyK
toKeat*foods.
November 2014
Grades 9-12
CHILL
Spotlight Pathogen:
Staphylococcus
aureus
Characteristics: gram positive
cocci, toxin producing, Primary
source: human nose, skin,
mouth, ears, ~30% of the
population can carry a toxin
forming strain, Secondary
source: contaminated food.
Illness:
Infectious Dose: Log6 (10^6)
cells
Incubation time: 30 minutes
-24 hours
Symptoms: nausea, vomiting,
Answer
Factors that aect microbial growth: nutrients, pH, water/moisture
Background
As seen in the cook unit, high temperatures kill or deactivate
microorganisms. !
Cold temperatures slow or stop the growth of microorganisms. !
Bacteria and other microorganisms grow best between 40F and
140F. This is considered the danger zone. Foods held within this
range are the perfect place for organisms to grow rampant.!
Bacterial growth follows the biological growth curve. The lag
phase is when the cells are getting used to their environment, right
before growth. The log phase is when they are growing
exponentially (more growth than death). The stationary phase is
when growth and death occur at the same rate. The death phase is
when there is more death
than growth.!
According to this graph,
of 40F - 140F!
November 2014
10
Grades 9-12
Outbreaks$
Rolf s Pastries: http://barfblog.com/wp-content/uploads/2011/01/foodsafetyinfosheet-1-11-11.pdf!
Military Lunch: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6250a2.htm
WWW.FOODSAFETYINFOSHEETS.COM
FOOD SAFETY INFOSHEET JANUARY 11, 2011
Resources$
OV E R 1 0 0 I L L A F T E R F O U R O U T B R E A K S L I N K E D
TO PA STR IE S S ERVED I N IL LI NOI S
http://www.cdc.gov/ncidod/dbmd/diseaseinfo/
staphylococcus_food_g.htm!
http://www.foodsafety.gov/poisoning/causes/
bacteriaviruses/staphylococcus/index.html!
Notes
November 2014
11
Grades 9-12
CAREERS
Government
Government Agencies
Government:
Food and Drug
Administration
United States Department of
Agriculture
Centers for Disease Control
and Prevention
Environmental Protection
Agency
Academia
Professor/Researcher at a university: Research how
Industry
All food companies and restaurants have at least a few people
Food Safety
Modernization Act
Notes
https://www.youtube.com/
watch?v=y_LSrgbXA_w
November 2014
12
Grades 9-12
ASSIGNMENTS
Writing Prompts
Other Common
Foodborne
Pathogens
Bacteria:
Bacillus cereus
Brucella species
Campylobacter jejuni
Clostridium botulinum
Clostridium perfringens
Shigella species
Vibrio parahaemolyticus
Vibrio vulnificus
Viruses:
Hepatitis A
Parasites:
Cryptosporidium species
Giardia intestinalis
Toxoplasma gondii
!
!
1. Explain why each of the five steps are important to safe food
handling. Justify your answer.!
2. Research an outbreak that occurred with one of the spotlight
pathogens. Write a one page case study.!
3. Pick another common foodborne pathogen and write a 1-2
page report.!
4. Have students read Foodborne Illness Acquired in the United
States--Major Pathogens by Elaine Scallan, et. al., and write a
response!
5. Have students analyze the table from the introduction
section and make arguments as to why each pathogen is in the
top five and the pathogens hold dierent positions in
dierent categories (i.e. norovirus causes the most illnesses,
but why not the most deaths?)!
Project
1. Have students come up with a list of 10-15 items to check as a
food safety checklist/evaluation for their home kitchens. (i.e.
Are cutting boards washed to prevent cross-contamination?
Are leftovers put away promptly? Do people wash their
hands?)!
2. Students take the list home and evaluate their kitchen for
good food safety practices.!
3. Students then design an intervention for one unsafe behavior
that happens in their kitchen (i.e. poster for how to wash your
hands, calibrate food thermometers, rearrange the fridge so
that raw foods are covered and on the bottom shelf, etc.)!
Interview
Have students come up with a list of food safety questions and
!
November 2014
13
Grades 9-12
STANDARDS
NC Essential Science Standards:
Author Information
Authors:
Nicole Arnold
Katie Overbey
Natalie Seymour
Ellen Thomas
Affiliation: North Carolina State
University, Department of Food,
Bioprocessing, and Nutrition
Sciences
Contact Information:
www.foodsafetylessonplans.weebly
.com
www.barfblog.com
foodsafetylessonplans@gmail.com
Natalie Seymour:
nrseymou@ncsu.edu
data. !
!
!
November 2014
14