April 1, 2023

S5 E10: Food Infections and Food Intoxication: The Season Finale

S5 E10: Food Infections and Food Intoxication: The Season Finale

Often, the term food poisoning is used for both foodborne illnesses and foodborne intoxication. Today, I’m going to explain the difference between the two and talk about the burden that these illnesses have on societies, especially in the developing...

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Often, the term food poisoning is used for both foodborne illnesses and foodborne intoxication. Today, I’m going to explain the difference between the two and talk about the burden that these illnesses have on societies, especially in the developing world. About 6.5 million in the US experience the effects of a foodborne pathogen at least once a year, but most of them go unreported since people think they just have the “stomach flu”. Newsflash, that was no flu, that was a foodborne pathogen. This is the final episode in Season 5, Restaurant Rogues, but don’t worry, I’ll be talking about more foodborne pathogens as time goes on. There are a LOT of them. Go check out this week’s episode to find out more about these illnesses and a few more. Cause of Death has a website! Come visit me at www.causeofdeath100secs.net. I also have an email address for the show at Jackie@causeofdeath100secs.net. Feel free to interact with me in either place! Don’t forget that the next episode will be my Podversary episode, and I’ll be talking about what I call the Great Dilemma. The questions that I ask myself before I begin researching every episode that I put out. These are the questions that keep me up at night. It’s my hope that this episode will spark some discussion in the Facebook groups and on Twitter! Talk to me, folks! I’d love to hear from you! That episode will kick off Season 6, all about the diseases of wildlife. It’s called Who’s Who Outside of the Zoo. I’m so looking forward to that season! I’m going to be doing a special 100 Seconds to Midnight episode in Season 7. I’d like those of you who had experiences growing up during the Cold War to talk about those experiences. If you’d like to be a guest on the show, I can arrange that. If you’d rather just write your stories and send them in, that’s fine, too. I can read them. These stories are important, and they need to be heard. Please participate if you can. You can reach me on the website at www.causeofdeath100secs.net or you can email me at Jackie@causeofdeath100secs.net. My Link Tree can be found at: https://linktr.ee/CauseofDeathpod The Difference Between Food Poisoning and Food Intoxication Show Notes: https://ask.usda.gov/s/article/What-is-the-difference-between-foodborne-illness-and-food-poisoning http://www.csun.edu/~cjh78264/foodsafety/pages/fbi1.html#:~:text=Infection%3A%20occurs%20when%20live%20bacterial,a%20toxin%20produced%20by%20bacteria. http://www.fightbac.org/ http://www.ces.ncsu.edu/depts/foodsci/agentinfo/org/index.html http://www.vdacs.state.va.us/foodsafety/index.html http://www.foodsafety.gov/ https://dchealth.dc.gov/service/food-borne-infections-and-intoxications
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and welcome to Cause of Death one
hundred seconds to midnight. I'm your host,

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Jackie Moranti. In season five,
I've talked about several food born illnesses

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and intoxications. At this point,
I felt I should explain the difference between

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the two. This is going to
be a rather short episode, but it's

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a topic worth talking about before we
move on. There are three methods of

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food born illness intoxification, intoxication and
infection, and the difference between them is

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fairly stark. Food born infections are
caused by live bacteria or pathogens that,

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when ingested, begin to grow in
the intestinal tract. The most common of

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these are neurovirus and salmonella. Food
born intoxication is caused by eating food that

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contains toxins that are released by the
pathogens. The pathogens themselves don't cause illness,

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but the illness begins as the toxins
begin to germinate. The most common

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of these types is botulism. Food
born intoxification occurs when live bacterial cells are

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ingested, then the bacteria produces a
toxin that causes illness. The most common

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of these types is Clostridium perfringens.
I'm obviously not done with food born illnesses,

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so we'll get to see perfringens.
So much disease and so little time.

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So are we clear as mud?
So far good. It seems like

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the phrase food poisoning gets kicked around
quite a bit, and that term can

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be used for all of the food
born illnesses. It depends on which health

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registry is issuing the alert, even
if it's not quite correct. They may

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call any one of these food poisoning. It doesn't really matter what you call

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it, you're gonna get sick.
Food born illnesses outnumber any other type of

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food contamination, and this makes it
the leading safety concern around the world.

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Almost every single person in the world
experiences a food born illness at least once

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a year, and most people think
that they have the stomach flu or the

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twenty four hour flu. There is
no such thing as stomach flu and any

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flu you get is going to last
a lot longer than twenty four hours.

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It's food poisoning. Now that being
said, most of the time, people

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are miserable for a couple of days. Most patients experience vomiting, diarrhea,

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stomach cramps, and then suddenly it's
gone. They feel fine again. About

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six point five million cases of food
poisoning are reported each year in the US.

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This number doesn't even closely represent the
actual number of cases that occur.

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Of those reported, about nine thousand
cases and in death. That's not a

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00:09:20.919 --> 00:09:26.720
very high morbidity rate, but people
do die. Most commonly they die of

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dehydration due to loss of fluids.
The morbidity rate is far higher in the

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developing world than in any industrialized country. Especially among children and the elderly.

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Of course, children under the age
of five years, the elderly, and

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those who are immunocompromised are more likely
to become severely ill, and those populations

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have the highest morbidity rate in any
country. There is a website available through

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the FDA called Food Safety dot gov. This website lists all the res recalls

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on any food item in the US, and it also gives the reasons why

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the item has been recalled. There
are a couple of side notes here say

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that there has been a recall on
peanut butter because salmonella has been reported as

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connected to that brand. The company
is going to recall several lots of the

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product. They're going to start with
the target lot and then take a few

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lots before and a few lots after. This is a safety precaution. My

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00:10:30.759 --> 00:10:33.440
friend Claire called me one day and
said that she had some peanut butter that

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had just been recalled. She checked
the lot number and sure enough, it

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matched one of the lots on the
list. But she had a problem.

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That peanut butter had been in her
possession for quite a while and she had

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eaten almost all of it. She
hadn't gotten sick, so she was wondering

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if she should take it back.
Well, this is when I had to

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00:10:56.759 --> 00:11:01.639
explain the recall process. Of course, the peanut butter is almost gone and

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you've eaten it and you haven't gotten
sick, Well, it's a little late

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to take it back. You probably
got one of the lots that was either

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before or after the lot that had
the semonella detection. Most companies believe that

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they're better to be safe than sorry. There is a financial liability involved,

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but also there are ethics. They
don't want to be responsible for anyone getting

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sick. The morbidity rate is low
with most food borne infections, but it's

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never zero. The second thing I
want to mention is that recalls happen for

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more than just bacterial or viral threats. There have been several recalls because the

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00:11:43.159 --> 00:11:46.399
product may have been exposed to some
allergen that was unknown at the time,

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such as meat being ground in the
same grinder that peanuts just went through,

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or a recipe that was labeled as
gluten free may have somehow been contaminated with

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wheat. There have been several label
mishaps in recent years. It's unfortunate,

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but if the food has been mislabeled
for anything, it's usually thrown out.

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It can't be sold with that label, and relabeling isn't always possible. These

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things are rare, but they do
happen. It's a good thing that they're

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rare, because I'd be opening a
store for mislabeled food, sell it at

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00:12:24.440 --> 00:12:30.360
a discount, give it to a
food bank, do something. I'll be

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00:12:30.440 --> 00:12:33.720
talking about how many resources are wasted
due to things like this in an upcoming

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00:12:33.720 --> 00:12:41.440
episode. Anyway, this website is
quite handy. It gives plenty of advice

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on avoiding food borne pathogens. Let's
talk about some of the things we can

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do to keep pathogens out of our
stomachs and our intestines. Restaurants are notorious

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00:12:52.840 --> 00:12:56.639
for piling on the food, and
I don't like to see food go to

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waste, so I get a doggie
bag my dog. Usually it didn't get

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any of it, though. Most
of the time, I can order one

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00:13:03.039 --> 00:13:09.000
meal and it'll last for at least
two or three days. The CDC suggests

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00:13:09.039 --> 00:13:11.840
that if you do decide to bring
your leftovers home, you should follow some

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00:13:11.879 --> 00:13:16.840
simple guidelines for food safety. If
you're going to extend your day beyond the

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meal, say, going to a
movie afterward, then leave the leftovers behind.

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It's not good to leave them sitting
in the car for an extended period.

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00:13:26.559 --> 00:13:30.480
When you do bring them home,
put them in the fridge immediately,

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00:13:30.679 --> 00:13:35.600
don't wait. Meat and poultry can
sit in the fridge for about four days,

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00:13:35.960 --> 00:13:39.759
and eggs and lunch meats will stay
good for about five days. Cooked

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00:13:39.799 --> 00:13:43.799
meat and poultry can be stored in
the freezer for about two to six months.

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If you reheat your leftovers but don't
finish them all, put them back

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00:13:48.960 --> 00:13:52.919
in the refrigerator right away so they
can be reheated again when you're ready to

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00:13:52.960 --> 00:14:00.600
eat them. Now. I hate
reheating anything in the microwave, but what's

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00:14:00.600 --> 00:14:05.840
a mother to do. It's quick
and easy, and usually I'm just hungry.

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00:14:05.840 --> 00:14:09.200
When you do reheat food in the
microwave, put it in a microwave

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00:14:09.279 --> 00:14:15.159
safe container, spread the food evenly
on the plate, then stir the food

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00:14:15.159 --> 00:14:20.320
halfway through to avoid cold spots.
I never do any of this. I

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00:14:20.480 --> 00:14:24.240
pile the food on the plate,
put it in the microwave, guess at

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00:14:24.240 --> 00:14:28.360
a time, then go off and
do something else until the thing tells me

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00:14:28.440 --> 00:14:35.200
it's done. And I always have
cold spots. Never reheat anything in a

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slow cooker. The food could be
sitting in that temperature danger zone between forty

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00:14:41.559 --> 00:14:46.919
degrees and one hundred and forty degrees
for far too long. Bacteria love that

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00:14:46.080 --> 00:14:52.360
zone. They grow well in that
environment. Food should be heated to the

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00:14:52.360 --> 00:14:58.039
correct temperature according to the guidelines suggested
by the FDA. The Food Safety dot

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00:14:58.039 --> 00:15:03.320
Gov website as a table that will
tell you the proper heating temperature for a

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00:15:03.440 --> 00:15:09.559
variety of foods. Invest in a
food thermometer. Your crystal ball is not

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00:15:09.720 --> 00:15:15.639
going to work for this. Soups, sauces, and gravies should be reheated

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00:15:15.679 --> 00:15:20.759
to a boil. And the final
word is when in doubt, throw it

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00:15:20.840 --> 00:15:26.440
out. Don't taste it to see
if it's still good. We're going to

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00:15:26.519 --> 00:15:30.279
take a quick break to hear from
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in Austin for an unforgettable experience.
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That's Truecrime Podcast Festival dot Com with
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off the ticket price. Special guests
will include Julie Murray, Teranewell, and

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Call your Landry to name a few. I'll be there representing another podcast that

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I'm involved with, True Consequences.
Come by and meet Eric Carter, Landein

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and I. We would love to
meet you. I recently to doing a

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Meal kits and food delivery have been
really popular since the lockdowns of twenty twenty,

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and these things are great. They're
super convenient, and for people who

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are single like me, these things
keep us from making a ton of food

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that will just go bad when we
get sick of eating the same thing over

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and over again. And that these
things also keep us from that uncomfortable table

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for one restaurant setting. Let's talk
about it for a minute. Shipped food,

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it can be tricky. It's best
to do a little research before you

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decide which company to go with.
Call or email the company directly to see

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how they handle their deliveries. Ask
them if they give shipping instructions to the

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shipping company. Ask what happens if
the food is delivered at an unsafe temperature.

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Ask them if they send directions for
safe handling to you. It's important

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that food deliveries don't just hang out
on your porch all day while you're at

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work. This is just begging for
one disaster or another. Besides bacterial growth,

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there are other hungry things out there, bugs, parasites, and the

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neighbor's dog. Arrange to have food
delivered on days when you're going to be

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home, or see if one of
your neighbors can keep the delivery until you

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get home. It needs to go
directly into the fridge or freezer, no

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waiting. If there's no one around. The FDA suggests that you have the

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delivery driver with them in a cool, shady area that's rodent free. My

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suggestion is to check into having them
delivered to Walgreens. Some Walgreen stores accept

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FedEx deliveries for pickup. Even if
they can't put the food in the fridge

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for you, they at least have
air conditioning and a vermin free environment.

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Make sure that the food is at
a safe temperature when you unpack the box.

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If it needs to be refrigerated,
it should arrive around forty degrees fahrenheit.

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If it's supposed to be frozen,
it should still be frozen, or

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at the very least have ice crystal
still visible in the packaging. Make sure

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that packaging is still intact. If
it was packed in gel packs, they

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should be cold or frozen. If
it was packed in dry ice, that

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should still be in the box.
If that evaporates, then the food is

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probably not good. Even if perishable
products are smoked, cured, vacuum packed,

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or fully cooked, they still need
to be shipped and stored cold.

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Again. If the food arrives at
a temperature that's above forty degrees fahrenheit.

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Don't taste it, just throw it
out and call the company and ask for

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a refund or a new shipment.
If the company is reputable, they're happy

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to do this for you. When
in doubt, throw it out. These

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rules also apply to fresh pet food. Dogs and cats get food born diseases

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as well as humans. Okay,
here's my guilty pleasure. I live for

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restaurant delivery. I hate eating and
restaurants alone, so I order from my

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favorite places online. There are rules
for this also. One of my favorites

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is to check the grade of the
restaurant to see where they stand with a

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local health department. These reports are
readily available, and they'll tell me whether

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I want to eat at that restaurant. Ever, a restaurant with consistently low

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grades gets a pass, no matter
how great their menu looks. Be aware

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of delivery times. Don't leave your
takeout sitting on the porch for even a

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few minutes. The FDA says that
it can sit out for an hour,

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but anything can happen in an hour. Remember the neighbor's dog. Eat that

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food right away or put it in
the fridge for later. Don't leave it

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sitting on the counter. If you
don't finish all your leftovers, date them

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and keep them in the fridge.
They only last a few days, though,

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Avoid science experiments when you come back
a month later to something green and

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00:22:41.480 --> 00:22:47.640
furry and ask what was that and
where did it come from. If you

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do find a science experiment, throw
out the whole container. You're never going

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to get the mold out to stew
it. It's fine if you know you're

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not going to eat the leftovers in
a few days. They can be frozen.

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They'll last a lot longer in the
freezer. One more thing I want

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to mention. Most people are really
bad when it comes to handling food at

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home, so let's talk about it. Always wash your hands before, during,

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and after preparing any meal. Hot
soapy water goes a long way to

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keeping yourself safe from a myriad of
food born infections. Wash your hands for

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00:23:27.640 --> 00:23:33.039
at least twenty seconds. Sing Happy
Birthday twice while you're waiting, and that

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00:23:33.079 --> 00:23:37.440
will get you to that time limit, and just a little over if you

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00:23:37.480 --> 00:23:44.519
sing like Marilyn Monroe. Wash your
dishes as you go too. Don't use

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00:23:44.559 --> 00:23:48.640
the same dirty dishes over and over, and don't let them pile up in

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the sink. And here's one that
almost no one does. Wash all fruits

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and vegetables before you cut into them, all of them, not just the

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00:24:00.200 --> 00:24:07.920
ones without skin wash bananas, pineapples, watermelons, and cantaloat Here's why.

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If you cut in two a will
let's say watermelon without washing the outside,

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and that watermelon has listeria growing on
the skin, then when you cut into

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it, you drag the listeria inside
to the fruit. Most bacteria thrive on

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sugar, so they'll grow quite nicely
when the leftover watermelon is hanging out waiting

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to be eaten. I have a
story about this, but the whole story

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00:24:36.880 --> 00:24:40.799
is going to be told when I
talk about listeria in the one Hit Wonder

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season. Separate all foods to avoid
cross contamination. Keep raw meat, poultry,

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00:24:47.599 --> 00:24:52.000
seafood, and eggs away from other
foods. Don't use the same cutting

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00:24:52.000 --> 00:24:57.559
board and utensils for meat that you're
going to use for vegetables, especially if

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00:24:57.599 --> 00:25:03.960
those vegetables are eaten raw. Of
course, use your food thermometer to ensure

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00:25:04.000 --> 00:25:08.720
that food is cooked to the proper
temperature. Don't forget that chart on Food

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00:25:08.759 --> 00:25:15.519
safety dot Com. It is really
helpful. It's very important to report any

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00:25:15.559 --> 00:25:19.839
food born illness to the local health
department, especially if you think that you

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got sick from restaurant food. Let
them know what you ordered and the symptoms

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00:25:26.599 --> 00:25:33.440
that you're experiencing. Asked to speak
with an environmental health specialist or a sanitarian

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about the problem. Food born illnesses
go unreported quite often, and there have

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00:25:38.440 --> 00:25:45.440
been instances when early reporting could have
saved lives. We have yet to talk

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00:25:45.480 --> 00:25:52.359
about the first E Coli O one
F seven H seven outbreak or the hepatitis

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00:25:52.440 --> 00:25:56.799
A outbreaks that are so common.
Right now, let's do some top fives.

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00:25:57.559 --> 00:26:03.000
Let's start with a top five food
infections that are most likely to cause

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illness. In order of appearance,
they are norovirus, nontyphoidal salmonella, Clostridium,

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00:26:12.119 --> 00:26:21.839
perfringens, campolobacter, and staff arius. The top five illnesses to cause

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00:26:21.960 --> 00:26:32.559
hospitalization are nontyphoidal salmonella, norovirus,
campiliobacter, Toxoplasma gondii, and E.

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Coli one five seven AGE seven.
Are you seeing a trend, Let's do

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00:26:38.640 --> 00:26:48.480
one more. The top five diseases
to cause death are nontyphoidal salmonella, Toxoplasma

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gondii, listerio monocytogenes, norovirus,
and campiliobacter. So if we look at

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00:26:57.200 --> 00:27:02.960
the trends, norovirus, campy,
and salmonella sit at the top five of

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00:27:03.000 --> 00:27:07.119
the things that are most likely to
not only make you sick, but make

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00:27:07.160 --> 00:27:11.839
you sick and die. And as
I mentioned in the episode on campy,

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it's quite often mistaken for something else, so sometimes it goes undetected until the

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patient is receiving treatment. The burden
of food born illness is one of those

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00:27:23.920 --> 00:27:30.880
unknowns, since many infections go untreated
and unreported. WHO estimates that more than

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six hundred million cases of foodborn illness
and four hundred and twenty thousand deaths occur

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each year worldwide. The burden disproportionately
falls on the more vulnerable populations, since

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those populations are more likely to report
their illnesses. In low and middle income

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countries, the burden falls mostly on
children under the age of five. In

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00:27:57.960 --> 00:28:04.960
twenty nineteen World Bank report concluded that
the economic burden of food born diseases indicated

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00:28:06.160 --> 00:28:12.160
that the total productivity losses associated with
these diseases in low and middle income countries

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00:28:12.400 --> 00:28:21.039
were around ninety five point two billion
dollars per year. The annual cost of

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00:28:21.160 --> 00:28:27.200
treating food born illnesses is estimated at
fifteen billion dollars per year. This gives

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you an idea of how much it
costs to treat people who are infected with

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a relatively benign disease. I'll be
talking about the economic burden of disease in

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00:28:37.640 --> 00:28:47.759
a future episode. Over the last
twenty years or so, as global markets,

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00:28:47.920 --> 00:28:52.000
food delivery, and eating out has
become more popular, it's become more

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00:28:52.079 --> 00:28:57.599
and more challenging to keep our food
chains safe. Okay, so that's our

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00:28:57.680 --> 00:29:03.880
look at food born and toxication and
food borne illness. It's a short one

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00:29:03.920 --> 00:29:07.960
this time, but I'm gearing up
for my podversary episode. It's something that

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00:29:07.000 --> 00:29:11.440
I call the Great dilemma. I
think about a lot of things before I

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00:29:11.480 --> 00:29:15.720
put an episode out. I try
to look at every problem from as many

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00:29:15.799 --> 00:29:21.640
angles as I possibly can, and
I try to find solutions that makes sense.

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00:29:22.680 --> 00:29:26.240
The Great Dilemma keeps me up at
night. That one will kick off

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00:29:26.279 --> 00:29:32.200
season six. Who's Who at Side
of the Zoo. If you'd like to

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00:29:32.200 --> 00:29:36.000
support cause of Death one hundred seconds
to midnight, there are several ways you

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can do so. Head over to
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bonus content as well as AD free
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Patreon page, where you can subscribe
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At that dollar level, you'll get
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dollar level you get bonus content and
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of my Patreon subscribers get stickers and
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levels get things like coffee cups and
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subscribe over there, you leave your
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I want to thank all of my
new Apple subscribers this month. You

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know who you are. I'd also
like to thank my Patreon subscribers for their

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00:30:23.359 --> 00:30:27.680
continued support. You can take a
look at the show notes for other ways

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00:30:27.680 --> 00:30:33.720
you can support the show monetarily.
I'm also sponsored by some fantastic products,

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so while you're looking at the show
notes for white papers, wink wink,

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give them a look as well.
Of course, the best way to help

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this show out doesn't cost anything.
All I ask is that you leave a

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rating or review on Apple Podcasts or
Spotify, then subscribe and tell all your

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friends about the show. I always
encourage you to contact me on the website

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at ww cause of Death one hundred
sex dot net or at my email address

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00:31:04.079 --> 00:31:12.240
at Jackie at cause of Death one
hundred sex dot net. I love listener

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00:31:12.319 --> 00:31:15.680
letters, and if there's some good
discussion, I'll read you a letter on

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00:31:15.720 --> 00:31:22.680
the show. You're not the only
one asking the questions. Follow me on

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all the socials Instagram, Facebook,
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of my dog TikTok, where she
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00:31:32.079 --> 00:31:37.440
hundred seconds to midnight until next time. I avoid eating out of dented cans

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00:31:37.519 --> 00:31:41.680
and cook your food to the recommended
temperature. I'll see you in two weeks.