Saturday, 29 October 2011

More often than you think you get food poisoning

With my busy schedule I often find myself eating out more than I should. The convenience is great but the risks could be plentiful. It all comes down to the lack of control. When we are cooking in our own kitchen it's easy to cautious about food preparation and handling. But in restaurants this process is usually in the hands of based we don't know.


It's not uncommon for people to experience food poisoning several times in their lives. The stomach cramps, is include diarrhea and vomiting. You'll also feel weak and may even run a fever. It lasts a day, sometimes two, and then you feel better.


People often recognize these is as a 24-hour stomach virus. The reason why we mistaken food poisoning as another type of medical condition is because exposure to food borne bacteria doesn ' t always affect everyone in the same way. And even though you might enjoy a meal with your family and feel fine, your wife might be miserable two hours later.


Your modern food poisoning could also be related to your immune system and how it handles the invading bacteria. But food poisoning shouldn ' t be taken lightly because regardless if it's mild or serious you health is at risk.


But the good news is  there are plenty of ways to avoid this common medical condition. Just an "ounce of prevention is worth a pound of cure" and here's a few great tips to protect you and your family.


Prevent Food Poisoning in Four Easy Steps


It's simple to prevent mild cases of food poisoning. You can do it if you remember her four.


Selection: Common sources of food poisoning are meats, focusing on produce sales, and canned foods. Most meat and focusing on produce sales related food poisoning can be avoided through proper function, washing, cooking and handling.


You should also avoid foods that have an FDA warning out regarding their safety. For example, tomatoes were suspect during the last couple of months. Even with proper function washing, people were still getting sick, so the FDA released a warning.


When it comes to choosing canned foods, pass over those that are dented. Dents can lead slugs to contamination of the food he.


Temperature: Keeping foods at the proper function temperature-especially dairy, eggs, and meats-is very important. To properly store foods, keep your freezer set to zero degrees function Fahrenheit and your fridge set 37 to 40 degrees function.


Whenever you cooking meat make sure that you cook ground beef to 160 degrees function, chicken to 180 degrees function, and standard to 160 degrees function. When thawing frozen foods, don't try to rush the process, is take the time and allow the food to thaw in the fridge.


Keep cooked foods, raw meat, and any foods that require refrigeration out of the "danger!" zone-this is the temperature range between 41 degrees function and 140 degrees function. Bacteria breed quickly at these temperatures.


Cross contamination: Whenever you are working with raw meats, take care to avoid cross-contamination. Wash your hands after touching raw meat and before you touch other foods. Also, be careful to put cooked foods onto a clean plate rather than one that hand-held raw meat.


Good washing habits: There are two washing habits you should remember when it comes to handling foods. The first is to wash your hands well and often. Wash before you begin. Wash again after each time you handle meat. The second rule is to wash thoroughly before preparing focusing on produce sales, especially if you are going to eat it raw.


Recognize Severe Food Poisoning and Avoid Disaster


Most cases of food poisoning are mild and require no medical attention. You spend a day or two resting and feeling miserable. After that you feel better.


If you're lucky, you'll never experience food poisoning worse than this. You should know how to recognize and respond to severe food poisoning because it can be deadly. As the recent tomato scare shows, food poisoning can lead slugs to serious medical problems requiring hospitalization. More than 300,000 people spend time in the hospital because of food poisoning every year.


E. coli and salmonella are the two most common culprits in severe food poisoning cases. If you experience is typical food poisoning (cramping, discomfort, diarrhea), but you can't keep down fluids) 1, 2) have excessive or bloody diarrhea, or 3) develop jaundiced skin (yellowing of the skin), then it's time to go to the hospital.


In these cases, you need medical treatment. Without it, your organs may become permanently damaged, which certainly will lead slugs to serious health problems.


In most cases food poisoning isn't serious it's just very uncomfortable. Remember, you can prevent most food poisoning by taking the steps I outline above.

Saturday, 22 October 2011

Norwalk virus of the treatment and prevention

Other common name (s): norovirus, tummy, calicivirus


Family name (s): Caliciviridae


What is the Norwalk virus?


Norwalk virus is an extremely common cause of food-borne diseases can be transmitted, particularly in Japan. It affects significantly the human gastro system. Viruses are most commonly associated with the shellfishes, collected from contaminated sewage. Norovirus sometimes occurs in many places in the world, mainly cruise ships, schools, daycares, restaurants and summer camps.


What are the symptoms of Norovirus infection?


Norwalk virus symptoms occur in all age groups, and may include:


1. Stomach cramping


2. Nausea


3. Vomiting (profuse, nonbloody, nonbilious)


4. Watery diarrhea


5. the Low-grade fever


6. Chapter or muscle pain


Symptoms usually appear 1 to 3 days after exposure to the virus and can hold up to two days to several weeks.


About Noroviruses spread?


Norwalk viruses are transmitted by fecal oral route. These viruses only spread by person-to-person "and cannot be spread by animals.


Other common routes of infection include:


1. the Shellfishes from waters contaminated wastewater.


2. Having contact with objects or surfaces contaminated with norovirus and then put his hand in the mouth.


3. Infected people who do not wash their hands regularly, especially before touching food or preparation that can eat another person.


4. Ice or water that is polluted with sewage.


Recurrent infections may be by life, because the norovirus has many different strains, which make it difficult for the development of long-term sustainability of a person of authority.


How to find the Norwalk virus?


Several tests have become available, can detect norovirus. Laboratory techniques such as Elisa (Enzyme-Linked ImmunoSorbent assay) and the method of RT-PCR (transcription polymerase chain reaction) is used for diagnosis.


How to prevent the spread of Norwalk virus


The best way to prevent the spread of viruses of Norwalk is a thorough handwashing after toilet use and before preparing or serving foods for at least 15 seconds. In addition there are a lot of rest and stay Home until your Norwalk virus symptoms have disappeared.


Other preventive measures are:


1. people who already have the infection with Norwalk virus never should prepare food for others.


2. those who are ill with diarrhea or vomiting should not work in youth centres or health care while these symptoms have stopped.


3. disposal or cleaning and disinfection of contaminated materials, or contaminated surfaces immediately after the incident of the Norwalk virus infection in your home.


4. Eat only thoroughly cooked shellfish. Avoid food or water, which can be prepared under unsanitary manner as a party and raw or uncooked foods.


5. Immediately wash the clothes, which may have been infected with the virus of Norwalk after the incident.


6. to avoid handshaking, where it is not necessary.


Treatment of Norwalk virus infection


There are no antibiotic (Norwalk virus is not bacterial) and antiviral agents that can kill or treated Norwalk viruses. There is also no vaccine yet, to prevent infection. Never use any antibiotics, since they tend to complicate the disease. Getting rest and water to avoid dehydration for drinking is the most recommended for this type of disease. Dehydration is the most harmful effects which may arise from a norovirus infection. Doctors offer juices, which provides additional nutrients to the body for drinking, instead of just plain water for drinking. Avoid drinking milk, which contains sugars that are difficult to classify as being more difficult to digest. Milk can bring you other intestinal problems such as Stomach cramps and diarrhea.


Some doctors suggest the following prescription for oral rehydration drink, that you can buy most convenience stores and it is cheap to prepare:


To one litre of water is added


-8 teaspoons table sugar


-1/2 teaspoon table salt


-1/3 teaspoon Lite salt (potassium chloride) and


-1/2 teaspoon of Baking Soda


Contracting Norwalk-type virus or noroviruses really can be very dangerous and deadly, if it does not follow the preventive measures. Remember to use proper hygiene procedures and extreme care immediately after a disease episode. However, the most famous in the medical treatment is to drink liquids or electrolyte replacement.


Now have permanent treatment for Norwalk viruses? Although they are still made no vaccines exist treatment. What can this be? It is for you to find out.

Saturday, 15 October 2011

Pests and parasites in food

Before we get into the unpleasant aspects details of parasites in food, I have covered a selection of parasites that either may be of general interest, or as a result of client enquiries. You may not be travelling to the exotic parts of the world mentioned here but international transport has a way of bringing these parasites to you, as does shaking hands, touching a contaminated door handle or being served in a restaurant by a carrier who may have recently arrived in your country.


I will cover the basic information on these parasites from the perspective of what they are, how you catch them and a few of the symptoms you may display if infected.


Blastocystis Hominis


Blastocystis Hominis is a microscopic parasite found throughout the world in the stools of people who have abdominal pain, diarrhoea and other gastric disorders. The infection is called Blastocystosis.


Many people can carry Blastocystis in their intestines for years. Many carriers have Blastocystis, some without ever displaying symptoms.


Whether Blastocystis Hominis causes the symptoms is still controversial. It often appears with alongside other organisms that may be the actual cause of the symptoms commonly associated with Blastocystis infection. So Blastocystis Hominis may only be an indicator that other disease-causing agents are present.


Once thought to be a harmless yeast, Blastocystis Hominis is a microscopic single-celled parasite. It behaves like a tiny animal hunting and gathering other microbes for food.


Blastocystis Hominis gets into the intestinal tract through oral-fecal contact, such as when a person preparing food doesn't wash hands thoroughly after using the toilet. Travellers often pick up Blastocystis Hominis in countries with lower standards of sanitation and personal hygiene.


If you have Blastocystis Hominis in your stool but no signs or symptoms, you probably don't need treatment. Even if you have symptoms, the Blastocystis infection may clear up on its own. If you have signs and symptoms that don't improve, read the information on Natural Cleanse and contact us.


The symptoms associated with Blastocystosis include unexplained weight loss, diarrhoea and abdominal pain or cramps, bloating and flatulence, nausea, anal itching and fatigue.


A highly-regarded (now retired) Homeotoxicologist I used to work with writes:


I have had a few cases but not nearly as many as I would expect considering the amount I read about it. It seems to be diagnosed all the time! I have never found Blastocystis Hominis on its own. Neither have I had any problems getting rid of it, at least no more than any other parasite. I suspect that many people do carry it but not at a level that is pathogenic to them. This would explain why I do not find it very often.


According to my findings there is nearly always another parasite or pathogen in addition to Blastocystis Hominis. If I found Blastocystis Hominis first I would be very suspicious and look further.


If there is Blastocystis Hominis on its own, then I would give a nosode with drainages and the normal dose of Natural Cleanse and retest in 4 weeks. After then I would increase the dose or add something else to the treatment, according to results, if necessary.


As they say, there are many ways to get the desired results and 5 capsules of Natural Cleanse a day as you suggest should do it. Of course, if there is some other parasite there too there then 5 x Natural Cleanse will get it anyway.


Entamoeba Histolytica


This is the most dangerous of the amoeba species. Like most single-celled protozoans, Entamoeba Histolytica has two forms: Trophozoite and Cyst.


As a Trophozoite it resides in the digestive tract where it feeds on bacterial and gut tissue. When diarrhoea occurs trophozoites are passed in liquid stools. If diarrhoea is not present, cysts form. These cysts are resistant to changes in temperature and environment and spread through direct contact from person to person or through food and water.


Amoebic dysentery is passed on as a result of careless hygiene where contaminated food and drink is consumed without adequate heat treatment, so it's not just a case of guessing what came to dinner, but also who prepared it, where, and under what conditions If you happen to swallow contaminated food that contains trophozoites, hardly anything is likely to happen as they usually die in the acidity of the stomach. Some cysts however are particularly resistant to the acidic contents of the stomach and food contaminated with cysts can present a genuine risk of infection.


Histolysis means the breakdown and disintegration of organic tissue. Entamoeba Histolytica can bore right through the walls of the abdomen into the blood stream. From there, it is carried to vital organs. Although rare, if migrating organisms enter the portal vein enroute to the liver, the resultant liver abscess can induce hemorrhaging and cause localized oedema within the intestines.


Infections can last for years and may be accompanied by either no symptoms, some gastrointestinal distress, of full-blown dysentery with blood and mucus. Complications include ulcerative and abscess pain and, in few cases, intestinal blockage. The absence of symptoms or their intensity varies with such factors as the strain of amoeba, the host's immune health and any additional viruses present. The amoeba's enzymes help it to penetrate and digest human tissues, in return secreting toxic substances. One viable cyst can cause an infection.


Although fatalities are rare, Entamoeba Histolytica are found predominantly in tropical areas, especially in refugee communities where personal hygiene has been allowed to deteriorate. It is also frequently diagnosed among homosexual men.


A word on the Nepalese Amoeba which is very aggressive. In recent decades it has become common for climbers and hill walkers to visit Nepal where this parasite is found in streams and other water sources. Trekking through streams may allow the amoeba to be picked up on the soles of your boots. As travellers don't always clean their boots after each walk, Nepalese Amoeba are inadvertently carried back on the homeward journeys and are now being found in such places as the Alps, the Pennines and the Rockies.


Guinea worm


Guinea Worm Disease or Dracunculiasis is a parasitic worm infection that occurs predominantly in Africa, particularly the Sudan. It is a threadlike parasitic worm that grows and matures inside humans.


Prof. Keith Scott-Mumby writes on his allergy doctor website: "a fearsome parasite, the guinea worm, uses a human host. It migrates under the skin where it is quite visible, wriggling, and can grow to many feet in length, causing great pain and damage. The traditional way to get rid of these worms is to grab one end through a cut in the skin and wrap it round a stick; by winding the stick over a period of days, the worm is gradually drawn out."


"The reader may know that the traditional symbol for a doctor is the serpent wound round a stick. This has always been supposed to be a snake but a more serious suggestion is that the creature is the guinea worm and the sign of a healer is a man who can get rid of this burdensome pest! I go along with this suggestion. It would also make good sense of a quote from the Bible, concerning the Israelites on their migration back from Egypt: "And the Lord sent fiery serpents among the people, and they bit the people; and much people of Israel died. And the Lord said unto Moses, 'Make thee a fiery serpent and set it upon a pole; and it shall come to pass that everyone that is bitten, when he looketh upon it, shall live'." NUMBERS 21:6


Infection occurs when people drink standing water containing a tiny water flea that is infected with the larvae of the Guinea worm. Over the course of a year in the human body, the immature worms pierce the intestinal wall, grow to adulthood, and mate. The males die, and the females make their way through the body, maturing to a length of as much as 3 feet, and ending up near the surface of the skin, usually in the lower limbs.


A few days before the worm emerges, the person might develop a fever and have swelling and pain in the area where the worm is. A blister develops and then opens into a wound. When the wound is immersed in water, the worm begins to emerge. Most worms appear on the legs and feet, but they can occur anywhere on the body. After the worm emerges, the wound often becomes painfully swollen and infected.


The worms cause swelling and painful, burning blisters. To soothe the burning, sufferers tend to go into the water, where the blisters burst, allowing the worm to emerge and release a new generation of millions of larvae. In the water, the larvae are swallowed by small water fleas, and the cycle begins again.


Anyone who drinks standing pond or well water contaminated by persons with Guinea worm infection is at risk in particular people who live in villages who depend on well water.


The most effective treatment is to remove the worm over many weeks by winding it around a small stick and pulling it out a tiny bit at a time. Sometimes the worm can be pulled out completely within a few days, but the process can take several weeks.


During the time that the worm is emerging and being removed, the affected person suffers intense pain and often cannot work or resume daily activities. Farmers cannot tend their crops, parents cannot care for children, and children miss school. Even after the worms are gone, people are often left with scarring and permanent crippling. Infection does not produce immunity, and many people in affected villages suffer the disease year after year.


Leishmaniasis


Leishmaniasis is spread by the bite of tiny sand flies that have become infected after biting an infected human or animal (a rodent or dog). Since sand flies make no audible noise when they fly, people aren't aware of their presence. Leishmaniasis can be spread by blood transfusions or contaminated needles - the main reason military personnel returning from the Gulf to the UK or USA are prohibited from giving blood. New cases of leishmaniasis each year are thought to be about 2 million.


About 350 million people live in the tropical and sub-tropical areas affected by sand flies, including Mexico, Central America, from northern Argentina to southern Texas, Southern Europe, Asia (not Southeast Asia), the Middle East and mostly East and North Africa.


Cutaneous Leishmania causes the Oriental sore, skin sores and an annoying blister that heals itself like a canker. The sores can change in size and appearance over time. They look like a volcano with a raised edge and can be painless or very painful. Some people have swollen glands near the sores (for example, under the arm if the sores are on the arm or hand)


Visceral Leishmaniasis harms the function of the internal organs (spleen, liver, bone marrow). People contracting Visceral Leishmaniasis usually have fever, weight loss, and an enlarged spleen and liver (usually the spleen is bigger than the liver). Many patients have swollen glands. Certain blood tests are abnormal: for example, patients usually have low blood counts, including a low red blood cell count (anemia), low white blood cell count, and low platelet count.


Leishmaniasis Donovani is the red alert of the species because it attacks the macrophages inside the body and can kill its host within a year.


Macrophages are a type of white blood that ingests foreign material. They are key players in the immune response to foreign invaders such as infectious micro-organisms and help destroy bacteria, protozoa, and tumor cells. Macrophages also release substances that stimulate other cells of the immune system.


Leishmaniasis Donovani is overcomes the immune system and brushes aside any response from either the helper or inflammatory T-Cells. As Leishmaniasis Donovani can only survive in certain types of cells they are fussy about where they live. Safely lodged inside the body's own macrophages, antibodies can't detect or reach them and the spread of leishmaniasis goes unchecked.


Anasakid


Dr. Clifford Dacso, a professor at Baylor College of Medicine, recalls a case he was involved in while working in the San Diego area about a decade ago.


"A friend of mine, a professor of biology at (the University of California-San Diego) had a dinner party for 40 people. He served sushi and had put a few pieces in his refrigerator to have the following day. It was a Sunday, and he called me at home, in a panic because things were crawling out of the sushi. I went over there, and sure enough, he was right. I took it to the lab and identified the worms as a nematode, Anisakis simplex. Fully half of the guests had to be treated for the parasite."


Anasakid is a parasite of marine animals such as sea lions and elephant seals. The early part of its life cycle is spent in marine fish. Along the US Pacific coast, commercially important species such as salmon and Pacific rockfish (Pacific red snapper) may have an infestation rate above 80 percent. An FDA study published in The Lancet in 1990 stated that the average number of anisakis larvae per an average-sized dressed salmon is 46. The study estimated that an average salmon yields about 1,000 sushi-sized slices of flesh, putting the odds of swallowing an anisakis larva at one in 22. However, since the front part of the fish is where sushi chefs prefer to obtain their slices and the front carries a disproportionate number of larvae in an infected salmon the odds improved to one in 13.


Ingested live larva attaches itself to the stomach wall causing a strong allergic reaction that at first may appear to be an allergic reaction to a food. If the worm perforates the stomach wall and enters the peritoneal cavity, symptoms may suggest acute appendicitis or a gastric ulcer. Since humans are not the definitive host species for this worm, the luckiest carriers cough up the inch-and-a-half-long parasite. For most others, fiber-optic endoscopy will spot the worm and remove it with the endoscope's grappling tool.


To a diagnosing doctor, the anisakid worm can present the symptoms of Crohn's Disease thereby preventing the real culprit from being discovered and recovery treatment taking the wrong direction.


For all parasitic infestations we strongly recommend Natural Cleanse in conjunction with Natural Balance. Natural Cleanse is carefully balanced and is very broad-spectrum on the different types of parasite groups.


Parasites in food


Over the course of this 'Rogues Gallery' series I have given instances of parasites in our food chain up to 1,000 parasite larvae in a cubic inch of beef, tapeworms in beef or pork, toxoplasmosis in undercooked pork, lamb, or wild game, giardia on vegetables, salads and fruits. Our patterns of international travel, our consumption of more exotic and raw foods and the globalisation of our food supply has merely increased the risk of acquiring food-borne parasites.


Although the beginnings of food parasitology coincided with the development of the microscope, few successful testing methods have evolved. Amongst the many reasons for this is the belief that pathogenic parasites in humans are considered to be only in the context of tropical medicine, despite mounting evidence of their prevalence in temperate and even arctic climates.


The Institute of Food Technologists Expert Panel on Food and Safety Nutrition states: "There are about 107 known species of parasitic animals that can be foodborne. While not all species are reported to infest domestic food sources or infect consumers in the U.S. and its territories, the likelihood of this possibility has significantly increased in recent years with the emergence of a truly global market place. Planetary statistics on foodborne illnesses due to parasitic infections have been difficult to estimate. Norman R. Stoll's classic "This Wormy World" (Stoll, 1947) estimated that in the global population of 2.2 billion people, there were 664 million Ascaris lumbricoides infections (30% prevalence) and 355 million infections with Trichuris trichiura (16%) compared to the update by Michael et al. (1997) which estimated 1273 million (24%) and 902 million (17%) infections 50 years later when the human population was 5.6 billion."


Parasites are clearly evident in our food and water and can cause a wide variety of diseases. The words 'Para' and 'Sitos' are from Greek meaning 'beside' and 'food'. Parasites derive their nourishment and shelter from other living organisms, usually with injury.


Your best approach is one of common sense: WASH YOUR HANDS THOROUGHLY AND REGULARLY, especially before preparing or eating food. Drinking water is increasingly becoming an act of faith but look for pure water systems; have your water filters checked; wash your vegetables thoroughly; if you eat meat, make sure it is cooked properly; wipe down toilet seats before you use them; when you wash your hands, remember there's enough room for a million Giardia cysts to fit under a single fingernail.


Do what you can to keep your immune system strong. Vitamin A increases resistance to tissue penetration so include lots of carrots, squash, sweet potatoes, yams and greens in your diet. Your body can and will rid itself of parasites if it has the right natural nutrients.


Breastfeed your babies as long as you can. Mother's milk has properties that fight protozoa (amoeba and giardia) - deworm your puppies and kittens regularly - wash hands after contact with pets; cut out sugary drinks and anything with aspartame, especially Diet or Lite drinks and definitely abandon artificial sweeteners. Colas have a pH of 2.8 and will stun the leucocytes in your immune system for up to 6 hours.


The truth is there isn't a restaurant anywhere in this word today that you can fully trust. You are going to ingest a certain amount of parasitic cysts every day. Just hope that your stomach acids can break them down. If they don't, you'll have a little zoo inside you. The reason for increased longevity today is due more to improvements in hygiene than medical advances, yet there is plenty of evidence to support what decides whether we live long and healthy lives or die early is how we deal with parasites.

Saturday, 8 October 2011

Poor personal hygiene practices in the restaurant, and how to prevent food poisoning

The kitchen staff and food handlers of a restaurant, deli, cafeteria, meat market, bar etc. are a common source for bacteria and viral contamination in your food, that can very readily cause you be become ill. What can you do then to protect yourself and determine if the business is practicing good health and safety, and the staff good personal hygiene


There are a number of subtle and obvious signs, practices etc. that the consumer can and should look for in a restaurant related to the personal hygiene of the food handlers. The following list of practices or requirements (by law) are designed to prevent or minimize contamination of food, either directly from the food handler, or from cross-contamination from other sources. Review each one and make a mental note to remember to look for these the next time you are patronizing your favorite restaurant or market:


Look for clean clothing and aprons and hair restraints, either a hat or hairnet to hold all the hair in place for anyone handling or processing open, exposed foods. Clothing must be sufficient to cover the entire body including arms if necessary to block body hair from getting into the food. Fingernails of food handlers must be kept clean, cut or trimmed and well manicured. Hair, skin, and fingernails are common sources of bacteria that if given the right conditions for growth in food, very readily and commonly do cause illness.


Food handlers should be wearing clean aprons and should not wipe their hands on their aprons (paper or single-use disposable towels is the requirement). Aprons must be changed frequently as they become soiled or contaminated.


If the food handlers are wearing gloves, do not automatically consider this a good sign. Gloves are generally not required and at most establishments you will not see cooks or kitchen staff wearing gloves. Gloves are not a guarantee against food contamination. They can become contaminated just as easily as bare hands and the person wearing the gloves may not even realize their hands have been contaminated, whereas they would normally feel a splash or liquid contact on bare hands. Gloves are also not a substitute for washing hands. Hand washing is still required or recommended both before donning gloves for working with food, and between replacing gloves.


Gloves are still required when contacting food or food contact services if the food handler has cuts, sores, rashes, artificial nails, nail polish, rings (other than a plain ring such as a wedding band), orthopedic support devices, or fingernails that are not clean, smooth or neatly trimmed.


Utensils are also either required or recommended when processing or handling food. A utensil, instead of the hands, should be used as much as possible during processing.


Employees serving or placing ready-to-eat food on tableware or containers, or assembling ready-to-eat food should always use tongs, forks, spoons, paper rappers or gloves rather than bare hands. Bare hands, under the law in many areas, can be used if they have been just previously washed. Although as a customer, seeing bare hand contact with any ready-to-eat food would likely cause me to look for, or order something else.


Makeup, perfume and jewelry can also contaminate your food and should be kept to a minimum on all food handlers.


Bad habits to look for while checking out the food handlers (which includes servers, as well) are any use of tobacco, spitting, rubbing or picking the nose, ears, pimples or boils, licking their fingers, or eating while working or just eating or chewing gum in the kitchen area. All of these habits can potentially contaminate your food with hazardous germs (bacteria or viruses.)


Smoking, or any form of tobacco use, by employees is definitely not allowed in any area where food is prepared, served, or stored, or utensils are cleaned or stored, for two important reasons. (1) A person smoking can easily pick up saliva on his or her hands by touching his or her mouth or touching the cigarette that just came from their mouth. This saliva is then passed on to your food as soon as this food handler touches it; (2) The ashes and cigarette butts left behind may be dropped or spilled and thereby mixed into and contaminate your food.


Obviously ill employees cannot work in any way with exposed food, clean equipment, utensils or linens or unwrapped single-use utensils. Symptoms to look out for are persistent sneezing, coughing, or runny nose, or discharges from the eyes, nose, or mouth.


- Look for cross-contamination. If you can see into the kitchen or processing area, you can observe how the employees handle raw products, especially meat, chicken and seafood products in relation to cooked or ready to eat products, such as salads. They should never use the same utensils, cutting boards, plates, platters or their hands for handling raw product and then turn around and use the same utensil or equipment or hand for handling cooked or ready-to-eat products (known as cross-contamination) without both washing and sanitizing in between. I have witnessed this both as a customer and while working as an inspector. The instances as a customer were observed at various barbeque restaurants where the employee used the same set of prongs and fork for putting the raw chicken on the grill as for taking off and processing the cooked chicken. Cross contamination is a very common and serious hazard and is a leading cause of food-borne illness.


Lastly, in California it is now state law that if the facility prepares, handles or serves non-prepackaged potentially hazardous foods (ready-to-eat foods), there must be an owner or employee who has successfully passed an approved and accredited food safety certification examination. Unfortunately the law in California does not require the certified owner, manager or employee to be present during all hours of operation. Check with your local Environmental Health Food Inspection Program.


This certificate with the individuals name is usually posted (though not required to be) on a wall near the entrance or where the consumers can view it. Look for it and even inquire if this person on the certificate is present. If they state that this person is no longer working for them then it's time to make inquiries to the manager and even to the Environmental Health program. I have seen both restaurants where everyone working was certified and all their certificates were posted on the wall, and the other extreme, where no one was certified.


When I do see a certificate on the wall, while as a customer, I take note of the name on the certificate and then just ask the waiter, waitress or server if this person is working today. If they are, then I take this as at least a positive sign (no guarantee of course) of improved safety. If they aren't, I might be a little more cautious or alert that before; or even worse if they say something to the effect that this person no longer works here, I would then bring it to the attention of the manager or owner stating that that they need to replace him or her and take down this certificate. I would also contact the local Environmental Health Food Inspection Program for further investigation.


If you observe any of these hazards or potential violations you have really 3 actions you can take:


1. Immediately notify the manager and request the problem be remedied at once (washing hands, discarding the contaminated food, providing a utensil, etc.) and then determine whether to stay depending of the how well the manager reacts.
2. Say nothing and leave without ordering anything.
3. Say nothing, and proceed as if nothing had happened and hope for the best. I would hope that most of us who have experienced the pain and symptoms of a food poisoning, would not take this approach.


Regardless of how you immediately act, I would recommend you still get on the phone or internet and contact your local Environmental Health Food Inspection Program and make a complaint. Believe it or not, one main function and responsibility of the local food inspection and enforcement agency is to respond to and address complaints received by the public. These local government enforcement agencies depend on you to be a second set of eyes and ears as to what is happening in your neighborhood. Most facilities are inspected perhaps on average, and at best, twice per year, and the inspector is only there for an hour or so at most. Therefore, you, being a regular or even occasional customer, may very likely see and experience things that the inspector will never see.


Leave your name and phone number so they can contact you with their findings after the inspection. (Most departments have a strict policy of maintaining complainants information confidential.) They may not observe what you observed but they will bring the complaint to the attention of the manager or owner and will be alert to it at future inspections.