Listeria, What You Should Know

There have been products such as deli meats, vegetables, dips and salsas, and plant-based milk recalled due to a recent listeria outbreak.

Listeria or Listeria monocytogenes, is a species of pathogenic or disease-causing bacteria found in moist environments, soil, water, decaying vegetation, and animal feces. It can survive and even grow under refrigeration and other food preservation measures. 

Most people encounter listeria or listeriosis as a foodborne illness as it can be found in hot dogs, deli meats, fresh vegetables, fresh fruits especially melons, and unpasteurized dairy products. These foods have the highest risk of listeria contamination. However, any food that is improperly handled or prepared can be affected. 

The listeria bacteria is unique compared to other types of bacteria because it survives and multiplies in low temperatures, including refrigerators and freezers. It can multiply to dangerous levels during storage. It also doesn’t change the smell, taste, or texture when it contaminates food like other bacteria.

Most people get listeriosis from eating contaminated foods. The listeriosis incubation period (the time between when you first get infected and when you first show symptoms) varies. It usually takes one to two weeks. But it can be as short as a couple of days or as long as three months.

The symptoms of a listeria infection include:

  • Fever
  • Chills
  • Muscle aches
  • Nausea
  • Diarrhea

If the listeria infection spreads to your nervous system, symptoms may include:

  • Headache 
  • Stiff neck
  • Confusion or changes in alertness
  • Loss of balance
  • Convulsions

Those at risk of severe infection from listeria include:

  • Pregnant women
  • People older than 65 years old
  • People with weakened immune systems 
  • People suffering from chronic diseases

A blood test is often the most effective way to determine whether you have a listeria infection. Samples of urine and spinal fluid may also be tested. 

The treatment of listeria infection varies depending on the severity of the signs and symptoms. Most people with mild symptoms require no treatment at all. More serious listeria infections can be treated with antibiotics.

Some ways to prevent a listeria infection include:

1) Keeping things clean- wash your hands thoroughly with warm, soapy water before and after handling or preparing food. After cooking, use hot, soapy water to wash the utensils, cutting boards, and other food preparation services.

2) Scrub raw vegetables- clean raw vegetables with a scrub brush or vegetable brush under plenty of running water.

3) Cook your food thoroughly- Use a food thermometer to make sure your meat, poultry, and egg dishes are cooked to a safe temperature. 

If you or someone you know is experiencing symptoms of a listeria infection you can see a gastroenterologist at Jamaica Hospital Medical Center’s Ambulatory Care Center. To schedule an appointment, please call (718) 206-7001. If you or someone you are with are experiencing an emergency, call 911 immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Food Poisoning During Summer Months

It is estimated  that around 48 million cases of foodborne illnesses occur each year in the U.S.  These illnesses  develop when an individual consumes food that is contaminated with bacteria, viruses or parasites.

One of the most common types of  foodborne illnesses is food poisoning.

The chances of getting food poisoning are higher during the summer months as the warmer weather promotes the growth of harmful organisms and increases the likelihood of contamination.

According to United States Department of Agriculture (USDA) Food Safety and Inspection Service, “Foodborne bacteria grow fastest at temperatures between 90 to 110 °F (32 to 43°C.)” In higher temperatures, food will produce the nutrients and moisture needed for pathogens (virus, bacteria and other microorganisms that cause disease) to flourish.  Some of the most common pathogens that cause food poisoning are Salmonella, Listeria, Toxoplasma, E. coli and norovirus.

In addition to warmer temperatures, summer provides us with more opportunities to cook outdoors. It is difficult to utilize food safety controls such as refrigeration, thermostat-controlled cooking and convenient facilities to wash our hands when cooking outside. These factors can further increase the risk of food contamination.

Food poisoning is preventable and there are several safety measures that can be exercised to reduce the risk of exposure. Dr. Asit Mehta, Gastrointestinal Specialist at Jamaica Hospital Medical Center shares the following tips to prevent contamination:

  • Clean hands and food preparation stations often– It is important to wash your hands. Unclean hands can spread germs and cause foodborne illness. It is equally as important to keep the areas where you prepare food clean; germs can thrive on hard surfaces as well.
  • Cook food at proper temperatures- The USDA recommends that you cook the following meats and poultry until they reach these internal temperatures:

Poultry (whole, pieces & ground): 165 °F /74 °C

Ground meats: 160 °F /71 °C

Beef, pork, lamb and veal (steaks, roasts & chops): 145 °F /63 °C

  • Keep raw and cooked foods separate- Avoid cross contamination of food by wrapping raw meats and poultry separately during storage. Keep them away from other foods in coolers or similar storage devices. Do not place cooked meats on plates or other utensils that previously contained raw meat; unless they have been properly cleaned with soap and hot water.
  • Refrigerate perishables and leftovers promptly- The Centers for Disease Control and Prevention (CDC) states that, “Germs can grow in many foods within 2 hours unless you refrigerate them. (During the summer heat, cut that time down to 1 hour.)”
  • Clean produce- Before cutting, preparing and serving produce, it is important to wash them.

Food poisoning is characterized by symptoms that include diarrhea, vomiting, fever, abdominal cramps and nausea. Symptoms may take a few hours or days to present.  These symptoms typically run their course and go away on their own.  Your doctor will recommend that you keep hydrated, and may suggest that along with water, drink clear broths and non-caffeinated sport drinks.  Getting plenty of rest and avoiding foods that contain dairy, alcohol, caffeine, high concentration of fats and seasoning may also be recommended.  Before taking over the counter medications such as anti-diarrhea medicine, consult your doctor first.

Dr. Mehta advises, “If severe symptoms such as the following persist, see your physician right away”:

  • Blood in vomit or stool
  • Diarrhea for more than three days
  • Frequent vomiting and the inability to keep liquids down
  • Signs of dehydration, such as lightheadedness, dizziness, excessive thirst, severe abdominal cramps,  weak or no urination and dry mouth
  • Neurological symptoms such as tingling in the arms, blurry vision and weakness in muscles
  • Confusion
  • Rapid heartbeat
  • Fever over 101.5 F

“Food poisoning can be very dangerous for the elderly, pregnant women and people with weakened immune systems. Do not take symptoms lightly in these individuals and seek treatment immediately,” warns Dr. Mehta.

Gastroenterologists specialize in the treatment of gastrointestinal, liver, and pancreatic disorders, including colorectal cancer screenings. Jamaica Hospital Medical Center’s Division of Gastroenterology consists of Board-Certified gastroenterologists who provide high quality and expert care to patients who suffer from such conditions in both inpatient and outpatient settings. To schedule an appointment with Dr. Mehta or any our gastroenterologists, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.