| Food Safety and Inspection
Service United States Department of Agriculture Washington, D.C. 20250-3700 |
Persons with Acquired Immunodeficiency Syndrome (AIDS) are susceptible to many types of infection including illness from foodborne pathogens. They are at higher risk than are otherwise healthy individuals for severe illness or death. Affected persons must be especially vigilant when handling and cooking foods. The recommendations provided here are designed to help prevent bacterial foodborne illness.
| Why Do Bacteria Endanger People with AIDS? | When the AIDS virus damages or destroys the body's immune system, the person becomes more vulnerable to infection by foodborne bacteria and other pathogens. For example, the common pneumonia, which is caused by a bacterial infection of the lungs, can occur in any individual but occurs much more frequently in persons with AIDS. In addition, when pneumonia strikes a person with AIDS, it causes a more severe illness and is thus more dangerous. |
| What Types of Foodborne Bacteria are of Particular Concern to Persons with AIDS? | Certain types of foodborne illness are caused by bacteria
which can grow on food. The bacteria can infect humans when the food is improperly handled
or inadequately cooked. As with many other types of infections, persons with AIDS are at
higher risk for developing severe illness or dying from these illnesses. Three types of
bacteria are of particular concern for persons with AIDS: Salmonella, Campylobacter
jejuni, and Listeria monocytogenes. Salmonella bacteria are the most common cause of foodborne illness. The bacteria are commonly found on raw or undercooked meats (especially poultry) and can be found in eggs even before they are cracked open. Salmonellosis can affect anyone, but occurs almost 100 times more frequently in persons with AIDS than in otherwise healthy persons. Furthermore, Salmonella infections, which occur in persons with AIDS, can be particularly difficult to treat and are more likely to lead to serious complications. Illness from Campylobacter jejuni is also caused by a bacteria that can sometimes be found on food, especially raw poultry. This illness occurs about 35 times more frequently in persons with AIDS than in otherwise healthy persons. Many persons contract this form of food poisoning by improperly handling or cooking poultry. Raw milk and contaminated drinking water can also be sources of Campylobacter infections. Listeriosis is caused by Listeria monocytogenes which can be found on many different types of food. Listeria infections are much more common in persons with AIDS than healthy people. Listeria infections in AIDS patients are usually severe and are often fatal. Listeria monocytogenes can be acquired from a variety of foods including soft cheeses that are unpasteurized and some ready-to-eat foods such as hot dogs or deli meats. |
| How Can Persons with AIDS Prevent Foodborne Illness? | Food must be handled safely at every stage from purchase through consumption. Critical points are transporting perishable foods home from the store immediately; prompt, safe storage; thorough cooking to destroy bacteria and other pathogens; and prompt refrigeration of leftovers. |
| How to Shop Safely for Perishable Food | When shopping for raw and cooked perishable foods, be sure the food is being stored at a safe temperature in the store. Don't select perishable food from a non-refrigerated aisle display. Never choose packages which are torn or leaking. To guard against cross-contamination, put raw meat and poultry into a plastic bag so meat juices won't drip on other foods, such as lettuce and fruit that will be eaten raw. Put refrigerated or frozen items in the shopping cart last, and take food home immediately. |
| Deli Foods | When ordering food from the deli department, be sure the clerk washes his hands between handling raw and cooked items, or puts on new plastic gloves. Don't buy cooked ready-to-eat items which are touching raw items or are displayed in the same case. Although the risk associated with foods from deli counters is relatively low, persons at risk may choose to avoid these foods or thoroughly reheat luncheon meats and hot dogs before eating. |
| Shelf-Stable Foods | Don't purchase cans that are dented, leaking, or bulging;
food in cracked glass jars; or food in torn packaging. Tamper-resistant safety seals
should be intact. Safety buttons on metal lids should be down and should not move or make
a clicking noise when pushed. Although product dating is not required by Federal regulations, observe any "use-by" dates found on products. Do not use if beyond expiration date! Follow carefully the handling and preparation instructions on product labels to ensure top quality and safety. |
| Food Storage At Home | Immediately refrigerate or freeze perishable foods after
transporting them home. Use a refrigerator thermometer to be sure the refrigerator is
cooling to 40 °F or below; the freezer should be at 0 °F. Refrigerator. Make sure thawing juices from meat and poultry do not drip on other foods. Leave eggs in their carton for storage and don't place them in the door of the refrigerator. Keep the refrigerator clean. Store ground meat, poultry, and fish up to 1 or 2 days; other red meats, 3 to 5 days. After cooking, use within 3 to 4 days, or freeze for longer storage. Freezer. Food stored constantly at 0 °F will always be safe. Only the quality suffers with lengthy storage. It is of no concern if a product date expires while the product is frozen. Freezing keeps food safe by preventing the growth of microorganisms that cause both food spoilage and foodborne illness. Once thawed, however, these microbes can again become active, so handle thawed items as any perishable food. Pantry. Store canned foods and other shelf stable products in a cool, dry place. Never put them above the stove, under the sink, in a damp garage or basement, or any place exposed to high or low temperature extremes. Store high acid foods such as tomatoes and other fruit up to 18 months; low acid foods such as meat and vegetables, 2 to 5 years. |
| Food Handling At Home | Foodborne illness can be caused by improper food handling or preparation in the home. Wash hands, utensils, can openers, cutting boards, and countertops in hot, soapy water before and after coming in contact with raw meat, poultry, or fish. Wash kitchen towels and cloths often in hot water in a washing machine. |
| Eating Out | Many cases of foodborne illness are caused by restaurant, take-out, and deli-prepared foods. People at risk should avoid the same foods when eating out as they would at home. Meat, poultry, and fish should be ordered well done; if the food arrives undercooked, it should be sent back. |
| Cutting Boards | Plastic or glass surfaces should be used for cutting raw meat
and poultry. However, wooden cutting boards used exclusively for raw meat and
poultry are acceptable. Use a different board for cutting other foods such as produce and
bread. This will prevent bacteria from a meat or poultry product from contaminating
another food. Wash cutting boards with hot, soapy water after each use; then rinse and air dry or pat dry with fresh paper towels. Non-porous acrylic, plastic, or glass boards and solid wood boards can be washed in an automatic dishwasher (laminated boards may crack and split). Sanitize both wooden and plastic cutting boards with a solution of one teaspoon liquid chlorine bleach per quart of water. Flood the surface with the bleach solution and allow it to stand for several minutes, then rinse and air dry or pat dry with fresh paper towels. Alternatively, use a commercial sanitizing agent and follow the directions on the product. |
| Cooking Food Safely | Do not eat raw or undercooked meat, poultry, fish, or eggs. For people with AIDS, the most important thing is to use a meat thermometer to be sure meat, fish, eggs, and casseroles reach at least 160 °F. Roast whole poultry to 180 °F; poultry breasts to 170 °F. When reheating foods in the microwave, cover and rotate or stir foods once or twice during cooking and check the food in several spots with a thermometer. |
| Safe Handling of Leftovers | Bacteria begin to multiply rapidly in the "danger
zone" between 40 °F (recommended refrigerator temperature) and 140 °F. Therefore,
bacteria on food left out at room temperature will become unsafe in a matter of hours.
Refrigerate leftovers at 40 °F or below or freeze (0 °F) as soon as possible, but never
leave food out more than 2 hours. Divide leftovers into shallow containers. This encourages rapid, even cooling. Cover with airtight lids or enclose in plastic wraps or aluminum foil. Use leftovers within 3 to 4 days. |
| Safe Reheating of Leftovers | Even though foods may have been safely cooked, bacteria from the air or people's hands can contaminate the leftovers. Always reheat leftovers thoroughly in a conventional or microwave oven or on the stove top. When reheating foods in the microwave, cover and rotate or stir foods once or twice during cooking. Always test reheated leftovers in several places with a meat thermometer to be sure they reach 165 °F throughout. The food should be steaming hot. |
| Traveling Abroad | Persons with AIDS should take additional precautions when traveling abroad. Boil all water. Drink only canned or carbonated bottled drinks or use beverages and ice made with boiled water. Avoid uncooked vegetables and salads. All fruit should be peeled. All foods should be cooked thoroughly and eaten while still hot. |
FOR MORE INFORMATION
For additional food safety information about meat, poultry, or eggs, call the toll-free USDA Meat and Poultry Hotline at 1 (800) 535-4555; Washington, DC, call (202) 720-3333; TTY: 1 (800) 256-7072. It is staffed by home economists, dietitians, and food technologists from 10 a.m. to 4 p.m. Eastern time, year round. An extensive selection of food safety recordings can be heard 24 hours a day using a touch-tone phone.
The media may call Bessie Berry, Manager, USDA Meat and Poultry Hotline, at (202) 720-5604.
Information is also available from the FSIS Web site: http://www.fsis.usda.gov/
Centers for Disease Control (CDC) National AIDS Hotline (toll-free, Eastern time):
FOOD HANDLING RECOMMENDATIONS FOR PEOPLE WITH AIDS
FOOD |
RECOMMENDATIONS |
Meat, fresh |
Cook to 160 °F. After cooking, refrigerate
in cool shallow containers within 2 hours; use within 3 to 4 days. |
Poultry, fresh whole,
unstuffed |
Cook to 180 to 185 °F or until juices run
clear. |
Deli sliced meats |
Avoid or heat before eating until steaming hot. |
Hot dogs |
Heat until steaming hot. |
Eggs, fresh Egg products, liquid or dried |
Never eat raw. Don't buy eggs with cracked
or dirty shells. Cook yolk and white until firm, not runny. |
Fish |
Never eat raw. Cook to 160 °F or until
flakes easily with a fork. |
Home canned foods |
Boil 10 minutes before eating. Use within 1 year of canning. |
Commercially canned foods |
Safe to eat without further cooking. Refrigerate after opening; use leftovers within 3 to 4 days. |
Fruits, fresh |
Rinse well under cool, running water. Discard any with mold. Don't let cut fruit sit at room temperature; refrigerate it promptly. |
Vegetables, fresh |
Rinse well under cool, running water. Consume raw or cook. After cooking, refrigerate in shallow containers within 2 hours; use within 3 to 4 days. |
Milk, cheese |
Use only pasteurized products. |
Bakery products |
Store in refrigerator; do not eat any with mold. |
Dry products: pasta, beans, rice, cereal, etc. |
Safe in the pantry unless products get wet and moldy. After cooking, refrigerate in shallow containers within 2 hours; use within 3 to 4 days. |
Condiments: mayonnaise, mustard, ketchup, pickles, etc. |
Use a clean knife when dipping into jars. Keep jars refrigerated. Don't use homemade mayonnaise made with raw eggs. |
Leftover cooked foods |
Reheat to 165 °F or until steaming hot. |
Baby food |
Don't feed baby from jar; remove serving amount to a small dish. Discard any uneaten food. Store opened jars of strained fruits and vegetables in refrigerator 2 to 3 days; meats and eggs, 1 day. |
| Infant formula, milk | Discard any unused formula or milk left in bottle after feeding; store fresh bottles of formula 2 days in refrigerator; milk, 5 days. |
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For Further Information Contact:
FSIS Food Safety Education Staff
Meat and Poultry Hotline:
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