Causes of food poisoning

Food can become contaminated at any stage during its production, processing or cooking.

For example,it can become contaminated by:

• not cooking food thoroughly (particularly meat)
• notcorrectly storing food that needs to be chilled at below 5C
• keeping cooked food unrefrigerated for a long period
• eating food that has been touched by someone who is ill or has been in contact with someone with Traveller's diarrhoea and vomiting
• cross-contamination (where harmful bacteria are spread between food, surfaces and equipment)

Cross-contamination can occur, for example, if you prepare raw chicken on a chopping board and don't wash the board before preparing food that won't be cooked (such as salad), as the harmful bacteria can be spread from the chopping board to the salad.

Itcan also occur if raw meat is stored above ready-to-eat meals and juices from the meat drip on to the food below.

See preventing food poisoning for information about reducing these risks.

Types of infection

Food contamination is usually caused by bacteria, but it can also sometimes be caused by viruses or parasites. Some of the main sources of contamination are described below.

Campylobacter

In the UK, campylobacter bacteria are the most common cause of food poisoning. The bacteria are usually found on raw or undercooked meat (particularly poultry), unpasteurised milk and untreated water.

The incubation period (the time between eating contaminated food and the start of symptoms) for food poisoning caused by campylobacter is usually between two and five days. The symptoms usually last less than a week.

Salmonella

Salmonella bacteria are often found in raw or undercooked meat, raw eggs, milk, and other dairy products.

The incubation period is usually between 12 and 72 hours. The symptoms usually last around four to seven days.

This is particularly important for pregnant women, because a listeria infection (known as listeriosis) in pregnancy can cause pregnancy and birth complications, and can result in miscarriage .

The incubation period can vary considerably, from a few days to several weeks. The symptoms will usually pass within three days.

coli)

Escherichia coli, often known as E. coli, are bacteria found in the digestive systems of many animals, including humans. Most strains are harmless but some can cause serious illness.

Most cases of E. coli food poisoning occur after eating undercooked beef (particularly mince, burgers and meatballs) or drinking unpasteurised milk.

The incubation period for food poisoning caused by E. coli is typically one to eight days. The symptoms usually last for a few days or weeks.

Shigella

Shigella bacteria cancontaminate any food that has been washed in contaminated water.

Symptoms typically develop within seven days of eating contaminated food and last for up to a week.

An infection caused by Shigella bacteria is known as bacillary dysentery or shigellosis. See the topic on dysentery for more information about it.

Viruses

The virus that most commonly causes diarrhoea and vomiting is the norovirus . It's easily spread from person to person, through contaminated food or water. Raw shellfish, particularly oysters, can also be a source of infection.

The incubation period typically lasts 24-48 hours and the symptoms usually pass in a couple of days.

In young children, the rotavirus is a common cause of infection from contaminated food. The symptoms usually develop within a week and pass in around five to seven days.

Parasites

In the UK, food poisoningcaused by parasites is rare. It's much more common in the developing world.

Parasitic infections that can be spread in contaminated food include:

• giardiasis an infection caused by a parasite called Giardia intestinalis
• cryptosporidiosis an infection caused by a parasite called Cryptosporidium
• ameobiasis a type of dysentery caused by a single-cell parasite (ameoba) called Entamoeba histolytica (this is very rare in the UK)

The symptoms of food poisoning caused by a parasite usually develop within 10 days of eating contaminated food, although sometimes it may be weeks before you feel unwell.

If left untreated, the symptoms can last a long time sometimes several weeks or even a few months.