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Meet the Bugs

Date of publication: November 2001

Name
Possible Symptoms
(from most to least common)
Foods Linked to Outbreaks
How Soon it Typically Strikes
How Soon it Typically Goes
Bacillus cereus
(bacteria)
Two different forms of food poisoning:
Vomiting, nausea, occasional diarrhoea
Diarrhoea, abdominal pain, occasional nausea
Rice, starchy foods such as potato and pasta
Meat, casseroles, vegetable dishes, foods containing spices
1 to 6 hours (vomiting)
10 to 12 hours (diarrhoea)
12 to 24 hours
Campylobacter
(bacteria)
Muscle pain, headache, fever followed by diarrhoea (can be bloody), abdominal pain, nausea Undercooked chicken, raw milk, chicken liver paté, drinking water 2 to 5 days,
range 1 to 10 days
7 to 10 days
Ciguatera (toxin) Nausea, vomiting, diarrhoea, muscle pain, followed by neurological symptoms including headache, temperature reversal (hot things feel cold and cold things feel hot), dizziness, tingling, muscular weakness, irregular heartbeat Grouper, barracuda, snapper, jack, mackerel, triggerfish (caught in tropical regions)within 6 hours Several days (neurological symptoms can last for weeks or months)
Clostridium botulinum (bacteria) Nausea and vomiting followed by neurological symptoms including weakness, dizziness, double vision, difficulty speaking, swallowing and breathing, abdominal distension Canned or bottled foods, especially vegetables and seafood products, garlic in oil 12 to 36 hours Get treatment immediately
Clostridium perfringens
(bacteria)
Severe abdominal pain, watery diarrhoea, occasional vomiting and nauseaMeat dishes, especially rolled roasts, stuffed meat, soups, stews, gravies, pies10 to 12 hours, range 6 to 24 hours24 hours
Cryptosporidium parvum (parasite)Watery diarrhoea, vomiting, stomach cramps, weight lossDrinking water, raw fruits and vegetables, apple juice, raw milk, salads3 to 11 days2 to 4 days
Cyclospora (parasite) Watery diarrhoea; causes loss of appetite, weight loss, cramps, nausea, vomiting, muscle aches, low grade fever, extreme fatigue Raspberries, lettuce, basil and basil pesto 1 week A few days to 30 days or more
E.coli 0157:H7 (bacteria) Severe abdominal pain, watery (then bloody) diarrhoea, occasional vomiting Uncooked minced meat, raw milk, lettuce, sprouts, unpasteurised fruit juices 1 to 8 days Get treatment immediately
Giardia intestinalis (parasite)Diarrhoea, flatulence, stomach crampsRaw vegetables, drinking water, salads, fruit salad, sandwiches1 to 3 weeks4 to 6 weeks
Hepatitis A (virus) Fever, malaise, nausea, vomiting, loss of appetite, abdominal pain, jaundice Shellfish, salads, cold meats, sandwiches, fruits, vegetables, fruit juices, milk, milk products, infected food handlers 10 to 50 days 1 to several weeks
Listeria (bacteria) Non-invasive: Diarrhoea, fever, muscle pain, headache, occasional abdominal cramps and vomiting

Invasive: Fever, headache, diarrhoea, vomiting, septicaemia, encephalitis, meningitis, spontaneous abortion or stillbirth
Long shelf life products stored under refrigeration such as deli meat and poultry products, smoked seafoods, cheeses (particularly soft-ripened cheeses), pre-cooked sausage products. Also raw milk, corn salad, coleslawNon-invasive: 11 hours to 7 days

Invasive: 1 day to 3 weeks
Get treatment immediately
Norwalk-like Virus Nausea, vomiting, diarrhoea, abdominal pain, headache, low-grade fever Shellfish, salads, sandwiches, cold meats, infected food handlers 24 hours, range 10 to 50 hours 24 to 60 hours
Salmonella (bacteria) Nausea, vomiting, abdominal cramps, diarrhoea, fever, headache Raw meats, poultry, raw milk and dairy products, seafoods, fresh produce (including sprouts), foods handled by infected foodhandlers, eg kebabs, sandwiches6 hours to 2 days 1 to 7 days
Scombrotoxin (toxin) Tingling or burning sensation in the mouth, upper body rash, reduced blood pressure, headache, itching, nausea, vomiting, diarrhoea Fresh tuna, kahawai, mahi mahi, bluefish, sardines, mackerel, amberjack, abalone A few minutes to few hours3 hours to several days
Staphylococcus aureus
(bacteria)
Nausea, vomiting, abdominal cramps, occasional diarrhoeaHam, cooked meats, yoghurt, chicken salad, pasta dishes, bakery products, especially cream-filled, cheese2 to 4 hours, range 30 minutes to 7 hours12 to 24 hours
Vibrio parahaemolyticus (bacteria) Diarrhoea, abdominal pain, nausea, vomiting, headache, fever, chills raw oysters and clams, crabs, shrimp 4 hours to 4 days 1 to 7 days
Vibrio vulnificus (bacteria) Diarrhoea (in healthy people), bloodstream infection (in people with liver disease, diabetes, or weak immune systems) raw oysters and clams, crabs within 16 hours (diarrhoea) Get treatment immediately (bloodstream infection)
Yersinia enterocolitica (bacteria) Adults – abdominal pain, headache, fever, diarrhoea, nausea, vomiting
Children – watery, mucoid diarrhoea
Pork and pork products, dairy products, fruit, vegetables, tofu7 days, range 1 to 11 days2 to 3 days

Sources: Centres for Disease Control, Center for Science in the Public Interest, Environmental Pretection Agency, Food and Drug Administration, US Department of Agriculture; collated information "Nutrition Action Healthletter", Meet the Bugs, page 9, October 1999.
New Zealand Ministry of Health (2001) Microbiological Data Sheets. Client report number FW0147.


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