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Food Contamination Sources

Abstract
Food products are rich in nutrients required by microorganisms and may
become contaminated. Major contamination sources are water, air, dust,
equipment, sewage, insects, rodents, and employees.
Contamination of raw materials can also occur from soil, sewage, live animals,
external surfaces, and the internal organs of meat animals. Additional contami-
nation of animal foods originates from diseased animals, although advances in
health care have nearly eliminated this source. Contamination from chemical
sources can occur through accidental mixing of chemical supplies with foods.
Ingredients can contribute to additional microbial or chemical contamination.
Contamination can be reduced through effective housekeeping and sanitation,
protection of food during storage, proper disposal of garbage and litter, and
protection against contact with toxic substances.

Keywords
Contamination • Contamination sources • Cross-contamination • Foods •
Infection

find their way to the carcass surfaces during


Introduction harvesting. Some apparently healthy animals
may harbor various microorganisms in the liver,
Most foods provide an ideal nutrition source for kidneys, lymph nodes, and spleen. These micro-
microorganisms and generally have a pH value organisms and those from contamination through
and water activity in ranges needed to contribute the slaughter process can migrate to the skeletal
to growth and proliferation. During growing, har- muscles via the circulatory system. When car-
vesting, transporting, processing, distribution, casses and cuts are subsequently handled through
and preparation, food is contaminated with soil, food distribution channels, where they are
air, and waterborne microorganisms. Extremely reduced to retail cuts, they are subjected to an
high numbers of microorganisms are found in increasing number of microorganisms from the
meat animals’ intestinal tracts, and some of these cut surfaces. The fate of these microorganisms

© Springer International Publishing AG, part of Springer Nature 2018 83


N.G. Marriott et al., Principles of Food Sanitation, Food Science Text Series,
https://doi.org/10.1007/978-3-319-67166-6_5
84 5  Food Contamination Sources

and those from other foods depends on several Agent


important environmental ­factors, such as the abil-
ity of the organisms to utilize fresh food as a sub-
strate at low temperatures. In addition, oxygenated
conditions and high water activity will segregate
those microorganisms most capable of rapid and
progressive growth under these conditions.
Host Environment
Refrigeration, one of the most viable methods
for reducing the effects of contamination, is Fig. 5.1  The epidemiologic triangle (CDC 2011)
widely applied to foods in commercial food pro-
cessing, food retailing, foodservice, and food dis-
tribution. Its use has prevented outbreaks of by S. aureus, C. botulinum, and Bacillus
foodborne illness by effectively controlling cereus (emetic or vomiting syndrome).
microbial growth. When the correct techniques 3. A toxicoinfection (toxin-mediated infection)
for cooling food and cold storage of these prod- is caused when some pathogenic organisms,
ucts are not followed, organisms that are present capable of producing a toxin in the body, are
will grow. The growth rate of microorganisms ingested. Organisms causing toxicoinfections
may sustain a large increase in an environment include C. perfringens, Bacillus cereus (diar-
slightly above the minimal temperature required rheal syndrome), and Shiga toxin-­producing
for growth. Generally, foods cool slowly in air, E. coli (Knechtges 2012).
and the cooling rate decreases with increased con-
tainer size, so it is very difficult to properly cool
large volumes of food. Many Clostridium perfrin- Transfer of Contamination
gens foodborne illness outbreaks have been
caused when large containers of food or broth When describing how a foodborne illness (or any
were allowed to cool slowly. infectious disease) is caused, a simple model called
Identification of contamination sources in a the epidemiologic triangle or triad is often used to
food production facility impacts directly the ulti- illustrate the concept (CDC 2011) (Fig. 5.1).
mate effectiveness of an establishment’s sanita- The triangle consists of an external agent (a
tion control strategies. Both direct and indirect pathogenic microorganism that must be present),
food contact surfaces, water, air, and personnel are a susceptible host (a human who can get the ill-
primary areas of concern as contamination sources ness), and an environment that brings the agent
in a food facility. Food products may transmit cer- and host together. The environment consists of
tain microorganisms, causing foodborne illness in the external factors, such as physical, biological,
several ways, including through infections, intoxi- and socioeconomic factors, that affect the agent
cations, or toxicoinfections (toxin-mediated infec- and the opportunity for exposure (CDC 2011).
tion) as indicated by Knechtges (2012): The goal is to break at least one side of the trian-
gle to disrupt the connection between these
1. An infection is caused when a pathogenic bacte- ­components and prevent a disease from occur-
rium present in a food is ingested and then mul- ring. From the epidemiologic triangle, specific
tiplies, as is true for Salmonella, Campylobacter, transmission of an agent occurs through sequence
Listeria, and some enteropathogenic Escherichia of events called the chain of infection (CDC
coli. Most foodborne illnesses are infections 2011) that will be described below.
caused by bacteria, viruses, and parasites.
2. An intoxication is caused when certain toxin-­
producing microorganisms present in foods, T  he Chain of Infection
multiply, sporulate, or lyse, releasing the toxin
in the food. The food is then ingested, causing A chain of infection is a series of related events
illness. Examples of such infections are caused or factors that must exist or materialize and be
Transfer of Contamination 85

Fig. 5.2  The chain of infection

linked together before an infection will occur. young and the elderly), chronic diseases, spe-
These links can be identified as the reservoir, the cific immunity, medical conditions that
portal of exit (CDC 2011), the mode of transmis- weaken the immune system, certain types of
sion, the portal of entry, host, and the infectious medications, malnutrition, and alcoholism.
disease and are illustrated in Fig. 5.2 (CDC 6. Infectious Disease. An example is, a microor-
2011). ganism that is capable of causing illness, includ-
The essential links in the chain of infection are ing bacteria, viruses, and parasites. Organisms
all necessary for the transmission of an infectious can cause an infection based on their virulence
disease and include the following: (ability to multiply and grow), invasiveness
(ability to enter tissues), and pathogenicity
1. Reservoir. This is the location where the patho- (ability to cause disease) (CDC 2011).
genic microorganism usually lives, grows, and
multiplies. Examples of reservoirs include ani- More specifically, the causative factors that
mals and raw foods of animal origin, other are necessary for the transmission of a bacterial
foods, plants, soil, water, a biofilm or microbial foodborne disease have been described by Bryan
niche, and the human body (in fecal material, (1979) and are listed below:
respiratory secretions, etc.).
2. Portal of Exit. This is where the microorganism 1. The causative agent must be in the environ-
leaves the reservoir and includes places like the ment in which the food is produced, pro-
nose, mouth, in respiratory secretions, the cessed, or prepared.
intestinal tract, a biofilm, or microbial niche. 2. A source (or reservoir) of the agent.
3. Mode of Transmission. This is the mechanism 3. Transmission of the agent from the source to a
where an agent may be transmitted from its food.
reservoir to a susceptible host by either direct 4. The food must support the growth of the

transmission (from reservoir to a susceptible microorganism.
host) or by indirect transmission (through the 5. The food must be kept in a temperature range
air), through vehicles like food and water and for a sufficient time to permit growth to a level
by inanimate objects (contaminated surfaces capable of causing infection or intoxication.
of equipment, utensils, etc.) or through vec- 6. The susceptible host consumes the contami-
tors such as insects. nated food.
4. Portal of Entry. This is the way that pathogens
enter the susceptible host. For foodborne ill- Conditions such as required nutrients, water
nesses, the primary portal of entry is the inges- activity, pH, oxidation-reduction potential, lack
tion of pathogen-contaminated food (often via of competitive microorganisms, and lack of
the “fecal-oral” route), and for non-foodborne inhibitors must also exist for bacterial patho-
infections primary portals of entry include the gens to survive and grow.
respiratory tract, mucous membranes, and blood. Foodborne illnesses caused by viruses, para-
5. Susceptible Host. This is a person who is at sites, and chemicals require only factors 1, 2, 3,
risk for developing an infection. There are and 6. Illnesses caused by plant toxicants or toxic
several factors that make a person more sus- animals require only factors 1, 2, and 6 (Bryan
ceptible to disease including age (the very 1979).
86 5  Food Contamination Sources

Fig. 5.3 Hygienic Environmental Monitoring Sampling Zones


zoning in food
processing facilities for Zone 4 – Non-food-contact surfaces, outside of the
environmental processing area from which environmental pathogens
monitoring sampling can be introduced into the processing environment
and sanitation (Courtesy Zone 3 – More remote non-food-contact surfaces that
of the Food Safety are in the process area and could lead to contamination
of Zones 1 and 2
Preventive Controls
Alliance (FSPCA 2015)) Zone 2 – Non-food-contact surfaces that are in close
proximity to food and food-contact surfaces

Zone 1 – Food-contact surface

Sample Zones 2, 3 and 4 to prevent contamination in Zone 1.

The chain of infection emphasizes the multi- The hygienic zoning approach is designed as a
ple causation of foodborne diseases. The pres- target with the center circle (or bull’s eye) desig-
ence of the disease agent is indispensable, but all nated as Zone 1 representing the zone of highest
of the steps are essential in the designated risk and most critical areas for environmental
sequence before a foodborne disease can result. monitoring and cleaning and sanitizing. Zone 1
For an illness to develop, each link of the chain represents direct food contact surfaces that
must be connected, but when any link of the include, but are not limited to, production equip-
chain is broken, the transmission is stopped ment, utensils, and container conveyors, tables,
(CDC 2011). racks, pumps, valves, slicers, filling and packag-
ing machines, etc. (ICMSF 2002; FSPCA 2015).
The second circle (Zone 2) of the target includes
Contamination of Foods the areas adjacent to food contact surfaces. These
are considered indirect food contact surfaces and
A viable way for the identification of contamina- include the exterior of equipment, equipment
tion sources in food facilities is to incorporate the panels, bearings, aprons, or other surfaces that
concept of “hygienic zoning” to environmental are in close proximity to the product flow in Zone
monitoring (ICMSF 2002) that has been advanced 1 and could indirectly lead to product contamina-
by the former Kraft Foods Company, adopted by tion (ICMSF 2002; FSPCA 2015). Zone 3
many other food companies (Slade 2002) and includes all other items in the food processing
noted in the Food Safety Modernization Act area of the facility such as floors, walls, ceilings,
(FSMA) training program on Preventive Controls drains, and other equipment. Zone 4 includes the
for Human Food (FSPCA 2015). non-production areas of a facility such as hall-
This concept is an effective way to identify ways, employee locker rooms, cafeteria, mainte-
areas in a food processing environment that have nance shops and equipment, and areas further
different levels of risk and can be used to select away from the production area (ICMSF 2002;
sites for a plant environmental sampling program. FSPCA 2015).
It can also be used to maintain effective sanitation One of the most viable contamination sources
control strategies through targeting specific areas is the food product itself. Waste products that are
of concern in the facility. Hygienic zoning is used not handled in a sanitary way become contami-
to identify areas of the highest risk (Zone 1) to the nated and support microbial growth. ATP biolu-
lowest risk (Zone 4) and differentiate sanitation minescence and protein test kits are nonmicrobial
requirements in different areas of the facility to tests that can be used to rapidly detect soil and
minimize product contamination (Fig. 5.3). organic material that are left on a surface and
Contamination of Foods 87

Food Workers

Respiratory Tract
Skin and Hair Contamination Intestinal Tract Contamination
Contamination
(open sores, cuts, boils, dandruff) from hands and faces
Coughing/Sneezing

Food Preparation

Food Consumption

Foodborne Illness

Fig. 5.4  Potential contamination of food by humans

cannot be seen by the naked eye. ATP biolumi- (Additional discussion related to contamination
nescence test kits detect any cells that contain of dairy products is presented in Chap. 16.)
ATP and are often used as a validation of the
effectiveness of the cleaning and sanitizing pro-
cess (Powitz 2007). Protein tests are also used to Red Meat Products
detect surface contamination and identify protein
in soils, which is an indicator of contamination The muscle tissues of healthy living animals are
such as fecal material. Figure 5.4 illustrates nearly free of microorganisms. Contamination of
potential contamination by humans. meat occurs from the external surface, such as
hair, skin, and the gastrointestinal and respiratory
tracts. The animal’s white blood cells and the
Dairy Products antibodies developed throughout their lives effec-
tively control infectious agents in the living body.
Equipment with extensively designed sanitary These internal defense mechanisms are destroyed
features to improve the hygiene of milk when blood is removed during slaughter.
­production and to eliminate disease problems in Initial microbial inoculation of meat results
dairy cows has contributed to more wholesome from the introduction of microorganisms into the
dairy products, although contamination can vascular system when contaminated knives are
occur from the udders of cows and milking used for exsanguination. The vascular system
equipment. The subsequent pasteurization in pro- rapidly disseminates these microorganisms
cessing plants has further reduced milk-borne throughout the body. Contamination subse-
disease microorganisms. Nevertheless, dairy quently occurs by the introduction of microor-
products are vulnerable to cross-contamination ganisms on the meat surfaces in operations
from items that have not been pasteurized. performed during the slaughter process, hide
Because not all dairy products are pasteurized, removal, cutting, processing, storage, and distri-
the presence of pathogens (including Listeria bution of meat. Other contamination can occur
monocytogenes) in this industry has increased. by contact of the carcass with the hide, feet,
88 5  Food Contamination Sources

manure, dirt, and visceral contents from punc- are produced (or processed) in accordance with
tured digestive organs. recognized good practices, should be used. This
requirement also applies to control of testing of
critical materials, either by the manufacturing
Poultry Products firm, receiving establishment, or both.

Poultry is vulnerable to contamination by bacte-


ria such as Salmonella and Campylobacter dur- Other Contamination Sources
ing processing. The processing of poultry,
especially defeathering, evisceration, and chill- Equipment
ing, permits an opportunity for the distribution
of microorganisms among carcasses. Contamination of equipment occurs during pro-
Contaminated hands and gloves and other tools duction, as well as when the equipment is idle.
of processing plant workers also contribute to Even with sanitary design features, equipment
the transmission of salmonellae. A more detailed can collect microorganisms and other debris from
discussion of meat and poultry plant sanitation is the air, as well as from employees and materials.
in Chap. 17. Product contamination of equipment is reduced
through improved sanitary design and more
effective cleaning and sanitizing according to
Seafood Products master sanitation schedule.

Seafoods are excellent substrates for microbial


growth and are vulnerable to contamination Employees
during harvesting, transportation, processing,
­
distribution, and marketing. They are excellent Of all the viable means of exposing microorgan-
sources of proteins and amino acids, B vitamins, isms to food, employees are the largest contami-
and a number of minerals required for bacterial nation source. Employees who do not follow
nutrition. Seafoods are handled extensively from sanitary practices contaminate food that they
harvesting to consumption, and since they are touch with spoilage and pathogenic microorgan-
sometimes stored without proper refrigeration, isms that they come in contact with through work
contamination and growth of spoilage microor- and other parts of the environment. The hands,
ganisms and microbes of public health concern hair, nose, and mouth harbor microorganisms
can occur. (Chap. 18 provides additional discus- that can be transferred to food during processing,
sion related to seafood contamination.) packaging, preparation, and service by touching,
breathing, coughing, or sneezing. Because the
human body is warm, microorganisms proliferate
Ingredients rapidly, especially in the absence of good per-
sonal hygiene and sanitary practices.
Ingredients (especially spices) are potential vehi- After the chain of infection is broken, the
cles of harmful or potentially harmful microor- spread of bacteria from one location to another can
ganisms and toxins. The amounts and types of be prevented. Generally, the mishandling of food
these agents vary with the origin of the spices and by people perpetuates the chain of infection until
harvest method, type of food ingredient, process- someone becomes ill or dies before corrective
ing technique, and handling. The food plant man- actions were taken to prevent additional outbreaks
agement team should be aware of the hazards (Chao 2003). If every person that works with food
connected with individual incoming ingredients. could achieve appropriate personal hygiene and
Only supplies and materials from approved perform sanitary practices regularly and routinely,
sources, which meet company specifications and food contamination could be minimized. Every
Protection Against Contamination 89

employee who works with food can play a vital grown. (Additional discussion related to sewage
role in preventing food contamination. treatment is presented in Chap. 12.)

Air and  Water Insects and Rodents

Water is used in production and preparation of Flies and cockroaches are associated with homes,
fresh fruits and vegetables, is an ingredient eating establishments, food processing facilities,
added in the formulation of various processed and food warehouses, as well as with toilets, gar-
foods, and serves as a key component of the bage, and other filth. These pests transfer filth
cleaning and sanitizing operation. It can also from contaminated areas to food through their
serve as a source of contamination. If excessive waste products; mouth, feet, and other body
contamination exists, another water source parts; and with flies, during regurgitation of filth
should be obtained, or the existing source should onto clean food and equipment. To stop contami-
be treated with chemicals after other methods to nation from these pests, food processing, prepa-
assure its safety. ration, and serving areas should be protected
Contamination can result from airborne micro- against their entry, and if they do find entry, then
organisms in food processing, packaging, stor- eradication is necessary. In addition, other stored
age, and preparation areas. This contamination product pests can also contaminate foods result-
can result from unclean air surrounding the food ing in infestation, contamination, and spoilage.
plant or from contamination through improper Rats and mice transmit filth and disease through
sanitary practices. The most effective methods of their feet, fur, and intestinal tract. Like flies and
reducing air contamination are through sanitary cockroaches, they transfer filth from garbage
practices, filtering of air entering the food pro- dumps, sewers, and the e­ nvironment where they
cessing and preparation areas, and protection live to food and food facilities. (Discussion about
from air by appropriate packaging techniques and the control of rodents, insects, and other pests is
materials. provided in Chap. 13.)

Sewage Protection Against Contamination

Raw, untreated sewage can contain pathogens The Environment


that have been eliminated from humans and ani-
mals, as well as other materials of the environ- Ready-to-eat foods should not be touched with
ment. Microorganisms present in raw sewage can bare hands when consumed raw or after cooking,
cause typhoid and paratyphoid fevers, dysentery, and food workers should also minimize bare
and infectious hepatitis. Sewage has contami- hand contact with foods that are not in a ready to
nated food and equipment through faulty plumb- eat form. Contact with hands can be reduced by
ing in food facilities. the use of clean, intact disposable plastic gloves,
If raw sewage drains or flows into potable utensils, or deli paper during food processing,
water lines, wells, irrigation ponds, rivers, lakes, preparation, and service. A processed or prepared
and ocean bays, the water and living organisms food, either in storage or ready for serving or
such as seafood are contaminated. To prevent this holding, should be covered with a close-­fitting
contamination, large animal production opera- clean cover that will not collect loose dust, lint,
tions, privies, and septic tanks should be suffi- or other debris. If the nature of the food does not
ciently separated from wells, streams, and other permit this method of protection, it should be
bodies of water. Raw sewage should not be placed in an enclosed, dust-free cabinet at the
applied to fields where fruits and vegetables are appropriate temperature. Foods in small modular
90 5  Food Contamination Sources

wrappers or containers, such as milk and juice, The preferred disposal method (required by some
should be dispensed directly from those pack- regulatory agencies) is to use containers for gar-
ages. If foods are served from a buffet, they bage that are separated from those for disposal of
should be presented on a steam table (or other litter and rubbish. Clean, disinfected receptacles
warming unit) or ice tray (or refrigerated unit), should be located in work areas to accommodate
depending on temperature requirements, and waste food particles and packaging materials.
should be protected during display by a transpar- These receptacles should be seamless, with close-­
ent shield over and in front of the food. The shield fitting lids that should be kept closed except when
will protect the food against contamination from the receptacles are being filled and emptied.
the serving area (including ambient air), from Plastic liners are inexpensive, provide added pro-
handling by those being served, and from sneezes, tection, and can be removed quickly. All recep-
coughs, or other employee- and customer-­ tacles should be washed and disinfected regularly
originated contamination. Any food that has and frequently, usually daily. Containers in food
touched any unclean surface should be cleaned processing and food preparation areas should not
thoroughly or discarded. Equipment and ­utensils be used for garbage or litter, other than that pro-
for food processing, packaging, preparation, and duced in those areas.
service should be cleaned and sanitized between
uses. Foodservice workers should be instructed
to handle dishes and eating utensils in such a way Toxic Substances
that their hands do not touch any surface that will
be in contact with food or the consumer’s mouth. Poisons and toxic chemicals should not be stored
near food products. In fact, only chemicals
required for cleaning and sanitizing should be
Storage stored in the same premises. Cleaning com-
pounds should be clearly labeled and, when pos-
Storage facilities should provide adequate space sible, be stored in their original containers. Only
with appropriate control and protection against cleaning and sanitizing compounds, supplies,
dust, insects, rodents, and other extraneous mat- utensils, and equipment approved by regulatory
ter. Organized storage layouts with appropriate or other agencies should be used in food han-
stock rotation can frequently reduce contamina- dling, processing, and preparation.
tion and facilitate cleaning and can contribute to
a tidier operation. In addition, storage area floors
should be swept or scrubbed and shelves and/or Study Questions
racks cleaned with appropriate cleaning com-
pounds and subsequent sanitizing. (Chaps. 9 and 1 . What is the chain of infection?
10 discuss appropriate cleaning compounds and 2. What is the major contamination source of
sanitizers.) Trash and garbage should not be per- food?
mitted to accumulate in a food storage area. 3. Which microorganism is most likely to cause
foodborne illness if large quantities of food
have been stored in slowly cooling containers?
Litter and Garbage 4. Which pathogenic microorganism may be

found in unpasteurized dairy products that
The food industry generates a large volume of have become cross-contaminated?
wastes including used packaging materials, 5. What is the best way to reduce contamination
containers, and waste products. To reduce
­ from food equipment?
­contamination, refuse should be placed in appro- 6. How can sewage-contaminated water, if con-
priate containers for removal from the food area. sumed, affect humans?
References 91

References International Commission on Microbiological


Specifications for Foods (ICMSF) (2002).
Microorganisms in foods 7. Microbiological testing in
Bryan FL (1979). Epidemiology of foodborne diseases.
food safety management. Kluwer Academic/Plenum
In Food-borne infections and intoxications, eds.
Publishers: New York, NY.
Riemann H, Bryan FL. 2nd ed., 4. Academic Press:
Knechtges PL (2012). Food safety: Theory and practice.
New York. p. 3.
Jones and Bartlett Learning: Burlington, MA.
CDC (2011). Principles of epidemiology in public health
Powitz RW (2007). ATP systems help put clean to the
practice. An introduction to applied epidemiology and
test. Food Saf Mag June/July. http://www.foodsafe-
biostatistics. 3rd ed. https://www.cdc.gov/ophss/csels/
tymagazine.com/magazine-archive1/junejuly-2007/
dsepd/ss1978/lesson1/section8.html
atp-systems-help-put-clean-to-the-test/
Chao TS (2003). Workers’ personal hygiene. In Food
Slade PJ (2002). Verification of effective sanitation
plant sanitation, eds. Hui YH, et al. Marcel Dekker,
control strategies. Food Saf Mag 8(1): 24. http://
Inc.: New York.
www.foodsafetymagazine.com/magazine-archive1/
Food Safety Preventive Controls Alliance (FSPCA)
februarymarch-2002/verification-of-effective-
(2015). FSPCA Preventive Controls for Human
sanitation-control-strategies/
Food Training Curriculum. 1st ed. 16 Chapters and 6
Appendices.

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