Planning a picnic? Here's how to make sure your food is safe.
Summer in Iowa ... ahh, there's nothing like it. High temperatures and high
humidities -- neither of which seem to wither the spirits of hearty Iowans.
Parks are filled with large family picnics, where good food is always a major
attraction. Fried chicken, burgers on the grill, and Grandma's homemade potato
salad are a must.
Once upon a time the only bugs we had to fret about were ants and centipedes
marching across the tablecloth. Now we worry about the kinds of bugs that are
transmitted in foods. They are a lot smaller and potentially a lot more
dangerous ... with creepy names like Campylobacter and E. coli
If a routine physical exam reveals swollen lymph nodes above the collarbone, a mass in the abdomen, weak breathing, abnormal sounds in the lungs, dullness when the chest is tapped, abnormalities of the pupils, weakness or swollen veins in one of the arms, or even changes in the fingernails, a doctor may suspect a lung tumor. Some lung cancers produce abnormally high blood levels of certain hormones or substances, such as calcium. If a person shows such evidence and no other cause is apparent, a doctor...
There are plenty to be concerned about. According to the Centers for Disease
Control and Prevention (CDC), there are more than 200 diseases that can be
spread through food. In a report in the September 1999 issue of the journal
Emerging Infectious Diseases, approximately 76 million food-borne
illnesses -- resulting in 325,000 hospitalizations and 5,000 deaths -- occur in
the United States each year.
The outbreaks can strike almost anywhere. And they spread very quickly. One
such outbreak of food poisoning struck the small town of Oskaloosa in southern
Iowa. It was a Thursday evening in November of 1996 and about 1,000 people
(nearly 10% of the town's population) had attended an annual church dinner.
Soon after eating the turkey dinner, people started getting sick. The culprit:
Salmonella. Before the weekend was over more than 200 people became ill,
60 were seen in local emergency rooms, and 21 were hospitalized. Officials felt
lucky that no one died.
"On the Memorial Day, the Fourth of July, and the Labor Day weekends you
can be sure we'll have several outbreaks of food poisoning," says Patricia
Quinlisk, MD, state epidemiologist and medical director for the Iowa Department
of Public Health. She was called in to help with the investigation of the
Oskaloosa outbreak, and every summer she and her colleagues watch for
"blips" -- food poisoning outbreaks -- over the holiday weekends.
Quinlisk offers plenty of reasons why the problem heats up in summer.
"People aren't as careful about handling foods properly when they cook and
eat outside, and they don't always have access to warm water and soap for
washing." But during the summer, precautions are most important because the
hot and humid weather promotes the growth of bacteria -- the source of most
forms of food poisoning.
Potato salad, turkey sandwiches, or other foods left out in the sun can all
become hotbeds of bacteria. This happens more often during outdoor picnics and
gatherings, where it's more difficult to keep cold foods cold and hot foods hot
-- temperatures at which bacteria are less of a threat.
So serious is the problem that the U.S. Department of Agriculture and the
U.S. Department of Health and Human Services will soon release food safety tips
as part of the recently revised Dietary Guidelines for Americans. "This is
an important step in changing the way we think about food safety," says
Johanna Dwyer, a Tufts University professor and member of the advisory
committee that is drawing up the new guidelines. "The 'Keep Food Safe to
Eat' guidelines will focus on ways to avoid trouble in our own