Recent
outbreaks of food-related illnesses have increased many people’s
concerns about the safety of fresh fruits and vegetables—regardless
of whether the cause is hepatitis A, Escherichia coli (E. coli),
or some other foodborne microorganism. These concerns already had
increased during the past decade when, due primarily to an increased
awareness of the health benefits fresh produce provides, people
in the United States were eating more of these foods. Consumers
in the United States expect to have a multitude of fresh produce
available year round. To supply this demand, the produce industry
has developed a distribution system to move both domestic and foreign
produce to the dinner table.
The recent outbreak of
hepatitis A in Pennsylvania, which killed three people and sickened
more than 600, has raised new concerns about the safety of this
supply and distribution system. The source of the outbreak was identified
as green onions (scallions). As the story unfolds, can this tragic
outbreak teach any valuable lessons about the safety of our food
supply chain? Should other fresh produce items be avoided?
It is useful to remember
that pathogenic (disease-causing) microorganisms are not part of
the natural microorganisms found on or in fresh produce. Therefore,
any disease-causing microbes present on fruits or vegetables are
there because of inadvertent contamination, which can occur when
produce comes in contact with dirty water, equipment, or storage
containers; unsanitary human handlers and food preparers; and/or
pests. Contamination can occur in the field or at any point in the
food supply chain from production to table.
The fresh-produce processing
industry uses various tools to decrease microbial contamination
on products. Sanitary operating procedures common to the entire
food processing industry include pest control, facility sanitation,
worker hygiene, and temperature control. Fresh-produce processors
often take specific steps to clean fruits and vegetables, including
high-pressure washes, scrubbing, trimming, and peeling. Many processors,
especially in the fresh-cut produce industry, also use sanitizing
washes or dips to clean produce. These dips rely on chlorine or
other sanitizers to kill harmful microbes. All the treatments, when
properly applied, will substantially decrease—but may not
eliminate—microbial contamination.
These techniques are
highly recommended to enhance the safety of fresh produce, but may
not be sufficient to remove all pathogens present. This is especially
true for leafy greens and other hard-to-wash produce. The only sure
way for consumers to eliminate harmful microorganisms in fresh fruits
and vegetables is through cooking. Heating fruits or vegetables
to a temperature of 160°F (71°C) or greater is enough to
kill the pathogenic microorganisms that may be present. Of course,
no one wants a cooked green salad. But folks who are particularly
susceptible to foodborne illness—children, the elderly, and
those with compromised immune systems—may want to avoid higher-risk
fresh, uncooked produce.
Another lesson that may
be lost in the clamor surrounding these events is that real health
benefits come with a diet rich in fresh fruits and vegetables. But
there also are real food safety risks and it is important to manage
these risks, especially for particularly susceptible individuals.
Consumers should be aware of outbreaks as they occur, heed official
warnings, and follow good food-handling practices. With a little
caution and common sense, we all can keep following Mom’s
advice about eating fresh fruits and vegetables.