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【Food Safety News】专题研究:美国食品安全历史(续)

发布时间:2014/12/05


 

Part 3: History of Food Safety in the U.S.

Why do we hear more about food safety issues today than in the past? Are these issues something we really need to worry about or just a bunch of media hype? What incredibly difficult questions to answer. Let me start by saying there is no “final answer,” only mere suggestions, theories and probable correlations. Here are some of the probable answers:

One of the main reasons we are more aware of food safety issues and foodborne illness is the fact that science has advanced. As little as 50 years ago, we didn’t have the technology necessary to detect some microbes that had existed for centuries. Many illness-causing microbes, such as Campylobacter jejuni, weren’t linked to human illness or identified as a foodborne pathogen until the 1970s or later.

Better microscopes, more thorough testing procedures, and more testing in general has made us a society that is more aware of the microbiology around us. Only recently have we acquired the capability to gather samples from sick people around the globe, test potential contaminated foods, match those two samples to find the culprit of the illness, and then track the food back to where it came from — all of this in less than 24 hours. Fifty years ago, it may have taken weeks to link multiple illnesses in the same state, if it happened at all, and the incidents most likely never made the news unless numerous people died from the outbreak. (Note: Reading this may sound like an easy process, which it is not, but it is possible in some cases. Such advances in science have led to food recalls which hit the media and spark local, national and even global awareness.)

Another reason there is generally more awareness surrounding food safety is that microbes are constantly changing, and many “old” microbes are resurfacing in new and surprising places.

Vibrio cholerae, better known as cholera, hadn’t been found in the Americas for more than 100 years, but it was suddenly showing up again in the early 1990s. Traditionally thought of as a disease of countries with poor sanitation, cases were showing up in the U.S. and were eventually linked to contaminated imported foods. Now, global food chains and the demand for fresh fruit and vegetables year-round (like strawberries in December) are potentially bringing pathogens to a grocery store near you. Older microbes are also mutating into more virulent strains, some of them antibiotic-resistant. One such example is Salmonella, which we have experienced the perils of for centuries (typhoid fever), but newer, resistant strains, such as Salmonella typhimurium DT104, are surfacing regularly. Some speculate that overuse of antibiotics in food animals, as well as humans, may be contributing to these new resistant forms of old bacteria, but the jury is still out. These disease agents, along with several others, were presented in a 2013 Food Safety Progress Report.

Cultural shifts in the way we interact with the environment around us, as well as changing the ways in which we raise our food, may also contribute to raised incidence and awareness of foodborne illness. A good example of this is E. coli. We have been living with E. coli since the beginning of time. Some strains are already present inside our bodies and don’t cause us harm, but other strains, such as O157:H7, can be deadly. This strain is most often found in the fecal matter of cows and has been linked to several illness outbreaks from hamburgers. Most of the ground meat in the U.S. comes from concentrated animal farms, where cattle are kept in large numbers in close quarters where the bacteria can be spread easily between cattle, and through manure on the bodies of cattle going to slaughter. Once in the slaughterhouse, the bacteria from one infected cow could potentially contaminate thousands of pounds of ground meat as it is all mixed together in large batches.

Although strains very similar to E. coli O157:H7 have been around for 50,000 years, strains were only identified as a pathogen in humans in 1982. Why did it all of a sudden make a dramatic appearance? One suggestion is that, as a society, we used to live in close proximity to cattle and thus were a part of the environment that contained such microbes and our immune systems were accustomed to them. Whereas now, we are mostly very separate from the farm animals we eat and have not evolved with a shared set of microbes. Another suggestion involves changes in farming practices. Cattle are traditionally herbivores, grass-eaters to be exact, but the fattening of cows for slaughter is more easily and cheaply done with grain and other food additives. Some science suggests that this change in diet could have led to E. coli adapting to stomach acid levels that would allow it to thrive in human guts.

Furthermore, instead of a very clear path of meat from the farm to your fork, a complicated corporate, maze-like chain of supply gets the meat from the farm to your fork, so that now, in a one-pound package of burger, we could possibly be ingesting meat from more than 100 different cows, from multiple locations, possibly even other countries. With ever-increasing demand for inexpensive meat, there come more cattle, and more manure, and less space to put all of it. For those reasons, it is no wonder that E. coli O157:H7 is also showing up in unconventional places such as deer and seagulls, who may have been exposed to raw manure or water contaminated with manure.

There have also been major shifts in our own eating culture. Americans today are always on the go and too busy to cook at home, let alone grow their own food. We are a culture of convenience. Most Americans have no idea where their food comes from, and most first-graders can’t tell a tomato from a potato. We have completely disconnected from our food. Instead, we rely on pre-packaged, pre-sliced, pre-cooked “food,” or, we go out to eat. Studies show that Americans now eat out four times per week on average. By doing so, we are putting the job of preparing our food in the hands of some of the lowest-paid people in the country who almost never get paid sick days. A 2007 study found that many food-handlers are generally aware of germs, but they don’t truly understand their role in prevention. Other studies conclude that about 50 percent or more of food workers go to work when sick because they can’t afford to take a day off. Currently, about 20 percent of foodborne illness outbreaks can be traced to a sick food worker. The concept of “cooked” has also changed in the past 50 years. In the past, a pink or rare burger at a restaurant (or at home) was unheard of, but today most places cook burgers to “medium” unless otherwise stated. Unfortunately, most people don’t realize that consuming a burger cooked to anything less than 160 degrees F puts you at risk of ingesting dangerous microbes.

As you can see, the subject is vast, and it’s really difficult to pinpoint one single reason for increasing outbreaks and awareness. I’ve only touched on a few here, yet there are others that blame media hype, overuse of antibiotics in the medical industry, and a society that is fearful and thus elbow-deep in antibiotic hand gels that may hurt more than help. No matter what the reasons, microbes are here to stay. Michigan State University Extension recommends the best way to protect yourself from foodborne illness is to wash your hands thoroughly before handling food and thoroughly cook meats to the recommended internal temperatures for the type of meat being cooked.

It is important to know what foods can make you ill, your chances of getting foodborne illnesses, and, most important, ways to prevent them.

美国食品安全历史

本文系作者自2014106日起分三期发布于食品安全新闻(Food Safety News)网站

 

第三期

 

为什么今天我们听到的食品安全问题比过去更多?我们真的需要去担心这些问题吗?或者仅仅是一群媒体的大肆炒作?这确实是非常难以回答的问题。我的答案是:没有最终答案,我也只是纯粹建议、对相关理论及可能性进行分析。

科技的进步,这是我们更多意识到食品安全问题和食源性疾病的一个原因。至少50年前,当时的科学技术并不能发现一些已经存在数世纪的微生物。20世纪70年代甚至更晚些,很多致病菌并没有跟人类疾病相联系或者被鉴定为食源性致病菌,比如空肠弯曲杆菌。

更高倍数的显微镜以及更加彻底的检测程序,总之,更多的检测造就了我们对身边微生物有更多的认识。直到最近,我们才获得从全球病人中收集样本的能力,检测潜在受污染的食物,通过对比两种样本找到疾病的根源,然后追溯食物来源地,而这一切只需要不到24个小时。50年前,我们需要花费数周的时间来联系相同状态下的多种疾病,并且如果疾病真的出现了,此类事件并不会成为新闻,除非大量的人死于爆发性疾病。(注解:这看起来是一个简单的过程,但实际上并不是,在一些案例中也是可能出现的。科学的这种进步引发了被媒体公布于众并引起当地、全国、甚至是全球注意力的食品召回事件。

更多人们意识到食品安全问题的另一个原因是细菌在不断的变化,很多老的细菌通过新的和偶然的环境而得以重新塑造。

霍乱弧菌,即人们所熟知的霍乱,在美国已经有100多年没有被发现,但在20世纪90年代初又突然出现。大家通常认为这种疾病会发生在医疗卫生条件差的国家,而这起案例却出现在美国,而且最终发现跟受污染的进口食品有关。现在全球食品链和全年的新鲜蔬果需求(比如12月份的草莓)可能会把致病菌带到你附近的食品店。以前细菌也有突变成更加恶性的菌株,其中一些具有了抗药性。比如沙门氏菌,折磨了我们数个世纪(伤寒症),但是其新变的耐药性病菌,也会经常会出现,如鼠伤寒沙门氏菌DT104。一些人推测对食用动物还有人类自身过度使用抗生素,也许能催生以往病菌的抗药性,但这仍未有定论。2013年食品安全进程报告中提出了此类病原体和其他种类病原体。

文化迁移阻碍了我们同周围环境的相互作用,也改变了我们种植食物的方式,同样也可能增加食源性疾病的爆发率并提高人们对食源性疾病的意识。一个好的例子就是大肠杆菌。从人类一出现,大肠杆菌就伴随着我们。某些菌株已经存在于我们的体内但并没有对我们产生伤害,但是其他的菌株却具有致命性,比如O157:H7。这种菌株通常发现在牛粪便中,而且跟因牛肉而爆发的几种疾病有关。在美国,大部分碎肉来自集中的动物农场,在有着数量巨大牲畜的紧凑土地上,细菌通过牲畜身上的粪尿很容易在所有牲畜中扩散。因大批量肉都混合在一起,一头受感染的牛一旦到屠宰场里,其身上的细菌可能会感染数千磅的碎肉。

尽管跟大肠杆菌O157:H7很相似的菌株已经存在了50000年,但直到1928年人类才鉴定其为病原体。为什么它们突然会出现?一种说法是,过去我们居住场所离牲畜较近,而有些环境中带有这些细菌,因此我们的免疫系统已经习惯了这些细菌。然而现在,我们大部分住所离牲畜很远,也并没有形成可以共存的细菌。另外一种说法有关农业生产方式,家畜是传统的草食动物,但是用来屠宰的肉牛是用谷物和其他饲料添加剂一起养大的。一科学研究表明这种饮食变化会导致大肠杆菌适应人类身体内胃酸,进而可在胃肠中“茁壮成长”。

然而,目前复杂化的食品供应链取代了以前肉从农场到叉子的非常清楚的流程,所以现在在一磅包装的汉堡里,我们可能摄食的肉来自超过100种不同的牛,来自很多地方,甚至其他国家。廉价肉类需求不断增长,然而饲养及处置牲畜粪尿的空间却越来越少。考虑到这些因素,大肠杆菌O157:H7也出现在非传统的地方,比如鹿和海鸥,它们可能接触了未经处理的粪便或者混入粪便的水。

还有我们自己饮食文化的巨大变化。今天这种变化仍发生在美国人身上,我们忙的没时间在家做饭,更不用说自己种养食物了。我们形成了一种便利文化,大部分美国人不知道他们的食物来源,而且大部分一年级学生分不清番茄与土豆。我们已经完全跟我们的食物没有联系,相反,我们依赖于预先包装,切片,熟食食物,或者到家外面去吃饭。研究表明美国人现在平均每周有四次在家外用餐。因此,我们把准备食物的工作交给了这个国家低收入人群,他们几乎没有带薪假期。一项2007年研究发现,很多食物生产者一般都会意识到病菌的存在,但是他们不会真正明白他们在预防病菌过程中的重要性。其他研究表明,50%甚至更多的食品生产者在生病时仍然去工作,因为他们负担不起休假一天的损失。当前,大约20%的食源性疾病爆发可以溯源到一个患病的食品工人。煮熟的概念在过去50年里也发生了变化。在过去,餐馆里(或者在家里)一个半熟的汉堡都是前所未闻的,但是现在除非另有说明,很多地方把汉堡来做到半熟程度。不幸的是,大多数人没有意识到食用一个在低于160℃温度下做出的汉堡会有吞下危险病菌的风险。

正如你所见,这个主题是很宽泛的,很难说哪一个是食源性疾病爆发增多和对其意识提高的确切原因。我很少提及这个问题,也有其他人将之归责于媒体的炒作、在医药工业过分使用抗生素、或者社会上由于恐惧因而过量长期使用抗菌洗手液,但这可能会加重伤害而不是进行保护。无论什么原因,细菌都会继续存在。密歇根州立大学拓展计划建议最好的预防食源性疾病的办法是在接触食物前彻底清洗你的手,并且依据不同种类的肉在其建议温度范围内把肉完全煮熟。

        懂得什么食物会使你患病以及了解接触食源性疾病的可能性都是很重要的,但最重要的是知道预防措施。

(编译:尤猛)

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