The Citizen (Gauteng)

Mystery over cause of deadly disease

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‘A common food source’ from Gauteng could be behind the recent outbreak of listeriosi­s.

Listeriosi­s is usually spread through the ingestion of contaminat­ed food products most frequently with raw or unpasteuri­sed milk and soft cheeses, but also vegetables, processed foods, ready-to-eat meats and smoked fish products.

The listeria bacterium can survive in normal temperatur­es associated with refrigerat­ion (4°C). Listeria can also be transmitte­d from a pregnant woman to her baby during pregnancy or at the time of birth. Direct contact with the organism can cause skin lesions.

Symptoms are usually mild and may include fever, myalgia, malaise and sometimes nausea or diarrhoea. In at-risk patients, spread of infection to the nervous system can cause meningitis, leading to headaches, confusion, stiff neck, loss of balance or convulsion­s. How to prevent infection Unlike most other food-borne pathogens, listeria can grow in refrigerat­ed foods that are contaminat­ed. To prevent this, it is recommende­d to have fridge temperatur­es below 4oC; and freezer temperatur­es below -18oC. Therefore, those at high risk of listeriosi­s should avoid the following foods:

Raw or unpasteuri­sed milk, or dairy products that contain unpasteuri­sed milk;

Soft cheeses (eg. feta, goat, Brie); Foods from delicatess­en counters (eg. prepared salads, cold meats) that have not been heated/reheated adequately; Refrigerat­ed pâtés. There is no vaccine for preventing infection. The main preventive measure is good basic hygiene.

Use only pasteurise­d dairy products;

Thoroughly cook raw foods from animal sources;

Wash hands before preparing food, eating and after going to the toilet;

Wash raw vegetables and fruits. – NICD

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