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==Primary prevention==
==Primary prevention==
*Cooking [[meat]] products until the juices run clear or to an internal temperature of 170 °[[Fahrenheit|F]] (77 °[[Celsius|C]]).
Food preparation:
*Freezing pork] less than 6 inches thick for 20 days at 5 °F (−15 °C) or three days at −4 °F (−20 °C) kills larval worms.
*The best way to prevent trichinellosis is to cook meat to safe temperatures. A food thermometer should be used to measure the internal temperature of cooked meat. Do not sample meat until it is cooked. USDA recommends the following for meat preparation.
*Cooking wild game meat thoroughly. Freezing wild game meats, unlike freezing pork products, even for long periods of time, may not effectively kill all worms. This is because the species of trichinella that typically infects wild game is more resistant to freezing than the species that infects pigs.
**For Whole Cuts of Meat (excluding poultry and wild game).
*Cooking all meat fed to pigs or other wild animals.
***Cook to at least 145° F (63° C) as measured with a food thermometer placed in the thickest part of the meat, then allow the meat to rest* for three minutes before carving or consuming.
* Keeping pigs in clean pens with floors that can be washed (such as concrete). This is standard in Germany, where raw pork is a common delicacy and trichinosis is rarer than in the U.S.
**For Ground Meat (including wild game, excluding poultry).
*Not allowing hogs to eat uncooked carcasses of other animals, including rats, which may be infected with trichinosis.
***Cook to at least 160° F (71° C); ground meats do not require a rest time.
**For All Wild Game (whole cuts and ground).
***Cook to at least 160° F (71° C).
**For All Poultry (whole cuts and ground).
***Cook to at least 165° F (74° C), and for whole poultry allow the meat to rest for three minutes before carving or consuming.
*According to USDA, "A 'rest time' is the amount of time the product remains at the final temperature, after it has been removed from a grill, oven, or other heat source. During the three minutes after meat is removed from the heat source, its temperature remains constant or continues to rise, which destroys pathogens."
*Wash your hands with warm water and soap after handling raw meat.
*Curing (salting), drying, smoking, or microwaving meat alone does not consistently kill infective worms; homemade jerky and sausage were the cause of many cases of trichinellosis reported to CDC in recent years.
*Freeze pork less than 6 inches thick for 20 days at 5°F (-15°C) to kill any worms.
*Freezing wild game meats, unlike freezing pork products, may not effectively kill all worms because some worm species that infect wild game animals are freeze-resistant.
*Clean meat grinders thoroughly after each use.
Pig farming:
*Keeping pigs in clean pens with floors that can be washed (such as concrete).
*Not allowing hogs to eat carcasses of other animals, including rats, which may be infected with Trichinella.
*Cleaning meat grinders thoroughly when preparing ground meats.
*Cleaning meat grinders thoroughly when preparing ground meats.
*Control and destruction of meat containing trichinae, e.g., removal and proper disposal of porcine diaphragms prior to public sale of meat.
*Control and destruction of meat containing trichinae, e.g., removal and proper disposal of porcine diaphragms prior to public sale of meat.
Education and training:
The [[Centers for Disease Control and Prevention]] makes the following recommendation: "Curing (salting), drying, smoking, or microwaving meat does not consistently kill infective worms."<ref>
*Public education about the dangers of consuming raw and undercooked meat, especially pork, may reduce infection rates.
{{cite web
*Hunters are also an at-risk population due to their contact and consumption of wild game, including bear.
| url = http://www.cdc.gov/ncidod/dpd/parasites/trichinosis/factsht_trichinosis.htm
*As such, many states, such as New York, require the completion of a course in such matters before a hunting license can be obtained.
| title = Parasitic Disease Information - Trichinellosis
Legislation:
| author = [[Centers for Disease Control and Prevention]], Division of Parasitic Diseases
*Laws and rules required of food producers may improve food safety for consumers, such as the rules established by the European Commission for inspections, rodent control, and improved hygiene.
| date = 2004-07-15
*Similar protocol exists in the United States in the USDA guidelines for establishment responsibilities in inspecting pork.<ref name="d">Trichinellosis. CDC. http://www.cdc.gov/parasites/trichinellosis/prevent.html. Accessed on January 26, 2016</ref><ref name="wiki1234">Trichinosis. Wikipedia. https://en.wikipedia.org/wiki/Trichinosis. Accessed on January 22, 2016</ref>
| accessdate = 2007-01-28
 
}}
</ref>
However, under controlled commercial food processing conditions some of these methods are considered effective by the [[United States Department of Agriculture]].<ref>
{{cite web
| url = http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=f9361ee66063187dffee4c083c24b6a7&rgn=div5&view=text&node=9:2.0.2.1.19&idno=9#9:2.0.2.1.19.1.21.9
| title = Electronic Code of Federal Regulations; Title 9: Animals and Animal Products; PART 318—ENTRY INTO OFFICIAL ESTABLISHMENTS; REINSPECTION AND PREPARATION OF PRODUCTS; § 318.10 Prescribed treatment of pork and products containing pork to destroy trichinae
| author = [[United States Department of Agriculture]]
| accessdate = 2007-01-28
}}
</ref>
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Revision as of 16:57, 29 January 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Primary prevention

Food preparation:

  • The best way to prevent trichinellosis is to cook meat to safe temperatures. A food thermometer should be used to measure the internal temperature of cooked meat. Do not sample meat until it is cooked. USDA recommends the following for meat preparation.
    • For Whole Cuts of Meat (excluding poultry and wild game).
      • Cook to at least 145° F (63° C) as measured with a food thermometer placed in the thickest part of the meat, then allow the meat to rest* for three minutes before carving or consuming.
    • For Ground Meat (including wild game, excluding poultry).
      • Cook to at least 160° F (71° C); ground meats do not require a rest time.
    • For All Wild Game (whole cuts and ground).
      • Cook to at least 160° F (71° C).
    • For All Poultry (whole cuts and ground).
      • Cook to at least 165° F (74° C), and for whole poultry allow the meat to rest for three minutes before carving or consuming.
  • According to USDA, "A 'rest time' is the amount of time the product remains at the final temperature, after it has been removed from a grill, oven, or other heat source. During the three minutes after meat is removed from the heat source, its temperature remains constant or continues to rise, which destroys pathogens."
  • Wash your hands with warm water and soap after handling raw meat.
  • Curing (salting), drying, smoking, or microwaving meat alone does not consistently kill infective worms; homemade jerky and sausage were the cause of many cases of trichinellosis reported to CDC in recent years.
  • Freeze pork less than 6 inches thick for 20 days at 5°F (-15°C) to kill any worms.
  • Freezing wild game meats, unlike freezing pork products, may not effectively kill all worms because some worm species that infect wild game animals are freeze-resistant.
  • Clean meat grinders thoroughly after each use.

Pig farming:

  • Keeping pigs in clean pens with floors that can be washed (such as concrete).
  • Not allowing hogs to eat carcasses of other animals, including rats, which may be infected with Trichinella.
  • Cleaning meat grinders thoroughly when preparing ground meats.
  • Control and destruction of meat containing trichinae, e.g., removal and proper disposal of porcine diaphragms prior to public sale of meat.

Education and training:

  • Public education about the dangers of consuming raw and undercooked meat, especially pork, may reduce infection rates.
  • Hunters are also an at-risk population due to their contact and consumption of wild game, including bear.
  • As such, many states, such as New York, require the completion of a course in such matters before a hunting license can be obtained.

Legislation:

  • Laws and rules required of food producers may improve food safety for consumers, such as the rules established by the European Commission for inspections, rodent control, and improved hygiene.
  • Similar protocol exists in the United States in the USDA guidelines for establishment responsibilities in inspecting pork.[1][2]

References

  1. Trichinellosis. CDC. http://www.cdc.gov/parasites/trichinellosis/prevent.html. Accessed on January 26, 2016
  2. Trichinosis. Wikipedia. https://en.wikipedia.org/wiki/Trichinosis. Accessed on January 22, 2016


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