Digital Influencers Lack Food Safety Expertise

“You can’t believe everything you see on the internet.” I think we’ve all said this to clients or classes at one time or another. But we all know that when someone wants a recipe or other information the first thing most people do these days is grab their phone and “Google it”.

But, what about food preservation?  This really isn’t the same as cooking chicken for dinner or finding a cake recipe. Preserving foods safely requires the following research-based practices.  The two most respected resources for food preservation are the United States Department of Agriculture’s (USDA) Guide to Home Canning https://nchfp.uga.edu/publications/publications_usda.html  and the National Center for Home Food Preservation (NCHFP) https://nchfp.uga.edu.

So the question is….do people looking for food preservation recipes on the internet find safe and research-based recipes?

This was the question a group of researchers from the Cooperative Extension, University of Maine asked. According to a news release this group of researchers specifically looked at recipes for home-canned salsa found on popular food blogs. They selected salsa recipes because it is a popular condiment in the United States and found 56 recipes for canning salsa on 43 different food blogs.

They developed a tool to compare the bloggers’ recipes with a known safe recipe for home-canned salsa  https://nchfp.uga.edu/how/can_salsa/choice_salsa.html  from the NCHFP.  The procedures and results of their study were published in Food Protection Trends Vol 39, No. 5.  http://www.foodprotection.org/publications/food-protection-trends/archive/2019-09-adherence-of-food-blog-salsa-recipes-to-home-canning-guidelines/

A quick summary of what they found: Only four or 7% of all the recipes met all of the researchers’ criteria for safety.

What’s the “take-home message” for us? 

  • Unless you’re a food preservation food scientist, this isn’t the place to be creative and develop your own recipes.
  • Food bloggers could be a great source of safe recipes and a good way to teach—not only food preservation but also food safety in general.
  • The researchers’ recommendations suggest that one thing educators can do is reach out to bloggers (they called them digital food influencers) with information on food preservation and safety and encourage them to recommend USDA and NCHFP resources to their readers and followers to help reduce risk.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

 

 

 

Be ready for power outages

Refrigerator thermometer

I live in an area that may be affected by hurricanes. So, it’s time for us to seriously think about preparing for storms and getting our emergency checklist ready. Even if you don’t live in a hurricane zone there may be other weather situations that may cause power outages and potential food safety problems associated with losing power for an extended time.

Two items I don’t usually see on emergency supply lists are freezer and refrigerator thermometers (these are good to have all year round, not just in an emergency).  Place a thermometer in both the freezer and refrigerator. With these thermometers, you can tell the actual temperature the inside these appliances if the power is out.  Just touching or thinking they “feel cold” isn’t good enough!

Also, get a tip-sensitive digital food thermometer as they use in restaurants. This will allow you to check the temperature of your food. The best and most accurate way to determine if food is safe to eat is to know its temperature. 

I’ve seen postings on the internet about putting a cup of water in the freezer, allowing it to freeze and then putting a coin on top of the ice.  The idea is that if the ice melts and the coin sinks you’ll know that the power was out and the temperature in the freezer warmed. (You’d also know that by the condition of your ice cubes and ice cream!)  It’s a good concept if you weren’t home when the power went out and now the food has refrozen. Unfortunately, this cup of ice can only tell you that the power was off and the ice melted, it can’t tell you how warm it got inside the freezer.  In most cases, if the ice melted, and you weren’t around to take the actual temperature, you’d probably have to pitch most of the food because there are just too many variables and unknowns.

After the power has been out for more than 4 hours you’re going to have to ” break the rule” of leaving the refrigerator door shut, check the temperature, and make some decisions about what to do with the perishable food. Foodsafety.gov recommends, “Food (stored in refrigerator) should be safe as long as power is out for no more than 4 hours. Keep the door closed as much as possible. Discard any perishable food (such as meat, poultry, fish, eggs, and leftovers) that have been above 40 °F for over 2 hours. Never taste food to determine its safety!” See their handy chart here

Coin in freezer–does this really work?

One more important step in being ready for power outages is to stock foods that can be eaten and prepared without refrigeration or cooking. Canned foods, nuts, snacks, dried fruits, and water can be prepared quickly without opening the refrigerator or freezer door and they require little preparation or clean up. They also come in handy when you don’t have time to go to the store. Don’t forget the manual can opener! 

More things to consider: cash, gas, medicines, baby food, pet food, paper plates, cups, napkins, and plastic utensils. 

By Cheryle Jones Syracuse, MS,
Professor Emeritus, The Ohio State University

 

Here is a shopping list for foods that do not need refrigeration along with meal ideas of how to prepare them

Download handout: shop for emergency meals

 

Butter Beans

If you’re not from the south, you may not be familiar with the vegetable known as a “butter bean”.

Technically they are what other parts of the nation call lima beans and belong to that genus and species Phaseolus lunatusis. They are sometimes called sieve beans, calico beans or Madagascar beans. But, most frequently in the South, they are known simply as “butter beans”.

Like other beans, the butter bean contains fiber, iron and B-vitamins. They are a rich source of low-fat protein.  A ½ cup serving of butter beans contains 5 grams of protein, 1 gram of fat, 17 grams of carbs, and 4 grams of dietary fiber for 100 calories.

Lima/butter beans grow in pods that are removed before eaten. They can be eaten “green/fresh” when they are young. Or left on the plant to mature more and harvested for “dried” beans.

If you’re purchasing or preparing freshly shucked butter beans it’s important to remember NOT to eat the beans before cooking. Lima and butter beans contain a substance called linamarin and if they are eaten raw forms hydrogen cyanide which is poisonous.

Luckily butter beans and Lima beans are not usually consumed uncooked.  Cooking the beans for 20 minutes will destroy the toxin.

A few things to think about:

  • the linamarin is still present in the dried beans-they need to be heated/cooked after soaking.
  • read packages of frozen Lima or butter beans to ensure they have been cooked—simple blanching—which is common in frozen foods may not be enough to destroy the linamarin.
  • make sure your Lima and butter beans are thoroughly cooked before serving

No matter what you call them, butter beans are good eating.

Here is a favorite recipe for Vegetarian Paella using lima or butter beans:

Vegetarian Paella
Serves: 4 | Serving Size: 2 cups
Total Time: 25 min | Prep: 10 min | Cook: 15 min

Ingredients:

Olive oil cooking spray
1/2 onion, dice medium
1/2 red bell pepper, dice medium
1 carrot, peel and slice thin
1 cup sliced mushrooms
1 cup sliced kale
1 plum tomato, dice medium
1 cup low-sodium tomato juice
1 cup water
2 cups instant brown rice
2 cups frozen Lima beans

Directions:

Heat a wide, shallow 3-quart sauce pan over medium-high heat. Lightly spray with olive oil cooking spray. Add onions, peppers, carrots, and mushrooms and sauté for 2-3 minutes until vegetables begin to brown.

Add the rest of the ingredients and reduce heat to medium. Cover pan and cook for 5-6 minutes until liquid is absorbed by rice and rice is tender.

Serves 4. Each 2 cups serving: 311 calories, 2g fat, 0g saturated fat, 0gtrans fat, 0mg cholesterol, 40mg sodium, 64g carbohydrate, 7g fiber, 6g sugars, 11g protein.

By: Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

Treat it like meat

  • Wash your hands before and after handling.
  • Avoid cross contamination.
  • Cook thoroughly.

What am I talking about?  Believe or not….flour.

Generally we don’t  think of flour as a “risky” food, but some food safety specialists are now suggesting that we start treating flour like we would raw meat.  There have been several recalls within the past few years linking flour to pathogens that can cause foodborne illnesses such as E. coli and Salmonella.

To most, flour seems dry and harmless, but we need to remember that it is not a “ready-to-eat” food. It is made from milling wheat which is a raw agricultural product that has been (obviously) grown outdoors where it could have been contaminated. This leaves the potential that “raw” flour may contain bacteria that could make someone sick. Flour should be heated before consumed.  When baking with flour, using baking mixes and other flour-containing products always follow proper cooking instructions.

Another potential problem is cross contamination.  Flour dust spreads easily. Always wash your hands and work surfaces after handling flour.

You can reduce the risk and “pasteurize”  the flour by heat-treating it in an oven or toaster oven before putting it in cookie dough or cake mixes.  Place the flour about ¾” thick on a cookie sheet. Bake for five minutes at 350 degrees F.  This treatment has been proven to kill bacteria found in flour.

Needless to say, this is another reason not to eat raw cake mix or batter and children shouldn’t be allowed to play with or eat raw dough. Remember: seniors, the very young, pregnant women and people with compromised immune systems are the most susceptible to foodborne illness.

If you STILL want to lick the beaters—you know the risk.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

Resources:

  1. For information on food recalls go to www.foodsafety.gov/recalls-and-outbreaks
  2. Heat treatment of flour will be presented at the International Association for Food Protection Conference in July 2019
    https://iafp.confex.com/iafp/2019/meetingapp.cgi/Paper/21486
  3. North Carolina Extension’s Safe Plates Information Center https://www.facebook.com/SafePlatesFSIC/
  4. E. coli in raw flour: the risks are real.  https://news.nutritioneducationstore.com/?s=flour

 

Food Poisioning Goes Viral

I’ve often wondered what makes a YouTube or a post on Facebook go viral. Knowing my interest in food safety, a friend recently shared a Fox News story that I’m sure helped make this story on a food poisoning death go viral https://www.foxnews.com/health/student-died-after-eating-leftover-pasta-in-rare-food-poisoning-case The story became popular was picked up by several other social media outlets. This video now has over 4 million views.

In case you haven’t seen it, the original video was by a YouTuber named Chubbyemu. The recreated story was about a student who died of a foodborne illness. The video is about 14 minutes long and I found it difficult to watch as its original purpose is to train emergency room physicians about possible food borne illnesses. If you read the original account of the illness and death you see that Chubbyemu took some liberties and sensationalism with this dramatic educational piece.

The real story happened back in 2008 and Belgium health specialists wrote about it in the Journal of Clinical Microbiology in 2011. Their report shares that a 20 year-old man died after eating five-day old pasta that had been left at room temperature. He suffered headache, abdominal pain, nausea, and diarrhea and died about ten hours after eating. The body was autopsied and the leftover spaghetti also studied. The investigators indicated that Bacillus cereus (B. cereus) was the mostly likely cause of death.

B. cereus is a bacteria that produces food borne Illness caused by toxins. It is frequently found in cooked pasta and cooked rice, but also can be found in sauces, soups and leftovers that have sat out too long at room temperature. The young man in our story heated the pasta in the microwave, and perhaps he felt that was a way to prevent a food borne illness. What many people don’t know is that after these toxins have been produced they cannot be destroyed by heating. The key way to prevent the development of B. cereus is taking care with these foods after cooking especially during cooling, storage and reheating. These foods should not be left at room temperature for more than two hours and according to the USDA cooked pasta leftovers eaten within three to five days.

If anything good has happened out of this young man’s death and the viral story 11 years later—perhaps more people have become aware of this food borne illness and the importance refrigerating foods as soon as possible and then not keeping the leftovers in the refrigerator too long.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

J Clin Microbiol. “Sudden Death of a Young Adult Associated with Bacillus cereus Food Poisioning.” 2011 Dec; 49(12): 4379–4381. doi: 10.1128/JCM.05129-1122012017

Food Safety Talk Podcast #174 No Borscht Collusion (location on podcast 54:10) http://foodsafetytalk.com/food-safety-talk/2019/1/30/food-safety-talk-174-no-borscht-collusion?

USDA FoodKeeper https://www.foodsafety.gov/keep/foodkeeperapp/index.html

Do you play refrigerator Tetris?

Refrigerator Tetris is when you have just so much stuff shoved into the refrigerator that it looks like you’re playing that popular video puzzle game.

This is probably not the best situation.

The first problem is air circulation.   With food crammed every which way the refrigerator may not have good air flow.  Boxes of food could be blocking the vents. This could prevent the refrigerator from properly cooling—or just the opposite—keep it too cold and freeze lettuce and other items.  Not only does overfilling block air vents, restrict circulation it can reduce the energy efficiency.

Here are three rules to help you keep your food fresh and to avoid the risk of foodborne illness:

  1. Don’t overload your refrigerator. Lots of food can alter the temperature in the refrigerator.  The best refrigerator storage temperature is 40 degrees or below.  The only way to really know what the temperature is to use a refrigerator thermometer. Higher temperatures will shorten length of time the food will keep without bacteria growth.
  2. Take some advice from food service professionals in regards to where food is placed in the refrigerator. Raw meats, fish and poultry should be stored BELOW foods that won’t be cooked—this includes ready-to-eat foods, raw fruits and vegetables.  Most home refrigerator designs don’t usually help with this since many of them have the fruit and vegetable crisper drawers below where there is space to store the raw meat.  In this case, consider storing the raw items in sealed containers or securely wrapped to prevent the raw juices from dripping and contaminating the other foods.
  3. Perishable foods shouldn’t be stored on the refrigerator door. This is another one of those design features that may not be “food safety friendly”.  Even though there is room for it—don’t store milk on the door. Those little cubby holes for eggs should also be ignored; eggs should be stored in their original cartons inside the refrigerator and not on the door. These foods are perishable and every time the door is opened they are exposed to warmer room temps. This could reduce their quality and leave accessible to a foodborne illness pathogen.

Keep the Tetris puzzles for the computer and don’t play games with your food’s safety.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

 

Teach Food Safety with Recipes

I’m a strong believer in teaching with recipes. Not only do they instruct how to cook, but they can provide information on nutrition and food safety. When people are preparing meals can be that important teachable moment https://news.nutritioneducationstore.com/teachable-moments/

This approach to teaching is supported by a study published in the Journal of Food Protection .* The study’s author, Sandra Godwin, PhD, RD, from Tennessee State University observed that participants who received recipes with food safety instructions significantly improved their food safety behaviors when given specific food safety instructions in recipes. The study showed that only 20% of people used food thermometers when using recipes WITHOUT safety instructions and 86% used thermometers when given recipes WITH safety instructions.

Looking at making recipes a tool for teaching food safety, the Partnership for Food Safety Education (PFSE) has developed a way to help recipe writers and food editors (and I’m hoping educators, too) incorporate food safety instructions into their recipes. They’ve developed a Safe Recipe Style guide. Check it out at: https://www.saferecipeguide.org/

This website has several drop down menus that include much of what even a food safety novice would need when writing recipes.

The Safe Recipe Style Guide addresses the four major areas of food safety concerns in the home kitchen:

  1. internal cooking temperatures
  2. hand-washing
  3. cross contamination
  4. produce handling

A couple examples from the style guide: “All recipes should start with instructions to wash hands with soap and water because current studies show that a large majority of people do not wash their hands properly – or at all – when handling food.” Or “cover and simmer for 35 to 40 minutes or until cooked through and internal temperature reaches 165 F on food thermometer.”

It really couldn’t be easier now to incorporate some of these food safety ideas into your teaching—be it a newsletter, blog post, recipe demonstration handout, or newspaper column.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

*J Food Prot. 2016 Aug;79(8):1436-9, Recipe Modification Improves Food Safety Practices during Cooking of Poultry. Maughan C, Godwin S, Chambers D, Chambers E IV.

Here is a fun example using our chicken stew recipe and the food safety style guide:

Provencal Fennel Chicken Stew

Serves 8 | Serving Size: 1/2 cup
Total Time: 45 min | Prep: 10 min | Cook: 35 min
This recipe is inspired from the Provence of France, located in the Mediterranean

Ingredients:

1 tsp olive oil
3 cloves minced garlic
1/2 cup onion, peeled and diced
1 cup celery, rinsed well and diced
1 tsp ground fennel seeds
3 plum tomatoes, rinsed, cored, seeded, diced
4 cups chicken broth, low or reduced sodium
2 chicken breasts, diced (do not rinse chicken before preparation*)
2 potatoes, rinsed, peeled, and diced
pinch garlic powder
black pepper to taste

Directions:
Food safety prep tips:
  1. Wash your hands with soap and water before starting to prepare your food.
  2. Using a clean cutting board and knife, prepare the vegetables. Follow the guides above for rinsing your veggies well under cool running water. Make sure you get all of the dirt off of the potatoes.
  3. Cut the chicken in chunks and then thoroughly wash and sanitize the knife, cutting board, and any surfaces that came into contact with the raw chicken, including your hands.

Directions:

  1. Saute the olive oil, garlic and onion over medium heat in a large nonstick stockpot or Dutch oven.
  2. Add the celery and fennel and saute briefly until they become translucent.
  3. Add the tomatoes and saute briefly, about one minute.
  4. Add the broth, chicken, potatoes, and seasonings. Cook over medium heat, at a simmer, until the chicken is done and the potatoes are tender, about 20-25 minutes. The chicken is done when it reaches an internal temperature of 165 and when it is white all the way through when cut.
  5. Serve the stew hot with chopped flat leaf parsley.
  6. Refrigerate leftovers promptly in a large shallow pan.
Chef’s Tips:
You can grind the fennel seeds in a coffee grinder or spice grinder.

Infused Water:

We’re seeing them everywhere these days from cafeterias, hotel lobbies to gyms. What am I talking about? Infused water containers. You know those large water containers with ice and other added ingredients such as fruits, vegetables or herbs. I’ve seen many varieties including lemons and limes with the rinds, cucumbers with mint and strawberry basil.

They are all the rage for several good reasons: encouraging hydration, providing a low/no calorie sugar-free beverage, adding ingredients/flavors that may entice people to drink a little more water, reducing waste by encouraging refilling water bottles and saving money by not buying bottled water.
I personally am a little leery to use them…for several food safety reasons. Perhaps, I know too much, but I wonder if the people preparing these containers on a daily basis know or use any food safety practices.

First: Are the containers washed, rinsed and sanitized between uses? I’m a little less concerned when they’re in food service locations…but the one at my gym scares me.

Second: Do they wash and/or scrub the added ingredients? Do the preparers use gloves when chopping and adding these ingredients? This would be “bare hand contact” with ready-to eat foods.

Thirdly: Do the “users” of these containers cross-contaminate the spouts with their refillable bottles? This is especially important if the “mouth” on their already used bottle touches the spout on the large container.

There’s not a lot of real scientific data out there on the safety (or the lack of safety) of these water containers. You’ll need to make your own decision if you feel there is a risk when opting to refill your water bottle. Some key points to consider when evaluating these containers is to make sure they have a lid and there should be ice present to insure the water is kept cold, ideally under 41 degrees F.

Infused water cucumbers

If you like the idea of infused water, but would rather make your own to insure the safety, here are a few tips:

  • Date the infused water container and refrigerate if you have any leftover.
  • Examine the fruits and vegetables in leftover water as they may break down and decompose quickly. Use within 2-3 days.
  • Make sure the fruits and vegetables you are using are fresh and free from spoilage or bruises.
  • Wash and scrub these products as you would any fruit or vegetable you are eating.
  • Some recipes for infused water call for allowing the water and additional ingredients to “infuse” for 1-2 hours at room temperature. I think this is just asking for trouble. Infused waters should be kept in the refrigerator or iced down, check the ice frequently to keep the temperature of the water at 41 degrees or below. Proper refrigeration will make your infused water more refreshing and safer, too!

Here are our favorite flavor ideas, using fruit and herbs or spices together:

  • Strawberries and green tea
  • Peaches with lemons and mint
  • Oranges and cloves
  • Fresh cherries and cinnamon
  • Limes and cucumbers
  • Grapefruit and rosemary
  • Blueberries and basil

Infuse the flavors in the refrigerator and then add a swish of sparkling water for a really refreshing treat!

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

Related posts:
https://news.nutritioneducationstore.com/germy-water-bottles/
https://news.nutritioneducationstore.com/hydrate-for-health/

 

Reposting about Turkey

For food writers everywhere the month of November seems to demand that we write about preparing that Thanksgiving meal….including the big bird. This whole process may seem daunting for those that only roast a turkey one time a year. The big meal means lots of food which can result in potential food safety problems—there just never seems to be enough room in the refrigerator to keep it safe. And then what to do with the leftovers?
Over the past several years we’ve posted on this blog numerous articles about these topics. Instead of trying to find a new twist this year….we’re “reposting” some of the more popular Thanksgiving related articles.

Lean Protein: Spotlight on Turkey – Turkey can be a good source of inexpensive low-fat protein. This is a good time of the year to catch a sale on turkey, if you have the space, why not put a one or two in the freezer?
https://news.nutritioneducationstore.com/lean-protein-spotlight-turkey/

Three Turkey Tips – quick tips about washing the turkey, pink meat near the bones and the best temperature to use a a guide to know when you’re turkey’s done. Includes a handout, too!
https://news.nutritioneducationstore.com/three-turkey-tips/

How NOT to Thaw that Turkey –don’t try these at home! Sometimes people try the unusual (and frequently not-so-safe) methods for thawing their turkeys. Recommendations for safe thawing, too. https://news.nutritioneducationstore.com/how-not-to-thaw-that-turkey/

Thanksgiving Quiz or You Want to do What with that Turkey? Five question quiz (along with the answers) on turkey food safety including tips on thawing the turkey and what to do when it’s till frozen the day before Thanksgiving. Includes a PDF of the quiz.
https://news.nutritioneducationstore.com/thanksgiving-quiz/

How old is that Turkey? Advice on what to do with that year-old turkey in your freezer. Spoiler alert: cook it! Post includes tips for those who (obviously) don’t cook turkey that often.
https://news.nutritioneducationstore.com/how-old-is-that-turkey/

All Over But the Leftovers— A five question quiz that reinforces the basics of safe Thanksgiving (and year round) leftover practices. Another PDF quiz included.
https://news.nutritioneducationstore.com/all-over-but-the-leftovers

Early November Checklist –Think ahead with these ideas that can make the shopping, storing and cooking that Thanksgiving dinner easier, including cleaning out the freezer and finding your food thermometer.
https://news.nutritioneducationstore.com/early-november-checklist/

Thinking About Turkey—a few last minute thoughts about that Thanksgiving turkey including what to do if your forgot to thaw out the turkey and healthy turkey “tradeoffs.” https://news.nutritioneducationstore.com/thinking-about-turkey/

Please feel free to print and share these articles and handouts with your clients.
May you have a happy, healthy and food safe holiday.

Cheryle Jones Syracuse, MS
Professor Emeritus, The Ohio State University

Check out our new menu planning items:

Getting To Know Listeria

Most people know about Salmonella, E. coli and Botulism and are now, unfortunately, adding Listeria to their list of frequently heard of foodborne illnesses.

Listeria monocytogenes (L. monocytogenes) is not one of the top most frequently occurring foodborne illnesses, but it is one of the most costly and deadly. Listeria—the illness is called listeriosis– causes the third highest number of foodborne illness related deaths in the United States annually. The Center for Disease Control and Prevention (CDC) estimates 1,600 people get listeriosis each year, and about 260 die.

What makes Listeria scary is that it resists some of the things—salt, nitrates and acidity– that are usually used to control bacteria growth. What makes it extra scary is that Listeria can grow and live for a long time at refrigerator temperatures. These pathogens can easily hide in nooks and crannies of a refrigerator, cooler or manufacturing equipment for a long time. You can’t see, taste or smell Listeria in foods.

A good thing about Listeria is that it takes a large amount to make someone sick and most healthy people will not get sick from eating foods contaminated with Listeria. The people that are at the highest risk to get listeriosis are pregnant women because it could lead to miscarriage, stillbirth or septicemia or meningitis in the newborn. Others at risk are people with organ transplants, children, the elderly and those that are immune suppressed due to illnesses such as cancer, renal disease, diabetes and AIDS.

The good news is that proper cooking and reheating of foods can control Listeria. The bad news is many of the items that have been found to contain Listeria are foods that we don’t usually eat cooked. The most risky foods are those that are kept in the refrigerator for a long time (cheeses), cooked foods that have been further handled (lunchmeats, hot dogs, and meat spreads) and foods that are minimally processed (fresh fruits, vegetables and cold smoked seafood). In the past couple of years Listeria has been found in hummus, ready-made salmon salad, sliced cooked chicken, leafy greens, sprouts, fresh cut vegetables, ice cream, unpasteurized cheese, frozen produce, caramel apples, cantaloupe and even cat food.

What can you do to protect yourself from Listeria?

• Keep perishable foods refrigerated
• Prevent ready-to-eat foods from being cross contaminated by raw foods.
• Cook beef, pork and poultry to the recommended minimum internal temperatures.
• Wash raw fruits and vegetables before eating.
• Avoid unpasteurized milk or foods made from raw milk.
• Read and heed label instructions to “keep refrigerated” and “use by” dates on refrigerated foods.
• Only keep leftovers three to four days. Heat leftovers and “ready to eat foods” to at least 165 degrees F.
• Those especially at risk should avoid soft cheeses such as Feta, Brie and blue-veined cheeses, as well as unheated lunchmeats, hot dogs and frozen vegetables.
• Pay attention to food recalls.

Keep your refrigerator clean and as cold as possible (40 degrees or lower). Although Listeria can grow in the refrigerator, it grows more slowly under colder conditions. Use a refrigerator thermometer to double-check the temperature is below 40 degrees F. Clean and sanitize the shelves of your refrigerator regularly.

References:
Listeria, FSE 99-21, Pat A. Curtis, Ph.D and John E. Rushing, Ph.D, Department of Food Science, North Carolina State University. https://fbns.ncsu.edu/extension_program/documents/foodsafety_listeria.pdf
Barfblog, Benjamin Chapman, Ph.D, State Specialist, NCSU and Doug Powell, Ph.D, Barfblog publisher. www.barfblog.com
Listeria (Listeriosis) The Center for Disease Control and Prevention, https://www.cdc.gov/listeria/index.html