Sun Sentinel.com, FL 10-11-07 Risks Can Lurk In Healthful Food By Ruth Mantell | Marketwatch Danger could be hiding in your dinner salad. Food most people consider healthful, such as raw sprouts, salad greens, cooked fruit and rice, can pose serious health risks if they are improperly prepared and stored. Sprouts are considered risky because they grow in a bacteria-friendly moist environment. Outbreaks have involved raw alfalfa and mixed sprouts that were contaminated with Salmonella, which can lead to fever, cramps, diarrhea and even death, according to the Food and Drug Administration. Thorough cooking significantly reduces health risks for sprouts, as well other foods. Certain people are at greater risk, including young children, the elderly, immunecompromised people and pregnant women, according to Sam Beattie, a food safety extension specialist at Iowa State University. The bacteria Campylobacter, Salmonella and E. coli, as well as Norwalk and Norwalk-like viruses, cause the most commonly recognized food-borne infections, according to the Centers for Disease Control and Prevention. The CDC is working on analyses to estimate the number of illnesses each year in the United States from various foods. Initial reports are expected in 2008. Well-documented sources of contamination are undercooked and raw meat and poultry, raw eggs, unpasteurized milk and raw shellfish, according to the CDC. But eaters may be less familiar with threats posed by improperly cooked or stored fruits and vegetables. Produce can be contaminated at home, or on the farm, by unclean water and by manure used for fertilization, according to the CDC. Washing produce can reduce your risk, but it doesn't eliminate contamination. Just a year ago, at least three people died and hundreds were sickened in an E. coli outbreak traced to raw spinach that was grown in California and had been contaminated by cattle feces. Watch out Dr. Rajal Mody, a medical epidemiologist with the CDC, says unpasteurized fruit juices have been linked to contaminants such as E. coli and Salmonella. Consumers should watch out for unpasteurized juice offerings at roadside stands, even if the juice is from a local farm. There has been an increase in foodcontamination outbreaks related to fresh produce in recent years, Mody says. "The problem with unpasteurized ciders [and juice], especially when apples are picked off the ground, is that the apples that are lying on the ground are going to come into contact with soil, and potentially any animal that is walking by could leave droppings," he says. The produce items that have been the most frequent culprit foods have been leafy green vegetables, tomatoes and melons, Mody says. "We still are unsure why these items are popping up in food-borne outbreaks. We think it has something to do with the farm field itself, but definitely more research is needed to figure out the routes of contamination," he says. Mody added that it's prudent to wash produce, although bacteria can still adhere tightly to products. Consumers also need to be wary of cooking vegetables and fruits using recipes that add enough moisture to transform the food into a potential bacteria breeding ground. Dry beans are not considered a risky food. But cooking the beans can add enough moisture to create a contaminant-friendly environment, according to Gary Hagy, director of the Virginia Department of Health's food and environmental services division. There's a breakdown of the structure of the food, and it has enough moisture in it that it has the ability to support rapid microbial growth. Cooking produce also poses a risk because it breaks down a food's protective structure, exposing nutrients that can act as microbial feeding fodder. Temperature control is critical to ensure that cooked produce is safe. Once you've cooked these foods cool them down quickly if you're not going to serve them hot. "If you're going to serve them immediately, that's fine," Hagy says. "Keep the cold foods cold." Eaters should also be wary of prepared items such as burritos. First, ingredients for burritos are frequently held at improper temperatures, thereby allowing certain types of bacteria to proliferate. 'Ick' factor Second, here comes the "ick" factor, the more your burrito, or any other prepared food, is handled, the greater the chance of human fecal contamination, according to Iowa State's Beattie. Eaters should also be wary of cooked food that has been sitting out at the barbecue or picnic for several hours. Experts recommend leaving that leftover potato salad alone. Better yet, throw it away. "Banquets and mass gatherings such as potlucks are also higher risk," Beattie says. And despite widespread publicity about food dangers, eaters continue to consume risky foods. Even Beattie himself has succumbed to the lure of a convenient taco wagon: "Fantastic burritos, but the next day and almost right on schedule diarrhea. And yet we continued to eat there because the food was tasty," he says. "Risky? Probably not for a middle aged, bald, fat guy, but for an [at-risk eater], potentially."