Food Poisoning in Malaysia 1.0 Introduction The topic that I have chosen is food poisoning in Malaysia. I believe that food poisoning cases in our country are getting worrisome, yet there is no one actually being arrested in court for this matter. Despite those who preserve the rights for the victims involved, there are still people who are being selfish as it does not affect their family and beloved ones. Thus, I decide to do the project regarding food poisoning in Malaysia because there are many useful online articles and newspaper that are related to this topic. Overall, I have selected 17 corpuses which discuss some of the causes, effects, and preventions of food poisoning. Indeed, AntConc is a great analysis toolkit because it helps process corpuses and display results in an understandable way. 2.0 Objectives In general, there are five crucial objectives to be highlighted throughout this research: 1. To recognize the common factors of food poisoning. 2. To elicit information on how does food poisoning affect people and their health. 3. To identify which party normally involves in investigating this matter. 4. To know what are the actions taken if food poisoning cases occur. 5. To pinpoint the prevention steps in avoiding this problem. 3.0 Methodology The best 17 online and newspaper articles about food poisoning in Malaysia are selected. These corpuses are further analyzed by using AntC onc which includes a powerful concordance, word, and keyword generators to specify the analysis of small sized corpuses from the major topic. Thus, the common words or phrases regarding the reasons, effects, people, actions, and precautions involved in food poisoning can easily be detected. The results then are compared and contrasted in order to get balanced findings. 4.0 Findings 4.1 The common reasons of food poisoning Throughout this research, the word contamination or contaminated are repeated so many times in the corpuses. Thus, I consider contamination is the most common cause of food poisoning. Food can be contaminated in many different ways. Parasites that contain in some food products can spread during the packaging process if they are not handled appropriately. For instance, E. coli bacteria typically occur after drinking unpasteurized milk or having undercooked beef. Improperly cooking or storing food may cause contamination too. The food poisoning incident which involved the Culture and Tourism Minister, three Malacca executive councilors, and 30 senior tourism officials from ASEAN countries is believed to be triggered by seafood meal. Laboratory tests on the food samples further showed that the food served on that day was contaminated with E. coli bacteria, indicating contamination. Although most E. coli bacteria are harmless, several strains such as the E. coli O157:H7 may lead to bloody diarrhea as well as kidney failure and death. Next, I assume that hygiene is another common factor of food poisoning. Nevertheless, food poisoning happens due to the lack of hygiene awareness among eatery operators. In Malaysia for instance, foreign workers are always seen washing plates next to a drain, where rats and cockroaches are sighted peeking out from the walkway. Another foreign worker steadily wipes the table with a damp cloth and proceeds to get the change at the cashier. These are among the normal scenes at the local coffee shop, mamak stall, roadside stall or ‘pasar malam’. In fact, there are people who claim “the dirtier the place, the better the food tastes”. Plus, food poisoning is also caused by unhygienic canteens and hostel kitchens. The Health Ministry reported that 5,265 food poisoning cases occurred in schools or hostel canteens, making up 43% of 12,122 total cases reported nationwide in 2014. Food poisoning cases in school canteens and hostel cafeteria were rising steadily, recording 3,822 in 2010, 3,959 in 2011, 4,305 in 2012 and 5,017 in 2013. No of Corpus Type of Word Frequency 4 unhygienic 1 5 unhygienic 1 6 unhygienic 4 8 hygiene 1 13 cleanliness 2 16 clean 1 17 hygiene 2 Moreover, I predict that Salmonella infection is also the common factor of food poisoning in Malaysia. It is frequently caused by eating raw or undercooked meat, poultry or egg products. Salmonella infection is a mutual bacterial infection that affects the intestinal tract. Salmonella bacteria are certainly present in chicken intestines, but if food handler had not cooked and kept the chicken well, the bacteria can release great levels of toxin. In 2014, a boarding school in Kuala Nerang, Malaysia reported more than 150 students became ill because of a foodborne illness. Kedah state health director Ismail Abu Taat, reported the food poisoning was caused by Ayam Masak Merah (chicken in spicy tomato sauce) supposed to be contaminated with Salmonella from inappropriately stored chicken. “Salmonella bacteria is naturally present in chicken intestines, but the food handler had not cooked and stored the chicken properly, thus causing the bacteria to release high levels of toxin,” he told Bernama. No of Corpus Type of Word Frequency 3 Salmonella 2 4 Salmonella 1 6 Salmonella 6 7 Salmonella 3 10 Salmonella 1 14 Salmonella 2 4.2 The effects of food poisoning Based on my findings, I estimate the most familiar effects of food poisoning are diarrhea and vomiting. This is due to the high frequency of these words repeated in the corpuses. In 2013 for instance, twelve school students of SK Mohd Shah in Pinang Tunggal suffered from stomachaches and vomiting believed due to results of food poisoning. One of the students, Mohd Danial Haikal said he felt nauseous after drinking milk and had to to vomit. "My stomach turned after drinking the milk. I didn't have such a problem after eating nasi lemak much earlier," he added. His classmate Zarith Sofia Mohd Rosdi said she suffered from a stomachache after drinking milk from a box during recess. "I had stomach pain after drinking milk supplied by the school and had to visit the toilet several times to vomit," she added. In another case in Muar, one of the pupils said he had to run to the toilet after drinking the milk – “I vomited three times when I was in the toilet and purged twice. After I returned to my class, several friends also suffered similar pains. Other than that, I predict most of the people who consume on poisoned food have the risk to be admitted to the hospital. Words such as ‘hospitalized’, ‘warded’, ‘admitted’, ‘hospital’, and ‘patient’ are always appeared in the corpuses. In 2013, three people died and 65 others were hospitalized due to food poisoning after they ate food served at a wedding in Kedah. On the other hand, in 2014, seven students of Sekolah Menengah Kebangsaan Dato Syed Ahmad were admitted to the hospital whereas 117 received outpatient treatment. In Tapah, some 66 students of SM Sains Tapah were rushed to the district hospital after suspected with food poisoning. Around 25 of them are Form Three students who had to take their PMR English and Geography papers at the Tapah Hospital. Besides, I assume food poisoning may cause death. This is because of the words ‘died’ and ‘death’ that are found everywhere in the corpuses. For example, different case in Kuala Terengganu claims that a five-year-old boy died from food poisoning after he ate food from ‘pasar malam’. According to his mother, Siti Zuriana Mohd Yusoff, 28, her only child had gone to the pasar malam with her husband and bought fried chicken, fried rice and yam juice. They both complained of stomach pains and diarrhea before going to the clinic. Although the boy was given breathing assistance before being sent to the hospital, he became weaker and unfortunately died on the way there. 4.3 People in charge in food poisoning cases Health Ministry states that 5,265 cases of food poisoning in the country were caused by food prepared at school or hostel canteens. Minister Datuk Seri Dr S. Subramaniam, whose name stated several times in the corpuses, said the ministry is extremely looking into this matter as it can affect learning in schools. He also claims food poisoning cases involving school and hostel canteens nationwide had been on the rise since 2010. Moreover, The Consumers Association of Penang (CAP) has warned the Health Ministry, to firmly apply the Food Hygiene Regulations 2009 due to the growing proof of food poisoning cases in the country. “Food poisoning from harmful bacteria, viruses, parasites or chemical substances caused the deaths of some two million people, mostly children, yearly worldwide,” said CAP president S. M. Mohamed Idris in conjunction with World Health Day. In another case which involves thirty-six people who are down with food poisoning after eating Roti John at a Ramadan bazaar Shah Alam, health director-general, Datuk Seri Dr Noor Hisham Abdullah said no deaths had been reported but 24 of them were treated in hospitals and 12 were given outpatient treatment. On the other hand, State Women, Family, Health and Community Development Committee chairman, Dr Robia Kosai said cases of food poisoning in schools should be fixed fast. “We want the Health Department and those related with food supplied at all schools to ensure all food is fresh and clean,” she added. 4.4 Actions taken in solving food poisoning cases Health Minister, Datuk Seri Dr S Subramaniam wants the Education Ministry (KPM) to blacklist operators of canteen and school hostel food hall that believed to be involved in food poisoning cases. He said the rise in food poisoning cases every year involving school students needed to be observed completely to ensure food prepared for the young generation was always clean, safe and healthy. As the ministry responsible to assign the food providers, he wished KPM would execute strict conditions, including cancelling contracts and not re-hired canteen operators with such bad records. Besides, Ministry Of Health director-general, Datuk Dr Noor Hisham Abdullah says the ministry is resolving the problem through various means. One of them is the Kendiri selfassessment programs, which require operators of hostel kitchens and school canteens to selfregulate in order to recover cleanliness and food safety. Another method is the inspection and grading of school canteens and hostel kitchens. In addition, MOH organizes food safety promotions to enhance food safety consciousness among students and implementation of food hygiene regulation. In another case which involves thirty-six people who are down with food poisoning after eating Roti John at a Ramadan bazaar Shah Alam, Datuk Dr Noor Hisham Abdullah says the ministry would carry out measures to limit the eruption and cooperate with local authorities to guarantee food safety was conserved at all Ramadan bazaars. Moreover, Penang’s health department and local councils has launched surprise checks at Ramadan bazaars in the state to stop food poisoning cases. State health executive councilor, Dr Afif Bahardin said food poisoning cases would double or triple during Ramadan due to poor hygiene in food handling at Ramadan bazaars. “We have launched Ops Bazaar Ramadan to conduct surprise checks on these stalls and to take food samples from them to check for contamination,” he said. Food handlers will be checked if they are vaccinated with typhoid jabs or not. Food stalls of unhygienic food preparation can be fined up to RM250, depending on the offence to ensure good hygiene in food handling. On top of that, The Agriculture and Agro-based Industry Ministry will examine the claim that chicken imported from Thailand was the cause of food poisoning that killed four people in Kedah recently. Its minister Datuk Seri Ismail Sabri Yaakob said, they will inform and seek the cooperation of the Health Ministry to further investigate the matter. Four people died from food poisoning after consuming a chicken dish, ‘ayam masak merah’ served at a wedding feast in Kedah. The Health Ministry would always appoint a written approval before a food product could be imported into Malaysia. “We had before stopped the import of chicken from China due to the avian flu outbreak and the same thing happened with pork for health reason. Hence, when a viral issue arises involving food, the Health Ministry should inform us first and we will always extend our cooperation in tackling the issue,” he said. Other than that, I can assume there are actually lots of campaigns held regarding this issue. The most obvious one is when Malaysian Public Health Physicians' Association (PPPKAM) runs the 'look, sniff, taste' campaign before having meals at any stalls or school canteens. The vice-president of PPPKAM, Dr Othman Warijo said the three-step procedure was a vital campaign held by the Health Ministry to prevent food poisoning. "Despite appearing simple, the procedure is worthwhile to avoid food poisoning which can even result in death," he said. He also claimed that victims of food poisoning always blamed the operators of food when they themselves neglected the safety process before consuming the food. "Look at the physical appearance of the food to find out if the gravy has become sticky. Sniff the food to determine if it has rotted. Taste the food. If one is confident that the food is edible, then one can proceed. Otherwise, leave it," he said. 4.5 The precaution steps to avoid food poisoning In order to prevent food poisoning at home, several efficient steps should be practiced. I predict the easiest way is perhaps, wash hands with soap and water before preparing and eating food. As simple as it can be, but when handling food, it is significant to ensure hands are as clean as possible. This is due to the cross contamination which may happen when the cooked food comes into contact with raw meat and poultry. Hence, by washing hands with soap and warm water for at least 20 seconds when handling meat and poultry, it can reduce the risk of food poisoning. Next, fruits and vegetables that are eaten raw must be washed. Do not let raw meat, poultry, or fish mix with ready-to-cook foods such as fruits, bread, and salad. This is an important way in avoiding food poisoning as food can be contaminated if they are contacted with raw food. On the other hand, raw meat that is stored in the fridge has to be covered and kept on the bottom of the shelf. Always wash hands, knife, and cutting board after cutting these meats. If possible, avoid coughing, spitting, and chewing things near food so that saliva will not get in the food. Also, throw food out when it spoils and do not allow pets to lick dishes clean. Food need to be chilled at the proper temperature to halt the food-borne bacteria and organisms from growing. Any level of temperatures between 4°C and 60°C will boost them to grow speedily, so always make sure that temperature is below 5°C. Also, refrigerated food must not be left out at room temperature for more than two hours. The warmth of the kitchen and exposure to other foods forms perfect conditions for spread of bacteria. Besides, I can say the certain way to avoid food poisoning is to cook food thoroughly. Certain foods like poultry, beef, and eggs should be cooked completely until steaming hot. Meat must be cooked until it is no longer pink inside, and the egg yolks and whites are firm because most of the nasty organisms grow in these foods while raw. When poultry is cooked thoroughly, juices will be clear, not pink. Furthermore, a meat thermometer can be used to make sure that meat and poultry are cooked all the way through. The word ‘bad’ is written several times in the corpuses. Thus, I can conclude that we must avoid eating food with bad smell, taste or colour. For instance, do not eat meat that changes from red to brown. Plus, avoid eating stew or soup that have many bubbles on the top, along with a bad smell slime on the surface of meat or cooked food. Datuk Dr Noor Hisham Abdullah also advices the public to only utilize hygienic restaurants and report cases of dirty food operators to the Health Office or local authorities. In schools, students need to be aware of the food served at canteens. Never eat food that smells bad or food that have different colours from the usual one. In fact, students can always bring food from home, which the preparation is more guaranteed to be safer and healthier. For the School Milk Program (SMP), students are compulsory to check on the expiry date of the milk, look for the condition of the container, and taste some of the milk without swallowing it. If they notice something goes wrong with the food at canteens or the free milk scheme, they should not be afraid to tell their teachers at once. Besides, canteen facilities such as toilets, sinks, and dustbins must have good hygiene and smell. Floors, walls, ceilings and drains must also be kept clean because their surfaces are disposed to to pathogenic and non-pathogenic microorganisms which can surely contaminate food. 5.0 Conclusion Food poisoning, simply said, is an illness caused by consumption of contaminated food. In most cases, the food is contaminated by some form of bacteria, virus, parasite or toxins. Every now and then, we have outbursts everywhere in Malaysia, and we all know too well the story of how they begin – mishandling of food and carelessness together with lack of hygienic practices happen at the time of food processing, transport or preparations. The most effective way to avoid this matter comes from oneself. The public, especially children and elderly should always be aware of what they eat. People must own a sense of awareness about their food consumption and do not just eat everything that comes across them. The simplest way to detect food poisoning is by using the five senses of human beings. However, ministry of Health also needs to strictly enforce the Food Hygiene Regulations 2009. Regular spot-check on school canteens, bazar Ramadhan, roadside stalls, and even ‘pasar malam’ should be held to maintain the good hygiene of food preparation. For those who are caught red-handed, punishments have to be conducted immediately. 6.0 References http://www.theantdaily.com/Main/Coming-clean-on-food-hygiene http://www.themalaysianinsider.com/malaysia/article/12-penang-students-down-with-foodpoisoning http://www.thestar.com.my/News/Nation/2013/10/04/102-students-hit-in-two-suspected-foodpoisoning-cases/ http://www.themalaymailonline.com/malaysia/article/ministry-imported-chicken-as-cause-ofdeadly-food-poisoning-under-investiga http://www.foodsafetynews.com/2014/02/158-students-in-malaysia-sick-with-food-poisoning/ http://www.freemalaysiatoday.com/category/nation/2015/04/07/cap-calls-for-govt-action-onfood-poisoning/ http://www.thestar.com.my/News/Nation/2014/10/03/More-food-poisoning-in-schools-HealthMinister-concerned-over-negative-effect-on-students/ http://www.foodpoisoningnews.com/possible-salmonella-poisoning-sickened-158-students-inmalaysia/ http://www.dailyexpress.com.my/news.cfm?NewsID=83051 http://www.themalaymailonline.com/malaysia/article/toxic-substances-main-suspect-in-foodpoisoning-at-school http://www.thestar.com.my/News/Nation/2014/03/03/Pasar-malam-food-poisoning-boy-death/ http://www.healthcareasia.org/2012/83-malaysian-students-ill-after-drinking-free-milk/ . .