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Yersiniosis
What Is
Yersiniosis?
Yersiniosis
is a type of gastroenteritis (gastro) caused by the (germ) bacterium
Yersinia.
Yersiniosis
can affect anyone, however, it is more common in young children.
What Are
the Symptoms of Yersiniosis?
The most
common symptoms of this disease are diarrhoea, fever, and vomiting.
After
infection it usually takes between three and seven days before you become
ill. To trace the cause of the illness, it is necessary to know what you
ate and drank and where you were in the week before you became
ill. Illness may last several weeks.
Where Are
Yersinia Found?
Yersinia
bacteria are found in wild, farm and pet animals and birds, particularly
chickens and pigs.
How Does
Yersiniosis Spread?
Yersiniosis
occurs when Yersinia bacteria are taken in by mouth and this may happen in
any of the following ways.
Inadequate Cooking
Yersinia
bacteria are often present in uncooked meat, particularly poultry and
pork. When the raw meat is prepared for human consumption and is not
adequately cooked, the bacteria may survive and infect people who eat it.
Unpasteurised milk may sometimes be contaminated with Yersinia bacteria.
Cross-Contamination
Cross-contamination is the spread of bacteria from something that
is contaminated with bacteria to something that is not.
Yersinia can
spread when uncooked foods that are contaminated with the bacteria
cross-contaminate ready-to-eat foods.
Raw foods
should always be considered to be contaminated. To avoid
cross-contamination, raw foods should be handled and stored separately
from cooked or ready-to-eat food.
Person-to-Person Spread
People with
yersiniosis have Yersinia bacteria in their faeces. If these people do not
wash their hands after going to the toilet, then contaminated hands can
spread the bacteria to surfaces and objects which will be touched by other
people. Contaminated hands can also spread the bacteria to food which may
be eaten by other people.
Hands can
also become contaminated with bacteria when a person changes the nappy of
an infant infected with yersiniosis.
People and
animals can carry Yersinia bacteria in their faeces without having any
symptoms. These people and animals can still pass the disease on to
others.
Pets, farm
animals and contaminated drinking water can also spread Yersinia bacteria.
I Think I
May Have Yersiniosis—What Should I Do?
If you have
symptoms of yersiniosis, report them to your doctor immediately. This will
ensure that you receive proper treatment and advice and that steps are
taken to reduce the spread of the disease.
Can I
Still Work?
Food
handlers, child care workers and health care workers with yersiniosis must
not work until symptoms have stopped.
Children
must not attend child care centres, kindergartens or school until symptoms
have stopped.
How Can I
Stop Spreading It to My Family?
In your
household, the risk of spreading Yersiniosis can be reduced. It is very
important that people with Yersiniosis or gastroenteritis do not prepare
or handle food which will be eaten by other people, and that no one else
shares their towel or face washer.
How Can I
Avoid Getting Yersiniosis?
By following
the guidelines below, everyone can do something to avoid getting
yersiniosis.
Careful Hand Washing
Everyone
should wash their hands thoroughly with soap and hot running water for at
least ten seconds:
- before
preparing food;
- between
handling raw and ready-to-eat foods;
- before
eating;
- after
going to the toilet or changing nappies;
- after
smoking;
- after
using a tissue or handkerchief;
- after
working in the garden; and
- after
playing with pets.
Food
handlers should use disposable paper towels or an air dryer to dry their
hands. Cloth towels are not recommended as they get dirty quickly and can
spread germs from one person to another.
Safe
Food Storage and Handling
- Do not
handle raw and cooked foods with the same implements (tongs, knives,
cutting boards), unless they have been thoroughly washed between uses.
- Keep all
kitchen surfaces and equipment clean.
- Defrost
food by placing it on the lower shelves of a refrigerator or use a
microwave oven.
- Thoroughly cook all raw foods.
- Cooked
food should be placed in a refrigerator within an hour of cooking it.
- Refrigerate raw foods below ready-to-eat or cooked foods to
prevent cross-contamination.
- Store
foods below 5 degrees C or above 60 degrees C to prevent growth of
bacteria.
- Thoroughly wash raw vegetables before eating.
- Reheat
food until the internal temperature of the food reaches at least 75
degrees C.
- Protect
food from insects, rodents and other animals.
Note
for Microwave Oven Users
Remember
that part of the microwave cooking process, includes standing time. If a
microwave oven is used, read the manufacturer's instructions carefully and
observe these standing times to ensure the food is completely cooked
before it is eaten.
Household Cleaning
Bathrooms
and toilets must be cleaned often to avoid the spread of bacteria. Pay
particular attention to toilet seats and handles, taps and nappy change
tables. Sandpits can become contaminated with animal faeces and urine.
Rake the sand frequently and remove any animal faeces. Cover the area when
not in use.
Water
From Untreated Sources
Untreated
water that comes directly from lakes or rivers may be contaminated with
faeces from people or animals. Boil water from these sources before
drinking it.
Note:
If you think the source of your illness may have been food, it is
important that you report it to your local council health department as
soon as possible. Retain any left over food which you believe may have
caused you to become ill.
For
further information contact the Communicable Diseases Unit, Department of
Human Services on Telephone: (03) 9616 7777.
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