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2

Roundworms, such as this female

Trichinella, are among the few foodborne

pathogens that naturally exist inside intact

meat or fish.

PAR ASITIC WOR MS

Fear of Trichinella spiralis, perhaps the most

infamous foodborne worm, has inspired countless

overcooked pork roasts. The trichina is widely

dreaded for its ability to burrow into the muscles

of pigs and other livestock, inflicting people who

eat the contaminated meat with the disease

trichinellosis (also called trichinosis). Most of us

learned of the danger from our mothers as well as

from some public health authorities and nearly all

cookbook authors, who have insisted for years that

pork should always be cooked well-done.

Yet in reality the Trichinella roundworm has

little impact on either the number or severity of

foodborne disease cases in the United States.

A CDC surveillance report that covers the years

1997–2001 confirms that physicians have seen

case loads associated with eating pork plummet:

of 55 cases in which people developed symptoms

of trichinellosis, investigators could link only

eight to commercial pork products purchased in

the U.S. Most of the few dozen other cases

resulted from eating the meat of wild game

bears in particular, but also boars and mountain

lionsor pork obtained directly from farms or

home-raised pigs, to which industry standards

and regulations do not apply (see Misconceptions

About Pork, page 179).

Although concern about foodborne worms can

be overblown, no one wants to harbor parasites

that can stick around for years or even decades.

So all cooks should know some basic facts about

the parasitic roundworms, flukes, and tapeworms

that sometimes make their way into the food

supply.

The diversity of these organisms is underappreciated.

Beyond Trichinella and other roundworms

or nematodes, foodborne worms of note include

flukes (trematodes) and tapeworms (cestodes). In

general, these parasites produce disease through

two main mechanisms: the worms either penetrate

body tissue during invasive infections, or

they live in the gut as noninvasive infections.

How Trichinella Can Get into Meat

An invasive infection by worms, typified by the Trichinella life cycle, begins

when an animal consumes muscle tissue that contains encysted worm

larvae. Freed from the tissue by the new host’s digestive process, the larvae

rapidly mature into male and female adults, which mate and release new

larvae. Each larva burrows into a muscle cell, converting it into a so-called

nurse cell by secreting proteins that promote the formation of blood

1

Life stages

Larvae burrow into animal

muscle and form cysts.

When ingested by another animal,

larvae leave cysts and travel to the

small intestine, where they mature.

Adult worms reproduce and

release new larvae.

2

Contamination

Pigs, wild boar, bear, and other

animals get infected with parasites.

vessels. Blood vessels then grow around the larva and feed it. Larvae can

live in protective calcified cysts for years until the host dies and is eaten,

which starts the cycle anew in another host.

Trichinella worms can survive refrigeration, but sufficient freezing will kill

the worms in pork. For other meats, and as an alternative for pork, safe

cooking practices will render any worms in the food harmless.

3a

3b

Unsafe storage

Fresh meat is refrigerated,

but parasites survive.

Contamination risk

Low High

Wild game

Pork

Safe storage

Fresh pork can be frozen to

−20.6 °C / −5 °F for 82 h or to

−37.2 °C / −35 °F for ½ h, killing all

parasites. All parasites may not be

killed in boar or bear meat, however.

4b

Unsafe cooking

4a

Meat is insufficiently cooked

(either too quickly or at too low a

temperature), leaving viable parasites.

Contamination risk

Low High

Wild game

Pork

Safe cooking

Meat is cooked to 54.4 °C / 130 °F

for 112 min or 60 °C / 140 °F for 12 min,

killing all parasites.

Contamination risk

Low High

Wild game

Pork

Contamination risk

Low High

Wild game

Pork

Contamination risk

Low High

Wild game

Pork

Roundworms

Flesh-burrowing roundworms are among the few

pathogens that normally live inside human food,

typically buried deep inside the muscle tissue of

domestic pigs as well as wild boars, bears, and

other carnivorous animals. One Trichinella

subspecies that lives in polar bears and walruses

has been linked to outbreaks among Inuit communities

near the Arctic Circle.

With few exceptions, Trichinella infections do

not cause death, although they can cause serious

cardiac or neurological complications if they enter

the heart or brain. Once the larvae invade tissue,

they wait patiently for the host to die. In the wild,

dead animals are invariably eaten by scavengers,

which gives trichinae a chance to propagate.

One way to prevent trichina worms from

infecting livestock is to cook farm slops or feed

that contains meat scraps before giving it to pigs.

In the kitchen, however, killing trichinae does not

require the excessive heat that most people

imagine. The FDA Food Code recommends using

the same time-and-temperature combinations for

cooking pork as it does for cooking beef or lamb

(for example, 54.4 °C / 130 °F for 112 minutes or

60 °C / 140 °F for 12 minutes). U.S. Government

regulations for killing trichinae specify even lower

values: 54.4 °C / 130 °F for 30 minutes or 60 °C /

140 °F for one minute.

So why did Mom think she had to cremate the

pork roast? Well-meaning public health authorities

have long exaggerated both the threat of

120 VOLUME 1 · HISTORY AND FUNDAMENTALS

MICROBIOLOGY FOR COOKS 121

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