Ontario Food Handler overview

Ontario Food Handler: Foodborne illness and hazards

What foodborne illness is, its symptoms and who is most at risk; chemical, physical, allergen and microbiological hazards; bacteria, viruses, parasites, protozoa, moulds and yeasts; infections versus toxins, spores, carriers, infectious dose and what bacteria need to grow; handling a customer illness complaint.

  • 36 questions
  • Topic drill
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Foodborne illness and hazards · Question 1Score 0/0

While handling an illness complaint, which step does the guide say to avoid?

Study reference: Food Safety: A Guide for Ontario's Foodhandlers (MOHLTC, updated January 2017), Ch. 2–3 Foodborne Illness and Microorganisms — symptoms, chemical and physical hazards, microorganisms, toxins, spores, bacterial growth, complaints

All 36 questions in this test

Every question and its answer choices. The correct answers and explanations appear when you take the test above.

  1. While handling an illness complaint, which step does the guide say to avoid?

    1. Saving samples of the food served
    2. Giving the customer medical advice
    3. Reviewing how the food was prepared
    4. Asking staff if they have been ill
  2. A co-worker says a customer only had a "24-hour flu" after eating at your restaurant. What does the guide warn about this?

    1. It is always caused by a virus from travel
    2. It only matters if a doctor confirms it
    3. It can never be caused by food
    4. It is often really a foodborne illness
  3. Which of these is a physical hazard in food?

    1. Too much MSG
    2. A staple from a delivery box
    3. Salmonella bacteria on raw chicken
    4. Peanut protein
  4. Clostridium botulinum in a badly sealed jar is an example of which kind of bacteria?

    1. Cold-only, grows below 0 °C
    2. Aerobic, needs oxygen
    3. Acid-loving, needs pH 2
    4. Anaerobic, grows without oxygen
  5. Dry rice is stored at room temperature. When can it become hazardous?

    1. Only after one year in storage
    2. Once water is added and it is cooked
    3. As soon as the bag is opened
    4. Only if it is kept in the fridge
  6. What does freezing do to mould already on a food?

    1. Turns the mould into yeast
    2. Kills all of the mould cells
    3. Removes its toxins completely from the food
    4. Stops it growing but does not kill it
  7. Which statement about bacterial spores is correct?

    1. They are killed by most sanitizers
    2. They die in a fridge at 4 °C
    3. Cooking temperatures do not destroy them
    4. They only form in fresh fruit
  8. Raw marine fish served as sushi or sashimi can spread which parasite?

    1. Botulism
    2. Trichinosis (pork tapeworm)
    3. Giardiasis (beaver fever)
    4. Anisakiasis (roundworm)
  9. What is the best way to control parasites in meat and fish?

    1. Thorough cooking
    2. Storing on the top shelf
    3. Rinsing in cold water
    4. Adding lemon juice
  10. Which of these is a common symptom of foodborne illness?

    1. Blurred hearing
    2. Hair loss
    3. Diarrhea
    4. Sunburn
  11. What is the best way to control the spread of viruses in a food premise?

    1. Handwashing
    2. Adding more salt
    3. Freezing the food
    4. Using a larger fridge
  12. Staphylococcal intoxication usually starts how soon after eating the food?

    1. 2 to 4 hours
    2. 25 days
    3. 9 days
    4. 2 to 6 weeks
  13. You find mould on soft bread. Why should the whole loaf be thrown out?

    1. Mould only grows on the crust
    2. Mould roots and toxins spread under the surface
    3. Mould is harmless once toasted
    4. Freezing the loaf first would have killed the mould
  14. A customer feels sick about 30 minutes after a meal. Which kind of contamination usually causes symptoms this quickly?

    1. Hepatitis A virus
    2. A Listeria infection
    3. Chemical contamination
    4. A parasite infection
  15. Which statement explains why bacteria are so dangerous in food?

    1. They die once food is cut
    2. They can only survive and multiply on raw meat
    3. They need sunlight to grow
    4. Refrigeration and freezing do not kill them
  16. Why can't you tell by looking whether food contains harmful microorganisms?

    1. Germs only grow on frozen food
    2. Germs always change food to green
    3. Contaminated food can look, smell and taste normal
    4. Unsafe food always gives off a sour smell you can notice
  17. Hepatitis A from an infected food worker typically shows symptoms after about how long?

    1. 2 hours
    2. 18 hours
    3. 3 days
    4. 25 days
  18. Why might reheating food contaminated with a bacterial toxin still leave it unsafe?

    1. Toxins only form after reheating
    2. Heat turns the toxins back into living spores
    3. Cooking makes toxins taste bad
    4. Some toxins are not destroyed by cooking
  19. Food is considered potentially hazardous when it is moist and has a pH above what value?

    1. 2.0
    2. 4.5
    3. 9.5
    4. 12.0
  20. What should you use to scoop ice for drinks?

    1. A coffee mug
    2. Your gloved hand
    3. A food-grade scoop with a handle
    4. A clean drinking glass from the rack
  21. Which group of customers is at higher risk of serious harm from a foodborne illness?

    1. Healthy adults under 40
    2. Teenage athletes
    3. Regular restaurant customers
    4. Pregnant women
  22. You pour a cleaner into a smaller spray bottle. What must you do with the bottle?

    1. Rinse it out with juice first
    2. Store it on the shelf above food
    3. Label it with the product name and contents
    4. Leave it unlabelled if the liquid inside is clear
  23. A customer calls to say they got sick after eating at your restaurant. What should be done?

    1. Tell them to take an antacid
    2. Throw out all food from that day and say nothing
    3. Record the details and call the health unit
    4. Wait to see if others complain
  24. A bar runs its drinks through copper lines. Which drink can safely run through copper?

    1. Orange juice
    2. Lemonade
    3. Carbonated soft drinks
    4. Plain water
  25. Which additive is used to keep colour and lengthen shelf life, and can cause reactions in sensitive people?

    1. Corn starch
    2. Baking soda
    3. Table salt
    4. Sulphites
  26. Why is the term "foodborne illness" used instead of "food poisoning" for most cases?

    1. Food poisoning only affects children
    2. Most cases come from cleaning chemicals
    3. Poisoning is now a criminal term
    4. Most cases are caused by infection, not poison
  27. What are microorganisms that make people sick called?

    1. Pathogens
    2. Enzymes
    3. Additives
    4. Probiotics
  28. Why should tomato sauce or fruit juice not be stored in a metal container?

    1. Metal blocks the fridge's cold air
    2. The acid can dissolve metal into the food
    3. Metal makes the food freeze too fast
    4. The food will lose its vitamins
  29. Under ideal conditions, how often can bacteria double in number?

    1. Once a week
    2. About every 12 hours
    3. Every 2 to 3 days
    4. Every 10–20 minutes
  30. Why do lights above food preparation areas need shields or covers?

    1. So the lights use less power and last longer
    2. So broken glass cannot fall into food
    3. So the kitchen stays cooler
    4. So pests cannot see the food
  31. Which bacterium can make a healthy person sick from as few as 10 organisms?

    1. Lactobacillus
    2. Shigella
    3. Campylobacter
    4. Salmonella
  32. In Ontario, which type of foodborne illness is the most common?

    1. Illness caused by glass
    2. Illness caused by metal
    3. Illness caused by additives
    4. Illness caused by bacteria
  33. Which of these is a potentially hazardous food?

    1. White sugar
    2. Cut melon
    3. Plain crackers
    4. Unopened dry pasta
  34. Why don't viruses multiply in food left on the counter?

    1. They need temperatures above 60 °C
    2. They only grow in frozen food
    3. Room air kills them in minutes
    4. They can only grow inside living cells
  35. Which list names the four causes of foodborne illness?

    1. Smoke, dust, water, air and mould
    2. Heat, cold, light, noise and dust
    3. Salt, sugar, fat, protein and water
    4. Chemical, physical, allergens, microbes
  36. A food handler with an infected cut on her hand made a cream pie. Which kind of illness is most likely?

    1. A mould allergy
    2. A parasitic infection from the cream filling
    3. Intoxication from a bacterial toxin
    4. A metal poisoning

Foodborne illness and hazards: key rules to remember

Our summary of what the official handbook says on this topic, in our own words. Read it before or after the practice questions above, then check the original chapter. Read the official chapter ↗

Foodborne illness: introduction and symptoms

  • Foodborne illness = getting sick from something you ate or drank; it replaced the older term "food poisoning" because most cases are infections, not poisonings.
  • Contaminants: bacteria, viruses, parasites or chemicals.
  • About 4 million Canadians (1 in 8) a year get a foodborne illness (PHAC 2016 figure quoted in the guide).
  • Higher-risk groups: young children, the elderly, pregnant women, people with weakened immune systems.
  • Common symptoms: stomach cramps, diarrhea, vomiting, nausea, fever. A "24-hour flu" is often foodborne illness.

Causes

  • Onset can be soon after eating or a month or more later; depends on the cause, the person's prior health and the dose eaten.
  • Four causes: chemical, physical, allergens, microbiological.
  • Bacterial illness is the most common type in Ontario.

Chemical hazards

  • Illness caused by chemicals = food poisoning; symptoms are fast, 20 minutes to a few hours.
  • Metal poisoning: acidic foods (juice, maple syrup, tomatoes) dissolve metal; copper beverage lines are fine for water but not acidic or carbonated drinks; cadmium shelving; lead paint on dishes.
  • Intentional additives (colour, thicken, preserve) are safe if used correctly; sulphites, MSG and tartrazine (FD&C Yellow #5) are known to cause reactions.
  • Incidental additives: insecticides, rodenticides, cleaners. Keep chemicals in original containers; any transfer container must be clean, dry and labelled with name and contents. Some cleansers must be rinsed off a counter before food prep.

Physical hazards

  • Dirt, hair, glass, nails, staples, metal.
  • Shield lights over food areas; remove staples/nails from boxes on receiving; never scoop ice with a glass (use a food-grade scoop with a handle); don't chill glasses in ice meant for drinks; don't store toothpicks or non-edible garnishes above food.

Microorganisms

  • Microorganisms that make us sick = pathogens. Contaminated food may look, smell and taste normal.
  • Six types: viruses, protozoa, parasites, yeasts, mould, bacteria.
  • Viruses: 20–100 times smaller than bacteria; do not grow in food (need living cells); hands are the most common route into food; best control = handwashing. Examples: hepatitis A, avian flu, rotavirus.
  • Parasites: from contaminated water, undercooked meat, cross-contamination; do not grow in food; best control = thorough cooking. Trichinosis (pork, wild game); anisakiasis (raw marine fish such as sushi).
  • Protozoa: from contaminated water; survive longer in water than bacteria. Giardiasis ("beaver fever"), cryptosporidiosis.
  • Yeast: spoils food (bubbles, alcohol smell, pink spots, slime); needs sugar and moisture (jellies, honey).
  • Mould: grows on almost any food at any storage temperature; freezing stops growth but does not kill it; toxins (mycotoxins) are under the surface; aflatoxin in nuts/peanut butter, ochratoxin A in grain, coffee, wine. Hard cheese / hard salami may be saved by cutting at least one inch around and under the mould, but throwing mouldy food out is encouraged. "When in doubt, throw it out."

Bacteria, infection, toxins, spores

  • Campylobacter: poultry and meat, rodents, wild birds, pets, untreated water. Listeria: soil. E. coli: animal intestines, spread to meat surfaces at butchering. Clostridium perfringens: cooked beans, gravies, leftovers. Salmonella: raw poultry, also meat, unpasteurized milk, raw eggs.
  • Infection = living bacteria eaten; symptoms usually one or more days later (most within 3 days), usually with fever. Salmonella, Campylobacter, Shigella.
  • Intoxication = toxin made by bacteria; toxins have no smell or taste; some are not destroyed by cooking; can come from infected cuts, burns, boils. Symptoms same day to a day or two; can last up to two weeks. Botulism (C. botulinum): double vision, paralysis, can be fatal.
  • Spores: resting stage; not destroyed by cooking temperatures or most disinfectants.

Examples of microbiological illness

  • Salmonellosis onset 6–72 h (usually 18–36 h). Staphylococcal intoxication 1–8 h (usually 2–4 h); from noses, skin and infected cuts; custards, cream-filled pastries, ham, potato salads. Trichinosis 4–23 days (usually 9). Hepatitis A 10–50 days (usually 25); shellfish/raw oysters, infected workers. E. coli haemorrhagic colitis 2–6 days; undercooked hamburger.

Carriers, who gets sick, why bacteria are dangerous

  • Carriers can spread germs without symptoms.
  • Infectious dose: Shigella as few as 10 organisms; Campylobacter about 500; Salmonella about 100,000.
  • Bacteria multiply fast at room temperature, are not killed by refrigeration or freezing, and their spores/toxins can survive cooking. Under perfect conditions they double every 10–20 minutes.
  • Needs: time and temperature, oxygen, pH, moisture, protein.

Growth factors and potentially hazardous foods

  • Aerobic bacteria need oxygen (Salmonella); anaerobic grow without it (C. botulinum in badly packaged cans/jars).
  • pH 0–14, 7 neutral; pathogenic bacteria need slightly acidic or higher.
  • Low moisture does not kill bacteria but stops growth; dry foods become hazardous when water is added.
  • Potentially hazardous foods: moist foods with pH above 4.5, dairy, meat, fish, poultry, eggs, some raw produce (bean sprouts, garlic in oil, cut melon) and any dish containing them.

Complaints

  • On a foodborne illness complaint: call the local health unit; record who got sick, what and when they ate, symptoms and when; talk to staff about illness; review preparation; save food samples; do not give medical advice.

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