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Food Safety

What Are the Top Contaminated Foods?

Food contamination makes millions of people sick every year. Discover the riskiest foods regulated by the FDA or USDA, and how they may cause foodborne illnesses.
By
Chris Iliades, MD
Updated on January 6, 2024
by
Kayli Anderson, RDN
Steve Debenport/Getty Images

Have you ever rushed to your fridge after hearing about the latest food recall, checking batch numbers and “best by” dates to make sure you’re in the clear?

If so, you’re not alone. In 2023, the U.S. Food and Drug Administration (FDA) issued recalls for more than 200 contaminated food items across the United States.

The Centers for Disease Control and Prevention (CDC) estimates that one in six Americans gets sick from consuming contaminated foods or beverages each year.

Some foods are more likely than others to contain germs that can make you sick, according to the CDC. These include raw and undercooked meat, chicken, and other poultry; and raw vegetables, grains, and fruits, including leafy greens, sprouts, and flour. The FDA regulates those foods, and the U.S. Department of Agriculture (USDA) monitors animal products — such as eggs, cheese, and raw meat — that can carry other foodborne illnesses.

Protecting yourself and your family from contaminated-food diseases is particularly important if pregnant women, young children, adults older than 65, or people with a compromised immune system live in your home.

According to FoodSafety.gov, a clearinghouse for food safety information compiled by the FDA, the CDC, and other government agencies, salmonella and E. coli are among the most common foodborne diseases that cause illness and death, along with norovirus, Clostridium perfringens, campylobacter, and listeria.

Salmonella contamination in food is responsible for 1.35 million foodborne illnesses in the United States each year, sending an estimated 26,500 people to the hospital and causing hundreds of deaths, according to the CDC. This infection is often associated with poultry and eggs, but contamination can turn up in a variety of foods, including fruit, vegetables, beef, pork, and seafood. Symptoms typically include diarrhea, fever, and abdominal cramps.

Meanwhile, E. coli can affect not only fruits and veggies that are eaten raw, but also water, soft cheeses made from raw milk, and undercooked ground beef, per the CDC. Symptoms of E.coli include severe stomach cramps, diarrhea (which may be bloody), vomiting, and a fever (usually under 101 degrees F).

Since food poisoning can be fatal, the CDC recommends that you immediately see a doctor or healthcare provider if your symptoms include:

  • Bloody stools
  • A high fever (with a temperature higher than 102 degrees F)
  • Frequent vomiting, which may cause dehydration
  • Symptoms that could indicate dehydration, such as little or no urination, dry mouth and throat, or dizziness when standing
  • Prolonged diarrhea (lasting more than three days)

These facts may be alarming to hear, but know that the food system in the United States is relatively safe, thanks to the Food Safety Initiative, which began in 1997, says Joan Salge Blake, RDN, a clinical professor in the department of health sciences at Boston University.

“This program coordinates the research, inspection, outbreak response, and educational activities of the various government agencies to safeguard our foods,” she says. And it helps alert the public if an outbreak arises, reducing the number of people who get sick.

“Consumers need to know about the risks, but they also need to know we have the safest food supply in the world,” Blake says.

Still, watch out for the following top contaminated-food culprits.

Antibiotic-Laced Meat, Including Ground Turkey

a package of ground beef
Getty Images

The Environmental Working Group analyzed data from an FDA study and discovered serious examples of antibiotic resistance in meat sold in this country. Both E. coli and salmonella were found to be resistant to nearly all the antibiotics that were tested.

As for Enterococci, a common family of bacteria, studies have found that 81 percent (or more) of the bacteria detected in samples of ground turkey were resistant to antibiotics, such as tetracyclines, in clinical settings. What’s worse, Enterococci can be spread in hospitals via surfaces or objects that are touched by someone who is infected.

Antibiotic resistance occurs when animals are treated with antibiotics to prevent disease and also to help them grow. Antibiotic resistance is dangerous because it means doctors have fewer treatment options for patients when they get ill.

Cantaloupe Tainted With Listeria and Salmonella

a cantaloupe cut in half
Thinkstock

In June 2018, the FDA issued a warning that an outbreak of salmonella had been linked to precut melon. According to the CDC, at least 70 people became ill; fruit salads containing cut cantaloupe, honeydew, and watermelon were recalled on June 8. The outbreak did not lead to any deaths, and authorities declared it over in July 2018, but this was not the first time that melons had been found to be contaminated.

A major listeria outbreak in cantaloupe in 2011 caused 33 deaths and 143 hospitalizations across 28 states. Listeria is particularly dangerous because it lives in soil, infecting the inside of cantaloupe as well as the outside. Additionally, it thrives in cold temperatures (such as your refrigerator). The CDC linked the multistate listeria outbreak to a farm in Colorado and, after a yearlong investigation, declared it over in October 2011.

A salmonella outbreak linked to cantaloupe killed three people in Kentucky and sent dozens to the hospital in 2012, according to the CDC.

While additional listeria scares in melon have largely been avoided, other foods — including raw milk cheese, packaged salads, and frozen vegetables — have seen outbreaks, according to the CDC.

Cross Contamination of Spinach and Other Leafy Greens

a bowl of spinach
Thinkstock

One of the most consistently contaminated foods, leafy greens account for almost 30 percent of illnesses in foods that are regulated by the FDA, according to data collected from 1990 to 2006.

The problem with leafy greens, according to the Center for Science in the Public Interest (CSPI), is that we eat them raw, so they really need to be washed before eating. But contamination can occur in the home as well as on the farm.

Make sure you don’t wash meats and greens in the same sink or cut them on the same counter. In fact, it’s recommended not to wash meat at all anymore as it can spread contaminants all over your sink and counter and can cause cross contamination (the USDA cites bacteria-laden splashes of water around your kitchen as the reason for this recommendation).

And watch out for meat dripping down into your refrigerator’s vegetable bin, Blake warns. Always defrost meat on a plate to keep raw meat and poultry juices from spreading all over the refrigerator.

Undercooked Eggs and Salmonella Outbreaks

a carton of eggs
Thinkstock

Next on the list of risky foods are eggs, which have been linked to hundreds of outbreaks of foodborne illness. Contamination in eggs is almost always because of the bacteria salmonella.

You may be wondering how those bacteria get inside an egg. The most prevalent type of salmonella infects the ovaries of hens that lay the eggs. “The best way to protect yourself is to cook your eggs so they are not soft or runny,” says Blake.

Dangerous Toxins in Tuna and Other Large Fish

sliced tuna
Sergii Koval/Alamy

The big problem with tuna is not mercury but a naturally occurring toxin called scombrotoxin. This toxin can build up in the flesh of tuna (and other fish) if it is not kept cold enough after the fish has been caught, and unfortunately, you can’t get rid of it by cooking.

Symptoms include headache, nausea, and palpitations. Most people infected with scombrotoxin do not need treatment, and it is not deadly.

Salmonella has also been a concern in frozen tuna; it infected 65 people in 11 states in 2015, according to the CDC.

Norovirus in Raw and Undercooked Oysters

a plate of raw oysters
Masterfile

“Oysters are another risky food because people want to eat them raw,” notes Blake. Most oyster outbreaks are traced to restaurants. Norovirus and a genus of bacteria called vibrio cause most of the foodborne illnesses from oysters.

The vibrio organism is more dangerous. It’s closely related to the bacteria that cause cholera, an acute intestinal infection. Oysters can be contaminated from the water they grow in or by improper handling. More than 300 cases of norovirus gastroenteritis caused by raw or undercooked oysters were reported in three Canadian provinces between December 2016 and March 2017. To prevent contamination, avoid raw or undercooked shellfish and keep cooking environments clean.

The Connection Between Salmonella and Potatoes

a bowl of potato salad
iStock.com

You would think this American staple would be safe, because almost no one eats raw potatoes. The food safety issue here usually involves potato salad, which provides the perfect environment for contamination when it sits out for too long: In order to grow, bacteria need time, oxygen, and a temperature within the “danger zone” of 40 degrees F to 140 degrees F, according to the USDA.

Salmonella is again the main problem with this picnic and salad bar favorite, and each person reacts to exposure differently — most cases do not require medical treatment, but some patients can benefit from antibiotics. If severe cramps and diarrhea occur, seek medical attention immediately, because salmonella can cause kidney failure and even death.

Soft Cheeses, Including Feta and Brie, During Pregnancy

soft cheese
Masterfile

Pasteurization, the process that heats cheese to a temperature that will kill illness-causing bacteria, makes cheese safer, but many cheeses are not pasteurized. Pregnant women and children may want to avoid soft cheeses like feta, Brie, Camembert, and queso fresco, which aren’t always made from pasteurized milk.

The CDC says that pregnant women are 10 times more likely to develop a listeria infection, and can pass this infection on to their unborn babies; pregnant Hispanic women are 24 times more likely than other people to develop a listeria infection.

Hard cheeses such as cheddar and Asiago are typically pasteurized and safe for consumption by pregnant women. Still, the CDC reports that most illness caused by dairy is because of raw milk.

A Scoop of Ice Cream Might Contain Salmonella

a bowl of ice cream
iStock.com

This is cruel: Salmonella and staphylococcus bacteria can cause contaminated ice cream. Soft ice cream may contain listeria caused by improperly cleaned machines and can be hazardous for pregnant women.

In 2015, listeria was found in ice cream from the brand Blue Bell, sickening 10 people in four states and killing three, according to the CDC. “Ice cream food contamination may be more common in homemade ice cream due to undercooked eggs,” warns Blake. If you make homemade ice cream, use pasteurized eggs to eliminate this risk.

Garden Tomatoes, Norovirus, and Salmonella

a bowl of tomatoes
Jennifer Brister/Stocksy

A few years ago tomatoes contaminated with salmonella was big news when almost 200 people became sick across the country, according to the CDC. Salmonella can enter a tomato through the soil by way of the plant’s root system.

Tomatoes can also be contaminated by bacteria or norovirus through cracks in the skin during handling or preparation in a restaurant. Once the tomato has been infected, the only way to avoid foodborne illness is by cooking it.

E. Coli Infects Raw Clover, Bean, and Seed Sprouts

bean sprouts
Alamy

Sprouts are increasingly popular in salad bars and the American diet. This germinating form of seeds and beans grows best in a warm and moist environment. Unfortunately, E. coli and salmonella thrive in the same environment. Contaminated raw clover sprouts were responsible for illness in 19 people in 2014, reports the CDC. Food safety advocates have urged the FDA to place warning labels on raw sprouts.

Cyclospora in Berries Can Cause Hepatitis A

cups of strawberries and raspberries
Galina Tolochko/Alamy

Cyclospora is a parasite that contaminates certain foods. Raspberries from South America have caused outbreaks. Hepatitis A, a virus that affects the liver, has also caused food safety problems in berries.

Imported frozen strawberries that were added to smoothies caused a hepatitis A 2016 outbreak in nine states sickened 143 people, according to the CDC. Berries have been linked with at least two dozen food contamination outbreaks since 1990, according to CSPI.

The Bottom Line on Food Contamination and Illness

a person washing spinach
Thinkstock

To reduce the risk of food contamination and illness, stay on top of expiration dates and learn how to prepare and store food safely. You can take these USDA-recommended steps every time you cook.

  • Avoid cross-contamination of raw meat and other foods by keeping separate cutting boards and serving utensils for produce and meat; do not place cooked food back on a surface that previously held raw food.
  • Rinse fresh produce under running water before cooking, even if you intend to peel or cut the produce, as microbes can be transferred from the outside to the inside of these foods.
  • Store dairy-based foods and meats at the proper temperature (that’s 0 degrees F if frozen, and 40 degrees F if refrigerated); for foods that you’ve cooked, refer to this safe minimum cooking temperature chart from FoodSafety.gov.
  • Regularly wash kitchen sponges in the dishwasher.
  • Sanitize kitchen countertops, cutting boards, refrigerator spaces, and kitchen appliances frequently.
  • When shopping, ensure that raw meat and seafood are placed in plastic bags and kept separate from other foods
  • Wash hands with warm water and soap for 20 seconds before and after handling food, suggests the FDA.

Don’t leave perishable foods out for longer than two hours at room temperature, recommends the FDA, unless they’re being kept hot or cold as required. If you’re eating outdoors and the temperature is over 90 degrees F, this timeframe shrinks to just one hour. Throw out any food that’s been left out for longer than this.

“Food safety is everybody’s responsibility,” Blake says, “including the FDA, growers, shippers, handlers, and consumers. The best way to protect yourself is with the four C’s: clean, cook, combat cross contamination, and chill. Don’t shy away from fresh produce. It’s an important part of your healthy diet. Just use the fifth C — common sense.”

Additional reporting by Melinda Carstensen and Laura McArdle.

EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Additional Sources
  • Recalls, Market Withdrawals, and Safety Alerts. U.S. Food & Drug Administration. January 5, 2023.
  • CDC and Food Safety. Centers for Disease Control and Prevention. March 15, 2023.
  • Foods That Can Cause Food Poisoning. Centers for Disease Control and Prevention. August 9, 2023.
  • Bacteria and Viruses. FoodSafety.gov. September 19, 2023.
  • Salmonella. Centers for Disease Control and Prevention. January 5, 2024.
  • E. Coli Symptoms. Centers for Disease Control and Prevention. January 5, 2024.
  • Food Poisoning Symptoms. Centers for Disease Control and Prevention. January 5, 2024.
  • The Coalition of Action on Food Safety. Food Safety Initiative
  • In a First, San Francisco May Require Disclosure of Antibiotics in Meat. Environmental Working Group. September 29, 2017.
  • FDA Investigated Multistate Outbreak of Salmonella Adelaide Infections Linked to Pre-Cut Melons. U.S. Food and Drug Administration. July 26, 2018.
  • Multistate Outbreak of Salmonella Adelaide Infections Linked to Pre-Cut Melon (Final Update). Centers for Disease Control and Prevention. July 26, 2018.
  • Multistate Outbreak of Listeriosis Linked to Whole Cantaloupes From Jensen Farms, Colorado (Final Update). Centers for Disease Control and Prevention. August 27, 2012.
  • Multistate Outbreak of Salmonella Typhimurium and Salmonella Newport Infections Linked to Cantaloupe (Final Update). Centers for Disease Control and Prevention. October 5, 2012.
  • Listeria Outbreaks. Centers for Disease Control and Prevention. November 20, 2023.
  • The Ten Riskiest Foods Regulated by the U.S. Food and Drug Administration [PDF]. Center for Science in the Public Interest.
  • Washing Food: Does It Promote Food Safety? U.S. Department of Agriculture. November 15, 2022.
  • Multistate Outbreak of Salmonella Paratyphi B Variant L(+) Tartrate(+) and Salmonella Weltevreden Infections Linked to Frozen Raw Tuna (Final Update). Centers for Disease Control and Prevention. August 19, 2015.
  • Epidemiological Information: Public Health Notice — Outbreak of Gastrointestinal Illnesses Linked to Raw and Undercooked Oysters. Government of Canada. March 27, 2017.
  • “Danger Zone” (40 °F – 140 °F). U.S. Department of Agriculture. June 28, 2017.
  • People at Risk — Pregnant Women and Newborns. Centers for Disease Control and Prevention. October 25, 2022.
  • Costard S et al. Outbreak-Related Disease Burden Associated With Consumption of Unpasteurized Cow’s Milk and Cheese, United States, 2009–2014. Centers for Disease Control and Prevention. June 2017.
  • Multistate Outbreak of Listeriosis Linked to Blue Bell Creameries Products (Final Update). Centers for Disease Control and Prevention. June 10, 2015.
  • Multistate Outbreak of Salmonella Typhimurium Infections Linked to Tomatoes (Final Update). Centers for Disease Control and Prevention. November 3, 2006.
  • Multistate Outbreak of Shiga Toxin-Producing Escherichia Coli O121 Infections Linked to Raw Clover Sprouts (Final Update). Centers for Disease Control and Prevention. August 1, 2014.
  • 2016 — Multistate Outbreak of Hepatitis A Linked to Frozen Strawberries (Final Update). Centers for Disease Control and Prevention. December 16, 2016.
  • Cook to a Safe Minimum Internal Temperature. FoodSafety.gov. September 19, 2023.
  • Safe Food Handling. U.S. Food and Drug Administration. November 7, 2023.
  • How to Cut Food Waste and Maintain Food Safety [PDF]. U.S. Food and Drug Administration. November 2019.

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Kayli Anderson, RDN

Medical Reviewer

Kayli Anderson has over a decade of experience in nutrition, culinary education, and lifestyle medicine. She believes that eating well should be simple, pleasurable, and sustainable. Anderson has worked with clients from all walks of life, but she currently specializes in nutrition therapy and lifestyle medicine for women. She’s the founder of PlantBasedMavens.com, a hub for women to get evidence-based, practical, and woman-centered guidance on nutrition and cooking, hormone health, fertility, pregnancy, movement, mental well-being, nontoxic living, and more.

Anderson is board-certified in lifestyle medicine and serves as lead faculty of the American College of Lifestyle Medicine’s (ACLM) "Food as Medicine" course. She is past chair of the ACLM's registered dietitian member interest group, secretary of the women's health member interest group, and nutrition faculty for many of ACLM's other course offerings. She is the coauthor of the Plant-Based Nutrition Quick Start Guide and works with many of the leading organizations in nutrition and lifestyle medicine to develop nutrition content, recipes, and educational programs.

Anderson frequently speaks on the topics of women’s health and plant-based nutrition and has coauthored two lifestyle medicine textbooks, including the first one on women’s health, Improving Women's Health Across the Lifespan.

She received a master's degree in nutrition and physical performance and is certified as an exercise physiologist and intuitive eating counselor. She's a student of herbal medicine and women's integrative and functional medicine. She lives with her husband in the Colorado Rocky Mountains, where you’ll find her out on a trail or in her garden.

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Chris Iliades

Chris Iliades, MD

Author

Chris Iliades, MD, is a full-time freelance writer based in Boothbay Harbor, Maine. His work appears regularly on many health and medicine websites including Clinical Advisor, Healthgrades, Bottom Line Health, HeathDay, and University Health News. Iliades also writes a regular blog for The Pulse, a website for fetal health and pregnancy.

Iliades is board-certified in Ear, Nose and Throat and Head and Neck Surgery. He practiced clinical medicine for 15 years and has also been a medical director for diagnostic research and a principal investigator for clinical research before he turned to full-time medical writing.

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