FOOD SAFETY: SAFE FOOD AND WATER: A GUIDE FOR PEOPLE WITH HIV INFECTION

You can protect yourself from many infections by preparing food and drinks properly.

· Meat, poultry (such as chicken or turkey), and fish can make you sick if they are raw, undercooked or spoiled.

· Raw fruits and vegetables are safe to eat if you wash them carefully first.

· Don’t drink water straight from lakes, rivers, streams or springs.

Why Should I Be Careful About Food and Water?

Food and water can carry germs that cause illness. Germs in food or water may cause serious infections in people with HIV. You can protect yourself from many infections by preparing food and drinks properly.

What Illnesses Caused By Germs in Food and Water Do People With HIV Commonly Get?

Germs in food and water that can make someone with HIV ill include Salmonella, Campylobacter, Listeria and Cryptosporidium. They can cause diarrhea, upset stomach, vomiting, stomach cramps, fever, headache, muscle pain, bloodstream infection, meningitis or encephalitis.

Do Only People With HIV Get These Illnesses?

No, they can occur in anyone. However, these illnesses are much more common in people with HIV.

Are These Illnesses the Same in People With HIV as in Other People?

No. The diarrhea and nausea often are much worse and more difficult to treat in people with HIV. These illnesses also are more likely to cause serious problems in people with HIV, such as bloodstream infections and meningitis. People with HIV also have a harder time recovering fully from these illnesses.

If I Have HIV, Can I Eat Meat, Poultry and Fish?

Yes. Meat, poultry (such as chicken or turkey) and fish can make you sick only if they are raw, undercooked or spoiled. To avoid illness:

· Cook all meat and poultry until they are no longer pink in the middle. If you use a meat thermometer, the temperature inside the meat or poultry should be higher than 165° F. Fish should be cooked until it is flaky, not rubbery.

· After handling raw meat, poultry and fish, wash your hands well with soap and water before you touch any other food.

· Thoroughly wash cutting boards, cooking utensils and countertops with soap and hot water after they have had contact with raw meat, poultry or fish.

· Do not let uncooked meat, poultry or fish or their juices touch other food or each other.

· Do not let meat, poultry or fish sit at room temperature for more than a few minutes. Keep them in the refrigerator until you are ready to cook them.

· Eat or drink only pasteurized milk or dairy products.

Can I Eat Eggs If I Have HIV?

Yes. Eggs are safe to eat if they are well cooked. Cook eggs until the yolk and white are solid, not runny. Do not eat foods that may contain raw eggs, such as hollandaise sauce, cookie dough, homemade mayonnaise and Caesar salad dressing. If you prepare these foods at home, use pasteurized eggs instead of eggs in the shell. You can find pasteurized eggs in the dairy case at your supermarket.

Can I Eat Raw Fruits and Vegetables?

Yes. Raw fruits and vegetables are safe to eat if you wash them carefully first. Wash, then peel fruit that you will eat raw. Eating raw alfalfa sprouts and tomatoes can cause illness, but washing them well can reduce your risk of illness.

How Can I Make My Water Safe?

· Don’t drink water straight from lakes, rivers, streams or springs.

· Because you cannot be sure if your tap water is safe, you may wish to avoid tap water, including water or ice from a refrigerator ice-maker, which is made with tap water. Always check with the local health department and water utility to see if they have issued any special notices for people with HIV about tap water.

· You also may wish to boil or filter your water, or to drink bottled water. Processed carbonated (bubbly) drinks in cans or bottles should be safe, but drinks made at a fountain might not be because they are made with tap water. If you choose to boil or filter your water or to drink only bottled water, do this all the time, not just at home.

· Boiling is the best way to kill germs in your water. Heat your water at a rolling boil for one minute. After the boiled water cools, put it in a clean bottle or pitcher with a lid and store it in the refrigerator. Use the water for drinking, cooking or making ice. Water bottles and ice trays should be cleaned with soap and water before use. Don’t touch the inside of them after cleaning. If you can, clean your water bottles and ice trays yourself.

What Should I Do When Shopping for Food?

· Read food labels carefully. Be sure that all dairy products that you purchase have been pasteurized. Do not buy any food that contains raw or undercooked meat or eggs if it is meant to be eaten raw. Be sure that the "sell by" date has not passed.

· Put packaged meat, poultry or fish in separate plastic bags to prevent their juices from dripping onto other groceries or each other.

· Check the package that the food comes in to make sure that it isn’t damaged.

· Do not buy food that has been displayed in unsafe or unclean conditions. Examples include meat that is allowed to sit without refrigeration or cooked shrimp that is displayed with raw shrimp.

· After shopping, put all cold and frozen foods into your refrigerator or freezer as soon as you can. Do not leave food sitting in the car. Keeping cold or frozen food out of refrigeration for even a couple of hours can give germs a chance to grow.

Is It Safe for Me to Eat in Restaurants?

Yes. Like grocery stores, restaurants follow guidelines for cleanliness and good hygiene set by the health department. However, you should follow these general rules in restaurants:

· Order all food well done. If meat is served pink or bloody, send it back to the kitchen for more cooking. Fish should be flaky, not rubbery, when you cut it.

· Scrambled eggs should be cooked until they are not runny. Do not order foods that may contain raw eggs, such as caesar salad or hollandaise sauce. If you aren’t sure about the ingredients in a dish, ask your waiter before you order.

· Do not order any raw or lightly steamed fish or shellfish, such as oysters, clams, mussels, sushi or sashimi. All fish should be cooked until done.

Should I Take Special Measures With Food and Water in Other Countries?

Yes. Not all countries have high standards of food hygiene. You need to take special care abroad, particularly in developing countries. Follow these rules when in other countries:

· Do not eat uncooked fruits and vegetables unless you can peel them. Avoid salads.

· Eat cooked foods while they are still hot.

· Boil all water before drinking it. Use only ice made from boiled water. Drink only canned or bottled drinks or beverages made with boiled water.

· Steaming-hot foods, fruits you peel yourself, bottled and canned processed drinks, and hot coffee or tea should be safe.

Talk with your health care provider about other advice on travel abroad.

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