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USDA-ARS, National Animal Disease Center, Bacterial Diseases of Livestock Research Unit, 2300 Dayton Rd., Ames, IA 50010
Corresponding author: J. R. Stabel; e-mail: jstabel{at}nadc.ars.usda.gov.
| ABSTRACT |
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Key Words: dairy processing intervention pathogen postharvest
Abbreviation key: BLV = bovine leukemia virus, FMDV = foot-and-mouth disease virus, HACCP = hazard analysis critical control point, PEF = pulsed electric fields
| INTRODUCTION |
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Further modification of these conditions occurred after it was discovered that Coxiella burnetti, the causative agent of Q fever, could survive after this heat treatment protocol. This microorganism proved to be more heat-resistant than M. tuberculosis and was found to survive in milk after treatment at 61.7°C for 30 min (Huebner et al., 1949; Enright et al., 1957). These data led to an increase in temperature to 62.8°C at a holding time of 30 min as the official pasteurization standard in the US.
The introduction of high-temperature short-time (HTST) pasteurization took place in 1933. This method required heat treatment of milk at 71.7°C for 15 s, which proved much more efficient for dairy processors than the holder method previously described. These conditions were determined after numerous studies evaluating the effects of HTST pasteurization on the survivability of such pathogens as M. tuberculosis, M. bovis, Brucella, and Streptococcus (Holsinger et al., 1997). HTST pasteurization is the primary method for heat treatment of milk in dairy processing plants today.
The advent of commercial pasteurization resulted in a significant decline in milkborne human illness, yet over 25% of human illness was still attributed to ingestion of contaminated milk in 1938. This figure has declined to less than 1% today, but occasional outbreaks of milkborne illness do still occur. In the early and mid-1980s, several outbreaks of listeriosis were associated with the consumption of pasteurized milk or soft cheese (Barza, 1985; Fleming et al., 1985; James et al., 1985). In addition, over 16,000 cases of Salmonella poisoning were traced to a pasteurized milk supply from one dairy plant in Illinois (Ryan et al., 1987). Further outbreaks of food poisoning have occurred through the consumption of contaminated cheeses or pasteurized milk as well as postpasteurization contamination of dairy products with Salmonella, Brucella, Listeria, and E. coli (Altekruse et al., 1998). In general, consumer surveys indicate that Americans feel that the food supply in the US is safe. However, the aforementioned outbreaks and the subsequent media frenzies that followed have created a decline in consumer confidence. Food safety has become a major issue for consumers as they become more aware of the potential hazards of contamination of their food supply. This paper will discuss the methods of intervention that are currently used or being evaluated by the dairy industry to assure a safer yet palatable product for human consumption.
| DISCUSSION |
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Other milkborne pathogens that have resulted in food poisoning among the human population are Campylobacter, Yersinia, enteropathogenic E. coli, and Salmonella (Shewmake and Dillon, 1998). Standard HTST pasteurization is effective for the destruction of these pathogens in raw milk (Holsinger et al., 1997). However, drinking raw milk accounted for a large percentage of the illness recorded. Further cases have occurred from the consumption of cheeses that were contaminated with these microorganisms. Pasteurized milk is used in the production of many cheeses, but raw milk may still be used if the final product is labeled accordingly. It has also been noted that insufficient pasteurization of cheese milk or the introduction of raw milk into the pasteurized milk before cheese making may have contributed to these food poisoning incidents. In addition, some reports have indicated that microorganisms such as E. coli O157:H7 and Listeria may multiply during the cheese ripening process. Clinical signs of illness after ingestion of these contaminated products can range from diarrhea to the fatal hemolytic uremic syndrome associated with a verocytotoxin-producing E. coli infection. Many cheese processors are now using milk that has undergone full pasteurization to improve the safety of their products (Lund, 1990).
Because of the suggested link between M. paratuberculosis and Crohns disease in humans, studies have also been conducted to evaluate the heat resistance of M. paratuberculosis in milk. Crohns disease is a chronic, progressive, debilitating enteritis in humans that mimics some of the symptoms noted in cattle that are infected with M. paratuberculosis. Because cattle do shed M. paratuberculosis into their milk, the question of whether this microorganism could survive the pasteurization process was addressed. However, the results of studies evaluating the survival of M. paratuberculosis after heat treatment are very conflicting. Studies conducted by the USDA suggest that pasteurization is fully effective in inactivating M. paratuberculosis; however, studies conducted within the United Kingdom demonstrated the recovery of viable M. paratuberculosis from retail-ready pasteurized milk (Grant et al., 1996; Stabel et al, 1997). To date, there is no definitive answer to the question of whether M. paratuberculosis is completely destroyed during pasteurization, but it is important to note that the majority of the studies conducted have demonstrated a significant log10 kill during the process (Grant et al., 1996; Stabel et al., 1997; Keswani and Frank, 1998; Pearce et al., 2000).
Viruses have not played a major role in the outbreaks of milkborne illness, but the presence of viruses in cows milk has prompted some studies to determine whether they are inactivated during the pasteurization process. Bovine leukemia virus (BLV) is widely distributed in dairy cattle and has been found in the milk from infected cows. Although direct associations of this virus and human disease have not been determined, BLV is capable of causing erythroleukemia in chimpanzees. Pasteurization studies have demonstrated this virus is fully inactivated after heat treatment (Baumgartner et al., 1976; Rubino and Donham, 1984). Reports on the success of heat inactivation of foot-and-mouth disease virus (FMDV) differ, but research does indicate that the virus may survive in the early stages of cheese production (Hyde et al., 1975; Walker et al., 1984). Foot-and-mouth disease virus survived the acidic conditions of Cheddar and Camembert cheeses during processing but not in Mozzarella (Blackwell, 1976). In addition, FMDV survived the curing process for Cheddar cheese for 60 d but not 120 d and in Camembert cheese for 21 d but was inactivated by 35 d of curing. In general, FMDV does not present a human health hazard but is viewed with great trepidation because of the havoc wreaked upon the animal industry in the United Kingdom recently.
Pulsed Electric Fields
An alternative method for food processing that involves the use of pulses of electricity to destroy pathogens has emerged in recent years. Pulsed electric field (PEF) technology has been applied to improve the preservation of breads, juices, liquid eggs, and milk (Qin et al., 1995; Jeyamkondan et al., 1999). Two mechanisms have been proposed as the mode of action of PEF on bacterial cells: electrical breakdown of the cell membrane and electroporation. Several studies have demonstrated the usefulness of PEF on the destruction of pathogens in milk. No viable bacteria were recovered after treatment of homogenized whole milk inoculated with S. dublin with 40 pulses of 36.7 kV/cm in a 25-min period (Dunn and Perlman, 1987). More recent studies have demonstrated the additive effects of nisin and PEF on the inactivation of E. coli and Listeria in simulated milk ultrafiltrate media or skim milk (Calderon-Miranda et al., 1999; Terebiznik et al., 2000). Use of PEF reduced the number of viable M. paratuberculosis in experimentally inoculated cows milk by 5.9 log10 after 2,500 pulses at 30 kV/cm in a 25-min period (Rowan et al., 2001). Comparatively, heat treatment alone at 50°C for 25 min or 72°C for 25 s (extended HTST) reduced the number of viable M. paratuberculosis by 0.01 and 2.4 log10, respectively. In the same study, similar treatment of L. monocytogenes and B. cereus by PEF reduced the number of viable cells by 4.1 and 0.17 log10. The B. cereus endospores appeared to be quite resistant to PEF treatment compared to other bacteria.
High Hydrostatic Pressure and Mild Heat
High pressure is another method that has successfully been used to inactivate pathogens in food products such as fruit juices, jams, and jellies, and meats (Murano et al., 1999; Mussa et al., 1999). The application of high pressure results in the destruction of cellular membranes and denaturation of enzymes and cellular structures within the bacterium (Mackey et al., 1994). Vegetative gram-positive microorganisms may require pressures of 100 to 400 Mpa, while bacterial spores are even more resistant and may require pressures as high as 1000 MPa for inactivation. One major advantage of high pressure is that the effects are immediate and uniform throughout the food product. In addition, high pressure does not appreciably affect taste and does not degrade vitamins. While high pressure does not completely sterilize foods, it does significantly reduce the pathogen load. The application of high pressure has recently been successfully extended to milk as a method to replace pasteurization. Patterson and Kilpatrick (1998) demonstrated that the application of 400 MPa at 50°C for 15 min reduced the number of E. coli O157:H7 in spiked UHT milk by 5 log10. A similar treatment (500 MPa at 50°C for 15 min) resulted in a 6-log10 reduction in Staphylococcus aureus. When either high pressure or mild heat were used separately, less than 1 log10 reduction in either pathogen was noted.
Irradiation
Pathogen load in food products can also be reduced by ionizing radiation (Loaharanu, 1996). This process has successfully been used to sterilize food that NASA astronauts eat in space to avoid foodborne illness in flight. Irradiation has been applied to a number of food products in the US including raw meat and poultry, grains, seafood, fruits, and vegetables. The process of irradiation utilizes either gamma rays, electron beams, or X-rays. The most common practice is the use of gamma rays emitted by either cobalt (Cobalt 60) or cesium (Cesium 137). These elements do not affect the nutritional value of the food products and do not cause the products to become radioactive. Scientific studies indicate that feeding irradiated foods does not create any adverse health effects in humans, and food irradiation is fully endorsed by the US government. Yet the American public still remains ignorant of the potential use of this methodology to address food safety concerns. The application of irradiation to milk has not been adequately studied, but some reports indicate that this method can replace pasteurization. A major advantage of cold irradiation is that foods can be irradiated within their packaging and remain protected from contamination until the package is opened by the consumer. This seems particularly important since postpasteurization contamination has been responsible for a large number of outbreaks of milkborne illness. One study evaluated the effectiveness of low-dose radiation on the reduction of L. monocytogenes, Y. enterocolitica, and E. coli O157:H19 numbers in ice cream (Kamat et al., 2000). Results of this study indicated that irradiation with 1 kGy reduced the microbial population by 1.0 log10 without affecting the taste or odor of the ice cream. Application of either 5, 10, or 15 kGy of ionizing radiation was also effective in the destruction of 6 log10 of M. paratuberculosis in raw milk (Stabel et al., 2001). Further studies on the efficacy of using ionizing radiation to reduce pathogen loads in milk or dairy products need to be explored.
Fermentation and Antimicrobials
Fermented milk products such as yogurt have been shown to inhibit growth of such pathogens as Salmonella and Shigella (Alm, 1983). Fermented milks such as acidophilus milk, kefir, and ropy milk also demonstrated inhibitory properties towards these microbes compared with regular milk (Alm, 1983). The addition of lactobacilli, enterococci, and lactococci starter cultures to Camembert cheese also resulted in either a partial or complete inhibition of Listeria (Suzler and Busse, 1991). More recently, spraying a suspension of Lactobacillus on the surface of Munster cheese prevented the growth and survival of L. monocytogenes without any adverse effects on the ripening process (Ennahar et al., 1998).
The addition of antimicrobials such as potassium sorbate or sodium benzoate significantly reduced the growth of E. coli O157:H7 in a soft, Hispanic-type cheese (Kasrazadeh and Genigeorgis, 1995). Similar results were obtained in preventing the growth of Salmonella in this type of cheese (Kasrazadeh and Genigeorgis, 1994). The addition of antibiotics such as nicin and tylosin allowed a reduction in the temperature required for thermal inactivation of pathogens in food products (Block, 1983). Nisin was approved by the FDA in 1989 as a generally recognized as safe substance (21CFR184.1538) and has been demonstrated to prevent the growth of botulism spores in pasteurized cheese and processed-cheese spreads (Somers and Taylor, 1987).
Hazard Analysis and Critical Control Point
The FDA responded to consumer concerns about the safety of food products in the US by adopting a new system to monitor processing plants. The new system is known as Hazard Analysis Critical Control Point (HACCP). This program is in place for the canning industry, the seafood industry, and meat and poultry plants. In 1998, the FDA adopted HACCP controls for fruit and vegetable juices as well. Although no formal program is in place for the dairy industry, a voluntary pilot program was instituted in 1997. The HACCP program involves seven principles: 1) analyze hazards, 2) identify critical control points, 3) establish preventive measures with critical limits for each control point, 4) establish procedures to monitor the critical control points, 5) establish corrective actions to be taken when monitoring shows that a critical limit is not met, 6) establish procedures to verify that the system is working properly, and 7) establish effective recordkeeping to document the HACCP system. A report from the Alto Dairy plant in Waupun, Wisconsin, suggests that the implementation of HACCP principles resulted in an improvement in their safety practices and the quality of their products (www.altodairy.com). A complete report on the suitability of HACCP for the dairy industry should be available shortly.
In conclusion, foodborne illness due to the consumption of dairy products has declined in recent years due to increased vigilance and implementation of new safety practices in processing plants. Although pasteurization or heat inactivation remains the primary method for destruction of contaminating pathogens in milk and dairy products, other methods are being developed which show great promise. The control of foodborne illness has become a major concern in the US and evaluation of programs such as HACCP for the dairy industry will provide information about the sources of contamination and how to prevent contamination from occurring.
Received for publication July 29, 2002. Accepted for publication September 6, 2002.
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