Can Cooked Food Contaminated with Fish Blood Transmit Parasites? - Internal Medicine

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Parasitic Infections Inquiry


If cooked food comes into contact with a small amount of fish blood, and I am unsure whether the fish is from saltwater or freshwater, is there a possibility of contracting parasites, such as liver flukes?

e, 30~39 year old female. Ask Date: 2022/08/30

Dr. Hong Yuanbin reply Internal Medicine


Hello, parasitic eggs are usually found in meat.
If you only came into contact with blood, the risk is relatively low.
Additionally, if the food has already been cooked, the chance of parasitic infection is also low.
It is recommended to see a gastroenterologist if you experience symptoms such as fever, abdominal pain, or diarrhea.
If you have no symptoms, there is no need to worry.
Thank you for your question.

Reply Date: 2022/08/30

More Info


When it comes to the potential transmission of parasites through cooked food contaminated with fish blood, it is essential to understand the nature of the parasites involved, the cooking process, and the type of fish in question.

Firstly, certain parasites, such as liver flukes (e.g., Opisthorchis and Clonorchis species), are known to infect freshwater fish and can be transmitted to humans through the consumption of undercooked or raw fish. These parasites have complex life cycles that often involve intermediate hosts, such as snails, before they reach their final host, which can be humans. However, the risk of transmission through cooked food is significantly reduced.

Cooking fish at appropriate temperatures is crucial in eliminating parasites. The U.S. Food and Drug Administration (FDA) recommends cooking fish to an internal temperature of 145°F (63°C) for at least 15 seconds. This temperature is sufficient to kill most parasites, including those that may be present in fish blood. Therefore, if the cooked food has been heated to this temperature, the risk of transmitting parasites is minimal, even if it has come into contact with fish blood.

However, if the fish was not properly cooked or if the cooking process was insufficient to kill the parasites, there could be a risk of infection. This is particularly true for raw or undercooked fish, which is often the case with sushi or sashimi. In such instances, the source of the fish (whether it is freshwater or saltwater) can also play a role in the risk of parasitic infection. Freshwater fish are generally more associated with certain parasites than saltwater fish.

In the case of fish blood contamination, if the food was cooked thoroughly, the likelihood of transmitting parasites is very low. However, if there is uncertainty about the cooking process or if the fish was raw or undercooked, it is advisable to avoid consuming the food to prevent any potential health risks.

In summary, while cooked food contaminated with fish blood could theoretically pose a risk for parasite transmission, the actual risk is significantly reduced if the food has been cooked properly. It is always best to ensure that fish is sourced from reputable suppliers, cooked to the recommended temperatures, and handled safely to minimize any health risks associated with parasites. If you have concerns about specific fish types or symptoms related to potential parasitic infections, consulting a healthcare professional is recommended for personalized advice and guidance.

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