Can Eating Raw Green Onions Lead to Toxoplasmosis? Expert Insights - Obstetrics and Gynecology

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Hello, doctor! I would like to inquire about issues related to Toxoplasma?


Hello Doctor: Today I stayed at a hotel and ate stir-fried udon noodles from the buffet.
The raw scallions were mixed into the hot udon noodles but were not cooked together.
I realized this afterward! The temperature of the mixture with the raw scallions didn't seem very high.
Is there a risk of contracting toxoplasmosis from eating this? How likely is it to get toxoplasmosis from raw scallions, in your experience? Thank you.

Xiao Ling, 30~39 year old female. Ask Date: 2022/12/01

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, generally it won't happen.
Wishing you good health.

Reply Date: 2022/12/01

More Info


Eating raw green onions, or scallions, does raise concerns regarding foodborne illnesses, including Toxoplasmosis, but the risk is relatively low compared to other foods. Toxoplasmosis is caused by the parasite Toxoplasma gondii, which can be found in undercooked meat, contaminated water, and unwashed fruits and vegetables. The primary concern with green onions is not so much the onions themselves but rather how they are handled and prepared.

1. Understanding Toxoplasmosis: Toxoplasmosis is particularly dangerous for pregnant women and individuals with weakened immune systems. The parasite can be transmitted through ingestion of oocysts, which are shed in the feces of infected cats. While it is possible for green onions to be contaminated with Toxoplasma if they come into contact with contaminated soil or water, the likelihood is lower than with other foods, especially meats.

2. Risk Factors for Green Onions: The risk of contracting Toxoplasmosis from green onions is generally low, especially if they are sourced from reputable suppliers and washed thoroughly before consumption. However, if the green onions were grown in contaminated soil or irrigated with contaminated water, there is a potential risk. The cooking process can kill the parasite, but since you mentioned that the green onions were only mixed into hot noodles without being cooked, the risk remains.

3. Preventive Measures: To minimize the risk of Toxoplasmosis and other foodborne illnesses, it is essential to wash all fruits and vegetables thoroughly under running water before consumption. This includes green onions. Additionally, practicing good kitchen hygiene, such as washing hands, utensils, and surfaces after handling raw foods, can help prevent cross-contamination.

4. Symptoms of Toxoplasmosis: If you were to contract Toxoplasmosis, symptoms might include flu-like symptoms such as fever, muscle aches, and fatigue. However, many healthy individuals may not exhibit any symptoms at all. If you experience any unusual symptoms after consuming raw green onions or any other food, it is advisable to consult a healthcare professional.

5. Conclusion: In summary, while there is a theoretical risk of contracting Toxoplasmosis from raw green onions, the actual risk is low, especially if proper food safety practices are followed. If you are concerned about your health or experience any symptoms, it is always best to seek medical advice. Eating a balanced diet and ensuring food safety can help mitigate the risks associated with foodborne illnesses.
In the future, consider cooking green onions or ensuring they are thoroughly washed before consumption to further reduce any potential risks.

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