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Home / Regular Issue / JTAS Vol. 45 (3) Aug. 2022 / JTAS-2452-2022


Incidence of Food Poisoning Outbreaks in Pahang, Malaysia, for Six-Year, from 2013 to 2018

Zahidatul Farihah Zakaria, Xin Ci Wong, Wei Hong Lai, Yoon Khee Hon, Lee Len Tiong, Roslinda Abu Sapian, Nurul Syarbani Eliana Musa, Yew Fong Lee and Norizan Rosli

Pertanika Journal of Tropical Agricultural Science, Volume 45, Issue 3, August 2022


Keywords: Foodborne diseases, foodborne illnesses, food poisoning, Malaysia, Pahang

Published on: 8 August 2022

The Food Safety and Quality Division (FSQD) in Malaysia is the competent authority tasked with ensuring food safety throughout the food supply chain within the country. Despite implementing various regulations toward improving food hygiene standards in Malaysia, outbreaks of food poisoning cases continued to occur in Malaysia. This cross-sectional study was designed to explore the occurrence of food poisoning incidents in Malaysia, within the Pahang state, from 2013 to 2018 via both reported passive case detection (PCD) and active case detection (ACD) food poisoning incidents. Upon detecting all the food poisoning cases using both PCD and ACD, the people identified to have suffered from food poisoning underwent a structured interview for investigators to elicit all relevant information about the food poisoning incident. Results showed that in Pahang, the number of reported episodes fluctuated from 2013 until 2018, with an average of 21 food poisoning episodes occurring yearly, reaching a maximum in August and a minimum in May. Furthermore, Kuantan, being the state capital, had reported an exceptionally high total number of reported incidents of food poisoning with a total of 48 episodes over six years from 2013 to 2018, while Kuala Lipis had only one incident reported during the same period (which was reported in 2016). Finally, this study concluded that adequate measures must always be taken to minimise the occurrence of food poisoning, especially when preparing foods in large quantities.

  • Abdul-Mutalib, N. A., Syafinaz, A. N., Sakai, K., & Shirai, Y. (2015). An overview of foodborne illness and food safety in Malaysia. International Food Research Journal, 22(3), 896-901.

  • Ansari-Lari, M., Soodbakhsh, S., & Lakzadeh, L. (2010). Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran. Food Control, 21(3), 260-263.

  • Assefa, A., & Bihon, A. (2018). A systematic review and meta-analysis of prevalence of Escherichia coli in foods of animal origin in Ethiopia. Heliyon, 4(8), e00716.

  • Bantawa, K., Rai, K., Subba Limbu, D., & Khanal, H. (2018). Food-borne bacterial pathogens in marketed raw meat of Dharan, eastern Nepal. BMC Research Notes, 11, 618.

  • Bryan, F. L. (1988). Risks of practices, procedures and processes that lead to outbreaks of food-borne illness. Journal of Food Protection, 51(8), 663–673.

  • Buccheri, C., Mammina, C., Giammanco, S., Giammanco, M., La Guardia, M., & Casuccio, A. (2010). Knowledge, attitudes and self-reported practices of food service staff in nursing homes and long-term care facilities. Food Control, 21(10), 1367-1373.

  • Carrasco, E., Morales-Rueda, A., & García-Gimeno, R. M. (2012). Cross-contamination and recontamination by Salmonella in foods: A review. Food Research International, 45(2), 545-556.

  • Centers for Disease Control and Prevention. (2018). Foodborne germs and illnesses. CDC.

  • Clayton, D. A., Griffith, C. J., Price, P., & Peters, A. C. (2002). Food handlers’ beliefs and self-reported practices. International Journal of Environmental Health Research, 12(1), 25-39.

  • de Sousa, C. P. (2008). The impact of food manufacturing practices on food borne diseases. Brazilian Archives of Biology and Technology, 51(4), 615–23.

  • Department of Statistics Malaysia. (2021). Pahang @ a Glance. DOSM.

  • Elmonir, W., Abo-Remela, E., & Sobeih, A. (2018). Public health risks of Escherichia coli and Staphylococcus aureus in raw bovine milk sold in informal markets in Egypt. The Journal of Infection in Developing Countries, 12, 533-541.

  • Elshafie, S. S. (2017). An outbreak of food poisoning after a major sport event: The role of PulseNet International. Journal of Medical Microbiology Diagnosis, 6(3), 52.

  • European Food Safety Authority, & European Centre for Disease Prevention and Control. (2015). The European Union summary report on trends and sources of zoonoses, zoonotic agents and food-borne outbreaks in 2014. European Food Safety Authority Journal, 13(12), 4329, 1-190.

  • Food Act 1983. (2012). Food Hygiene Regulations 2009. International Law Book Services.

  • Food Safety and Quality Division. (2012). Laporan Tahunan Bahagian Keselamatan dan Kualiti Makanan 2012 [Food Safety and Quality Division Annual Report 2012]. FSQD.

  • Forsythe, S. J., & Hayes, P. R. (1998). Food hygiene, microbiology and HACCP. Springer.

  • Gilling, S., J., Taylor, E. A., Kane, K., & Taylor, J. Z. (2001). Successful hazard analysis critical control point implementation in the United Kingdom: Understanding the barriers through the use of a behavioral adherence model. Journal of Food Protection, 64(5), 710–715.

  • Gorman, R., Bloomfield, S., & Adley, C. C. (2002). A study of cross-contamination of food-borne pathogens in the domestic kitchen in the Republic of Ireland. International Journal of Food Microbiology, 76(1–2), 143–50.

  • Granum, P. E., & Lund, T. (1997). Bacillus cereus and its food poisoning toxins. Federation of European Microbiological Societies Microbiology Letters, 157(2), 223-228.

  • Griffith, C. J., & Worsfold, D. (1994). Application of HACCP to food preparation practices in domestic kitchens. Food Control, 5(3), 200-204.

  • Hawker, J., Begg, N., Blair, L., Reintjes, R., Weinberg, J., & Ekdahl, K. (2012). Section 2: Common topics. In Communicable disease control and health protection handbook (3rd ed., pp. 17-57). John Wiley & Sons, Ltd.

  • Hemalata, V. B., & Virupakshaiah, D. B. M. (2016). Isolation and identification of food borne pathogens from spoiled food samples. International Journal of Current Microbiology and Applied Sciences, 5(6), 1017-1025.

  • Henroid Jr, D., & Sneed, J. (2004). Readiness to implement hazard analysis and critical control point (HACCP) systems in Iowa schools. Journal of the American Dietetic Association, 104(2), 180–185.

  • Heredia, N., & García, S. (2018). Animals as sources of food-borne pathogens: A review. Animal Nutrition, 4(3), 250-255.

  • Ismail, R. (2011). Food and consumer protection: A study on food legislation of selected countries.

  • Jay, L. S., Comar, D., & Govenlock, L. D. (1999). A national Australian food safety telephone survey. Journal of Food Protection, 62(8), 921-928.

  • Kebede, T., Afera, B., Taddele, H., & Bsrat, A. (2014). Assessment of bacteriological quality of sold meat in the butcher shops of Adigrat, Tigray, Ethiopia. Applied Journal of Hygiene, 3(3), 38-44.

  • Kirk, M. D., Pires, S. M., Black, R. E., Caipo, M., Crump, J. A., Devleesschauwer, B., Dopfer, D., Fazil, A., Fischer-Walker, C. L., Hald, T., Hall, A. J., Keddy, K. H., Lake, R. J., Lanata, C. F., Torgerson, P. R., Havelaar, A. H., & Angulo, F. J. (2015). World Health Organization estimates of the global and regional disease burden of 22 foodborne bacterial, protozoal, and viral diseases, 2010: A data synthesis. PLOS Medicine, 12(12), e1001921.

  • Knabel, S. J. (1995). Food-borne illness: Role of home food handling practices. Food Technology, 49(4), 119–130.

  • Kotiranta, A., Lounatmaa, K., & Haapasalo, M. (2000). Epidemiology and pathogenesis of Bacillus cereus infections. Microbes and Infection, 2(2), 189-198.

  • Liu, J., Bai, L., Li, W., Han, H., Fu, P., Ma, X. Bi, Z., Yang, X., Zhang, X., Zhen, S., Deng, X., Liu, X., & Guo, Y. (2017). Trends of foodborne diseases in China: Lessons from laboratory-based surveillance since 2011. Frontiers of Medicine, 12, 48-57.

  • Malaysian Meteorological Department. (2014). Cuaca (weather). MetMalaysia.

  • Medeiros, C. O., Cavalli, S. B., Salay, E., & Proença, R. P. C. (2011). Assessment of the methodological strategies adopted by food safety training programmes for food service workers: A systematic review. Food Control, 22(8), 1136-1144.

  • Ministry of Health. (2016). Health Facts 2017. MOH.

  • Osimani, A., Aquilanti, L., Babini, V., Tavoletti, S., & Clementi, F. (2011). An eight-year report on the implementation of HACCP in a university canteen: Impact on the microbiological quality of meals. International Journal of Environmental Health Research, 21(2), 120-132.

  • Pardal, M. P. L., Bhalwar, R., Mehta, V. K., & Rajiva. (2020). Epidemiological investigation of an outbreak of food poisoning in an officers’ mess. International Journal of Community Medicine and Public Health, 7(5), 1912-1915.

  • Pelczar Jr, M. P., Chan, E. C. S., & Krieg, N. (1993). Microbiology: Concepts and applications. McGraw-Hill.

  • Roberts, D. (1990). Sources of infection: Food. The Lancet, 336(8719), 859-861.

  • Sani, N. A., & Siow, O. N. (2014). Knowledge, attitudes and practices of food handlers on food safety in food service operations at the Universiti Kebangsaan Malaysia. Food Control, 37, 210-217.

  • Schlundt, J. (2002). New directions in foodborne disease prevention. International Journal of Food Microbiology, 78(1-2), 3-17.

  • Schneider, K. R., Parish, M. E., Goodrich, R. M., & Cookingham, T. (2004). Preventing foodborne illness: Bacillus cereus and Bacillus anthracis: FSHN04-05/FS103, 11/2004. EDIS, 2005(1).

  • Scott, E., & Bloomfield, S. F. (1990). The survival and transfer of microbial contamination via cloths, hands and utensils. Journal of Applied Bacteriology, 68(3), 271–278.

  • Seaman, P., & Eves, A. (2006). The management of food safety - The role of food hygiene training in the UK service sector. Hospitality Management, 25(2), 278–296.

  • Siau, A. M. F., Son, R., Mohhiddin, O., Toh, P. S., & Chai, L. C. (2015). Food court hygiene assessment and food safety knowledge, attitudes and practices of food handlers in Putrajaya. International Food Research Journal, 22(5), 1843-1854.

  • Su, H. P., Chiu, S. I., Tsai, J. L., Lee, C. L., & Pan, T. M. (2005). Bacterial food-borne illness outbreaks in northern Taiwan, 1995–2001. Journal of Infection and Chemotherapy, 11(3), 146-151.

  • Talib, H. A., & Ali, K. A. M. (2009). An overview of Malaysian food industry: The opportunity and quality aspects. Pakistan Journal of Nutrition, 8(5), 507–517.

  • Thompson, S., de Burger, R. & Kadri, O. (2005). The Toronto food inspection and disclosure system: A case study. British Food Journal, 107(3), 140-149.

  • Toh, P. S., & Birchenough, A. (2000). Food safety knowledge and attitudes: Culture and environment impact on hawkers in Malaysia.: Knowledge and attitudes are key attributes of concern in hawker foodhandling practices and outbreaks of food poisoning and their prevention. Food Control, 11(6), 447-452.

  • Wisner, B., Adams, J. (Eds.) (2002). Environmental health in emergencies and disasters : A practical guide. World Health Organization.

  • World Health Organization. (2008). Foodborne disease outbreaks: Guidelines for investigation and control. WHO.

  • World Health Organization. (2015). WHO’s first ever global estimates of foodborne diseases find children under 5 account for almost one third of deaths. WHO.

  • World Health Organization. (2022). Food safety. WHO.

  • Zhao, X., Lin, C. W., Wang, J., & Oh, D. H. (2014). Advances in rapid detection methods for foodborne pathogens. Journal of Microbiology and Biotechnology, 24(3), 297-312.

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