Sushi, Sashimi and Worms, Oh My!

What was once a trendy food a short time ago isThe dead worms however stimulate an
now very mainstream. In restaurants in cities allinflammatory response which can cause allergic
over America, sushi and its cousin sashimi can betype symptoms.
found in Chinese buffets and Japanese sushi barsThere is no antibiotic or other pill to take for
everywhere. You can even find it in your localtreating Anisakis. Removing the worm surgically
supermarket.may be the only way to alleviate pain in very
The raw seafood used in these foods maysevere cases.
contain parasitic worms that can cause relativelyThe good news is that this food borne illness is
mild to severe infections in humans. Anisakisquite rare in the United States with only
simplex is the most likely offender when it comesapproximately 10 cases reported annually, though
to parasitic infections from these now commonit is speculated that many mild cases are not
foods.reported.
Anisakis is a marine roundworm that can be foundHow do you prevent getting this potentially painful
in over 200 species of fish, eel and octopus.parasite? The Food and Drug Administration
When you eat raw seafood contaminated withrecommends that all seafood intended for raw
this roundworm, you are ingesting live larval formsconsumption be either blast frozen (-35ºC)
of the parasite.for at least 15 hours or regularly frozen for 7
From as soon as 1 hour to 2 weeks after eatingdays which will kill the parasite. Go to reputable
the sushi, the symptoms may begin. The wormsrestaurants that surely follow these health and
typically attached themselves to the stomachsafety guidelines. Don't prepare your own sushi
where vomiting and abdominal pain will ensue.from fish you caught yourself.
More severe symptoms may be abdominal painsThis disease should be considered if you've had
resembling appendicitis and rarely bowelrecently eaten sushi or sashimi and have
obstructions.. Typically in this country peoplesymptoms of an allergic reaction with abdominal
discover they have this parasite when they feel apain.
tickling sensation in the throat and actually coughAs more and more people patronize restaurants
up the worm.that serve sushi, it is expected that the levels of
This parasite rarely achieves maturity in theAnisakiasis will increase in this country.
human host and eventually dies in a few weeks.