Presentation of first aid for food poisoning. food poisoning

food poisoning The term food poisoning is currently understood as acute (rarely chronic) non-contagious diseases resulting from the consumption of food massively contaminated with certain types of microorganisms or containing microbial substances toxic to the body. The term food poisoning is currently understood as acute (rarely chronic) non-contagious diseases resulting from the consumption of food massively contaminated with certain types of microorganisms or containing microbial substances toxic to the body.


Food poisoning does not include: diseases resulting from the ingestion of excess amounts of nutrients (fluorosis, hypervitaminosis); diseases resulting from the intake of excess amounts of nutrients (fluorosis, hypervitaminosis); diseases caused by the deliberate introduction of any poison into food; diseases caused by the deliberate introduction of any poison into food; diseases due to excessive alcohol consumption; diseases due to excessive alcohol consumption; diseases that are a means of erroneously using a toxic substance instead of a food substance when cooking at home; diseases that are a means of erroneously using a toxic substance instead of a food substance when cooking at home; food allergies. food allergies.


Causes of food poisoning have a number of common features: as a rule, an acute sudden onset of the disease; simultaneity of the onset of the disease in a group of individuals; for most food poisonings, an acute short course of the disease; the relationship of diseases with the consumption of a single food product or dish;


Territorial limitation of diseases by the place of consumption or the acquisition of a food product; cessation of the occurrence of new cases of diseases after the withdrawal of the product that caused food poisoning; microbial software is not transmitted from a patient to a healthy person and this fundamentally differs from infectious diseases.


Classification of food poisoning 1. Microbial 1. Microbial Toxic infections Toxicosis Mixed etiology (model) Potentially pathogenic microorganisms E.Coli (enteropathogenic serotypes), Proteus mikabilis and vulgaris, Bak. cereus, Cl. Perfringens type A. Str. Faesalis var. liquefaciens and Zymogenes, Vibrio parahaemolyticus and other little-studied bacteria. A. Bacterial toxicosis Bak. toxicoses earned by Staph. aureus, Cl. botulinum. B. Microtoxicoses mycotoxins produced by microscopic fungi of the genus Aspergifius, Fusarium, Penicillium, Claviceps purpurea, etc. Certain combinations of potentially pathogenic microorganisms (Bac. Cereus and enterotoxigenic staphylococcus: Proteus and enterotoxigenic staphylococcus)


2. Non-microbial Poisoning by poisonous plants and animal tissues. Poisoning by plant products. and alive. origin Poisoning by impurities chemical substances A. Plants poisonous in nature with poisonous mushrooms; conditionally edible mushrooms; wild plants (henbane, dope ...); cereal weed seeds. B. Tissues of animals that are naturally poisonous. Organs of some fish (marinka, barbel, puffer fish) A. Vegetable products, kernels of stone fruits (peaches, cherries…) containing amygdalin; nuts; sprouted potatoes; raw bean beans. B. Products of animal origin, liver, caviar of some fish during the spawning period; bee honey with poison. rast. Pesticides salts of heavy metals and arsenic; food additives above MPC; compounds migrating into food. product from equipment, inventory, containers, etc.; other chem. impurities


3. Unidentified etiology Alimentary paroxysmal toxic myoglobinuria (Gaff, Yuksov, Sartlan disease); lake fish of some regions of the world in some years. Alimentary paroxysmal toxic myoglobinuria (Gaff, Yuksov, Sartlan disease); lake fish of some regions of the world in some years.


Toxic infections Acute diseases that occur when eating food containing a massive amount of living cells of a specific pathogen. Acute diseases that occur when eating food containing a massive amount of living cells of a specific pathogen. Toxic infections are caused by pathogenic m / o: EPKD, enterococci, Proteus, clostridia, citrobacter and others. Toxic infections are caused by pathogenic m / o: EPKD, enterococci, Proteus, clostridia, citrobacter and others.


Toxicosis Acute or chronic (mycotoxicosis) diseases that occur when eating food containing a toxin that has accumulated in it as a result of the development of a specific pathogen. At the same time, viable cells of the pathogen itself in food may be absent or found in small quantities.






Clostridium botulinum topt development 35 deg. FROM; able to breed at t=10-55 degrees. FROM; topt development 35 deg. FROM; able to breed at t=10-55 degrees. FROM; Sensitive to an acidic environment - develops at pH = 4.5-8; Sensitive to an acidic environment - develops at pH = 4.5-8; Preserved in an environment with a high salt concentration Preserved in an environment with a high salt concentration At t=37 deg. With the reproduction of the microbe and the formation of the toxin occurs after hours; At t=37 deg. With the reproduction of the microbe and the formation of the toxin occurs after hours; At t=30 deg. With the reproduction of the microbe and the formation of the toxin occurs after hours. At t=30 deg. With the reproduction of the microbe and the formation of the toxin occurs after hours.


T opt toxin formation deg. FROM; t opt ​​toxin formation deg. FROM; No toxin is formed at a salt concentration of more than 8% and a sugar concentration of more than 55%; No toxin is formed at a salt concentration of more than 8% and a sugar concentration of more than 55%; In an acidic environment, stability is higher than in an alkaline one; In an acidic environment, stability is higher than in an alkaline one; Destroyed at t=80 deg. C after 6-30 minutes; when boiled in minutes. Destroyed at t=80 deg. C after 6-30 minutes; when boiled in minutes.


Spores are preserved in the external environment for several decades; They remain in the external environment for several decades; Well preserved in environments with a high fat content; in them - more heat-resistant; Well preserved in environments with a high fat content; in them - more heat-resistant; Resistant to low temperatures: Resistant to low temperatures: at t=16 degrees. C persists for up to a year; at t=16 deg. C persists for up to a year; do not die at t=190 degrees. S. do not die at t=190 degrees. FROM.



FOOD
POISONING

food poisoning

FOOD POISONING
Food poisoning refers to diseases that
transmitted mainly through food. The main reason for them
occurrence are the consumption of foods that have harmful
action or as a result of development in them of harmful microorganisms, or
due to the content of various toxic substances. Most
cases of these diseases are characterized by a short incubation period
and rapid course with a clear predominance of symptoms acute poisoning.

food poisoning

FOOD POISONING
Food poisoning - acute (rarely chronic)
non-contagious
foodborne diseases,
massively seeded
certain types of microorganisms or containing
toxic to
organism substances of microbial or non-microbial nature.

Food poisoning groups

FOOD POISONING GROUPS
The group of food poisoning does not include diseases,
resulting from ingestion
excess amounts of nutrients caused by
intentional ingestion of a poison
or for the purpose of suicide or murder:
arising from alcohol intoxication;
poisoning resulting from erroneous
domestic use of any poisonous
substances instead of food, as well as diseases,
developing due to food allergies.

food poisoning

FOOD POISONING
Food poisoning most often occurs suddenly,
often capturing a significant contingent of persons, and, as
usually decay fairly quickly. However,
concentrate in the service area
certain food business. suddenness
occurrence of these diseases, their simultaneity,
sharp and alarming symptoms are related to food
poisoning with accidents and unforeseen
disasters. This leads to some features
medical measures, which are
mobilization medical care very service
a large number of victims, in need
rapid diagnosis of the cause of the outbreak and the adoption of urgent
measures to eliminate it.

Classifications of poisoning

CLASSIFICATIONS OF POISONINGS
To systematize food poisoning, a number of
classifications, of which the most based and complete is
classification proposed by K.S. Petrovsky, according to which all
considered pathological conditions are divided into three
main groups are:
1) food poisoning of a microbial nature. In turn, the first
include toxicosis, toxicosis and mixed poisoning
etiology.
2) non-microbial nature. Includes acute chronic
microbial poisoning.
3) unknown etiology.

Food poisoning of non-microbial etiology

NON-MICROBIAL FOOD POISONING
ETIOLOGIES
Food poisoning of non-microbial etiology - poisoning
caused food products vegetable and
animal origin containing toxic substances
non-microbial poisoning by poisonous plants.
Among this group of food poisonings, the most common
mushroom poisoning is observed.

Non-microbial food poisoning

NON-MICROBIAL FOOD POISONING
ORIGIN

mushroom poisoning

MUSHROOMS POISON
All mushroom poisonings are characterized by
seasonality and few
affected. The most common poisoning
cause fungi such as stitches, pale
toadstool, false brick-red honey agaric,
fly agaric panther.

Stitches

STITCHES

Stitches

STITCHES
Lines are mistaken for edible mushrooms
morels. The lines are conditionally edible
mushrooms. They cause poisoning only in fried
form and are completely harmless after boiling in
within 15 min. Their decoction is poisonous and subject to
removal, as it contains Helwellic
acid that is toxic to
hematopoietic organs and the liver. Incubation
period of 8-10 hours. The patient has vomiting, pain
in the abdomen, sometimes diarrhea and further develops
jaundice. Recovery in mild cases occurs
on the 3rd-4th day. In severe cases, it can be fatal
outcome (30%).

Death cap

DEATH CAP

Death cap

DEATH CAP
Pale grebe also has poisonous properties,
it is somewhat reminiscent of champignon. Her toxic
substance (amanitin) is very resistant to heat. It doesn't
passes into a decoction, does not disappear during drying and does not
broken down by digestive enzymes. Poisoning
leads to severe liver damage (fatty
rebirth), hemorrhage in the internal organs and in
in most cases leads to lethal outcome. Even
a small particle of pale grebe can cause
poisoning.

Brick-red false honey agaric

BRICK - RED FALSE MOLD
Brick-red false honey agaric contains
tar-like substances that cause strong
irritation of the mucous membrane of the digestive tract, which serves
preventing them from being eaten without additional
processing.

Fly agaric panther

Amanita PANTER
Panther fly agaric contains the alkaloid muscarine (“muska” -
in Greek "fly"). This alkaloid is very dangerous. It is believed that
its lethal dose is contained in 3-4 fly agarics.

Poisoning by poisonous plants

POISONING PLANTS
Poisoning by poisonous plants can occur when
erroneous use of them instead of edible. Cause
poisoning can be milestones poisonous, hemlock, canine
parsley, wolf's berry, elderberry, belladonna, seeds
henbane and other wild and cultivated plants.

Milestones

milestone
Milestone is one of the most dangerous. Its rhizome is especially poisonous.
Forty minutes after a person eats a milestone rhizome, he
there are pains in the stomach, nausea, diarrhea. There are fainting spells,
teeth grinding (due to spasms chewing muscles), foam appears around
mouth (sometimes with blood, as the tongue is often bitten). If not accepted
urgent measures, in 2-3 hours death may occur. Main operating
the beginning of the milestone - cicutoxin excites the nerve centers, causing convulsions,
respiratory paralysis.

Henbane

HENBANE
Henbane is a common weed growing along roads, in vegetable gardens, on
wastelands. Symptoms of poisoning occur quickly: after 15 minutes
there is confusion, strong arousal, visual
hallucinations. The victim in reality sees various nightmares, and he
in great fear rushes about in search of salvation.

belladonna

BELADONNA
Belladonna (Belladonna) - the active principle of alkaloids,
among which atropine and scopolamine are well studied. For
they are characterized by an effect on the motor centers of the brain
brain.

hemlock

hemlock
Hemlock - similar to parsley and parsnips, but has
disgusting mouse smell. poisoning can occur
when eating a bird that pecked at this poisonous plant.

Bird's bark

BIRD BARK
Bird's bast berries contain daphne glucoside and resin
mezern. Five berries can be fatal to a child.
Even from touching the bark on the hands, it is possible
the appearance of blisters.

Weed seed impurities

IMPURITIES OF WEED SEEDS
Admixture of weed seeds (heliotrope
omission, trichodesma gray,
chaff of an intoxicant, etc.) to grain can
cause severe chronic poisoning.
Prevention of weed toxicosis
is to free the grain from the seeds
weed plants.

Poisoning by certain edible foods that have partially acquired poisonous properties

POISONING WITH SOME EDIBLE
FOOD PRODUCTS, PARTLY
ACQUIRED POISONOUS PROPERTIES
This group includes food poisoning,
caused by potato solanine, beans
beans, bitter stone fruit kernels
fruits and beech nuts.

solanine

SOLANINE

solanine

SOLANINE
Solanine is part of the potato in an amount of about 11 mg%; more
all of it in the peel - 30 - 64 mg%. The content of solanine
increase with germination and greening (420 - 730 mg%)
potatoes. Solanine is similar in properties to glycosides and belongs to
hemolytic poisons, that is, it destroys red blood cells. For
human toxic dose of solanine, capable of causing poisoning, 200 - 400 mg%. Potatoes containing an increased amount
solanine, has a bitter taste, when it is used, there is
scratching sensation in the pharynx. Poisoning is accompanied
minor disorder gastrointestinal tract. For
to prevent the accumulation of solanine, potatoes are stored in dark
rooms at a temperature of 1 - 2 ̊С. Potatoes with greens
food is not consumed.

Fazin

FAZIN
Fasin is a toxic substance found in raw beans.
Food poisoning occurs when eating beans
flour and food concentrates. Poisoning manifests weak
symptoms of a bowel disorder. The main preventive measure
Phasin poisoning - compliance with the cooking technology
bean concentrate, reliably providing inactivation
pheasant.

Fagin

FAGIN
Possible poisoning caused by raw beech nuts, in
which contain fagin. Poisoning manifests itself in the form of bad
well-being, headache, nausea and intestinal upset.
Nuts are neutralized by heat treatment at a temperature of 120
- 130 ̊С for 30 min.

Amygdalin

AMYGDALIN
Some plants, their fruits and seeds contain
substances with toxic properties. Yes, bitter
almonds and stone fruit kernels contain glycosoid
amygdalin, the destruction of which releases hydrocyanic
acid. Amygdalin is found in bitter almonds in
quality 2 - 8%, in apricot kernels - 8%, peaches
- 2 - 3%, drain - 0.96%; upon splitting, it forms
5.6% hydrocyanic acid. Mild poisoning
accompanied by headache, nausea; with severe
form of poisoning, cyanosis, convulsions, loss
consciousness and possibly death.

Poisoning by poisonous internal organs and tissues of fish and animals

POISONING
INTERNAL BODIES AND
TISSUE OF FISH AND ANIMALS
Caviar and milk of some fish during spawning acquire poisonous
properties. There are known cases of fish poisoning with marinka, which is found in
reservoirs Central Asia(Lakes Bolkhash and Issyk - Kul, Amur River - Darya,
Aral Sea, etc.). During spawning, poisonous caviar and barbel milt,
pufferfish, kogak, Svan khramuli, burbot, pike, perch and mackerel, as well as
tench liver. After removing the internal organs, this fish can be used in
food purposes. The lamprey has a poisonous substance in the mucus, which
produced by skin glands; mucus-free fish
edible.
There are known cases of poisoning by mussels, which acquire poisonous properties.
in the summer as a result of feeding on the simplest microorganisms. With the aim of
prevention of poisoning, fishing for mussels is stopped at night when
the manifestation of the red color of the sea or miscension.

Fish poisoning

FISH POISONING

Pufferfish (fugu)

pufferfish (FUGU)

Pufferfish (fugu)

pufferfish (FUGU)
Fugu fish contains a lethal dose of tetrodotoxin during
internal organs, mainly in the liver and caviar, gallbladder
and skin. Puffer fish liver and caviar should not be eaten
in general, the rest of the body - after careful special
processing. Poison reversibly (capable of being metabolized) blocks
membrane sodium channels nerve cells and paralyze the muscles
and causes respiratory arrest. Despite being licensed
the work of fugu cooks, a certain number of
people who ate an improperly prepared dish die from
poisoning. Currently there is no antidote
the only way to save a poisoned person
consists in the artificial maintenance of the work of the respiratory and
circulatory system until the effect of the poison ends.

mussels

mussels

mussels

mussels
Mussels are a delicacy for many people.
can be prepared in a variety of ways. First
cases of mussel poisoning appeared in 1995, however
The causative agent has not yet been found. Recently
scientists have identified the cause. "Dinoflagelatten Azadinum
spinosum" is a type of small algae that
produce the poison azaspiracid, which acts on the nervous
system and which remains after filtering food
mussels in their shells. If a person eats these
mussels, then the poison enters the body and causes such
symptoms of poisoning like paralysis, nausea and vomiting. On
At the moment, scientists are investigating the cause of production
poison by these algae and ways to prevent
their poisoning of mussels on farms.

Tuna

TUNA

Tuna

TUNA
Occasionally poisoning or death from
eating skipjack tuna, or
skipjack. But in other cases, a person
calmly ate his meat and did not poison himself. Apparently
skipjack tuna is only edible in VERY
fresh. And it is possible that individual
the fish just ate some organisms,
which are fatal to people - although it seems to be
their menu is limited to near-surface
fish, squid and crustaceans.

Food poisoning

FOOD POISONING
Some glands also have poisonous properties.
endocrine (adrenals and thyroid)
major cattle. Eating these glands
can cause severe gastrointestinal disturbances
tract.

Weed poisoning

WEED POISONING
Flour from poorly refined grains may contain toxic impurities
cockle, sophora (gorchak), heliotrope pubescent, trichodesma gray, etc.
Cases of poisoning with these toxic impurities are very rare.
The content of some impurities in flour is standardized: cockle - no more than 0.1%,
sophoras - 0.04%.
The content of some impurities, such as heliotrope seeds, in the grain
food crops are not allowed.
Measures for the prevention of poisoning by weed impurities are reduced to increasing
agrotechnical culture of agriculture and thorough cleaning of grain from impurities.

Food poisoning with toxic impurities

FOOD POISONING,
HAVING TOXIC IMPURITIES
They may be associated with increased
content of food additives and
impurities transferred to products from
equipment, inventory, containers, packaging
materials, as well as impurities that have fallen into
products from the environment.

Nitrites and nitrates

NITRITE AND NITRATE
Used as food additives in production
sausages (for fixing Pink colour), How
preservatives in the manufacture of cheeses and cheese. They are
accumulate in vegetable and melon crops due to
application of nitrogen and nitrogenous fertilizers. Nitrates
are converted in the body into nitrites, which lead to
formation of respiratory failure, cyanosis,
weakness and other symptoms. Admission hazard
nitrite in the human body is associated, also with
formation of nitrosamines, which are carcinogenic
action. According to hygienic standards,
the content of nitrites in boiled sausages is not
should exceed 50mg/kg of the product.

Impurities migrating from the material of dishes, equipment, containers, etc.

IMPURITIES MIGRATED FROM THE MATERIAL
WARE, EQUIPMENT, CONTAINERS AND OTHER.
When using utensils, equipment,
inventory for other purposes or manufacture
from materials that do not comply
hygienic requirements, transition is possible
in food salts of heavy metals and other
chemical substances.

lead

LEAD
Lead ingestion is possible when using
glazed earthenware, if the lead content in
glaze exceeds the permissible standards (up to 12%), and so
same tinned kitchen utensils, canning equipment
cans. To avoid poisoning for tinning iron and
copper cookware uses tin with
the content of lead impurities is more than 1%, and for tinning
canning tin not more than 0.04%. Salt content
lead in food is not allowed.

zinc

ZINC
Zinc poisoning occurs when misused
galvanized utensils. The galvanized surface of the cookware is coated
thin layer of zinc carbonate. If you cook in such dishes or
store food, especially with an acid reaction of the environment, then under the influence
organic acids, zinc salts pass into food and cause
poisoning. Zinc salts do not dissolve in water, therefore, galvanized
dishes can be used to store water.

Copper

COPPER
Copper utensils and equipment without half-bath can be the reason
copper salt poisoning. Therefore, copper is currently used
for the manufacture of dishes only in the composition of alloys. Copper content in
food is limited and, according to hygienic
standards, in canned milk should not exceed 5 mg / kg, in
fish 0.8; in vegetables - 10 mg / kg of the product.

Other impurities

OTHER IMPURITIES
For the manufacture of dishes, containers, machine parts and
equipment, refrigerators, inventory and packaging
it is allowed to use polymeric materials, varnishes,
adhesives only approved by the Ministry of Health
RF, for food contact. Danger
are additives (stabilizers, antisidants,
dyes, etc.) dishes, containers or packaging.

Pesticides (toxic chemicals)

PESTICIDES (POISONIC CHEMICALS)
In food products of both plant and animal origin
pesticides (toxic chemicals) used in agriculture
farm to protect plants from weeds and pests. In our
country approved for use over 150 pesticides of various
chemical composition and purpose. Their use in agriculture
economy is steadily increasing and gives big raise harvest
crops. At the same time, some of the pesticides
can accumulate in soil, water, food and can
have an adverse effect on the human body. special
dangerous drugs, characterized by a high
stability in the external environment, the ability to accumulate in living
organisms and excreted in the milk of animals. Such properties
possess many organochlorine pesticides. Typical of them
a representative of DDT has been banned for use since 1970.

Arsenic

ARSENIC
Arsenic poisoning occurs when it enters food
products during careless storage of arsenic preparations or when
the use of vegetables, fruits treated with pesticides,
containing arsenic. Measures to prevent this poisoning
is a thorough washing of vegetables, fruits and control over the preservation
pesticides.

radioactive substances

RADIOACTIVE SUBSTANCES
Food can be a source of entry into the body
human radioactive substances, both natural and
artificial origin. In plant and animal organisms
there is an accumulation of radioactive substances, exceeding the level
their content in the environment. main food chains
are: plants - man, plants - animal - meat - man,
water - hydrobionts - man. Technological processing of food
raw materials and culinary processing of products lead to a significant
reducing the content of radioactive substances in them. radioactive
substances are removed with shells during the processing of grain and cereals,
go into a decoction (up to 85%) from vegetables, into a broth (up to 50%) from meat,
decrease during the processing of milk into fatty products and protein
concentrates.

Microbial poisoning

MICROBIAL POISONING
Food poisoning is poisoning
which can be caused by microbes
different type.

Microbial Food Poisoning Division

FOOD POISONING DIVISION
MICROBIAL ORIGIN
Microbial food poisoning
Origins are divided into two groups:
toxicoinfections and bacterial toxicoses.
Toxic infections are poisoning, I cause
microbes that have multiplied on the product.
Bacterial toxicoses are poisonings,
caused by poison, which microbes secreted into
product. These include botulism and
staphylococcal toxicosis.

Salmonella

SALMONELLA
Salmonella (named after the American Veterinary
doctor Salmon) are frequent culprits of food
poisoning. These microbes live in the intestines of many animals.
and usually do not cause disease in them. But if the animals
weakened, microbes from the intestines penetrate into the blood, and meat
such animals becomes a source of poisoning. special
attention in the epidemiology of salmonellosis is paid to meat
forced slaughtered animals. Meat of forced slaughter, to
which is resorted to in case of animal disease should not
enter the trade network. Why You Should Buy Meat
only branded, checked by the sanitary inspection. Highly
it is dangerous to buy meat and meat products from hands, from random
people.

Causes of Salmonella

CAUSES OF SALMONELLA
Salmonellosis can be caused by:
products in which they like to develop
salmonella, - liver sausage, blood
sausage, frankfurters, jelly, confectionery
products with cream, milk and dairy products
products, chicken eggs. Especially
must be careful to
good quality minced meat.

Microbial poisoning (staphylococci)

MICROBIAL POISONING
(STAPHILOCOCCI)
The source of infection may be patients with mastitis
animals: cows, goats, sheep. milk from cows,
patients with mastitis, it is forbidden to use in food:
it is collected in a separate dish and after
boiling is fed to calves and piglets.
Staphylococci reproduce very quickly
in summer (and generally warm) in milk, cream,
cottage cheese, curd mass, cream, cheese, meat
minced meat.

Dairy product infection

INFECTION IN DAIRY PRODUCTS
Bought on the market unpasteurized
milk should not be drunk unboiled. Market
cottage cheese is recommended to be used only for
preparation of dishes subjected to
heat treatment: puddings,
cottage cheese, cheesecakes, dumplings. Everybody
Dairy products should only be stored in
refrigerator.

coli

coli
The cause of food poisoning can also be a microbe under
called "Escherichia coli". More often cause
diseases become ready meat, fish, vegetable,
culinary products seeded with Escherichia coli,
used in food without heat treatment.

anaerobe

ANAEROBE
The microbe of botulism (anaerobe) can live and reproduce only when fully
the absence of oxygen. Along with the lack of oxygen to breed
causative agents of botulism and their release of toxin favorable conditions
creates a low acidity of the environment. Dangerous for a person not himself
microbe, and that toxin, in other words, the poison that the microbe produces when
reproduction. Most often, the disease occurs when eating
canned food (meat, fish, mushroom, vegetable), as under sealed
the lid creates ideal conditions for the life of microbes
botulism and toxin production. The causative agent of botulism is not killed by
boiling. At the same time, its toxin is destroyed, and the pathogen itself, after
boiling is capable of sporulation. To completely destroy it
requires autoclaving, which is only possible in industrial
conditions.

Prevention of microbial poisoning

PREVENTION OF MICROBIAL POISONING
Prevention of microbial food poisoning
is to prevent contamination of food
food microbes - causative agents of food
poisoning, prevention of reproduction in food
micro-organisms and the destruction of incoming microbes
heat treatment method. To this end
sanitary supervision, veterinary and sanitary supervision over the sanitary conditions of slaughter
animals, catching and processing big fish, production
sausages, canned food, obtaining and processing
milk, as well as control over the manufacture of confectionery
products, processing, storage and sale of finished
dishes in canteens, food blocks of children's institutions,
buffets and other catering establishments.

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1 slide

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2 slide

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Poisoning - intoxication of the body due to the ingestion of a foreign chemical substance in a toxic dose.

3 slide

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Poisoning is the third most common cause of accidental death in Russia. Mostly they are unintentional. Both children and adults are victims of poisoning.

4 slide

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Types of poisoning: Food poisoning Drug poisoning Sleeping pills poisoning Drug poisoning Alcohol poisoning Poisoning by poisonous plants and mushrooms Botulism Poisoning by household and detergents Poisoning by carbon monoxide and lighting gas Poisoning by pesticides Poisoning by acids and alkalis

5 slide

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Food poisoning Food poisoning is a food poisoning that occurs when poor-quality (infected) products of animal origin (meat, fish, sausages, canned meat and fish, milk and milk products, etc.) are ingested. The disease is caused by this product microbes and their metabolic products are toxins. Meat, fish can become infected during the life of animals, but most often this occurs during cooking and improper storage of food products.

6 slide

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Signs of poisoning General malaise. Nausea. Multiple vomiting. Cramping pains in the abdomen. Frequent loose stools, sometimes mixed with mucus and streaked with blood. Increased intoxication, lowering blood pressure. Acceleration and weakening of the pulse. Pallor skin. Thirst. Heat body (38-40°C).

7 slide

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First aid for food poisoning Immediately begin gastric lavage with water using a gastric tube or inducing artificial vomiting (drinking plenty of warm water 1.5-2 liters, followed by irritation of the root of the tongue). Flush up" pure water". Let's drink plenty of water with self-vomiting. For the speedy removal of infected products from the intestines, give the victim carbolen ("gastric" coal) and a laxative (25 g of saline laxative in half a glass of water or 30 ml castor oil). After gastric lavage, give the victim hot tea and coffee. Warm up the victim. Cover it with heating pads (to the legs, arms). Promotes recovery ingestion of sulfonamides (sulgin, fthalazol 0.5 g 4-6 times a day) or antibiotics (levomycetin 0.5 g 4-6 times a day, chlortetracycline hydrochloride 300,000 IU 4 times for 2-3 days). Disinfect the patient's stools and vomit directly in the vessel (mixing with dry bleach). Call" ambulance".

8 slide

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It is forbidden! Leave the victim alone. Induce vomiting if victim is unconscious. Induce vomiting in case of poisoning with acids and alkalis.

9 slide

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poisoning medicines Poisoning medications most often observed in children, in families where medicines are stored incorrectly - in places accessible to children. Adult poisoning occurs with accidental overdose, suicidal attempts.

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Signs In case of an overdose of painkillers and antipyretics (butadion, analgin, promedol, aspirin, etc.), there are violations of the processes of inhibition and excitation in the central nervous system, expansion of capillaries and increased body heat transfer. This is accompanied by increased sweating, the development of weakness, drowsiness, which can turn into deep sleep and even into an unconscious state, sometimes with respiratory failure.

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First aid for drug poisoning Immediately! Call an ambulance or take the victim to the hospital. Find out what medicine and at what dose the victim took. Save the remaining medicine or its container. If the casualty is conscious, induce vomiting, then give him activated charcoal Monitor the casualty's breathing and pulse. If there is no breathing or pulse, start CPR immediately. See Circulatory arrest. If the casualty is unconscious but has a pulse and breathing, place him in the correct position.

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Poisoning with sleeping pills Quite often, poisoning develops with an overdose of sleeping pills.

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Signs In case of poisoning, deep inhibition of the central nervous system is observed, sleep passes into an unconscious state, followed by paralysis of the respiratory center. Patients are pale, breathing is shallow and rare, non-rhythmic, often wheezing, bubbling.

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First aid for poisoning with sleeping pills If the victim is conscious, flush his stomach, causing active vomiting. If breathing is disturbed, start artificial respiration.

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Signs of dizziness. Nausea. Vomit. Weakness. Drowsiness. Dream. Unconscious state. Paralysis of the respiratory and vasomotor centers. Pallor. Lip cyanosis. Breathing is wrong. The pupils are sharply constricted.

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First aid for drug poisoning Call an ambulance immediately. Examine the patient, if he does not have breathing and blood circulation, start resuscitation.

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Alcohol poisoning Fatal poisoning is possible if large (toxic) amounts of alcohol are taken. Lethal dose ethyl alcohol- 8 g per 1 kg of body weight. Alcohol affects the heart, blood vessels, gastrointestinal tract, liver, kidneys, especially the central nervous system. With a severe degree of intoxication, a person falls asleep, then the dream passes into an unconscious state. Vomiting, involuntary urination are often observed. Breathing is sharply disturbed, it becomes rare, irregular. With paralysis of the respiratory center, death occurs. It is advisable to save the remnants of alcohol in order to find out exactly what the victim was poisoned with.

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First aid for alcohol poisoning Provide fresh air (open the window, take the poisoned person outside). Induce vomiting by small washes. With the preserved consciousness, give hot strong coffee to drink. alcohol poisoning often requires immediate medical attention. If there is no breathing, begin resuscitation. When the victim is in a state of severe poisoning or a deep alcoholic coma, it is necessary to call an ambulance. In case of poisoning with methyl alcohol, usually accompanied by visual impairment, drowsiness and salt headache, which do not go away 12-24 hours after drinking alcohol, you should immediately call an ambulance or take the victim to the hospital.

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Carbon monoxide and lighting gas poisoning Carbon monoxide poisoning is possible in industries where carbon monoxide is used to synthesize a number of organic matter, in garages with poor ventilation, in unventilated newly painted rooms, as well as at home - in case of leakage of lighting gas and in case of untimely closed stove dampers in rooms with stove heating.

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Signs of poisoning Headache. Heaviness in the head. Nausea. Dizziness. Noise in ears. Palpitation. Muscle weakness. Vomit. Weakness grows. Drowsiness. Darkening of consciousness. Dyspnea. Paleness of the skin, sometimes the presence of bright red spots on the body. With prolonged inhalation of carbon monoxide, breathing becomes superficial, convulsions occur, and death occurs from paralysis of the respiratory center.

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First aid for poisoning with light and carbon monoxide Move victim to fresh air immediately. Lay the victim on his back, remove tight clothing, let him smell ammonia. If the victim is not breathing, begin artificial respiration immediately. Get the victim to a doctor as soon as possible.

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Poisoning by poisonous plants and mushrooms Poisoning can occur when taking poisonous mushrooms (red or gray fly agaric, false mushroom, pale grebe, false champignon, etc.), as well as edible mushrooms if they are spoiled (moldy, covered with mucus, stored for a long time). The most poisonous pale grebe - fatal poisoning can occur when even one mushroom is taken. Remember that boiling does not destroy the toxic substances contained in mushrooms.

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Symptoms After a few hours (1.5-3h). Rapidly increasing weakness. Salivation. Nausea. Repeated painful vomiting. Severe colicky pains in the abdomen. Headache. Dizziness. Diarrhea (often bloody). Signs of defeat nervous system: Visual disturbance. Rave. hallucinations. Motor excitement. Seizures.

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In severe poisoning, especially pale toadstool, excitation occurs fairly quickly (after 6-10 hours); it is replaced by drowsiness, indifference. During this period, cardiac activity sharply weakens, blood pressure, body temperature, jaundice appears. If the victim is not helped, then a collapse develops, quickly leading to death. Save the remains of plants or fungi that caused poisoning.

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First aid for poisoning with poisonous plants and mushrooms If you suspect mushroom poisoning, immediately call an ambulance. First aid for mushroom poisoning often plays a decisive role in saving the victim. Find out what plants (or mushrooms) the victim was poisoned with. In case of poisoning with dope, wolfberry or pale grebe, immediately take the victim to the hospital. Immediately begin gastric lavage with water, preferably with a weak (pink) solution of potassium permanganate using a probe or by artificially induced vomiting. It is useful to add adsorbents to the solution: activated carbon, carbolene. Warmly cover the victim and cover with heating pads. Give hot sweet tea, coffee. Take the victim to the hospital.

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Botulism Acute infection, in which the CNS is damaged by toxins secreted by anaerobic spore-bearing bacillus. More often, botulism infects products that are cooked without sufficient hot processing: dried and smoked meat and fish, sausages, old canned meat, fish, and vegetables. The period from ingestion of contaminated food to the appearance of the first signs of the disease is often short, from 12 to 24 hours. In some cases, it may be extended up to several days.

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Signs of botulism The disease begins with a headache, general malaise, dizziness. The chair is absent, the stomach is swollen. Body temperature remains normal. The condition worsens, a day after the onset of the disease, signs of severe CNS damage appear: double vision occurs; strabismus, prolapse upper eyelid; paralysis of the soft palate, the voice becomes slurred, the act of swallowing is disturbed. Bloating increases. There is urinary retention. The disease progresses rapidly, and the patient dies within the first 5 days from paralysis of the respiratory center and cardiac weakness.

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First aid for botulism Urgently call an ambulance. Rinse the stomach with a weak solution of sodium bicarbonate, potassium permanganate with the addition of adsorbents (activated carbon, carbolene). Give laxatives. Make a cleansing enema. Give a plentiful hot drink (tea, milk). Inject specific anti-botulinum serum immediately. Take the victim to the hospital immediately.

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Poisoning with pesticides Pesticides are produced and used in gaseous, liquid or solid form for pollination or spraying of fields, orchards, orchards, industrial and household premises. In most cases, pesticides are not used in pure form, but mixed with fillers (talc, chalk, lime) in aqueous solutions or oil emulsions.

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First aid for poisoning with pesticides Create a safe environment. Perform gastric lavage. After gastric lavage, give a glass of water to drink with the addition of two to three tablets. activated carbon. When coughing and irritation in the throat, inhale with baking soda, gargle with a soda solution. If pesticides get into the eyes, rinse them with a 2% solution baking soda. Apply compresses from a solution of potassium permanganate (pink) to the affected areas of the skin. After providing first aid, send the patient to the nearest medical facility.

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Acid and alkali poisoning Acid poisoning (80% solution of acetic, hydrochloric, carbolic, oxalic acids) and caustic alkalis (caustic soda, ammonia) often occur. Immediately after an acid or alkali enters the body, strong pain in the mouth, throat, respiratory tract. A burn of the mucous membrane causes severe swelling, copious salivation, and sharp pain makes it impossible for the victim to swallow. During inhalation, saliva along with air can flow into Airways making breathing difficult and causing suffocation.

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First aid for poisoning with acids and alkalis Immediately remove saliva and mucus from the mouth of the victim. Having screwed a piece of gauze, a handkerchief or a napkin onto a teaspoon, wipe the oral cavity. If there are signs of suffocation, perform artificial respiration. Quite often, the victims vomit, sometimes with an admixture of blood. It is strictly forbidden to wash the stomach on your own in such cases, as this can increase vomiting, lead to the ingress of acids and alkalis into the respiratory tract. The victim can be given to drink 2-3 glasses of water, preferably with ice. Do not try to "neutralize" toxic liquids. In case of poisoning with other chemicals (chlorinated hydrocarbon, aniline dye, etc.), before the arrival of a doctor, it is necessary to induce vomiting in the victim and rinse the stomach with water if he is conscious. Lay the victim in an unconscious state without a pillow on his stomach, turn his head to the side. In case of retraction of the tongue, as well as convulsions in an unconscious state, when the jaws are tightly closed and prevent normal breathing, carefully throw back your head and push lower jaw forward and upward.

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Presentation for the lesson on the discipline “Human Hygiene and Ecology” Theme of the lesson: “Food poisoning of various etiologies and their prevention” Prepared by: teacher of BPOU VO “BMT” Bocharova Oksana Nikolaevna. Voronezh region, Buturlinovka. Buturlinovsky Medical College. 2016

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Topic of the lesson: “Food poisoning of various etiologies and their prevention” Aims and objectives: 1. To introduce students to the concept of food poisoning. 2. Learn the modern classification of food poisoning, their etiology and the main measures for their prevention. 3. To form personal hygiene skills, sanitary and hygienic rules for food storage, to cultivate a food culture.

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Lesson plan Classification of food poisoning Microbial food poisoning and their prevention Non-microbial food poisoning and their prevention

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Food poisoning - diseases resulting from the consumption of foods massively contaminated with microorganisms, of a certain type or containing microbial or non-microbial substances toxic to the body.

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Classification of food poisoning 1. Microbial poisoning 1.1 Toxic infections 1.2 Toxicosis 1.2.1 Bacterial 1.2.2 Mycotoxicosis 1.3 Mixed etiology (mixed) 2. Non-microbial poisoning 2.1 Poisoning by poisonous plants and animal tissues 2.2 Poisoning by products of plant and animal origin, poisonous under certain conditions 2.3 Poisoning by impurities of chemicals 3. Poisoning of unknown etiology

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Food poisoning of microbial etiology 1. Poisoning of microbial nature 1.1 Toxic infections 1.2 Toxicosis 1.2.1 Bacterial 1.2.2 Mycotoxicosis 1.3 Mixed etiology (mixed)

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1. Microbial poisoning Food poisoning is a poisoning that can be caused by various types of microbes.

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1.1 Toxic infections - acute diseases arising from the use of food containing massive amounts of living cells (105-106 per 1 g) of a specific pathogen and their toxins released during the reproduction and death of microorganisms.

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Salmonella Salmonella (named after the American veterinarian Salmon) are a common culprit in food poisoning. These microbes live in the intestines of many animals and usually do not cause disease in them. But if the animals are weakened, microbes from the intestines penetrate into the blood, and the meat of such animals becomes a source of poisoning. Special attention in the epidemiology of salmonellosis, the meat of forcedly slaughtered animals is given. The meat of forced slaughter, which is resorted to when animals are sick, should not enter the trade network. That is why you should buy only branded meat, checked by the sanitary inspection. It is very dangerous to buy meat and meat products from the hands of random people.

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E. coli The cause of food poisoning can be a microbe called E. coli. More often, the cause of the disease is ready-made meat, fish, vegetables, culinary products, seeded with Escherichia coli, used for food without heat treatment.

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Peculiarities of toxicoinfections: Epidemiological suddenness, mass character, approximately simultaneous illness of the majority of people who used this food, cessation of new diseases after the removal of poor-quality food. Clinical: short incubation period acute onset short duration low contagiousness

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1.2 Toxicosis - acute or chronic diseases that occur when eating food containing a toxin that has accumulated in it as a result of the development of a specific pathogen; at the same time, viable cells of the pathogen itself in food may be absent or found in small quantities.

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1.2.1 Bacterial toxicoses are poisonings caused by poison that microbes have isolated in the product. These include botulism and staphylococcal toxicosis.

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Botulism Botulism is a disease resulting from poisoning by toxins from the botulism bacteria and characterized by severe damage to the nervous system. The reservoir of causative agents of botulism in nature are warm-blooded, less often cold-blooded, animals, in the intestines of which there are clostridia excreted with feces in external environment. The pathogen itself does not cause human disease, only the toxin is dangerous. For the occurrence of poisoning, it is necessary to multiply the pathogen with the accumulation of botulinum toxin in an environment with a small amount of oxygen (ham, sausages, canned food, salty fish), as well as in canned vegetables, fruits, mushrooms.

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Staphylococcal poisoning The source of infection can be animals with mastitis: cows, goats, sheep. Milk from cows with mastitis is forbidden to be used for food: it is collected in a separate bowl and, after boiling, fed to calves and piglets. Staphylococci multiply especially rapidly in summer (and generally in heat) in milk, cream, cottage cheese, curd mass, cream, cheese, minced meat.

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Mycotoxicosis 1.2.2 Mycotoxicosis is a group of human and animal diseases caused by certain types of fungi that form toxic substances - mycotoxins during their vital activity. Toxin-forming fungi are widely distributed in nature.

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Classification of mycotoxicosis: Sporotrichiellotoxicosis; Fusariogrammearotoxicosis; Fusarionivaletoxicosis.

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Sporotrichiellotoxicosis Sporotrichiellotoxicosis is a serious disease of people associated with the use of products from wintered under snow or late harvest grain containing fungal toxins. It proceeds with severe symptoms and often ends in the death of the victims.

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Fusariograminearotoxicosis Fusariograminearotoxicosis (drunken bread syndrome) arises from the use of baked products from grain affected by the fungus. The toxic substances produced by it are nitrogen-containing glucosides, cholines and alkaloids that act on the central nervous system. Human disease manifests itself in the occurrence of weakness, a feeling of heaviness in the limbs, stiffness of the gait, the appearance of severe headaches and dizziness, vomiting, abdominal pain, diarrhea. With prolonged use of products from such grain, anemia may occur, mental disorders sometimes death of the patient.

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Fusarionivaletoxicosis is a serious disease of humans and animals observed when eating foods and feeds from wheat, barley and rice affected by "red mold". The disease of people is accompanied by nausea, vomiting, diarrhea, headaches. Fusarionivaletoxicosis

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Prevention of microbial poisoning Prevention of food poisoning of a microbial nature is reduced to the prevention of contamination of food products with microbes - causative agents of food poisoning, the prevention of reproduction of microorganisms in food and the destruction of microbes that have entered by heat treatment. For this purpose, sanitary supervision, veterinary and sanitary supervision over the sanitary conditions of slaughtering animals, catching and processing large fish, the production of sausages, canned food, the receipt and processing of milk, as well as control over the manufacture of confectionery products, processing, storage and sale of ready meals in canteens, food blocks of children's institutions, buffets and other public catering establishments.

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Food poisoning of non-microbial etiology 2.1 Poisoning by poisonous plants and animal tissues 2.1.1 Naturally poisonous plants 2.2.2 Naturally poisonous animal tissues

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In the Russian Federation, poisonous plants include: - plants that cause predominant damage to the nervous system Aconite - toxic effect - alkaloid aconitine and sonorine: all poisonous organs vegetative organs, especially root cones. Henbane and Krasavka - toxic effect - alkaloids: atropine hyoscyamine, scopolamine; poisonous organs leaves, root, seeds, berries. Milestone poisonous - toxic effect - cicutoxin; poisonous organs rhizome milestone.

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plants that cause predominantly damage to the gastrointestinal tract "Wolf's bast" - the toxic effect of daphnin glycoside, daphnetoxin, meserine; flavonoids sit-tosterin; poisonous organs - bark (bast), leaves, flowers, fruits. Colchicum - toxic effect of alkaloids, colchicine, colchamine; poisonous corm organs and seeds. Castor oil - poisonous properties of glycoprotein - ricin and alkaloid - ricinin; poisonous organs seeds (cake).

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plants that cause mainly damage to the HEART Digitalis - toxic effect glycosides (cardenolides), flavonoids, steroidal saponins; poisonous organs leaves. Hellebore - toxic effect of alkaloid - veratrin; poisonous organs - roots. Lily of the valley - toxic effect of saponin convallarin and a number of cardiac glycosides (convallamarin, convallatoxin); poisonous fruit organs (may be eaten by children).

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plants that cause predominantly damage to the LIVER Groundsel - toxic alkaloids of pyrrolysine structure: platifillin, senecifyllin, sarrecin; poisonous organs whole plant; maximum substances in the underground parts.

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Prevention of poisoning by poisonous plants Health education of the population, in particular in kindergartens and schools; Exclusion of contact of children with these plants If poisonous plants are found, clean the site and dig up the soil

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Poisonous weeds and technical weeds name toxins prevention of poisoning Weeds 1) Heliotrope 2) Trichodesmacedae 3) Sophora cynoglossin heliothrinilazicarpin incaninitrichodesmin pachycarpin, sophorocarpine Chemical weeding with herbicides Deep plowing of land Industrial crops 1) Cotton (seeds) 2) Hemp gassipol Oil refining Cannabinol use

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There are 3 groups of mushroom poisoning: edible, conditionally edible, poisonous. Poisonous mushrooms are those that can cause poisoning to humans and animals. The proteins of such mushrooms quickly decompose with the formation of toxic nitrogenous bases, so poisoning can also be caused by non-poisonous, but not fresh mushrooms. The most dangerous: pale grebe, fly agaric, false honey agaric

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Poisonous mushrooms Stitches (Gyromitra) - with a brain-shaped-winding surface of the cap and partially adherent edges. However, the line contains the poisonous substance gyromitrin, which can cause severe poisoning, so the mushrooms should be finely chopped and boiled before cooking, after which the broth is drained (a poisonous substance that is easily soluble in hot water).

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Poisonous mushrooms Pale grebe - toxins amanitoxin (LD50 of α-amanitin is 0.1 mg / kg), amanitohemolysin, phalloidin; poisoning leads to the cessation of protein synthesis and cell destruction (cytolysis). Fly agaric - muscarine toxin, the content does not exceed 0.02%; muscarinic syndrome is characteristic: salivation, sweating, vomiting, diarrhea, bradycordia, collapse, pupillary constriction, pulmonary edema.

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Conditionally edible mushrooms Common morel - Morchella esculenta Pers An early spring mushroom that grows in April-May. It occurs mainly in the central and southwestern regions of the European part of the country. Conditionally edible very tasty mushroom of the third category. In countries Western Europe considered a delicacy mushroom. Mainly used for drying and roasting.

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Prevention of poisoning with poisonous mushrooms: a) a ban on the sale of mushrooms in places not established by law; b) if you do not know for sure that the mushroom is edible, it is better not to take such a mushroom; ATTENTION! Remember the main rule of the mushroom picker: if in doubt - do not take it and do not even taste it with your tongue! b) you can not collect obsolete edible mushrooms, they can be poisonous; c) morels, lines and other mushrooms before use should be finely chopped and boiled twice, and the water should be drained after each boil, the broth is poisonous; d) many mushrooms require pre-treatment - soaking in a strong salt solution and subsequent boiling; e) do not collect from highways and in ecologically unfavorable territories; e) health education of the population about the types of fungi and their external signs.

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2.1.2 Poisoning by tissues of animals that are naturally poisonous Puffer fish or pufferfish - Japanese name pufferfish, found off the Hawaiian Islands; the poison that is contained in various organs of fugu is called tetrodotoxin (white powder), the antidote against tetrodotoxin is unknown ... Organs of some fish (marinka, barbel, poisonous shark) Endocrine glands (adrenals and pancreas) of slaughtered animals

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2.2 Poisoning by products of plant and animal origin under certain conditions name toxins prevention White beans limarin (cyanogenic glycoside), phasin thorough digestion of beans Apricot, peach, almond pits amygdalin (cyanogenic glycoside), restriction of use in the confectionery/industry Beech nuts fagin fry Sprouted potatoes solanine do not eat green potatoes Mussels toxoid A, ciguaterotoxin, microcystin With red coloration and night luminescence of the sea, stop fishing for mussels Cassava glucoside dry and boil Bee Honey poisons of wild plants sow crops to collect nectar

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