The Primary Risk: Salmonella Contamination
Eating raw or undercooked eggs poses a risk of illness from Salmonella bacteria, a common cause of food poisoning in the United States. The Centers for Disease Control and Prevention (CDC) reports that most people who get sick from Salmonella experience diarrhea, fever, and stomach cramps, though more severe cases can lead to hospitalization or worse. The contamination can happen in two ways: either while the egg is still forming inside the hen or indirectly through exposure to the bacteria on the shell. Because there is no visual indicator for contamination, it is impossible to tell if a specific raw egg is safe without heat-treating it. Certain individuals are at a much higher risk for severe illness, including children under 5, adults over 65, pregnant individuals, and people with compromised immune systems.
The Safest Strategy: Using Pasteurized Eggs
The most reliable way to safely eat raw eggs in America is to use pasteurized eggs. Pasteurization is a process where eggs are gently heated to a temperature high enough to destroy potential Salmonella bacteria without cooking the egg. The United States Department of Agriculture (USDA) explicitly states that in-shell pasteurized eggs can be safely used without cooking.
Where to Buy Pasteurized Eggs
- In-shell pasteurized eggs: These can sometimes be found in the refrigerated egg section of your grocery store. Look for clear labeling that indicates they have been pasteurized.
- Liquid pasteurized eggs: Available in cartons, these egg products are always pasteurized by USDA standards and are readily found in the refrigerated dairy or egg aisle.
- Pasteurized egg yolks or whites: These are also sold in cartons and are ideal for recipes requiring only the yolk or white.
Choosing and Handling Unpasteurized Eggs for Raw Consumption (High Risk)
If you choose to use unpasteurized eggs for raw consumption, you must accept the inherent risk, as no amount of washing or handling can eliminate the potential for internal contamination. However, you can reduce the overall risk by following strict food safety protocols:
- Check the carton: Only buy eggs from a refrigerated case and inspect the carton to ensure none of the shells are cracked or dirty.
- Practice proper refrigeration: Store eggs promptly in their original carton in the main compartment of the refrigerator at 40°F or below, not in the door where temperatures fluctuate.
- Wash your hands: Wash hands thoroughly with soap and water after handling eggs and before preparing other foods.
- Wash surfaces and utensils: Sanitize any surfaces, dishes, and utensils that come into contact with raw egg.
- Use fresh eggs: Use unpasteurized eggs within 3-5 weeks of purchase and before the expiration date.
- Avoid cross-contamination: Never put cracked eggshells back into the carton or use them to separate yolks and whites.
The Truth About Farm Fresh Eggs
There is a common misconception that farm fresh eggs are safer for raw consumption than commercial eggs. However, this is not true. Salmonella contamination can occur before the shell is formed, meaning it is not preventable by keeping a clean coop. Unless the eggs are pasteurized, the risk of Salmonella contamination is always present, regardless of whether they are from a backyard flock or a commercial farm.
Raw vs. Cooked Eggs: Nutritional Differences
While raw eggs contain many of the same nutrients as cooked eggs, including high-quality protein, vitamins, and minerals, there are some minor differences in how your body absorbs them.
- Protein absorption: A small, older study suggested that the body absorbs less protein from raw eggs (50%) compared to cooked eggs (90%).
- Biotin absorption: Raw egg whites contain a protein called avidin, which can bind to biotin and prevent its absorption. Cooking destroys avidin. This is only a concern for those consuming large quantities of raw egg whites daily, not for moderate consumption.
Ultimately, any nutritional benefits from consuming raw eggs are marginal and do not outweigh the increased risk of foodborne illness compared to pasteurized options or simply cooking your eggs.
Comparison Table: Raw Egg Safety by Type
| Egg Type | Risk Level for Raw Consumption | Pasteurization | Best Uses for Raw Recipes | Notes | 
|---|---|---|---|---|
| Pasteurized Eggs (In-Shell) | Lowest | Yes | Caesar dressing, homemade mayonnaise, smoothies | Sold refrigerated, follow package instructions. | 
| Pasteurized Egg Products (Liquid) | Lowest | Yes | Cocktails, salad dressings, meringues | Long shelf life, consistent product. | 
| Standard Grocery Eggs (Unpasteurized) | High | No | Avoid raw consumption. | Best for thoroughly cooked dishes. | 
| Farm Fresh Eggs (Unpasteurized) | High | No | Avoid raw consumption. | Not inherently safer than store-bought. | 
What If You Get Sick?
If you have consumed raw eggs and experience symptoms of Salmonella infection, such as diarrhea, fever, cramps, nausea, or vomiting, you should contact a healthcare provider. While most people recover within 4 to 7 days, certain symptoms like high fever, bloody diarrhea, or severe dehydration warrant immediate medical attention.
Conclusion: Weighing the Risks for How to Safely Eat Raw Eggs in America
The only way to truly eat raw eggs with minimal risk of foodborne illness is to use commercially pasteurized eggs. While some choose to ignore the risks of unpasteurized eggs for recipes, the inherent danger of Salmonella contamination remains present, regardless of an egg's freshness or source. For anyone in a high-risk population or simply prioritizing safety, pasteurized eggs are the only recommended option for any raw or undercooked preparation. Practicing excellent kitchen hygiene is essential no matter what kind of eggs you use.