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Is it bad to eat unpasteurized cheese?

6 min read

According to the CDC, pregnant women are 20 times more likely to get listeriosis from contaminated food than other adults, making the safety of unpasteurized cheese a critical health concern for this population. This guide addresses the common question: Is it bad to eat unpasteurized cheese, and what are the specific risks involved?

Quick Summary

Unpasteurized, or raw milk, cheese carries a risk of foodborne illness from pathogens like Listeria and E. coli. The danger is higher for soft cheeses and vulnerable populations such as pregnant women, young children, and the elderly. Longer aging can reduce risk, but consumers must check labels carefully to ensure safety.

Key Points

  • Foodborne Illness Risk: Unpasteurized cheese can contain harmful pathogens like Listeria, E. coli, and Salmonella, which are eliminated by the pasteurization process.

  • Vulnerable Populations: Pregnant women, young children, the elderly, and immunocompromised individuals should avoid unpasteurized cheese due to a higher risk of severe illness.

  • Check the Label: To determine if cheese is unpasteurized, look for "made with raw milk" on the label. If unlabeled, assume it is unpasteurized, especially for soft cheeses.

  • Soft vs. Hard Cheese: Soft, fresh, and blue-veined unpasteurized cheeses (Brie, Camembert, Queso Fresco) are highest risk due to their moisture content. Hard, aged cheeses (Cheddar, Parmesan) are lower risk but not zero risk.

  • Benefits and Trade-offs: While some claim enhanced flavor, higher nutrient levels, and gut-healthy probiotics in raw milk cheese, these potential benefits must be weighed against the proven food safety risks.

  • Cooking for Safety: Cooking unpasteurized cheese thoroughly until steaming hot, such as in a casserole, can kill harmful bacteria and make it safer to eat.

  • Aging Regulations: In the U.S., raw milk cheese must be aged at least 60 days to reduce the presence of pathogens, though this does not guarantee complete safety.

In This Article

Understanding the Risks of Unpasteurized Cheese

Unpasteurized cheese, also known as raw milk cheese, is made from milk that has not been heated to a high enough temperature to kill harmful bacteria. This process is different from pasteurization, which sterilizes the milk by heating it to approximately 65° C (149° F) for a set time. The appeal of raw milk cheese often lies in its complex, nuanced flavors, which proponents say are lost during the pasteurization process. However, this trade-off in flavor for the preservation of natural milk compounds comes with a significant increase in health risks.

The primary danger of eating unpasteurized cheese is the potential for contamination with harmful pathogens. These include bacteria such as Listeria monocytogenes, Salmonella, E. coli O157:H7, and Campylobacter. These microbes can be present in raw milk from sick animals or can be introduced during the milking and production process due to poor hygiene. While outbreaks are relatively rare, the consequences can be severe, ranging from mild gastroenteritis to life-threatening conditions like kidney failure and even death.

Who Is Most at Risk?

Certain individuals are at a much higher risk of developing a severe foodborne illness from unpasteurized cheese and should avoid it entirely. These groups include:

  • Pregnant women: Listeriosis, caused by Listeria, can lead to miscarriage, stillbirth, or severe illness in newborns.
  • Young children: Their immune systems are still developing and are less equipped to fight off pathogens.
  • Elderly individuals: Age-related weakening of the immune system increases vulnerability.
  • Immunocompromised individuals: This includes people with conditions like cancer, HIV, or those taking immunosuppressant medication.

The Role of Cheese Type and Aging

The risk associated with unpasteurized cheese is not uniform across all varieties. The moisture content and aging process play a crucial role in determining its safety. Federal regulations in the United States require unpasteurized cheese to be aged for at least 60 days at a minimum of 35°F (1.7°C). This aging process helps reduce the risk of dangerous bacteria.

  • Hard vs. Soft Cheeses: Hard cheeses, like aged cheddar, Parmesan, and Gruyère, are drier and have lower moisture, making them less hospitable for bacteria to grow. Soft cheeses, like Brie, Camembert, or Mexican-style fresh cheeses such as Queso Fresco, have high moisture and a low-acidity environment that can support bacterial growth, making them particularly risky if unpasteurized.
  • Cooking as a Safety Measure: While eating raw, unpasteurized cheese carries a risk, cooking it thoroughly can kill harmful germs. For example, melting unpasteurized queso fresco in an enchilada casserole until steaming hot will reduce the risk of illness.

Labeling and Choosing Safe Products

Always read food labels carefully when purchasing cheese. If a cheese is unpasteurized, its label must state "made with raw milk" or a similar phrase. If the label does not mention pasteurization, it's safer to assume it is unpasteurized, especially for soft, European-style cheeses or products from local vendors like farmer's markets. When in doubt, it's best to check with a retailer or cheese expert.

Pasteurization vs. Unpasteurized Cheese Comparison

Feature Pasteurized Cheese Unpasteurized (Raw Milk) Cheese
Processing Method Milk is heated to a high temperature (e.g., 65°C/149°F) for a set time to kill pathogens. Milk is gently heated (e.g., to 30°C/86°F) or not heated at all, preserving natural microbes.
Primary Risk Very low risk of foodborne illness; contamination can still occur after pasteurization with improper handling. Higher risk of foodborne illness from pathogens like Listeria and E. coli.
Flavor Profile Generally more consistent and predictable flavor, though some complex notes may be lost. Often described as having a richer, more complex, and unique flavor influenced by the farm's terroir.
Aging Rules No aging requirements related to safety, but cheeses are aged to develop flavor. Must be aged for a minimum of 60 days in the U.S. to mitigate risk.
Nutritional Content Claims of nutrient loss are often minimal and outweighed by the safety benefits; provides protein and calcium. Proponents claim higher levels of beneficial bacteria, enzymes, and nutrients, though evidence is debated.
Best For All consumers, including vulnerable populations, seeking a safe and reliable product. Consumers not in a high-risk group who are seeking complex, artisan flavors.

Conclusion

Ultimately, whether or not it is bad to eat unpasteurized cheese depends on who is eating it and the type of cheese. While unpasteurized cheese offers a unique and complex flavor profile valued by food enthusiasts, it carries a legitimate risk of serious foodborne illness, particularly for vulnerable populations. The risks are highest with soft, unaged cheeses, but are mitigated somewhat by aging and proper hygiene during the cheesemaking process. For most people outside of the high-risk categories, the decision comes down to a personal risk assessment, weighing the potential for a more intense flavor against the, albeit small, possibility of getting sick. For pregnant women, young children, and the elderly, official food safety recommendations are clear: stick to pasteurized cheese to avoid dangerous pathogens. Always read labels, ask questions, and cook unpasteurized cheese thoroughly if you choose to consume it. For those interested in learning more about food safety guidelines, the U.S. Food and Drug Administration (FDA) provides comprehensive information.

The Debate on Raw Milk Cheese

The conversation around raw milk cheese often divides consumers and experts. Artisanal cheesemakers and connoisseurs advocate for the superior flavor and traditional practices preserved in raw milk cheese. They point to careful production methods, including farm hygiene and strict testing, as sufficient safeguards. On the other hand, food safety agencies and medical professionals prioritize public health, pointing to outbreaks and the higher incidence of illness linked to raw milk products. They argue that while skilled cheesemakers use stringent hygiene, the inherent risk of pathogens in raw milk can never be completely eliminated. This is especially true for softer, fresh varieties that don't undergo the protective aging process. The debate highlights the tension between culinary tradition and public health protection in modern food systems.

How to Enjoy Raw Milk Cheese Safely

For those who are not in a high-risk group and wish to try raw milk cheese, here are a few tips to minimize risk:

  • Choose Wisely: Opt for hard, aged raw milk cheeses, which are less likely to contain harmful bacteria due to the aging process.
  • Know Your Source: Purchase from reputable cheese shops or producers known for high standards of hygiene and quality control.
  • Read the Label: The label must specify if the cheese is made from raw or unpasteurized milk. When in doubt, ask the seller.
  • Look for 60+ Days of Aging: Hard, raw milk cheeses sold in the U.S. that are aged for at least 60 days are generally considered lower risk.
  • Avoid Riskier Types: Steer clear of soft or fresh raw milk cheeses like unaged Brie, Camembert, or queso fresco.
  • Use in Cooked Dishes: If you are unsure or prefer to be extra cautious, use unpasteurized cheese in a cooked recipe, ensuring it reaches a high internal temperature to kill any potential germs.

By following these guidelines, cheese lovers can make informed choices and enjoy the complex flavors of raw milk cheese while mitigating the associated health risks.

Potential Benefits of Unpasteurized Cheese

Beyond flavor, some proponents point to potential benefits of raw milk cheese, although these are often debated and not universally accepted by the medical community.

1. Probiotics and Gut Health: Raw milk contains a wider variety of microorganisms compared to pasteurized milk, and some of these beneficial bacteria may survive the cheesemaking process. These natural probiotics are believed to contribute to a healthy gut microbiome.

2. Higher Nutrient Content: Some studies suggest that the heating process of pasteurization may slightly reduce certain vitamins and enzymes naturally present in milk. Raw milk cheese advocates claim it retains more of these nutrients, though the difference is considered minor by many experts who emphasize the greater benefit of pasteurization in preventing illness.

3. Easier Digestion: The natural enzymes in raw milk cheese are sometimes cited as aiding in the digestion of dairy, potentially making it more tolerable for individuals with minor lactose sensitivities. However, this does not apply to individuals with true lactose intolerance, as cheese still contains lactose.

It is important to emphasize that while these potential benefits exist, they are not proven and must be weighed against the well-established food safety risks, especially for vulnerable populations.

The Global Perspective

The regulation and consumption of unpasteurized cheese vary significantly around the world. In many parts of Europe, particularly France, raw milk cheeses are a deeply ingrained part of the culinary culture and are widely available. Some countries have specific regulations regarding the aging of raw milk cheese, but the standards and enforcement can differ. In contrast, the United States has stricter regulations, mandating the 60-day aging period for raw milk cheese. Traveling consumers should be aware of these regional differences and exercise caution, especially when purchasing cheeses from unregulated sources.

Frequently Asked Questions

No, unpasteurized cheese is not illegal in the U.S., but regulations apply. According to the FDA, it is illegal to sell unpasteurized cheese that has not been aged for at least 60 days. Some states also have specific restrictions on the sale of raw milk and dairy products.

If you are in a high-risk group or simply want to be cautious, you should avoid soft, mold-ripened, and blue-veined unpasteurized cheeses. Examples include Brie, Camembert, Feta, Queso Fresco, Queso Blanco, and Roquefort, unless the label confirms they are made with pasteurized milk.

Yes, cooking unpasteurized cheese thoroughly until it reaches an internal temperature of at least 165°F (74°C) can kill harmful germs like Listeria. This makes it safe to consume in cooked dishes like casseroles or pasta.

No, pregnant women should avoid all unpasteurized cheese. The risk of listeriosis, a rare but serious infection that can be passed to an unborn baby, is significantly higher in pregnant women. Hard, aged cheeses are safer, but it is best to stick to pasteurized products entirely during pregnancy.

Always read the label carefully. U.S. regulations require raw milk cheese to be labeled as such. Look for phrases like "pasteurized," "made with pasteurized milk," or check the ingredients list. If it doesn't specify, it's safer to ask a store associate or assume it's unpasteurized if it is a soft, artisan variety.

Many connoisseurs argue that unpasteurized cheese offers a more complex and robust flavor profile because the raw milk's natural microbes and enzymes are preserved. Pasteurization can result in a more consistent but less complex flavor.

Some proponents claim that raw milk cheese contains more beneficial bacteria (probiotics), enzymes, and certain nutrients, though scientific evidence is limited and debated. The potential health benefits are generally considered minor and do not outweigh the associated food safety risks, especially for high-risk individuals.

Most healthy adults will not get sick after consuming unpasteurized cheese. However, if you experience symptoms like fever, muscle aches, vomiting, or diarrhea, contact a doctor. High-risk individuals should seek medical advice even if symptoms are mild, as some infections can be more severe.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.