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Understanding Brie: Who Should Not Eat Brie Cheese?

4 min read

According to the Centers for Disease Control and Prevention (CDC), pregnant people are about 10 times more likely to get a serious infection from Listeria monocytogenes than the general population, a bacterium that can be found in soft cheeses like brie. It is crucial for certain individuals to know who should not eat brie cheese and what precautions to take.

Quick Summary

Pregnant women, individuals with weakened immune systems, older adults, and young children should avoid brie due to the risk of listeriosis. Those with milk allergies or high blood pressure should also be cautious. Safe alternatives exist for these groups.

Key Points

  • Pregnant women should avoid soft cheeses: To prevent listeriosis, a bacteria that can cause serious complications like miscarriage or stillbirth.

  • Immunocompromised individuals are at high risk: People with weakened immune systems are more vulnerable to severe listeria infections.

  • Older adults should be cautious: Immune systems weaken with age, increasing the risk of serious illness from foodborne bacteria.

  • Children should not eat soft-ripened cheese: Due to undeveloped immune systems, babies and young children should avoid cheeses like brie.

  • Cook brie thoroughly to reduce risk: For those not in the high-risk groups, cooking brie until steaming hot can kill bacteria.

  • Always check labels for pasteurization: The majority of commercially sold cheese in the US is pasteurized, but imported or specialty cheeses may be unpasteurized.

  • Avoid if you have a milk allergy: Brie is a dairy product and must be avoided by those with a milk protein allergy.

In This Article

Understanding Brie and Food Safety Risks

Brie is a soft, mold-ripened cheese cherished for its rich, creamy texture and distinct flavor. However, its characteristics—including its high moisture content and low acidity—create a suitable environment for the growth of bacteria, most notably Listeria monocytogenes. While pasteurization significantly reduces this risk, contamination can still occur during processing, handling, or storage. For the average, healthy adult, enjoying pasteurized brie in moderation is generally safe. However, several populations are particularly vulnerable to listeriosis, a serious infection caused by this bacteria.

High-Risk Groups Who Should Avoid Brie

Pregnant Women

This group faces the most significant risk associated with brie. A listeriosis infection during pregnancy can lead to severe health complications, including miscarriage, stillbirth, premature birth, or life-threatening infections in newborns. The CDC explicitly warns that pregnant women are more susceptible to this infection. Therefore, health authorities strongly advise that pregnant women avoid all soft, mold-ripened cheeses like brie, even if labeled as pasteurized, unless it has been cooked until steaming hot. Cooking destroys the bacteria, making it a safer option, though some doctors still recommend a zero-risk approach.

Individuals with Weakened Immune Systems

People with compromised immune systems are at a much higher risk of developing severe, invasive listeriosis, which can result in hospitalization or death. This includes individuals with conditions such as cancer, diabetes, liver disease, or HIV/AIDS. Those undergoing treatments that suppress the immune system, such as chemotherapy or long-term steroid use, are also in this high-risk category. For these individuals, avoiding soft cheeses like brie is a critical food safety precaution.

Older Adults

Age is another significant risk factor. As people grow older, their immune systems naturally become less robust, increasing their vulnerability to severe illness from listeriosis. The risk of serious complications from foodborne illnesses, including those from soft cheeses, increases with age, making it prudent for older adults to avoid brie and other soft, unheated cheeses.

Young Children and Infants

Babies and young children should avoid mold-ripened cheeses like brie due to the risk of listeria. Their immune systems are still developing, leaving them more vulnerable to severe infections. Most health organizations, including the NHS in the UK, recommend waiting until a child is older before introducing such cheeses, and even then, ensuring they are pasteurized and cooked.

People with Milk Allergies

Since brie is made from cow's milk, it should not be consumed by anyone with a milk protein allergy. A milk allergy can cause a range of symptoms, from hives and rashes to more severe reactions like swelling, vomiting, and difficulty breathing. It is important not to confuse a milk allergy with lactose intolerance, as the former is an immune response to milk proteins, while the latter is a digestive issue.

Other Nutritional Considerations

Even for those not in a high-risk category, there are other nutritional factors to consider before indulging in brie:

  • High Sodium: Brie contains a notable amount of sodium. Excessive sodium intake can contribute to high blood pressure, especially in salt-sensitive individuals.
  • Saturated Fat and Calories: As a creamy, dense cheese, brie is high in saturated fat and calories. Individuals managing their weight or watching their cholesterol should consume it in moderation as part of a balanced diet.
  • Lactose Intolerance: While the cheesemaking process reduces lactose content, some individuals with lactose intolerance may still experience digestive issues like bloating or diarrhea, particularly with larger servings. Hard, aged cheeses tend to be better tolerated.

Safer Cheese Alternatives for At-Risk Groups

For those who need to avoid brie, numerous delicious and safe cheese options are available. The key is to choose hard cheeses or soft cheeses that are guaranteed to be made with pasteurized milk and properly cooked if in a recipe. Always check the label to confirm the milk was pasteurized.

Type of Cheese Safe for High-Risk Groups? Notes
Hard Cheeses (e.g., Cheddar, Parmesan, Swiss) Yes Low moisture content makes them much less hospitable to bacteria like listeria.
Pasteurized Soft Cheeses (e.g., Cream Cheese, Cottage Cheese) Yes Commercially produced soft cheeses made with pasteurized milk are generally safe.
Cooked Soft Cheeses (e.g., Baked Brie) Yes, if piping hot Cooking kills bacteria. Ensure the internal temperature reaches at least 165°F.
Unpasteurized Soft Cheeses (e.g., traditional Brie, Camembert) No High risk of bacterial contamination from unpasteurized milk.
Soft Cheeses from Unknown Origin (e.g., Farmers Market) No Unless you can confirm pasteurization, avoid these products during pregnancy.
Blue-Veined Cheeses (e.g., Gorgonzola, Roquefort) No Similar to brie, their moisture content and aging process carry listeria risk.

Conclusion

While brie cheese is a delicious delicacy for many, it poses a significant food safety risk to pregnant women, older adults, the immunocompromised, and young children due to potential listeria contamination. Individuals with milk allergies must avoid it entirely, and others with high blood pressure or concerns about saturated fat should be mindful of their consumption. By understanding the risks and choosing safer alternatives, these at-risk groups can continue to enjoy a variety of delicious cheeses without compromising their health. For more information on food safety guidelines for at-risk populations, consult authoritative sources like the Food Safety website.

Frequently Asked Questions

Brie is considered high-risk for specific groups, such as pregnant women and the immunocompromised, because it is a soft cheese with high moisture and low acidity, which can harbor and grow the bacteria Listeria monocytogenes.

Health authorities generally advise pregnant women to avoid all soft, mold-ripened cheeses like brie, even if pasteurized, because of the risk of post-pasteurization contamination. If you choose to eat it, it must be cooked until steaming hot to kill potential bacteria.

Baked brie is considered safer if it is cooked until it is steaming hot all the way through, reaching an internal temperature of at least 165°F (74°C). However, some doctors still recommend avoiding it entirely for a zero-risk approach.

Pregnant women can safely eat hard cheeses like cheddar and parmesan, or pasteurized soft cheeses like cream cheese and cottage cheese. Always confirm the milk was pasteurized by checking the product label.

Listeriosis symptoms can include fever, muscle aches, and fatigue. In more severe cases, it can cause headaches, stiff neck, confusion, and loss of balance. Symptoms can appear from a few days to up to 10 weeks after consuming contaminated food.

Brie is relatively high in sodium, so individuals with high blood pressure should consume it sparingly. Moderation is key, and opting for a low-sodium diet is recommended for managing blood pressure.

Brie has less lactose than fresh dairy products, but some lactose remains. While some with lactose intolerance may tolerate small amounts, harder, aged cheeses generally have even lower lactose levels and are better-tolerated.

References

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Medical Disclaimer

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