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What happens if you eat raw salmon that's not sushi grade?

5 min read

According to the Centers for Disease Control and Prevention (CDC), wild salmon can be infected with parasites, posing a potential risk to consumers of raw fish. When you eat raw salmon that's not sushi grade, you are gambling with your health, as the risks of harmful pathogens and parasites are substantially higher.

Quick Summary

Consuming raw salmon that is not designated as sushi-grade dramatically increases your risk of foodborne illness from parasites, bacteria, and environmental contaminants. The non-regulated term 'sushi grade' is an assurance from trusted suppliers that the fish has been properly handled and frozen to eliminate specific threats, a process that standard store-bought fish lacks.

Key Points

  • Significant Health Risks: Eating raw, non-sushi grade salmon exposes you to a higher risk of parasitic infections, bacterial contamination, and environmental pollutants.

  • 'Sushi Grade' is not regulated: The term is a marketing claim by the vendor and not an official government grading system, emphasizing the importance of a reputable source.

  • Parasites are killed by commercial freezing: A primary difference is the specialized freezing process that sushi-grade fish undergoes to kill parasites like tapeworms, a temperature not achievable in standard home freezers.

  • High-risk individuals should avoid raw fish: Pregnant women, young children, the elderly, and immunocompromised people are especially vulnerable and should never consume raw salmon.

  • Proper handling prevents bacteria: Regardless of grade, cross-contamination is a risk. Use separate utensils and follow strict hygiene rules when preparing raw fish to minimize bacterial spread.

  • Farmed salmon requires verification: While some farmed salmon is raised on parasite-free feed, it's still necessary to confirm handling processes with the supplier before consuming it raw.

In This Article

Most people enjoy the rich, buttery flavor of raw salmon in dishes like sushi and sashimi. However, that delicate, uncooked slice of fish is only safe to consume if it has undergone specific handling and freezing processes. Ignoring the crucial difference between 'sushi grade' and regular raw salmon can lead to serious health complications, ranging from a nasty bout of food poisoning to severe parasitic infections.

The Misunderstood Term: 'Sushi Grade'

There is no official government body, such as the FDA, that regulates or certifies the term “sushi grade”. Instead, it is a marketing label used by trusted vendors and reputable fishmongers to indicate that the fish has been processed with raw consumption in mind. This typically means the fish is the freshest, top-tier catch and has been handled with exceptional care to mitigate risks. Crucially, it signifies that the salmon has been frozen according to rigorous standards designed to eliminate parasites.

The Dangers of Consuming Raw, Unprepared Salmon

Eating raw salmon that has not been properly processed for raw consumption exposes you to several significant health risks. A standard supermarket fillet, intended for cooking, does not have the same safety guarantees as fish sourced from a vendor specializing in sushi-grade products.

Parasitic Infections

The primary danger in eating raw, non-sushi grade salmon is parasitic infection. Most wild salmon are susceptible to harboring parasites, which are naturally occurring organisms.

  • Anisakis simplex: Also known as herring worm disease, this roundworm can attach to the wall of your stomach or intestines. Symptoms can include severe abdominal pain, nausea, vomiting, and diarrhea, often appearing within hours of ingestion. A tingling sensation in the throat may also occur.
  • Diphyllobothrium spp.: This tapeworm can live and grow in the human small intestine for years, sometimes reaching lengths of over 39 feet. While infections are often asymptomatic, they can cause abdominal pain, diarrhea, and, in rare cases, vitamin B12 deficiency-related anemia.

Proper freezing is the only effective way to kill these parasites, which is why it is a non-negotiable step for any fish intended for raw consumption.

Bacterial and Viral Contamination

Even with proper freezing, bacterial contamination can still be a risk if handling is not hygienic. Without the strict cold-chain management and sanitary conditions applied to sushi-grade products, regular salmon can become contaminated with harmful bacteria.

  • Salmonella: This bacterium causes symptoms like fever, diarrhea, and abdominal cramps.
  • Listeria monocytogenes: A particular risk for vulnerable populations, Listeria can cause serious illness, including infections that can spread to the nervous system.
  • Vibrio vulnificus: This warm saltwater bacterium can lead to severe gastrointestinal disease and even sepsis, posing a life-threatening risk.
  • Norovirus and Hepatitis A: These viruses can also be transmitted via improperly handled raw seafood.

Environmental Pollutants

Both farmed and wild salmon may contain trace amounts of persistent organic pollutants (POPs) and heavy metals. Cooking fish has been shown to reduce levels of POPs by an average of 26%, whereas eating raw fish provides no such reduction. Prolonged exposure to POPs is associated with an increased risk of cancer and other health issues.

Who Should Absolutely Avoid Raw Fish?

Certain groups of people have a significantly higher risk of severe illness from foodborne pathogens and should never consume raw or undercooked seafood. These at-risk individuals include:

  • Pregnant women: Can cause serious health problems for both mother and fetus.
  • Young children: Their immune systems are still developing.
  • Older adults: Immune systems weaken with age.
  • Immunocompromised individuals: Those with chronic illnesses (diabetes, liver disease) or conditions like HIV/AIDS, or undergoing chemotherapy, are at increased risk of serious infections.

Mitigating the Risk of Raw Salmon Consumption

Safe Handling and Preparation

For those who choose to eat raw salmon and are not in a high-risk group, following these safety protocols is critical. The safest approach is always to cook fish thoroughly to an internal temperature of 145°F (63°C), as recommended by the FDA. However, if you are opting for a raw preparation:

  • Purchase from a Reputable Source: Only buy from a trusted fishmonger who can confirm the fish has been properly handled for raw consumption.
  • Separate and Sanitize: Use dedicated cutting boards, knives, and utensils for raw fish to prevent cross-contamination. Wash hands thoroughly before and after handling.
  • Maintain the Cold Chain: Keep the salmon refrigerated or on ice at all times before preparation and serving to inhibit bacterial growth.

Freezing Recommendations

As most home freezers do not reach sufficient temperatures, attempting to freeze regular supermarket salmon to make it sushi-grade is not recommended. Commercial flash-freezing is essential for killing parasites without damaging the fish's texture. The FDA recommends one of the following parasite destruction methods for fish intended for raw consumption:

  • Freezing at -4°F (-20°C) for a minimum of 7 days.
  • Freezing at -31°F (-35°C) or below until solid and then maintaining that temperature for at least 15 hours.

Comparison: Sushi-Grade vs. Non-Sushi Grade Salmon

Feature Sushi-Grade Salmon Non-Sushi Grade Salmon
Handling Processed under strict sanitary conditions, often bled and gutted immediately after catch. Standard processing, intended for cooking; less rigorous handling standards.
Freezing Frozen to commercial standards (e.g., -31°F for 15+ hours) to kill parasites. Standard freezing or unfrozen; not processed to eliminate parasites for raw consumption.
Parasite Risk Negligible risk due to mandated freezing process. High risk, especially with wild-caught varieties.
Bacterial Risk Minimized by strict hygiene and cold-chain management. Higher risk of common bacteria like Salmonella and Listeria due to less stringent handling.
Intended Use Safe for raw consumption in sushi, sashimi, and other raw preparations. Should only be consumed after thorough cooking.
Assurance Depends on the reputation and honesty of the supplier. None for raw consumption; relies on cooking to eliminate pathogens.

Conclusion: Is the Risk Worth the Reward?

Eating raw salmon that isn’t sushi-grade means accepting an elevated risk of foodborne illness. The seemingly minor act of consuming uncooked fish without the proper safety measures can lead to unpleasant and even dangerous outcomes, from parasitic worms to severe bacterial infections. The term 'sushi grade' is more than just a label; it represents a comprehensive safety and quality process that standard retail salmon does not receive. To protect your health, always ensure that any raw fish you consume has been sourced from a reputable supplier who follows the recommended freezing and handling procedures. The safest way to enjoy your salmon is to cook it thoroughly.

A note on farmed salmon

While farmed salmon is sometimes cited as having a lower risk of parasites due to being raised on sterile feed, it is still crucial to verify with the vendor that the specific fish has been handled and processed for raw consumption. Without this confirmation, the safest practice is to always cook any salmon intended for a meal.

Food and Drug Administration (FDA) Guidance for Reducing Parasites

Final Recommendations

For the ultimate peace of mind and protection, cook your salmon. If you must have it raw, only buy from trusted, specialized suppliers who can guarantee the rigorous processing needed for raw consumption. Never assume that fresh or supermarket-grade salmon is safe to eat raw.

Frequently Asked Questions

Sushi-grade is a marketing term indicating that the salmon has been handled and processed under strict conditions, including flash-freezing to kill parasites, to make it safe for raw consumption. Regular salmon is intended for cooking and does not undergo this specialized process.

No, home freezers generally do not get cold enough to properly kill parasites. The FDA recommends commercial freezers reach specific temperatures (-4°F for 7 days or -31°F for 15 hours) to be effective, which most home units cannot reliably achieve.

Symptoms can include severe abdominal pain, nausea, vomiting, diarrhea, and weight loss. Some individuals may experience a tingling sensation in the mouth or throat as the parasite moves.

Raw salmon can harbor bacteria such as Salmonella, Listeria, and Vibrio, which can cause severe food poisoning symptoms like fever, cramps, and diarrhea.

Visually, safe raw fish should have a vibrant color, firm flesh, and no off-putting odor. However, parasites and bacteria are often invisible, so the only real assurance is purchasing from a reputable, specialized supplier who can guarantee proper handling and freezing.

Farmed salmon raised on parasite-free feed may have a lower risk of parasites, but it's still crucial to confirm its handling and processing with the supplier. Wild-caught salmon is generally more susceptible to parasites and requires freezing for raw consumption.

Monitor your symptoms closely. If you experience severe or persistent food poisoning symptoms like fever, vomiting, or diarrhea, contact a healthcare provider immediately. Parasitic infections may require medical treatment.

No, freezing does not reliably kill all bacteria and viruses. It primarily targets parasites. Proper sanitation, hygiene, and cooking are necessary to eliminate bacterial and viral threats.

References

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Medical Disclaimer

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