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What happens if you eat salmon a bit raw?

3 min read

According to the Centers for Disease Control and Prevention (CDC), 48 million people get sick from foodborne illnesses each year in the U.S. alone. Eating salmon that is not cooked to the proper temperature significantly increases your risk of becoming one of them. While many enjoy the moist texture of medium-rare fish, consuming undercooked salmon can expose you to harmful pathogens and parasites that can cause serious illness.

Quick Summary

Consuming slightly raw or undercooked salmon can lead to foodborne illnesses from bacteria like Salmonella and Vibrio, or parasites such as tapeworms and roundworms. Symptoms range from mild gastrointestinal distress to more severe complications, especially in high-risk individuals. Thorough cooking to a safe internal temperature is the best way to eliminate these risks.

Key Points

  • Food Poisoning Risk: Eating slightly raw salmon risks infection from bacteria like Salmonella and Vibrio, causing symptoms like diarrhea, cramps, and fever.

  • Parasites Are Possible: Undercooked wild salmon, in particular, may contain parasites such as tapeworms (Diphyllobothrium) and roundworms (Anisakis).

  • Check Internal Temperature: The FDA recommends cooking fish to an internal temperature of 145°F (63°C) to kill bacteria and parasites effectively.

  • Visual Cues Are Insufficient: While looking for opaque, flaky flesh can indicate doneness, a food thermometer provides the most reliable confirmation, as appearance alone can be misleading.

  • High-Risk Groups Beware: Pregnant women, young children, older adults, and those with weakened immune systems should never consume raw or undercooked seafood due to heightened health risks.

  • Prioritize Sushi-Grade: If consuming raw fish, ensure it is specifically labeled as 'sushi-grade,' indicating it was flash-frozen to kill parasites.

  • Stay Hydrated if Sick: If you experience symptoms after eating undercooked salmon, drinking plenty of fluids is crucial to prevent dehydration.

In This Article

Understanding the Health Risks of Undercooked Salmon

Consuming salmon that hasn't been cooked to a safe internal temperature presents a number of health risks. While the risk is minimal for sushi-grade salmon that has been properly flash-frozen to kill parasites, store-bought fillets are not always treated to the same standard. The primary dangers include bacterial contamination and parasitic infections.

Bacterial Contamination

Salmon can be contaminated with bacteria at various stages, from harvesting to your kitchen. If not cooked properly, these bacteria survive and can cause illness. Common bacteria include:

  • Salmonella: Causes typical food poisoning symptoms like fever and diarrhea within hours or days.
  • Vibrio vulnificus: A serious warm saltwater bacteria, particularly dangerous for those with weakened immune systems.
  • Listeria monocytogenes: Can cause listeriosis, a significant risk for pregnant women, newborns, and the immunocompromised.

Parasitic Infections

Parasites are a major concern with undercooked fish. Proper cooking or freezing at low temperatures kills these parasites, which is why sushi-grade fish is frozen. Wild-caught salmon is more likely to carry parasites than farmed salmon. Potential parasites include:

  • Fish Tapeworm (Diphyllobothrium nihonkaiense): Found in wild salmon from areas like Alaska. Can cause symptoms like abdominal pain or vitamin B12 deficiency.
  • Roundworms (Anisakis): These can cause anisakiasis, leading to severe abdominal pain and vomiting when they try to burrow into the digestive tract.

Symptoms of Illness and Severity

Symptoms vary but commonly include nausea, vomiting, diarrhea, abdominal pain, and fever, appearing hours to days after consumption. High-risk individuals, such as pregnant women or those with compromised immunity, can experience more severe complications like listeriosis or sepsis. Tapeworm symptoms may be delayed, while roundworm infections can be acutely painful.

How to Ensure Your Salmon is Cooked Safely

The safest method is cooking salmon to an internal temperature of 145°F (63°C), as recommended by the FDA.

Visual and Manual Cues

Cooked salmon becomes opaque and flakes easily with a fork. The color changes from dark pink to a lighter shade. A small amount of white albumin may appear.

The Most Reliable Method: Temperature

Use an instant-read thermometer inserted into the thickest part of the fillet to confirm the 145°F (63°C) internal temperature.

Cooking Safety Comparison: Raw vs. Fully Cooked

Feature Raw (Sushi-Grade) Slightly Undercooked Fully Cooked (145°F)
Parasite Risk Negligible (if properly frozen) Higher (potential live parasites) Eliminated (killed by heat)
Bacterial Risk Minimal (if handled correctly) Higher (growth in danger zone) Eliminated (killed by heat)
Flavor Profile Clean, buttery, rich texture Can be more moist than cooked Flaky, drier texture
Nutrient Content Higher levels of certain omega-3s Slightly higher than overcooked Retains most nutrients
Health Risk Level Low (for healthy adults from reputable sources) Moderate to High Low (with proper handling)

Minimizing Your Risk

If you consume slightly raw salmon, the risk depends on the source and your health. To prevent issues and manage potential exposure, follow these steps.

Best Practices for Safer Salmon

  • Source wisely: Buy from reputable sources. Ensure fish is labeled "sushi-grade" if eating raw.
  • Check temperature: Always use a food thermometer to confirm doneness.
  • Protect vulnerable groups: High-risk individuals should only eat thoroughly cooked fish.
  • Practice hygiene: Use separate utensils and boards for raw fish and wash hands well.

What to Do if You Suspect an Infection

If symptoms appear after eating undercooked salmon:

  • Hydrate: Drink plenty of fluids if experiencing vomiting or diarrhea.
  • Monitor: Most food poisoning resolves within days.
  • Seek help: Contact a healthcare provider for severe or prolonged symptoms, if you are in a high-risk group, or suspect a serious infection. They can provide diagnosis and treatment, which may include medication for tapeworms.

Conclusion

The risks associated with eating slightly raw salmon are significant, including bacterial infections and parasites. To ensure safety, cook salmon to an internal temperature of 145°F (63°C), especially when serving high-risk individuals. By following proper cooking and handling guidelines, you can safely enjoy the health benefits of salmon without risking illness.

For more information on preventing foodborne illnesses, you can visit the Centers for Disease Control and Prevention guidelines.(https://www.mayoclinic.org/diseases-conditions/salmonella/symptoms-causes/syc-20355329)

Frequently Asked Questions

Yes, it is possible to get parasites like tapeworms or roundworms from eating slightly raw or undercooked salmon, especially wild-caught varieties that haven't been properly frozen to kill them.

Symptoms of food poisoning, such as nausea, vomiting, diarrhea, and stomach cramps, can appear anywhere from a few hours to a few days after eating contaminated salmon.

No, it is not safe. Pregnant women and other high-risk individuals should completely avoid raw and undercooked seafood due to the increased risk of severe foodborne illness, such as listeriosis.

The most reliable way is to use a food thermometer. Insert it into the thickest part of the fillet; it should reach an internal temperature of 145°F (63°C).

Undercooked salmon typically has a dark pink and translucent appearance in the middle. When properly cooked, it will become opaque throughout and flake easily with a fork.

Most home freezers do not get cold enough to kill all parasites. To be effective, freezing requires commercial temperatures of -31°F (-35°C) for 15 hours or -4°F (-20°C) for 7 days.

Stay hydrated and monitor your symptoms. If you experience severe or prolonged illness, are in a high-risk group, or suspect a serious infection, consult a healthcare provider immediately.

Wild salmon generally carry a higher risk of parasitic contamination than farmed salmon, as farmed varieties are typically fed controlled, parasite-free diets.

Yes, improper handling can lead to cross-contamination, which can spread harmful bacteria from the salmon to other foods and surfaces.

References

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Medical Disclaimer

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