Food contains natural chemicals, including carbohydrates, sugars, proteins and vitamins. But some foods contain potentially harmful natural toxins. Sometimes a toxin is present as a naturally occurring pesticide to ward off insect attack or to protect the plant from spoilage when damaged by weather, handling, UV light or microbes.
Your own sensitivity to a natural toxin, the concentration (level) of the toxin in the food, and the amount of the food consumed will determine whether you have an adverse reaction and the severity of symptoms you experience.
If you have symptoms or feel unwell contact the Poisons Information Centre on 13 11 26 (24 hours)
The commonly eaten foods listed here may contain natural toxins and consumers are protected by maximum limits for them in the Australia New Zealand Food Standards Code You can also limit your exposure to natural toxins by following the simple practices outlined below.
The National Health and Medical Research Council’s Australian Guidelines to Reduce Health Risks from Drinking Alcohol advise both men and women to drink no more than two standard drinks per day to reduce their health risks over a lifetime. Young people (up to 18 years of age) are advised not to drink alcohol at all. Women who are pregnant, planning a pregnancy or breast feeding are advised not to drink.
Cassava and bamboo shoots
Naturally occurring cyanogenic glycosides in raw or unprocessed cassava and bamboo shoots can lead to exposure to the toxin hydrogen cyanide.
Cassava is also known as yuca, tapioca (a processed product of cassava), gaplek or manioc. Bamboo shoots, a traditional ingredient of Asian cuisine, are sourced from the underground stems of the bamboo plant.
To avoid exposure to these toxins, sweet cassava should be properly prepared before eating. Peel and slice the cassava and then cook it thoroughly, either by baking, boiling or roasting. Frozen cassava, and frozen peeled cassava should also be prepared in this way.
Fresh bamboo shoots should be sliced in half lengthwise, the outer leaves peeled away and any fibrous tissue at the base trimmed off. The remaining fresh shoots should then be thinly sliced into strips and boiled in lightly salted water for eight to ten minutes.
Fish: Escolar and oil fish
Escolar (Lepidocybium flavobrunneum) and oilfish (Ruvettus pretiosus) have been responsible for a number of food poisoning outbreaks involving a type of oily diarrhoea, called keriorrhoea. For example, investigation of some Australian outbreaks of oily diarrhoea suggest between 45 and 67 per cent of people may become ill after eating these fish species. There is probably a significant under-reporting of illness associated with the consumption of these fish as the symptoms can be mild and short-lived.
The oily diarrhoea is caused by indigestible oil contained in these fish, which accumulates in the rectum before being expelled. Symptoms range from an oily orange or yellow discharge, to severe diarrhoea with nausea and vomiting. Other symptoms may include stomach cramps, loose bowel movements and headache. The symptoms can occur without warning, usually within 2 ½ hours of consumption, but range from 1 to 90 hours later. Unlike other forms of diarrhoea, the oily diarrhoea caused by these fish does not cause significant loss of body fluid and is not life-threatening. Symptoms may last for one or two days.
If you are pregnant, have a bowel problem or malabsorption, you are advised not to consume these fish. If you are eating these fish for the first time, consume only a small portion. If you experience gastrointestinal symptoms after eating this fish, do not consume this fish in future and seek medical advice if symptoms persist.
Fish: naturally occurring mercury
Fish is great for your health and everyone should eat two to three serves of fish a week for good health.
However, some of the larger species of fish, such as shark, marlin and swordfish, have levels of naturally occurring mercury. These species can build up levels of mercury because they are predatory and eat smaller fish and they also live a long time absorbing mercury from the ocean.
The effects in babies exposed to high levels of mercury in the womb can include lower scores on tests that measure attention, learning and memory in their early years.
Pregnant women, women planning pregnancy and young children shouldn’t eat shark, broadbill, marlin and swordfish more than once a fortnight, with no other fish eaten that fortnight. They also shouldn’t eat orange roughy (also sold as sea perch) and catfish, more than once a week, with no other fish eaten during that week.
The general population should eat only one serve per week of Shark (Flake) or Billfish (Swordfish / Broadbill and Marlin) and no other fish that week.
Check the mercury in fish advice from Food Standards Australia New Zealand.
There are plenty of other types of fish to choose for your two to three serves a week. Check with your fish retailer about the type of fish you are buying or check the ingredient list on a package or can.
Fish: Ciguatera food poisoning
Ciguatera is an unusual form of food poisoning most typically caused by larger and older fish that live in warm ocean waters. However smaller warm ocean water finfish may also be implicated. The poisoning is caused by people eating fish containing the ciguatera toxin. The contaminated fish have eaten smaller fish that eats the algae that shelters a tiny organism responsible for producing a toxin that causes ciguatera.
Within 24 hours symptoms emerge including numbness around the fingers, toes and mouth, a burning sensation when in contact with cold, joint pain, nausea, itchiness and for people with high sensitivity, breathing difficulties.
Problems may be encountered with eating coral trout, spanish mackerel, reef cod, barracuda, emperor, groper, sturgeon, trevally and kingfish. Any warm water predatory fish over 6 kg should be treated with suspicion.
Under no circumstances should the head, roe or liver be eaten, and it is wise to eat a small portion of any large fish to test for reactions 24 hours before serving. If you develop symptoms seek medical advice.
Fish: Scombroid (histamine) fish poisoning
Scombroid or histamine poisoning is the result of inadequate temperature control of fish. It can occur when fish that has not been chilled to 4°C or below is eaten. Usually not of major concern, deaths overseas have focused attention on Scombroid poisoning.
The result is a high level of histamine building up in the fish flesh. Often misdiagnosed as an allergic reaction, symptoms vary but include:
- burning and tingling of the lips and mouth
- flushing of the face
- an itchy rash, often on the face, neck, chest and upper back
- vomiting and diarrhoea
- blurred vision
In severe cases, and particularly in those suffering from asthma, bronchial difficulties can occur.
Fruit seeds and pits
Apple and pear seeds and the inner stony pit (kernel) of apricots and peaches contain a naturally occurring substance called amygdalin which is a cyanogenic glycoside. Amygdalin can release hydrogen cyanide in the stomach causing discomfort or illness. It can sometimes be fatal.
There are different types of apricot kernels, some of which contain high levels of the toxin that can release cyanide into the body when eaten. Food Standards Australia New Zealand has issued advice that adults don’t eat more than three apricot kernels a day and children should not eat any.
Accidental swallowing of an occasional seed or pip is not a concern. However, do not make a habit of eating the seeds from these fruits. For a young child, swallowing only a few seeds or pits may cause illness and in rare cases can be fatal.
Kumara, a member of the sweet potato family, can produce toxins in response to injury, insect attack and other stress. The most common toxin, ipomeamarone, can make the kumara taste bitter. There have been reports of cattle deaths after they have eaten mouldy kumara. The toxin levels are usually highest near the area of damage. It is recommended that any damaged parts on kumara are removed before cooking. Do not eat it if it tastes bitter after cooking.
Deathcap mushrooms have been found in the Canberra region, in and around Melbourne and even in Adelaide. They are not native to Australia and are often found near oak trees growing in warm wet weather during Autumn. The similar marbled deathcap mushrooms have also been recently found in WA. While no cases have been reported in NSW or Tasmania it may be possible that they grow there.
Deathcap mushrooms are difficult to distinguish from other wild mushrooms so we recommend you play it safe and only eat mushrooms that you have purchased from the supermarket, greengrocer or other reputable source. People born overseas, especially in Asian countries, should be aware that these deadly mushrooms can look like edible mushrooms that they may have gathered overseas.
The toxin in deathcap mushrooms is not destroyed by cooking. Symptoms include vomiting, diarrhoea and stomach cramps and often don’t appear until 10 to 16 hours after eating. These symptoms may ease for 2 to 3 days before a terminal phase of 3 to 4 days begins. Without early, effective medical intervention people may go into a coma and die after 2 or 3 weeks of liver and kidney failure.
Nine out of ten cases of mushroom poisoning in Australia result from deathcap mushrooms. However there are other wild mushrooms in Australia that, while not fatal, can make you ill with vomiting and diarrhoea. These include the yellow stainer which resembles a field mushroom and is the most commonly ingested poisonous mushroom in Victoria.
Many reported cases of fungi poisoning are in children under five years of age. Most young children who eat poisonous mushrooms find them in the garden at home. Children younger than five years of age have a natural inclination to put things in their mouths. If you have a toddler, you should regularly check your garden for mushrooms and remove them to reduce the risk of accidental poisoning.
If you suspect you may have eaten a deathcap mushroom don’t wait for any symptoms to occur but go to a hospital emergency department taking a sample of the mushroom with you if you can. You can also contact the Poisons Information Centre on 13 11 26 (24 hours a day 7 days a week).
Parsnips commonly contain a group of natural toxins known as furocoumarins. These are probably produced as a way of protecting the plant when it has been stressed. The concentration of the toxin is usually highest in the peel or surface layer of the plant or around any damaged areas.
One of the furocoumarin toxins can cause stomach ache and may also cause a painful skin reaction when contact with the parsnip plant is combined with UV rays from sunlight.
It is important to peel the parsnip before cooking and remove any damaged parts. The levels of toxin drop when the parsnip is cooked by baking, microwaving or boiling. Discard any cooking water.
All potatoes contain natural toxins called glycoalkaloids. The levels are usually low but higher levels are found in potato sprouts, and the peel of potatoes that taste bitter. The toxins are produced by the plant in response to stress such as from micro-organisms and UV light, and damage such as bruising. The amount of toxin depends on the type of potato and the growing conditions.
Severe stomach ache and even death from glycoalkaloid poisoning has been reported overseas, but is very unusual. Glycoalkaloids are not destroyed by cooking, so it is important to avoid eating the sprouts and to remove any green or damaged parts before cooking. Do not eat cooked potatoes that still taste bitter. If you come across a green potato crisp, it’s probably best not to eat it. Remember to store potatoes in a dark, cool and dry place.
Many types of beans contain toxins called lectins. The highest concentrations are found in kidney beans, especially red kidney beans. As few as four or five raw beans can cause severe stomach ache, vomiting and diarrhoea.
To destroy the toxins, soak the beans for at least five hours and then boil them briskly in fresh water for at least 10 minutes. Do not cook beans at a low temperature, for example in a slow cooker, as it may not destroy the toxin. Improperly cooked beans can be more toxic than raw ones. Tinned beans can be used without further cooking.
Rhubarb contains naturally occurring oxalic acid. The amount depends on the age of the plant, the season, the climate and the type of soil. Highest concentrations are in the leaves and these should not be eaten.
Oxalic acid poisoning can cause muscle twitching, cramps, decreased breathing and heart action, vomiting, pain, headache, convulsions and coma.
Zucchini may occasionally contain a group of natural toxins known as cucurbitacins. These toxins give zucchini a bitter taste. Bitterness in wild zucchinis has been known for a long time but is rarely found in commercially grown zucchinis.
Eating bitter zucchinis have caused people to experience vomiting, stomach cramps, diarrhoea and collapse. Do not eat zucchini that have a strong unpleasant smell or taste bitter.
This information has been prepared with assistance from ACT Health, Food Standards Australia New Zealand, New Zealand Ministry of Primary Industry and Queensland Health.