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National Center for HIV, STD and TB Prevention Divisions of HIV/AIDS Prevention |
Meat, poultry (such as chicken or turkey), and fish can make you sick if they are raw, undercooked, or spoiled. Raw fruits and vegetables are safe to eat if you wash them carefully first. Don’t drink water straight from lakes, rivers, streams, or springs. Why should I be careful about food and water? Food and water can carry germs that cause illness. Germs in food or water may cause serious infections in people with HIV. You can protect yourself from many infections by preparing food and drinks properly. What illnesses caused by germs in food and water do people with HIV commonly get? Germs in food and water that can make someone with HIV ill include Salmonella, Campylobacter, Listeria and Cryptosporidium. They can cause diarrhea, upset stomach, vomiting, stomach cramps, fever, headache, muscle pain, bloodstream infection, meningitis, or encephalitis. Do only people with HIV get these illnesses? No, they can occur in anyone. However, these illnesses are much more common in people with HIV. Are these illnesses the same in people with HIV as in other people? No. The diarrhea and nausea are often much worse and more difficult to treat in people with HIV. These illnesses are also more likely to cause serious problems in people with HIV, such as bloodstream infections and meningitis. People with HIV also have a harder time recovering fully from these illnesses. If I have HIV, can I eat meat, poultry, and fish?
Yes. Meat, poultry (such as chicken or turkey),
and fish can make you sick only if they are raw,
undercooked, or spoiled. To avoid illness:
Cook all meat and poultry until they are
no longer pink in the middle. If you use a
meat thermometer, the temperature
inside the meat or poultry should be over
165° F. Fish should be cooked until it is
flaky, not rubbery.
After handling raw meat, poultry, and
fish, wash your hands well with soap and
water before you touch any other food.
Thoroughly wash cutting boards, cooking
utensils, and countertops with soap and
hot water after they have
had contact with raw meat,
poultry, or fish.
Do not let uncooked meat, poultry, or fish
or their juices touch other food or each
other.
Do not let meat, poultry, or fish sit at
room temperature for more
than a few minutes. Keep
them in the refrigerator
until you are ready to cook them.
Eat or drink only pasteurized milk or
dairy products. Can I eat eggs if I have HIV? Yes. Eggs are safe to eat if they are well cooked. Cook eggs until the yolk and white are solid, not runny. Do not eat foods that may contain raw eggs, such as hollandaise sauce, cookie dough, homemade mayonnaise, and Caesar salad dressing. If you prepare these foods at home, use pasteurized eggs instead of eggs in the shell. You can find pasteurized eggs in the dairy case at your supermarket. Can I eat raw fruits and vegetables? Yes. Raw fruits and vegetables are safe to eat if you wash them carefully first. Wash, then peel fruit that you will eat raw. Eating raw alfalfa sprouts and tomatoes can cause illness, but washing them well can reduce your risk of illness.
How can I make my water safe ?
Don’t drink water straight from lakes,
rivers, streams, or springs.
Because you cannot be sure if your tap
water is safe, you may wish to avoid tap
water, including water or ice from a
refrigerator ice-maker, which is made
with tap water. Always check with the
local health department and water utility
to see if they have issued any special
notices for people with HIV about tap
water.
You may also wish to boil or filter your
water, or to drink bottled water. Processed
carbonated (bubbly) drinks in cans
or bottles should be safe, but drinks made
at a fountain might not be because they
are made with tap water. If you choose to
boil or filter your water or to drink only
bottled water, do this all the time, not just
at home.
Boiling is the best way to kill
germs in your water. Heat
your water at a rolling boil for
1 minute. After the boiled
water cools, put it in a
clean bottle or pitcher with a
lid and store it in the refrigerator.
Use the water for drinking,
cooking, or making ice. Water
bottles and ice trays should be cleaned with
soap and water before use. Don’t touch the
inside of them after cleaning. If you can,
clean your water bottles and ice trays yourself.
What should I do when shopping for food?
Read food labels carefully. Be sure that
all dairy products that you purchase have
been pasteurized. Do not buy any food
that contains raw or undercooked meat or
eggs if it is meant to be eaten raw. Be
sure that the "sell by" date has not
passed.
Put packaged meat, poultry, or fish in
separate plastic bags to prevent their
juices from dripping onto other groceries
or each other.
Check the package that the food comes
in to make sure that it isn’t damaged.
Do not buy food that has been displayed
in unsafe or unclean conditions.Examples
include meat that is allowed to
sit without refrigeration or cooked shrimp
that is displayed with raw shrimp.
After shopping, put all cold and frozen
foods into your refrigerator or freezer as
soon as you can. Do not leave food sitting
in the car. Keeping cold or frozen food
out of refrigeration for even a couple of
hours can give germs a chance to grow. Is it safe for me to eat in restaurants?
Yes. Like grocery stores, restaurants follow
guidelines for cleanliness and good hygiene set
by the health department. However, you should
follow these general rules in restaurants:
Order all food well done. If meat is
served pink or bloody, send it back to the
kitchen for more cooking. Fish should be
flaky, not rubbery, when you cut it.
Order fried eggs cooked on both sides.
Avoid eggs that are "sunny-side up."
Scrambled eggs should be cooked until
they are not runny. Do not order foods
that may contain raw eggs, such as
Caesar salad or hollandaise sauce. If you
aren’t sure about the ingredients in a
dish, ask your waiter before you order.
Do not order any raw or lightly steamed
fish or shellfish, such as oysters, clams,
mussels, sushi, or sashimi. All fish should
be cooked until done. Should I take special measures with food and water in other countries?
Yes. Not all countries have high standards of
food hygiene. You need to take special care
abroad, particularly in developing countries.
Follow these rules when in other countries:
Do not eat uncooked fruits and vegetables
unless you can peel them. Avoid salads.
Eat cooked foods while they are still hot.
Boil all water before drinking it. Use only
ice made from boiled water. Drink only
canned or bottled drinks or beverages
made with boiled water.
Steaming-hot foods, fruits you peel yourself, bottled and canned processed drinks,
and hot coffee or tea should be safe.
Talk with your health care provider about
other advice on travel abroad.
Updated in: April 2003 Centers for Disease Control & Prevention National Center for HIV, STD, and TB Prevention Divisions of HIV/AIDS Prevention Contact Us |