Reply to Sushi and raw fish safety

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[quote=Anonymous]The reason sushi is on the caution list, along with soft cheese and deli meat, is because of E. coli, salmonella, listeria, and parasites. Add mercury for certain types of fish. Listeriosis is the big one to avoid for pregnant women.

I’m an MD and when I was pregnant, I was skeptical about the caution list, so I did a pubmed search to see exactly how many outbreaks of listeriosis was due to deli meat vs  cheeses, etc. There have been studies of sushi, poke, and ceviche showing that of the three, ceviche is more susceptible to contamination, but all three are pretty safe from E. coli, listeria and salmonella. Parasites are killed when fish are flash frozen, which is standard practice for sushi grade fish. And I could not find one single case report of mortality or morbidity of a pregnant woman who ate sushi.

In the past 15 years, there have been 13 outbreaks of listeria in the US. Seven were from ice cream, cheese or dairy products, including raw milk. Six were from some sort of produce - salad, sprouts, mushrooms, cantaloupe. And only two involved deli meat. Zero cases from sushi. Most of the outbreaks had multiple sources, so that is why the numbers exceed 13. So my conclusion was that deli meat and sushi were less risky than soft cheese. I said no to soft cheese, but I did eat sushi, salad, mushrooms etc. I avoided mercury laden fish. And I avoided raw oysters/mollusks/shellfih, which I normally do anyways.

https://pmc.ncbi.nlm.nih.gov/articles/PMC10839161/
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