Doctors Warn: 4 Food Groups That Can Carry Parasites — and How to Eat Them Safely

Some raw or undercooked foods can carry parasites—but panic is not the answer.

Chapter 2

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However, the phrase “sushi-grade” should not be treated as a magical guarantee that a product is free from every possible hazard. Consumers should purchase raw fish only from reputable suppliers who follow appropriate safety controls.

Some fish intended for raw consumption undergo freezing procedures designed to kill parasites. These procedures must meet specific temperature and time requirements.

The FDA explains that freezing can control parasites in certain fish, but it does not destroy all harmful germs. Thorough cooking remains the safest option for reducing the overall risk of foodborne illness.

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For people who are pregnant, older, very young, or living with weakened immune systems, avoiding raw or undercooked seafood is particularly important.

3. Citrus juice does not make raw fish parasite-free

A common misunderstanding concerns ceviche and other seafood dishes prepared with lemon or lime juice.

The acidic marinade changes the texture and appearance of fish. The flesh may become firmer and appear cooked, even though no heat has been applied.

But this visual change does not prove that parasites have been destroyed.

Marinating fish in citrus juice should not be considered a substitute for proper cooking or an approved parasite-control process.

If someone wants to reduce the risk as much as possible, thoroughly cooked seafood is the more reliable choice.

4. Freshwater fish require special attention in some regions

Marine fish are not the only concern.

Certain freshwater fish can transmit foodborne flukes when consumed raw or inadequately cooked. These infections are particularly important in parts of East and Southeast Asia, where traditional dishes may include raw or fermented freshwater fish.

Some species of liver flukes can infect the bile ducts and cause long-term health problems. The WHO identifies raw or undercooked freshwater fish as an important route of transmission for certain foodborne trematode infections.

World Health Organization

This does not mean people must avoid all freshwater fish. It means that fish should come from reliable sources and be prepared using methods that adequately control parasites.

5. What about squid?

Squid can also carry parasites, particularly when consumed raw or insufficiently cooked.

Dishes made with raw squid may look appealing, but the same food-safety principles apply: the product must be sourced and handled appropriately, and any required parasite-control process must be followed.

For ordinary home cooking, thoroughly cooking seafood is a straightforward way to reduce risk.

The advises cooking seafood adequately, with a recommended internal temperature of at least 145°F (approximately 63°C) for general seafood preparation.

How to enjoy fish more safely

People do not need to give up fish to protect themselves.

A few habits make a meaningful difference:

  • Buy seafood from reputable shops with proper refrigeration.

  • Keep raw fish cold during transport and storage.

  • Avoid raw fish if the source or handling history is uncertain.

  • Cook fish thoroughly when preparing it at home.

  • Do not assume that lemon juice, vinegar, salt, or ordinary marinating kills parasites.

  • Follow local food-safety guidance for seafood intended to be eaten raw.

Fish remains a valuable food. The goal is to enjoy its nutritional benefits while avoiding unnecessary exposure to preventable hazards.

Chapter 3: Crabs, Crustaceans, and Other Freshwater Seafood

The image also shows a crab, highlighting another food group that deserves attention.

Crabs, crayfish, and other crustaceans are enjoyed in many cuisines. They can be boiled, steamed, grilled, stir-fried, or incorporated into soups and sauces.

When properly cooked, they can be part of a nutritious meal. The concern arises when certain freshwater crustaceans are eaten raw or inadequately cooked.

1. The connection between freshwater crabs and lung flukes

One parasite associated with raw or undercooked freshwater crabs and crayfish is Paragonimus, commonly known as a lung fluke.

People can become infected when they consume crustaceans carrying the infectious stage of the parasite.

After entering the body, the parasite can migrate through tissues and eventually affect the lungs. Symptoms may include prolonged cough, chest discomfort, fever, and coughing up blood. Some infections can also affect other organs.

The lists undercooked crabs and mollusks among possible foodborne transmission routes for certain parasites. The WHO also identifies crustaceans as part of the life cycle of some foodborne flukes.

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This is a regional and species-specific risk, not proof that every crab sold in a market contains parasites.

2. Why traditional preparation methods matter

In some communities, people prepare freshwater crabs using alcohol, salt, vinegar, spices, or fermentation.

These methods may change the taste and texture of the food, but they should not automatically be considered reliable ways to destroy parasites.

A crab that has been soaked in wine or seasoned heavily may still carry a biological hazard if it has not undergone an effective cooking process.

The safest household approach is to cook freshwater crustaceans thoroughly rather than relying on a marinade or seasoning to make them safe.

3. Shellfish can carry hazards beyond parasites

Crabs and other shellfish may also be associated with bacterial contamination, viruses, and naturally occurring marine toxins.

For example, raw oysters are known to pose a risk of certain bacterial infections. Some marine shellfish can accumulate toxins produced by algae. These toxins may not be removed by ordinary cooking.

That is why seafood safety involves more than checking whether a product looks fresh.

Consumers should buy shellfish from reliable sellers, follow local harvesting advisories, and avoid seafood collected from areas under contamination warnings.

People who are pregnant, older, or immunocompromised should be especially cautious about raw or undercooked shellfish.

4. How to prepare crabs safely

The safest method for ordinary home cooking is to use fresh, properly stored crustaceans and cook them thoroughly.

A few basic precautions help:

  • Purchase crabs from reliable vendors.

  • Keep them appropriately chilled before cooking.

  • Discard products that have been stored improperly or show signs of spoilage.

  • Avoid eating raw or lightly marinated freshwater crabs.

  • Use clean utensils and preparation surfaces.

  • Follow local guidance for cooking times and methods.

Cooking instructions can vary according to the size and species of the crab, so there is no single time that works for every product.

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Doctors Warn: 4 Food Groups That Can Carry Parasites — and How to Eat Them Safely

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