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Five tips to reduce your health risk while eating street food
It was the 18th century food writer and gastronome Jean Anthelme Brillat-Savarin who famously said, "Tell me what you eat, and I'll tell you what you are." For certain cultures, street food is more than just a cheap, tasty, easy way to fuel the body. It's part of a daily ritual, a way to catch up on neighborhood or community gossip, a means of eking out a living to provide for one's family. By eating foreign street food, you get a sense of the social fabric and gender roles of a community or culture, but what about the health risks?
Some travelers equate a love of street food with a latent wish to sightsee whilst wearing an adult diaper. They steer clear of anything sold from a vendor, or resembling fruit, vegetable, or beverage not from a bottle (although when it comes to drinking water, you should always err on the side of caution, and there is something to be said about peeling or washing produce to avoid pesticide residue, since many developing nations use chemicals banned in the U.S.). What these folks may not realize is that foodborne illnesses such as E.coli, salmonella, and listeria don't discriminate. FDA statistics show you're more likely to get sick from preparing food at home than from dining in a domestic restaurant.
Is street food inherently more risky than eating in a restaurant when you travel? Sometimes, and it depends. Children, the elderly, and those with compromised immune systems are certainly more at risk of getting ill, and may be best off avoiding street eats. But there are certain precautionary measures healthy travelers can take before scarfing their tacos or mystery-meat kebabs that will minimize the chances of bringing home more than just a suitcase full of sweatshop-made tchotchkes as souvenirs. Read on.
1. Is there a crowd? Just like at home, go where the locals go, as they obviously know where to find the good stuff. But high volume also means that food is being prepared fresh, rather than sitting around attracting flies and turning into something useful for waging biological warfare.
2. Are basic hygiene practices being implemented by the vendor(s)? In Mexico, I've frequently observed street vendors slipping clean plastic bags over plates. With every order, a new bag is used, then discarded at the end of the meal. It's an eco-nightmare, but it's a lot more sanitary than dunking a plate in a bucket of dingy water doubling as a petri dish. Also bear in mind that in many parts of the world, the left hand performs double-duty as toilet paper. I can't say it enough: Look at the sanitation practices before ordering.
You'll often find co-workers whose sole responsibility is to handle money, to avoid cross-contaminating food (this isn't always the case, however, so sometimes you'll just have to--literally--suck it up). Once, when I accidentally handed my money to the wrong guy, he turned his hand upside-down to avoid contact with my filthy coins.

3. Is the stand or cart clean and well-maintained? Is hot food kept hot or cooked to order, and is cold food cold? Is purified water or ice used for beverages and frozen treats?
4. Are the ingredients fresh? If you've got eyes, a nose, and some tastebuds, you can figure this out for yourself. I look at the condiments and garnishes to determine if I want to eat at a given stand or cart. If I see crusty bowls of salsa, dessicated limes, slimy herbs, or flies congregated on any raw foods I might potentially eat, I'm out of there.
Stick to local specialties. One of the greatest joys of travel is eating regional ingredients or dishes. It also stands to reason that ordering seafood in an inland desert is a calculated risk. Raw protein products (egg, meat, poultry, fish, fresh cheeses) in general are to be avoided in the Third World. What about dishes like ceviche, where the acid in the citrus juice denatures (breaks down proteins, killing some potential pathogens in the process) the fish? It's still risky, because technically it's an uncooked food, and only application of heat over 145 degrees can totally annihilate anything potentially deadly lurking in fish. Again, use good judgment based on freshness of ingredients and basic sanitation, but remember that you can't eliminate all risk.
If you're in a coastal region, it pays to do a bit of homework on the cleanliness of the local fresh and ocean water supplies; algae blooms or cholera outbreaks will be widely reported. Try to avoid eating raw river fish or seafood, or river fish/seafood from just offshore; remember that many developing island nations and coastal regions use high tide as their toilet. If you're eating pork in the Third World, always make sure it's well-cooked. While trichinosis has effectively been eradicated from our domestic industrial pork supply, the disease is prevalent in other parts of the world. And not to get too graphic, but you'll often find pigs in rural parts of the developing world lurking around latrines, searching for a snack.
Fresh ingredients don't necessarily mean great food, but it helps. Delicious street food is ulimately a reflection of the loving care that goes into its preparation. Are the carnitas slightly crispy on the outside, with an interior succulent with greasy goodness? Is the masa in the tamales moist, with a sweet, earthy corn flavor? Are the noodles slightly toothsome, the herbs fresh and bright-tasting, the broth fragrant and piping hot? These things matter.

5. Use hand sanitizer before eating, take probiotics with live active cultures prophylactically, and pack a broad-spectrum gastrointestinal antibiotic and Imodium, just in case. I'm just sayin'.
For more information on food safety, go to this page on the USDA website.
Filed under: Arts and Culture, History, Learning, Festivals and Events, Food and Drink, Africa, Asia, Europe, North America, Oceania, South America, Mexico, Ecotourism, Budget Travel, Travel Health, Middle East, Central America, Caribbean












Reader Comments (Page 1 of 1)
Bill Oct 27th 2010 11:27AM
Lived in Egypt some years ago -- out in front of our apartment building, on the curb, was a water barrel with a communal dipper, to be used by any and all passersby.
Walker Oct 27th 2010 1:03PM
"Statistics show you're more likely to get sick from preparing food at home than from dining in a restaurant." That may be true in the UK, US, and similar countries, but is not necessarily true in areas where sanitation facilities are poor or absent. Years ago, Dr. Herbert Dupont showed that U.S. students who attended a university in Mexico had a higher risk of travellers' diarrhea if they ate out as compared to those who prepared food in their own rooms. This occurred because many eateries favored by students at that time and place left food open where it was contaminated by flies.
Laurel Oct 27th 2010 1:35PM
Hi Walker,
Thank you for underscoring a point I failed to make clear in my article. I've changed the text to say that people are statistically more likely to get a foodborne illness from cooking at home than by dining in a domestic restaurant.
Best,
Laurel
Karen Robbins Oct 27th 2010 2:56PM
Third world countries are not on my list for adventurous eating. I remember China and there was not one street vendor I would have trusted to provide my food. We ate in restaurants and only ate cooked food as we were warned by the travel clinic that fresh fruits and veggies could be washed in water that was not potable. We were also told to wipe down the water bottle if it had been sitting in iced water.
I also remember a dozen or so cruisers who went ashore in Mexico and had drinks not thinking about the ice in the drinks being made from local water. They met up with Montezuma.
While your article is tempting to want to explore local food vendors, I would hate to spoil a holiday by ingesting something that is disagreeable.
Liz Martins Oct 28th 2010 10:50AM
I know its awfully commercial, but I took some advice from this probiotics specialist - http://www.optibacprobiotics.co.uk/optibac-news/travel-health-advice-news-optibac-probiotics-.html recommended by a friend, before my trip to India.. worked an absolute CHARM!
Michael Jan 24th 2011 9:51PM
I remember reading a few years ago that drinking white wine (and to a much lesser extent, red wine) with food significantly reduces your chances of developing food poisoning. Something about the acidity of the wine.
Of course it's probably unlikely that you'll be able to get a glass of wine anywhere street food is on offer - but perhaps other acidic and/or alcoholic beverages would be available?
I am yogurt/kefir/buttermilk believer, too.