Can You Get Worms From Eating Salmon?

Concerns about parasites in salmon are common, especially when consuming raw or undercooked seafood. This article examines the types of parasites found in salmon, how they are acquired, and effective methods for safe preparation.

Understanding Parasites in Salmon

Wild-caught salmon can naturally harbor parasites as part of their marine ecosystem. The most commonly encountered parasites in salmon that can affect humans are Anisakis simplex, a type of roundworm or nematode, and Diphyllobothrium latum, often referred to as the fish tapeworm. These parasites typically exist as larval forms within the fish. Salmon acquire these parasites by consuming smaller marine organisms, such as crustaceans, that are already infected.

These parasites are a natural occurrence in fish, not a sign of contamination, and pose a health concern primarily if consumed alive. Thorough cooking or proper freezing methods effectively eliminate any potential risk.

Safe Handling and Preparation

Cooking salmon to an internal temperature of 145°F (63°C), as recommended by the USDA, destroys any bacteria or parasites. Use an instant-read food thermometer in the thickest part of the fillet to confirm this temperature is reached.

For salmon intended for raw or undercooked consumption, such as sushi or ceviche, specific freezing guidelines are necessary to kill parasites. The U.S. Food and Drug Administration (FDA) advises freezing fish at -4°F (-20°C) or below for a minimum of 7 days (168 hours). Alternatively, freezing at -31°F (-35°C) or below until solid, followed by holding at that temperature for at least 15 hours, is also effective. Some guidelines also permit freezing at -31°F (-35°C) until solid and then holding at -4°F (-20°C) or below for 24 hours.

Visually inspecting the fish for any visible worms before preparation can be done. Sourcing salmon from reputable suppliers who adhere to industry standards, including those for aquaculture fish that are fed parasite-free diets, further contributes to safety.

What to Do if You Suspect Exposure

If raw or undercooked salmon containing live parasites is consumed, symptoms might develop. General gastrointestinal symptoms include abdominal pain, nausea, vomiting, and diarrhea. In cases of Anisakis infection, individuals might experience a tingling sensation in their mouth or throat as the worm moves. Allergic reactions, such as hives, skin rashes, breathing problems, or, in rare instances, anaphylaxis, can also occur.

Infections with Diphyllobothrium latum, the fish tapeworm, may lead to abdominal discomfort, fatigue, and weight loss. A specific concern with this parasite is the potential for vitamin B12 deficiency, which can result in anemia, as the tapeworm competes with the host for nutrient absorption. In rare instances, massive infections could lead to intestinal obstruction.

Seeking medical attention promptly is important if these symptoms appear after consuming potentially contaminated fish. Medical professionals can diagnose the infection through methods like stool sample analysis or endoscopy and provide appropriate antiparasitic medications or, in some cases, endoscopically remove the worm.