Listeria is a bacterium that can cause a serious infection called listeriosis, and it is unusual among foodborne germs because it grows at refrigerator temperatures. Preventing it comes down to controlling time and temperature, choosing foods carefully during pregnancy and other high-risk periods, and keeping raw animal products and their juices away from ready-to-eat foods. Cooking food thoroughly and cleaning surfaces, utensils, and hands after contact with raw foods are the most reliable steps you can take at home.
What Makes Listeria Different From Other Food Germs?
Most foodborne bacteria multiply quickly at room temperature and slowly or not at all in the cold. Listeria is different. It can grow at refrigerator temperatures, which is why cold cuts, soft cheeses, and other refrigerated ready-to-eat foods are the ones most often linked to outbreaks.
The bacterium is also widespread in the environment. It lives in soil, water, and decaying plant matter, and it can be carried by healthy animals. That means it can reach food at many points — on a farm, in a processing plant, or in a deli case.
Listeria is killed by thorough cooking. The problem is that many foods linked to illness are eaten without a cooking step. Once the bacterium is on a ready-to-eat food, refrigeration slows it but does not stop it.
Another feature matters for how the illness behaves. Listeria can survive inside certain immune cells, which is part of why it can cause invasive illness — infection that spreads beyond the gut — rather than only a short bout of diarrhea.
Who Is Most at Risk From Listeria?
Listeriosis is rare in healthy adults, and when it does occur it is often mild. The serious form of the illness concentrates in a few groups.
- Pregnant women. Hormonal changes during pregnancy affect the immune system in ways that make listeriosis more likely. Infection during pregnancy can lead to miscarriage, stillbirth, premature birth, or a life-threatening infection in the newborn.
- Adults 65 and older. Immune function declines with age, and this group accounts for a large share of serious cases.
- People with weakened immune systems. This includes people receiving cancer treatment, organ transplant recipients, and people with conditions that suppress immunity.
- Newborns. Infants can acquire the infection from their mother around the time of birth.
For these groups, the illness can spread beyond the digestive tract to cause bloodstream infection or meningitis. That is why food safety advice for high-risk groups is more cautious than advice for the general population.
How To Prevent Listeria In Food And Your Kitchen
The core strategy is to keep ready-to-eat foods clean and cold, and to cook raw animal foods thoroughly. Most home prevention failures come down to cross-contamination — bacteria from a raw product reaching a food that will not be cooked again.
Temperature control
Keep your refrigerator at 40°F (4°C) or below and your freezer at 0°F (-18°C) or below. Because Listeria grows in the cold, a refrigerator that runs warm gives it more room to multiply. A refrigerator thermometer is a small purchase that removes the guesswork.
Do not leave perishable food at room temperature for more than two hours, or one hour if the room is above 90°F. When in doubt, throw it out.
Cross-contamination
Use separate cutting boards for raw meat and for foods eaten raw. Wash cutting boards, countertops, and utensils with hot soapy water after they touch raw animal products. Wash your hands with soap and water before, during, and after food preparation.
In the refrigerator, store raw meat, poultry, and seafood on the bottom shelf so juices cannot drip onto foods below. Keep them in containers or sealed packages.
Cooking
Cook poultry, ground meats, and egg dishes to a safe internal temperature. Use a food thermometer rather than judging by color. Reheat leftovers until steaming hot.
Cleaning the kitchen
Wipe up spills in the refrigerator promptly and clean the shelves regularly. Listeria can form biofilms — thin layers of bacteria that stick to surfaces — which makes regular cleaning more useful than occasional deep cleaning.
Which Foods Are Most Often Linked to Listeria?
Outbreak investigations repeatedly point to the same categories of food: refrigerated ready-to-eat products that get handled after cooking and then stored cold.
- Deli meats and hot dogs sliced or prepared at a deli counter
- Soft cheeses made from unpasteurized milk, and some soft cheeses made from pasteurized milk such as queso fresco
- Refrigerated pâté and meat spreads
- Smoked seafood, and refrigerated smoked fish
- Unpasteurized milk and products made from it
- Pre-cut fruit and raw sprouts
For people at higher risk, public health guidance generally advises avoiding these foods or heating them until steaming hot before eating. Hot dogs and deli meats, for example, are considered safer for high-risk people when reheated to steaming.
One point that often gets lost: pasteurized soft cheeses are not automatically risk-free. Some outbreaks have been traced to soft cheeses made from pasteurized milk, because contamination can happen after pasteurization. The type of cheese and how it was handled matter, not just the milk.
What About Produce and Raw Foods?
Fresh fruits and vegetables are an important part of a healthy diet, and most are low risk. Listeria has been linked to produce, though, particularly pre-cut fruit, melons, and raw sprouts.
Wash whole produce under running water before cutting or eating. Scrub firm-skinned produce such as melons with a clean brush. Cut away damaged areas. Keep cut produce refrigerated and eat it within a few days.
Sprouts are harder to clean because the growing conditions that produce them also favor bacterial growth. The Food and Drug Administration advises people at higher risk of foodborne illness to avoid raw sprouts. Cooking sprouts reduces the risk.
Does Freezing or Refrigeration Kill Listeria?
No. Cold storage slows bacterial growth but does not kill Listeria. Freezing can reduce bacterial numbers somewhat, but it is not a reliable way to make a contaminated food safe.
Only thorough cooking reliably kills the bacterium. This is why the food safety advice for high-risk groups centers on avoiding certain ready-to-eat foods rather than relying on cold storage to make them safe.
Refrigeration still matters. Keeping food cold slows growth and buys time. It is a control measure, not a sterilization step.
What Are the Symptoms of Listeriosis?
Symptoms usually appear within a few days to a few weeks after eating contaminated food, and the range is wide. Some people develop a mild illness with fever, muscle aches, nausea, and diarrhea. Others develop invasive illness with fever, severe headache, stiff neck, confusion, loss of balance, or convulsions.
In pregnant women, the illness can be mild for the mother while still causing serious harm to the fetus. That is a key reason pregnant women with fever or flu-like symptoms should contact a healthcare provider rather than waiting it out.
Anyone in a high-risk group who develops fever and other symptoms after eating a food linked to a known outbreak should seek medical care promptly. Listeriosis is treated with antibiotics, and early treatment matters.
How Common Is Listeriosis?
Listeriosis is uncommon compared with other foodborne infections, but it is one of the more deadly. It accounts for a small number of reported cases each year in the United States but a disproportionate share of hospitalizations and deaths from foodborne illness.
Most cases are sporadic rather than part of a recognized outbreak. That makes individual prevention steps — cooking, cleaning, and food choices — more important than outbreak headlines alone might suggest.
Frequently Asked Questions
Does washing deli meat remove listeria?
No. Washing deli meat does not reliably remove Listeria, and it can spread bacteria around your sink. For high-risk people, heating deli meat until steaming hot is the safer step.
Can I get listeria from leftovers?
Yes, if the food was contaminated and is not reheated thoroughly. Reheat leftovers until steaming hot, and refrigerate them promptly after cooking.
Is listeria killed by cooking?
Yes. Thorough cooking kills Listeria, which is why reheating ready-to-eat foods until steaming hot reduces risk for high-risk groups.
How long can listeria survive in the refrigerator?
Listeria can grow at refrigerator temperatures, so cold storage does not eliminate it. Keeping your refrigerator at 40°F or below slows growth but does not make contaminated food safe.

