TikTok of Sushi “Worm” Sparks Debate: Is Raw Fish Safe?

If you have been on TikTok over the last few weeks, you have likely seen a snippet of food critic Keith Lee’s viral video that may have turned your stomach.

On a recent trip to Seattle, Lee reviewed food from sushi restaurant FOB Sushi Bar, and the highest rated dish went to the sashimi, which he gave an “8.5 out of 10.” However, fans of the critic quickly noticed that the corner of a piece of sashimi he was holding seemed to move in the video—is it a worm? A parasite? Whatever it was, one of Lee’s followers went to the restaurant per his recommendation and was hospitalized after eating potentially tainted sashimi, according to the creator’s response video.

Each video made about this debacle is flooded with comments about whether or not raw fish is safe to eat in any form. To quell some of these concerns, we’re breaking down the risk and what to keep in mind the next time you order or prepare raw fish. Here’s everything you need to know.

Is Raw Fish Safe to Eat?

For centuries, raw fish has been eaten and enjoyed in various forms, like sashimi, sushi, ceviche, oysters and tuna tartare. But according to the Centers for Disease Control and Prevention (CDC), it is risky to consume fish or any meat that is raw or undercooked. When meat is not cooked to a food-safe temperature, it increases the risk of food poisoning and contracting foodborne bacterias like Listeria, Salmonella or E. coli, among others. This is why those who are pregnant are recommended not eat raw fish.

Other sensitive groups include people age 65 or older, young children and immunocompromised individuals. They may experience more severe symptoms if foodborne illness is contracted which can lead to hospitalization. If, after eating raw fish, you experience signs of food poisoning such as nausea, vomiting, diarrhea or stomach cramps, contact your healthcare provider immediately.

For safer ways to enjoy fish, the CDC recommends consuming fish “cooked to a safe internal temperature of 145°F or until the flesh is opaque and separates easily with a fork.” For shellfish, the CDC notes that cooked shellfish should have the shells opened, or the flesh is pearly or white in appearance and not clear. These food safety recommendations are relevant to all preparations, as cooked fish that is not properly cooked can be a hazard as well.

The Bottom Line

It’s important to know the risk if you enjoy eating forms of raw fish. While you don’t need to completely cut sashimi, ceviche, oysters or other forms of raw fish out of your diet, it can increase your chances of contracting a foodborne illness. Raw fish that is fresh and properly cleaned is safer to eat than non-fresh fish with a peculiar look or smell. If you’re unsure about the freshness of the fish you’re eating, it’s better to be safe than sorry: throw it away.

If you’re eating raw fish on a regular basis, opting for more cooked fish may be a safer choice. Or check out vegan versions that present a raw fish flavor and feel without the risk—like this Vegan Sushi with Tomato “Tuna.”