Manchester, NH – Many New Hampshire residents woke up sick on Black Friday after large Thanksgiving meals, and state health officials say food safety issues involving turkey preparation and improperly stored leftovers may be driving the rise in stomach illness reports.
According to the New Hampshire Department of Health and Human Services, the day after Thanksgiving commonly sees an increase in nausea, stomach cramps, diarrhea, and fatigue. While overeating can contribute, experts say undercooked turkey and dishes left out too long are the most likely sources of post-holiday illness in the state.
Large turkeys present a significant cooking challenge. The thickest parts of the bird—especially deep in the breast and thigh—often cook unevenly and may not reach the required 165°F internal temperature. Many families remove the turkey early to keep it moist, unintentionally raising the risk of bacteria such as Salmonella and Campylobacter, both widely associated with poultry.
Improper leftover handling also contributes to illness. Thanksgiving potlucks, buffet-style setups, and long family gatherings frequently leave food sitting at room temperature for hours. Any dish left in the “danger zone” between 40°F and 140°F for more than two hours can support rapid bacterial growth. Common organisms linked to food left out too long include Staphylococcus aureus and Bacillus cereus, both known to cause quick-onset vomiting and stomach discomfort.
Nutrition specialists advise residents to discard questionable leftovers, reheat food thoroughly to 165°F, and stay hydrated if symptoms occur. Those experiencing severe vomiting, dehydration, high fever, or symptoms lasting more than 24 hours are encouraged to seek medical care.
ADDITIONAL SAFETY TIPS
✓ Check leftovers: Discard anything left out for more than 2 hours.
✓ Reheat properly: Heat all leftovers to 165°F before eating.
✓ Watch for symptoms: Sudden nausea, cramps, or diarrhea may indicate bacterial illness.
✓ Cook turkey fully: Verify temperature at the thickest parts of the bird.
✓ Seek care when needed: High fever, dehydration, or blood in stool warrant medical attention.
