What The Law States. 700 Furrows Road Holtsville, NY

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1 What The Law States On December 5, 2006, the Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. The phase out of artificial trans fat in restaurant foods will happen in two stages. First, restaurants will have until July 1, 2007, to make sure that all oils, shortening and margarine containing artificial trans fat used for frying or for spreads have less than 0.5 grams of trans fat per serving. Oils and shortening used to deep fry yeast dough and cake batter are not included in the first deadline. The second deadline is July 1, By that date, all foods must have less than 0.5 grams of trans fat per serving if they have any artificial trans fat. Packaged foods served in the manufacturer's original packaging are exempt. Until then, consumers should continue to ask about the fats and oils being used to cook their foods in restaurants. Avoid menu items made with partially hydrogenated vegetable oil, because they contain trans fat. Food companies can list the amount of trans fat as '0 g' on the Nutrition Facts panel and/or claim "Zero or No Trans Fat" if the amount of trans fat per serving is less than 0.5 grams. If you see both "0 g trans fat" and "partially hydrogenated oil," the food product contains less than 0.5 g of trans fat per serving. 700 Furrows Road Holtsville, NY

2 V O L U M E 5, N U M B E R 9 Health Bulletin #43 in a series of Health Bulletins on issues of pressing interest to all New Yorkers Your heart will thank you V O L U M E 5, N U M B E R 9 NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE Choose Foods With 0 Grams Trans Fat (AND YOU WON T TASTE THE DIFFERENCE) Foods can be made without trans fat. Always read labels. There are good fats and bad fats. Trans fat is the most dangerous even worse than saturated fat. Trans fat increases your risk of heart disease by raising bad (LDL) cholesterol and lowering good (HDL) cholesterol. Trans fat is found in partially hydrogenated vegetable oils and shortening and in many packaged and restaurant foods. Cutting trans fat out of your diet is getting easier. Food tastes just as good without it. But your heart knows the difference! Available in Spanish and Chinese: call 311or visit nyc.gov/health Disponible en español: llame al 311 o visite nyc.gov/health nyc.gov/health nyc.gov/health

3 Choose Foods With 0 Grams Trans Fat: Volume 5 Number 9 Many Store-Bought and Restaurant Foods Contain Trans Fat Trans fat is found in many packaged foods, including: Baked goods (cookies, crackers, cakes, pies, muffins, and some breads, such as hamburger buns). Pre-mixed products (cake, pancake, and chocolate drink mix; pizza dough). Margarine (especially stick margarine) and vegetable shortening. Deep-fried and pre-fried foods (doughnuts, French fries, fried chicken, fish sticks, chicken nuggets, taco shells). Snack foods (potato, corn, and tortilla chips; candy; packaged or microwave popcorn). All of these foods are available with 0 grams trans fat. Always read labels. Many restaurants use trans fat. Type of Fat Where It s Usually Found GOOD Fats Lower your risk of heart disease Monounsaturated Olives Olive and canola oils Cashews, almonds, peanuts, and most other nuts Avocados Polyunsaturated Corn, soybean, safflower, sunflower, and cottonseed oils Fish and seafood Effect on Cholesterol Levels (LDL is bad and HDL is good cholesterol) Lowers LDL Raises HDL Lowers LDL Raises HDL * Foods that contain trans fat can be made with regular oils instead. ALWAYS READ LABELS.

4 Always Read Food Labels Choose foods with 0 grams trans fat. Nutrition Facts labels on packaged foods now list trans fat content. BAD Fats Increase your risk of heart disease Saturated Whole milk, butter, cheese, and ice cream Lard and suet Meat (beef, pork, bacon, sausage, and deli meats have the most) Chicken and other poultry have less, especially with the skin removed Chocolate and cocoa butter Palm oil Coconut products, including milk and oil Trans* Partially hydrogenated vegetable oil Many margarines and shortenings Many deep-fried foods Many fast foods Many store-bought baked goods Raises LDL Raises HDL Raises LDL Lowers HDL Look for brands that use oils that are not partially hydrogenated.

5 How to Cut Trans Fat Make Your Own Meals Making your own meals helps you control the type and amount of fats you eat. Regular vegetable oils (such as olive, canola, corn, soybean, safflower, and sunflower oils) have no trans fat. Most natural oils are high in GOOD (unsaturated) fats. In moderation, they protect your heart (see chart). Choose Wisely When Eating Out Avoid deep-fried foods. They often contain trans fat. Eat less fast food. Eat a Heart-Healthy Diet Eat a diet high in fruits, vegetables and whole grains, low in sodium and saturated fat, and without added sugars (and no trans fat). First Printing: March/April 2005 Revised/Reprinted: 08/06 More Information Visit the New York City Department of Health and Mental Hygiene at nyc.gov/heart and click on Learn About Trans Fat Call 311 and ask to receive copies of these Health Bulletins (or download from nyc.gov/heart): Control Your Cholesterol: Keep Your Heart Healthy Healthy Heart Blood Pressure Cut the Salt! U.S. Food and Drug Administration: and search trans fat or call American Heart Association: and search trans fat or call AHA-USA-1 ( ) For copies of any Health Bulletin All Health Bulletins are also available at nyc.gov/health Visit nyc.gov/health/ for a free subscription For a postal subscription, your name and address to healthcml@health.nyc.gov

6 Typical Amounts of Trans Fat in Store-Bought and Restaurant Foods All of These Foods Are Also Available With 0 Grams Trans Fat Food French fries (fast food) Microwave popcorn Doughnut (glazed) Pound cake Vegetable shortening Chicken nuggets (fast food) Frozen apple pie Margarine (stick) Potato chips Candy bar Muffin (commercial bakery) Cheese crackers (filled) Tortilla chips (corn) Cookies Salad dressing (ranch) White hamburger buns Margarine (tub) Granola bar Pizza Serving Size Medium (5 oz.) 1 bag (3 1 / 2 oz.) 1 average size 1 slice (3 oz.) 1 tablespoon 5 small nuggets 1 slice 1 tablespoon Small bag (1 1 / 2 oz.) 1 bar (1 1 / 2 oz.) 1 small (3 oz.) 6 (1 oz.) Small bag (1 1 / 2 oz.) 3 cookies (1 oz.) 2 tablespoons 1 bun (average) 1 tablespoon 1 bar (1 1 / 2 oz.) 1 slice (average) Grams of Trans Fat

7 V O L U M E 5, N U M B E R 9 Health Bulletin NEW YORK CITY DEPARTMENT OF HEALTH AND MENTAL HYGIENE #43 in a series of Health Bulletins on issues of pressing interest to all New Yorkers New York City Department of Health and Mental Hygiene 125 Worth Street, Room 342, CN 33 New York, N.Y Michael R. Bloomberg, Mayor Thomas R. Frieden, M.D., M.P.H., Commissioner Bureau of Communications Cortnie Lowe, M.F.A., Executive Editor Drew Blakeman, Senior Writer Caroline Carney, Managing Editor Prepared in cooperation with: Division of Health Promotion and Disease Prevention Bureau of Chronic Disease Prevention and Control Cardiovascular Disease Prevention and Control Program Choose Foods With 0 Grams Trans Fat For Non-Emergency NYC Services Telephone Interpretation in 170 Languages HPD1X2521E

8 Clear Your Kitchen of Trans Fat 1. CHANGE your oils. For cooking and frying, check the ingredients on all oils. If partially hydrogenated is listed, switch to a non-hydrogenated oil instead. If there is no ingredients list, ask your supplier or the manufacturer. For baking, use non-hydrogenated oils or shortenings with low or no trans fat. 2. CHOOSE healthy spreads. Instead of stick margarine or butter, use soft tub spreads with low saturated fat and no trans fat. 3. ORDER prepared foods without trans fat. Check ingredients and ask your supplier for baked products, pre-fried, and pre-mixed foods that are free of partially hydrogenated vegetable oils. 100 calories, 10 grams per se INGREDIENTS: Pasteurized Grade A Non-fat Milk, Fructose, Red Bell Pepper Partially Hydrogenated Soybean Oil, Salt, Modified Cornstarch, Garlic, Lemon Juice Make an Oil Change Read labels and choose products that are free of partially hydrogenated oils. CALL 311 and ask for trans fat or visit nyc.gov/health for more information THE NEW YORK CITY DEPARTMENT of HEALTH and MENTAL HYGIENE Michael R. Bloomberg, Mayor Thomas R. Frieden, M.D., M.P.H., Commissioner nyc.gov/health HPDP1X Does Your Kitchen Need an Oil Change? What Every Restaurant and Food Service Establishment Needs to Know About Trans Fat

9 Trans fat is made when hydrogen is added to vegetable oil. These oils are called partially hydrogenated. Any food made with partially hydrogenated oil contains trans fat. Restaurants commonly cook and fry with partially hydrogenated oils. Trans fat is also found in many pre-fried, baked, and prepared foods served in restaurants. Partially Hydrogenated Vegetable Oil = Trans Fat = Heart Disease Risk Trans fat is unhealthy. Trans fat like saturated fat increases the risk of heart disease by raising "bad" (LDL) cholesterol. The Food and Drug Administration and the New York City Department of Health and Mental Hygiene recommend that consumers ask about fats (including oils) used by restaurants and that they avoid trans fat. Many restaurants have already begun to make an oil change. This booklet gives tips on how to do it. Are you serving trans fat? You won t know unless you check! While many commercial vegetable oils contain trans fat, non-hydrogenated versions are available. The only way to know for sure if the oil you use contains trans fat is to check labels and to talk to your suppliers. Common sources of trans fat found in restaurant kitchens include: Vegetable oils used for frying, baking, and cooking Shortening (hard vegetable oil) Margarine and other spreads Prepared foods, including: Pre-fried foods, such as French fries, fried chicken, chicken nuggets, fish fillets, chips, taco shells, and doughnuts Baked goods, such as hamburger buns, pizza dough, crackers, cookies, cakes, pies, and pastries Pre-mixed ingredients, such as pancake mix, hot chocolate, salad dressing, croutons, and breadcrumbs All of these products are available without trans fat (made without partially hydrogenated vegetable oil). Not All Fats Are Created Equal * GOOD FATS Lower the risk of heart disease Type of Fat Important Sources Type of Fat Important Sources Monounsaturated Olive, canola, and peanut oils Olives Cashews, almonds, peanuts, and most other nuts Avocados Trans* Partially hydrogenated vegetable oil Most margarine and shortening Many deep-fried foods Many fast foods Most baked goods * Most foods that contain trans fat can be made with non-hydrogenated oils instead. Polyunsaturated Corn, soybean, safflower, sunflower, and cottonseed oils Fish and seafood * BAD FATS Increase the risk of heart disease Saturated Whole milk, butter, cheese, and ice cream Lard and suet Meat (beef, pork, bacon, sausage, and deli meats have the most) Chicken and other poultry have less, especially with skin removed Chocolate and cocoa butter Palm oil Coconut products, including milk and oil

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12 The Regulation to Phase Out Artificial Trans Fat In New York City Food Service Establishments (Section of the New York City Health Code) How to Comply: What Restaurants, Caterers, Mobile Food-Vending Units and Others Need to Know

13 SUMMARY OF THE REGULATION New York City s Health Code amendment phases out the use of artificial trans fat in all food service establishments required to hold a New York City Health Department permit, including restaurants, caterers, mobile food-vending units, and mobile food commissaries: Beginning July 1, 2007: You may not use partially hydrogenated vegetable oils, shortenings, or margarines for frying, pan-frying (sautéing), grilling, or as a spread unless you have product labels or other documents from the manufacturer showing that these ingredients contain less than 0.5 grams of trans fat per serving. You may continue to use trans fat-containing oils and shortenings for deep frying cake batter and yeast dough until the regulation takes full effect on July 1, Beginning July 1, 2008: No food containing partially hydrogenated vegetable oils, shortenings, or margarines with 0.5 grams or more trans fat per serving may be stored, used, or served by food service establishments. The regulation does not apply to food served in the manufacturer s original, sealed packaging, such as a package of crackers or a bag of potato chips.

14 BASIC FACTS ON TRANS FAT 1. What is trans fat? It is a type of fat that raises the risk of heart disease. While some trans fat occurs naturally, most is artificial. The regulation addresses only artificial trans fat, which is the main dietary source of trans fat. 2. What is artificial trans fat? Artificial trans fat is manufactured through a chemical process. It is found in partially hydrogenated vegetable oil. Foods that contain artificial trans fat include margarines, shortenings, and fry oils, as well as many baked good, mixes, and packaged foods. 3. Why is trans fat so bad? Trans fat is the most dangerous type of dietary fat. It increases bad (LDL) cholesterol and lowers good (HDL) cholesterol. Conservative estimates suggest that trans fat is responsible for at least 500 deaths from heart disease in New York City each year. Trans fat has no known health benefits, and there is no harmless level of artificial trans fat consumption. COMPLYING WITH THE REGULATION 4. How do I know if the trans fat regulation applies to my establishment? The regulation applies to all food service establishments that are required to hold a permit from the New York City Health Department. These include restaurants, cafeterias in schools and businesses, caterers, senior-center meal programs, mobile food-vending units and commissaries that supply them, bakeries, children s institutions, soup kitchens, park concessions, street-fair food booths, and other establishments. 5. My establishment is not required to hold a permit from the New York City Health Department because I am licensed by New York State. Do I still have to comply with the City s trans fat regulation? If your establishment does not require a permit from the New York City Health Department, the regulation does not apply and you are not legally bound by it. Even so, using healthier oils may be good business! For example, if you supply food service establishments that are covered by the regulation, those establishments will not be allowed to use, store, or sell products that contain partially hydrogenated vegetable oils, shortenings, or margarines containing 0.5 grams or more trans fat per serving. Unless you supply products that keep your New York City clients in compliance, you could lose their business.

15 6. When does the regulation take effect? Does it cover all food items? Beginning July 1, 2007, you may not use partially hydrogenated vegetable oils, shortenings, or margarines for frying, pan-frying (sautéing), or grilling, or as a spread, unless you have product labels or other documents from the manufacturer showing that these ingredients contain less than 0.5 grams of trans fat per serving. You may continue to use trans fat-containing oils and shortenings for deep frying cake batter and yeast dough until July 1, 2008, when the regulation takes full effect. Beginning July 1, 2008, if you store, use, or serve any food item containing partially hydrogenated vegetable oil, shortening or margarine, it must contain less than 0.5 grams of trans fat per serving. This rule applies even to oils or shortenings used to deep fry cake batter and yeast dough. The regulation does not apply to food served in the manufacturer s original, sealed packaging, such as a package of crackers or a bag of potato chips. 7. How can I tell if a particular product is allowed under the regulation? Step 1. Look at the package label or ingredients list to see if partially hydrogenated, shortening, or margarine are listed. If none of these terms appear, you may use the product. If any of these terms are listed, go to Step 2 to see if the product contains too much trans fat. Step 1 This product contains shortening. Go to Step 2. Step 2. Check the Nutrition Facts panel for trans fat content. If the panel says the product has 0 grams of trans fat, or less than 0.5 grams of trans fat per serving, you may use the product. If the Nutrition Facts panel says the product has 0.5 grams or more trans fat, you may not use the product. If there is no Nutrition Facts panel on the product, go to Step 3. Step 3. If there is no Nutrition Facts panel, ask your supplier to provide a letter from the manufacturer listing the product s ingredients. If the ingredients list contains the words partially hydrogenated, shortening, or margarine, the letter must also include information on the amount of trans fat in each serving. As in Step 2, if the product has 0 grams of trans fat, or less than 0.5 grams of trans fat per serving, you may use it. The letter should be on the manufacturer s letterhead and show the manufacturer s name and address. Keep the letter at your food service establishment, available for review by a Health Department inspector. Step 2 This product has 0 grams trans fat. You may use it.

16 8. I buy containers of oil that are shipped in a box. The containers do not have labels but the box does. Do I need to save the labels on the box? Yes. Save the ingredients label and the Nutrition Facts panel, along with the product s brand name and common name, until the product has been completely used. These labels should be available for review by a Health Department inspector. 9. Which labels should I save, and how long should I keep them? Beginning July 1, 2007, you will need to save the label for any oils, shortenings, or margarines used for frying, pan-frying (sautéing), or grilling, or as a spread, until the product is completely used. Labels may be kept on the product container, photocopied, or kept separately. Beginning July 1, 2008, when the regulation takes full effect, you will need to save the label for any food containing oils, shortenings, or margarines, regardless of how you use the product. For instance, if you are frying frozen French fries, you should save the label for both the frying oil and the French fries until both have been completely used. 10. What should I do with products that contain artificial trans fat if they are still in my pantry on July 1, 2008? If a product containing partially hydrogenated oil has 0.5 grams or more trans fat per serving, you will not be able to store, use, or serve it after July 1, The regulation gives food service establishments time to use their remaining supplies and restock. 11. What if I use margarine both as a spread and for baking? Will I have different deadlines for changing these practices? Yes, there are different deadlines. Beginning July 1, 2007, margarines containing 0.5 grams or more trans fat per serving may not be used for frying or as a spread, but they may be used in baked goods until July 1, What if a supplier sells me cakes that contain no artificial trans fat, but each serving contains more than 0.5 grams of trans fat per serving from natural sources? If the product label or ingredients list does not mention partially hydrogenated vegetable oil, shortening, or margarine, then the trans fat in the product comes from natural sources and is not covered by the regulation. In that case, you may use it. If the product label or ingredients list does mention any of these ingredients, its trans fat content must be less than 0.5 grams per serving. 13. If I purchase ingredients from outside of New York City for products I serve in my establishment, do those ingredients have to contain less than 0.5 grams of trans fat per serving? It does not matter where you buy the products. Beginning July 1, 2008, all foods and ingredients stored, used, or served in New York City food service establishments that contain partially hydrogenated vegetable oils, shortenings, or margarines must have less than 0.5 grams of trans fat per serving.

17 ENFORCEMENT 14. When the trans fat regulation takes effect, will the Health Department issue violations? Yes. The Department will issue violations beginning July 1, Will violations be counted as critical or general? Violations will not be counted as critical or general, nor will they count toward your food service establishment inspection score. 16. Will the Health Department follow up on trans fat violations? Yes. Any food service establishment violating the restriction on artificial trans fat will receive a follow-up inspection to determine compliance. 17. Will trans fat violations be posted on the Health Department s Restaurant Inspection Web site? Yes. Trans fat violations will be posted beginning July 1, How much will I be fined if an inspector finds oils, shortenings, or margarines that contain trans fat? Administrative Tribunal hearing officers may assess fines between $200 and $2,000. Penalty amounts will increase for repeated violations. 19. Will I be fined for violations as soon as the regulation takes effect? No. There is a 3-month grace period. No fines will be assessed between July 1 and October 1, Can I receive a violation for food I purchase in bulk if it comes without a label? Yes. Beginning July 1, 2007, you will need to have documentation available to the Department s inspectors for any oil, shortening, or margarine you use for frying, pan-frying (sautéing), or grilling, or as a spread, unless these ingredients are being used only for deep frying cake batter or yeast dough. Beginning July 1, 2008, when the regulation takes full effect, you will need to have labels or other documentation available for all products that contain oil, shortening, or margarine, regardless of how they are used. Beginning July 1, 2008, if you buy unlabeled baked goods or other food products that contain oils or shortenings, you need to ask your supplier for an ingredients list and a Nutrition Facts panel or a letter from the manufacturer (as described in Question 8) showing trans fat content per serving. 21. If I have a food item containing artificial trans fat but I don t cook with it, may I keep it in my kitchen pantry? No. After the regulation takes effect, the Health Department will issue violations for all restricted products that are found in the establishment regardless of whether they are used, served, or stored.

18 SUBSTITUTING FOR TRANS FAT 22. May I use a product that claims to have 0 grams trans fat if the ingredients list includes partially hydrogenated vegetable oil, shortening, or margarine? Yes. The U.S. Food and Drug Administration allows products with less than 0.5 grams of trans fat per serving to be labeled 0 grams trans fat, even if they contain small amounts. Any product labeled 0 grams trans fat per serving is in compliance with the regulation. 23. Are products with 0 grams trans fat more expensive? Establishments that make the change usually find that the costs are similar. Contact your supplier to inquire about prices, and start switching over to products with 0 grams trans fat as soon as possible. 24. What can I use for frying instead of oils that contain trans fat? Ask your suppliers for oils that have 0 grams of trans fat per serving. These include traditional vegetable oils such as soybean, corn, or canola oil, as well as new oils made from specific varieties of soybeans, sunflowers, and other grains and seeds with long fry lives. Your supplier should have a range of options available. 25. What can I use for baking instead of shortenings with trans fat? There is a wide variety of products that can meet your baking needs. Since it may take time to find the right product for your recipes, the Health Department recommends testing replacement oils and shortenings well in advance of the July 1, 2008 deadline. 26. What if I use vegetable shortening both for frying and for baking? Beginning July 1, 2007, most frying (see Question 7) must be done with oils, shortenings, and margarines that contain less than 0.5 grams of trans fat per serving. Products with higher levels of artificial trans fat may be used for most other purposes (but not as spreads) until July 1, What about butter, beef tallow, suet, and lard? These highly saturated fats are not covered by the regulation because they contain only naturally occurring (not artificial) trans fat. See the next question on healthier fats. 28. How can I get advice about using healthier fats? While your choice of replacement fats is not covered by Health Code regulations, the Health Department encourages you to make healthier substitutions whenever you can.

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