Why Update Food Safety Regulations?

Transcription

1 Why Update Food Safety Regulations?

2 uxbi Las Vegas case checked for E. coli link has sickened nearly 100 Americans and killed one after they ate tainted spinach. Casino operator's food and beverage departments pulled spinach products from all restaurants and food outlets including salad bars. The company went as far as to remove any products that use spinach as an ingredient.

3 Las Vegas Sun, December 20, 2009

4 Emerging Pathogens Better science to identify causes of foodborne illness (FBI) New and very creative Food Industry that creates new and exciting menu items: Emu, Moose tenders, Fallow Deer Ever increasing list of potentially hazardous foods: cut tomatoes, melons, sprouts Creative packaging.

5 February, 2007 started meeting with industry work group (45 industry partner, 6 E H staff ) Used the 2005 FDA Food Code as model Developed by the Conference for Food Protection (regulators, industry, state and local health authorities and scientist). National standard to increase uniformity enforcement and consistency. Chapters 1 8 mirror the Food Code

6 Chapters 9 15 developed by EH staff and reviewed by industry. These chapters deals with local issues and events not covered in the FDA Food Code Chapters include: Warehouses, Mobile Vendors, Portable Units, Catering, Farmers Markets, Seasonal Permits and Special Events and Temporary Food Establishments.

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9 Bacteria 30% Protozoa 3% Viruses 67%

10 Let s start with I ml of feces from a sick individual * 1,000,000,000,000 - # of Norovirus particles 10,000,000,000 - # of virus particles left after properly washing your hands (2 log reduction) (Ayliffe et al., 1978) 1,000,000,000 - # of virus particles transferred from an ungloved hand to food (10%) (Montville, 2001) In contrast, it takes 1-10 virus particles to make you sick*

11 Data collected by FDA and CDC suggests that poor personal hygiene remains an area in need of priority attention. Infections from noroviruses could be drastically reduced if three interdependent control measures are implemented: 1 Not working when ill 2 Proper handwashing 3 No bare hand contact with RTE food

12 NACS Convention the Las Vegas strain of the Norwalk virus was identified 1994 Fremont Street/Hawaiian Air outbreak downtown Bally s Flamingo Hilton Lake Las Vegas/Monte Lago

13 SNHD Disease Statistics (as of 11/2009) HEPATITIS A 7 GIARDIA 66 SALMONELLOSIS 158 SHIGA-TOXIN PRODUCING E. COLI 14 SHIGELLOSIS 58

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16 Multistate outbreak of Norovirus gastroenteritis related to the consumption of commercially made ice. Traced back to contaminated well. An Outbreak of Enterotoxigenic E. Coli aboard a cruise ship 2002 Believed to be related to the ice made on board

17 CDC reports that between , a total of 36 Waterborne disease outbreaks were reported by 19 states; 30 were associated with drinking water three were associated with water not intended for drinking, and three were associated with water of unknown intent.

18 Treatment deficiency (e.g., temporary interruption of disinfection, chronically inadequate disinfection, or inadequate or no filtration) 4: Distribution system deficiency, including storage (e.g., cross-connection, backflow, contamination of water mains during construction or repair

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21 Vacuum Packaging, Sous Vide, Modified Atmosphere packaging, Cook Chill, Controlled Atmosphere SNHD has been enforcing Federal Guidelines for modified packaging for years. It is not new to Las Vegas. Environmental Health staff have stopped vacuum packaging of fish when it is observed in a facility. Freezing is required for fish due to organism such as Clostridium botulinum and Listeria monocytogenes.

22 Botulism, a potentially fatal form of food poisoning, causes the following symptoms: general weakness, dizziness, double-vision and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension and constipation may also be common symptoms. People experiencing these problems should seek immediate medical attention *. * Posted on January 7, 2010 by Bill Marler

23 A person with listeriosis may develop fever, muscle aches, and sometimes gastrointestinal symptoms such as nausea or diarrhea (CDC website, 2009). If infection spreads to the nervous system, symptoms such as headache, stiff neck, confusion, loss of balance, or convulsions can occur. In immunedeficient individuals, Listeria can invade the central nervous system, causing meningitis and/or encephalitis (brain infection). Infected pregnant women ordinarily experience only a mild, flu-like illness; however, infection during pregnancy can lead to miscarriage, infection of the newborn or even stillbirth.* * by Bill Marler

24 Bao Ding Seafood Recalls Boiled Horse Mackerel Sug Chee Smoked Salmon Botulism Fears Prompt FDA Warning on Gaspereaux Fish Outbreak of Type E Botulism Associated with an Uneviscerated, Salt-Cured Fish Product -- New Jersey, 1992 etc

25 Surveillance sampling shows % of fish samples are contaminated with C. botulinum Fish guts and cross contamination

26 Hawaii fish Market in Honolulu Deadliest Catch Dirtiest Jobs Voluntary Compliance with Federal Agencies.

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