Spring 2007 Volume 1, Issue 2 Minnesota Department of Health Division of Environmental Health Environmental Health Services Section PWDU Quarterly Update Partnership and Workforce Development Unit Advisory Council Formed to Assist Delegation Agreement Process Minnesota Department of Health (MDH) is drafting a new Delegation Agreement to replace the current Agreement that has been in place for two decades. As part of that process, MDH has formed an Advisory Council so delegated programs and other stakeholders will have a forum for reviewing, discussing and advising on the contents of the new Agreement. The following information is selected from the Delegation Agreement Advisory Council Charter: Purpose and Goals of the Advisory Council The purpose of the Advisory Council is to support the adoption of a revised Delegation Agreement between MDH and applicable local authorities. The goals of the Advisory Council are to: • Review the proposed Delegation Agreement for environmental health services. • Contact interested parties and solicit input on the proposed agreement. • Develop recommendations on the proposed agreement. • Association of Minnesota Counties • Develop recommendations for implementation of the final Delegation Agreement. • State Community Health Services Advisory Committee • Act as liaison to stakeholders to ensure inclusiveness in the delegation process. Final membership was determined by the Commissioner of Health and based on nominations. Roles and Responsibilities of Advisory Council Members Meetings and Attendance Council members will: • Speak on behalf of the organizations and constituents that they represent to advise the agency on the development of a new Delegation Agreement. • Assist MDH in communicating the Delegation Agreement process to constituents. • Reflect the feedback of their constituents to Council discussions. • Seek consensus among members whenever possible. • Local Public Health Association • Hospitality Minnesota The Council will meet monthly between April and August 2007 (See Timetable on page 6). The first meeting is now scheduled for April 26. Notification of Council meetings will be provided by MDH to local environmental health programs and all delegated public health agencies. The public are welcome to attend. Welcome to this second issue of the PWDU Update. In this issue: Delegation Agreement Advisory Council Pages 1 and 6 Training and Conference News Pages 2 and 3 Restaurant Study Abstract Page 4 Page 5 • Non-Metro large counties EH Knowledge Management Project Update • Non-Metro small counties Pool Matters Page 5 Staff Contact Information Page 6 Council Membership The Council is comprised of one full member and one or two alternate members from each of the following groups or organizations: • Metropolitan counties • Minnesota Cities Page 2 PWDU Quarterly Update Training and Conference Food Managers Course Providers Workshop, April 26 MDH is offering a workshop for instructors of Food Manager Certification (FMC) courses. The workshop will be April 26, 2007 from 9:00 A.M. to 4:00 P.M at MDH’s Snelling Office Park facility, 1645 Energy Park Drive in Saint Paul. Sessions at this “Practices and Principles” course will include: • FMC Program Enhancements • Multi-Lingual Resources • Basic Food Safety Microbiology • Techniques for Course Providers • Exam Criteria and Security • Foodborne Illness Awareness • Food Code Questions and Answers The workshop is designed specifically for FMC course providers. Attendees will receive four continuing education credits toward re- newal of a State of Minnesota Food Manager Certificate. Most sessions will be interactive and will provide attendees with useful tools to use in their own training. The registration fee is $50 and includes all course materials, training tools, lunch and breaks. For information about this training opportunity, contact Tracie at: 651-201-4502 or [email protected]. MEHA Spring Conference, May 2-4 • Wells, pumps and bacti • Perflouro-carbon contamination • Beach monitoring The Minnesota Environmental Health Association (MEHA) Spring Conference will be held May 2-4 at Ruttger's Sugar Lake Lodge in Grand Rapids. The agenda, found online at: www.mehaonline.org, will include presentations on: • Water safety trends • Spanish language training • Emergency preparedness • Foodborne illness response • Efficacy of salt/solvent cells • Outbreaks and recalls • Nuisances in relation to vulnerable populations • Communicating with older adults See the MEHA website or contact Bill Adler for more information or with any suggestions for other conference topics or dynamic speakers. There is still room on the agenda. Bill can be reached at: 507-292-5137 or by e-mail at : [email protected]. Emergency Notification, Risk Communication Workshop, June 2007 PWDU staff are planning a videoconference to take place in June. This will be a half-day workshop on response to food-related illness and outbreaks, including: • Demonstration of the MIR3 Emergency Notification System, first used to notify partners during the spinach recall and a Norovirus outbreak in 2006. • Discussion of risk communication principles. Attendees will learn to describe risks honestly and accurately without unnecessarily alarming their audience. • Advice on messaging and the media; how to manage risk information in a crisis. This conference should be available at 10-12 sites throughout the state and will be available later on DVD. Date, times and locations will be available later this month. For information, call 651-201-4506 or e-mail [email protected]. Page 3 Opportunities National Food Defense Exercise A safe and secure food supply is one of the federal government’s chief priorities. FDA, USDA, state and local agencies are engaged in a collaborative, national food defense exercise to assess our ability to prepare for and respond to a food or agriculture sector threat. The exercise is aimed at assessing our readiness to respond to threats involving multiple jurisdictions and to carry out a variety of planned activities to increase awareness of food defense issues and to detect an attack. Over one hundred federal, state, and local agencies volunteered to participate in the exercise from early March to mid-April 2007. Participating agencies were assigned to conduct special inspections and/or collect samples of certain food products within their jurisdictions. In the case of a real attack, these activities would serve the purposes of getting critical information to the food industry and identifying a contaminated product. These special inspections include discussion and presentation of the ALERT food defense message to the establishment, and collecting traceback-traceforward information on certain commodities of interest. contaminated with an unknown substance. In the first week of the exercise inspectors targeted retail facilities that sell/serve tomato based pasta sauce for inspection, food defense education, sampling, and collecting traceback information. The next phase of the exercise will involve related activities in school kitchens and food manufacturing firms. A report detailing lessons learned from the exercise will be published by FDA in Summer 2007. In this case, the simulated threat was a tomato based pasta sauce Request for Topics: Proposed Regional Training Another training event in the planning stages at MDH is being referred here to as the “autumn roadshow.” This will be an in-person training rather than a videoconference and will be offered in several regional locations. Timing of the workshops will be somewhat dependent on the schedule for the regional informa- tional meetings planned as part of the Delegation Agreement process (See Delegation Agreement Timetable, page 6). Please contact Chris if there are any topics that you would like included on the agenda for this training. Chris Forslund of PWDU is collecting suggestions for training topics for this traveling workshop. So far, suggestions include sessions on plan review, pool inspection, and plumbing. You may call Chris at 651-201-4230 or e-mail him at: [email protected] We’ll keep you posted on topics and dates as plans move forward. More Upcoming Events April 19, 2007: Environmental Health Specialist/ Sanitarian Registration exam, St. Paul. See: www.health.state.mn.us/divs/eh/ san/index.htm April 27, 2007: Recreational Water Advisory Committee, 9:00 a.m. 2:00 p.m., Contact Bill Kass at [email protected] or 507-287-2692 for information. May 17, 2007: InterAgency Review Council, 9:30 a.m. - 12:00 p.m., MDH Snelling Office Park, St. Paul. Contact Angela at: [email protected] or 651-201-4506 for information. June 18-21, 2007: NEHA Annual Conference, Atlantic City, NJ. See www.neha.org for information. PWDU Quarterly Update Page 4 ATP Restaurant Study type, and type of dishwashing equipment affected failure rates. Methods The following are excerpts from the Abstract, “Assessment of Adenosine 5'triphosphate (ATP) bioluminescence testing for the rapid testing of equipment and utensil cleanliness in restaurants. ” Introduction Pathogenic organisms can survive for prolonged periods on food contact surfaces (FCS) and cause outbreaks when transferred from these surfaces to food. Sanitization of food equipment and utensils is an extremely important food safety measure. However, food residues may protect microbes from antimicrobial treatments; thus, food contact surfaces must be thoroughly cleaned before effective sanitizing can be done. ATP bioluminescence rapid hygiene monitoring was developed to assess food contact surface cleanliness. The test is based on a chemical reaction that produces light in direct proportion to the amount of total organic matter on a surface. The goal of this study was to conduct an ATP survey of clean equipment and utensils (FCS) to determine how frequently they failed ATP testing, and how variables such as menu, equipment/utensil A total of 493 knives, forks, spoons, plates, cutting boards, and slicers were taken from clean storage in restaurants and tested for ATP. The entire eating surface of forks, knives and spoons were swabbed, and the rims of cups and a band approximately 5 cm on either side of the rim were swabbed. The food contact surface of plates were swabbed in a zigzag pattern in an east to west and north to south direction, and a 10 cm2 area at the centers of cutting boards and slicer blades were swabbed. The food grip of slicers was also swabbed. Results Overall, 355 out of 493 (72%) of the FCS passed ATP testing. For utensils, failure rates ranged from 11% for cups, to 33% for spoons, but approximately one of every two (50%) slicers Food and cutting Contact boards failed Pass Surface [Table 1]. The type of food served (i.e., American, Asian, other) and the dishwashing equipment used by the restaurant were significantly associated with the rates of failure. Conclusions ATP testing is a simple, practical, and efficient way to monitor food contact surface hygiene in food facilities. The technology can be used to validate protocols for hardto-clean surfaces, to identify areas on equipment that are especially hard to clean, or to train food workers in proper cleaning techniques. On the other hand, the cost of routine ATP testing could become prohibitive, and reports that ATP tests may be adversely affected by detergents and disinfectants are discouraging. Follow-up studies should be carried to out to fully assess the utility of ATP bioluminescence hygiene monitoring in the restaurant setting. For more information contact Paul Allwood at 651-201-4511 or by email at: [email protected]. Percent Failing Test Results Fail Cups 79 9 10 Plates 69 21 23 Knives 65 29 31 Forks 63 29 32 Spoons 62 31 33 Slicers 6 5 46 Boards 12 13 52 Total 356 137 Page 5 Environmental Health Knowledge Management Project (EHKMP) The Environmental Health Knowledge Management Project (EHKMP) is an initiative to improve the collection and sharing of environmental health information throughout Minnesota. The initiative, which began a year ago, is a broad-based project that includes environmental health programs and activities at the state and local levels. Information pertaining to food programs in Minnesota was chosen as the initial focus of EHKMP efforts. In June 2006, the EHMKP Working Group (Food Program) was formed to work on this project. Group members include local partners, a representative of the Minnesota Environmental Health Association, staff from the Minnesota Departments of Health and Agriculture, and two EHKMP Steering Committee members serving in an exofficio capacity. After many months of hard work, the EHKMP Working Group (Food Program) has nearly completed their task. They will soon present the EHKMP Steering Committee with a draft action plan for improving the statewide sharing of selected food program licensure, inspection, and enforcement data. The draft action plan includes: • Diagrams illustrating the basic flow of licensure, inspection, and enforcement data within food programs, • A dictionary of food program data elements considered important to share on a statewide basis, and • Recommendations for improving statewide sharing of food program licensure, inspection, and enforcement data. Once the draft action plan meets the approval of the EHKMP Steering Committee, it is hoped that recommendations will be implemented so that improvements in the sharing of food program licensure, inspection, and enforcement data will be realized. For more information see http:// www.health.state.mn.us/divs/eh/ local/knowproj/wrkgrpfood.html Recreational Water Advisory Committee The Minnesota Recreational Water Advisory Committee (RWAC) is a volunteer group of swimming pool professionals that meets quarterly to discuss the aquatic issues of the day and to lend advice to the State Swimming Pool Program. RWAC members include public use swimming pool stakeholders such as: Design Engineers; Construction Engineers; Pool Builders; State, County, and City Environmental Health Sanitarians, Managers and Epidemiologists; Certified Pool Operator and Aquatic facility Operator Instructors. This committee is currently chaired by Bill Kass of Olmsted County Environmental Health. The group was founded by Jeff Luedeman, of the City of Bloomington Environmental Health, four years ago. Since then, the committee has addressed a wide range of topics from Oxidation Reduction Potential to the definition of a pool alteration to canine swim days. If you would like to become a member of RWAC, please contact Bill Kass at: 507-287-2692 or by e-mail at: [email protected]. If you would like information about pool plan review, new construction or the pool code, call Steve Klemm at: 651-201-4503 or by e-mail at [email protected]. Pool operators who would like a pre-inspection checklist to help prepare for pool opening or inspection can contact Chris Forslund at: 651201-4230 or by e-mail at [email protected]. Delegation Agreement Timetable Minnesota Department of Health Division of Environmental Health Environmental Health Services Section Orville L. Freeman Building 625 North Robert Street Saint Paul, Minnesota 55155 http://www.health.state.mn.us/foodsafety A Note from Colleen Paulus We have had a change in supervisors for the Partnership and Workforce Development Unit (PWDU). Roger Carlson joined MDH in 2006 to help lay the foundation for the PWDU and assist with rewriting the delegation agreement. Roger’s temporary assignment is coming to an end on April 13, 2007. Roger enthusiastically approached his temporary assignment with passion and dedication for creating an improved food safety system throughout Minnesota. We want to thank Roger for providing a historical perspective which helped guide the revision of the delegation agreement. Nov 2006 through MDH internal comment, revision and review of proposed Delegation Agreement Apr 2007 through Advisory Council meets monthly. Internal and external comment, revision and review continue. Sep 2007 through Regional information meetings are held. Internal and external comment, review and revision continue. Jan 2008 Revision and review conclude. Agreement is finalized. Feb 2008 Final Delegation Agreement is released and published. Feb 2008 through Dec 2008 New Delegation Agreement is phased in. April Bogard will assume the supervisory role on April 16. She comes with years of epidemiological experience working on foodborne illness outbreaks. April has been an active participant with Food Safety Partnership projects and the Minnesota Department of Health Food Safety Center web page. Her experience as an environmental health specialist in local health agencies will serve her well as the PWDU develops outreach materials and activities for local partners. PWDU Staff Contact Information Name Got A Question? Phone and Emaill April Bogard Supervisor, Partnership and Workforce Development Unit [email protected] 651-201-5076 Local program guidance, environmental health training [email protected] 651-201-4230 Deborah Durkin Food safety educational materials, training and collaborations [email protected] 651-201-4509 Mike Kaluzniak Data systems, Statewide Hospitality Fee, and emergency information system [email protected] 651-201-4517 Paul Allwood Foodborne illness outbreak investigation, research [email protected] 651-201-4511 Steve Klemm Swimming pool construction and inspections [email protected] 651-201-4503 Tony Georgeson Rapid inspection software [email protected] 218-332-5167 Christopher lund Fors-
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