MINNESOTA DEPARTMENT OF HEALTH Winter 2009 Volume 3, Issue 1 DIVISION OF ENVIRONMENTAL HEALTH PWDU Quarterly Update Partnership and Workforce Development Unit The Odds and Ends Issue ABOUT THIS ISSUE: This issue does not have the usual “theme” but contains articles on a variety of issues that may be of interest to the food community. As always, PWDU staff will be pleased to include your article or to develop an article on the topic of your choice for a future newsletter. Please let us know, if you would like to contribute or suggest a topic. Deborah In This Issue Delegation Agreement 1-2 Climate Change 3-4 Waterborne Disease Food Manager Update 5 6-7 Delegation Agreement Update This factsheet was prepared for distribution to local jurisdictions who will be signing a new Delegation Agreement in 2009. The factsheet and other Delegation Agreement materials can be found at: www.health.state.mn.us/ delegationagreement Background The Minnesota Department of Health (MDH) and its local partners have drafted a new Delegation Agreement for Environmental Health Services, in the areas of food, beverage and lodging, manufactured home parks, recreational camping areas, public swimming pools, and children’s camps. The Delegation Agreement is a formal agreement between MDH and boards of health that gives responsibility for regulating all or some of these types of facilities to the local partners. Employees FIRST & Online Consumer Health 8 Emergency Preparedness & CFP Field training 9 GreenPrint, third edition & Country of Origin Labeling 10 E. coli, MEHA conference & Google Flu Trends 11 Irradiation & Germ City 12 1952: This first division of inspection duties among state and local agencies was described in a document titled, “Proposed working agreement between the Minnesota Department of Health, Division of Hotel and Resort Inspection and the Department of Health, City of Minneapolis.” Delegation Agreement Public Meeting Dates 13 1987: The Delegation Agreement currently in force was written. Delegation Agreement History 1998: The 1987 Agreement was amended to include the adoption of the new food code. 2002: The Minnesota Food Safety Partnership recommended a new Delegation Agreement with a unified, statewide approach to food safety, reflecting new practices, a global economy and the current Minnesota Food Code. 2007: MDH recruited a Delegation Agreement Advisory Council to develop the revised agreement. The DAAC was formed to advise MDH staff on the revision of the current delegation agreement. Advisory Council membership was based on nominations from stakeholders, and approved by the Commissioner of Health. The DAAC represented a cross-section of delegated parties and stakeholder groups, including industry representatives. The New, Improved Delegation Agreement The DAAC determined that the Delegation Agreement should be limited to contractual language, stipulating only those program requirements required under law. Details that were operational now appear in the complementary work products, the Best Practices Manual and the Evaluation Protocol. Page 2 PWDU Quarterly Update Delegation Agreement 2009, continued Key changes to the Delegation Agreement are described below. In many cases, program elements in the previous agreement are clarified and better defined. (9) Data Sharing: The new agreement specifies that licensing data must be provided annually to MDH to be used for a variety of descriptive and planning purposes. (1) Application of FDA Standards: The Delegation Agreement and Manual are based on the FDA standards and customized to fit Minnesota’s needs. Minnesota programs are consistent with science-based Federal standards and provide a yardstick for accountability and consistency. The DAAC recommended that a manual be developed to describe best practices for the operation of a model program. The structure of the resulting draft Manual is based on the United States Food and Drug Administration (FDA) Draft Voluntary National Retail Food Regulatory Program Standards. (2) Emergency Planning Requirements: Program standards for emergency contact information, outbreak response and planning are better described and reinforced by their inclusion in the Program Evaluation and the Manual, as well as in the Delegation Agreement. (3) Emphasis on Risk-Based Inspection: The new agreement stipulates that inspectors must identify and address hazards, incorporate education into the inspection process, and promote managerial accountability. The new materials emphasize a focus on health-based risk factors and their impact on public health. (4) Program Uniformity: Any brand new agreements must include all program areas. In the past, agencies were allowed to assume responsibility only for those program areas that they chose to adopt. Existing delegations will be allowed to maintain their current programs. This provision promotes local control and will improve service to the community. (5) Program Status Designations: Previously, program evaluation resulted in one of three status designations – acceptable, unacceptable or termination. The new agreement includes two additional categories which are part of a more collaborative, better descriptive evaluation process. (6) Staff Qualifications: The new agreement clarifies staffing needs and academic qualifications. (7) Food Code Revision: The new agreement requires MDH to coordinate a review of each new FDA Food Code or Supplement. This review will lead to revision of Minnesota standards as needed. (8) Self Assessment: The new agreement requires agencies to perform regular program self-assessments. Self assessment allows programs to monitor their effectiveness; to prepare for their formal program evaluation; and to identify program needs and resources that may be insufficient. Each Manual section is comprised of the following elements: (1) contractual requirements of the Delegation Agreement specific to that section, (2) recommended best practices to assure compliance with the contractual requirements of the Delegation Agreement, and to achieve the goals of a comprehensive statewide program, and (3) materials and resources from federal, state and local programs, selected by Manual working groups for their proven efficacy. In response to the concern that all program evaluation must be consistent throughout the state, an evaluation work group designed a methodology for evaluation of all MDH and delegated programs “to ensure that minimum program standards put forth in Minnesota Statues, Rules and the Delegation Agreement are in place and maintained, in order to protect public health.” Products reviewed and approved by the Advisory Council include: (1) the Evaluation Protocol, (2) evaluation survey tools for each of the program areas (pools, lodging, etc.), (3) field evaluation forms, and (4) the Evaluation Summary report. Next Steps • The Agreement is available for review prior to notice of suspension of the current agreement and the request to sign the new agreement. • Other dates and details of the rollout are found in the Implementation Plan on the website. • Regional meetings will take place in January and February 2009. The schedule for those meeting is on the last page of this newsletter. • Delegated agency and MDH regional office selfassessments and program evaluations will be conducted beginning in June, 2009. Page 3 PWDU Quarterly Update Climate Change and Public Health The following is from a press release issued by the American Journal of Preventive Medicine regarding the November 2008 issue of that journal. Climate Change Will Affect Public Health – A Call to Action: Special Issue of the American Journal of Preventive Medicine Extreme heat events (EHE), or heat waves, are the most prominent cause of weatherrelated human mortality in the United States, responsible for more deaths annually than hurricanes, lightning, tornadoes, floods and earthquakes combined. These events, and other climaterelated changes in the worldwide environment that directly affect public health, are examined in the November issue of the American Journal of Preventive Medicine. The papers in this special issue provide a crucial state-of-the art overview of many of the issues at the intersection of climate change and health. Guest Editors — Howard Frumkin, MD, DrPH, and Jeremy J. Hess, MD, MPH, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta; and Anthony J. McMichael, PhD, National Centre for Epidemiology and Population Health, Australian National University, Canberra — and their colleagues issue a call to action. Dr. Frumkin observes that “a decade ago there was active debate about whether climate change was real, and whether human contributions have played a major causal role in the recently observed global warming. That debate is largely over, although the inherent complexities of climate system science and various uncertainties over details remain. A corollary question — whether climate change would have implications for public health — also has been settled. The answer is yes. A range of possible effects has been identified, some now fairly well understood and others yet unclear. … Public health and preventive medicine, as applied disciplines, share a common mission: to prevent illness, injury and premature mortality, and to promote health and well-being. This mission therefore carries a mandate to address climate change. Fortunately, the basic concepts and tools of public health and preventive medicine provide a sound basis for addressing climate change…Climate change, an environmental health hazard of unprecedented scale and complexity, necessitates health professionals developing new ways of thinking, communicating, and acting. With regard to thinking, it requires addressing a far longer time frame than has been customary in health planning and it needs a systems approach that extends well beyond the current boundaries of the health sciences and the formal health sector. Communicating about the risks posed by climate change requires messages that motivate constructive engagement and support wise policy choices, rather than engendering indifference, fear, or despair. Actions that address climate change should offer a range of health, environmental, economic and social benefits. The questions at present, then, are not so much whether or why, but what and how? What do we do to prevent injury, illness and suffering related to climate change, and how do we do it most effectively?” This issue of the American Journal of Preventive Medicine offers a range of articles by a group of experts who helps answer these questions. Meanwhile, there also remains for health researchers the extremely important task of assisting society in understanding the current and future risks to health, as part of the information base for policy decisions about the mitigation of climate change itself. (continued, next page) Page 4 PWDU Quarterly Update Climate Change and Public Health, continued Beginning with an overview, Frumkin and McMichael emphasize the broad challenges climate change poses to our customary ways of thinking, communicating, and acting to protect health. Four commentaries address specific concerns to preventive medicine: research (Andy Haines); local public health (Mayor Michael Bloomberg and Rohit Aggarwala); world health protection (Maria Neira); and medical education and training (Robert Lawrence and Peter Saundry). Irrespective of the extent to which human activity accounts for climate change, the next five papers present evidence of health impacts of climate change, including the direct effects of heat (George Luber and Michael McGeehin); vectorborne diseases (Kenneth Gage and colleagues); waterborne diseases (Jon Patz and colleagues); and air quality (Pat Kinney). The authors of the final paper in this section (Jeremy Hess and colleagues) describe the way these and other health effects vary by location, emphasizing the importance of geographic thinking in health. These illustrations are the first and last frames of NASA’s global warming maps which can be found at: http://geology.com/news/2006_12_01_archive.html Discussions of climate change involve scientific complexity, considerable uncertainty, ample misinformation and many vested interests — with the resulting potential to frighten, confuse and/or alienate people. Health communication has therefore emerged as a key discipline in preventive medicine. The papers by Jan Semenza et al. and Ed Maibach et al. provide both empirical data and theoretical background on climate change communication, grounded in the insights of health communication. Much public health activity will have to focus on adaptation — reducing harm from the effects of climate change. Key principles of adaptation are discussed by Kristie Ebi and Jan Semenza, and lessons learned from public health disaster preparedness are described by Mark Keim, Margalit Younger et al. expand on the ways in which policies and actions can both address climate change and yield additional health, environmental, and other benefits. Finally, Michael St. Louis and Jeremy Hess expand the discussion to global health, an appropriate focus since some of the most pressing challenges to health are expected to occur in the world’s poorest nations. The articles appear in the November 2008 issue of the American Journal of Preventive Medicine, Volume 35/Issue 5, published by Elsevier. To access the full text of the articles visit: http://www.ajpm-online.net/ontent/advance.. Minnesota Department of Health and Climate Change The Minnesota Department of Health is in the early planning phase for an all-Department workgroup that will look at climate-related impact on the health of Minnesotans. The workgroup will examine the available science on this topic, and make recommendations on the possible roles of the Department in responding to these potential problems, and informing, educating and protecting the public. Page 5 PWDU Quarterly Update Bug of the Quarter: Waterborne Disease (with Climate Change) The following article was published on E!sciencenews.com on October 10, 2008 and can be found at: http://esciencenews.com/articles/2008/10/08/waterborne.dise ase.risk.upped.great.lakes and the Global Environment, conducted the study with Stephen Vavrus, a climatologist and director of the UW-Madison Center for Climatic Research, also part of the Nelson Institute. Waterborne Disease Risk Upped in Great Lakes Changes in regional weather patterns and, in particular, an increase in the number and intensity of severe rainfall events are predicted to accompany global warming. Climatologists have already cataloged a decades-long trend toward more tempestuous weather.. An anticipated increased incidence of climate-related extreme rainfall events in the Great Lakes region may raise public health risk for the 40 million people who depend on the lakes for their drinking water, according to a new study. In a report published on October 7, 2008 in the American Journal of Preventive Medicine, a team of Wisconsin researchers reports that a trend toward extreme weather such as the monsoon-like rainfall events that occurred in many parts of the region this past spring is likely to aggravate the risk for outbreaks of waterborne disease in the Great Lakes region. "If weather extremes do intensify, as these findings suggest, our health will be at greater risk," according to Jonathan Patz, a University of Wisconsin School of Medicine and Public Health professor of population health and an expert on the health effects of climate change. A primary threat to human health, says Patz, are the extreme precipitation events that overwhelm the combined urban storm water and sewage systems such as those in Milwaukee and Chicago, resulting in millions of gallons of raw sewage being diverted to Lake Michigan. Adding to the risk throughout the region, Patz notes, is the growing concentration of livestock operations where heavy rainfall can wash large amounts of animal waste into the rivers and streams that drain into the Great Lakes, the world's greatest concentration of fresh surface water. "It's the perfect storm," notes Patz. "Deteriorating urban water infrastructure, intensified livestock operations, and extreme climate change-related weather events may well put water quality, and thereby our health, at risk." Waterborne diseases caused by pathogenic bacteria, viruses and parasites are among the most common health risks of drinking water. In 1993, Milwaukee experienced an outbreak in city drinking water of the parasite Cryptosporidium that exposed more than 400,000 people and killed more than 50. Patz, who is also affiliated with UW-Madison's Nelson Institute for Environmental Studies' Center for Sustainability "We have seen an uptick in the incidence of severe precipitation events in the last couple of years, but this has been a trend for decades," says Vavrus, noting an increased frequency of both major storms and total precipitation in the late 20th century. "And we are expecting climate (in the Great Lakes region) to change significantly in the future, so we'll very likely see an Increase in these extreme precipitation events." Climate change, scientists know, will prompt extremes of the hydrologic cycle, causing intensified precipitation as well as drought. Using the best available computer climate models, the Wisconsin researchers found that southern Wisconsin is likely to experience a 10 to 40 percent increase in the strength of extremely heavy precipitation events, leading to greater potential for flooding and the waterborne diseases that accompany the high discharge of sewage into Lake Michigan. Previously, Patz led a U.S. EPA-funded study linking outbreaks of waterborne disease in the U.S. to extreme rainfall. That study, published in 2001, showed that two-thirds of waterborne disease outbreaks between 1948 and 1994 were correlated with heavy rainfall. The new study, say Patz and Vavrus, points to a need to strengthen pubic health infrastructure and improve aging urban drinking water and sewage systems, and to improve land use planning to reduce the amount of runoff that occurs in urban areas during major precipitation events. "This is where climate policy, land use policy and public health come together," Patz argues. Page 6 PWDU Quarterly Update Food Manager Certification—An Update By Tracie Zerwas and Tom Wilfahrt, MDH Background The Certified Food Manager (CFM) Program was established in 2000 by the Minnesota Department of Health (MDH) and the Minnesota Department of Agriculture to help achieve state wide consistency among food safety practices in the food industry. The Minnesota Food Code requires an owner or operator of most food establishments to employ one full-time Certified Food Manager for each food establishment. CFMs provide food safety education for food establishment staff throughout the state. Three goals of the training are: (1) to decrease the number of critical violations found during inspection of food establishments, (2) to establish better rapport between the establishment owner/operator and the health inspector, and (3) to help lower the number of food borne illness outbreaks in food establishments statewide. Another feature this website offers to public health, industry, and consumers is the ability to verify a Certified Food Manager’s certification status. Industry users will find this website useful in keeping accurate records of all certified employees. Regulatory users can use the site to verify the status of an establishment’s certified workers, if the certificates are not posted. This feature of our website is located at: http://www.health.state.mn.us/divs/eh/food/fmc/fmgr_ query.cfm . Additionally, current initial, renewal and duplicate applications can be found at: http://www.health.state.mn.us/divs/eh/food/fmc/appli cations.html. A Few Program Stats MDH has issued 70,018 Food Manger certificates since the inception of the program in 2000. Of that number 47,898 were initial certificates, 21,230 were renewals, and 890 have been duplicates. Currently there are 762 Food Safety Course Providers in the state. MDH, course providers and other partners have provided an annual Food Manager Certification Course Providers’ Workshop since 2006. CFM Website Features One of the challenges in administering the program has been to improve and enhance the service using existing technology. A recent improvement was to provide course providers with a web-based, self-promoting website that allows the providers the opportunity to advertise their course dates, times and locations on the MDH website. This web-based self-promoting website was introduced at the 2007 Food Manager Certification Course Provider Workshop and has proven to be a useful tool for course providers and for those seeking a class online. Feedback received by MDH has been very positive. If you have not yet used this feature on our website, we encourage you to visit the site at: http://www.health.state.mn.us/divs/eh/food/fmc_traini ng/index.cfm Innovations Expected in 2009 This past year we have been working on further website improvements. New features will allow current CFMs to renew their certificates and pay on-line. Four self-service web pages will provide the following capabilities for our various customer groups: 1. Certified Food Manager Self-Service Site: • • • Portal for the CFM’s only (i.e. no corporate oversight) • • Modify maiden name, with validation • • Choose primary post address (work or home.) Access by CFM number, and Pin number Modify password, email address, address, and phone number Add/modify employment at company or site; start and end dates Browse, and register for continuing education courses Page 7 PWDU Quarterly Update Food Manager Certification, continued • • • • Request a duplicate certificate Send/log renewal notice: 1st by email; 2nd by mail Print renewal application and fee schedule • Publish/manage in-house continuing education courses • Pay on-line Pay on-line 4. Regulatory Authorities • • Make CFM inquiry, as before • Website will inform regulatory authority via email when an establishment has a change of certificate holder Added: Current CFM/establishment summary data to CFM database, CFM#, name, certificate, and start/end date This program enhancement will be active in 2009. We are confident that these advancements to our website will make all of our jobs easier and more efficient. 2. Course Providers Self-Service Site (Voluntary) • • Portal for ‘willing’ course providers • • Modify address, email, password, website link • • Report/download CFMs registered for course • Display/link to registered course providers on website Register company and address; generate unique ID, and password In its ninth year of operation, the Certified Food Manager Program is dependent on the continued support of all our public health and industry partners. We thank you for that support. [For more information regarding the Food Manager Program, please visit our website at: http://www.health.state.mn.us/divs/eh/food/fmc/index .html ] Publish/manage continuing education courses, dates, times and locations Register/up-load CFMs who took and passed continuing education course 3. Corporation Self Service Site (Voluntary) • • Portal for ‘willing’ companies • • Add/modify corporate and site address, email, phone • • • Choose primary email and post address Register company, establishment ID, ‘Local ID’ (city/county), and password Add/modify start and end date of CFM employment at site address Print all renewals and fee schedules sorted by site Send/log renewal notice by site: 1st by email; 2nd by post Instructors’ Resource Seminar for Instructors of Food Manager Certification (FMC) Courses TAX DAY, April 15, 2009, 9:00 A.M. to 4:00 P.M. 1645 Energy Park Drive, St. Paul Topics include: FMC E-payment system; foodborne illness; microbiology; food allergen management; teaching through language barriers; labeling and date marking; and an overview of the FDA ALERT Program. For more information, contact Tracie Zerwas at 651-201-4502, or [email protected] Page 8 PWDU Quarterly Update From FDA: Employees FIRST & Online Consumer Health Info The Food and Drug Administration (FDA) Announces Availability of Their Food Defense Awareness Training Kit for First-Line Employees. Employees FIRST is an FDA initiative that food industry managers can include in their ongoing employee food defense training programs. Employees FIRST educates front-line food industry workers, from farm to table, about the risk of intentional food contamination and actions they can take to identify and reduce these risks. The FIRST training kit is the second in a line of Food Defense Awareness Materials. ALERT, a program that was issued in July 2006, also focuses on prevention and identifies key points that supervisors and managers in industry and businesses can use to raise awareness of food defense issues and decrease the risks of intentional food contamination. The Employees FIRST tool kit includes an animated, 12-minute DVD, and a 4-color poster that can be hung in work areas to reinforce the initiative. These materials are available in English and Spanish and can be viewed online at: http://www.cfsan.fda.gov/~dms/first.html. Employees FIRST learning objectives are to: (1) increase food defense awareness, and (2) to define and explain the five parts of the Employees FIRST initiative. To read more about Food Defense programs, visit: http://www.cfsan.fda.gov/fooddefense. Follow company food defense plan and procedures. Inspect your work area and surrounding areas. Recognize anything out of the ordinary. Secure all ingredients, supplies, and finished product. Tell management if you notice anything unusual or suspicious. From a December 3, 2008 press release from FDA: FDA Teams With WebMD For New Online Consumer Health Information—New Partnership to Inform and Educate Tens of Millions of Americans The U.S. Food and Drug Administration and WebMD have announced a collaboration that expands consumers' access to the agency's health information. This joint effort reflects the FDA's emphasis on using technologybased strategies to carry out its foremost mission, which is to promote and to protect the public health. WebMD, which attracts nearly 50 million unique visitors each month, provides consumers with credible and timely health news and information. The partnership includes: • Online consumer health information resource on WebMD.com at: www.webmd.com/fda. Consumers can access information on the safety of FDA-regulated products, including food, medicine and cosmetics, and learn how to report product safety problems directly to the FDA. WebMD will bring the FDA public health alerts to all WebMD registered users and site visitors that request them. This joint resource will also feature FDA's Consumer Updates that are also posted on the FDA's main consumer web page at: www.fda.gov/consumer. • FDA contributions to WebMD The Magazine: FDA Consumer Updates will also be featured at least three times a year in WebMD's bimonthly magazine, which reaches nearly nine million consumers. The Internet is the fastest growing source of health information for consumers, according to a national study released in August 2008 by the Center for Studying Health System Change. Researchers found that 32 percent of American consumers—70 million adults—conducted online health searches in 2007, compared with 16 percent in 2001. Page 9 PWDU Quarterly Update Emergency Preparedness Resources & CFP Field Training Conference yÉÜ Food Protection Emergency Preparedness Brian Golob, of Hennepin County Public Health was a 2008 Fellow with the Centers for Disease Control (CDC) Environmental Public Health Leadership Institute. As part of his fellowship, Brian worked on a project aimed at increasing the capacity of environmental health professionals in Minnesota to effectively respond to a disaster or emergency. This work built on the activities of the Twin Cities Metro Advanced Practice Center (APC), funded by the National Association of City and County Health Officials (NACCHO) and the CDC. Brian would like his environmental health and industry colleagues to know that one simple way to increase your emergency preparedness capacity is to raise your awareness of credible web sites you can rely on to provide useful and current information. The following websites meet these criteria and contain links to APC and other materials: MDH: http://www.health.state.mn.us/ apc/ NAACHO: http://www.naccho.org/topics/ emergency/APC/resources/ index.cfm CDC: http://www.cdc.gov/nceh/ehs/ default.htm NAACHO Conference for Food Protection Field Training for Regulatory Retail Food Professionals The Conference for Food Protection (CFP) has progressed through multiple stages in the development of a nationally recognized model for training and standardizing regulatory Food Safety Inspection Officers (FSIO) responsible for conducting food safety inspections. The CFP Field Training Manual for Regulatory Retail Food Safety Inspection Officers focuses on two components – the pre-requisite coursework and the field training model for preparing newly hired FSIOs, or individuals newly assigned to the regulatory retail food protection program to conduct independent food safety inspections. The model developed through the CFP process, consists of a training plan, trainer’s worksheets, and procedures that may be used by any regulatory retail food protection program. This manual was developed to assist jurisdictions that do not have the available staff resources and funding necessary to develop a comprehensive training process. The training model presented in this manual can be readily integrated into existing regulatory retail food protection programs. Flexibility has been built into the process to allow regulatory jurisdictions the opportunity to customize training content and methods to represent a jurisdiction’s own administrative policies, procedures, and inspection protocol. The ultimate objective is to ensure FSIOs are trained on, and provided an opportunity to successfully demonstrate, the performance element competencies that are a vital part of their job responsibilities. The CFP Field Training Manual can be downloaded from the Conference for Food Protection’s web site at: www.foodprotect.org. From this Conference home page, click on the link to ‘Conference Developed Guides and Documents’. With the availability of this document, state, local, and tribal regulatory retail food protection programs now have a nationally recognized model upon which to design basic training programs for FSIOs. Moreover, ongoing use of this field training process will both enhance the effectiveness of regulatory retail food safety inspections across the country and increase uniformity among regulatory professionals. Any questions pertaining to the development and/or use of the CFP Field Training Manual can be direct to: John Marcello, FDA Pacific Region, (480) 829-7396 ext. 35, or [email protected]. Page 10 PWDU Quarterly Update GreenPrint & Country of Origin Labeling Announcing: A GreenPrint for Minnesota: State Plan for Environmental Education, third edition At the October Food Safety Partnership, members requested information about the County of Origin Labeling Law. The following article was graciously provided by Roselyn Biermaier, University of Minnesota Extension Food Science Educator. The recently released GreenPrint was produced under the direction of the Minnesota Environmental Education Advisory Board, with staff of the Minnesota Pollution Control Agency. GreenPrint contains information about the Minnesota goals for environmental education, and strategies for achieving them. It also describes four main outcomes for environmental education during the next 10 years, as Minnesota addresses current and emerging environmental issues, and as well works toward achieving environmental literacy for all Minnesotans. To order or download a copy of GreenPrint, see: http:// www.seek.state.mn.us/eemn_d.cfm Country of Origin Labeling Law (COOL) Consumer caution about the food we eat has become common because of recent food recalls and foodborne illness outbreaks. Concerned consumers now have the opportunity to purchase foods from countries where they feel there are better safety oversights. The law was initially proposed by U.S. farmers and ranchers who thought people would prefer to buy meat produced in the United States. COOL is a federal regulation that requires retailers to clearly label the country where certain foods come from. Those foods include beef, veal, lamb, pork, goat, and chicken; farmraised fish and shellfish; wild fish and shellfish; peanuts; ginseng; pecans; macadamia nuts and perishable agricultural commodities (this term refers to fresh and frozen fruits and vegetables). In some small towns you may not see a COOL label on the fresh and frozen fruits and vegetables. The label is only required at grocery stores, or meat markets, for these perishable agricultural commodities, if that business purchases more than $230,000 of them during a calendar year. Food service establishments are also exempt. You wouldn’t expect to see the COOL labels in lunchrooms, delis, food stands or restaurants. This is because processed and cooked foods are also exempt A food can be called a processed food, if it is combined with only one other ingredient. You may also be surprised that the COOL label isn’t always a sticker or printed label. The law provides for the “label” to be simply a sign or a placard. In fact, the USDA encourages retailers to supplement stickers with point-of-purchase placards and other signage as a way to more clearly indicate information to consumers. More information about COOL can be found at: http:// www.countryoforiginlabel.org/ht/ d/sp/i/34736/pid/34736 Page 11 PWDU Quarterly Update Pass the Cranberries, MEHA Conference & google.flu Cranberry Can Inhibit E. coli Growth in Ground Beef Researchers at the University of Maine examined the potential for cranberry concentrate (CC) to be used as a natural food preservative by examining its antimicrobial effect on the growth of Escherichia coli O157:H7 inoculated in ground beef as well as its organoleptical effect on beef burgers. The findings of the research, which was published in the journal Food Microbiology, indicated that cranberry concentrate at the tested concentrations did not cause significant negative impact on the flavor, taste, or color of burgers and also possessed antimicrobial effects. Recalls MEHA MEHA WINTER CONFERENCE February 12, 2009 University of Minnesota Continuing Education & Conference Center St. Paul Campus For more information see the MEHA website at: http://www.mehaonline.org/index.htm In the US last year (2008), millions of pounds of raw ground beef were recalled because of E. coli O157:H7 contamination, and the Maine researchers stress that effective methods to prevent and eliminate such contaminations in ground beef are essential for the food industry and consumers. Research Results Cranberry concentrate was added to inoculated ground beef and stored at 4°C for five days. Cranberry concentrate (2.5 per cent, 5 per cent, and 7.5 per cent w/w) reduced E. coli O157:H7 population by 0.4 log, 0.7 log, and 2.4 log, respectively, when compared to the control on day five, claims the team. They added that the inhibition effect of cranberry concentrate increased with time and concentration. In addition, 50 panelists evaluated the burgers supplemented with CC, and no differences in appearance, flavor, and taste were found among burgers with 0 per cent, 2.5 per cent, and 5 per cent CC. Source: Application of cranberry concentrate (Vaccinium macrocarpon) to control Escherichia coli O157:H7 in ground beef and its antimicrobial mechanism related to the downregulated slp, hdeA and cfa (Food Microbiology, 2009 Feb;26(1):32-8. Epub 2008 Aug 22.) Google Flu-Trends Analysis Google’s public service branch monitors healthseeking behavior in the form of Google search queries by millions of users each day. They analyze these queries to track influenza-like illness. In a paper published in Nature (online, November 2008) Google reports that because the relative frequency of symptom-related queries is highly correlated with the percentage of physician visits at which a patient reports influenza-like symptoms, Google can estimate the weekly influenza activity in each region of the United States, with a one-day reporting lag. To see the real-time data—by state, see: http://www.google.org/flutrends/. Also see: http://www.ncbi.nlm.nih.gov/ To read the Nature article describing methods, research and results, see: pubmed/19028302?dopt=Abstract http://www.nature.com/nature/journal/vaop/ncurre nt/full/nature07634.html. Page 12 PWDU Quarterly Update Irradiation Showcase in Texas & Germ City, Minnesota Taken from an article by Pamela Riemenschneider published in THE PACKER.com, December 30, 2008. Buca Di Beppo staff and chef/owner, Marcelo Cardoza, pose in front of Germ City. Texas Center Offers Taste of Irradiated Produce Electronic pasteurization, or irradiation, still is a mystery for many in the fresh produce community, but there is one place where people can see, taste and touch irradiated fruits and vegetables. The National Center for Electron Beam Research at Texas A&M University at College Station was established in 2001 to research the feasibility and processes for irradiating meat and produce. Since the FDA approved irradiation as a kill step for pathogens for spinach and lettuce this summer, more people are interested in the technology, said Suresh Pillai, the facility director. “There is definitely a growing interest in this technology among all sectors of the food chain,” he said. Irradiation misconceptions common Misconceptions on what irradiation does to product appearance and consumer perception are common, Pillai said. “Many in the industry incorrectly assume that consumers will not accept this technology,” he said. “This is truly an urban legend.” The center has studied the correct dose for a kill step for pathogens including E. coli O157:H7 in spinach and lettuce and the optimal packaging to hold spinach and lettuce so that the process can be used commercially. Tasting is believing For those who want to get their hands on real irradiated products, the center is open for tours and customized workshops. “We can perform specific studies including consumer acceptance and consumer surveys related to this technology,” Pillai said. “We can also organize tastetesting events so that individuals can see, touch and taste electronically pasteurized products.” Pillai said he thinks it is important for the industry to become familiar with the technology. “Unless and until you understand this technology and know what it can and cannot do it will be impossible to effectively champion it within one’s own organization,” he said. Germ City: Coming Soon to the Location of Your Choice The Food Safety Partnership / MDH Germ City Handwashing Display has appeared at a variety of locations since its debut at the Minnesota State Fair. Most recently, the display has been used by: the City of Minnetonka for a city-wide open house; by Health East Hospitals for a staff training during National Infection Control Week; at Buca Di Beppo Restaurant in Eagan for staff and customers (on a very busy and entertaining evening); and at the Boynton Health Service, University of Minnesota, Minneapolis, for staff and clinic visitors. Germ City is reserved for several county fairs occurring next summer but has a mostly empty calendar this winter and spring. It is available to you at no cost. Please contact Deborah Durkin (651-201-4509, deborah.durkin @state.mn.us), if you would like to borrow Germ City. MINNESOTA DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH Anoka January 12, 2009, 10:00 a.m. – Noon Anoka County Community Health and Env. Services Government Center, 2100 Third Avenue, Anoka, MN 6th floor shared conference room Two Harbors January 15, 2009, 10:00 a.m.-Noon Lake County Human Services Building 616 Third Avenue, Two Harbors, MN Knife River Room Orville L. Freeman Building 625 North Robert Street Saint Paul, Minnesota 55155 Redwood Falls January 22, 2009, 1:00 – 3:00 p.m. Redwood County Public Health 266 East Bridge Street, Redwood Falls, MN Public Health small meeting room http://www.health.state.mn.us/foodsafety Delegation Meetings—2009 There will be public meetings at the following times and places, for stakeholders who have read the Delegation Agreement, and who have questions regarding the document, its implementation. Of the evaluation process. Hopkins January 9, 2009, 1:00 – 3:00 p.m. Hennepin County Epi-Env Health 1011 First Street South, Hopkins, MN Room 215A St. Peter January 23, 2009, 10:00 a.m. – Noon St. Peter Community Center 600 South 5th Street, St. Peter, MN Saint Peter Room Winona January 26, 2009, 1:00 – 3:00 p.m. Winona County Environmental Services Department 225 West Second Street, Winona, MN Jill Johnson’s office Alexandria January 30, 2009, 9:00 – 11:00 a.m. Douglas County Service Center 725 Elm Street, Alexandria, MN Conference Room 1 Duluth—CANCELLED February 6, 2009 PWDU Staff Contact Information April Bogard Supervisor, Partnership and Workforce Development Unit [email protected] 651-201-5076, 612-296-8118 Deborah Durkin Food Safety Partnership, Food Safety Center, UPDATE, Manual development, food safety education [email protected] 651-201-4509, 651-295-5392 Tony Georgeson Rapid inspection software development, maintenance, and training [email protected] 218-332-5167, 218-770-2119 Steve Klemm Swimming pool construction, plan review, and inspections [email protected] 651-201-4503, 651-238-7737 Lynne Markus Web content, emergency response, factsheet development [email protected] 651-201-4498 Michael Nordos Training, program evaluation, standardization [email protected] 651-201-4511, 651-775-6234 Cathy Odinot Training, program evaluation, consulting team [email protected] 651-201-4843, 651-373-7381
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