Minnesota Department of Health (MDH) Food Safety Partnership (FSP) and Partnership and Workforce Development Unit (PWDU) QUARTERLY UPDATE Volume 5, Issue 3, July 2011 SECTION HEADINGS BUG OF THE QUARTER “Bug of the Quarter” …..…………………......… 1 Plan Review Too: Food Shields ……………… 3 Training Resources ………….……….……….. 4 Special Report: Surplus Food Donations ……. 5 Rules and Legislation ……………………….… 7 Food and Food Safety Matters …..….……..… 8 Climate Change Corner……………………..… 10 Last Word: Germ City at the State Fair….….. 10 PWDU Staff Contact Information .................. 10 NOTE from PWDU: Intestinal Diseases Caused by Animal Contact Some of the material in this article is taken directly from the websites of the Minnesota Department of Health (http://www.health.state.mn.us/divs/idepc/dtopics/animal/prev ention.html) and the Centers for Disease Control (CDC) (http://www.cdc.gov/Features/AnimalExhibits/index.html) At least 61% of all human pathogens are zoonotic transmissible between animals and people. Zoonoses make up 75% of emerging infectious diseases (World Health Organization (WHO)), 2009 Any disease or infection that is transmitted from vertebrate animals to humans (or the reverse) is classified as a zoonosis. Zoonotic diseases can be caused by bacteria, parasites, fungi, viruses and unconventional agents. This article will focus on prevention of intestinal zoonotic diseases commonly associated with animal contact. Over the past decade, there have been an increasing number of reports of enteric disease outbreaks in the Unites States that have been linked to contact with animals at public venues such as petting zoos. Dear Colleagues, Regretfully, we will be unavailable from July 1 until the state government shutdown has concluded. We all look forward to working with you again soon. Deborah Enteric diseases - diseases that enter the body through the mouth and intestinal tract - are usually spread by contaminated food or water, or contact with infected vomit or feces. In the case of outbreaks linked to animal contact, the primary mode of transmission is from the feces of an infected animal to the mouth of the infected person. This occurs through direct hand-tomouth contact or indirect hand-to-mouth contact, such as hand-to-food-to-mouth or hand-to-pacifier-to mouth. (Continued, next page) PWDU Quarterly Newsletter Page 1 of 9 Bug of the Quarter, continued Because animal fur, skin, and saliva can become contaminated with fecal germs, people can become infected when they pet, touch, or are licked by animals. Persons can also be exposed through contact with an animal’s living area, its bedding, fence rails or objects such as food and water dishes. “All animals can carry germs and pass infections to people. Infections with intestinal bacteria and parasites pose the highest risk for human disease.” (Minnesota Department of Health) The most commonly reported intestinal disease agents associated with animal contact include E. coli O157:H7, Salmonella, Cryptosporidium, and Campylobacter. Frequently, more than one pathogen has been associated with a single outbreak. For The General Public: Groups at high risk for serious infection from intestinal illnesses caused by animal contact are children under five years, pregnant women, older adults, people who are cognitively impaired, and those with a compromised immune system. To prevent illness from animal contact: Wash hands thoroughly with soap and running water after contact with any animal, animal product, or animal living area. Do not eat, drink or smoke in animal areas, and do not share food with animals. Supervise children less than five years of age when they are around any animals. Never allow children to carry toys, or use pacifiers, cups, or baby bottles in animal areas. Animals of particular concern for transmitting intestinal diseases are: calves, lambs, and goat kids chicks and ducklings reptiles and amphibians any ill animal (difficult to identify) During this season of petting zoos, state and county fairs, farm camps and general outdoor play, we can all help to remind the managers of such venues and the people who attend them about the simple precautions that can be employed to reduce the incidence of illness. For Environmental Health Staff Remember to refresh those signs you’ve hung in animal barns at state and county fairs in past years, and provide information and posters to day camps, educational farms and other venues where animal contact is likely. Disease prevention posters for animal venues can be found at: http://www.health.state.mn.us/divs/idepc/dtopic s/animal/posters.html Posters on this site can be ordered by calling 651-201-5414 or 1-877-676-5414. http://www.nasphv.org/Documents/AnimalExhi bitsSafety.pdf http://www.cdc.gov/healthypets/resources/salm onella-baby-poultry.pdf Keep children’s hands away from their eyes and mouth. Supervise children’s handwashing. People in high risk groups should avoid contact with baby chicks, ducklings, reptiles, amphibians, calves, lambs, or goat kids. These animals are not recommended as pets in households with a person in a high risk group. For People Who Manage an Animal Exhibit Do not allow food and drink in animal areas. Install hand washing stations at the exit of the animal exhibit. Provide some stations low enough for children to use. Use plain language and picture posters to inform visitors how to stay safe and healthy. (Continued, next page) PWDU Quarterly Newsletter Page 2 of 9 Outbreaks Associated with Animal Contact Minnesota, June-July 2000: An outbreak of infections caused by multiple pathogens occurred at a farm day camp. Bottle-fed calves were the source of the outbreak, which affected 59 campers. The primary pathogen identified was Cryptosporidium parvum. The median duration of illness among cases was 6 days. One child was hospitalized for 6 days. A second outbreak occurred at the same facility in 2001. Again, multiple pathogens were involved. Cryptosporidium was the most common pathogen recovered, but several cases of E. coli O157:H7 or with non-O157 Shiga toxin-producing E. coli (STEC) were identified. Overall, 25 cases were identified. Two children were hospitalized, each for 4 day. One child had both E. coli O157:H7 and C. parvum. (MDH Disease Control newsletter, March/April, 2005) North Carolina (NC), 2004: An E. coli O157:H7 outbreak occurred among visitors at the NC State Fair. The NC Department of Health received over 180 reports of illness, and documented 33 culture-confirmed cases of E. coli O157:H7 associated with attendance at the fair, with 15 children developing HUS. The Department concluded that the outbreak had originated at a petting zoo exhibit. (CDC) Florida, 2005: A petting zoo that exhibited at three public events in Florida was traced as the source of an E. coli O157:H7 outbreak. Sixty-three people who had visited one of the three events reported illness to the Florida Department of Health. Twenty cases were culture-confirmed, seven with HUS. A case-control study revealed that illness was associated with exposure to a petting zoo exhibit present at all three events. (CDC) Multi-state, 2011: As of June 8, 2011 39 individuals infected with Salmonella Altona had been reported from 11 states. Findings of multiple traceback investigations of live chicks and ducklings from homes of ill persons have identified a single mail-order hatchery as the source of these chicks and ducklings. PLAN REVIEW TOO Food Shield Recommendations By MDH Plan Review Staff An approved food shield is required to protect exposed food during service. Food shields were previously called “sneeze guards.” Approved food shields are required on any counter where the customer views their food being prepared (e.g., sandwiches to go) or where food is displayed for self-service (e.g., salad bars or buffets). In 2010 the National Sanitation Foundation (NSF) tightened up the construction guidelines for food shields. Some food facilities within the Minnesota Department of Health’s (MDH) jurisdiction have installed these new food shields on self-service stations with undesirable results. Their customers have had to bend under these food shields and insert their upper body into the serving area while trying to access the food. The opening space for the customer had been minimized so much that they could not easily reach the food. This situation was confirmed with a site visit to one facility by MDH plan review staff. Because of this restrictive access with the new food shield design, MDH will continue to accept food shields designed to 2009 NSF Standards. NSF International has been made aware of our concerns and is reevaluating the new Standard. If you have any questions concerning this decision, please call any of the MDH plan review staff: ● Pamela Steinbach, 651-201-5634 Peep ● Charlotte Morgan, 651-201-3988 ● Barbara Krech, 651-201-5244 PWDU Quarterly Newsletter Page 3 of 9 TRAINING RESOURCES, MINNESOTA FSP-Plus Short Sessions Training Events Calendar The next FSP-Plus training will be held on Tuesday, August 9, 2011 from 10:00 a.m. to 12:00 noon. 2011 Training Events Calendar Date Org. Topic (Contact) Jul Aug 9 10am-12 FSP+ Dr. Steve Kells, UMN Extension: Bed Bug Prevention and Control for Business Owners, and Public Health Agencies [email protected] Sep 14-15 MEHA NEHA Oct 5 9:30-1pm FSP Oct 18 1-4:00pm MDH/ UMN NEHA Region 4 Conference, Kahler Hotel, Rochester http://www.mehaonline.org/eve nts To Be Announced Cooking Safely for a Crowd Video-Conference Workshop for groups who prepare meals for large groups in an unlicensed venue. (See article, this page) (Shari Schmidt at 1-888-241-4591 or [email protected]) The final FSP-Plus session of 2011 will be held in December. For more information, or to suggest training topics, contact Michelle Messer (651-201-3657, [email protected]). FREE Cooking Safely for a Crowd Workshop NOTE: This workshop satisfies the new food safety training requirement - effective August 1, 2011 - for faith-based and other organizations that will not require a food license under the new law. Cooking Safely for a Crowd will be offered on a firstcome, first-served basis on October 18, 2011, from 1:00 p.m. to 4:00 p.m. at video-conference sites throughout the state. Who should attend this free workshop? Nov Dec _ 10am-12 Dr. Steve Kells, University of Minnesota Extension Department of Entomology, will offer practical bed bug identification, prevention and control Information for business owners, and public health agencies. FSP+ To Be Announced Please help us to notify anyone in your area who plans, prepares or serves food at large group events. Who are the instructors for the workshop? Food Safety Partnership Video-Conferences The most recent Food Safety Partnership (FSP) video-conference was held on Wednesday, June 8, 2011. The archive of that meeting can be viewed at: mms://stream2.video.state.mn.us/MDH/FoodSafety060 811.wmv. To suggest a future FSP topic, contact Deborah Durkin (651-201-4509, [email protected]). For CEUs, contact Maggie Edwards (651-201-4506, [email protected]). The final FSP meeting of 2011 will be held on October 5, 2011. See past FSP presentations at: http://www.health.state.mn.us/divs/eh/food/pwdu/fsp/. PWDU Quarterly Newsletter Workshop instructors will be University of Minnesota Extension Food Safety Educators and staff from the Minnesota Department of Health. What will the workshop cover? Foodborne illness: causes, concerns and past outbreaks at community events Personal hygiene and handwashing Purchasing, storing, and preparing foods safely Heating and reheating; cooling, holding and serving safe food Times and temperatures; and preventing crosscontamination New legal requirements for unlicensed kitchens For more information: Contact Shari at 1-888-2414591 or [email protected] Page 4 of 9 TRAINING RESOURCES, NATION-WIDE WEB AND WRITTEN RESO URCES Food and Drug Administration (FDA) Special Processes at Retail Course FDA is offering their Special Processes at Retail course (FD312) on July 29-30 in Milwaukee. This course is not listed in the 2011 course listing because it is a pre-meeting workshop for the International Association for Food Protection (IAFP) conference the following week. Participants can register for the workshop and not for the entire conference. For more information, see: http://www.foodprotection.org/files/annual_meeting/iafp -2011-workshops-2011.pdf International Food Protection Training Institute (IFPTI) http://harvestfoodservice.com/media/harvestfoodservice-journal-vol-1-issue-1/ Harvest Foodservice Journal: Vol. 1, Issue 1 The first issue of this online journal appeared in March. The journal is dedicated to, “connecting sustainable food systems with the foodservice industry.” Volume 1, Issue 1 includes an article about the successful effort of a Minnesota school district to include local food on their daily school menu. The process of adding three grape tomatoes to each school lunch was quite complicated. Schools that are considering the additional of local foods to their school menus may find this account helpful. SPECIAL REPORT Upcoming (Free) Courses at IFPTI July – Foodborne Outbreak Response July and August – Seafood HAACP August – FD152, Food Processing and Technology IFPTI reimburses all program-related travel expenses including airfare, hotel and meals for course attendees. More information is available at: http://www.ifpti.org Madison and Dane County Wisconsin, Safe Food Crew Free Online Training This free training program is designed to be taught in-house by food operators. It is available in English and Spanish. This is not a new program but the modules have very good basic information on critical areas of food safety that might be helpful to food managers who wish to provide onsite training. Safe Food Crew program materials can be found at: http://www.publichealthmdc.com/environmental/sfc/Intr o-SP.html PWDU Quarterly Newsletter Surplus Food Donation: A Simple & SociallyResponsible Alternative to Food Waste By Jim Larson, Food Donation Connection On a recent trip to Chicago, I sat down on a Michigan Avenue curb next to a 50-year old homeless man. When I asked if he’d had anything to eat recently, he said someone had given him a breakfast tortilla and $2 that morning. He was still hungry and in need of shelter. Unfortunately, his story is not uncommon. There is great need in America. Considering this need, it is ironic that each day in America 96 billion pounds of food goes to waste. A significant portion of this wasted food comes from restaurants that discard it for a variety of reasons: kitchen mistakes, ordered food that is never picked up, over production of food items, and food that is still good but has reached the restaurant’s “serve by” time. This food is planted, nurtured, harvested, packaged, transported, delivered, stored, prepared, cooked, and then not served. After such an investment of time and resources, it is a tragedy to discard it; especially when so many are in need of a good meal. The current challenging economic climate has increased the number of families and individuals seeking help from agencies who feed the hungry. The good news is that Page 5 of 9 surplus food from restaurants doesn’t have to end up in a landfill – it can be redirected to those in need. The EPA has created a Food Waste Recovery Hierarchy that illustrates the proper way to address surplus food. A glance at the inverted EPA triangle shows that the first thing they recommend is to reduce waste at the source. That makes perfect sense; one should not intentionally create surplus food or waste. Note that the second level is to feed hungry people. When surplus prepared food is properly cooled and safely stored, it can be donated to qualified social service agencies in the community. The third through fifth levels include feed animals (e.g., scraps given to hog farmers), industrial uses (e.g., bio fuels made from cooking oil) and composting. It is only when these five options are deemed unfeasible that surplus food should be land filled. Today, thousands of restaurants across the nation are making a difference in their communities by redirecting their “prepared-but-not-served” food to local aid agencies that feed the hungry. These businesses have overcome the roadblocks to donating, which include concerns about food safety, connections to local agencies that provide food to the hungry, the time and resources to administer such programs, and the incentives for employee involvement and cooperation. Many of these companies have turned to Food Donation Connection (FDC) for help. FDC is a company dedicated to making the feeding of the hungry a win-win proposition for everyone involved. FDC does this by linking food donors with qualified local charitable agencies, providing guidelines on food safety, live support for donors and agencies, and tax deduction determination to help businesses calculate the tax benefits resulting from their donations. FDC maintains a database of over 6,500 non-profit aid organizations across the nation, and actively works to link donors with agencies that can pick up the food on a schedule that works for the restaurant. While food donors and agencies are protected by the Bill Emerson Good Samaritan Act (except in cases of gross negligence or intentional misconduct), they realize that food safety is of utmost importance. PWDU Quarterly Newsletter Therefore, many restaurants work with FDC to develop proper procedures to safely donate surplus food. FDC also provides green Cambro® pans and food-safe plastic bags for food storage. After years of donations by over 14,000 restaurants at locations in all 50 states, local Health Departments have become accustomed to seeing the green pans in the freezers and recognize that they are used to store food intended for donation. FDC also provides a fully-staffed support center that serves to address any program-related concerns expressed by restaurant donors or recipient agencies. With respect to tax savings, FDC works with the donor to determine the deduction allowed by the IRS. When businesses donate their surplus food, it helps agencies reduce their food budget and apply more of their limited funds to their main mission, which might involve drug rehabilitation, aid to mothers and families in crisis, or shelter and counseling for homeless veterans. If you have ever had the opportunity to visit or help at a shelter, you are aware that donated food can make a huge impact. You cannot imagine how important a piece of pizza can be to children living at a women’s shelter. That pizza represents what other children have; children who live in more “normal” circumstances. The less fortunate must often subsist on non-perishable food and government commodities. Prepared food from a restaurant is a welcome change. When businesses and individuals are involved in donation programs like this, the bottom line impacts are evident for all: stomachs are filled, businesses pay lower taxes, aid agencies gain partners in their missions, and food employees and businesses have the satisfaction of knowing that they are making a difference in their communities. You can make a difference, too! For more information, contact FDC at 800-831-8161, or go to www.foodtodonate.com Page 6 of 9 RULES AND LEGISLATIO N 2011 Legislation: Food, Beverage, Lodging and Public Pools A number of bills were introduced during the 2011 Legislative session that would affect the regulation of food, beverage, lodging and pools. The following two bills were passed by the Legislature and signed by the Governor. HF0763*/SF0491 (Hilty/Lourey): Swimming pond health rule exemption expiration date elimination. This legislation removes the expiration date for the exemption from the exclusion of EXISTING public swimming ponds from the definition of a public pool. The construction of new swimming ponds is NOT allowed. The effective date was May 25, 2011. SF0477*/HF0637 (Howe/Drazkowski): Food, beverage, and lodging establishment statutory governance exemptions modifications. The effective date for this legislation is August 1, 2011. This legislation modifies the definition of “School Concession Stand” by adding the following sentence: “A school kitchen or school cafeteria is not a school concession stand.” This legislation also adds exemptions from licensure in Minnesota Statutes 157.22. Exemptions are: Weddings, fellowship meals or funerals conducted by a faith-based organization using any building constructed and primarily used for religious worship or education. Fraternal, sportsman, or patriotic organizations that are tax exempt under section 501(c)(3), 501(c)(4), 501(c)(6), 501(c)(7), 501(c)(10), or 501(c)(19) of the Internal Revenue Code of 1986, or organizations related to or, affiliated with, or supported by such fraternal, sportsman, or patriotic organizations may organize events held in the building or on the grounds of the organization and at which home-prepared food is donated by organization members for sale at the events, provided: (i) the event is not a circus, carnival, or fair; (ii) the organization controls the admission of persons to the event, the event agenda, or both; and (iii) the organization's licensed kitchen is not used in any manner for the event. Foods served at fund-raisers or community events conducted in the building or on the grounds of a faithbased organization are exempt, provided that a certified food manager, or a volunteer trained in a food PWDU Quarterly Newsletter safety course, trains the food preparation workers in safe food handling practices. Food service events following a disaster for purposes of feeding disaster relief staff and volunteers serving commercially prepared, non-potentially hazardous foods, as defined in Minnesota Rules, Chapter 4626 are exempt. This exemption does not apply to faith-based organizations at the Minnesota State Fair or county fairs or to faith-based organizations that choose to apply for a license. MDH staff are working to interpret this new language regarding specific situations. A factsheet and a guidance document will be available soon. Minnesota Food Code Revision Advisory Committee: The Minnesota Food Code Advisory Committee has completed their discussion of rule revision items. A report on the Committee’s work is being written by MDH staff and will be reviewed by staff from MDH and MDA. After internal review, the report will be sent to the Advisory Committee for review and comment. This summer, the Departments will review the Committee’s recommendations and decide which ones to adopt. A letter detailing those decisions will be prepared and given to the Advisory Committee. Draft Rule and SONAR: MDH staff are preparing a preliminary draft of the new rule. Advisory Committee changes will be added after recommendations are accepted. MDH and MDA will review and revise the draft rule. A draft of the Statement of Need and Reasonableness (SONAR) is also being written. Stakeholder Meetings will be held in October and November. At these meetings, Department staff and Advisory Committee members, will review Food Code changes, answer questions and collect feedback. Remaining Steps: After the stakeholder meeting, the rule will be revised and polished, and the SONAR will be completed. The rule and SONAR will be put on public notice. This will be likely be followed by a public hearing. Final steps are review by the Administrative Law Judge, approval by the Commissioners, and adoption of the rule. More information on the Advisory Committee’s actions can be found on the website at: http://www.health.state.mn.us/divs/eh/food/code/2009r evision/index.html or contact Linda Prail ([email protected] or 651‐201‐5792) Page 7 of 9 FOOD AND FOOD SAFETY NEWS NEWS FLASH: Raw Milk Is (Even More) Unsafe “Ranking the Risks: The 10 Pathogen-Food Combinations with the Greatest Burden on Public Health” “New MRSA variant detected in cow's milk that can evade some existing detection methods” Researchers at the University of Florida Emerging Pathogens Institute have identified the 10 riskiest combinations of foods and pathogens. Their report lists the number of illnesses, costs and overall public health burden of specific microbes in particular types of food. The food-pathogen combinations were ranked according to annual short- and long-term costs, and also by the loss of quality adjusted life years (QALYs), a standardized measure used to assess pain, suffering, and other impacts. The list is as follows: Pathogen and Food Cost Per Year Campylobacter in poultry $1.3 billion Toxoplasma in pork $1.2 billion Listeria in deli meats $1.1 billion Salmonella in poultry $700 million Listeria in dairy products $700 million Salmonella in complex foods $600 million Norovirus in complex foods $900 million Salmonella in produce $500 million Toxoplasma in beef $700 million Salmonella in eggs $400 million A copy of the report can be found at: http://www.epi.ufl.edu/. Researchers in Denmark and the United Kingdom have found a variant of meticilin-resistant Staphylococcus aureus in cow's milk that is genetically different than existing MRSA strains. The newly identified strain has already caused human infections in England, Scotland, Denmark and Ireland. Researchers say that, when existing detection methods such as the polymerase chain reaction (PCR) or monoclonal antibody methods are used as the only method to detect MRSA, or when these methods are used to confirm provisional detection of MRSA, then the new variant would wrongly identify this variant as meticillin-susceptible, leading to prescriptions of the wrong antibiotics. The study suggests – but does not conclusively prove that cows could be a reservoir of MRSA that could infect humans. Authors said, “Pasteurisation of milk will prevent any risk of infection via the food chain but individuals in close contact with cattle could be at higher risk of carriage. Further research is needed to test this hypothesis." The abstract for this paper can be found at: http://www.thelancet.com/journals/laninf/article/PIIS147 3-3099%2811%2970126-8/abstract Postscript: Uneviscerated Fish Investigation Food Temps for Consumers - Simplified The U.S. Department of Agriculture has updated the consumer recommendation for safely cooking pork. Consumers now have three temperatures to remember: 145 for whole meats, 160 for ground meats and 165 for all poultry. PWDU Quarterly Newsletter “FDA Seeks Permanent Injunction against Seafood Company” On Tuesday, May 31, 2011, the U.S. Food and Drug Administration (FDA) announced that it is seeking a permanent injunction against BCS African Wholesale of Brooklyn Park, Minnesota because the company’s products present food safety hazards to its customers. FDA officials said it issued a warning letter on July 20, 2010 after FDA and the Minnesota Department of Agriculture inspected the facility finding uneviscerated fish over the five-inch limit, as well as unsanitary conditions. The company chose to ignore this warning, resulting in this further action. Page 8 of 9 CLIMATE CHANGE CORNE R LA ST WORD : H EL P! Climate Change: Not Just Out-of-Doors Germ City will join HealthFair11 in 2011 National Academy of Science report, "Climate Change, the Indoor Environment and Health" http://books.nap.edu/openbook.php?record_id=13115 The impact of climate change on indoor environments has received relatively little attention from researchers. At the request of the U.S. Environmental Protection Agency (EPA), the Institute of Medicine (IOM) of the National Academies examined the current state of scientific understanding of the effects of climate change on the indoors. The IOM report states that climate change can create serious indoor environmental problems. In particular, the report found that attempts to create more energy-efficient buildings and heating, ventilation, and air conditioning (HVAC) systems could interfere with building ventilation, potentially exposing people to indoor-emitted pollutants such as chemical emissions and environmental tobacco smoke. They outline specific ways for the EPA, other government organizations, and the private sector to prevent or reduce negative health effects from these problems. HealthFair 11 has invited the Germ City handwashing exhibit to be part of HealthFair11 again this year at the State Fair. We need your help to make this an entertaining and successful public health experience for thousands for fairgoers. Please join us any day from August 25 thru September 5, Labor Day for a three-hour shift (9-12, 12-3, 3-6 or 6-9). Volunteers will receive a Germ City tee-shirt and one ticket to the Fair for each shift they work. Volunteers on Friday nights, or any shift on Saturday, Sunday or Labor Day will receive two tickets per shift. Online registration will be available in mid-July (or as soon as possible after a shutdown). Registration information will be sent to all FSP members. Contact Deborah ([email protected] or 651-2014509) for more details. PARTNERSHIP AND WORK FORCE DEVELOPMENT UNIT STA FF CONTACTS April Bogard Supervisor, PWDU [email protected] 651-201-5076, 612-296-8118 Deborah Durkin, FSP, newsletter, food safety outreach [email protected] 651-201-4509, 651-295-5392 Maggie Edwards, administrative support [email protected] 651-201-4506 Nicole Koktavy, EHS-Net coordinator [email protected] 651-201-4075, 651-387-6461 Amanda Krentz, Germ City Intern [email protected] 651-201-5659 Lynne Markus, IARC, emergency response, climate change [email protected] 651-201-4498 Michelle Messer, training, program evaluation, standardization [email protected] 651 201-3657, 651 775-6238 Michael Nordos, training, program evaluation, standardization [email protected] 651-201-4511, 651-775-6234 Angie (Wheeler) Cyr, training, prog. evaluation, standardization [email protected] 651-201-4843 651-373-7381 MINNESOTA DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH Orville L. Freeman Building 625 North Robert Street Saint Paul, Minnesota 55155 PWDU Quarterly Newsletter http://www.health.state.mn.us/ehs http://www.health.state.mn.us/foodsafety Page 9 of 9
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